candidhealth 0.0.0 → 0.17.1
This diff represents the content of publicly available package versions that have been released to one of the supported registries. The information contained in this diff is provided for informational purposes only and reflects changes between package versions as they appear in their respective public registries.
- checksums.yaml +4 -4
- data/lib/candidhealth/auth/client.rb +9 -11
- data/lib/candidhealth/auth/v_2/client.rb +90 -0
- data/lib/candidhealth/auth/v_2/types/auth_get_token_request.rb +54 -0
- data/lib/candidhealth/auth/v_2/types/auth_get_token_response.rb +59 -0
- data/lib/candidhealth/auth/v_2/types/too_many_requests_error_type.rb +49 -0
- data/lib/candidhealth/billing_notes/client.rb +6 -8
- data/lib/candidhealth/billing_notes/v_2/client.rb +21 -133
- data/lib/candidhealth/billing_notes/v_2/types/billing_note.rb +72 -95
- data/lib/candidhealth/billing_notes/v_2/types/billing_note_base.rb +33 -44
- data/lib/candidhealth/billing_notes/v_2/types/billing_note_id.rb +9 -0
- data/lib/candidhealth/claim_submission/v_1/types/claim_frequency_type_code.rb +5 -6
- data/lib/candidhealth/claim_submission/v_1/types/claim_submission_record_create.rb +49 -81
- data/lib/candidhealth/claim_submission/v_1/types/external_claim_submission_create.rb +56 -78
- data/lib/candidhealth/claims/types/claim.rb +80 -114
- data/lib/candidhealth/claims/types/claim_status.rb +17 -19
- data/lib/candidhealth/commons/types/claim_adjustment_group_codes.rb +11 -14
- data/lib/candidhealth/commons/types/claim_id.rb +7 -0
- data/lib/candidhealth/commons/types/claim_submission_payer_responsibility_type.rb +4 -6
- data/lib/candidhealth/commons/types/date.rb +7 -0
- data/lib/candidhealth/commons/types/date_range_optional_end.rb +40 -57
- data/lib/candidhealth/commons/types/decimal.rb +7 -0
- data/lib/candidhealth/commons/types/delay_reason_code.rb +17 -19
- data/lib/candidhealth/commons/types/email.rb +7 -0
- data/lib/candidhealth/commons/types/emr_payer_crosswalk.rb +4 -6
- data/lib/candidhealth/commons/types/encounter_external_id.rb +7 -0
- data/lib/candidhealth/commons/types/encounter_id.rb +7 -0
- data/lib/candidhealth/commons/types/entity_not_found_error_message.rb +34 -45
- data/lib/candidhealth/commons/types/error_message.rb +7 -0
- data/lib/candidhealth/commons/types/facility_type_code.rb +55 -58
- data/lib/candidhealth/commons/types/http_service_unavailable_error_message.rb +34 -47
- data/lib/candidhealth/commons/types/insurance_type_code.rb +73 -76
- data/lib/candidhealth/commons/types/invoice_id.rb +7 -0
- data/lib/candidhealth/commons/types/link_url.rb +7 -0
- data/lib/candidhealth/commons/types/npi.rb +7 -0
- data/lib/candidhealth/commons/types/organization_id.rb +7 -0
- data/lib/candidhealth/commons/types/organization_not_authorized_error_message.rb +34 -46
- data/lib/candidhealth/commons/types/page_token.rb +7 -0
- data/lib/candidhealth/commons/types/patient_external_id.rb +7 -0
- data/lib/candidhealth/commons/types/patient_relationship_to_insured_code_all.rb +26 -28
- data/lib/candidhealth/commons/types/phone_number.rb +39 -55
- data/lib/candidhealth/commons/types/phone_number_type.rb +5 -7
- data/lib/candidhealth/commons/types/procedure_modifier.rb +389 -403
- data/lib/candidhealth/commons/types/provider_id.rb +7 -0
- data/lib/candidhealth/commons/types/region_national.rb +29 -39
- data/lib/candidhealth/commons/types/region_states.rb +34 -45
- data/lib/candidhealth/commons/types/regions.rb +72 -78
- data/lib/candidhealth/commons/types/removable_date_range_optional_end.rb +71 -77
- data/lib/candidhealth/commons/types/request_validation_error.rb +39 -57
- data/lib/candidhealth/commons/types/resource_page.rb +40 -57
- data/lib/candidhealth/commons/types/service_line_id.rb +7 -0
- data/lib/candidhealth/commons/types/service_line_units.rb +4 -6
- data/lib/candidhealth/commons/types/sort_direction.rb +4 -6
- data/lib/candidhealth/commons/types/source_of_payment_code.rb +25 -28
- data/lib/candidhealth/commons/types/state.rb +64 -66
- data/lib/candidhealth/commons/types/street_address_base.rb +61 -84
