| Name | Description | Type | Additional information |
|---|---|---|---|
| VisitId | integer |
None. |
|
| PatientAccountId | integer |
None. |
|
| CardType | string |
None. |
|
| PayTypeId | integer |
None. |
|
| CardNumber | string |
None. |
|
| Ccv | string |
None. |
|
| ExpirationYear | integer |
None. |
|
| ExpirationMonth | integer |
None. |
|
| ExpirationDate | string |
None. |
|
| FirstName | string |
None. |
|
| LastName | string |
None. |
|
| Amount | decimal number |
None. |
|
| Description | string |
None. |
|
| Address1 | string |
None. |
|
| Address2 | string |
None. |
|
| City | string |
None. |
|
| PostalCode | string |
None. |
|
| State | string |
None. |
|
| Zip | string |
None. |
|
| IsPriorPay | boolean |
None. |
|
| HealthPlanPurchase | HealthPlanPurchaseVm |
None. |
|
| Last4 | string |
None. |
|
| CardHolderName | string |
None. |
|
| SendReceiptToEmail | boolean |
None. |
|
| SendReceiptToPhone | boolean |
None. |
|
| FlexPatientId | string |
None. |
|
| Phone | string |
None. |
|
| string |
None. |
||
| IsActive | boolean |
None. |
|
| FlexProfileId | string |
None. |