Patient Superbills

patient-superbills.tsv

Super bill header data of a patient

Field Name	Data type	Field Description
PatientPracticeGuid	Guid	Unique identifier representing a patient
BillingHeaderGuid	Guid	Unique identifier for the billing header
BillingStatus	String	Indicates the current billing status of a patient’s account
PerformingProviderProfileGuid	Guid	Unique identifier representing the profile of a provider who performed medical services to a patient
PerformingFacilityGuid	Guid	Unique identifier for the facility where medical services performed on a patient
EncounterGuid	Guid?	Unique identifier of the encounter associated to a patient
PatientContactCode	String	Code assigned to a patient’s medical record
PatientFirstName	String	First name of the patient
PatientMiddleName	String	Middle name of the patient
PatientLastName	String	Last name of the patient
PatientBirthDate	DateField	Date of birth of the patient
PatientDeathDate	DateField	Date of death of the patient
PatientGender	String	Gender of the patient
PatientAddressStreet1	String	Street Address 1 for the address of the patient
PatientAddressStreet2	String	Street Address 2 for the address of the patient
PatientAddressCity	String	City of residence for the address of the patient
PatientAddressState	String	State of residence for the address of the patient
PatientAddressPostalCode	String	Postal code of residence for the address of the patient
PatientAddressCountry	String	Country of residence for the address of the patient
PatientPrimaryPhone	String	Primary phone number of the patient
PatientPrimaryPhoneExtension	String	Primary phone extension of the patient
PatientSecondaryPhone	String	Secondary phone number of the patient
PatientSecondaryPhoneExtension	String	Secondary phone extension of the patient
PatientSSN	String	Social security number of the patient
PatientEmail	String	Email address of the patient
PerformingProviderNpi	String	National provider identifier of the provider who performed medical services to a patient
PerformingProviderFirstName	String	First name of the provider who performed medical services to a patient
PerformingProviderMiddleName	String	Middle name of the provider who performed medical services to a patient
PerformingProviderLastName	String	Last name of the provider who performed medical services to a patient
PerformingProviderBirthDate	DateField	Birth date of the provider who performed medical services to a patient
PerformingProviderGender	String	Gender of the provider who performed medical services to a patient
PerformingProviderPrimaryPhone	String	Primary phone number of the provider who performed medical services to a patient
PerformingProviderSecondaryPhone	String	Secondary phone number of the provider who performed medical services to a patient
OrderingProviderNpi	String	National provider identifier of the provider who ordered medical services for a patient
OrderingProviderFirstName	String	First name of the provider who ordered medical services for a patient
OrderingProviderMiddleName	String	Middle name of the provider who ordered medical services for a patient
OrderingProviderLastName	String	Last name of the provider who ordered medical services for a patient
OrderingProviderBirthDate	DateField	Birth date of the provider who ordered medical services for a patient
OrderingProviderGender	String	Gender of the provider who ordered medical services for a patient
OrderingProviderPrimaryPhone	String	Primary phone number of the provider who ordered medical services for a patient
OrderingProviderSecondaryPhone	String	Secondary phone number of the provider who ordered medical services for a patient
OtherProviderNpi	String	National provider identifier of the provider who involved in providing medical services to a patient
OtherProviderFirstName	String	First name of the other provider who involved in providing medical services to a patient
OtherProviderMiddleName	String	Middle name of the other provider who involved in providing medical services to a patient
OtherProviderLastName	String	Last name of the other provider who involved in providing medical services to a patient
OtherProviderGender	String	Gender of the other provider who involved in providing medical services to a patient
OtherProviderPrimaryPhone	String	Primary phone number of the other provider who involved in providing medical services to a patient
OtherProviderSecondaryPhone	String	Secondary phone number of the other provider who involved in providing medical services to a patient
BillingGuarantorFirstName	String	First name of the billing guarantor
BillingGuarantorMiddleName	String	Middle name of the billing guarantor
BillingGuarantorLastName	String	Last name of the billing guarantor
BillingGuarantorPrimaryPhone	String	Primary phone number of the billing guarantor
BillingGuarantorSecondaryPhone	String	Secondary phone number of the billing guarantor
BillingGuarantorBirthDate	DateField	Birth date of the billing guarantor
BillingGuarantorGender	String	Gender of the billing guarantor
BillingGuarantorAddressStreet1	String	Street Address 1 for the address of the billing guarantor
BillingGuarantorAddressStreet2	String	Street Address 2 for the address of the billing guarantor
BillingGuarantorAddressCity	String	City of residence for the address of the billing guarantor
BillingGuarantorAddressState	String	State of residence for the address of the billing guarantor
BillingGuarantorAddressPostalCode	String	Postal code of residence for the address of the billing guarantor
BillingGuarantorAddressCountry	String	Country of residence for the address of the billing guarantor
BillingGuarantorSSN	String	Social security number of the billing guarantor
BillingGuarantorRelationship	String	Relationship of the billing guarantor with a patient
BillingGuarantorOrganizationName	String	Organization name of the billing guarantor
PriorAuthorizationNumber	String	Unique identification code or reference number issued by a healthcare insurance company or payer
HospitalAdmitDateTimeUtc	DateTime?	UTC date and time when the patient was admitted to the hospital
InjuryDateTimeUtc	DateTime?	UTC date and time when an injury occurred to the patient
LastModifiedByProfileGuid	Guid	Unique identifier representing the user’s profile that last updated this record
LastModifiedDateTimeUtc	DateTime	UTC date and time when the last update was performed
InsuranceCoverageType	String	The insurance coverage type associated with the superbill