This data model conveys when the patient owes something for a medication, lab, test, or other care (e.g., bed charges). It contains details about the product or service, as well as details like date, time, amounts, and participating organizations and persons.
Providers typically use Financial for billing and internal cost allocation.
This data model has event types that allow you to:
- post a new charge to a patient's account; or
- update a charge on a patient's account.
Post a new charge to a patient's account.
Request Body Schema
- Metarequired, object
- DataModelrequired, stringReliable
Financial
- EventTyperequired, stringReliable
Transaction
- EventDateTimestring, nullReliable
Displays the UTC date and time that an outgoing request is delivered or an incoming request is received.
ISO 8601 Format - Testboolean, nullReliable
Indicates whether the request is a test or not.
- Sourceobject
Contains the information for the system initiating the message, including the source ID and name.
Included in messages from Redox- IDstring, nullReliable
Identifies the system initiating the message. If you have multiple OAuth API keys per environment type, this value is required. If you have only one OAuth API key per environment type, or you're using legacy API keys, this value is optional.
UUID - Namestring, nullReliable
Displays the name of the system initiating the message.
- DestinationsArray of object
Contains the information for the endpoint(s) receiving the request. A request must contain at least one destination, but asynchronous requests can have more than one destination. Synchronous requests like queries can only support one destination.
Required when sending data to Redox.- IDstring, nullReliable
Identifies the endpoint that the request is directed to.
UUID - Namestring, nullReliable
Displays the name of the endpoint that the request is directed to.
- LogsArray of object
Contains the log identifier(s) for the request.
- IDstring, nullReliable
Identifies the request log(s) that correspond to this request. You can use this value to locate the relevant log in the Redox dashboard for support and reference.
UUID - AttemptIDstring, nullReliable
Identifies the request log attempt value, which is useful when retries are possible.
UUID
- FacilityCodestring, nullPossible
Code for the facility related to the message.
Only use this field if a health system indicates you should. The code is specific to the health system's EHR and might not be unique across health systems. In general, the facility fields within the data models (e.g. OrderingFacility) are more reliable and informative.
- Patientrequired, object
- Identifiersrequired, Array of object
List of IDs and ID types that identify the patient
- IDrequired, stringReliable
ID for the patient
- IDTyperequired, stringReliable
Type of ID.
E.g. MRN, EPI
- Demographicsobject
- FirstNamestring, nullReliable
Patient's first name
- MiddleNamestring, nullPossible
Patient's middle name or middle initial. For patients with multiple middle names, all their middle names are included in this field.
- LastNamestring, nullReliable
Patient's last name
- DOBstring, nullReliable
Patient's date of birth.
In ISO 8601 format - SSNstring, nullProbable
Patient's social security number
- Sexstring, nullReliableValue Set
Patient's sex
- Racestring, nullPossibleValue Set
Patient's race
- IsHispanicboolean, nullPossibleValue Set
Indicates if the patient is of hispanic origin.
- Religionstring, nullPossibleValue Set
Patient's religious affiliation
- MaritalStatusstring, nullPossibleValue Set
Patient's marital status
- IsDeceasedboolean, nullPossible
Indicates if the patient is deceased
- DeathDateTimestring, nullPossible
Date and Time the patient was proclaimed deceased.
ISO 8601 Format - PhoneNumberobject
- Homestring, nullProbable
Patient's home phone number.
In E. 164 Format. (e.g. +16085551234) - Officestring, nullProbable
Patient's office phone number.
In E. 164 Format. (e.g. +16085551234) - Mobilestring, nullProbable
Patient's mobile phone number.
In E. 164 Format. (e.g. +16085551234)
- EmailAddressesArray of string
Patient's email address(es)
- Languagestring, nullPossibleValue Set
Patient's primary spoken language.
In ISO 639-1 alpha values (e.g. 'en'). Supported Values - CitizenshipArray of string
Patient's nation(s) of citizenship.
