| Name | Description | Type | Additional information |
|---|---|---|---|
| Version | string |
None. |
|
| UserName | string |
None. |
|
| SubscriberId | string |
None. |
|
| SubscriberName | Collection of string |
None. |
|
| SubscriberDOB | string |
None. |
|
| ProviderType | string |
None. |
|
| ProviderNPI | string |
None. |
|
| ProviderName | Collection of string |
None. |
|
| ServiceType | Collection of string |
None. |
|
| HCPCSCode | Collection of string |
None. |
|
| ServiceDate | Collection of string |
None. |
|
| BillingDate | string |
None. |