- data/lib/candidhealth/commons/types/street_address_long_zip.rb +68 -93
- data/lib/candidhealth/commons/types/street_address_short_zip.rb +68 -93
- data/lib/candidhealth/commons/types/task_assignment_id.rb +7 -0
- data/lib/candidhealth/commons/types/task_id.rb +7 -0
- data/lib/candidhealth/commons/types/task_note_id.rb +7 -0
- data/lib/candidhealth/commons/types/tax_id.rb +7 -0
- data/lib/candidhealth/commons/types/unauthorized_error_message.rb +34 -47
- data/lib/candidhealth/commons/types/unprocessable_entity_error_message.rb +34 -47
- data/lib/candidhealth/commons/types/updates_disabled_due_to_external_system_integration_error_message.rb +34 -49
- data/lib/candidhealth/commons/types/user_id.rb +7 -0
- data/lib/candidhealth/commons/types/work_queue_id.rb +7 -0
- data/lib/candidhealth/contracts/client.rb +6 -8
- data/lib/candidhealth/contracts/v_2/client.rb +131 -239
- data/lib/candidhealth/contracts/v_2/types/authorized_signatory.rb +67 -92
- data/lib/candidhealth/contracts/v_2/types/authorized_signatory_update.rb +70 -76
- data/lib/candidhealth/contracts/v_2/types/contract.rb +141 -178
- data/lib/candidhealth/contracts/v_2/types/contract_base.rb +106 -134
- data/lib/candidhealth/contracts/v_2/types/contract_id.rb +9 -0
- data/lib/candidhealth/contracts/v_2/types/contract_is_linked_to_fee_schedule_error.rb +33 -44
- data/lib/candidhealth/contracts/v_2/types/contract_status.rb +4 -6
- data/lib/candidhealth/contracts/v_2/types/contract_with_providers.rb +152 -191
- data/lib/candidhealth/contracts/v_2/types/contracting_provider_id.rb +9 -0
- data/lib/candidhealth/contracts/v_2/types/contracts_page.rb +47 -70
- data/lib/candidhealth/contracts/v_2/types/date_update.rb +71 -76
- data/lib/candidhealth/contracts/v_2/types/insurance_types.rb +80 -86
- data/lib/candidhealth/contracts/v_2/types/regions_update.rb +70 -76
- data/lib/candidhealth/contracts/v_2/types/rendering_providerid.rb +9 -0
- data/lib/candidhealth/diagnoses/types/diagnosis.rb +91 -145
- data/lib/candidhealth/diagnoses/types/diagnosis_create.rb +58 -111
- data/lib/candidhealth/diagnoses/types/diagnosis_id.rb +7 -0
- data/lib/candidhealth/diagnoses/types/diagnosis_type_code.rb +12 -14
- data/lib/candidhealth/diagnoses/types/standalone_diagnosis_create.rb +64 -120
- data/lib/candidhealth/eligibility/client.rb +6 -8
- data/lib/candidhealth/eligibility/v_2/client.rb +70 -272
- data/lib/candidhealth/encounter_providers/v_2/types/billing_provider.rb +86 -139
- data/lib/candidhealth/encounter_providers/v_2/types/encounter_provider.rb +85 -141
- data/lib/candidhealth/encounter_providers/v_2/types/encounter_provider_base.rb +44 -73
- data/lib/candidhealth/encounter_providers/v_2/types/provider_id.rb +9 -0
- data/lib/candidhealth/encounter_providers/v_2/types/referring_provider.rb +73 -105
- data/lib/candidhealth/encounter_providers/v_2/types/rendering_provider.rb +73 -105
- data/lib/candidhealth/encounters/client.rb +6 -8
- data/lib/candidhealth/encounters/v_4/client.rb +502 -1828
- data/lib/candidhealth/encounters/v_4/types/billable_status_type.rb +3 -5
- data/lib/candidhealth/encounters/v_4/types/cash_pay_payer_error_message.rb +33 -44
- data/lib/candidhealth/encounters/v_4/types/clinical_note.rb +50 -76
- data/lib/candidhealth/encounters/v_4/types/clinical_note_category.rb +45 -70
- data/lib/candidhealth/encounters/v_4/types/clinical_note_category_create.rb +40 -57
- data/lib/candidhealth/encounters/v_4/types/coding_attribution_type.rb +5 -7
- data/lib/candidhealth/encounters/v_4/types/encounter.rb +472 -849
- data/lib/candidhealth/encounters/v_4/types/encounter_base.rb +248 -334
- data/lib/candidhealth/encounters/v_4/types/encounter_external_id_uniqueness_error_type.rb +34 -47
- data/lib/candidhealth/encounters/v_4/types/encounter_guarantor_missing_contact_info_error_type.rb +33 -46
- data/lib/candidhealth/encounters/v_4/types/encounter_owner_of_next_action_type.rb +5 -7
- data/lib/candidhealth/encounters/v_4/types/encounter_page.rb +47 -70
- data/lib/candidhealth/encounters/v_4/types/encounter_patient_control_number_uniqueness_error_type.rb +33 -46
- data/lib/candidhealth/encounters/v_4/types/encounter_sort_options.rb +5 -7