In ISO 3166 alpha 2 format (e.g. 'US'). - Addressobject
Patient's home address
- StreetAddressstring, nullProbable
Street address
- Citystring, nullProbable
City
- Statestring, nullProbable
State
- ZIPstring, nullProbable
ZIP
- Countystring, nullPossible
County
- Countrystring, nullPossibleValue Set
Country
- NotesArray of string
Patient-level notes
- Transactionsrequired, Array of object
List of financial transactions
- IDrequired, stringReliable
ID of the transaction.
Sender's ID for this transaction - Typerequired, stringReliableValue Set
Type of transaction
- DateTimeOfServicerequired, stringReliable
Date and/or time the service started.
ISO 8601 Format - Chargeablerequired, object
Charge associated with the transaction
- Coderequired, stringReliable
Code for the charge
- Codesetstring, nullReliable
Code set used to identify the charge
- Descriptionstring, nullReliable
Description of the charge
- Quantitystring, nullProbable
Quantity being charged for.
If not supplied, the receiving system will default in a value - Amountnumber, nullProbable
Amount of the transaction.
If the Chargeable is priced in the receiving system, this field can be blank
- EndDateTimestring, nullProbable
Date and/or time the service completed.
ISO 8601 Format - Departmentobject
Department where the charge occurred
- Codestring, nullProbable
Code for the department
- Codesetstring, nullProbable
Code set used to identify the department
- Namestring, nullProbable
Name of the department
- DiagnosesArray of object
List of diagnoses associated with the transaction
- Codestring, nullProbable
Code for the diagnosis
- Codesetstring, nullProbableValue Set
Code set used to identify the diagnosis.
One of the following: ICD-9, ICD-10, HCPCS, CPT - Namestring, nullProbable
Name of the diagnosis
- Typestring, nullPossibleValue Set
Type of the diagnosis
- DocumentedDateTimestring, nullPossible
DateTime the diagnosis was documented.
ISO 8601 Format
- PerformersArray of object
Providers responsible for performing the service.
The "Performer" is the person who performed the test/procedure/transaction/etc.- IDstring, nullProbable
ID of the performer.
This ID is often required for Inpatient Visits. - IDTypestring, nullProbable
ID type of the ID for the performer
- FirstNamestring, nullPossible
First name of the performer
- LastNamestring, nullPossible
Last name of the performer
- CredentialsArray of string
List of credentials for the performer.
e.g. MD, PhD - Addressobject
Provider's address
- StreetAddressstring, nullPossible
Street address
- Citystring, nullPossible
City
- Statestring, nullPossible
State
- ZIPstring, nullPossible
ZIP
- Countystring, nullPossible
County
- Countrystring, nullPossibleValue Set
Country
- EmailAddressesArray of string
Provider's email address(es)
- PhoneNumberobject
- Officestring, nullPossible
Provider's office phone number.
In E. 164 Format. (e.g. +16085551234)
- Locationobject
Provider's location
- Typestring, nullPossible
Type of location.
Examples: Clinic, Department, Home, Nursing Unit, Provider's Office, Phone - Facilitystring, nullPossible
Facility.
Example: Community Hospital - FacilityIdentifiersArray of object
List of IDs specific to this facility
- IDstring, nullPossible
An ID specific to this facility
- IDTypestring, nullPossible
The source or system to which this ID pertains.
Could be an OID or a human-readable name
- Departmentstring, nullPossible
Department
- DepartmentIdentifiersArray of object
List of IDs specific to this department
- IDstring, nullPossible
An ID specific to this department
- IDTypestring, nullPossible
The source or system to which this ID pertains.
Could be an OID or a human-readable name
- Roomstring, nullPossible
Room.
Example: 136
- OrderingProvidersArray of object
Providers responsible for ordering the service documented by this transaction.
The "Ordering Provider" is the person who ordered the test/procedure/transaction/etc.- IDstring, nullProbable
ID of the ordering provider.
