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@eugenepyvovarov
Created June 6, 2014 19:26
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{
'Charges':[
{
'ChargeData':{
'PrimaryInsuranceInsuranceAllowed':None,
'ServiceStartDate':u'05/26/2014',
'TotalCharges':u'0.0000',
'BatchNumber':None,
'TertiaryInsuranceCompanyPlanName':u'Medicare CA',
'OtherPaymentAmount':None,
'SecondaryInsuranceLastBillDate':None,
'CaseName':u'CASE 1',
'SecondaryInsurancePaymentPostingDate':None,
'SecondaryInsuranceInsuranceDeductible':None,
'PrimaryInsurancePaymentPostingDate':None,
'SecondaryInsuranceZipCode':None,
'TertiaryInsurancePaymentRef':None,
'EClaimNote':None,
'SecondaryInsurancePaymentMethodDesc':None,
'PatientPaymentRef':None,
'AppointmentID':u'31ENZ',
'BilledTo':u'BC/BS of Southern California',
'PatientBatchID':None,
'SecondaryInsuranceInsuranceCoinsurance':None,
'SecondaryInsuranceFirstBillDate':None,
'TertiaryInsuranceAddressLine1':u'1344 Pacific Coast Hwy',
'PrimaryInsuranceInsurancePayment':None,
'EncounterProcedureID':u'2240',
'PracticeName':u'American Medicine Associates',
'ServiceLocationFaxExt':None,
'Minutes':u'0',
'PatientName':u'Joannie Traker',
'TertiaryInsuranceAddressLine2':None,
'SecondaryInsuranceInsuranceSecondaryAdjustmentReason':None,
'OtherPaymentRef':None,
'TertiaryInsuranceInsuranceDeductible':u'0.0000',
'OtherAdjustment':u'0.0000',
'TertiaryInsuranceBatchID':u'777',
'ServiceLocationBillingName':u'HB',
'ServiceLocationId':u'4',
'SecondaryInsuranceCountry':None,
'PrimaryInsurancePlanName':u'BC/BS of Southern California',
'PrimaryInsuranceInsuranceDeductible':None,
'ReferringProviderName':u' Sally Ortega,
MD',
'PrimaryInsuranceAdjudicationDate':None,
'EClaimNoteType':None,
'ProcedureModifier2':None,
'ProcedureModifier3':None,
'ProcedureModifier1':None,
'ProcedureModifier4':None,
'SecondaryInsurancePaymentCategoryDesc':None,
'TertiaryInsuranceInsuranceAllowed':u'777.0000',
'TertiaryInsuranceInsuranceCoinsurance':u'0.0000',
'TertiaryInsuranceState':u'CA',
'PrimaryInsuranceCompanyName':u'BC/BS of Southern California',
'TertiaryInsuranceCompanyName':u'Medicare CA',
'Units':u'1.0000',
'SchedulingProviderID':u'2',
'PrimaryInsuranceInsuranceSecondaryAdjustmentReason':None,
'TertiaryInsuranceInsuranceSecondaryAdjustmentReason':None,
'OtherPaymentCategoryDesc':None,
'TotalBalance':u'-777.0000',
'PatientDateOfBirth':u'02/08/1973',
'PatientFirstName':u'Joannie',
'PrimaryInsuranceInsuranceCopay':None,
'CopayReference':None,
'SecondaryInsuranceInsuranceContractAdjustmentReason':None,
'ServiceLocationNameZipCode':u'92388',
'TertiaryInsuranceCountry':None,
'TertiaryInsuranceZipCode':u'92233',
'LocalUseBox10d':None,
'DoNotSendElectronicallyToSecondary':u'False',
'SupervisingProviderName':None,
'TertiaryInsurancePaymentCategoryDesc':None,
'AllowedAmount':None,
'AdjustedCharges':u'0.0000',
'RefCode':None,
'PatientPaymentCategoryDesc':None,
'RenderingProviderName':u' Sara Smith,
MD',
'ServiceLocationCLIANumber':None,
'TertiaryInsuranceCity':u'Laguna Beach',
'UnitCharge':u'0.0000',
'OtherPaymentPostingDate':None,
'PrimaryInsuranceAddressLine1':u'PO Box 332939',
'PrimaryInsuranceAddressLine2':None,
'TertiaryInsuranceInsuranceContractAdjustmentReason':None,
'PrimaryInsuranceState':u'CA',
'TertiaryInsuranceAdjudicationDate':None,
'PatientFirstBillDate':None,
'TypeOfService':u'Medical Care',
'TertiaryInsurancePaymentID':u'1036',
