Difference between revisions of "Service Provider Integration Fields"

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! style="color: black; background-color: #62BC43;"|Identifiers !! style="color: black; background-color: #62BC43;"|Field Name !! style="color: black; background-color: #62BC43;"|Description !! style="color: black; background-color: #62BC43;"|Field Type !! style="color: black; background-color: #62BC43;"|Acceptable Values
 
! style="color: black; background-color: #62BC43;"|Identifiers !! style="color: black; background-color: #62BC43;"|Field Name !! style="color: black; background-color: #62BC43;"|Description !! style="color: black; background-color: #62BC43;"|Field Type !! style="color: black; background-color: #62BC43;"|Acceptable Values
 
|-
 
|-
−
| 1 || CaseID || Unique Identifier for Case || Numberic ||
+
| 1 || CaseID || Unique Identifier for Case || Numeric ||
 
|-
 
|-
−
| 2 || ServiceID || Unique Identifier for Service || Numberic ||
+
| 2 || ServiceID || Unique Identifier for Service || Numeric ||
 
|-
 
|-
 
| 3 || CustomerID || Unique Identifier for SmartSimple Customer || Alpha ||
 
| 3 || CustomerID || Unique Identifier for SmartSimple Customer || Alpha ||
 
|-
 
|-
−
| 4 || Source || Source Type || Numberic || 10=IME , 20=Insurer
+
| 4 || Source || Source Type || Numeric || 10=IME , 20=Insurer
 
|-
 
|-
 
| 5 || TypeofService || Type of Service || Numeric || '''1'''
 
| 5 || TypeofService || Type of Service || Numeric || '''1'''
 
|-
 
|-
 
| 6 || ProtocolPassword || Protocol Password || ||
 
| 6 || ProtocolPassword || Protocol Password || ||
 +
|-
 +
|  || PostTest || Testing flag used to indicate test submissions || Numeric || 1=True , 0=False
 
|-
 
|-
 
! style="color: black; background-color: #62BC43;"|Referral !! style="color: black; background-color: #62BC43;"|Field Name !! style="color: black; background-color: #62BC43;"|Description !! style="color: black; background-color: #62BC43;"|Field Type !! style="color: black; background-color: #62BC43;"|Acceptable Values
 
! style="color: black; background-color: #62BC43;"|Referral !! style="color: black; background-color: #62BC43;"|Field Name !! style="color: black; background-color: #62BC43;"|Description !! style="color: black; background-color: #62BC43;"|Field Type !! style="color: black; background-color: #62BC43;"|Acceptable Values
Line 90: Line 92:
 
|33||ClaimantPOBox||Claimant P.O. Box||Alpha||  
 
|33||ClaimantPOBox||Claimant P.O. Box||Alpha||  
 
|-
 
|-
−
|33||Billingsameasreferral||Billing same as referral||Numeric||1=Yes;2=No
+
|33||Billingsameasreferral||Billing same as referral||Numeric||1=Yes;2=No<br>*Note that this section controls if the Billing section below is visible.
 
|-
 
|-
 
! style="color: black; background-color: #62BC43;"|Billing !! style="color: black; background-color: #62BC43;"|Field Name !! style="color: black; background-color: #62BC43;"|Description !! style="color: black; background-color: #62BC43;"|Field Type !! style="color: black; background-color: #62BC43;"|Acceptable Values
 
! style="color: black; background-color: #62BC43;"|Billing !! style="color: black; background-color: #62BC43;"|Field Name !! style="color: black; background-color: #62BC43;"|Description !! style="color: black; background-color: #62BC43;"|Field Type !! style="color: black; background-color: #62BC43;"|Acceptable Values
Line 130: Line 132:
 
|50||ConfirmAppointment||Confirm Appointment with claimant/patient||Numeric||1=Yes;2=No
 
|50||ConfirmAppointment||Confirm Appointment with claimant/patient||Numeric||1=Yes;2=No
 
|-
 
|-
−
|51||DateandTime||Date and Time of appointment||Date/Time||YYYY-MM-DDHH:MM:SS
+
|51||DateandTime||Date and Time of appointment||Date/Time||YYYY-MM-DD HH:MM:SS
 
