POST api/Billing/SaveBillingInfo
No documentation available.
Request Information
Parameters
| Name | Description | Additional information |
|---|---|---|
| model | No documentation available. |
Define this parameter in the request body. |
Request body formats
application/json
Sample:
{
"CalendarAppointmentId": 1,
"CollectingCopayAmount": 1.0,
"CalendarAppointmentIds": [
1,
2,
3
],
"BillingState": 1,
"ClaimModel": {
"PrintAsPdf": true,
"ClaimFillOptions": {
"FillBox29": true,
"PrintDataOnly": true,
"FlattenForm": true
},
"CalendarAppointmentId": 2,
"PractitionerId": 3,
"AppointmentDate": "2025-05-30 19:47",
"ServiceName": "sample string 5",
"HealthPlanType": 0,
"PatientAddress": {
"Address": "sample string 1",
"City": "sample string 2",
"State": "sample string 3",
"ZipCode": "sample string 4",
"PhoneNumber": "sample string 5"
},
"InsuredAddress": {
"Address": "sample string 1",
"City": "sample string 2",
"State": "sample string 3",
"ZipCode": "sample string 4",
"PhoneNumber": "sample string 5"
},
"InsuredIdNumber": "sample string 6",
"ElectronicPayerId": "sample string 7",
"PatientLastName": "sample string 8",
"PatientMiddleName": "sample string 9",
"PatientFirstName": "sample string 10",
"PatientCode": "sample string 11",
"_patientFullName": "sample string 13",
"PatientFullName": "sample string 13",
"PatientBirthDate": "2025-05-30 19:47",
"PatientGender": "sample string 14",
"InsuredFirstName": "sample string 15",
"InsuredLastName": "sample string 16",
"InsuredMiddleName": "sample string 17",
"InsuredName": "sample string 18",
"PatientRelantionshipToInsured": 0,
"OtherInsuredFirstName": "sample string 19",
"OtherInsuredLastName": "sample string 20",
"OtherInsuredMiddleName": "sample string 21",
"OtherInsuredName": "sample string 22",
"OtherInsuredDOB": "sample string 23",
"OtherInsuredGender": "sample string 24",
"OtherInsuredPolicyOrGroupNumber": "sample string 25",
"OtherInsuredPlanOrProgramName": "sample string 26",
"IsPatientConditionRelatedToEmployment": true,
"IsPatientConditionRelatedToAutoAccident": true,
"AutoAccidentPlaceOrState": "sample string 29",
"IsPatientConditionRelatedToOtherAccident": true,
"InsuredPolicyGroupOrFecaNumber": "sample string 31",
"InsuredDateOfBirth": "2025-05-30 19:47",
"InsuredGender": "sample string 32",
"OtherClaimId": "sample string 33",
"InsurancePlanNameOrProgramName": "sample string 34",
"InsuranceAddress1": "sample string 35",
"InsuranceAddress2": "sample string 36",
"InsurancePhone": "sample string 37",
"InsuranceCityStateZip": "sample string 38 sample string 39 sample string 40",
"InsuranceCity": "sample string 38",
"InsuranceState": "sample string 39",
"InsuranceZip": "sample string 40",
"HasAnotherHealthBenefitPlan": true,
"PatientOrAuthPersonSignature": "sample string 42",
"PatientOrAuthPersonSignatureDate": "2025-05-30 19:47",
"InsuredOrAuthPersonSignature": "sample string 43",
"DateOfCurrentIllnessInjuryOrPregnancy": "2025-05-30 19:47",
"DateOfCurrentIllnessInjuryOrPregnancyQual": "sample string 44",
"OtherDate": "2025-05-30 19:47",
"OtherDateQual": "sample string 45",
"ReferringProviderName": "sample string 46",
"ReferringProviderIdNumber": "sample string 47",
"ReferringProviderNPI": "sample string 48",
"AdditionalClaimInformation": "sample string 49",
"OutsideLab": true,
"DiagnosisOrNatureOfIllnessOrInjury": "sample string 51",
"ICDIndicator": "sample string 52",
"ICDList": [
"sample string 1",
"sample string 2",
"sample string 3"
],
"MedicaidResubmissionCode": "sample string 53",
"MedicaidOriginalReferenceNumber": "sample string 54",
"PriorAuthorizationNumber": "sample string 55",
"CPTItems": [
{
"AppointmentBillingCPTItem": {
"CPTId": 1,
"CPTIdUnique": "1[a1ccce59-6ae3-4275-8d84-b4562248e66c]",
"Code": "sample string 2",
"Description": "sample string 3",
"ModA": "sample string 4",
"ModB": "sample string 5",
"ModC": "sample string 6",
"ModD": "sample string 7",
"DateOfService": "sample string 8",
"PlaceOfService": "sample string 9",
"DiagnosisPointer": "sample string 10",
"UnitCharge": 11.0,
"Quantity": 12,
"TotalCharge": 13.0,
"Taxable": true,
"TaxRate": 1.0,
"Modifiers": {
"ModA": "sample string 1",
"ModB": "sample string 2",
"ModC": "sample string 3",
"ModD": "sample string 4"
}
},
"DateOfServiceFrom": "2025-05-30 19:47",
"DateOfServiceTo": "2025-05-30 19:47",
"RenderingProviderNPI": "sample string 3"
},
{
"AppointmentBillingCPTItem": {
"CPTId": 1,
"CPTIdUnique": "1[9d75c2ed-9fce-4cb4-bda5-2063bef0775e]",
"Code": "sample string 2",
"Description": "sample string 3",
"ModA": "sample string 4",
"ModB": "sample string 5",
"ModC": "sample string 6",
"ModD": "sample string 7",
"DateOfService": "sample string 8",
"PlaceOfService": "sample string 9",
"DiagnosisPointer": "sample string 10",
"UnitCharge": 11.0,
"Quantity": 12,
"TotalCharge": 13.0,
"Taxable": true,
"TaxRate": 1.0,
"Modifiers": {
"ModA": "sample string 1",
"ModB": "sample string 2",
"ModC": "sample string 3",
"ModD": "sample string 4"
}
},
"DateOfServiceFrom": "2025-05-30 19:47",
"DateOfServiceTo": "2025-05-30 19:47",
"RenderingProviderNPI": "sample string 3"
},
{
"AppointmentBillingCPTItem": {
"CPTId": 1,
"CPTIdUnique": "1[dec0b776-be5f-4694-9dfd-ab3f9d87bb5b]",
"Code": "sample string 2",
"Description": "sample string 3",
"ModA": "sample string 4",
"ModB": "sample string 5",
"ModC": "sample string 6",
"ModD": "sample string 7",
"DateOfService": "sample string 8",
"PlaceOfService": "sample string 9",
"DiagnosisPointer": "sample string 10",
"UnitCharge": 11.0,
"Quantity": 12,
"TotalCharge": 13.0,
"Taxable": true,
"TaxRate": 1.0,
"Modifiers": {
"ModA": "sample string 1",
"ModB": "sample string 2",
"ModC": "sample string 3",
"ModD": "sample string 4"
}
},
"DateOfServiceFrom": "2025-05-30 19:47",
"DateOfServiceTo": "2025-05-30 19:47",
"RenderingProviderNPI": "sample string 3"
}
],
"TaxonomyCode": "sample string 56",
"FederalTaxIdNumber": "sample string 57",
"FederalTaxIdNumberType": 0,
"PatientAccountNo": "sample string 58",
"AcceptAssignment": true,
"LeaveRenderingProviderBlank": true,
"TotalServicesCharge": 61.0,
"PaidForServicesAmount": 62.0,
"ServicesBalanceDue": 63.0,
"ProviderOfServiceOrSupplierSignature": "sample string 64",
"PhysicianLastName": "sample string 65",
"PhysicianMiddleName": "sample string 66",
"PhysicianFirstName": "sample string 67",
"FormSignDate": "2025-05-30 19:47",
"ServiceFacilityLocationAddressLocationName": "sample string 69",
"ServiceFacilityLocationAddressAddressLine1": "sample string 70",
"ServiceFacilityLocationAddressAddressLine2": "sample string 71",
"ServiceFacilityLocationAddressCity": "sample string 72",
"ServiceFacilityLocationAddressStateCode": "sample string 73",
"ServiceFacilityLocationAddressZipCode": "sample string 74",
"GroupId": "sample string 75",
"ServiceFacilityLocationAddress": "sample string 69<br/>sample string 70 sample string 71<br/>sample string 72 sample string 73 sample string 74",
"ServiceFacilityNPI": "sample string 76",
"BillingProviderName": "sample string 77",
"BillingProviderAddressLine1": "sample string 78",
"BillingProviderAddressLine2": "sample string 79",
"BillingProviderAddressLine3": "sample string 80",
"BillingProviderCity": "sample string 81",
"BillingProviderState": "sample string 82",
"BillingProviderZip": "sample string 83",
"BillingProviderTelephone": "sample string 84",
"BillingProviderAdress": "sample string 77<br/>sample string 78 sample string 79<br/>sample string 80",
"NPIBillingProviderOrGroup": "sample string 85"
},
"SuperbillModel": {
"AppointmentDetails": {
"BillingInfo": {
"CalendarAppointmentId": 1,
"PatientId": 2,
"BillingState": 1,
"AppointmentHasClaim": true,
"AppointmentHasSuperbill": true,
"AppointmentClaimIsSubmitted": true,
"BillingStates": null,
"BillingPreferences": "sample string 6",
"AppointmentClaims": null,
"AppointmentType": 1,
"CollectingCopayAmount": 1.0,
"InsuranceCompanyName": "sample string 7",
"AppointmentTypes": null,
"BillingStatusForAppointment": {
"AppointmentType": 1,
"ServicesDueAmount": 1.0,
"ServicesWithDiscountDueAmount": 2.0,
"ServicesDiscountModel": {
"Value": 1.0,
"IsPercentage": true
},
"ServicesWithTaxDueAmount": 3.0,
"ServicesChargesWithTax": 4.0,
"ServicesTaxAmount": 5.0,
"PaidByPatientAmount": 6.0,
"PaidByInsuranceAmount": 7.0,
"LocalAppointmentDateFormatted": "sample string 8",
"LocalAppointmentDate": "sample string 9",
"LocalAppointmentDateTime": "2025-05-30 19:47",
"CopayAmount": 1.0,
"CopayBalanceDueAmount": 11.0,
"PaidByPatientForCopayAmount": 12.0,
"InsuranceBalanceDue": 13.0,
"PatientBalanceDue": 14.0,
"BillingStatus": "sample string 15",
"HasInsuranceFinalPayment": true,
"CardProfileId": 1,
"PurchaseDateFormatted": "sample string 17",
"ProductsDueAmount": 18.0,
"ProductsDiscountModel": {
"Value": 1.0,
"IsPercentage": true
},
"ProductsWithDiscountDueAmount": 19.0,
"ProductsWithTaxDueAmount": 20.0,