'CreatedDate': u'6/3/2014 12:00:00 AM',
'SecondaryInsuranceAddressLine2':None,
'CopayCategory':None,
'SecondaryInsuranceAddressLine1':None,
'OtherPaymentMethodDesc':None,
'SecondaryInsurancePaymentRef':None,
'TertiaryInsuranceInsuranceCopay':u'0.0000',
'EncounterDiagnosisID4':None,
'SecondaryInsuranceInsuranceSecondaryAdjustment':None,
'EncounterDiagnosisID2':u'619.1',
'EncounterDiagnosisID3':None,
'HospitalizationStartDate':None,
'EncounterDiagnosisID1':u'305.60',
'ServiceLocationFacilityIdType':u'1J Facility ID Number',
'DoNotSendClaimElectronically':u'False',
'PrimaryInsurancePaymentRef':None,
'Status':u'Ready',
'ServiceLocationPhoneExt':None,
'SecondaryInsuranceInsuranceAllowed':None,
'LastModifiedDate':u'06/03/2014',
'ExpectedAmount':None,
'PatientBalance':u'0.0000',
'SecondaryInsuranceBatchID':None,
'CopayMethod':u'5 - Cash',
'PatientPaymentID':None,
'ServiceLocationFacilityID':None,
'Receipts':u'-777.0000',
'TertiaryInsuranceInsuranceSecondaryAdjustment':u'0.0000',
'PostingDate':u'06/03/2014',
'PrimaryInsuranceInsuranceContractAdjustmentReason':None,
'ProcedureCode':u'0001F',
'ServiceLocationPhone':u'(714) 273-3344',
'SecondaryInsuranceCompanyName':None,
'EncounterStatus':u'Approved',
'PatientLastName':u'Traker',
'InsuranceBalance':u'-777.0000',
'TertiaryInsurancePaymentPostingDate':u'06/04/2014',
'PatientLastBillDate':None,
'ServiceLocationName':u'Huntington Beach Office',
'PrimaryInsuranceCity':u'Orange',
'CopayAmount':u'250.0000',
'CasePayerScenario':u'Commercial',
'LocalUseBox19':None,
'TertiaryInsuranceInsurancePayment':u'777.0000',
'TertiaryInsurancePaymentMethodDesc':u'4 - Electronic Funds Transfer',
'PrimaryInsuranceZipCode':u'92831',
'PatientPaymentAmount':None,
'PrimaryInsurancePaymentID':None,
'PrimaryInsuranceFirstBillDate':None,
'PatientID':u'35',
'PrimaryInsurancePaymentCategoryDesc':None,
'ServiceLocationNPI':None,
'RenderingProviderID':u'1',
'PracticeID':u'1',
'PrimaryInsuranceInsuranceContractAdjustment':None,
'PatientPaymentMethodDesc':None,
'SecondaryInsuranceCity':None,
'ReferringProviderID':u'4',
'SecondaryInsurancePlanName':None,
'ServiceEndDate':u'06/04/2014',
'SecondaryInsurancePaymentID':None,
'SecondaryInsuranceInsurancePayment':None,
'ServiceLocationPlaceOfServiceName':u'Comprehensive Inpatient Rehabilitation Facility',
'ServiceLocationNameCountry':None,
'SchedulingProviderName':u' Paige McAndrews,
MD',
'PrimaryInsuranceCountry':None,
'PrimaryInsuranceInsuranceCoinsurance':None,
'LineNote':None,
'SecondaryInsuranceInsuranceContractAdjustment':None,
'PatientPaymentPostingDate':None,
'TertiaryInsuranceInsuranceContractAdjustment':u'0.0000',
'PatientMiddleName':None,
'OtherPaymentID':None,
'EncounterID':u'1140',
'PrimaryInsuranceLastBillDate':None,
'PrimaryInsuranceBatchID':None,
'PrimaryInsuranceInsuranceSecondaryAdjustment':None,
'ServiceLocationPlaceOfServiceCode':u'61',
'SecondaryInsuranceState':None,
'ID':u'2036',
'ServiceLocationNameAddressLine1':u'8123 Beach Blvd',
'ServiceLocationNameAddressLine2':None,
'HospitalizationEndDate':None,
'PrimaryInsurancePaymentMethodDesc':None,
'ServiceLocationNameCity':u'Huntington Beach',
'ServiceLocationNameState':u'CA',
'SecondaryInsuranceAdjudicationDate':None,
'ProcedureName':u'HRT FAILURE ASSESSED',
'ProcedureCodeCategory':None,
'SupervisingProviderID':None,
'SecondaryInsuranceInsuranceCopay':None,
'ServiceLocationFax':u'(714) 273-3345'