- data/lib/candidhealth/encounters/v_4/types/encounter_submission_origin_type.rb +3 -5
- data/lib/candidhealth/encounters/v_4/types/intake_follow_up.rb +44 -63
- data/lib/candidhealth/encounters/v_4/types/intake_follow_up_id.rb +9 -0
- data/lib/candidhealth/encounters/v_4/types/intake_question.rb +46 -66
- data/lib/candidhealth/encounters/v_4/types/intake_question_id.rb +9 -0
- data/lib/candidhealth/encounters/v_4/types/intake_response_and_follow_ups.rb +40 -59
- data/lib/candidhealth/encounters/v_4/types/intervention.rb +66 -92
- data/lib/candidhealth/encounters/v_4/types/intervention_category.rb +5 -7
- data/lib/candidhealth/encounters/v_4/types/lab.rb +43 -63
- data/lib/candidhealth/encounters/v_4/types/lab_code_type.rb +3 -5
- data/lib/candidhealth/encounters/v_4/types/medication.rb +68 -92
- data/lib/candidhealth/encounters/v_4/types/note_category.rb +15 -17
- data/lib/candidhealth/encounters/v_4/types/patient_history_category.rb +40 -57
- data/lib/candidhealth/encounters/v_4/types/patient_history_category_enum.rb +5 -7
- data/lib/candidhealth/encounters/v_4/types/prior_authorization_number.rb +9 -0
- data/lib/candidhealth/encounters/v_4/types/responsible_party_type.rb +4 -6
- data/lib/candidhealth/encounters/v_4/types/rx_cui.rb +9 -0
- data/lib/candidhealth/encounters/v_4/types/service_authorization_exception_code.rb +10 -14
- data/lib/candidhealth/encounters/v_4/types/synchronicity_type.rb +3 -5
- data/lib/candidhealth/encounters/v_4/types/vitals.rb +62 -100
- data/lib/candidhealth/era/types/era.rb +46 -62
- data/lib/candidhealth/era/types/era_base.rb +40 -55
- data/lib/candidhealth/era/types/era_id.rb +7 -0
- data/lib/candidhealth/era/types/era_not_fully_processed_error_message.rb +40 -55
- data/lib/candidhealth/era_commons/types/claim_status_code_create.rb +12 -14
- data/lib/candidhealth/expected_network_status/client.rb +10 -16
- data/lib/candidhealth/expected_network_status/v_1/client.rb +29 -70
- data/lib/candidhealth/expected_network_status/v_1/types/expected_network_status.rb +4 -6
- data/lib/candidhealth/expected_network_status/v_1/types/expected_network_status_response.rb +49 -69
- data/lib/candidhealth/expected_network_status/v_2/client.rb +69 -108
- data/lib/candidhealth/expected_network_status/v_2/types/compute_all_in_network_providers_request.rb +96 -129
- data/lib/candidhealth/expected_network_status/v_2/types/compute_all_in_network_providers_response.rb +47 -62
- data/lib/candidhealth/expected_network_status/v_2/types/compute_all_in_network_rendering_providers_result.rb +82 -89
- data/lib/candidhealth/expected_network_status/v_2/types/expected_network_status_check_error_message.rb +33 -45
- data/lib/candidhealth/expected_network_status/v_2/types/expected_network_status_request_v_2.rb +96 -129
- data/lib/candidhealth/expected_network_status/v_2/types/expected_network_status_response_v_2.rb +44 -59
- data/lib/candidhealth/expected_network_status/v_2/types/expected_network_status_subscriber_information.rb +49 -68
- data/lib/candidhealth/expected_network_status/v_2/types/expected_network_status_v_2.rb +82 -88
- data/lib/candidhealth/expected_network_status/v_2/types/explanation.rb +9 -11
- data/lib/candidhealth/expected_network_status/v_2/types/in_network_rendering_providers_detail.rb +51 -66
- data/lib/candidhealth/expected_network_status/v_2/types/in_network_status.rb +41 -57
- data/lib/candidhealth/expected_network_status/v_2/types/indeterminate_network_status.rb +57 -76
- data/lib/candidhealth/expected_network_status/v_2/types/insurance_type.rb +43 -59
- data/lib/candidhealth/expected_network_status/v_2/types/insurance_type_codes.rb +80 -89
- data/lib/candidhealth/expected_network_status/v_2/types/line_of_business.rb +4 -6
- data/lib/candidhealth/expected_network_status/v_2/types/network_status_check_id.rb +9 -0
- data/lib/candidhealth/expected_network_status/v_2/types/out_of_network_status.rb +50 -65
- data/lib/candidhealth/expected_network_status/v_2/types/service_type.rb +42 -44
- data/lib/candidhealth/exports/client.rb +6 -8
- data/lib/candidhealth/exports/v_3/client.rb +48 -98