"ItemsTaxAmount": 21.0,
"BillingPaymentLinkHistory": {
"IsPreviouslySent": true,
"EntityId": 1,
"PatientId": 1,
"PatientEmail": "sample string 2",
"PatientCanReceiveSms": true,
"DateSentUtc": "2025-05-30 19:47"
},
"EntityId": 22,
"PatientId": 1,
"TotalWithTaxDueAmount": 23.0,
"ProductChargesWithTax": 24.0,
"IsWalkIn": true,
"TotalDueAmount": 26.0,
"AdjustedAmount": 27.0,
"BalanceDueAmount": 28.0,
"ServicesDiscount": 29.0,
"ProductsDiscount": 30.0,
"ServicesTax": 31.0,
"ProductsDTax": 32.0,
"ProductsBalanceDueAmount": 33.0,
"ServicesBalanceDueAmount": 34.0,
"PaidByPatientForServicesAmount": 35.0,
"PaidByPatientForProductsAmount": 36.0
},
"PreviousCalendarAppointmentId": 1,
"IcdIndicatorType": 8,
"PreviousAppointmentsWithCharge": [
{
"Id": 1,
"Name": "sample string 2",
"AppointmentDate": "2025-05-30 19:47"
},
{
"Id": 1,
"Name": "sample string 2",
"AppointmentDate": "2025-05-30 19:47"
},
{
"Id": 1,
"Name": "sample string 2",
"AppointmentDate": "2025-05-30 19:47"
}
],
"ServicesTaxRate": 1.0,
"PrepaymentAmount": 1.0,
"PrepaymentCollected": true,
"BillingNotes": "sample string 10"
},
"BillingPreferences": {
"CopayHasAllocations": true,
"CalendarAppointmentId": 2,
"CopyFromCalendarAppointmentId": 1,
"AccidentPlaceState": {
"StateProvinceId": 1,
"StateProvinceCode": "sample string 2",
"CountryRegionCode": "sample string 3",
"Name": "sample string 4"
},
"AppointmentHasClaim": true,
"AppointmentClaimIsSubmitted": true,
"AvailablePhones": [],
"PreviousAppointmentsWithBillingPreferences": [],
"InsurancesList": [],
"BillingPreferencesData": {
"PrimaryInsurance": 1,
"PrimaryInsuranceCompanyId": 1,
"SecondaryInsurance": 1,
"SecondaryInsuranceCompanyId": 1,
"CopayAmount": 1.0,
"LastUpdateUtc": "2025-05-30 19:47",
"InsuranceType": 5,
"RelationshipToInsured": 1,
"IsPatientConditionRelatedToEmployment": true,
"IsPatientConditionRelatedToAutoAccident": true,
"AccidentPlaceStateId": 4,
"IsPatientConditionRelatedToOtherAccident": true,
"HasSignatureDate": true,
"SignatureDate": "2025-05-30 19:47",
"OnsetDate": "2025-05-30 19:47",
"Onset": 1,
"OtherQualifierDate": "2025-05-30 19:47",
"OtherQualifier": 1,
"OutsideLab": true,
"FillInReferringProviderDetails": true,
"AcceptAssignment": true,
"AdditionalClaimInformation": "sample string 10",
"ResubmissionCode": "sample string 11",
"OriginalRefNo": "sample string 12",
"LeaveRenderingProviderBlank": true,
"Gender": "sample string 14",
"PreferredPhone": 1,
"FillInAmountPaid": true,
"GroupId": "sample string 16"
},
"InsuranceTypeValue": 5,
"RelationshipToInsuredValue": 1,
"OnsetValue": 1,
"QualifierValue": 1
},
"ScheduleInfo": {
"CalendarAppointmentId": 1,
"SchedulingAppointmentId": 2,
"CanReschedule": false,
"IsNewPatient": true,
"IsExistingPatient": true,
"HasIntake": true,
"AppointmentHasCopayAllocations": true,
"PatientId": 1,
"AppointmentState": 5,
"AppointmentAcceptedState": 3,
"AppointmentCancelledState": 0,
"AppointmentArrivedState": 0,
"AppointmentNotArivedState": null,
"Type": 7,
"TypeId": 7,
"AppointmentInfoStatus": 8,
"AppointmentInfoStatusId": 8,
"AppointmentTypes": [
{
"Disabled": false,
"Group": null,
"Selected": false,
"Text": "Select type",
"Value": ""
},
{
"Disabled": false,
"Group": null,
"Selected": false,
"Text": "Self-Pay",
"Value": "1"
},
{
"Disabled": false,
"Group": null,
"Selected": false,
"Text": "Insurance",
"Value": "2"
},
{
"Disabled": false,
"Group": null,
"Selected": false,
"Text": "Promotion/Package",
"Value": "3"
},
{
"Disabled": false,
"Group": null,
"Selected": false,
"Text": "Pro-bono",
"Value": "4"
},
{
"Disabled": false,
"Group": null,
"Selected": false,
"Text": "Other",
"Value": "5"
}
],
"AppointmentStatuses": [
{
"Disabled": false,
"Group": null,
"Selected": false,
"Text": "Accepted",
"Value": "0"
},
{
"Disabled": false,
"Group": null,
"Selected": false,
"Text": "Confirmed",
"Value": "1"
},
{
"Disabled": false,
"Group": null,
"Selected": false,
"Text": "Not Confirmed",
"Value": "2"
},
{
"Disabled": false,
"Group": null,
"Selected": false,
"Text": "No Show",
"Value": "3"
},
{
"Disabled": false,
"Group": null,
"Selected": false,
"Text": "Arrived On Time",
"Value": "5"
},
{
"Disabled": false,
"Group": null,
"Selected": false,
"Text": "Arrived Late",
"Value": "6"
},
{
"Disabled": false,
"Group": null,
"Selected": false,
"Text": "In Session",
"Value": "7"
},
{
"Disabled": false,
"Group": null,
"Selected": true,
"Text": "Complete",
"Value": "8"
}
],
"UTCDateTime": "2025-05-30 19:47",
"PreviousUtcDateTime": "2025-05-30 19:47",
"LocalDateTime": "2025-05-30 00:00",
"ApptHasBeenRescheduled": true,
"PreviousLocalDateTime": "2025-05-30 19:47",
"Duration": 13,
"PreviousDay": "2025-05-30 00:00",
"Day": "2025-05-30 00:00",
"PreviousTime": "2025-05-30 19:47",
"Time": "00:00:00",
"Reason": "sample string 16",
"Notes": "sample string 17",
"PractitionerId": 18,
"SupervisorId": 1,
"AssistingInternId": 1,
"LocationId": 19,
"ServiceId": 20,
"RoomId": 21,
"Service": {
"Duration": 1,
"PatientDuration": 2,
"Description": "sample string 3",
"IsForNewPatients": true,
"IsPreferred": true,
"IsOnlyOne": true,
"Price": 1.0,
"IsTelehealth": true,
"Prepayment": 1.0,
"CancellationFee": 1.0,
"Id": 1,
"UniqueId": "74d0a373-bbaf-45d6-a1cb-3ba5576901ce",
"Name": "sample string 8",
"DisplayName": "sample string 9",
"IsActive": true,
"Order": 1
},
"Location": {
"LocationId": 1,
"LocationName": "sample string 7",
"UniqueId": "2a94c2df-0dc4-46b1-a579-b580841c093c",
"IsPreferred": true,
"HasTelehealthService": true,
"IsOnlyOne": true,
"Id": 1,
"Name": "sample string 7",
"DisplayName": "sample string 8",
"IsActive": true,
"Order": 1
},
"Room": {
"Color": "sample string 1",
"IsOnlyOne": true,
"LinkedId": 1,
"Id": 1,
"UniqueId": "535791ac-a627-4158-aac2-df3c0f81fe80",
"Name": "sample string 3",
"DisplayName": "sample string 4",
"IsActive": true,
"Order": 1
},
"Practitioner": {
"Id": 1,
"UniqueId": "6220dea7-ae34-496f-8af3-0a31eaf4488e",
"Name": "sample string 1",
"DisplayName": "sample string 2",
"IsActive": true,
"Order": 1
},
"Intern": {
"Id": 1,
"UniqueId": "6220dea7-ae34-496f-8af3-0a31eaf4488e",
"Name": "sample string 1",
"DisplayName": "sample string 2",
"IsActive": true,
"Order": 1
},
"AssistingIntern": {
"Id": 1,
"UniqueId": "6220dea7-ae34-496f-8af3-0a31eaf4488e",
"Name": "sample string 1",
"DisplayName": "sample string 2",
"IsActive": true,
"Order": 1
},
"IsUniversity": true,
"MainProviderIsIntern": true
}
},
"PatientInfo": {
"PersonId": 1,
"Name": "sample string 2",
"BirthDate": "2025-05-30 19:47",
"Phone": "sample string 3",
"Email": "sample string 4",
"Address1": "sample string 5",
"Address2": "sample string 6",
"Address3": "sample string 7"
},
"PractitionerInfo": {
"PersonId": 1,
"Name": "sample string 2",
"BirthDate": "2025-05-30 19:47",
"Phone": "sample string 3",
"Email": "sample string 4",
"Address1": "sample string 5",
"Address2": "sample string 6",
"Address3": "sample string 7"
},
"ClinicInfo": {
"ClinicInfo": {
"UsePatientPrefix": true,
"PatientPrefix": "sample string 2",
"OrganizationId": 3,
"OrganizationType": 0,
"ClinicStatus": 1,
"HasInterns": false,
"HasSmsModuleEnabled": true,
"HasIEVModuleEnabled": true,
"HasCreditCardModuleEnabled": true,
"Modules": [
{
"ModuleId": 1,
"Name": "sample string 2",
"Active": true,
"Timestamp": "2025-05-30 19:47"
},
{
"ModuleId": 1,
"Name": "sample string 2",
"Active": true,
"Timestamp": "2025-05-30 19:47"
},
{
"ModuleId": 1,
"Name": "sample string 2",
"Active": true,
"Timestamp": "2025-05-30 19:47"
}
],
"SubscriptionStartDate": "2025-05-30 19:47",
"NoOfPaidPractitionerAccounts": 1,
"NoOfPaidStaffAccounts": 1,
"NoOfPaidInternAccounts": 1,
"OrganizationName": "sample string 7",
"Timezone": "00:00:00.1234567",
"IsSoloClinic": false,
"IsNegativeTimezone": true,
"TimezoneValue": "00:00:00",
"LicenseNo1": "sample string 8",
"UseNccaom": true,
"LicenseNo2": "sample string 10",
"LicenseNo3": "sample string 11",
"LicenseNo4": "sample string 12",
"LicenseNo5": "sample string 13",
"ProfileImage": "sample string 14",
"ProfileImageFile": null,
"TaxIdNo": "sample string 15",
"Settings": "sample string 16",
"ProviderName": "sample string 17",
"FacilityNpiNo": "sample string 18",
"UniqueId": "4e380afe-b7c5-4dce-b1b8-e788ae48f247",
"PrimaryContactPersonId": 1,
"Subdomain": "sample string 20",
"PricingPlan": 1,
"HelioClinicId": 1
},
"OrganizationContact": {
"OrganizationId": 1,
"CountryCode": "sample string 2",
"CountryName": "sample string 3",
"StateCode": "sample string 4",
"StateName": "sample string 5",
"City": "sample string 6",
"ZipCode": "sample string 7",
"AddressLine1": "sample string 8",
"AddressLine2": "sample string 9",
"PhoneNumber1": "sample string 10",
"PhoneNumber2": "sample string 11",
"PhoneNumber1TypeId": 1,
"PhoneNumber1IsBlacklisted": true,
"PhoneNumber2TypeId": 1,
"PhoneNumber2IsBlacklisted": true,
"ReceiveSms": true,
"ReceiveEmail": true,
"ReceiveMarketingEmail": true,