|-
 
|-
−
|52||Duration||Duration||Date/Time||hh:mm
+
|52||Duration||Duration (Calculated in hours)||Numeric||e.g 3.5  (this represents 3 hours 30 minutes)
 
|-
 
|-
 
|53||AppointmentLocation||Location||Alpha||  
 
|53||AppointmentLocation||Location||Alpha||  
Line 162: Line 164:
 
|-
 
|-
 
| 6 || ProtocolPassword || Protocol Password || ||
 
| 6 || ProtocolPassword || Protocol Password || ||
 +
|-
 +
|  || PostTest || Testing flag used to indicate test submissions || Numeric || 1=True , 0=False
 
|-
 
|-
 
! style="color: black; background-color: #62BC43;"|Referral !! style="color: black; background-color: #62BC43;"|Field Name !! style="color: black; background-color: #62BC43;"|Description !! style="color: black; background-color: #62BC43;"|Field Type !! style="color: black; background-color: #62BC43;"|Acceptable Values
 
! style="color: black; background-color: #62BC43;"|Referral !! style="color: black; background-color: #62BC43;"|Field Name !! style="color: black; background-color: #62BC43;"|Description !! style="color: black; background-color: #62BC43;"|Field Type !! style="color: black; background-color: #62BC43;"|Acceptable Values
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|10||ReferralCity||Referral City||Alpha||
 
|10||ReferralCity||Referral City||Alpha||
 
|-
 
|-
−
|11||ReferralProvince/State||Referral Province/State||Alpha||
+
|11||ReferralProvince||Referral Province/State||Alpha||
 
|-
 
|-
−
|12||ReferralPostalCode||Referral PostalCode||Alpha||
+
|12||ReferralPostalCode||Referral Postal Code||Alpha||
 
|-
 
|-
 
|13||ReferralCountry||Referral Country||Alpha||
 
|13||ReferralCountry||Referral Country||Alpha||
 
|-
 
|-
−
|14||ReferralFileNumber||Referral FileNumber||Alpha||
+
|14||ReferralFileNumber||Referral File Number (system)||Alpha||
 
|-
 
|-
 
|15||ReferralPhoneNumber||Referral Phone Number||Alpha||
 
|15||ReferralPhoneNumber||Referral Phone Number||Alpha||
Line 195: Line 199:
 
|20||ClaimantLastName||Claimant Last Name||Alpha||  
 
|20||ClaimantLastName||Claimant Last Name||Alpha||  
 
|-
 
|-
−
|21||ClaimantApt/Suite||Claimant Apt/Suite||Alpha||  
+
|21||ClaimantApt||Claimant Apt/Suite||Alpha||  
 
|-
 
|-
 
|22||ClaimantBuzzer||Claimant Buzzer||Alpha||  
 
|22||ClaimantBuzzer||Claimant Buzzer||Alpha||  
Line 203: Line 207:
 
|24||ClaimantCity||Claimant City||Alpha||  
 
|24||ClaimantCity||Claimant City||Alpha||  
 
|-
 
|-
−
|25||ClaimantProvince/State||Claimant Province/State||Alpha||  
+
|25||ClaimantProvince||Claimant Province/State||Alpha||  
 
|-
 
|-
−
|26||ClaimantPostalCode||Claimant PostalCode||Alpha||  
+
|26||ClaimantPostalCode||Claimant Postal Code||Alpha||  
 
|-
 
|-
 
|27||ClaimantCountry||Claimant Country||Alpha||  
 
|27||ClaimantCountry||Claimant Country||Alpha||  
Line 213: Line 217:
 
|29||ClaimantFax||Claimant Fax||Alpha||  
 
|29||ClaimantFax||Claimant Fax||Alpha||  
 
|-
 
|-
−
|30||ClaimFile||Claim File||Alpha||  
+
|30||ClaimFile||Claim #||Alpha||  
 
|-
 
|-
−
|31||DateofLoss||Dateof Loss||Date/Time||YYYY-MM-DD
+
|31||DateofLoss||Date of Loss||Date/Time||YYYY-MM-DD
 
|-
 
|-
 
|32||ClaimantPolicyNumber||Claimant Policy Number||Alpha||  
 
|32||ClaimantPolicyNumber||Claimant Policy Number||Alpha||  
 
|-
 
|-
−
|33||ClaimantP.O.Box||Claimant P.O. Box||Alpha||  
+
|33||ClaimantPOBox||Claimant P.O. Box||Alpha||  
 
|-
 
|-
−
|33||Billingsameasreferral||Billing same as referral||Numeric||1=Yes;2=No
+
|33||Billingsameasreferral||Billing same as referral||Numeric||1=Yes;2=No<br>*Note that this section controls if the Billing section below is visible.
 
