CLAIM_DEF TX
TxID
8wiR4xXEGP8AY5oXrWmmrL:3:CL:81665:Tag
Seqno
81666
Tx Time
2020-01-23T06:53:13.000Z
Tx Type
CLAIM_DEF
From DID
8wiR4xXEGP8AY5oXrWmmrL
Schema name
Requisition form
Schema version
1.0
Schema ID
8wiR4xXEGP8AY5oXrWmmrL:2:Requisition form:1.0
Schema author DID
8wiR4xXEGP8AY5oXrWmmrL
Schema seqNo
81665
Schema create time
2020-01-23T06:53:00.000Z
Attributes
GroupNumber
Clia
TestName
Name
Id
SpecimenType
TestDoctorName
Npi
CarrierNumber
HealthId
DoctorNumber
Gender
RelationshipCode
Address
PlanNumber
TestDoctorNumber
Indication
CpsoNumber
Icd
Age
Note
TestCpsoNumber
EffectiveDate
UserId
Phone
TestCode
InsuranceName
LabName
DoctorName
Weight
TestDoctorAddress
DoctorAddress