"ClinicSmsStatus": 1,
"PatientSmsStatus": 1,
"ClinicSmsStatusModifiedOn": "2025-05-30 19:47",
"PatientSmsStatusModifiedOn": "2025-05-30 19:47",
"SmsOptOutRequestDate": "2025-05-30 19:47",
"EmailOptOutRequestDate": "2025-05-30 19:47",
"Latitude": 1.0,
"Longitude": 1.0,
"FaxNumber1": "sample string 16",
"FaxNumber2": "sample string 17",
"EmailAddress1": "sample string 18",
"EmailAddress2": "sample string 19",
"NotificationEmailAddress": "sample string 20",
"WebAddress1": "sample string 21",
"WebAddress2": "sample string 22"
},
"Locations": [
null,
{
"LocationId": 1,
"OrganizationId": 2,
"LocationName": "sample string 3",
"FacilityCode": "sample string 4",
"LocationData": {
"NPIData": {
"NPI32a": "sample string 1"
}
},
"Data": "sample string 5",
"BillingProviderOffice": null,
"IsActive": true,
"AllowOnlineScheduling": true,
"TimeZoneId": null,
"TimeZoneUTCOffset": 0,
"TimeZoneDaylightSaving": null,
"LocationContact": null,
"Organization": null,
"Contact": null,
"IOrganization": null,
"LocationFacilityId": 0,
"UseFacilityNPINoInHCFA": false,
"SameContactAsClinic": false,
"FacilityTaxId": null,
"UseAlternatePayToInHCFA": false,
"UniqueId": "00000000-0000-0000-0000-000000000000",
"GeoLocation": null
},
{
"LocationId": 1,
"OrganizationId": 2,
"LocationName": "sample string 3",
"FacilityCode": "sample string 4",
"LocationData": {
"NPIData": {
"NPI32a": "sample string 1"
}
},
"Data": "sample string 5",
"BillingProviderOffice": null,
"IsActive": true,
"AllowOnlineScheduling": true,
"TimeZoneId": null,
"TimeZoneUTCOffset": 0,
"TimeZoneDaylightSaving": null,
"LocationContact": null,
"Organization": null,
"Contact": null,
"IOrganization": null,
"LocationFacilityId": 0,
"UseFacilityNPINoInHCFA": false,
"SameContactAsClinic": false,
"FacilityTaxId": null,
"UseAlternatePayToInHCFA": false,
"UniqueId": "00000000-0000-0000-0000-000000000000",
"GeoLocation": null
}
],
"EmergencyAccount": null,
"ClinicBusinessSettings": {
"ClinicPageSettings": {
"MessageModel1": {
"UseMessage": true,
"UseWarning": true,
"Title": "sample string 3",
"Message": "sample string 4"
},
"MessageModel2": {
"UseMessage": true,
"UseWarning": true,
"Title": "sample string 3",
"Message": "sample string 4"
},
"MessageModel3": {
"UseMessage": true,
"UseWarning": true,
"Title": "sample string 3",
"Message": "sample string 4"
}
},
"ClinicPaymentTypesSettings": {
"UseCash": true,
"UseCheck": true,
"UseVisa": true,
"UseMasterCard": true,
"UseAmex": true,
"UseInsurance": true,
"UseEFT": true
},
"ClinicContactSettings": {
"Address": {
"CountryCode": "sample string 1",
"StateCode": "sample string 2",
"City": "sample string 3",
"ZipCode": "sample string 4",
"AddressLine1": "sample string 5",
"AddressLine2": "sample string 6",
"CountryName": "sample string 7",
"StateName": "sample string 8",
"Latitude": 1.0,
"Longitude": 1.0
},
"Phone": {
"Mobile": "sample string 1",
"Office": "sample string 2",
"Fax": "sample string 3"
},
"Econtact": {
"WebAddress": "sample string 1",
"EmailAddress": "sample string 2"
},
"Social": {
"FaceBook": "sample string 1",
"GooglePlus": "sample string 2",
"LinkedIn": "sample string 3",
"Yelp": "sample string 4",
"Twitter": "sample string 5",
"Instagram": "sample string 6"
}
}
},
"AcceptInsurance": true,
"UsePatientPortal": true,
"UseStreamChat": true,
"UIUsePatientPortal": true
},
"ClinicLocationInfo": {
"LocationId": 1,
"OrganizationId": 2,
"LocationName": "sample string 3",
"FacilityCode": "sample string 4",
"LocationData": {
"NPIData": {
"NPI32a": "sample string 1"
}
},
"Data": "sample string 5",
"BillingProviderOffice": null,
"IsActive": true,
"AllowOnlineScheduling": true,
"TimeZoneId": null,
"TimeZoneUTCOffset": 0,
"TimeZoneDaylightSaving": null,
"LocationContact": null,
"Organization": null,
"Contact": null,
"IOrganization": null,
"LocationFacilityId": 0,
"UseFacilityNPINoInHCFA": false,
"SameContactAsClinic": false,
"FacilityTaxId": null,
"UseAlternatePayToInHCFA": false,
"UniqueId": "00000000-0000-0000-0000-000000000000",
"GeoLocation": null
},
"ICDPagedList": {
"Items": [
{
"AppointmentBillingICDId": 1,
"BillingICDId": 2,
"DiagnosisCode": "sample string 3",
"Description": "sample string 4",
"IsFavorite": true,
"Billable": true,
"DiagnosisPointer": "sample string 7",
"IcdIndicatorType": 1
},
{
"AppointmentBillingICDId": 1,
"BillingICDId": 2,
"DiagnosisCode": "sample string 3",
"Description": "sample string 4",
"IsFavorite": true,
"Billable": true,
"DiagnosisPointer": "sample string 7",
"IcdIndicatorType": 1
},
{
"AppointmentBillingICDId": 1,
"BillingICDId": 2,
"DiagnosisCode": "sample string 3",
"Description": "sample string 4",
"IsFavorite": true,
"Billable": true,
"DiagnosisPointer": "sample string 7",
"IcdIndicatorType": 1
}
],
"PagingOption": null,
"SortingOption": null,
"CurrentPage": 0,
"PageCount": 0,
"TotalItemsCount": 0,
"ItemCount": 1,
"PreviousActive": false,
"NextActive": false
},
"CPTPagedList": {
"Items": [
{
"CPTId": 1,
"CPTIdUnique": "1[165d6dbf-7ef5-4218-917d-1ef4b8e3c31a]",
"Code": "sample string 2",
"Description": "sample string 3",
"ModA": "sample string 4",
"ModB": "sample string 5",
"ModC": "sample string 6",
"ModD": "sample string 7",
"DateOfService": "sample string 8",
"PlaceOfService": "sample string 9",
"DiagnosisPointer": "sample string 10",
"UnitCharge": 11.0,
"Quantity": 12,
"TotalCharge": 13.0,
"Taxable": true,
"TaxRate": 1.0,
"Modifiers": {
"ModA": "sample string 1",
"ModB": "sample string 2",
"ModC": "sample string 3",
"ModD": "sample string 4"
}
},
{
"CPTId": 1,
"CPTIdUnique": "1[c45fb55a-2852-4c5a-95e6-5f9624700896]",
"Code": "sample string 2",
"Description": "sample string 3",
"ModA": "sample string 4",
"ModB": "sample string 5",
"ModC": "sample string 6",
"ModD": "sample string 7",
"DateOfService": "sample string 8",
"PlaceOfService": "sample string 9",
"DiagnosisPointer": "sample string 10",
"UnitCharge": 11.0,
"Quantity": 12,
"TotalCharge": 13.0,
"Taxable": true,
"TaxRate": 1.0,
"Modifiers": {
"ModA": "sample string 1",
"ModB": "sample string 2",
"ModC": "sample string 3",
"ModD": "sample string 4"
}
},
{
"CPTId": 1,
"CPTIdUnique": "1[a4a82eec-5458-4cf6-80fc-8e175c8c0d5a]",
"Code": "sample string 2",
"Description": "sample string 3",
"ModA": "sample string 4",
"ModB": "sample string 5",
"ModC": "sample string 6",
"ModD": "sample string 7",
"DateOfService": "sample string 8",
"PlaceOfService": "sample string 9",
"DiagnosisPointer": "sample string 10",
"UnitCharge": 11.0,
"Quantity": 12,
"TotalCharge": 13.0,
"Taxable": true,
"TaxRate": 1.0,
"Modifiers": {
"ModA": "sample string 1",
"ModB": "sample string 2",
"ModC": "sample string 3",
"ModD": "sample string 4"
}
}
],
"PagingOption": null,
"SortingOption": null,
"CurrentPage": 0,
"PageCount": 0,
"TotalItemsCount": 0,
"ItemCount": 1,
"PreviousActive": false,
"NextActive": false
},
"InventoryPagedList": {
"Items": [
{
"AppointmentInventoryItemId": 1,
"PurchaseId": 2,
"CalendarAppointmentId": 3,
"InventoryItemId": 4,
"IntakeNodeId": 1,
"IntakeNodeErxItemId": 1,
"IsFromIntake": true,
"Category": "sample string 6",
"ItemName": "sample string 7",
"Code": "sample string 8",
"UoM": "sample string 9",
"UnitCharge": 10.0,
"Quantity": 11.0,
"QoH": 1.0,
"TotalCharge": 12.0,
"TotalChargeWithTax": 1.0,
"TaxRate": 1.0,
"ErrorMessage": "sample string 13"
},
{
"AppointmentInventoryItemId": 1,
"PurchaseId": 2,
"CalendarAppointmentId": 3,
"InventoryItemId": 4,
"IntakeNodeId": 1,
"IntakeNodeErxItemId": 1,
"IsFromIntake": true,
"Category": "sample string 6",
"ItemName": "sample string 7",
"Code": "sample string 8",
"UoM": "sample string 9",
"UnitCharge": 10.0,
"Quantity": 11.0,
"QoH": 1.0,
"TotalCharge": 12.0,
"TotalChargeWithTax": 1.0,
"TaxRate": 1.0,
"ErrorMessage": "sample string 13"
},
{
"AppointmentInventoryItemId": 1,
"PurchaseId": 2,
"CalendarAppointmentId": 3,
"InventoryItemId": 4,
"IntakeNodeId": 1,
"IntakeNodeErxItemId": 1,
"IsFromIntake": true,
"Category": "sample string 6",
"ItemName": "sample string 7",
"Code": "sample string 8",
"UoM": "sample string 9",
"UnitCharge": 10.0,
"Quantity": 11.0,
"QoH": 1.0,
"TotalCharge": 12.0,
"TotalChargeWithTax": 1.0,
"TaxRate": 1.0,
"ErrorMessage": "sample string 13"
}
],
"PagingOption": null,
"SortingOption": null,
"CurrentPage": 0,
"PageCount": 0,
"TotalItemsCount": 0,
"ItemCount": 1,
"PreviousActive": false,
"NextActive": false
},
"ErxPagedList": {
"Items": [
{
"Name": "sample string 1",
"TotalCharge": 2.0,
"InventoryItems": [
{
"AppointmentInventoryItemId": 1,
"PurchaseId": 2,
"CalendarAppointmentId": 3,
"InventoryItemId": 4,
"IntakeNodeId": 1,
"IntakeNodeErxItemId": 1,
"IsFromIntake": true,
"Category": "sample string 6",
"ItemName": "sample string 7",
"Code": "sample string 8",
"UoM": "sample string 9",
"UnitCharge": 10.0,
"Quantity": 11.0,
"QoH": 1.0,
"TotalCharge": 12.0,
"TotalChargeWithTax": 1.0,
"TaxRate": 1.0,
"ErrorMessage": "sample string 13"
},
{