|-
 
|-
 
! style="color: black; background-color: #62BC43;"|Billing !! style="color: black; background-color: #62BC43;"|Field Name !! style="color: black; background-color: #62BC43;"|Description !! style="color: black; background-color: #62BC43;"|Field Type !! style="color: black; background-color: #62BC43;"|Acceptable Values
 
! style="color: black; background-color: #62BC43;"|Billing !! style="color: black; background-color: #62BC43;"|Field Name !! style="color: black; background-color: #62BC43;"|Description !! style="color: black; background-color: #62BC43;"|Field Type !! style="color: black; background-color: #62BC43;"|Acceptable Values
Line 235: Line 239:
 
|38||BillingCity||Billing City||Alpha||  
 
|38||BillingCity||Billing City||Alpha||  
 
|-
 
|-
−
|39||BillingProvince/State||Billing Province/State||Alpha||  
+
|39||BillingProvince||Billing Province/State||Alpha||  
 
|-
 
|-
 
|40||BillingPostalCode||Billing Postal Code||Alpha||  
 
|40||BillingPostalCode||Billing Postal Code||Alpha||  
Line 245: Line 249:
 
|43||BillingEmail||Billing Email||Alpha||  
 
|43||BillingEmail||Billing Email||Alpha||  
 
|-
 
|-
−
|44||BillingP.O.Box||Billing P.O. Box||Alpha||  
+
|44||BillingPOBox||Billing P.O. Box||Alpha||  
 
|-
 
|-
 
! style="color: black; background-color: #62BC43;"|Appointment Details !! style="color: black; background-color: #62BC43;"|Field Name !! style="color: black; background-color: #62BC43;"|Description !! style="color: black; background-color: #62BC43;"|Field Type !! style="color: black; background-color: #62BC43;"|Acceptable Values
 
! style="color: black; background-color: #62BC43;"|Appointment Details !! style="color: black; background-color: #62BC43;"|Field Name !! style="color: black; background-color: #62BC43;"|Description !! style="color: black; background-color: #62BC43;"|Field Type !! style="color: black; background-color: #62BC43;"|Acceptable Values
 
|-
 
|-
−
|45||Faxconfirmationofappointment||Fax confirmation of appointment||Numeric||1=Yes;2=No
+
|45||Faxconfirmation||Fax confirmation of appointment||Numeric||1=Yes;2=No
 
|-
 
|-
−
|46||Emailconfirmationofappointment||Email confirmation of appointment||Numeric||1=Yes;2=No
+
|46||Emailconfirmation||Email confirmation of appointment||Numeric||1=Yes;2=No
 
|-
 
|-
−
|47||Phoneconfirmationofappointment||Phone confirmation of appointment||Numeric||1=Yes;2=No
+
|47||Phoneconfirmation||Phone confirmation of appointment||Numeric||1=Yes;2=No
 
|-
 
|-
 
|48||Notes||Notes||Alpha||  
 
|48||Notes||Notes||Alpha||  
 
|-
 
|-
−
|49||ArrangeAppointmentwithclaimant||Arrange Appointment with claimant/patient||Numeric||1=Yes;2=No
+
|49||ArrangeAppointment||Arrange Appointment with claimant/patient||Numeric||1=Yes;2=No
 
|-
 
|-
−
|50||ConfirmAppointmentwithclaimant||Confirm Appointment with claimant/patient||Numeric||1=Yes;2=No
+
|50||ConfirmAppointment||Confirm Appointment with claimant/patient||Numeric||1=Yes;2=No
 