- data/lib/candidhealth/exports/v_3/types/get_exports_response.rb +58 -79
- data/lib/candidhealth/financials/types/account_type.rb +4 -7
- data/lib/candidhealth/financials/types/allocation.rb +43 -60
- data/lib/candidhealth/financials/types/allocation_create.rb +45 -63
- data/lib/candidhealth/financials/types/allocation_target.rb +95 -115
- data/lib/candidhealth/financials/types/allocation_target_create.rb +98 -127
- data/lib/candidhealth/financials/types/billing_provider_allocation_target.rb +35 -45
- data/lib/candidhealth/financials/types/claim_allocation_target.rb +41 -55
- data/lib/candidhealth/financials/types/invoice_update.rb +72 -77
- data/lib/candidhealth/financials/types/note_update.rb +71 -77
- data/lib/candidhealth/financials/types/patient_transaction_source.rb +9 -11
- data/lib/candidhealth/financials/types/refund_reason.rb +3 -5
- data/lib/candidhealth/financials/types/refund_reason_update.rb +71 -77
- data/lib/candidhealth/financials/types/service_line_allocation_target.rb +48 -62
- data/lib/candidhealth/guarantor/client.rb +6 -8
- data/lib/candidhealth/guarantor/v_1/client.rb +116 -139
- data/lib/candidhealth/guarantor/v_1/types/encounter_has_existing_guarantor_error_type.rb +33 -45
- data/lib/candidhealth/guarantor/v_1/types/guarantor.rb +100 -131
- data/lib/candidhealth/guarantor/v_1/types/guarantor_base.rb +65 -89
- data/lib/candidhealth/guarantor/v_1/types/guarantor_create.rb +93 -123
- data/lib/candidhealth/guarantor/v_1/types/guarantor_id.rb +9 -0
- data/lib/candidhealth/identifiers/types/identifier.rb +64 -85
- data/lib/candidhealth/identifiers/types/identifier_base.rb +53 -77
- data/lib/candidhealth/identifiers/types/identifier_code.rb +4 -6
- data/lib/candidhealth/identifiers/types/identifier_create.rb +53 -77
- data/lib/candidhealth/identifiers/types/identifier_id.rb +7 -0
- data/lib/candidhealth/identifiers/types/identifier_update.rb +65 -86
- data/lib/candidhealth/identifiers/types/identifier_value.rb +72 -78
- data/lib/candidhealth/identifiers/types/medicaid_provider_identifier.rb +39 -55
- data/lib/candidhealth/identifiers/types/medicare_provider_identifier.rb +39 -55
- data/lib/candidhealth/identifiers/types/updatable_identifier.rb +84 -89
- data/lib/candidhealth/individual/types/gender.rb +7 -9
- data/lib/candidhealth/individual/types/individual_base.rb +44 -62
- data/lib/candidhealth/individual/types/individual_id.rb +7 -0
- data/lib/candidhealth/individual/types/patient.rb +108 -169
- data/lib/candidhealth/individual/types/patient_base.rb +73 -101
- data/lib/candidhealth/individual/types/patient_create.rb +101 -157
- data/lib/candidhealth/individual/types/subscriber.rb +91 -119
- data/lib/candidhealth/individual/types/subscriber_base.rb +74 -99
- data/lib/candidhealth/individual/types/subscriber_create.rb +84 -111
- data/lib/candidhealth/insurance_adjudications/client.rb +6 -8
- data/lib/candidhealth/insurance_adjudications/v_1/client.rb +47 -110
- data/lib/candidhealth/insurance_adjudications/v_1/types/claim_adjudication.rb +81 -106
- data/lib/candidhealth/insurance_adjudications/v_1/types/claim_adjudication_create.rb +74 -98
- data/lib/candidhealth/insurance_adjudications/v_1/types/insurance_adjudication.rb +80 -104
- data/lib/candidhealth/insurance_adjudications/v_1/types/insurance_adjudication_create.rb +87 -129
- data/lib/candidhealth/insurance_adjudications/v_1/types/insurance_adjudication_id.rb +9 -0
- data/lib/candidhealth/insurance_adjudications/v_1/types/service_line_adjudication.rb +91 -121
- data/lib/candidhealth/insurance_adjudications/v_1/types/service_line_adjudication_create.rb +84 -113
- data/lib/candidhealth/insurance_adjudications/v_1/types/service_line_adjudication_id.rb +9 -0
- data/lib/candidhealth/insurance_cards/v_2/types/insurance_card.rb +105 -148
- data/lib/candidhealth/insurance_cards/v_2/types/insurance_card_base.rb +55 -84
- data/lib/candidhealth/insurance_cards/v_2/types/insurance_card_create.rb +104 -148
- data/lib/candidhealth/insurance_cards/v_2/types/insurance_card_id.rb +9 -0
- data/lib/candidhealth/insurance_payments/client.rb +6 -8
