Update universal encounter

Notice: The UB-04 Data File, 2025, is copyrighted by American Hospital Association (AHA), Chicago, Illinois. No portion of the THE UB-04 Data File, may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without prior express, written consent of AHA.

Authorization

BearerAuth

AuthorizationBearer <token>

Send your Taiga API key as a Bearer token. Create and manage keys in the Taiga developer portal.

In: header

Path Parameters

encounter_id*EncounterId

Formatuuid

Request Body

application/json

TypeScript Definitions

Use the request body type in TypeScript.

health_care_code_information?|

The health care code information associated with this encounter, which includes things such as diagnoses, vitals, procedures, occurrences, reason for visit, and numerous other code related fields.

attending_provider?|

837i NM1 2500 variant for Loop ID-2310. Used to indicate the individual whom has overall responsibility for the patient in institutional claims processing.

admission_hour?|

837i Loop 2300 DTP-03 Extension of the admission date with hour (0-23 integer) details.

admission_type_code?|

837i Loop 2300 CL1-01 Code used to indicate the priority of an admission or visit. Equivalent to Form Locator 14 Priority of Admission on a UB-04 claim, not used on CMS-1500 claim forms.

admission_source_code?|

837i Loop 2300 CLI1-02 Code used to indicate the conditions under which an admission occurs. Equivalent to Form Locator 15 Point of Origin on a UB-04 claim, not used on CMS-1500 claim forms.

discharge_hour?|

837i Loop 2300 DTP-03 Extension of the discharge date with hour (0-23 integer) details.

discharge_status?|

837i CL1-03 or Form Locator 17 on a UB-04 claim form. This is a required field on UB-04 claims. Code indicating patient status as of the "statement covers through date".

operating_provider?|

837i NM1 2500 variant for Loop ID-2310. Used to indicate the individual whom has primary responsibility for surgical procedures in institutional claims processing.

other_operating_provider?|

837i NM1 2500 variant for Loop ID-2310. Used to indicate the individual whom has secondary responsibility for surgical procedures in institutional claims processing. Only used when operating_provider is also set.

type_of_bill?||

Four digit code used in institutional forms to indicate the type of bill (e.g., hospital inpatient, hospital outpatient). First digit is a leading 0, followed by the type_of_facility, type_of_care, then frequency_code. Professional forms are not required to submit this attribute. You may send the 4 digit code via raw_code, or each individual digit separately via composite_codes.

accident_state_or_province_code?|

837i-REF1000 -- an optional state indicating where an accident related to the encounter occurred.

submission_expectation?|

Describes the currently expected target form for this encounter. This affects what validations and queues the form is processed under. When this value is not set, it should be assumed to be TARGET_PROFESSIONAL.

epsdt_referral?|

Refers to Box 24H on the CMS1500 form and Loop 2300 CRC - EPSDT Referral on the 837P and 837i form

clinical_notes?array<>|

Holds a collection of clinical observations made by healthcare providers during patient encounters. Please note that medical records for appeals should be sent using the Encounter Attachments API.

claim_supplemental_information?array<>|

Refers to Loop 2300 - Segment PWK on the 837P and 837i form. No more than 10 entries are permitted.

schema_instances?array<>|

Key-value pairs that must adhere to a schema created via the Custom Schema API. Multiple schema instances cannot be created for the same schema on an encounter. Updating schema instances utilizes PUT semantics, so the schema instances on the encounter will be set to whatever inputs are provided. If null is provided as an input, then the encounter's schema instances will be cleared.

existing_medications?array<>|

Existing medications that should be on the encounter. Note all current existing medications on encounter will be overridden with this list.

guarantor?|

Personal and contact info for the guarantor of the patient responsibility.

subscriber_primary?|

Contains details of the primary insurance subscriber.

subscriber_secondary?|

Contains details of the secondary insurance subscriber.

subscriber_tertiary?|

Contains details of the tertiary insurance subscriber.

pay_to_address?|

Specifies the address to which payments for the claim should be sent.

initial_referring_provider?|

The second iteration of Loop ID-2310 on an 837P form. Use code "P3 - Primary Care Provider" in this loop to indicate the initial referral from the primary care provider or whatever provider wrote the initial referral for this patient's episode of care being billed/reported in this transaction. Not used in an 837i claim

referring_provider?|

The final provider who referred the services that were rendered. All physicians who order services or refer Medicare beneficiaries must report this data.

patient?|

Contains the identification information of the individual receiving medical services.

rendering_provider?|

The rendering provider is the practitioner -- physician, nurse practitioner, etc. -- performing the service. For telehealth services, the rendering provider performs the visit, asynchronous communication, or other service. The rendering provider address should generally be the same as the service facility address.

