insurance object format:

Key Type POST/PUT request Notes
insurance_claim_office_number string optional Insurance office phone number.
insurance_company string optional
insurance_group_name string optional
insurance_group_number string optional
insurance_id_number string optional
insurance_payer_id string optional
insurance_plan_name string optional
insurance_plan_type string optional One of these choices
is_subscriber_the_patient boolean optional Defaults to true.
patient_relationship_to_subscriber string optional HCFA/1500 individual relationship code.
subscriber_address string optional
subscriber_city string optional
subscriber_country string optional Two-letter country code.
subscriber_date_of_birth date optional
subscriber_first_name string optional
subscriber_gender string optional One of "Male" or "Female".
subscriber_last_name string optional
subscriber_middle_name string optional
subscriber_social_security string optional
subscriber_state string optional Two-letter state code.
subscriber_suffix string optional E.g. "II" or "III".
subscriber_zip_code string optional
photo_front base64encoded file optional photo of front of insurance card
photo_back base64encoded file optional photo of back of insurance card

auto_accident_insurance object format:

Key Type POST/PUT request Notes
auto_accident_company string optional
auto_accident_payer_id string optional
auto_accident_policy_number string optional
auto_accident_case_number string optional
auto_accident_payer_address string optional
auto_accident_payer_zip string optional
auto_accident_payer_city string optional
auto_accident_payer_state string optional Two-letter abbreviation
auto_accident_date_of_accident date optional
auto_accident_state_of_occurrence string optional Two-letter abbreviation
auto_accident_is_subscriber_the_patient boolean optional
auto_accident_patient_relationship_to_subscriber string optional One of the following, "", "01"("Spouse"), "04"("Grandparent"), "05"("Grandchild"), "07"("Nephew or Niece"), "10"("Foster Child"), "15"("Ward"), "17"("Stepson or Stepdaughter"), "19"("Child"), "20"("Employee"), "21"("Unknown"), "22"("Handicapped Dependent"), "23"("Sponsored Dependent"), "24"("Dependent of a Minor Dependent"), "29"("Significant Other"), "32"("Mother"), "33"("Father"), "36"("Emancipated Minor"), "39"("Organ Donor"), "40"("Cadaver Donor"), "41"("Injured Plaintiff"), "43"("Child Where Insured Has No Financial Responsibility"), "53"("Life Partner"), "76"("Dependent"), "G8"("Other Relationship")
auto_accident_subscriber_first_name string optional
auto_accident_subscriber_middle_name string optional
auto_accident_subscriber_last_name string optional
auto_accident_subscriber_suffix string optional
auto_accident_subscriber_date_of_birth string optional
auto_accident_subscriber_social_security string optional
auto_accident_subscriber_phone_number string optional
auto_accident_subscriber_address string optional
auto_accident_subscriber_city string optional
auto_accident_subscriber_zip_code string optional
auto_accident_subscriber_state string optional Two-letter abbreviation
auto_accident_notes string optional
auto_accident_had_similar_condition boolean optional
auto_accident_similar_condition_date date optional
auto_accident_similar_condition_notes string optional
auto_accident_significant_injury string optional One of the following, 'N\A'(Not determinable at this time), 'Yes', 'No'
auto_accident_significant_injury_notes string optional
auto_accident_disabled_from_date date optional
auto_accident_disabled_to_date date optional
auto_accident_return_to_work_date date optional
auto_accident_still_under_care boolean optional
auto_accident_treatment_duration string optional
auto_accident_will_require_therapy boolean optional
auto_accident_will_require_therapy_rec string optional
auto_accident_claim_rep_is_insurer boolean optional
auto_accident_claim_rep_name string optional
auto_accident_claim_rep_address string optional
auto_accident_claim_rep_zip string optional
auto_accident_claim_rep_city string optional
auto_accident_claim_rep_state string optional Two-letter abbreviation

workers_comp_insurance object format:

Key Type POST/PUT request Notes
workers_comp_company string optional
workers_comp_payer_id string optional
workers_comp_group_name string optional
workers_comp_group_number string optional
workers_comp_wcb string optional
workers_comp_wcb_rating_code string optional
workers_comp_carrier_code string optional
workers_comp_case_number string optional
workers_comp_payer_address string optional
workers_comp_payer_zip string optional
workers_comp_payer_city string optional
workers_comp_payer_state string optional Two-letter abbreviation
workers_comp_date_of_accident date optional
workers_comp_state_of_occurrence string optional Two-letter abbreviation
property_and_casualty_agency_claim_number string optional
workers_comp_notes string optional