- data/lib/candidhealth/insurance_payments/v_1/client.rb +175 -78
- data/lib/candidhealth/insurance_payments/v_1/types/insurance_payment.rb +77 -101
- data/lib/candidhealth/insurance_payments/v_1/types/insurance_payment_create.rb +91 -0
- data/lib/candidhealth/insurance_payments/v_1/types/insurance_payment_id.rb +9 -0
- data/lib/candidhealth/insurance_payments/v_1/types/insurance_payment_sort_field.rb +4 -6
- data/lib/candidhealth/insurance_payments/v_1/types/insurance_payments_page.rb +47 -70
- data/lib/candidhealth/insurance_refunds/client.rb +6 -8
- data/lib/candidhealth/insurance_refunds/v_1/client.rb +108 -200
- data/lib/candidhealth/insurance_refunds/v_1/types/insurance_refund.rb +83 -109
- data/lib/candidhealth/insurance_refunds/v_1/types/insurance_refund_create.rb +76 -101
- data/lib/candidhealth/insurance_refunds/v_1/types/insurance_refund_id.rb +9 -0
- data/lib/candidhealth/insurance_refunds/v_1/types/insurance_refund_sort_field.rb +5 -7
- data/lib/candidhealth/insurance_refunds/v_1/types/insurance_refunds_page.rb +47 -70
- data/lib/candidhealth/invoices/types/invoice.rb +117 -152
- data/lib/candidhealth/invoices/types/invoice_item.rb +40 -55
- data/lib/candidhealth/invoices/types/invoice_status.rb +7 -10
- data/lib/candidhealth/organization_providers/client.rb +6 -8
- data/lib/candidhealth/organization_providers/v_2/types/address_type.rb +2 -4
- data/lib/candidhealth/organization_providers/v_2/types/employment_status.rb +3 -5
- data/lib/candidhealth/organization_providers/v_2/types/license_type.rb +69 -102
- data/lib/candidhealth/organization_providers/v_2/types/organization_provider.rb +138 -189
- data/lib/candidhealth/organization_providers/v_2/types/organization_provider_address.rb +42 -59
- data/lib/candidhealth/organization_providers/v_2/types/organization_provider_base.rb +112 -157
- data/lib/candidhealth/organization_providers/v_2/types/organization_provider_id.rb +9 -0
- data/lib/candidhealth/organization_providers/v_2/types/organization_provider_sort_options.rb +5 -7
- data/lib/candidhealth/organization_providers/v_2/types/provider_type.rb +3 -5
- data/lib/candidhealth/organization_providers/v_3/client.rb +80 -166
- data/lib/candidhealth/organization_providers/v_3/types/organization_provider_create_v_2.rb +124 -171
- data/lib/candidhealth/organization_providers/v_3/types/organization_provider_page_v_2.rb +47 -70
- data/lib/candidhealth/organization_providers/v_3/types/organization_provider_update_v_2.rb +121 -169
- data/lib/candidhealth/organization_providers/v_3/types/organization_provider_v_2.rb +131 -179
- data/lib/candidhealth/organization_service_facilities/client.rb +6 -8
- data/lib/candidhealth/organization_service_facilities/v_2/client.rb +90 -186
- data/lib/candidhealth/organization_service_facilities/v_2/types/organization_service_facility.rb +111 -149
- data/lib/candidhealth/organization_service_facilities/v_2/types/organization_service_facility_create.rb +104 -141
- data/lib/candidhealth/organization_service_facilities/v_2/types/organization_service_facility_id.rb +9 -0
- data/lib/candidhealth/organization_service_facilities/v_2/types/organization_service_facility_page.rb +47 -70
- data/lib/candidhealth/organization_service_facilities/v_2/types/organization_service_facility_update.rb +104 -141
- data/lib/candidhealth/organization_service_facilities/v_2/types/service_facility_mode.rb +3 -5
- data/lib/candidhealth/organization_service_facilities/v_2/types/service_facility_operational_status.rb +7 -9
- data/lib/candidhealth/organization_service_facilities/v_2/types/service_facility_physical_type.rb +15 -17
- data/lib/candidhealth/organization_service_facilities/v_2/types/service_facility_status.rb +4 -6
- data/lib/candidhealth/organization_service_facilities/v_2/types/service_facility_type.rb +124 -126
- data/lib/candidhealth/patient_payments/client.rb +6 -8
- data/lib/candidhealth/patient_payments/v_3/types/patient_payment.rb +111 -143
- data/lib/candidhealth/patient_payments/v_3/types/patient_payment_id.rb +9 -0
- data/lib/candidhealth/patient_payments/v_3/types/patient_payment_source.rb +10 -12