|-
 
|-
−
|51||DateandTime||Date and Time of appointment||Date/Time||YYYY-MM-DDHH:MM:SS
+
|51||DateandTime||Date and Time of appointment||Date/Time||YYYY-MM-DD HH:MM:SS
 
|-
 
|-
−
|52||Duration||Duration||Date/Time||hh:mm
+
|52||Duration||Duration (Calculated in hours)||Numeric||e.g 3.5  (this represents 3 hours 30 minutes)
 
|-
 
|-
 
|53||AppointmentLocation||Location||Alpha||  
 
|53||AppointmentLocation||Location||Alpha||  
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! style="color: black; background-color: #62BC43;"|Pickup Details !! style="color: black; background-color: #62BC43;"|Field Name !! style="color: black; background-color: #62BC43;"|Description !! style="color: black; background-color: #62BC43;"|Field Type !! style="color: black; background-color: #62BC43;"|Acceptable Values
 
! style="color: black; background-color: #62BC43;"|Pickup Details !! style="color: black; background-color: #62BC43;"|Field Name !! style="color: black; background-color: #62BC43;"|Description !! style="color: black; background-color: #62BC43;"|Field Type !! style="color: black; background-color: #62BC43;"|Acceptable Values
 
|-
 
|-
−
|55||PickupTime||Pickup Time||Date/Time||YYYY-MM-DDHH:MM:SS  
+
|55||PickupTime||Pickup Time||Date/Time||YYYY-MM-DD HH:MM:SS  
 +
|-
 +
|56||WheelchairVehicle||Does claimant require a wheelchair accessible vehicle?||Numeric|| 1=Yes;2=No
 +
|-
 +
|57||SpecialNeeds||Does claimant require special needs (e.g. Assistance)?||Numeric||1=Yes;2=No
 
|-
 
|-
−
|56||PickupAddress||Pickup Address||Alpha||
+
|58||PickupSame||Is Pickup Address same as Claimant Address?||Alpha||1=Yes;2=No
 
|-
 
|-
−
|57||PickupCity||Pickup City||Alpha||  
+
|colspan="5"|Note the fields below will be populated by SmartSimple if '''No''' is selected for the field above
 
|-
 
|-
−
|58||PickupPostalCode||Postal Code||Alpha||  
+
|59||PickupAddress||Pickup Address||Alpha||
 
|-
 
|-
−
|59||PickupApt/Suite||Pickup Apt/Suite||Alpha||  
+
|60||PickupCity||Pickup City||Alpha||  
 
|-
 
|-
−
|60||PickupBuzzer||Pickup Buzzer||Alpha||  
+
|61||PickupPostalCode||Postal Code||Alpha||  
 
|-
 
|-
−
|61||PickupProvince/State||Pickup Province/State||Alpha||  
+
|62||PickupApt||Pickup Apt/Suite||Alpha||  
 
|-
 
|-
−
|62||PickupPhone||Pickup Phone||Alpha||  
+
|63||PickupBuzzer||Pickup Buzzer||Alpha||  
 
|-
 
|-
−
|63||WheelchairVehicle||Does claimant require a wheelchair accessible vehicle?||Numeric|| 1=Yes;2=No
+
|64||PickupProvince||Pickup Province/State||Alpha||  
 
|-
 
|-
−
|64||SpecialNeeds||Does claimant require special needs (e.g. Assistance)?||Numeric||1=Yes;2=No
+
|65||PickupPhone||Pickup Phone||Alpha||  
 
|}
 
|}
−
 
−
 
  
 
==Field List transferred to SmartSimple==
 
==Field List transferred to SmartSimple==
  
−
*Note that all fields are mandatory, with the exception of Notes
+
*Note that all fields are mandatory, with the exception of notes
−
*References is unique to each transaction
+
*reference is unique to each transaction
−
*ProviderEmail field is used to send error messages via email if the record cannot be processed.
+
*provideremail field is used to send error messages via email if the record cannot be processed.
  