This ID is often required for Inpatient Visits. - IDTypestring, nullProbable
ID type of the ID for the ordering provider
- FirstNamestring, nullPossible
First name of the ordering provider
- LastNamestring, nullPossible
Last name of the ordering provider
- CredentialsArray of string
List of credentials for the ordering provider.
e.g. MD, PhD - Addressobject
Provider's address
- StreetAddressstring, nullPossible
Street address
- Citystring, nullPossible
City
- Statestring, nullPossible
State
- ZIPstring, nullPossible
ZIP
- Countystring, nullPossible
County
- Countrystring, nullPossibleValue Set
Country
- EmailAddressesArray of string
Provider's email address(es)
- PhoneNumberobject
- Officestring, nullPossible
Provider's office phone number.
In E. 164 Format. (e.g. +16085551234)
- Locationobject
Provider's location
- Typestring, nullPossible
Type of location.
Examples: Clinic, Department, Home, Nursing Unit, Provider's Office, Phone - Facilitystring, nullPossible
Facility.
Example: Community Hospital - FacilityIdentifiersArray of object
List of IDs specific to this facility
- IDstring, nullPossible
An ID specific to this facility
- IDTypestring, nullPossible
The source or system to which this ID pertains.
Could be an OID or a human-readable name
- Departmentstring, nullPossible
Department
- DepartmentIdentifiersArray of object
List of IDs specific to this department
- IDstring, nullPossible
An ID specific to this department
- IDTypestring, nullPossible
The source or system to which this ID pertains.
Could be an OID or a human-readable name
- Roomstring, nullPossible
Room.
Example: 136
- OrderIDstring, nullPossible
ID of the order
- Procedureobject
Procedure the charge is associated with
- Codestring, nullProbable
Code for the procedure
- Codesetstring, nullProbable
Code set used to identify the procedure.
CPT, HCPCS, SNOMED, or LOINC. If no code set is specified, a health system specific identifier is being used. - Descriptionstring, nullProbable
Description of the procedure
- ModifiersArray of string
List of modifiers for this procedure
- NDCobject
- Codestring, nullProbable
NDC for the transaction, if this is a medication transaction
- Descriptionstring, nullPossible
Name of the NDC/medication
- Visitobject
- VisitNumberstring, nullReliable
Visit number.
Unique ID of a single visit - AccountNumberstring, nullPossible
Account Number.
An ID that can span several visits often related to the same issue - pregnancy, surgeries, research study, etc. - VisitDateTimestring, nullReliable
DateTime of visit.
ISO 8601 Format - PatientClassstring, nullPossible
Patient class is used in many EHRs to determine where to put the patient.
Examples: Inpatient, Outpatient, Emergency - Locationobject
Location of the visit
- Typestring, nullPossible
Type of location.
Examples: Clinic, Department, Home, Nursing Unit, Provider's Office, Phone - Facilitystring, nullPossible
Facility.
Example: Community Hospital - FacilityIdentifiersArray of object
List of IDs specific to this facility
- IDstring, nullPossible
An ID specific to this facility
- IDTypestring, nullPossible
The source or system to which this ID pertains.
Could be an OID or a human-readable name
- Departmentstring, nullPossible
Department
- DepartmentIdentifiersArray of object
List of IDs specific to this department
- IDstring, nullPossible
An ID specific to this department
- IDTypestring, nullPossible
The source or system to which this ID pertains.
Could be an OID or a human-readable name
- Roomstring, nullPossible
Room.
Example: 136 - Bedstring, nullPossible
Bed.
Example: B - Addressobject
Physical address
- StreetAddressstring, nullPossible
Street address
- Citystring, nullPossible
City
- Statestring, nullPossible
State
- ZIPstring, nullPossible
ZIP
- Countystring, nullPossible
County
- Countrystring, nullPossibleValue Set
Country
- Guarantorobject
Person ultimately responsible for the bill of the appointment
- Numberstring, nullProbable
Number of the guarantor
- FirstNamestring, nullProbable
First name
- MiddleNamestring, nullPossible
Middle name
- LastNamestring, nullProbable
Last name
- SSNstring, nullPossible
Guarantor's social security number
- DOBstring, nullPossible
Guarantor's date of birth.
In ISO 8601 format - Sexstring, nullPossibleValue Set
Guarantor's sex.