- data/lib/candidhealth/patient_payments/v_3/types/patient_payment_status.rb +12 -14
- data/lib/candidhealth/patient_payments/v_4/client.rb +103 -200
- data/lib/candidhealth/patient_payments/v_4/types/patient_payment.rb +100 -129
- data/lib/candidhealth/patient_payments/v_4/types/patient_payment_id.rb +9 -0
- data/lib/candidhealth/patient_payments/v_4/types/patient_payment_sort_field.rb +5 -7
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- data/lib/candidhealth/invoices/v_2/types/unattributed_invoice_item.rb +0 -60
- data/lib/candidhealth/medication_dispense/client.rb +0 -30
- data/lib/candidhealth/medication_dispense/v_1/client.rb +0 -114
- data/lib/candidhealth/medication_dispense/v_1/types/medication_dispense_create.rb +0 -142
- data/lib/candidhealth/non_insurance_payer_payments/client.rb +0 -30
- data/lib/candidhealth/non_insurance_payer_payments/v_1/client.rb +0 -344
- data/lib/candidhealth/non_insurance_payer_payments/v_1/types/non_insurance_payer_payment.rb +0 -138
- data/lib/candidhealth/non_insurance_payer_payments/v_1/types/non_insurance_payer_payment_create.rb +0 -124
- data/lib/candidhealth/non_insurance_payer_payments/v_1/types/non_insurance_payer_payment_sort_field.rb +0 -14
- data/lib/candidhealth/non_insurance_payer_payments/v_1/types/non_insurance_payer_payments_page.rb +0 -88
- data/lib/candidhealth/non_insurance_payer_refunds/client.rb +0 -30
- data/lib/candidhealth/non_insurance_payer_refunds/v_1/client.rb +0 -371
- data/lib/candidhealth/non_insurance_payer_refunds/v_1/types/non_insurance_payer_refund.rb +0 -147
- data/lib/candidhealth/non_insurance_payer_refunds/v_1/types/non_insurance_payer_refund_create.rb +0 -133
- data/lib/candidhealth/non_insurance_payer_refunds/v_1/types/non_insurance_payer_refund_sort_field.rb +0 -14
- data/lib/candidhealth/non_insurance_payer_refunds/v_1/types/non_insurance_payer_refunds_page.rb +0 -88
- data/lib/candidhealth/non_insurance_payers/client.rb +0 -30
- data/lib/candidhealth/non_insurance_payers/v_1/client.rb +0 -377
- data/lib/candidhealth/non_insurance_payers/v_1/types/create_non_insurance_payer_request.rb +0 -111
- data/lib/candidhealth/non_insurance_payers/v_1/types/non_insurance_payer.rb +0 -127
- data/lib/candidhealth/non_insurance_payers/v_1/types/non_insurance_payer_address_update.rb +0 -98
- data/lib/candidhealth/non_insurance_payers/v_1/types/non_insurance_payer_category_update.rb +0 -97
- data/lib/candidhealth/non_insurance_payers/v_1/types/non_insurance_payer_description_update.rb +0 -97
- data/lib/candidhealth/non_insurance_payers/v_1/types/non_insurance_payer_page.rb +0 -88
- data/lib/candidhealth/non_insurance_payers/v_1/types/non_insurance_payer_sort_field.rb +0 -16
- data/lib/candidhealth/non_insurance_payers/v_1/types/non_insurance_payer_update_request.rb +0 -110
- data/lib/candidhealth/non_insurance_payers/v_1/types/toggle_non_insurance_payer_enablement_request.rb +0 -62
- data/lib/candidhealth/payer_plan_groups/client.rb +0 -30
- data/lib/candidhealth/payer_plan_groups/v_1/client.rb +0 -356
- data/lib/candidhealth/payer_plan_groups/v_1/types/mutable_payer_plan_group.rb +0 -78
- data/lib/candidhealth/payer_plan_groups/v_1/types/payer_plan_group.rb +0 -114
- data/lib/candidhealth/payer_plan_groups/v_1/types/payer_plan_group_already_exists_error.rb +0 -70
- data/lib/candidhealth/payer_plan_groups/v_1/types/payer_plan_group_page.rb +0 -88
- data/lib/candidhealth/payer_plan_groups/v_1/types/payer_plan_group_sort_field.rb +0 -15
- data/lib/candidhealth/pre_encounter/appointments/client.rb +0 -32
- data/lib/candidhealth/pre_encounter/appointments/v_1/client.rb +0 -580
- data/lib/candidhealth/pre_encounter/appointments/v_1/types/appointment.rb +0 -283
- data/lib/candidhealth/pre_encounter/appointments/v_1/types/appointment_status.rb +0 -18
- data/lib/candidhealth/pre_encounter/appointments/v_1/types/appointment_work_queue.rb +0 -18
- data/lib/candidhealth/pre_encounter/appointments/v_1/types/mutable_appointment.rb +0 -231
- data/lib/candidhealth/pre_encounter/appointments/v_1/types/service.rb +0 -82
- data/lib/candidhealth/pre_encounter/appointments/v_1/types/universal_service_identifier.rb +0 -18