  
−
'''Error Messages'''
+
'''Sample Error Messages'''
  
 
----
 
----
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*Invalid provider name, case, or service ID
 
*Invalid provider name, case, or service ID
 
*Invalid field value
 
*Invalid field value
 +
*Invalid Provider Key during submission
  
  
Line 314: Line 321:
 
! style="color: black; background-color: #62BC43;"|# !! style="color: black; background-color: #62BC43;"|Field Name !! style="color: black; background-color: #62BC43;"|Field Type !! style="color: black; background-color: #62BC43;"|Description
 
! style="color: black; background-color: #62BC43;"|# !! style="color: black; background-color: #62BC43;"|Field Name !! style="color: black; background-color: #62BC43;"|Field Type !! style="color: black; background-color: #62BC43;"|Description
 
|-
 
|-
−
| 1 || CaseID || Numeric || Unique case identifier as provided by SmartSimple when transferring the service request.
+
| 1 || providerkey || Alpha || Unique authentication key provided by SmartSimple.
 +
|-
 +
| 2 || caseid || Numeric || Unique case identifier as provided by SmartSimple when transferring the service request.
 
|-
 
|-
−
| 2 || ServiceID || Numeric || Unique service identifier as provided by SmartSimple when transferring the service request.
+
| 3 || serviceid || Numeric || Unique service identifier as provided by SmartSimple when transferring the service request.
 
|-
 
|-
−
| 3 || TypeofService || Numeric || Interpretation records - set to '''1'''. Transportation records - set to '''2'''.
+
| 4 || typeofservice || Numeric || Interpretation records - set to '''1'''. Transportation records - set to '''2'''.
 
|-
 
|-
−
| 4 || Client || String || SmartSimple Client Identifier as provided by SmartSimple when transferring the service request. NOTE this is not the client/patient identified - but the SmartSimple customer identified.
+
| 5 || client || String || SmartSimple Client Identifier as provided by SmartSimple when transferring the service request. NOTE this is not the client/patient identified - but the SmartSimple customer identified.
 
|-
 
|-
−
| 5 || Source || Numeric || This represents the SmartSimple client type: 10 for IME client and 20 for Insurer client.
+
| 6 || source || Numeric || This represents the SmartSimple client type: 10 for IME client and 20 for Insurer client.
 
|-
 
|-
−
| 6 || Gap Code || Alpha || Goods, Administration, and Other Codes(GAP). This list corresponds to the [http://www.hcaiinfo.ca/Health_Care_Facility_Provider/documents/appendices/AppendixCFINAL.pdf HCAI GAP Code list].
+
| 7 || gapcode || Alpha || Goods, Administration, and Other Codes(GAP). This list corresponds to the [http://www.hcaiinfo.ca/Health_Care_Facility_Provider/documents/appendices/AppendixCFINAL.pdf HCAI GAP Code list].
 
|-
 
|-
−
| 7 || Rate || Numeric ||Rate for Service.
+
| 8 || rate || Numeric ||Rate for Service.
 
|-
 
|-
−
| 8 || Measure ||Alpha ||Unit Measure. This list corresponds to the [http://www.hcaiinfo.ca/Health_Care_Facility_Provider/documents/appendices/AppendixFFINAL.pdf HCAI Unit Measure Codes].
+
| 9 || measure ||Alpha ||Unit Measure. This list corresponds to the [http://www.hcaiinfo.ca/Health_Care_Facility_Provider/documents/appendices/AppendixFFINAL.pdf HCAI Unit Measure Codes].
 
|-
 
|-
−
| 9 ||Quantity||Numeric||Quantity
+
| 10 ||quantity||Numeric||Quantity
 
|-
 
|-
−
| 10 ||Tax||Alpha||Options: Yes;No
+
| 11 ||tax||Alpha||Options: Yes;No
 
|-
 
|-
−
| 11 ||TaxType||Alpha||Options: No;HST;GST;BCST;NSST;QST
+
| 12 ||taxtype||Alpha||Options: No;HST;GST;BCST;NSST;QST
 
|-
 
|-
−
| 12 ||Total||Numeric, two decimal||Rate*Quantity
+
| 13 ||total||Numeric, two decimal||Rate*Quantity
 
|-
 
|-
−
| 13 ||TaxAmount||Numeric, two decimal||Calculated tax amount.
+
| 14 ||taxamt||Numeric, two decimal||Calculated tax amount.
 