service_facility?|

Encounter Service facility is typically the location a medical service was rendered, such as a provider office or hospital. For telehealth, service facility can represent the provider's location when the service was delivered (e.g., home), or the location where an in-person visit would have taken place, whichever is easier to identify. If the provider is in-network, service facility may be defined in payer contracts. Box 32 on the CMS-1500 claim form. There is no equivalent on the paper UB-04 claim form, but this field is equivalent to Loop 2310E Service Facility Location details on an 837i form, and is used when this is different to the entity identified as the Billing Provider. Note that for an in-network claim to be successfully adjudicated, the service facility address listed

supervising_provider?|

Required when the rendering provider is supervised by a physician. If not required by this implementation guide, do not send.

treating_provider?|

The treating provider is the provider who treats the patient. This is supported for professional and institutional encounters.

billing_provider?|

The billing provider is the provider or business entity submitting the claim. Billing provider may be, but is not necessarily, the same person/NPI as the rendering provider. From a payer's perspective, this represents the person or entity being reimbursed. When a contract exists with the target payer, the billing provider should be the entity contracted with the payer. In some circumstances, this will be an individual provider. In that case, submit that provider's NPI and the tax ID (TIN) that the provider gave to the payer during contracting. In other cases, the billing entity will be a medical group. If so, submit the group NPI and the group's tax ID. Box 33 on the CMS-1500 claim or Form Locator 1 on a UB-04 claim form.

place_of_service_code_as_submitted?|

Box 24B on the CMS-1500 claim form. 837p Loop2300, CLM-05-1. This box is not used on a UB-04 or 837i claim form. 02 for telemedicine, 11 for in-person. Full list here.

related_causes_information?|

Corresponds to box 10a on the CMS-1500 (Loop 2300 on 837)

property_casualty_claim_number?|

837p Loop2010 REF02, CMS1500 Box 11b

accident_date?|

837p Loop2300 DTP*439, CMS1500 Box 15

Formatdate

property_casualty_patient_identifier?|

Patient identifier for Property and Casualty claims 837p Loop 2010CA

benefits_assigned_to_provider?|

Whether this patient has authorized insurance payments to be made to you, not them. If false, patient may receive reimbursement. Box 13 on the CMS-1500 claim form or Form Locator 53 on a UB-04 claim form.

prior_authorization_number?|

Box 23 on the CMS-1500 claim form or Form Locator 63 on a UB-04 claim form.

external_id?|

A client-specified unique ID to associate with this encounter; for example, your internal encounter ID or a Dr. Chrono encounter ID. This field should not contain PHI.

date_of_service?|

Date formatted as YYYY-MM-DD; eg: 2019-08-24. This date must be the local date in the timezone where the service occurred. Box 24a on the CMS-1500 claim form or Form Locator 45 on the UB-04 claim form. If service occurred over a range of dates, this should be the start date. If service lines have distinct date_of_service values, updating the encounter's date_of_service will fail. If all service line date_of_service values are the same, updating the encounter's date_of_service will update all service line date_of_service values.

Formatdate

tag_ids?array<TagId>|

Names of tags that should be on the encounter. Note all tags on encounter will be overridden with this list.

billable_status?|

Defines if the Encounter is to be billed by Taiga to the responsible_party. Examples for when this should be set to NOT_BILLABLE include if the Encounter has not occurred yet or if there is no intention of ever billing the responsible_party.

responsible_party?|

Defines the party to be billed with the initial balance owed on the claim. Use SELF_PAY if you intend to bill self pay/cash pay.

provider_accepts_assignment?|

Whether you have accepted the patient's authorization for insurance payments to be made to you, not them. Box 27 on the CMS-1500 claim form. There is no exact equivalent of this field on a UB-04 claim, however contributes to the concept of Form Locator 53.

synchronicity?|

Whether or not this was a synchronous or asynchronous encounter. Asynchronous encounters occur when providers and patients communicate online using forms, instant messaging, or other pre-recorded digital mediums. Synchronous encounters occur in live, real-time settings where the patient interacts directly with the provider, such as over video or a phone call.

place_of_service_code?|

Box 24B on the CMS-1500 claim form. 837p Loop2300, CLM-05-1. 02 for telemedicine, 11 for in-person. Full list here.

appointment_type?|

Human-readable description of the appointment type (ex: "Acupuncture - Headaches").

end_date_of_service?|

Date formatted as YYYY-MM-DD; eg: 2019-08-25. This date must be the local date in the timezone where the service occurred. If omitted, the Encounter is assumed to be for a single day. Must not be temporally before the date_of_service field. If service lines have distinct end_date_of_service values, updating the encounter's end_date_of_service will fail. If all service line end_date_of_service values are the same, updating the encounter's end_date_of_service will update all service line date_of_service values.

