ServiceLinesV2

Create Professional or Institutional Service Line

post/api/service-lines/v2/universal

Request

  • Base URL: https://api.taigabilling.com
  • URL: https://api.taigabilling.com/api/service-lines/v2/universal
  • Auth: HTTP bearer

Request body

modifiersProcedureModifier[] nullable
charge_amount_centsinteger nullable

The total amount charged for this service line, factoring in quantity. The system will attempt to set it based on the chargemaster configuration and the service line’s quantity. For example, if a single unit has an entry of 100 cents and 2 units were rendered, the charge_amount_cents will be set to 200. If there is no chargemaster entry, the system will default to the amount set via this field.

place_of_service_code'01' | '02' | '03' | '04' | '05' | '06' | '07' | '08' | '09' | '10' | '11' | '12' | '13' | '14' | '15' | '16' | '17' | '18' | '19' | '20' | '21' | '22' | '23' | '24' | '25' | '26' | '31' | '32' | '33' | '34' | '41' | '42' | '49' | '50' | '51' | '52' | '53' | '54' | '55' | '56' | '57' | '58' | '60' | '61' | '62' | '65' | '71' | '72' | '81' | '99'

Box 24B on the CMS-1500 claim form. Line-level place of service is not currently supported. 02 for telemedicine, 11 for in-person. Full list here: https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set

quantitystring required

String representation of a Decimal that can be parsed by most libraries.

units'MJ' | 'UN' required
claim_idstring uuid required
descriptionstring nullable

A free-form description to clarify the related data elements and their content. Maps to SV1-01, C003-07 on a 837-P and SV2-02, C003-07 on a 837-I form.

date_of_servicestring date nullable
end_date_of_servicestring date nullable
has_epsdt_indicatorboolean nullable

Maps to SV1-11 on the 837-P and Box 24H on the CMS-1500. If the value is true, the box will be populated with "Y". Otherwise, the box will not be populated.

has_family_planning_indicatorboolean nullable

Maps to SV1-12 on the 837-P and Box 24I on the CMS-1500. If the value is true, the box will be populated with "Y". Otherwise, the box will not be populated.

notestring nullable

Maps to NTE02 loop 2400 on the EDI 837.

Response

created_atstring date-time required
modifiersProcedureModifier[] nullable
charge_amount_centsinteger nullable
allowed_amount_centsinteger nullable
insurance_balance_centsinteger nullable
patient_balance_centsinteger nullable
paid_amount_centsinteger nullable
primary_paid_amount_centsinteger nullable
secondary_paid_amount_centsinteger nullable
tertiary_paid_amount_centsinteger nullable
patient_responsibility_centsinteger nullable
copay_centsinteger nullable
coinsurance_centsinteger nullable
deductible_centsinteger nullable
diagnosis_id_zerostring uuid
diagnosis_id_onestring uuid
diagnosis_id_twostring uuid
diagnosis_id_threestring uuid
place_of_service_code'01' | '02' | '03' | '04' | '05' | '06' | '07' | '08' | '09' | '10' | '11' | '12' | '13' | '14' | '15' | '16' | '17' | '18' | '19' | '20' | '21' | '22' | '23' | '24' | '25' | '26' | '31' | '32' | '33' | '34' | '41' | '42' | '49' | '50' | '51' | '52' | '53' | '54' | '55' | '56' | '57' | '58' | '60' | '61' | '62' | '65' | '71' | '72' | '81' | '99'

Box 24B on the CMS-1500 claim form. Line-level place of service is not currently supported. 02 for telemedicine, 11 for in-person. Full list here: https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set

place_of_service_code_as_submitted'01' | '02' | '03' | '04' | '05' | '06' | '07' | '08' | '09' | '10' | '11' | '12' | '13' | '14' | '15' | '16' | '17' | '18' | '19' | '20' | '21' | '22' | '23' | '24' | '25' | '26' | '31' | '32' | '33' | '34' | '41' | '42' | '49' | '50' | '51' | '52' | '53' | '54' | '55' | '56' | '57' | '58' | '60' | '61' | '62' | '65' | '71' | '72' | '81' | '99'

Box 24B on the CMS-1500 claim form. Line-level place of service is not currently supported. 02 for telemedicine, 11 for in-person. Full list here: https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set

service_line_idstring uuid required
procedure_codestring required
revenue_codestring nullable

A 4 digit code that specifies facility department or type of service arrangement for institutional service line items (837i). This code is not required for professional claim billing (837p).

quantitystring required

String representation of a Decimal that can be parsed by most libraries.

units'MJ' | 'UN' required
claim_idstring uuid required
descriptionstring nullable

A free-form description to clarify the related data elements and their content. Maps to SV1-01, C003-07 on a 837-P and SV2-02, C003-07 on a 837-I form.

date_of_servicestring date required
end_date_of_servicestring date nullable
has_epsdt_indicatorboolean nullable

Maps to SV1-11 on the 837-P and Box 24H on the CMS-1500. If the value is true, the box will be populated with "Y". Otherwise, the box will not be populated.

has_family_planning_indicatorboolean nullable

Maps to SV1-12 on the 837-P and Box 24I on the CMS-1500. If the value is true, the box will be populated with "Y". Otherwise, the box will not be populated.

notestring nullable

Maps to NTE02 loop 2400 on the EDI 837.

prior_authorization_numberstring nullable

Prior authorization number for this service line. Maps to the appropriate REF segment on Loop 2400 of the EDI 837p. This is not used for institutional claims (EDI 837i).

external_idstring nullable

An external identifier for this service line. This is not used in the EDI 837, but can be used to identify the service line in external systems. This field should not contain PHI. Must be unique on a given claim.

Example response

{
  "created_at": "2023-01-01T00:00:00Z",
  "procedure_code": "99213",
  "date_of_service": "2023-01-01"
}

Changes

No recorded changes to this operation across all 1 revision of this API.