"AppointmentInventoryItemId": 1,
"PurchaseId": 2,
"CalendarAppointmentId": 3,
"InventoryItemId": 4,
"IntakeNodeId": 1,
"IntakeNodeErxItemId": 1,
"IsFromIntake": true,
"Category": "sample string 6",
"ItemName": "sample string 7",
"Code": "sample string 8",
"UoM": "sample string 9",
"UnitCharge": 10.0,
"Quantity": 11.0,
"QoH": 1.0,
"TotalCharge": 12.0,
"TotalChargeWithTax": 1.0,
"TaxRate": 1.0,
"ErrorMessage": "sample string 13"
},
{
"AppointmentInventoryItemId": 1,
"PurchaseId": 2,
"CalendarAppointmentId": 3,
"InventoryItemId": 4,
"IntakeNodeId": 1,
"IntakeNodeErxItemId": 1,
"IsFromIntake": true,
"Category": "sample string 6",
"ItemName": "sample string 7",
"Code": "sample string 8",
"UoM": "sample string 9",
"UnitCharge": 10.0,
"Quantity": 11.0,
"QoH": 1.0,
"TotalCharge": 12.0,
"TotalChargeWithTax": 1.0,
"TaxRate": 1.0,
"ErrorMessage": "sample string 13"
}
]
},
{
"Name": "sample string 1",
"TotalCharge": 2.0,
"InventoryItems": [
{
"AppointmentInventoryItemId": 1,
"PurchaseId": 2,
"CalendarAppointmentId": 3,
"InventoryItemId": 4,
"IntakeNodeId": 1,
"IntakeNodeErxItemId": 1,
"IsFromIntake": true,
"Category": "sample string 6",
"ItemName": "sample string 7",
"Code": "sample string 8",
"UoM": "sample string 9",
"UnitCharge": 10.0,
"Quantity": 11.0,
"QoH": 1.0,
"TotalCharge": 12.0,
"TotalChargeWithTax": 1.0,
"TaxRate": 1.0,
"ErrorMessage": "sample string 13"
},
{
"AppointmentInventoryItemId": 1,
"PurchaseId": 2,
"CalendarAppointmentId": 3,
"InventoryItemId": 4,
"IntakeNodeId": 1,
"IntakeNodeErxItemId": 1,
"IsFromIntake": true,
"Category": "sample string 6",
"ItemName": "sample string 7",
"Code": "sample string 8",
"UoM": "sample string 9",
"UnitCharge": 10.0,
"Quantity": 11.0,
"QoH": 1.0,
"TotalCharge": 12.0,
"TotalChargeWithTax": 1.0,
"TaxRate": 1.0,
"ErrorMessage": "sample string 13"
},
{
"AppointmentInventoryItemId": 1,
"PurchaseId": 2,
"CalendarAppointmentId": 3,
"InventoryItemId": 4,
"IntakeNodeId": 1,
"IntakeNodeErxItemId": 1,
"IsFromIntake": true,
"Category": "sample string 6",
"ItemName": "sample string 7",
"Code": "sample string 8",
"UoM": "sample string 9",
"UnitCharge": 10.0,
"Quantity": 11.0,
"QoH": 1.0,
"TotalCharge": 12.0,
"TotalChargeWithTax": 1.0,
"TaxRate": 1.0,
"ErrorMessage": "sample string 13"
}
]
},
{
"Name": "sample string 1",
"TotalCharge": 2.0,
"InventoryItems": [
{
"AppointmentInventoryItemId": 1,
"PurchaseId": 2,
"CalendarAppointmentId": 3,
"InventoryItemId": 4,
"IntakeNodeId": 1,
"IntakeNodeErxItemId": 1,
"IsFromIntake": true,
"Category": "sample string 6",
"ItemName": "sample string 7",
"Code": "sample string 8",
"UoM": "sample string 9",
"UnitCharge": 10.0,
"Quantity": 11.0,
"QoH": 1.0,
"TotalCharge": 12.0,
"TotalChargeWithTax": 1.0,
"TaxRate": 1.0,
"ErrorMessage": "sample string 13"
},
{
"AppointmentInventoryItemId": 1,
"PurchaseId": 2,
"CalendarAppointmentId": 3,
"InventoryItemId": 4,
"IntakeNodeId": 1,
"IntakeNodeErxItemId": 1,
"IsFromIntake": true,
"Category": "sample string 6",
"ItemName": "sample string 7",
"Code": "sample string 8",
"UoM": "sample string 9",
"UnitCharge": 10.0,
"Quantity": 11.0,
"QoH": 1.0,
"TotalCharge": 12.0,
"TotalChargeWithTax": 1.0,
"TaxRate": 1.0,
"ErrorMessage": "sample string 13"
},
{
"AppointmentInventoryItemId": 1,
"PurchaseId": 2,
"CalendarAppointmentId": 3,
"InventoryItemId": 4,
"IntakeNodeId": 1,
"IntakeNodeErxItemId": 1,
"IsFromIntake": true,
"Category": "sample string 6",
"ItemName": "sample string 7",
"Code": "sample string 8",
"UoM": "sample string 9",
"UnitCharge": 10.0,
"Quantity": 11.0,
"QoH": 1.0,
"TotalCharge": 12.0,
"TotalChargeWithTax": 1.0,
"TaxRate": 1.0,
"ErrorMessage": "sample string 13"
}
]
}
],
"PagingOption": null,
"SortingOption": null,
"CurrentPage": 0,
"PageCount": 0,
"TotalItemsCount": 0,
"ItemCount": 1,
"PreviousActive": false,
"NextActive": false
},
"AppointmentBillingStatus": {
"AppointmentType": 1,
"ServicesDueAmount": 1.0,
"ServicesWithDiscountDueAmount": 2.0,
"ServicesDiscountModel": {
"Value": 1.0,
"IsPercentage": true
},
"ServicesWithTaxDueAmount": 3.0,
"ServicesChargesWithTax": 4.0,
"ServicesTaxAmount": 5.0,
"PaidByPatientAmount": 6.0,
"PaidByInsuranceAmount": 7.0,
"LocalAppointmentDateFormatted": "sample string 8",
"LocalAppointmentDate": "sample string 9",
"LocalAppointmentDateTime": "2025-05-30 19:47",
"CopayAmount": 1.0,
"CopayBalanceDueAmount": 11.0,
"PaidByPatientForCopayAmount": 12.0,
"InsuranceBalanceDue": 13.0,
"PatientBalanceDue": 14.0,
"BillingStatus": "sample string 15",
"HasInsuranceFinalPayment": true,
"CardProfileId": 1,
"PurchaseDateFormatted": "sample string 17",
"ProductsDueAmount": 18.0,
"ProductsDiscountModel": {
"Value": 1.0,
"IsPercentage": true
},
"ProductsWithDiscountDueAmount": 19.0,
"ProductsWithTaxDueAmount": 20.0,
"ItemsTaxAmount": 21.0,
"BillingPaymentLinkHistory": {
"IsPreviouslySent": true,
"EntityId": 1,
"PatientId": 1,
"PatientEmail": "sample string 2",
"PatientCanReceiveSms": true,
"DateSentUtc": "2025-05-30 19:47"
},
"EntityId": 22,
"PatientId": 1,
"TotalWithTaxDueAmount": 23.0,
"ProductChargesWithTax": 24.0,
"IsWalkIn": true,
"TotalDueAmount": 26.0,
"AdjustedAmount": 27.0,
"BalanceDueAmount": 28.0,
"ServicesDiscount": 29.0,
"ProductsDiscount": 30.0,
"ServicesTax": 31.0,
"ProductsDTax": 32.0,
"ProductsBalanceDueAmount": 33.0,
"ServicesBalanceDueAmount": 34.0,
"PaidByPatientForServicesAmount": 35.0,
"PaidByPatientForProductsAmount": 36.0
},
"ClinicNPI": "sample string 1",
"ProviderEIN": "sample string 2"
},
"AppointmentType": 1,
"PatientId": 2,
"AuthorId": 3,
"LocalSaveDate": "2025-05-30 19:47",
"AdjustedAmount": 5.0,
"ServicesDiscount": "sample string 6",
"ProductDiscount": "sample string 7",
"BillingICDs": [
1,
2,
3
],
"DoNotChargeCancellationFee": true,
"SelectedCardId": 1,
"BillingNotes": "sample string 8",
"BillingCPTs": [
{
"CPTId": 1,
"CPTIdUnique": "1[67926374-aaf0-41e9-83b3-13d094697efe]",
"Code": "sample string 2",
"Description": "sample string 3",
"ModA": "sample string 4",
"ModB": "sample string 5",
"ModC": "sample string 6",
"ModD": "sample string 7",
"DateOfService": "sample string 8",
"PlaceOfService": "sample string 9",
"DiagnosisPointer": "sample string 10",
"UnitCharge": 11.0,
"Quantity": 12,
"TotalCharge": 13.0,
"Taxable": true,
"TaxRate": 1.0,
"Modifiers": {
"ModA": "sample string 1",
"ModB": "sample string 2",
"ModC": "sample string 3",
"ModD": "sample string 4"
}
},
{
"CPTId": 1,
"CPTIdUnique": "1[6dc8301a-58bb-4662-a017-2597e7a3f56c]",
"Code": "sample string 2",
"Description": "sample string 3",
"ModA": "sample string 4",
"ModB": "sample string 5",
"ModC": "sample string 6",
"ModD": "sample string 7",
"DateOfService": "sample string 8",
"PlaceOfService": "sample string 9",
"DiagnosisPointer": "sample string 10",
"UnitCharge": 11.0,
"Quantity": 12,
"TotalCharge": 13.0,
"Taxable": true,
"TaxRate": 1.0,
"Modifiers": {
"ModA": "sample string 1",
"ModB": "sample string 2",
"ModC": "sample string 3",
"ModD": "sample string 4"
}
},
{
"CPTId": 1,
"CPTIdUnique": "1[5fcf41cc-5c0a-48ab-8d46-36bb64bca13d]",
"Code": "sample string 2",
"Description": "sample string 3",
"ModA": "sample string 4",
"ModB": "sample string 5",
"ModC": "sample string 6",
"ModD": "sample string 7",
"DateOfService": "sample string 8",
"PlaceOfService": "sample string 9",
"DiagnosisPointer": "sample string 10",
"UnitCharge": 11.0,
"Quantity": 12,
"TotalCharge": 13.0,
"Taxable": true,
"TaxRate": 1.0,
"Modifiers": {
"ModA": "sample string 1",
"ModB": "sample string 2",
"ModC": "sample string 3",
"ModD": "sample string 4"
}
}
],
"InventoryItems": [
{
"AppointmentInventoryItemId": 1,
"PurchaseId": 2,
"CalendarAppointmentId": 3,
"InventoryItemId": 4,
"IntakeNodeId": 1,
"IntakeNodeErxItemId": 1,
"IsFromIntake": true,
"Category": "sample string 6",
"ItemName": "sample string 7",
"Code": "sample string 8",
"UoM": "sample string 9",
"UnitCharge": 10.0,
"Quantity": 11.0,
"QoH": 1.0,
"TotalCharge": 12.0,
"TotalChargeWithTax": 1.0,
"TaxRate": 1.0,
"ErrorMessage": "sample string 13"
},
{
"AppointmentInventoryItemId": 1,
"PurchaseId": 2,
"CalendarAppointmentId": 3,
"InventoryItemId": 4,
"IntakeNodeId": 1,
"IntakeNodeErxItemId": 1,
"IsFromIntake": true,
"Category": "sample string 6",
"ItemName": "sample string 7",
"Code": "sample string 8",
"UoM": "sample string 9",
"UnitCharge": 10.0,
"Quantity": 11.0,
"QoH": 1.0,
"TotalCharge": 12.0,
"TotalChargeWithTax": 1.0,
"TaxRate": 1.0,
"ErrorMessage": "sample string 13"
},
{
"AppointmentInventoryItemId": 1,
"PurchaseId": 2,
"CalendarAppointmentId": 3,
"InventoryItemId": 4,
"IntakeNodeId": 1,
"IntakeNodeErxItemId": 1,
"IsFromIntake": true,
"Category": "sample string 6",
"ItemName": "sample string 7",
"Code": "sample string 8",
"UoM": "sample string 9",
"UnitCharge": 10.0,
"Quantity": 11.0,
"QoH": 1.0,
"TotalCharge": 12.0,
"TotalChargeWithTax": 1.0,
"TaxRate": 1.0,
"ErrorMessage": "sample string 13"
}
]
}