|-
 
|-
−
| 14 ||GrossAmount||Numeric, two decimal||[Total]+[TaxAmount]
+
| 15 ||grossamt||Numeric, two decimal||[Total]+[TaxAmount]
 
|-
 
|-
−
| 15 ||Reference||Alpha||Unique Service Provider identifier for billing transaction.
+
| 16 ||reference||Alpha||Unique Service Provider identifier for billing transaction.
 
|-
 
|-
−
| 16 ||ProviderName||Alpha||Name of Provider - SmartSimple will provide name to provider.
+
| 17 ||confirmationnum||Alpha||Optional confirmation number provided to SmartSimple when service request is sent to provider
 
|-
 
|-
−
| 17 ||ProviderEmail||Alpha||Email address of contact at service provider.
+
| 18 ||provider||Alpha||Name of the Service Provider
 
|-
 
|-
−
| 18 ||Notes||Alpha||Service Provider notes for this transaction.
+
| 19 ||provideremail||Alpha||Email address of contact at service provider.
 +
|-
 +
| 20 ||notes||Alpha||Service Provider notes for this transaction.
 
|}
 
|}
−
 
−
 
  
 
==See Also==
 
==See Also==
 
* [[Service Provider Integration]]
 
* [[Service Provider Integration]]
  
−
 
+
[[Category:Integration]]
−
[[Category:Universal Tracking Application]][[Category:Integration]]
+
[[Category:External Services]]

Latest revision as of 13:50, 20 July 2017

This article presents the complete list of fields involved in Service Provider integration between a SmartSimple client instance and a third party service provider.

Fields transferred to Service Provider System

As part of our Integration services, we currently support two types of transaction records.

  • Interpretation records - Identified by TypeofService field - set to 1.
  • Transportation records - Identified by TypeofService field - set to 2.


Referring to the list below, note that both Interpretation and Transportation records have common fields until Field #55.

In addition the Field Names specified in the tables serve as both the field names in SmartSimple and HTML control IDs when performing field mapping.


Interpretation/Translation Fields

Identifiers Field Name Description Field Type Acceptable Values
1 CaseID Unique Identifier for Case Numeric
2 ServiceID Unique Identifier for Service Numeric
3 CustomerID Unique Identifier for SmartSimple Customer Alpha
4 Source Source Type Numeric 10=IME , 20=Insurer
5 TypeofService Type of Service Numeric 1
6 ProtocolPassword Protocol Password
PostTest Testing flag used to indicate test submissions Numeric 1=True , 0=False
Referral Field Name Description Field Type Acceptable Values
7 ReferralFirstName Referral First Name Alpha
8 ReferralLastName Referral Last Name Alpha
9 ReferralAddress Referral Address Alpha
10 ReferralCity Referral City Alpha
11 ReferralProvince Referral Province/State Alpha
12 ReferralPostalCode Referral Postal Code Alpha
13 ReferralCountry Referral Country Alpha
14 ReferralFileNumber Referral File Number (system) Alpha
15 ReferralPhoneNumber Referral Phone Number Alpha
16 ReferralFaxNumber Referral Fax Number Alpha
17 ReferralEmail Referral Email Alpha
18 ReferralCompany Referral Company Alpha
Claimant Field Name Description Field Type Acceptable Values
19 ClaimantFirstName Claimant First Name Alpha
20 ClaimantLastName Claimant Last Name Alpha
21 ClaimantApt Claimant Apt/Suite Alpha
22 ClaimantBuzzer Claimant Buzzer Alpha
23 ClaimantAddress Claimant Address Alpha
24 ClaimantCity Claimant City Alpha
25 ClaimantProvince Claimant Province/State Alpha
26 ClaimantPostalCode Claimant Postal Code Alpha
27 ClaimantCountry Claimant Country Alpha
28 ClaimantPhone Claimant Phone Alpha
29 ClaimantFax Claimant Fax Alpha
30 ClaimFile Claim File Number Alpha
31 DateofLoss Date of Loss Date/Time YYYY-MM-DD
32 ClaimantPolicyNumber Claimant Policy Number Alpha
33 ClaimantPOBox Claimant P.O. Box Alpha
33 Billingsameasreferral Billing same as referral Numeric 1=Yes;2=No
*Note that this section controls if the Billing section below is visible.
Billing Field Name Description Field Type Acceptable Values
34 BillingFirstName Billing First Name Alpha
35 BillingLastName Billing Last Name Alpha
36 BillingCompany Billing Company Alpha
37 BillingAddress Billing Address Alpha
38 BillingCity Billing City Alpha
39 BillingProvince Billing Province/State Alpha
40 BillingPostalCode Billing Postal Code Alpha
41 BillingPhone Billing Phone Alpha
42 BillingFax Billing Fax Alpha
43 BillingEmail Billing Email Alpha
44 BillingPOBox Billing P.O. Box Alpha
Appointment Details Field Name Description Field Type Acceptable Values
45 Faxconfirmation Fax confirmation of appointment Numeric 1=Yes;2=No
46 Emailconfirmation Email confirmation of appointment Numeric 1=Yes;2=No
47 Phoneconfirmation Phone confirmation of appointment Numeric 1=Yes;2=No
48 Notes Notes Alpha
49 ArrangeAppointment Arrange Appointment with claimant/patient Numeric 1=Yes;2=No
50 ConfirmAppointment Confirm Appointment with claimant/patient Numeric 1=Yes;2=No
51 DateandTime Date and Time of appointment Date/Time YYYY-MM-DD HH:MM:SS
52 Duration Duration (Calculated in hours) Numeric e.g 3.5 (this represents 3 hours 30 minutes)
53 AppointmentLocation Location Alpha
54 TypeofAssessment Type of Assessment Alpha
55 Language Language Alpha
56 GenderofInterpreter Gender of Interpreter Numeric 1=Male;2=Female;3=NoPreferences

