{
"id": 65099661468,
"ref_number": null, // string(50). required for PATCH that marks bill as processed.
"service_date": "2016-10-12T12:00:00Z",
"billing_date": null, // datetime(iso8601). required for PATCH that marks bill as processed.
"billing_status": "Unbilled",
"billing_error": null, // string(200). required for PATCH that marks bill as failed.
"billing_raw_error": null, // longtext. optional for PATCH that marks bill as failed.
"notes": "patient has not paid yet",
"cpts": [
{
"cpt": "99213",
"modifiers": [
"10",
"11",
"12",
"13"
],
"dxs": [
"D23.4",
"R88.8"
],
"alt_dxs": [
"216.4",
"792.9"
],
"unit_charge": "55.12", // charge per CPT unit
"units": "2.00", // CPT units
"ndc": "60575-4112-01", // 11 digit NDC code, zero padded to 5-4-2 format.
"ndc_dose": "1.000", // NDC units administered. Precision to 3 decimal places.
"ndc_measure": "ML" // NDC unit of measure: null, "F2", "GR", "ME", "ML" or "UN"
},
{
"cpt": "99214",
"modifiers": [
"21",
"32",
"23",
"42"
],
"dxs": [
"B49",
"J66.8"
],
"alt_dxs": [
"112.89",
"112.89"
],
"unit_charge": null,
"units": null
}
],
"payment": {
"amount": "10.00",
"when_collected": "2016-10-12T22:11:01Z"
},
"visit_note_id": 64409108504,
"visit_note_signed_date": "2016-10-12T22:11:01Z",
"visit_note_deleted_date": null,
"referring_provider": {
"name": "Beverly Crusher, MD (555-555-5555)",
"state": "CA"
},
"service_location": {
"id": 13631735,
"name": "Elation North",
"is_primary": true,
"place_of_service": "Office",
"place_of_service_code": "11",
"address_line1": "1234 First Practice Way",
"address_line2": "",
"city": "San Francisco",
"state": "CA",
"zip": "94114",
"phone": "",
"created_date": "2017-08-28T22:46:14.445876Z",
"deleted_date": null
},
"physician": 64811630594,
"practice": 65540,
"patient": 64901939201,
"prior_authorization": "1234-ABC",
"metadata": null,
"created_date": "2016-05-23T17:50:50Z",
"last_modified_date": "2016-10-12T22:39:46Z"
}