Formatdate

additional_information?|

Defines additional information on the claim needed by the payer. Box 19 on the CMS-1500 claim form or Form Locator 80 on a UB-04 claim form.

service_authorization_exception_code?|

837p Loop2300 REF*4N Required when mandated by government law or regulation to obtain authorization for specific service(s) but, for the reasons listed in one of the enum values of ServiceAuthorizationExceptionCode, the service was performed without obtaining the authorization.

admission_date?|

837p Loop2300 DTP*435, CMS-1500 Box 18 or UB-04 Form Locator 12. Required on all ambulance claims when the patient was known to be admitted to the hospital. OR Required on all claims involving inpatient medical visits.

Formatdate

discharge_date?|

837p Loop2300 DTP*096, CMS-1500 Box 18 Required for inpatient claims when the patient was discharged from the facility and the discharge date is known. Not used on an institutional claim.

Formatdate

onset_of_current_illness_or_symptom_date?|

837p Loop2300 DTP*431, CMS-1500 Box 14 Required for the initial medical service or visit performed in response to a medical emergency when the date is available and is different than the date of service. OR This date is the onset of acute symptoms for the current illness or condition. For UB-04 claims, this is populated separately via occurrence codes.

Formatdate

last_menstrual_period_date?|

837p Loop2300 DTP*484, CMS-1500 Box 14 Required when, in the judgment of the provider, the services on this claim are related to the patient's pregnancy.de This field is populated separately via occurrence codes for UB-04 claim forms.

Formatdate

delay_reason_code?|

Code indicating the reason why a claim submission was delayed. Corresponds to CLM-20 in the 837 specification (both professional and institutional).

patient_authorized_release?|

Whether this patient has authorized the release of medical information for billing purpose. Box 12 on the CMS-1500 claim form or Form Locator 52 on a UB-04 claim form.

referral_number?|

Refers to REF*9F on the 837p. Value cannot be greater than 50 characters.

secondary_payer_carrier_code?|

When Medicaid is billed as the secondary payer the Carrier Code is used to identify the primary payer. This is required for certain states.

Response Body

`application/json`

curl -X PATCH "https://example.com/api/encounters/v4/497f6eca-6276-4993-bfeb-53cbbbba6f08/universal" \  -H "Content-Type: application/json" \  -d '{}'