Transportation Fields

Identifiers Field Name Description Field Type Acceptable Values
1 CaseID Unique Identifier for Case Numberic
2 ServiceID Unique Identifier for Service Numberic
3 CustomerID Unique Identifier for SmartSimple Customer Alpha
4 Source Source Type Numberic 10=IME , 20=Insurer
5 TypeofService Type of Service Numeric 2
6 ProtocolPassword Protocol Password
PostTest Testing flag used to indicate test submissions Numeric 1=True , 0=False
Referral Field Name Description Field Type Acceptable Values
7 ReferralFirstName Referral First Name Alpha
8 ReferralLastName Referral Last Name Alpha
9 ReferralAddress Referral Address Alpha
10 ReferralCity Referral City Alpha
11 ReferralProvince Referral Province/State Alpha
12 ReferralPostalCode Referral Postal Code Alpha
13 ReferralCountry Referral Country Alpha
14 ReferralFileNumber Referral File Number (system) Alpha
15 ReferralPhoneNumber Referral Phone Number Alpha
16 ReferralFaxNumber Referral Fax Number Alpha
17 ReferralEmail Referral Email Alpha
18 ReferralCompany Referral Company Alpha
Claimant Field Name Description Field Type Acceptable Values
19 ClaimantFirstName Claimant First Name Alpha
20 ClaimantLastName Claimant Last Name Alpha
21 ClaimantApt Claimant Apt/Suite Alpha
22 ClaimantBuzzer Claimant Buzzer Alpha
23 ClaimantAddress Claimant Address Alpha
24 ClaimantCity Claimant City Alpha
25 ClaimantProvince Claimant Province/State Alpha
26 ClaimantPostalCode Claimant Postal Code Alpha
27 ClaimantCountry Claimant Country Alpha
28 ClaimantPhone Claimant Phone Alpha
29 ClaimantFax Claimant Fax Alpha
30 ClaimFile Claim # Alpha
31 DateofLoss Date of Loss Date/Time YYYY-MM-DD
32 ClaimantPolicyNumber Claimant Policy Number Alpha
33 ClaimantPOBox Claimant P.O. Box Alpha
33 Billingsameasreferral Billing same as referral Numeric 1=Yes;2=No
*Note that this section controls if the Billing section below is visible.
Billing Field Name Description Field Type Acceptable Values
34 BillingFirstName Billing First Name Alpha
35 BillingLastName Billing Last Name Alpha
36 BillingCompany Billing Company Alpha
37 BillingAddress Billing Address Alpha
38 BillingCity Billing City Alpha
39 BillingProvince Billing Province/State Alpha
40 BillingPostalCode Billing Postal Code Alpha
41 BillingPhone Billing Phone Alpha
42 BillingFax Billing Fax Alpha
43 BillingEmail Billing Email Alpha
44 BillingPOBox Billing P.O. Box Alpha
Appointment Details Field Name Description Field Type Acceptable Values
45 Faxconfirmation Fax confirmation of appointment Numeric 1=Yes;2=No
46 Emailconfirmation Email confirmation of appointment Numeric 1=Yes;2=No
47 Phoneconfirmation Phone confirmation of appointment Numeric 1=Yes;2=No
48 Notes Notes Alpha
49 ArrangeAppointment Arrange Appointment with claimant/patient Numeric 1=Yes;2=No
50 ConfirmAppointment Confirm Appointment with claimant/patient Numeric 1=Yes;2=No
51 DateandTime Date and Time of appointment Date/Time YYYY-MM-DD HH:MM:SS
52 Duration Duration (Calculated in hours) Numeric e.g 3.5 (this represents 3 hours 30 minutes)
53 AppointmentLocation Location Alpha
54 TypeofAssessment Type of Assessment Alpha
Pickup Details Field Name Description Field Type Acceptable Values
55 PickupTime Pickup Time Date/Time YYYY-MM-DD HH:MM:SS
56 WheelchairVehicle Does claimant require a wheelchair accessible vehicle? Numeric 1=Yes;2=No
57 SpecialNeeds Does claimant require special needs (e.g. Assistance)? Numeric 1=Yes;2=No
58 PickupSame Is Pickup Address same as Claimant Address? Alpha 1=Yes;2=No
Note the fields below will be populated by SmartSimple if No is selected for the field above
59 PickupAddress Pickup Address Alpha
60 PickupCity Pickup City Alpha
61 PickupPostalCode Postal Code Alpha
62 PickupApt Pickup Apt/Suite Alpha
63 PickupBuzzer Pickup Buzzer Alpha
64 PickupProvince Pickup Province/State Alpha
65 PickupPhone Pickup Phone Alpha

