| Name | Description | Type | Additional information |
|---|---|---|---|
| PatientID | integer |
None. |
|
| SubscriberID | integer |
None. |
|
| VOSubscriberID | integer |
None. |
|
| VOPatientID | integer |
None. |
|
| type | string |
None. |
|
| effectivedate | string |
None. |
|
| ExpirationDate | string |
None. |
|
| Patientpolicynumber | string |
None. |
|
| PolicyNumber | string |
None. |
|
| grouporplannumber | string |
None. |
|
| grouporplanname | string |
None. |
|
| gender | string |
None. |
|
| dob | date |
None. |
|
| payor | string |
None. |
|
| payorid | integer |
None. |
|
| lastname | string |
None. |
|
| firstname | string |
None. |
|
| middlename | string |
None. |
|
| Suffix | string |
None. |
|
| IsOrganization | integer |
None. |
|
| EligibilityStatus | string |
None. |
|
| relationcode | string |
None. |
|
| zip | string |
None. |
|
| address1 | string |
None. |
|
| address2 | string |
None. |
|
| city | string |
None. |
|
| state | string |
None. |
|
| PlanType | string |
None. |
|
| InsuredDisplayName | string |
None. |
|
| RelationshipToInsuredID | string |
None. |
|
| insurancetypecode | string |
None. |
|
| PhoneNumber | string |
None. |