CPT (Current Procedural Terminology) code for UCR estimation

Member’s first name; as printed on the insurance card. Recommended to add.

Member’s unique insurance ID, as printed on the insurance card

Member’s last name; as printed on the insurance card. Recommended to add.

Code specifies the modality of the patient's appointment

An identifier for the office or location being visited.

Patient's id

Patient type for the cost estimation

Unique external payer ID associated with the insurer

Service provider's city

Service provider's first name

Service provider's last name

Service Provider’s 10-character NPI

Whether the rendering provider is contracted with this payer as a specialist or as primary care. Many plans price the two differently. The role is per payer, so send the one that applies to the payer_id on this request rather than a single value stored against the clinician. Leave unset if you do not know; the estimate then behaves as before.

Service provider's state

Service provider's street address

Service provider's street address

Service provider's zip code