Service Provider Integration Fields

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.

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

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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

See Also

• Service Provider Integration