| Name | Description | Type | Additional information |
|---|---|---|---|
| VisitId | integer |
None. |
|
| FlexPatientId | string |
None. |
|
| PatientAccountId | integer |
None. |
|
| PayTypeId | integer |
None. |
|
| string |
None. |
||
| RoutingBankNumber | string |
None. |
|
| BankAccountNumber | string |
None. |
|
| BankAccountName | string |
None. |
|
| BankAccountType | string |
None. |
|
| BankName | string |
None. |
|
| Amount | decimal number |
None. |
|
| ECheckType | string |
None. |
|
| CheckNumber | string |
None. |
|
| IsPriorPay | boolean |
None. |
|
| HealthPlanPurchase | HealthPlanPurchaseVm |
None. |
|
| Address | string |
None. |
|
| City | string |
None. |
|
| State | string |
None. |
|
| ZipCode | string |
None. |
|
| FirstName | string |
None. |
|
| LastName | string |
None. |