}
},
{
'ChargeData':{
'PrimaryInsuranceInsuranceAllowed':None,
'ServiceStartDate':u'06/02/2014',
'TotalCharges':u'344.0000',
'BatchNumber':None,
'TertiaryInsuranceCompanyPlanName':None,
'OtherPaymentAmount':None,
'SecondaryInsuranceLastBillDate':None,
'CaseName':u'CASE 1',
'SecondaryInsurancePaymentPostingDate':None,
'SecondaryInsuranceInsuranceDeductible':None,
'PrimaryInsurancePaymentPostingDate':None,
'SecondaryInsuranceZipCode':None,
'TertiaryInsurancePaymentRef':None,
'EClaimNote':None,
'SecondaryInsurancePaymentMethodDesc':None,
'PatientPaymentRef':None,
'AppointmentID':u'6EOG',
'BilledTo':u'Emerald Insurance',
'PatientBatchID':None,
'SecondaryInsuranceInsuranceCoinsurance':None,
'SecondaryInsuranceFirstBillDate':None,
'TertiaryInsuranceAddressLine1':None,
'PrimaryInsuranceInsurancePayment':None,
'EncounterProcedureID':u'2241',
'PracticeName':u'American Medicine Associates',
'ServiceLocationFaxExt':None,
'Minutes':u'0',
'PatientName':u'Allison Thompson',
'TertiaryInsuranceAddressLine2':None,
'SecondaryInsuranceInsuranceSecondaryAdjustmentReason':None,
'OtherPaymentRef':None,
'TertiaryInsuranceInsuranceDeductible':None,
'OtherAdjustment':u'0.0000',
'TertiaryInsuranceBatchID':None,
'ServiceLocationBillingName':u'Tustin',
'ServiceLocationId':u'1',
'SecondaryInsuranceCountry':None,
'PrimaryInsurancePlanName':u'Emerald Insurance',
'PrimaryInsuranceInsuranceDeductible':None,
'ReferringProviderName':None,
'PrimaryInsuranceAdjudicationDate':None,
'EClaimNoteType':None,
'ProcedureModifier2':None,
'ProcedureModifier3':None,
'ProcedureModifier1':None,
'ProcedureModifier4':None,
'SecondaryInsurancePaymentCategoryDesc':None,
'TertiaryInsuranceInsuranceAllowed':None,
'TertiaryInsuranceInsuranceCoinsurance':None,
'TertiaryInsuranceState':None,
'PrimaryInsuranceCompanyName':u'Emerald Insurance',
'TertiaryInsuranceCompanyName':None,
'Units':u'1.0000',
'SchedulingProviderID':u'1',
'PrimaryInsuranceInsuranceSecondaryAdjustmentReason':None,
'TertiaryInsuranceInsuranceSecondaryAdjustmentReason':None,
'OtherPaymentCategoryDesc':None,
'TotalBalance':u'344.0000',
'PatientDateOfBirth':u'12/21/1974',
'PatientFirstName':u'Allison',
'PrimaryInsuranceInsuranceCopay':None,
'CopayReference':None,
'SecondaryInsuranceInsuranceContractAdjustmentReason':None,
'ServiceLocationNameZipCode':u'92618',
'TertiaryInsuranceCountry':None,
'TertiaryInsuranceZipCode':None,
'LocalUseBox10d':None,
'DoNotSendElectronicallyToSecondary':u'False',
'SupervisingProviderName':None,
'TertiaryInsurancePaymentCategoryDesc':None,
'AllowedAmount':None,
'AdjustedCharges':u'344.0000',
'RefCode':None,
'PatientPaymentCategoryDesc':None,
'RenderingProviderName':u' Sara Smith,
MD',
'ServiceLocationCLIANumber':None,
'TertiaryInsuranceCity':None,
'UnitCharge':u'344.0000',
'OtherPaymentPostingDate':None,
'PrimaryInsuranceAddressLine1':u'883 Harbor Blvd',
'PrimaryInsuranceAddressLine2':None,
'TertiaryInsuranceInsuranceContractAdjustmentReason':None,
'PrimaryInsuranceState':u'CA',
'TertiaryInsuranceAdjudicationDate':None,
'PatientFirstBillDate':None,
'TypeOfService':u'Medical Care',
'TertiaryInsurancePaymentID':None,
'CreatedDate': u'6/6/2014 12:00:00 AM',
'SecondaryInsuranceAddressLine2':None,
'CopayCategory':None,
'SecondaryInsuranceAddressLine1':None,
'OtherPaymentMethodDesc':None,
'SecondaryInsurancePaymentRef':None,
'TertiaryInsuranceInsuranceCopay':None,
'EncounterDiagnosisID4':None,
