Service Provider Integration Fields
Contents
Field List 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 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 | 1 |
| 6 | ProtocolPassword | Protocol Password | ||
| 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/State | Referral Province/State | Alpha | |
| 12 | ReferralPostalCode | Referral PostalCode | Alpha | |
| 13 | ReferralCountry | Referral Country | Alpha | |
| 14 | ReferralFileNumber | Referral FileNumber | 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/Suite | Claimant Apt/Suite | Alpha | |
| 22 | ClaimantBuzzer | Claimant Buzzer | Alpha | |
| 23 | ClaimantAddress | Claimant Address | Alpha | |
| 24 | ClaimantCity | Claimant City | Alpha | |
| 25 | ClaimantProvince/State | Claimant Province/State | Alpha | |
| 26 | ClaimantPostalCode | Claimant PostalCode | Alpha | |
| 27 | ClaimantCountry | Claimant Country | Alpha | |
| 28 | ClaimantPhone | Claimant Phone | Alpha | |
| 29 | ClaimantFax | Claimant Fax | Alpha | |
| 30 | ClaimFile | Claim File | Alpha | |
| 31 | DateofLoss | Dateof Loss | Date/Time | YYYY-MM-DD |
| 32 | ClaimantPolicyNumber | Claimant Policy Number | Alpha | |
| 33 | ClaimantP.O.Box | Claimant P.O. Box | Alpha | |
| 33 | Billingsameasreferral | Billing same as referral | Numeric | 1=Yes;2=No |
| 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/State | 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 | BillingP.O.Box | Billing P.O. Box | Alpha | |
| Appointment Details | Field Name | Description | Field Type | Acceptable Values |
| 45 | Faxconfirmationofappointment | Fax confirmation of appointment | Numeric | 1=Yes;2=No |
| 46 | Emailconfirmationofappointment | Email confirmation of appointment | Numeric | 1=Yes;2=No |
| 47 | Phoneconfirmationofappointment | Phone confirmation of appointment | Numeric | 1=Yes;2=No |
| 48 | Notes | Notes | Alpha | |
| 49 | ArrangeAppointmentwithclaimant | Arrange Appointment with claimant/patient | Numeric | 1=Yes;2=No |
| 50 | ConfirmAppointmentwithclaimant | Confirm Appointment with claimant/patient | Numeric | 1=Yes;2=No |
| 51 | DateandTime | Date and Time of appointment | Date/Time | YYYY-MM-DDHH:MM:SS |
| 52 | Duration | Duration | Date/Time | hh:mm |
| 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 | ||
| 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/State | Referral Province/State | Alpha | |
| 12 | ReferralPostalCode | Referral PostalCode | Alpha | |
| 13 | ReferralCountry | Referral Country | Alpha | |
| 14 | ReferralFileNumber | Referral FileNumber | 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/Suite | Claimant Apt/Suite | Alpha | |
| 22 | ClaimantBuzzer | Claimant Buzzer | Alpha | |
| 23 | ClaimantAddress | Claimant Address | Alpha | |
| 24 | ClaimantCity | Claimant City | Alpha | |
| 25 | ClaimantProvince/State | Claimant Province/State | Alpha | |
| 26 | ClaimantPostalCode | Claimant PostalCode | Alpha | |
| 27 | ClaimantCountry | Claimant Country | Alpha | |
| 28 | ClaimantPhone | Claimant Phone | Alpha | |
| 29 | ClaimantFax | Claimant Fax | Alpha | |
| 30 | ClaimFile | Claim File | Alpha | |
| 31 | DateofLoss | Dateof Loss | Date/Time | YYYY-MM-DD |
| 32 | ClaimantPolicyNumber | Claimant Policy Number | Alpha | |
| 33 | ClaimantP.O.Box | Claimant P.O. Box | Alpha | |
| 33 | Billingsameasreferral | Billing same as referral | Numeric | 1=Yes;2=No |
| 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/State | 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 | BillingP.O.Box | Billing P.O. Box | Alpha | |
| Appointment Details | Field Name | Description | Field Type | Acceptable Values |
| 45 | Faxconfirmationofappointment | Fax confirmation of appointment | Numeric | 1=Yes;2=No |
| 46 | Emailconfirmationofappointment | Email confirmation of appointment | Numeric | 1=Yes;2=No |
| 47 | Phoneconfirmationofappointment | Phone confirmation of appointment | Numeric | 1=Yes;2=No |
| 48 | Notes | Notes | Alpha | |
| 49 | ArrangeAppointmentwithclaimant | Arrange Appointment with claimant/patient | Numeric | 1=Yes;2=No |
| 50 | ConfirmAppointmentwithclaimant | Confirm Appointment with claimant/patient | Numeric | 1=Yes;2=No |
| 51 | DateandTime | Date and Time of appointment | Date/Time | YYYY-MM-DDHH:MM:SS |
| 52 | Duration | Duration | Date/Time | hh:mm |
| 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-DDHH:MM:SS |
| 56 | PickupAddress | Pickup Address | Alpha | |
| 57 | PickupCity | Pickup City | Alpha | |
| 58 | PickupPostalCode | Postal Code | Alpha | |
| 59 | PickupApt/Suite | Pickup Apt/Suite | Alpha | |
| 60 | PickupBuzzer | Pickup Buzzer | Alpha | |
| 61 | PickupProvince/State | Pickup Province/State | Alpha | |
| 62 | PickupPhone | Pickup Phone | Alpha | |
| 63 | WheelchairVehicle | Does claimant require a wheelchair accessible vehicle? | Numeric | 1=Yes;2=No |
| 64 | SpecialNeeds | Does claimant require special needs (e.g. Assistance)? | Numeric | 1=Yes;2=No |
Field List transferred to SmartSimple
- Note that all fields are mandatory, with the exception of Notes
- References is unique to each transaction
- ProviderEmail field is used to send error messages via email if the record cannot be processed.
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
| # | Field Name | Field Type | Comments |
|---|---|---|---|
| 1 | 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 | 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 | 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 HCAI GAP Code list. |
| 7 | Rate | Numeric | Rate for Service. |
| 8 | Measure | Alpha | Unit Measure. This list corresponds to the HCAI Unit Measure Codes. |
| 9 | Quantity | Numeric | Quantity |
| 10 | Tax | Alpha | Options: Yes;No |
| 11 | TaxType | Alpha | Options: No;HST;GST;BCST;NSST;QST |
| 12 | Total | Numeric, two decimal | Rate*Quantity |
| 13 | TaxAmount | Numeric, two decimal | Calculated tax amount. |
| 14 | GrossAmount | Numeric, two decimal | [Total]+[TaxAmount] |
| 15 | Reference | Alpha | Unique Service Provider identifier for billing transaction. |
| 16 | ProviderName | Alpha | Name of Provider - SmartSimple will provide name to provider. |
| 17 | ProviderEmail | Alpha | Email address of contact at service provider. |
| 18 | Notes | Alpha | Service Provider notes for this transaction. |