text/json
Sample:
{
"CalendarAppointmentId": 1,
"CollectingCopayAmount": 1.0,
"CalendarAppointmentIds": [
1,
2,
3
],
"BillingState": 1,
"ClaimModel": {
"PrintAsPdf": true,
"ClaimFillOptions": {
"FillBox29": true,
"PrintDataOnly": true,
"FlattenForm": true
},
"CalendarAppointmentId": 2,
"PractitionerId": 3,
"AppointmentDate": "2025-05-30 19:47",
"ServiceName": "sample string 5",
"HealthPlanType": 0,
"PatientAddress": {
"Address": "sample string 1",
"City": "sample string 2",
"State": "sample string 3",
"ZipCode": "sample string 4",
"PhoneNumber": "sample string 5"
},
"InsuredAddress": {
"Address": "sample string 1",
"City": "sample string 2",
"State": "sample string 3",
"ZipCode": "sample string 4",
"PhoneNumber": "sample string 5"
},
"InsuredIdNumber": "sample string 6",
"ElectronicPayerId": "sample string 7",
"PatientLastName": "sample string 8",
"PatientMiddleName": "sample string 9",
"PatientFirstName": "sample string 10",
"PatientCode": "sample string 11",
"_patientFullName": "sample string 13",
"PatientFullName": "sample string 13",
"PatientBirthDate": "2025-05-30 19:47",
"PatientGender": "sample string 14",
"InsuredFirstName": "sample string 15",
"InsuredLastName": "sample string 16",
"InsuredMiddleName": "sample string 17",
"InsuredName": "sample string 18",
"PatientRelantionshipToInsured": 0,
"OtherInsuredFirstName": "sample string 19",
"OtherInsuredLastName": "sample string 20",
"OtherInsuredMiddleName": "sample string 21",
"OtherInsuredName": "sample string 22",
"OtherInsuredDOB": "sample string 23",
"OtherInsuredGender": "sample string 24",
"OtherInsuredPolicyOrGroupNumber": "sample string 25",
"OtherInsuredPlanOrProgramName": "sample string 26",
"IsPatientConditionRelatedToEmployment": true,
"IsPatientConditionRelatedToAutoAccident": true,
"AutoAccidentPlaceOrState": "sample string 29",
"IsPatientConditionRelatedToOtherAccident": true,
"InsuredPolicyGroupOrFecaNumber": "sample string 31",
"InsuredDateOfBirth": "2025-05-30 19:47",
"InsuredGender": "sample string 32",
"OtherClaimId": "sample string 33",
"InsurancePlanNameOrProgramName": "sample string 34",
"InsuranceAddress1": "sample string 35",
"InsuranceAddress2": "sample string 36",
"InsurancePhone": "sample string 37",
"InsuranceCityStateZip": "sample string 38 sample string 39 sample string 40",
"InsuranceCity": "sample string 38",
"InsuranceState": "sample string 39",
"InsuranceZip": "sample string 40",
"HasAnotherHealthBenefitPlan": true,
"PatientOrAuthPersonSignature": "sample string 42",
"PatientOrAuthPersonSignatureDate": "2025-05-30 19:47",
"InsuredOrAuthPersonSignature": "sample string 43",
"DateOfCurrentIllnessInjuryOrPregnancy": "2025-05-30 19:47",
"DateOfCurrentIllnessInjuryOrPregnancyQual": "sample string 44",
"OtherDate": "2025-05-30 19:47",
"OtherDateQual": "sample string 45",
"ReferringProviderName": "sample string 46",
"ReferringProviderIdNumber": "sample string 47",
"ReferringProviderNPI": "sample string 48",
"AdditionalClaimInformation": "sample string 49",
"OutsideLab": true,
"DiagnosisOrNatureOfIllnessOrInjury": "sample string 51",
"ICDIndicator": "sample string 52",
"ICDList": [
"sample string 1",
"sample string 2",
"sample string 3"
],
"MedicaidResubmissionCode": "sample string 53",
"MedicaidOriginalReferenceNumber": "sample string 54",
"PriorAuthorizationNumber": "sample string 55",
"CPTItems": [
{
"AppointmentBillingCPTItem": {
"CPTId": 1,
"CPTIdUnique": "1[7d814079-447b-4720-bb21-4fd04594c7cf]",
"Code": "sample string 2",
"Description": "sample string 3",
"ModA": "sample string 4",
"ModB": "sample string 5",
"ModC": "sample string 6",
"ModD": "sample string 7",
"DateOfService": "sample string 8",
"PlaceOfService": "sample string 9",
"DiagnosisPointer": "sample string 10",
"UnitCharge": 11.0,
"Quantity": 12,
"TotalCharge": 13.0,
"Taxable": true,
"TaxRate": 1.0,
"Modifiers": {
"ModA": "sample string 1",
"ModB": "sample string 2",
"ModC": "sample string 3",
"ModD": "sample string 4"
}
},
"DateOfServiceFrom": "2025-05-30 19:47",
"DateOfServiceTo": "2025-05-30 19:47",
"RenderingProviderNPI": "sample string 3"
},
{
"AppointmentBillingCPTItem": {
"CPTId": 1,
"CPTIdUnique": "1[7458bbad-7ad0-45e6-ad6e-d3300e08348f]",
"Code": "sample string 2",
"Description": "sample string 3",
"ModA": "sample string 4",
"ModB": "sample string 5",
"ModC": "sample string 6",
"ModD": "sample string 7",
"DateOfService": "sample string 8",
"PlaceOfService": "sample string 9",
"DiagnosisPointer": "sample string 10",
"UnitCharge": 11.0,
"Quantity": 12,
"TotalCharge": 13.0,
"Taxable": true,
"TaxRate": 1.0,
"Modifiers": {
"ModA": "sample string 1",
"ModB": "sample string 2",
"ModC": "sample string 3",
"ModD": "sample string 4"
}
},
"DateOfServiceFrom": "2025-05-30 19:47",
"DateOfServiceTo": "2025-05-30 19:47",
"RenderingProviderNPI": "sample string 3"
},
{
"AppointmentBillingCPTItem": {
"CPTId": 1,
"CPTIdUnique": "1[a19ff56a-e96e-470e-aaa6-1045a9ceb6b7]",
"Code": "sample string 2",
"Description": "sample string 3",
"ModA": "sample string 4",
"ModB": "sample string 5",
"ModC": "sample string 6",
"ModD": "sample string 7",
"DateOfService": "sample string 8",
"PlaceOfService": "sample string 9",
"DiagnosisPointer": "sample string 10",
"UnitCharge": 11.0,
"Quantity": 12,
"TotalCharge": 13.0,
"Taxable": true,
"TaxRate": 1.0,
"Modifiers": {
"ModA": "sample string 1",
"ModB": "sample string 2",
"ModC": "sample string 3",
"ModD": "sample string 4"
}
},
"DateOfServiceFrom": "2025-05-30 19:47",
"DateOfServiceTo": "2025-05-30 19:47",
"RenderingProviderNPI": "sample string 3"
}
],
"TaxonomyCode": "sample string 56",
"FederalTaxIdNumber": "sample string 57",
"FederalTaxIdNumberType": 0,
"PatientAccountNo": "sample string 58",
"AcceptAssignment": true,
"LeaveRenderingProviderBlank": true,
"TotalServicesCharge": 61.0,
"PaidForServicesAmount": 62.0,
"ServicesBalanceDue": 63.0,
"ProviderOfServiceOrSupplierSignature": "sample string 64",
"PhysicianLastName": "sample string 65",
"PhysicianMiddleName": "sample string 66",
"PhysicianFirstName": "sample string 67",
"FormSignDate": "2025-05-30 19:47",
"ServiceFacilityLocationAddressLocationName": "sample string 69",
"ServiceFacilityLocationAddressAddressLine1": "sample string 70",
"ServiceFacilityLocationAddressAddressLine2": "sample string 71",
"ServiceFacilityLocationAddressCity": "sample string 72",
"ServiceFacilityLocationAddressStateCode": "sample string 73",
"ServiceFacilityLocationAddressZipCode": "sample string 74",
"GroupId": "sample string 75",
"ServiceFacilityLocationAddress": "sample string 69<br/>sample string 70 sample string 71<br/>sample string 72 sample string 73 sample string 74",
"ServiceFacilityNPI": "sample string 76",
"BillingProviderName": "sample string 77",
"BillingProviderAddressLine1": "sample string 78",
"BillingProviderAddressLine2": "sample string 79",
"BillingProviderAddressLine3": "sample string 80",
"BillingProviderCity": "sample string 81",
"BillingProviderState": "sample string 82",
"BillingProviderZip": "sample string 83",
"BillingProviderTelephone": "sample string 84",
"BillingProviderAdress": "sample string 77<br/>sample string 78 sample string 79<br/>sample string 80",
"NPIBillingProviderOrGroup": "sample string 85"
},
"SuperbillModel": {
"AppointmentDetails": {
"BillingInfo": {
"CalendarAppointmentId": 1,
"PatientId": 2,
"BillingState": 1,
"AppointmentHasClaim": true,
"AppointmentHasSuperbill": true,
"AppointmentClaimIsSubmitted": true,
"BillingStates": null,
"BillingPreferences": "sample string 6",
"AppointmentClaims": null,
"AppointmentType": 1,
"CollectingCopayAmount": 1.0,
"InsuranceCompanyName": "sample string 7",
"AppointmentTypes": null,
"BillingStatusForAppointment": {
"AppointmentType": 1,
"ServicesDueAmount": 1.0,
"ServicesWithDiscountDueAmount": 2.0,
"ServicesDiscountModel": {
"Value": 1.0,
"IsPercentage": true
},
"ServicesWithTaxDueAmount": 3.0,
"ServicesChargesWithTax": 4.0,
"ServicesTaxAmount": 5.0,
"PaidByPatientAmount": 6.0,
"PaidByInsuranceAmount": 7.0,
"LocalAppointmentDateFormatted": "sample string 8",
"LocalAppointmentDate": "sample string 9",
"LocalAppointmentDateTime": "2025-05-30 19:47",
"CopayAmount": 1.0,
"CopayBalanceDueAmount": 11.0,
"PaidByPatientForCopayAmount": 12.0,
"InsuranceBalanceDue": 13.0,
"PatientBalanceDue": 14.0,
"BillingStatus": "sample string 15",
"HasInsuranceFinalPayment": true,
"CardProfileId": 1,
"PurchaseDateFormatted": "sample string 17",
"ProductsDueAmount": 18.0,
"ProductsDiscountModel": {
"Value": 1.0,
"IsPercentage": true
},
"ProductsWithDiscountDueAmount": 19.0,
"ProductsWithTaxDueAmount": 20.0,
"ItemsTaxAmount": 21.0,
"BillingPaymentLinkHistory": {
"IsPreviouslySent": true,
"EntityId": 1,
"PatientId": 1,
"PatientEmail": "sample string 2",
"PatientCanReceiveSms": true,
"DateSentUtc": "2025-05-30 19:47"
},
"EntityId": 22,
"PatientId": 1,
"TotalWithTaxDueAmount": 23.0,