- data/lib/candidhealth/pre_encounter/appointments/v_1/types/visit.rb +0 -96
- data/lib/candidhealth/pre_encounter/appointments/v_1/types/visits_page.rb +0 -98
- data/lib/candidhealth/pre_encounter/client.rb +0 -30
- data/lib/candidhealth/pre_encounter/common/types/additional_payer_information.rb +0 -92
- data/lib/candidhealth/pre_encounter/common/types/address.rb +0 -123
- data/lib/candidhealth/pre_encounter/common/types/address_use.rb +0 -17
- data/lib/candidhealth/pre_encounter/common/types/base_model.rb +0 -104
- data/lib/candidhealth/pre_encounter/common/types/canonical_clinical_trial_association.rb +0 -86
- data/lib/candidhealth/pre_encounter/common/types/canonical_non_insurance_payer_association.rb +0 -103
- data/lib/candidhealth/pre_encounter/common/types/contact_point.rb +0 -87
- data/lib/candidhealth/pre_encounter/common/types/contact_point_use.rb +0 -17
- data/lib/candidhealth/pre_encounter/common/types/disability_status.rb +0 -14
- data/lib/candidhealth/pre_encounter/common/types/error_base_4_xx.rb +0 -72
- data/lib/candidhealth/pre_encounter/common/types/ethnicity.rb +0 -16
- data/lib/candidhealth/pre_encounter/common/types/external_identifier.rb +0 -87
- data/lib/candidhealth/pre_encounter/common/types/external_provider.rb +0 -146
- data/lib/candidhealth/pre_encounter/common/types/external_provider_type.rb +0 -15
- data/lib/candidhealth/pre_encounter/common/types/gender.rb +0 -21
- data/lib/candidhealth/pre_encounter/common/types/human_name.rb +0 -107
- data/lib/candidhealth/pre_encounter/common/types/name_use.rb +0 -19
- data/lib/candidhealth/pre_encounter/common/types/period.rb +0 -74
- data/lib/candidhealth/pre_encounter/common/types/race.rb +0 -21
- data/lib/candidhealth/pre_encounter/common/types/relationship.rb +0 -17
- data/lib/candidhealth/pre_encounter/common/types/resource_page.rb +0 -83
- data/lib/candidhealth/pre_encounter/common/types/sex.rb +0 -16
- data/lib/candidhealth/pre_encounter/common/types/sexual_orientation.rb +0 -19
- data/lib/candidhealth/pre_encounter/common/types/sort_direction.rb +0 -14
- data/lib/candidhealth/pre_encounter/common/types/version_conflict_error_body.rb +0 -79
- data/lib/candidhealth/pre_encounter/coverages/client.rb +0 -32
- data/lib/candidhealth/pre_encounter/coverages/v_1/client.rb +0 -1206
- data/lib/candidhealth/pre_encounter/coverages/v_1/types/address.rb +0 -118
- data/lib/candidhealth/pre_encounter/coverages/v_1/types/benefit_type.rb +0 -24
- data/lib/candidhealth/pre_encounter/coverages/v_1/types/benefits_related_entity.rb +0 -108
- data/lib/candidhealth/pre_encounter/coverages/v_1/types/coverage.rb +0 -225
- data/lib/candidhealth/pre_encounter/coverages/v_1/types/coverage_benefits.rb +0 -109
- data/lib/candidhealth/pre_encounter/coverages/v_1/types/coverage_details.rb +0 -104
- data/lib/candidhealth/pre_encounter/coverages/v_1/types/coverage_eligibility_check_response.rb +0 -87
- data/lib/candidhealth/pre_encounter/coverages/v_1/types/coverage_level.rb +0 -19
- data/lib/candidhealth/pre_encounter/coverages/v_1/types/coverage_status.rb +0 -20
- data/lib/candidhealth/pre_encounter/coverages/v_1/types/coverage_value.rb +0 -94
- data/lib/candidhealth/pre_encounter/coverages/v_1/types/coverage_value_unit.rb +0 -17
- data/lib/candidhealth/pre_encounter/coverages/v_1/types/coverages_page.rb +0 -98
- data/lib/candidhealth/pre_encounter/coverages/v_1/types/expanded_member_info.rb +0 -133
- data/lib/candidhealth/pre_encounter/coverages/v_1/types/insurance_plan.rb +0 -165
- data/lib/candidhealth/pre_encounter/coverages/v_1/types/insurance_type_code.rb +0 -86
- data/lib/candidhealth/pre_encounter/coverages/v_1/types/latest_eligibility_check.rb +0 -83
- data/lib/candidhealth/pre_encounter/coverages/v_1/types/member_info.rb +0 -111
- data/lib/candidhealth/pre_encounter/coverages/v_1/types/mutable_coverage.rb +0 -171
- data/lib/candidhealth/pre_encounter/coverages/v_1/types/network_type.rb +0 -38
- data/lib/candidhealth/pre_encounter/coverages/v_1/types/payer_plan_group_fields.rb +0 -92
- data/lib/candidhealth/pre_encounter/coverages/v_1/types/plan_coverage.rb +0 -113
