| Name | Description | Type | Additional information |
|---|---|---|---|
| PatientInsuranceUpdateRequestId |
Unique ID of patient insurance update request. |
integer |
None. |
| OriginalInsuranceName |
Original name of insurance. |
string |
None. |
| UpdatedInsuranceName |
Updated name of insurance. |
string |
None. |
| OriginalInsuranceIdNumber |
Original insurance ID. |
string |
None. |
| UpdatedInsuranceIdNumber |
Updated insurance ID. |
string |
None. |
| OriginalInsuranceGroupNumber |
Original insurance group number. |
string |
None. |
| UpdatedInsuranceGroupNumber |
Updated insurance group number. |
string |
None. |
| OriginalInsuranceRelationshipToInsured |
Original insurance relationship with insured person. |
string |
None. |
| UpdatedInsuranceRelationshipToInsured |
Updated insurance relationship with insured person. |
string |
None. |
| OriginalInsuranceEmployerName |
Original insurance employer name. |
string |
None. |
| UpdatedInsuranceEmployerName |
Updated insurance employer name. |
string |
None. |
| OriginalInsuranceAddress1 |
Original insurance address1. |
string |
None. |
| UpdatedInsuranceAddress1 |
Updated insurance address1. |
string |
None. |
| OriginalInsuranceAddress2 |
Original insurance address2. |
string |
None. |
| UpdatedInsuranceAddress2 |
Updated insurance address2. |
string |
None. |
| OriginalInsuranceCity |
Original insurance city. |
string |
None. |
| UpdatedInsuranceCity |
Updated insurance city. |
string |
None. |
| OriginalInsuranceState |
Original insurance state. |
string |
None. |
| UpdatedInsuranceState |
Updated insurance state. |
string |
None. |
| OriginalInsuranceZip |
Original insurance zip. |
string |
None. |
| UpdatedInsuranceZip |
Updated insurance zip. |
string |
None. |
| OriginalInsuranceInsuredPersonFirstName |
Original first name of insured person. |
string |
None. |
| UpdatedInsuranceInsuredPersonFirstName |
Updated first name of insured person. |
string |
None. |
| OriginalInsuranceInsuredPersonMiddleName |
Original middle name of insured person. |
string |
None. |
| UpdatedInsuranceInsuredPersonMiddleName |
Updated middle name of insured person. |
string |
None. |
| OriginalInsuranceInsuredPersonLastName |
Original last name of insured person. |
string |
None. |
| UpdatedInsuranceInsuredPersonLastName |
Updated last name of insured person. |
string |
None. |
| OriginalInsuranceInsuredPersonBirthday |
Original birthday of insured person. |
string |
None. |
| UpdatedInsuranceInsuredPersonBirthday |
Updated birthday of insured person. |
string |
None. |
| Type |
Type of insurance. Possible values: Primary, Secondary, Tertiary, Vision. |
string |
None. |