"ProductChargesWithTax": 24.0,
"IsWalkIn": true,
"TotalDueAmount": 26.0,
"AdjustedAmount": 27.0,
"BalanceDueAmount": 28.0,
"ServicesDiscount": 29.0,
"ProductsDiscount": 30.0,
"ServicesTax": 31.0,
"ProductsDTax": 32.0,
"ProductsBalanceDueAmount": 33.0,
"ServicesBalanceDueAmount": 34.0,
"PaidByPatientForServicesAmount": 35.0,
"PaidByPatientForProductsAmount": 36.0
},
"PreviousCalendarAppointmentId": 1,
"IcdIndicatorType": 8,
"PreviousAppointmentsWithCharge": [
{
"Id": 1,
"Name": "sample string 2",
"AppointmentDate": "2025-05-30 19:47"
},
{
"Id": 1,
"Name": "sample string 2",
"AppointmentDate": "2025-05-30 19:47"
},
{
"Id": 1,
"Name": "sample string 2",
"AppointmentDate": "2025-05-30 19:47"
}
],
"ServicesTaxRate": 1.0,
"PrepaymentAmount": 1.0,
"PrepaymentCollected": true,
"BillingNotes": "sample string 10"
},
"BillingPreferences": {
"CopayHasAllocations": true,
"CalendarAppointmentId": 2,
"CopyFromCalendarAppointmentId": 1,
"AccidentPlaceState": {
"StateProvinceId": 1,
"StateProvinceCode": "sample string 2",
"CountryRegionCode": "sample string 3",
"Name": "sample string 4"
},
"AppointmentHasClaim": true,
"AppointmentClaimIsSubmitted": true,
"AvailablePhones": [],
"PreviousAppointmentsWithBillingPreferences": [],
"InsurancesList": [],
"BillingPreferencesData": {
"PrimaryInsurance": 1,
"PrimaryInsuranceCompanyId": 1,
"SecondaryInsurance": 1,
"SecondaryInsuranceCompanyId": 1,
"CopayAmount": 1.0,
"LastUpdateUtc": "2025-05-30 19:47",
"InsuranceType": 5,
"RelationshipToInsured": 1,
"IsPatientConditionRelatedToEmployment": true,
"IsPatientConditionRelatedToAutoAccident": true,
"AccidentPlaceStateId": 4,
"IsPatientConditionRelatedToOtherAccident": true,
"HasSignatureDate": true,
"SignatureDate": "2025-05-30 19:47",
"OnsetDate": "2025-05-30 19:47",
"Onset": 1,
"OtherQualifierDate": "2025-05-30 19:47",
"OtherQualifier": 1,
"OutsideLab": true,
"FillInReferringProviderDetails": true,
"AcceptAssignment": true,
"AdditionalClaimInformation": "sample string 10",
"ResubmissionCode": "sample string 11",
"OriginalRefNo": "sample string 12",
"LeaveRenderingProviderBlank": true,
"Gender": "sample string 14",
"PreferredPhone": 1,
"FillInAmountPaid": true,
"GroupId": "sample string 16"
},
"InsuranceTypeValue": 5,
"RelationshipToInsuredValue": 1,
"OnsetValue": 1,
"QualifierValue": 1
},
"ScheduleInfo": {
"CalendarAppointmentId": 1,
"SchedulingAppointmentId": 2,
"CanReschedule": false,
"IsNewPatient": true,
"IsExistingPatient": true,
"HasIntake": true,
"AppointmentHasCopayAllocations": true,
"PatientId": 1,
"AppointmentState": 5,
"AppointmentAcceptedState": 3,
"AppointmentCancelledState": 0,
"AppointmentArrivedState": 0,
"AppointmentNotArivedState": null,
"Type": 7,
"TypeId": 7,
"AppointmentInfoStatus": 8,
"AppointmentInfoStatusId": 8,
"AppointmentTypes": [
{
"Disabled": false,
"Group": null,
"Selected": false,
"Text": "Select type",
"Value": ""
},
{
"Disabled": false,
"Group": null,
"Selected": false,
"Text": "Self-Pay",
"Value": "1"
},
{
"Disabled": false,
"Group": null,
"Selected": false,
"Text": "Insurance",
"Value": "2"
},
{
"Disabled": false,
"Group": null,
"Selected": false,
"Text": "Promotion/Package",
"Value": "3"
},
{
"Disabled": false,
"Group": null,
"Selected": false,
"Text": "Pro-bono",
"Value": "4"
},
{
"Disabled": false,
"Group": null,
"Selected": false,
"Text": "Other",
"Value": "5"
}
],
"AppointmentStatuses": [
{
"Disabled": false,
"Group": null,
"Selected": false,
"Text": "Accepted",
"Value": "0"
},
{
"Disabled": false,
"Group": null,
"Selected": false,
"Text": "Confirmed",
"Value": "1"
},
{
"Disabled": false,
"Group": null,
"Selected": false,
"Text": "Not Confirmed",
"Value": "2"
},
{
"Disabled": false,
"Group": null,
"Selected": false,
"Text": "No Show",
"Value": "3"
},
{
"Disabled": false,
"Group": null,
"Selected": false,
"Text": "Arrived On Time",
"Value": "5"
},
{
"Disabled": false,
"Group": null,
"Selected": false,
"Text": "Arrived Late",
"Value": "6"
},
{
"Disabled": false,
"Group": null,
"Selected": false,
"Text": "In Session",
"Value": "7"
},
{
"Disabled": false,
"Group": null,
"Selected": true,
"Text": "Complete",
"Value": "8"
}
],
"UTCDateTime": "2025-05-30 19:47",
"PreviousUtcDateTime": "2025-05-30 19:47",
"LocalDateTime": "2025-05-30 00:00",
"ApptHasBeenRescheduled": true,
"PreviousLocalDateTime": "2025-05-30 19:47",
"Duration": 13,
"PreviousDay": "2025-05-30 00:00",
"Day": "2025-05-30 00:00",
"PreviousTime": "2025-05-30 19:47",
"Time": "00:00:00",
"Reason": "sample string 16",
"Notes": "sample string 17",
"PractitionerId": 18,
"SupervisorId": 1,
"AssistingInternId": 1,
"LocationId": 19,
"ServiceId": 20,
"RoomId": 21,
"Service": {
"Duration": 1,
"PatientDuration": 2,
"Description": "sample string 3",
"IsForNewPatients": true,
"IsPreferred": true,
"IsOnlyOne": true,
"Price": 1.0,
"IsTelehealth": true,
"Prepayment": 1.0,
"CancellationFee": 1.0,
"Id": 1,
"UniqueId": "74d0a373-bbaf-45d6-a1cb-3ba5576901ce",
"Name": "sample string 8",
"DisplayName": "sample string 9",
"IsActive": true,
"Order": 1
},
"Location": {
"LocationId": 1,
"LocationName": "sample string 7",
"UniqueId": "2a94c2df-0dc4-46b1-a579-b580841c093c",
"IsPreferred": true,
"HasTelehealthService": true,
"IsOnlyOne": true,
"Id": 1,
"Name": "sample string 7",
"DisplayName": "sample string 8",
"IsActive": true,
"Order": 1
},
"Room": {
"Color": "sample string 1",
"IsOnlyOne": true,
"LinkedId": 1,
"Id": 1,
"UniqueId": "535791ac-a627-4158-aac2-df3c0f81fe80",
"Name": "sample string 3",
"DisplayName": "sample string 4",
"IsActive": true,
"Order": 1
},
"Practitioner": {
"Id": 1,
"UniqueId": "6220dea7-ae34-496f-8af3-0a31eaf4488e",
"Name": "sample string 1",
"DisplayName": "sample string 2",
"IsActive": true,
"Order": 1
},
"Intern": {
"Id": 1,
"UniqueId": "6220dea7-ae34-496f-8af3-0a31eaf4488e",
"Name": "sample string 1",
"DisplayName": "sample string 2",
"IsActive": true,
"Order": 1
},
"AssistingIntern": {
"Id": 1,
"UniqueId": "6220dea7-ae34-496f-8af3-0a31eaf4488e",
"Name": "sample string 1",
"DisplayName": "sample string 2",
"IsActive": true,
"Order": 1
},
"IsUniversity": true,
"MainProviderIsIntern": true
}
},
"PatientInfo": {
"PersonId": 1,
"Name": "sample string 2",
"BirthDate": "2025-05-30 19:47",
"Phone": "sample string 3",
"Email": "sample string 4",
"Address1": "sample string 5",
"Address2": "sample string 6",
"Address3": "sample string 7"
},
"PractitionerInfo": {
"PersonId": 1,
"Name": "sample string 2",
"BirthDate": "2025-05-30 19:47",
"Phone": "sample string 3",
"Email": "sample string 4",
"Address1": "sample string 5",
"Address2": "sample string 6",
"Address3": "sample string 7"
},
"ClinicInfo": {
"ClinicInfo": {
"UsePatientPrefix": true,
"PatientPrefix": "sample string 2",
"OrganizationId": 3,
"OrganizationType": 0,
"ClinicStatus": 1,
"HasInterns": false,
"HasSmsModuleEnabled": true,
"HasIEVModuleEnabled": true,
"HasCreditCardModuleEnabled": true,
"Modules": [
{
"ModuleId": 1,
"Name": "sample string 2",
"Active": true,
"Timestamp": "2025-05-30 19:47"
},
{
"ModuleId": 1,
"Name": "sample string 2",
"Active": true,
"Timestamp": "2025-05-30 19:47"
},
{
"ModuleId": 1,
"Name": "sample string 2",
"Active": true,
"Timestamp": "2025-05-30 19:47"
}
],
"SubscriptionStartDate": "2025-05-30 19:47",
"NoOfPaidPractitionerAccounts": 1,
"NoOfPaidStaffAccounts": 1,
"NoOfPaidInternAccounts": 1,
"OrganizationName": "sample string 7",
"Timezone": "00:00:00.1234567",
"IsSoloClinic": false,
"IsNegativeTimezone": true,
"TimezoneValue": "00:00:00",
"LicenseNo1": "sample string 8",
"UseNccaom": true,
"LicenseNo2": "sample string 10",
"LicenseNo3": "sample string 11",
"LicenseNo4": "sample string 12",
"LicenseNo5": "sample string 13",
"ProfileImage": "sample string 14",
"ProfileImageFile": null,
"TaxIdNo": "sample string 15",
"Settings": "sample string 16",
"ProviderName": "sample string 17",
"FacilityNpiNo": "sample string 18",
"UniqueId": "4e380afe-b7c5-4dce-b1b8-e788ae48f247",
"PrimaryContactPersonId": 1,
"Subdomain": "sample string 20",
"PricingPlan": 1,
"HelioClinicId": 1
},
"OrganizationContact": {
"OrganizationId": 1,
"CountryCode": "sample string 2",
"CountryName": "sample string 3",
"StateCode": "sample string 4",
"StateName": "sample string 5",
"City": "sample string 6",
"ZipCode": "sample string 7",
"AddressLine1": "sample string 8",
"AddressLine2": "sample string 9",
"PhoneNumber1": "sample string 10",
"PhoneNumber2": "sample string 11",
"PhoneNumber1TypeId": 1,
"PhoneNumber1IsBlacklisted": true,
"PhoneNumber2TypeId": 1,
"PhoneNumber2IsBlacklisted": true,
"ReceiveSms": true,
"ReceiveEmail": true,
"ReceiveMarketingEmail": true,
"ClinicSmsStatus": 1,
"PatientSmsStatus": 1,
"ClinicSmsStatusModifiedOn": "2025-05-30 19:47",
"PatientSmsStatusModifiedOn": "2025-05-30 19:47",
"SmsOptOutRequestDate": "2025-05-30 19:47",
"EmailOptOutRequestDate": "2025-05-30 19:47",
"Latitude": 1.0,
"Longitude": 1.0,