'SecondaryInsuranceInsuranceSecondaryAdjustment':None,
'EncounterDiagnosisID2':None,
'EncounterDiagnosisID3':None,
'HospitalizationStartDate':None,
'EncounterDiagnosisID1':u'244.0',
'ServiceLocationFacilityIdType':u'1J Facility ID Number',
'DoNotSendClaimElectronically':u'False',
'PrimaryInsurancePaymentRef':None,
'Status':u'Ready',
'ServiceLocationPhoneExt':None,
'SecondaryInsuranceInsuranceAllowed':None,
'LastModifiedDate':u'06/06/2014',
'ExpectedAmount':None,
'PatientBalance':u'0.0000',
'SecondaryInsuranceBatchID':None,
'CopayMethod':u'1 - Check',
'PatientPaymentID':None,
'ServiceLocationFacilityID':None,
'Receipts':u'0.0000',
'TertiaryInsuranceInsuranceSecondaryAdjustment':None,
'PostingDate':u'06/06/2014',
'PrimaryInsuranceInsuranceContractAdjustmentReason':None,
'ProcedureCode':u'0001F',
'ServiceLocationPhone':u'(714) 654-7727',
'SecondaryInsuranceCompanyName':None,
'EncounterStatus':u'Approved',
'PatientLastName':u'Thompson',
'InsuranceBalance':u'344.0000',
'TertiaryInsurancePaymentPostingDate':None,
'PatientLastBillDate':None,
'ServiceLocationName':u'Tustin Office',
'PrimaryInsuranceCity':u'Fullerton',
'CopayAmount':u'344.0000',
'CasePayerScenario':u'Commercial',
'LocalUseBox19':None,
'TertiaryInsuranceInsurancePayment':None,
'TertiaryInsurancePaymentMethodDesc':None,
'PrimaryInsuranceZipCode':u'92835',
'PatientPaymentAmount':None,
'PrimaryInsurancePaymentID':None,
'PrimaryInsuranceFirstBillDate':None,
'PatientID':u'21',
'PrimaryInsurancePaymentCategoryDesc':None,
'ServiceLocationNPI':None,
'RenderingProviderID':u'1',
'PracticeID':u'1',
'PrimaryInsuranceInsuranceContractAdjustment':None,
'PatientPaymentMethodDesc':None,
'SecondaryInsuranceCity':None,
'ReferringProviderID':None,
'SecondaryInsurancePlanName':None,
'ServiceEndDate':None,
'SecondaryInsurancePaymentID':None,
'SecondaryInsuranceInsurancePayment':None,
'ServiceLocationPlaceOfServiceName':u'Office',
'ServiceLocationNameCountry':None,
'SchedulingProviderName':u' Sara Smith,
MD',
'PrimaryInsuranceCountry':None,
'PrimaryInsuranceInsuranceCoinsurance':None,
'LineNote':None,
'SecondaryInsuranceInsuranceContractAdjustment':None,
'PatientPaymentPostingDate':None,
'TertiaryInsuranceInsuranceContractAdjustment':None,
'PatientMiddleName':None,
'OtherPaymentID':None,
'EncounterID':u'1141',
'PrimaryInsuranceLastBillDate':None,
'PrimaryInsuranceBatchID':None,
'PrimaryInsuranceInsuranceSecondaryAdjustment':None,
'ServiceLocationPlaceOfServiceCode':u'11',
'SecondaryInsuranceState':None,
'ID':u'2037',
'ServiceLocationNameAddressLine1':u'17288 Newport Ave',
'ServiceLocationNameAddressLine2':None,
'HospitalizationEndDate':None,
'PrimaryInsurancePaymentMethodDesc':None,
'ServiceLocationNameCity':u'Tustin',
'ServiceLocationNameState':u'CA',
'SecondaryInsuranceAdjudicationDate':None,
'ProcedureName':u'HRT FAILURE ASSESSED',
'ProcedureCodeCategory':None,
'SupervisingProviderID':None,
'SecondaryInsuranceInsuranceCopay':None,
'ServiceLocationFax':u'(714) 654-7728'
}
}
],
'SecurityResponse':{
'CustomerKeyValid':True,
'Authenticated':True,
'PermissionsMissing':{
'Permission':[
]
},
'SecurityResultSuccess':True,
'Authorized':True,
'PracticesAuthorized':{
'PracticeID':[
{
'int':1
}
]
},
'SecurityResult':u'Success',
'CustomerId':23745
},
'ErrorResponse':{
'StackTrace':None,
'ErrorMessage':None,
'IsError':False
}
}
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