Field List transferred to SmartSimple

  • Note that all fields are mandatory, with the exception of notes
  • reference is unique to each transaction
  • provideremail field is used to send error messages via email if the record cannot be processed.


Sample Error Messages

The following messages will be generated by SmartSimple and sent by E-Mail

  • Empty field or incorrect field type
  • Invalid provider name, case, or service ID
  • Invalid field value
  • Invalid Provider Key during submission


# Field Name Field Type Description
1 providerkey Alpha Unique authentication key provided by SmartSimple.
2 caseid Numeric Unique case identifier as provided by SmartSimple when transferring the service request.
3 serviceid Numeric Unique service identifier as provided by SmartSimple when transferring the service request.
4 typeofservice Numeric Interpretation records - set to 1. Transportation records - set to 2.
5 client String SmartSimple Client Identifier as provided by SmartSimple when transferring the service request. NOTE this is not the client/patient identified - but the SmartSimple customer identified.
6 source Numeric This represents the SmartSimple client type: 10 for IME client and 20 for Insurer client.
7 gapcode Alpha Goods, Administration, and Other Codes(GAP). This list corresponds to the HCAI GAP Code list.
8 rate Numeric Rate for Service.
9 measure Alpha Unit Measure. This list corresponds to the HCAI Unit Measure Codes.
10 quantity Numeric Quantity
11 tax Alpha Options: Yes;No
12 taxtype Alpha Options: No;HST;GST;BCST;NSST;QST
13 total Numeric, two decimal Rate*Quantity
14 taxamt Numeric, two decimal Calculated tax amount.
15 grossamt Numeric, two decimal [Total]+[TaxAmount]
16 reference Alpha Unique Service Provider identifier for billing transaction.
17 confirmationnum Alpha Optional confirmation number provided to SmartSimple when service request is sent to provider
18 provider Alpha Name of the Service Provider
19 provideremail Alpha Email address of contact at service provider.
20 notes Alpha Service Provider notes for this transaction.

See Also

Retrieved from ‘https://wiki.smartsimple.com/index.php?title=Service_Provider_Integration_Fields&oldid=30631’