"FaxNumber1": "sample string 16",
"FaxNumber2": "sample string 17",
"EmailAddress1": "sample string 18",
"EmailAddress2": "sample string 19",
"NotificationEmailAddress": "sample string 20",
"WebAddress1": "sample string 21",
"WebAddress2": "sample string 22"
},
"Locations": [
null,
{
"LocationId": 1,
"OrganizationId": 2,
"LocationName": "sample string 3",
"FacilityCode": "sample string 4",
"LocationData": {
"NPIData": {
"NPI32a": "sample string 1"
}
},
"Data": "sample string 5",
"BillingProviderOffice": null,
"IsActive": true,
"AllowOnlineScheduling": true,
"TimeZoneId": null,
"TimeZoneUTCOffset": 0,
"TimeZoneDaylightSaving": null,
"LocationContact": null,
"Organization": null,
"Contact": null,
"IOrganization": null,
"LocationFacilityId": 0,
"UseFacilityNPINoInHCFA": false,
"SameContactAsClinic": false,
"FacilityTaxId": null,
"UseAlternatePayToInHCFA": false,
"UniqueId": "00000000-0000-0000-0000-000000000000",
"GeoLocation": null
},
{
"LocationId": 1,
"OrganizationId": 2,
"LocationName": "sample string 3",
"FacilityCode": "sample string 4",
"LocationData": {
"NPIData": {
"NPI32a": "sample string 1"
}
},
"Data": "sample string 5",
"BillingProviderOffice": null,
"IsActive": true,
"AllowOnlineScheduling": true,
"TimeZoneId": null,
"TimeZoneUTCOffset": 0,
"TimeZoneDaylightSaving": null,
"LocationContact": null,
"Organization": null,
"Contact": null,
"IOrganization": null,
"LocationFacilityId": 0,
"UseFacilityNPINoInHCFA": false,
"SameContactAsClinic": false,
"FacilityTaxId": null,
"UseAlternatePayToInHCFA": false,
"UniqueId": "00000000-0000-0000-0000-000000000000",
"GeoLocation": null
}
],
"EmergencyAccount": null,
"ClinicBusinessSettings": {
"ClinicPageSettings": {
"MessageModel1": {
"UseMessage": true,
"UseWarning": true,
"Title": "sample string 3",
"Message": "sample string 4"
},
"MessageModel2": {
"UseMessage": true,
"UseWarning": true,
"Title": "sample string 3",
"Message": "sample string 4"
},
"MessageModel3": {
"UseMessage": true,
"UseWarning": true,
"Title": "sample string 3",
"Message": "sample string 4"
}
},
"ClinicPaymentTypesSettings": {
"UseCash": true,
"UseCheck": true,
"UseVisa": true,
"UseMasterCard": true,
"UseAmex": true,
"UseInsurance": true,
"UseEFT": true
},
"ClinicContactSettings": {
"Address": {
"CountryCode": "sample string 1",
"StateCode": "sample string 2",
"City": "sample string 3",
"ZipCode": "sample string 4",
"AddressLine1": "sample string 5",
"AddressLine2": "sample string 6",
"CountryName": "sample string 7",
"StateName": "sample string 8",
"Latitude": 1.0,
"Longitude": 1.0
},
"Phone": {
"Mobile": "sample string 1",
"Office": "sample string 2",
"Fax": "sample string 3"
},
"Econtact": {
"WebAddress": "sample string 1",
"EmailAddress": "sample string 2"
},
"Social": {
"FaceBook": "sample string 1",
"GooglePlus": "sample string 2",
"LinkedIn": "sample string 3",
"Yelp": "sample string 4",
"Twitter": "sample string 5",
"Instagram": "sample string 6"
}
}
},
"AcceptInsurance": true,
"UsePatientPortal": true,
"UseStreamChat": true,
"UIUsePatientPortal": true
},
"ClinicLocationInfo": {
"LocationId": 1,
"OrganizationId": 2,
"LocationName": "sample string 3",
"FacilityCode": "sample string 4",
"LocationData": {
"NPIData": {
"NPI32a": "sample string 1"
}
},
"Data": "sample string 5",
"BillingProviderOffice": null,
"IsActive": true,
"AllowOnlineScheduling": true,
"TimeZoneId": null,
"TimeZoneUTCOffset": 0,
"TimeZoneDaylightSaving": null,
"LocationContact": null,
"Organization": null,
"Contact": null,
"IOrganization": null,
"LocationFacilityId": 0,
"UseFacilityNPINoInHCFA": false,
"SameContactAsClinic": false,
"FacilityTaxId": null,
"UseAlternatePayToInHCFA": false,
"UniqueId": "00000000-0000-0000-0000-000000000000",
"GeoLocation": null
},
"ICDPagedList": {
"Items": [
{
"AppointmentBillingICDId": 1,
"BillingICDId": 2,
"DiagnosisCode": "sample string 3",
"Description": "sample string 4",
"IsFavorite": true,
"Billable": true,
"DiagnosisPointer": "sample string 7",
"IcdIndicatorType": 1
},
{
"AppointmentBillingICDId": 1,
"BillingICDId": 2,
"DiagnosisCode": "sample string 3",
"Description": "sample string 4",
"IsFavorite": true,
"Billable": true,
"DiagnosisPointer": "sample string 7",
"IcdIndicatorType": 1
},
{
"AppointmentBillingICDId": 1,
"BillingICDId": 2,
"DiagnosisCode": "sample string 3",
"Description": "sample string 4",
"IsFavorite": true,
"Billable": true,
"DiagnosisPointer": "sample string 7",
"IcdIndicatorType": 1
}
],
"PagingOption": null,
"SortingOption": null,
"CurrentPage": 0,
"PageCount": 0,
"TotalItemsCount": 0,
"ItemCount": 1,
"PreviousActive": false,
"NextActive": false
},
"CPTPagedList": {
"Items": [
{
"CPTId": 1,
"CPTIdUnique": "1[d67d5af5-b1a0-4035-a646-40394e304112]",
"Code": "sample string 2",
"Description": "sample string 3",
"ModA": "sample string 4",
"ModB": "sample string 5",
"ModC": "sample string 6",
"ModD": "sample string 7",
"DateOfService": "sample string 8",
"PlaceOfService": "sample string 9",
"DiagnosisPointer": "sample string 10",
"UnitCharge": 11.0,
"Quantity": 12,
"TotalCharge": 13.0,
"Taxable": true,
"TaxRate": 1.0,
"Modifiers": {
"ModA": "sample string 1",
"ModB": "sample string 2",
"ModC": "sample string 3",
"ModD": "sample string 4"
}
},
{
"CPTId": 1,
"CPTIdUnique": "1[a87ce4d1-00d5-4a66-8f7a-68fd788b4e3c]",
"Code": "sample string 2",
"Description": "sample string 3",
"ModA": "sample string 4",
"ModB": "sample string 5",
"ModC": "sample string 6",
"ModD": "sample string 7",
"DateOfService": "sample string 8",
"PlaceOfService": "sample string 9",
"DiagnosisPointer": "sample string 10",
"UnitCharge": 11.0,
"Quantity": 12,
"TotalCharge": 13.0,
"Taxable": true,
"TaxRate": 1.0,
"Modifiers": {
"ModA": "sample string 1",
"ModB": "sample string 2",
"ModC": "sample string 3",
"ModD": "sample string 4"
}
},
{
"CPTId": 1,
"CPTIdUnique": "1[56b228f0-c917-4642-bedc-3d65c2ccf9f5]",
"Code": "sample string 2",
"Description": "sample string 3",
"ModA": "sample string 4",
"ModB": "sample string 5",
"ModC": "sample string 6",
"ModD": "sample string 7",
"DateOfService": "sample string 8",
"PlaceOfService": "sample string 9",
"DiagnosisPointer": "sample string 10",
"UnitCharge": 11.0,
"Quantity": 12,
"TotalCharge": 13.0,
"Taxable": true,
"TaxRate": 1.0,
"Modifiers": {
"ModA": "sample string 1",
"ModB": "sample string 2",
"ModC": "sample string 3",
"ModD": "sample string 4"
}
}
],
"PagingOption": null,
"SortingOption": null,
"CurrentPage": 0,
"PageCount": 0,
"TotalItemsCount": 0,
"ItemCount": 1,
"PreviousActive": false,
"NextActive": false
},
"InventoryPagedList": {
"Items": [
{
"AppointmentInventoryItemId": 1,
"PurchaseId": 2,
"CalendarAppointmentId": 3,
"InventoryItemId": 4,
"IntakeNodeId": 1,
"IntakeNodeErxItemId": 1,
"IsFromIntake": true,
"Category": "sample string 6",
"ItemName": "sample string 7",
"Code": "sample string 8",
"UoM": "sample string 9",
"UnitCharge": 10.0,
"Quantity": 11.0,
"QoH": 1.0,
"TotalCharge": 12.0,
"TotalChargeWithTax": 1.0,
"TaxRate": 1.0,
"ErrorMessage": "sample string 13"
},
{
"AppointmentInventoryItemId": 1,
"PurchaseId": 2,
"CalendarAppointmentId": 3,
"InventoryItemId": 4,
"IntakeNodeId": 1,
"IntakeNodeErxItemId": 1,
"IsFromIntake": true,
"Category": "sample string 6",
"ItemName": "sample string 7",
"Code": "sample string 8",
"UoM": "sample string 9",
"UnitCharge": 10.0,
"Quantity": 11.0,
"QoH": 1.0,
"TotalCharge": 12.0,
"TotalChargeWithTax": 1.0,
"TaxRate": 1.0,
"ErrorMessage": "sample string 13"
},
{
"AppointmentInventoryItemId": 1,
"PurchaseId": 2,
"CalendarAppointmentId": 3,
"InventoryItemId": 4,
"IntakeNodeId": 1,
"IntakeNodeErxItemId": 1,
"IsFromIntake": true,
"Category": "sample string 6",
"ItemName": "sample string 7",
"Code": "sample string 8",
"UoM": "sample string 9",
"UnitCharge": 10.0,
"Quantity": 11.0,
"QoH": 1.0,
"TotalCharge": 12.0,
"TotalChargeWithTax": 1.0,
"TaxRate": 1.0,
"ErrorMessage": "sample string 13"
}
],
"PagingOption": null,
"SortingOption": null,
"CurrentPage": 0,
"PageCount": 0,
"TotalItemsCount": 0,
"ItemCount": 1,
"PreviousActive": false,
"NextActive": false
},
"ErxPagedList": {
"Items": [
{
"Name": "sample string 1",
"TotalCharge": 2.0,
"InventoryItems": [
{
"AppointmentInventoryItemId": 1,
"PurchaseId": 2,
"CalendarAppointmentId": 3,
"InventoryItemId": 4,
"IntakeNodeId": 1,
"IntakeNodeErxItemId": 1,
"IsFromIntake": true,
"Category": "sample string 6",
"ItemName": "sample string 7",
"Code": "sample string 8",
"UoM": "sample string 9",
"UnitCharge": 10.0,
"Quantity": 11.0,
"QoH": 1.0,
"TotalCharge": 12.0,
"TotalChargeWithTax": 1.0,
"TaxRate": 1.0,
"ErrorMessage": "sample string 13"
},
{
"AppointmentInventoryItemId": 1,
"PurchaseId": 2,
"CalendarAppointmentId": 3,
"InventoryItemId": 4,
"IntakeNodeId": 1,
"IntakeNodeErxItemId": 1,
"IsFromIntake": true,
"Category": "sample string 6",
"ItemName": "sample string 7",
"Code": "sample string 8",
"UoM": "sample string 9",