{  "accident_state_or_province_code": "AA",  "claim_creation_id": "9a134162-d4e8-46bc-8336-94faf8779b88",  "patient_control_number": "string",  "encounter_id": "7a82c561-3d07-4ff8-8b24-4d41b12287d2",  "claims": [    {      "claim_id": "6ed32748-64af-4d95-94ea-a78b6397033c",      "status": "biller_received",      "clearinghouse": "string",      "clearinghouse_claim_id": "string",      "payer_claim_id": "string",      "clia_number": "string",      "service_lines": [        {          "created_at": "2023-01-01T00:00:00Z",          "modifiers": [            "AV"          ],          "charge_amount_cents": 0,          "allowed_amount_cents": 0,          "insurance_balance_cents": 0,          "patient_balance_cents": 0,          "paid_amount_cents": 0,          "primary_paid_amount_cents": 0,          "secondary_paid_amount_cents": 0,          "tertiary_paid_amount_cents": 0,          "patient_responsibility_cents": 0,          "copay_cents": 0,          "coinsurance_cents": 0,          "deductible_cents": 0,          "diagnosis_id_zero": "f0fef26d-b316-4adc-b36b-8de9eb0c937b",          "diagnosis_id_one": "06f8cea7-70fe-4c7c-8160-1b76eba0a401",          "diagnosis_id_two": "a6faa11d-f54e-4d73-876b-28911a593769",          "diagnosis_id_three": "8ab279cc-d7d5-4b13-b283-309cad42c284",          "drug_identification": {            "service_id_qualifier": "EN",            "national_drug_code": "string",            "national_drug_unit_count": "string",            "measurement_unit_code": "ML",            "link_sequence_number": "string",            "pharmacy_prescription_number": "string",            "conversion_formula": "string",            "drug_description": "string"          },          "service_line_era_data": {            "service_line_adjustments": [              {                "created_at": "2019-08-24T14:15:22Z",                "adjustment_group_code": "string",                "adjustment_reason_code": "string",                "adjustment_amount_cents": 0,                "adjustment_note": "string"              }            ],            "remittance_advice_remark_codes": [              "string"            ]          },          "service_line_manual_adjustments": [            {              "created_at": "2019-08-24T14:15:22Z",              "adjustment_group_code": "string",              "adjustment_reason_code": "string",              "adjustment_amount_cents": 0,              "adjustment_note": "string"            }          ],          "related_invoices": [            {              "id": "497f6eca-6276-4993-bfeb-53cbbbba6f08",              "created_at": "2019-08-24T14:15:22Z",              "updated_at": "2019-08-24T14:15:22Z",              "organzation_id": "6b7e4588-f600-4079-894b-c4ac282ac6b3",              "source_id": "string",              "source_customer_id": "string",              "patient_external_id": "string",              "note": "string",              "due_date": "string",              "status": "draft",              "url": "string",              "customer_invoice_url": "string",              "items": [                {                  "service_line_id": "a87d8c62-6b36-44c6-9f01-a675dd3707d1",                  "amount_cents": 0                }              ]            }          ],          "related_invoice_info": [            {              "id": "497f6eca-6276-4993-bfeb-53cbbbba6f08",              "invoice": {                "amount_cents": 0,                "created_at": "2019-08-24T14:15:22Z",                "updated_at": "2019-08-24T14:15:22Z",                "organization_id": "7c60d51f-b44e-4682-87d6-449835ea4de6",                "invoice_destination_metadata": {                  "invoice_destination": "STRIPE",                  "source_id": "string",                  "source_customer_id": "string",                  "destination_status": "string"                },                "patient_external_id": "string",                "note": "string",                "due_date": "2019-08-24",                "status": "DRAFT",                "url": "string",                "customer_invoice_url": "string",                "items": {                  "claim_invoice_items": {                    "property1": {                      "claim_invoice_item": {                        "claim_id": "6ed32748-64af-4d95-94ea-a78b6397033c",                        "amount_cents": 0                      },                      "service_line_invoice_items": {                        "property1": {                          "service_line_id": "a87d8c62-6b36-44c6-9f01-a675dd3707d1",                          "amount_cents": 0                        },                        "property2": {                          "service_line_id": "a87d8c62-6b36-44c6-9f01-a675dd3707d1",                          "amount_cents": 0                        }                      }                    },                    "property2": {                      "claim_invoice_item": {                        "claim_id": "6ed32748-64af-4d95-94ea-a78b6397033c",                        "amount_cents": 0                      },                      "service_line_invoice_items": {                        "property1": {                          "service_line_id": "a87d8c62-6b36-44c6-9f01-a675dd3707d1",                          "amount_cents": 0                        },                        "property2": {                          "service_line_id": "a87d8c62-6b36-44c6-9f01-a675dd3707d1",                          "amount_cents": 0                        }                      }                    }                  },                  "unattributed_items": [                    {                      "amount_cents": 0                    }                  ]                }              },              "invoice_type": "STRIPE"            }          ],          "denial_reason": {            "reason": "Authorization Required"          },          "place_of_service_code": "01",          "place_of_service_code_as_submitted": "01",          "service_line_id": "a87d8c62-6b36-44c6-9f01-a675dd3707d1",          "procedure_code": "99213",          "ordering_provider": {            "provider_id": "fe3d49af-4061-436b-ae60-f7044f252a44",            "address": {              "zip_plus_four_code": "1234",              "address1": "string",              "address2": "string",              "city": "string",              "state": "AA",              "zip_code": "string"            },            "tax_id": "string",            "npi": "1234567890",            "taxonomy_code": "string",            "qualifier": "DQ",            "provider_commercial_license_type": "0",            "secondary_identification": {              "reference_identification": "string",              "reference_identification_qualifier": "0B"            },            "first_name": "string",            "last_name": "string",            "organization_name": "string"          },          "revenue_code": "string",          "quantity": "string",          "units": "MJ",          "claim_id": "6ed32748-64af-4d95-94ea-a78b6397033c",          "date_of_service_range": {            "start_date": "string",            "end_date": "string"          },          "description": "string",          "date_of_service": "2023-01-01",          "end_date_of_service": "2019-08-24",          "test_results": [            {              "value": 0.1,              "result_type": "HEMATOCRIT"            }          ],          "has_epsdt_indicator": true,          "has_family_planning_indicator": true,          "note": "string",          "prior_authorization_number": "string",          "external_id": "string"        }      ],      "eras": [        {          "era_id": "d6a5de53-3d03-460f-8f81-f0002ae5dc22",          "check_number": "string",          "check_date": "string"        }      ]    }  ],  "patient": {    "individual_id": "b2338cfb-472f-4f72-9faa-e028c083144a",    "phone_numbers": [      {        "number": "1234567890",        "type": "Home"      }    ],    "phone_consent": true,    "email": "string",    "email_consent": true,    "auto_charge_consent": true,    "non_insurance_payers": [      {        "non_insurance_payer_id": "8aaf7567-cd3d-41a3-9d13-4e727c1f7ad1",        "name": "Sunrise Foundation",        "description": "string",        "category": "string",        "enabled": true,        "address": {          "zip_plus_four_code": "string",          "address1": "string",          "address2": "string",          "city": "string",          "state": "AA",          "zip_code": "string"        },        "clinical_trials": [          {            "clinical_trial_id": "656d392d-2bad-45a1-bb5d-94637107f232",            "non_insurance_payer_id": "8aaf7567-cd3d-41a3-9d13-4e727c1f7ad1",            "is_active": true,            "name": "string",            "clinical_trial_number": "string",            "clinical_trial_phase": "Phase 1"          }        ]      }    ],    "non_insurance_payers_info": [      {        "non_insurance_payer": {          "non_insurance_payer_id": "8aaf7567-cd3d-41a3-9d13-4e727c1f7ad1",          "name": "Sunrise Foundation",          "description": "string",          "category": "string",          "enabled": true,          "address": {            "zip_plus_four_code": "string",            "address1": "string",            "address2": "string",            "city": "string",            "state": "AA",            "zip_code": "string"          },          "clinical_trials": [            {              "clinical_trial_id": "656d392d-2bad-45a1-bb5d-94637107f232",              "non_insurance_payer_id": "8aaf7567-cd3d-41a3-9d13-4e727c1f7ad1",              "is_active": true,              "name": "string",              "clinical_trial_number": "string",              "clinical_trial_phase": "Phase 1"            }          ]        },        "member_id": "string",        "clinical_trial_info": [          {            "clinical_trial_arm": "string",            "clinical_trial": {              "clinical_trial_id": "656d392d-2bad-45a1-bb5d-94637107f232",              "non_insurance_payer_id": "8aaf7567-cd3d-41a3-9d13-4e727c1f7ad1",              "is_active": true,              "name": "string",              "clinical_trial_number": "string",              "clinical_trial_phase": "Phase 1"            }          }        ]      }    ],    "external_id": "string",    "date_of_birth": "2019-08-24",    "address": {      "zip_plus_four_code": "string",      "address1": "string",      "address2": "string",      "city": "string",      "state": "AA",      "zip_code": "string"    },    "first_name": "string",    "last_name": "string",    "gender": "male"  },  "guarantor": {    "guarantor_id": "c0c01d4d-fcb6-471e-b135-937143c9f8d1",    "phone_numbers": [      {        "number": "1234567890",        "type": "Home"      }    ],    "phone_consent": true,    "email": "string",    "email_consent": true,    "auto_charge_consent": true,    "first_name": "string",    "last_name": "string",    "external_id": "string",    "date_of_birth": "2019-08-24",    "address": {      "zip_plus_four_code": "string",      "address1": "string",      "address2": "string",      "city": "string",      "state": "AA",      "zip_code": "string"    }  },  "billing_provider": {    "provider_id": "fe3d49af-4061-436b-ae60-f7044f252a44",    "address": {      "zip_plus_four_code": "1234",      "address1": "string",      "address2": "string",      "city": "string",      "state": "AA",      "zip_code": "string"    },    "tax_id": "string",    "npi": "1234567890",    "taxonomy_code": "string",    "qualifier": "DQ",    "provider_commercial_license_type": "0",    "secondary_identification": {      "reference_identification": "string",      "reference_identification_qualifier": "0B"    },    "first_name": "string",    "last_name": "string",    "organization_name": "string"  },  "rendering_provider": {    "provider_id": "fe3d49af-4061-436b-ae60-f7044f252a44",    "address": {      "zip_plus_four_code": "1234",      "address1": "string",      "address2": "string",      "city": "string",      "state": "AA",      "zip_code": "string"    },    "tax_id": "string",    "npi": "1234567890",    "taxonomy_code": "string",    "qualifier": "DQ",    "provider_commercial_license_type": "0",    "secondary_identification": {      "reference_identification": "string",      "reference_identification_qualifier": "0B"    },    "first_name": "string",    "last_name": "string",    "organization_name": "string"  },  "attending_provider": {    "provider_id": "fe3d49af-4061-436b-ae60-f7044f252a44",    "address": {      "zip_plus_four_code": "1234",      "address1": "string",      "address2": "string",      "city": "string",      "state": "AA",      "zip_code": "string"    },    "tax_id": "string",    "npi": "1234567890",    "taxonomy_code": "string",    "qualifier": "DQ",    "provider_commercial_license_type": "0",    "secondary_identification": {      "reference_identification": "string",      "reference_identification_qualifier": "0B"    },    "first_name": "string",    "last_name": "string",    "organization_name": "string"  },  "admission_hour": 0,  "admission_type_code": "1",  "admission_source_code": "1",  "discharge_hour": 0,  "discharge_status": "01",  "operating_provider": {    "provider_id": "fe3d49af-4061-436b-ae60-f7044f252a44",    "address": {      "zip_plus_four_code": "1234",      "address1": "string",      "address2": "string",      "city": "string",      "state": "AA",      "zip_code": "string"    },    "tax_id": "string",    "npi": "1234567890",    "taxonomy_code": "string",    "qualifier": "DQ",    "provider_commercial_license_type": "0",    "secondary_identification": {      "reference_identification": "string",      "reference_identification_qualifier": "0B"    },    "first_name": "string",    "last_name": "string",    "organization_name": "string"  },  "other_operating_provider": {    "provider_id": "fe3d49af-4061-436b-ae60-f7044f252a44",    "address": {      "zip_plus_four_code": "1234",      "address1": "string",      "address2": "string",      "city": "string",      "state": "AA",      "zip_code": "string"    },    "tax_id": "string",    "npi": "1234567890",    "taxonomy_code": "string",    "qualifier": "DQ",    "provider_commercial_license_type": "0",    "secondary_identification": {      "reference_identification": "string",      "reference_identification_qualifier": "0B"    },    "first_name": "string",    "last_name": "string",    "organization_name": "string"  },  "treating_provider": {    "provider_id": "fe3d49af-4061-436b-ae60-f7044f252a44",    "first_name": "string",    "last_name": "string",    "npi": "string",    "taxonomy_code": "string",    "address": {      "zip_plus_four_code": "1234",      "address1": "string",      "address2": "string",      "city": "string",      "state": "AA",      "zip_code": "string"    },    "tax_id": "string",    "license_type": "MD"  },  "related_causes_information": {    "related_causes_code_1": "AA",    "related_causes_code_2": "AA",    "state_or_province_code": "string"  },  "property_casualty_claim_number": "string",  "accident_date": "2019-08-24",  "property_casualty_patient_identifier": {    "property_casualty_patient_identifier_qualifier": "1W",    "property_casualty_patient_identifier": "string"  },  "submission_expectation": "TARGET_PROFESSIONAL",  "type_of_bill": {    "code": "string",    "type_of_facility": "1",    "type_of_care": "1",    "frequency_code": "0"  },  "referring_provider": {    "provider_id": "fe3d49af-4061-436b-ae60-f7044f252a44",    "address": {      "zip_plus_four_code": "1234",      "address1": "string",      "address2": "string",      "city": "string",      "state": "AA",      "zip_code": "string"    },    "tax_id": "string",    "npi": "1234567890",    "taxonomy_code": "string",    "qualifier": "DQ",    "provider_commercial_license_type": "0",    "secondary_identification": {      "reference_identification": "string",      "reference_identification_qualifier": "0B"    },    "first_name": "string",    "last_name": "string",    "organization_name": "string"  },  "initial_referring_provider": {    "provider_id": "fe3d49af-4061-436b-ae60-f7044f252a44",    "address": {      "zip_plus_four_code": "1234",      "address1": "string",      "address2": "string",      "city": "string",      "state": "AA",      "zip_code": "string"    },    "tax_id": "string",    "npi": "1234567890",    "taxonomy_code": "string",    "qualifier": "DQ",    "provider_commercial_license_type": "0",    "secondary_identification": {      "reference_identification": "string",      "reference_identification_qualifier": "0B"    },    "first_name": "string",    "last_name": "string",    "organization_name": "string"  },  "supervising_provider": {    "provider_id": "fe3d49af-4061-436b-ae60-f7044f252a44",    "address": {      "zip_plus_four_code": "1234",      "address1": "string",      "address2": "string",      "city": "string",      "state": "AA",      "zip_code": "string"    },    "tax_id": "string",    "npi": "1234567890",    "taxonomy_code": "string",    "qualifier": "DQ",    "provider_commercial_license_type": "0",    "secondary_identification": {      "reference_identification": "string",      "reference_identification_qualifier": "0B"    },    "first_name": "string",    "last_name": "string",    "organization_name": "string"  },  "service_facility": {    "service_facility_id": "58baa28e-b455-455b-9312-24927ab2d970",    "organization_name": "Test Organization",    "npi": "string",    "address": {      "zip_plus_four_code": "1234",      "address1": "string",      "address2": "string",      "city": "string",      "state": "AA",      "zip_code": "string"    },    "secondary_identification": "string",    "mammography_certification_number": "string"  },  "subscriber_primary": {    "individual_id": "b2338cfb-472f-4f72-9faa-e028c083144a",    "insurance_card": {      "insurance_card_id": "65aa7098-3564-4986-99ec-33869b156c11",      "member_id": "E85313B4-0FFC-4119-8042-8161A4ECFF0A",      "payer_name": "John Doe",      "payer_id": "836DDAA6-863F-4020-ACCA-205A689F0002",      "rx_bin": "string",      "rx_pcn": "string",      "image_url_front": "string",      "image_url_back": "string",      "payer_uuid": "ecc6b222-ef84-4433-9856-dedc46036dc7",      "group_number": "string",      "plan_name": "string",      "plan_type": "09",      "insurance_type": "01",      "payer_plan_group_id": "166be4f9-7019-434a-a528-4fd642d5501d",      "payer_address": {        "zip_plus_four_code": "1234",        "address1": "string",        "address2": "string",        "city": "string",        "state": "AA",        "zip_code": "string"      }    },    "patient_relationship_to_subscriber_code": "01",    "date_of_birth": "2019-08-24",    "address": {      "zip_plus_four_code": "string",      "address1": "string",      "address2": "string",      "city": "string",      "state": "AA",      "zip_code": "string"    },    "first_name": "string",    "last_name": "string",    "gender": "male"  },  "subscriber_secondary": {    "individual_id": "b2338cfb-472f-4f72-9faa-e028c083144a",    "insurance_card": {      "insurance_card_id": "65aa7098-3564-4986-99ec-33869b156c11",      "member_id": "E85313B4-0FFC-4119-8042-8161A4ECFF0A",      "payer_name": "John Doe",      "payer_id": "836DDAA6-863F-4020-ACCA-205A689F0002",      "rx_bin": "string",      "rx_pcn": "string",      "image_url_front": "string",      "image_url_back": "string",      "payer_uuid": "ecc6b222-ef84-4433-9856-dedc46036dc7",      "group_number": "string",      "plan_name": "string",      "plan_type": "09",      "insurance_type": "01",      "payer_plan_group_id": "166be4f9-7019-434a-a528-4fd642d5501d",      "payer_address": {        "zip_plus_four_code": "1234",        "address1": "string",        "address2": "string",        "city": "string",        "state": "AA",        "zip_code": "string"      }    },    "patient_relationship_to_subscriber_code": "01",    "date_of_birth": "2019-08-24",    "address": {      "zip_plus_four_code": "string",      "address1": "string",      "address2": "string",      "city": "string",      "state": "AA",      "zip_code": "string"    },    "first_name": "string",    "last_name": "string",    "gender": "male"  },  "subscriber_tertiary": {    "individual_id": "b2338cfb-472f-4f72-9faa-e028c083144a",    "insurance_card": {      "insurance_card_id": "65aa7098-3564-4986-99ec-33869b156c11",      "member_id": "E85313B4-0FFC-4119-8042-8161A4ECFF0A",      "payer_name": "John Doe",      "payer_id": "836DDAA6-863F-4020-ACCA-205A689F0002",      "rx_bin": "string",      "rx_pcn": "string",      "image_url_front": "string",      "image_url_back": "string",      "payer_uuid": "ecc6b222-ef84-4433-9856-dedc46036dc7",      "group_number": "string",      "plan_name": "string",      "plan_type": "09",      "insurance_type": "01",      "payer_plan_group_id": "166be4f9-7019-434a-a528-4fd642d5501d",      "payer_address": {        "zip_plus_four_code": "1234",        "address1": "string",        "address2": "string",        "city": "string",        "state": "AA",        "zip_code": "string"      }    },    "patient_relationship_to_subscriber_code": "01",    "date_of_birth": "2019-08-24",    "address": {      "zip_plus_four_code": "string",      "address1": "string",      "address2": "string",      "city": "string",      "state": "AA",      "zip_code": "string"    },    "first_name": "string",    "last_name": "string",    "gender": "male"  },  "prior_authorization_number": "string",  "responsible_party": "INSURANCE_PAY",  "url": "string",  "diagnoses": [    {      "diagnosis_id": "e362bafe-c21d-4b79-ac38-db0020d70360",      "created_at": "2023-01-01T00:00:00Z",      "updated_at": "2023-01-01T00:00:00Z",      "encounter_id": "7a82c561-3d07-4ff8-8b24-4d41b12287d2",      "name": "string",      "code_type": "ABF",      "code": "string",      "present_on_admission_indicator": "YES"    }  ],  "clinical_notes": [    {      "category": "clinical",      "notes": [        "Patient complained of mild chest pain."      ],      "notes_structured": [        {          "text": "string",          "author_name": "string",          "author_npi": "string",          "timestamp": "2019-08-24T14:15:22Z"        }      ]    }  ],  "billing_notes": [    {      "billing_note_id": "26b2af45-9be9-4bc3-b844-f5dfbee8f238",      "encounter_id": "7a82c561-3d07-4ff8-8b24-4d41b12287d2",      "created_at": "2023-01-01T00:00:00Z",      "author_auth0_id": "string",      "author_name": "string",      "billing_note_type": "manual",      "billing_note_metadata": {        "type": "queue_added",        "queue_id": "string",        "queue_name": "string"      },      "text": "string"    }  ],  "place_of_service_code": "01",  "place_of_service_code_as_submitted": "01",  "patient_histories": [    {      "category": "present_illness",      "questions": [        {          "id": "string",          "text": "Do you have any allergies?",          "responses": [            {              "response": "string",              "follow_ups": [                {                  "id": "string",                  "text": "Do you have any allergies?",                  "response": "string"                }              ]            }          ]        }      ]    }  ],  "patient_payments": [    {      "patient_payment_id": "string",      "organization_id": "7c60d51f-b44e-4682-87d6-449835ea4de6",      "source_internal_id": "D1A76039-D5C5-4323-A2FC-B7C8B6AEF6A4",      "source": "MANUAL_ENTRY",      "amount_cents": 2000,      "payment_timestamp": "2019-08-24T14:15:22Z",      "status": "PENDING",      "payment_name": "string",      "payment_note": "string",      "patient_external_id": "string",      "encounter_external_id": "string",      "service_line_id": "a87d8c62-6b36-44c6-9f01-a675dd3707d1"    }  ],  "tags": [    {      "creator_id": "00EB5A46-35C6-441B-9751-AF307AEF5888",      "tag_id": "string",      "description": "string",      "color": "black"    }  ],  "coding_attribution": "TAIGA",  "work_queue_id": "string",  "work_queue_membership_activated_at": "2019-08-24T14:15:22Z",  "owner_of_next_action": "TAIGA",  "submission_origin": "TAIGA",  "schema_instances": [    {      "schema_id": "9c37f32d-8308-4815-9b0d-83fa3c1b25f9",      "content": {}    }  ],  "referral_number": "string",  "epsdt_referral": {    "condition_indicator1": "AV",    "condition_indicator2": "AV",    "condition_indicator3": "AV"  },  "claim_supplemental_information": [    {      "attachment_report_type_code": "03",      "attachment_transmission_code": "BM",      "attachment_control_number": "string"    }  ],  "secondary_payer_carrier_code": "string",  "last_submitted_at": "2019-08-24T14:15:22Z",  "created_at": "2023-01-01T00:00:00Z",  "next_responsible_party": "primary",  "organization_id": "7c60d51f-b44e-4682-87d6-449835ea4de6",  "external_id": "string",  "date_of_service": "2019-08-24",  "end_date_of_service": "2019-08-24",  "patient_authorized_release": true,  "benefits_assigned_to_provider": true,  "provider_accepts_assignment": true,  "appointment_type": "string",  "existing_medications": [    {      "name": "Lisinopril",      "rx_cui": "string",      "dosage": "string",      "dosage_form": "string",      "frequency": "string",      "as_needed": true    }  ],  "interventions": [    {      "name": "Physical Therapy Session",      "category": "allopathic",      "description": "string",      "medication": {        "name": "Lisinopril",        "rx_cui": "string",        "dosage": "string",        "dosage_form": "string",        "frequency": "string",        "as_needed": true      },      "labs": [        {          "name": "Genetic Health Labs",          "code": "string",          "code_type": "quest"        }      ]    }  ],  "pay_to_address": {    "zip_plus_four_code": "1234",    "address1": "string",    "address2": "string",    "city": "string",    "state": "AA",    "zip_code": "string"  },  "synchronicity": "Synchronous",  "vitals": {    "height_in": 0,    "weight_lbs": 0,    "blood_pressure_systolic_mmhg": 0,    "blood_pressure_diastolic_mmhg": 0,    "body_temperature_f": 0,    "hemoglobin_gdl": 0,    "hematocrit_pct": 0  },  "billable_status": "BILLABLE",  "additional_information": "string",  "service_authorization_exception_code": "1",  "admission_date": "2019-08-24",  "discharge_date": "2019-08-24",  "onset_of_current_illness_or_symptom_date": "2019-08-24",  "last_menstrual_period_date": "2019-08-24",  "delay_reason_code": "1"}

Authorization

Path Parameters

Request Body

Response Body

200application/json

403application/json

404application/json

422application/json

`application/json`

`application/json`

`application/json`

`application/json`