One of the following: Female, Male, Unknown, Other - Spouseobject
- FirstNamestring, nullProbable
Spouse's first name
- LastNamestring, nullProbable
Spouse's last name
- Addressobject
Address of the guarantor
- StreetAddressstring, nullProbable
Street address
- Citystring, nullProbable
City
- Statestring, nullProbable
State
- ZIPstring, nullProbable
ZIP
- Countystring, nullPossible
County
- Countrystring, nullPossibleValue Set
Country
- PhoneNumberobject
- Homestring, nullProbable
Home phone number.
In E. 164 Format (i.e. +16085551234) - Businessstring, nullProbable
Business phone number.
In E. 164 Format (i.e. +16085551234) - Mobilestring, nullProbable
Mobile phone number.
In E. 164 Format (i.e. +16085551234)
- EmailAddressesArray of string
Guarantor's email address(es)
- Typestring, nullProbable
Type of guarantor.
E.g. institution, individual - RelationToPatientstring, nullProbableValue Set
Relation to the patient
- Employerobject
- Namestring, nullProbable
Employer's name
- Addressobject
Employer's address
- StreetAddressstring, nullProbable
Street address
- Citystring, nullProbable
City
- Statestring, nullProbable
State
- ZIPstring, nullProbable
ZIP
- Countystring, nullPossible
County
- Countrystring, nullPossibleValue Set
Country
- PhoneNumberstring, nullProbable
Employer phone number.
In E. 164 Format (i.e. +16085551234)
- InsurancesArray of object
List of insurance coverages for the patient
- Planobject
- IDstring, nullProbable
Identifier of insurance plan
- IDTypestring, nullProbable
ID type of insurance plan
- Namestring, nullProbable
Name of insurance plan
- Typestring, nullPossible
Type of insurance plan
- MemberNumberstring, nullPossible
Patient member number
- Companyobject
- IDstring, nullProbable
ID of insurance company (payor)
- IDTypestring, nullProbable
ID type of insurance company (payor)
- Namestring, nullProbable
Name of insurance company (payor)
- Addressobject
Insurance company's address
- StreetAddressstring, nullProbable
Street address
- Citystring, nullProbable
City
- Statestring, nullProbable
State
- ZIPstring, nullProbable
ZIP
- Countystring, nullPossible
County
- Countrystring, nullPossibleValue Set
Country
- PhoneNumberstring, nullProbable
Insurance companys phone number.
In E. 164 Format (i.e. +16085551234)
- GroupNumberstring, nullProbable
Insurance policy group number
- GroupNamestring, nullProbable
Insurance policy group name
- EffectiveDatestring, nullProbable
Effect date of this insurance policy.
In YYYY-MM-DD format - ExpirationDatestring, nullProbable
Expiration date of this insurance policy.
In YYYY-MM-DD format - PolicyNumberstring, nullProbable
Insurance policy number
- Prioritystring, nullPossibleValue Set
The insurance priority sequence.
If the insurance works in conjunction with other insurance plans, this field contains priority sequence. - AgreementTypestring, nullProbableValue Set
Type of insurance agreement.
- CoverageTypestring, nullProbableValue Set
Type of insurance agreement.
Indicates who will be receiving the bill for the service. - Insuredobject
Individual who has the agreement with the insurance company for the related policy
- IdentifiersArray of object
List of IDs and ID types that identify the insured
- IDstring, nullPossible
ID for the insured
- IDTypestring, nullPossible
Type of ID.
E.g. MRN, EPI
- LastNamestring, nullPossible
Last name of the insured
- MiddleNamestring, nullPossible
Middle name of the insured
- FirstNamestring, nullPossible
First name of the insured
- SSNstring, nullPossible
Insured's social security number
- Relationshipstring, nullPossibleValue Set
Relationship of the insured to the patient
- DOBstring, nullPossible
Date of birth of the insured.
In YYYY-MM-DD format - Sexstring, nullPossibleValue Set
Sex of the insured
- Addressobject
Address of the insured
- StreetAddressstring, nullProbable
Street address
- Citystring, nullProbable
City
- Statestring, nullProbable
State
- ZIPstring, nullProbable
ZIP
- Countystring, nullPossible
County
- Countrystring, nullPossibleValue Set
Country