"UnitCharge": 10.0,
"Quantity": 11.0,
"QoH": 1.0,
"TotalCharge": 12.0,
"TotalChargeWithTax": 1.0,
"TaxRate": 1.0,
"ErrorMessage": "sample string 13"
},
{
"AppointmentInventoryItemId": 1,
"PurchaseId": 2,
"CalendarAppointmentId": 3,
"InventoryItemId": 4,
"IntakeNodeId": 1,
"IntakeNodeErxItemId": 1,
"IsFromIntake": true,
"Category": "sample string 6",
"ItemName": "sample string 7",
"Code": "sample string 8",
"UoM": "sample string 9",
"UnitCharge": 10.0,
"Quantity": 11.0,
"QoH": 1.0,
"TotalCharge": 12.0,
"TotalChargeWithTax": 1.0,
"TaxRate": 1.0,
"ErrorMessage": "sample string 13"
}
]
},
{
"Name": "sample string 1",
"TotalCharge": 2.0,
"InventoryItems": [
{
"AppointmentInventoryItemId": 1,
"PurchaseId": 2,
"CalendarAppointmentId": 3,
"InventoryItemId": 4,
"IntakeNodeId": 1,
"IntakeNodeErxItemId": 1,
"IsFromIntake": true,
"Category": "sample string 6",
"ItemName": "sample string 7",
"Code": "sample string 8",
"UoM": "sample string 9",
"UnitCharge": 10.0,
"Quantity": 11.0,
"QoH": 1.0,
"TotalCharge": 12.0,
"TotalChargeWithTax": 1.0,
"TaxRate": 1.0,
"ErrorMessage": "sample string 13"
},
{
"AppointmentInventoryItemId": 1,
"PurchaseId": 2,
"CalendarAppointmentId": 3,
"InventoryItemId": 4,
"IntakeNodeId": 1,
"IntakeNodeErxItemId": 1,
"IsFromIntake": true,
"Category": "sample string 6",
"ItemName": "sample string 7",
"Code": "sample string 8",
"UoM": "sample string 9",
"UnitCharge": 10.0,
"Quantity": 11.0,
"QoH": 1.0,
"TotalCharge": 12.0,
"TotalChargeWithTax": 1.0,
"TaxRate": 1.0,
"ErrorMessage": "sample string 13"
},
{
"AppointmentInventoryItemId": 1,
"PurchaseId": 2,
"CalendarAppointmentId": 3,
"InventoryItemId": 4,
"IntakeNodeId": 1,
"IntakeNodeErxItemId": 1,
"IsFromIntake": true,
"Category": "sample string 6",
"ItemName": "sample string 7",
"Code": "sample string 8",
"UoM": "sample string 9",
"UnitCharge": 10.0,
"Quantity": 11.0,
"QoH": 1.0,
"TotalCharge": 12.0,
"TotalChargeWithTax": 1.0,
"TaxRate": 1.0,
"ErrorMessage": "sample string 13"
}
]
},
{
"Name": "sample string 1",
"TotalCharge": 2.0,
"InventoryItems": [
{
"AppointmentInventoryItemId": 1,
"PurchaseId": 2,
"CalendarAppointmentId": 3,
"InventoryItemId": 4,
"IntakeNodeId": 1,
"IntakeNodeErxItemId": 1,
"IsFromIntake": true,
"Category": "sample string 6",
"ItemName": "sample string 7",
"Code": "sample string 8",
"UoM": "sample string 9",
"UnitCharge": 10.0,
"Quantity": 11.0,
"QoH": 1.0,
"TotalCharge": 12.0,
"TotalChargeWithTax": 1.0,
"TaxRate": 1.0,
"ErrorMessage": "sample string 13"
},
{
"AppointmentInventoryItemId": 1,
"PurchaseId": 2,
"CalendarAppointmentId": 3,
"InventoryItemId": 4,
"IntakeNodeId": 1,
"IntakeNodeErxItemId": 1,
"IsFromIntake": true,
"Category": "sample string 6",
"ItemName": "sample string 7",
"Code": "sample string 8",
"UoM": "sample string 9",
"UnitCharge": 10.0,
"Quantity": 11.0,
"QoH": 1.0,
"TotalCharge": 12.0,
"TotalChargeWithTax": 1.0,
"TaxRate": 1.0,
"ErrorMessage": "sample string 13"
},
{
"AppointmentInventoryItemId": 1,
"PurchaseId": 2,
"CalendarAppointmentId": 3,
"InventoryItemId": 4,
"IntakeNodeId": 1,
"IntakeNodeErxItemId": 1,
"IsFromIntake": true,
"Category": "sample string 6",
"ItemName": "sample string 7",
"Code": "sample string 8",
"UoM": "sample string 9",
"UnitCharge": 10.0,
"Quantity": 11.0,
"QoH": 1.0,
"TotalCharge": 12.0,
"TotalChargeWithTax": 1.0,
"TaxRate": 1.0,
"ErrorMessage": "sample string 13"
}
]
}
],
"PagingOption": null,
"SortingOption": null,
"CurrentPage": 0,
"PageCount": 0,
"TotalItemsCount": 0,
"ItemCount": 1,
"PreviousActive": false,
"NextActive": false
},
"AppointmentBillingStatus": {
"AppointmentType": 1,
"ServicesDueAmount": 1.0,
"ServicesWithDiscountDueAmount": 2.0,
"ServicesDiscountModel": {
"Value": 1.0,
"IsPercentage": true
},
"ServicesWithTaxDueAmount": 3.0,
"ServicesChargesWithTax": 4.0,
"ServicesTaxAmount": 5.0,
"PaidByPatientAmount": 6.0,
"PaidByInsuranceAmount": 7.0,
"LocalAppointmentDateFormatted": "sample string 8",
"LocalAppointmentDate": "sample string 9",
"LocalAppointmentDateTime": "2025-05-30 19:47",
"CopayAmount": 1.0,
"CopayBalanceDueAmount": 11.0,
"PaidByPatientForCopayAmount": 12.0,
"InsuranceBalanceDue": 13.0,
"PatientBalanceDue": 14.0,
"BillingStatus": "sample string 15",
"HasInsuranceFinalPayment": true,
"CardProfileId": 1,
"PurchaseDateFormatted": "sample string 17",
"ProductsDueAmount": 18.0,
"ProductsDiscountModel": {
"Value": 1.0,
"IsPercentage": true
},
"ProductsWithDiscountDueAmount": 19.0,
"ProductsWithTaxDueAmount": 20.0,
"ItemsTaxAmount": 21.0,
"BillingPaymentLinkHistory": {
"IsPreviouslySent": true,
"EntityId": 1,
"PatientId": 1,
"PatientEmail": "sample string 2",
"PatientCanReceiveSms": true,
"DateSentUtc": "2025-05-30 19:47"
},
"EntityId": 22,
"PatientId": 1,
"TotalWithTaxDueAmount": 23.0,
"ProductChargesWithTax": 24.0,
"IsWalkIn": true,
"TotalDueAmount": 26.0,
"AdjustedAmount": 27.0,
"BalanceDueAmount": 28.0,
"ServicesDiscount": 29.0,
"ProductsDiscount": 30.0,
"ServicesTax": 31.0,
"ProductsDTax": 32.0,
"ProductsBalanceDueAmount": 33.0,
"ServicesBalanceDueAmount": 34.0,
"PaidByPatientForServicesAmount": 35.0,
"PaidByPatientForProductsAmount": 36.0
},
"ClinicNPI": "sample string 1",
"ProviderEIN": "sample string 2"
},
"AppointmentType": 1,
"PatientId": 2,
"AuthorId": 3,
"LocalSaveDate": "2025-05-30 19:47",
"AdjustedAmount": 5.0,
"ServicesDiscount": "sample string 6",
"ProductDiscount": "sample string 7",
"BillingICDs": [
1,
2,
3
],
"DoNotChargeCancellationFee": true,
"SelectedCardId": 1,
"BillingNotes": "sample string 8",
"BillingCPTs": [
{
"CPTId": 1,
"CPTIdUnique": "1[86334509-328a-4500-b400-8d8fa5dd9e48]",
"Code": "sample string 2",
"Description": "sample string 3",
"ModA": "sample string 4",
"ModB": "sample string 5",
"ModC": "sample string 6",
"ModD": "sample string 7",
"DateOfService": "sample string 8",
"PlaceOfService": "sample string 9",
"DiagnosisPointer": "sample string 10",
"UnitCharge": 11.0,
"Quantity": 12,
"TotalCharge": 13.0,
"Taxable": true,
"TaxRate": 1.0,
"Modifiers": {
"ModA": "sample string 1",
"ModB": "sample string 2",
"ModC": "sample string 3",
"ModD": "sample string 4"
}
},
{
"CPTId": 1,
"CPTIdUnique": "1[ef1af420-43e8-48c3-9752-2dcdebbae71a]",
"Code": "sample string 2",
"Description": "sample string 3",
"ModA": "sample string 4",
"ModB": "sample string 5",
"ModC": "sample string 6",
"ModD": "sample string 7",
"DateOfService": "sample string 8",
"PlaceOfService": "sample string 9",
"DiagnosisPointer": "sample string 10",
"UnitCharge": 11.0,
"Quantity": 12,
"TotalCharge": 13.0,
"Taxable": true,
"TaxRate": 1.0,
"Modifiers": {
"ModA": "sample string 1",
"ModB": "sample string 2",
"ModC": "sample string 3",
"ModD": "sample string 4"
}
},
{
"CPTId": 1,
"CPTIdUnique": "1[7b68601c-40fa-4a38-bb05-f5076d60d930]",
"Code": "sample string 2",
"Description": "sample string 3",
"ModA": "sample string 4",
"ModB": "sample string 5",
"ModC": "sample string 6",
"ModD": "sample string 7",
"DateOfService": "sample string 8",
"PlaceOfService": "sample string 9",
"DiagnosisPointer": "sample string 10",
"UnitCharge": 11.0,
"Quantity": 12,
"TotalCharge": 13.0,
"Taxable": true,
"TaxRate": 1.0,
"Modifiers": {
"ModA": "sample string 1",
"ModB": "sample string 2",
"ModC": "sample string 3",
"ModD": "sample string 4"
}
}
],
"InventoryItems": [
{
"AppointmentInventoryItemId": 1,
"PurchaseId": 2,
"CalendarAppointmentId": 3,
"InventoryItemId": 4,
"IntakeNodeId": 1,
"IntakeNodeErxItemId": 1,
"IsFromIntake": true,
"Category": "sample string 6",
"ItemName": "sample string 7",
"Code": "sample string 8",
"UoM": "sample string 9",
"UnitCharge": 10.0,
"Quantity": 11.0,
"QoH": 1.0,
"TotalCharge": 12.0,
"TotalChargeWithTax": 1.0,
"TaxRate": 1.0,
"ErrorMessage": "sample string 13"
},
{
"AppointmentInventoryItemId": 1,
"PurchaseId": 2,
"CalendarAppointmentId": 3,
"InventoryItemId": 4,
"IntakeNodeId": 1,
"IntakeNodeErxItemId": 1,
"IsFromIntake": true,
"Category": "sample string 6",
"ItemName": "sample string 7",
"Code": "sample string 8",
"UoM": "sample string 9",
"UnitCharge": 10.0,
"Quantity": 11.0,
"QoH": 1.0,
"TotalCharge": 12.0,
"TotalChargeWithTax": 1.0,
"TaxRate": 1.0,
"ErrorMessage": "sample string 13"
},
{
"AppointmentInventoryItemId": 1,
"PurchaseId": 2,
"CalendarAppointmentId": 3,
"InventoryItemId": 4,
"IntakeNodeId": 1,
"IntakeNodeErxItemId": 1,
"IsFromIntake": true,
"Category": "sample string 6",
"ItemName": "sample string 7",
"Code": "sample string 8",
"UoM": "sample string 9",
"UnitCharge": 10.0,
"Quantity": 11.0,
"QoH": 1.0,
"TotalCharge": 12.0,
"TotalChargeWithTax": 1.0,
"TaxRate": 1.0,
"ErrorMessage": "sample string 13"
}
]
}
application/xml
Sample:
Sample not available.
text/xml
Sample:
Sample not available.
application/x-www-form-urlencoded
Sample:
Sample not available.
Response Information
Response body formats
application/json, text/json, application/xml, text/xml
Sample:
Sample not available.