Amount paid by patinet's tertiary insurer

date of line_item creation

One of "", "Incomplete Information", "In Process Emdeon", "In Process iHCFA", "In Process Gateway", "Rejected Emdeon", "Rejected iHCFA", "Rejected Gateway", "In Process Payer", "Payer Acknowledged", "Rejected Payer", "Paid in Full", "Partially Paid", "Coordination of Benefits", "ERA Received", "ERA Denied"

Amount paid by patient

Amount allowed by insurance

Patient ID

Adjustment from total billed

Doctor ID

Patient balance

Default to "UN"

Insurance balance

Total amount paid

Appointment ID

Total balance

Price of procedure

Amount paid by patient's secondary insurer

Amount paid by patient's primary insurer

This corresponds to the "Status/Adj Type" from billing detail screen

Total billed

Total amount paid by patient's insurers

One of "CPT(C)", "HCPCS(H)", "Custom(U)", use 1 character identifier when using POST

Date on which the service was rendered