| Name | Description | Type | Additional information |
|---|---|---|---|
| eob_id | string |
None. |
|
| eob_date | string |
None. |
|
| total_claim_amount | string |
None. |
|
| total_paid_amount | string |
None. |
|
| treatment_table | Collection of Treatment |
None. |
|
| diagnosis_codes | Collection of string |
None. |
|
| eob_explanations | Collection of EobExplanation |
None. |
|
| payment_summary | Collection of string |
None. |
|
| patient_first_name | string |
None. |
|
| patient_last_name | string |
None. |
|
| policy_holder_name | string |
None. |
|
| claim_number | string |
None. |
|
| accident_date | string |
None. |
|
| provider_name | string |
None. |
|
| provider_address_line1 | string |
None. |
|
| provider_city | string |
None. |
|
| provider_state | string |
None. |
|
| provider_zip | string |
None. |
|
| insurance_company_name | string |
None. |
|
| policy_number | string |
None. |