- data/lib/candidhealth/pre_encounter/coverages/v_1/types/plan_coverage_details.rb +0 -176
- data/lib/candidhealth/pre_encounter/coverages/v_1/types/plan_date.rb +0 -87
- data/lib/candidhealth/pre_encounter/coverages/v_1/types/plan_metadata.rb +0 -167
- data/lib/candidhealth/pre_encounter/coverages/v_1/types/related_entity_contact.rb +0 -74
- data/lib/candidhealth/pre_encounter/coverages/v_1/types/service_coverage.rb +0 -122
- data/lib/candidhealth/pre_encounter/coverages/v_1/types/service_coverage_details.rb +0 -124
- data/lib/candidhealth/pre_encounter/coverages/v_1/types/service_type_code.rb +0 -203
- data/lib/candidhealth/pre_encounter/coverages/v_1/types/subscriber.rb +0 -108
- data/lib/candidhealth/pre_encounter/eligibility_checks/client.rb +0 -32
- data/lib/candidhealth/pre_encounter/eligibility_checks/v_1/client.rb +0 -264
- data/lib/candidhealth/pre_encounter/eligibility_checks/v_1/types/batch_eligibility_response.rb +0 -75
- data/lib/candidhealth/pre_encounter/eligibility_checks/v_1/types/eligibility_check.rb +0 -131
- data/lib/candidhealth/pre_encounter/eligibility_checks/v_1/types/eligibility_check_error.rb +0 -80
- data/lib/candidhealth/pre_encounter/eligibility_checks/v_1/types/eligibility_check_error_details.rb +0 -112
- data/lib/candidhealth/pre_encounter/eligibility_checks/v_1/types/eligibility_check_error_source.rb +0 -17
- data/lib/candidhealth/pre_encounter/eligibility_checks/v_1/types/eligibility_check_metadata.rb +0 -103
- data/lib/candidhealth/pre_encounter/eligibility_checks/v_1/types/eligibility_check_page.rb +0 -98
- data/lib/candidhealth/pre_encounter/eligibility_checks/v_1/types/eligibility_check_status.rb +0 -18
- data/lib/candidhealth/pre_encounter/eligibility_checks/v_1/types/eligibility_request.rb +0 -151
- data/lib/candidhealth/pre_encounter/eligibility_checks/v_1/types/eligibility_response.rb +0 -15
- data/lib/candidhealth/pre_encounter/eligibility_checks/v_1/types/eligibility_status.rb +0 -18
- data/lib/candidhealth/pre_encounter/eligibility_checks/v_1/types/encounter.rb +0 -83
- data/lib/candidhealth/pre_encounter/eligibility_checks/v_1/types/individual_provider.rb +0 -81
- data/lib/candidhealth/pre_encounter/eligibility_checks/v_1/types/organization_provider.rb +0 -74
- data/lib/candidhealth/pre_encounter/eligibility_checks/v_1/types/parsed_response.rb +0 -99
- data/lib/candidhealth/pre_encounter/eligibility_checks/v_1/types/provider.rb +0 -66
- data/lib/candidhealth/pre_encounter/eligibility_checks/v_1/types/request_correction.rb +0 -79
- data/lib/candidhealth/pre_encounter/images/client.rb +0 -32
- data/lib/candidhealth/pre_encounter/images/v_1/client.rb +0 -359
- data/lib/candidhealth/pre_encounter/images/v_1/types/coverage_association.rb +0 -74
- data/lib/candidhealth/pre_encounter/images/v_1/types/coverage_image_side.rb +0 -16
- data/lib/candidhealth/pre_encounter/images/v_1/types/image.rb +0 -188
- data/lib/candidhealth/pre_encounter/images/v_1/types/image_status.rb +0 -17
- data/lib/candidhealth/pre_encounter/images/v_1/types/mutable_image.rb +0 -125
- data/lib/candidhealth/pre_encounter/images/v_1/types/patient_association.rb +0 -75
- data/lib/candidhealth/pre_encounter/lists/client.rb +0 -32
- data/lib/candidhealth/pre_encounter/lists/v_1/client.rb +0 -187
- data/lib/candidhealth/pre_encounter/lists/v_1/types/appointment_list_item.rb +0 -114
- data/lib/candidhealth/pre_encounter/lists/v_1/types/appointment_list_page.rb +0 -98
- data/lib/candidhealth/pre_encounter/lists/v_1/types/patient_list_item.rb +0 -104
- data/lib/candidhealth/pre_encounter/lists/v_1/types/patient_list_page.rb +0 -98
- data/lib/candidhealth/pre_encounter/notes/client.rb +0 -32
- data/lib/candidhealth/pre_encounter/notes/v_1/client.rb +0 -257
- data/lib/candidhealth/pre_encounter/notes/v_1/types/mutable_note.rb +0 -86
- data/lib/candidhealth/pre_encounter/notes/v_1/types/note.rb +0 -149
- data/lib/candidhealth/pre_encounter/patients/client.rb +0 -32
- data/lib/candidhealth/pre_encounter/patients/v_1/client.rb +0 -1240
- data/lib/candidhealth/pre_encounter/patients/v_1/types/authorization.rb +0 -170
- data/lib/candidhealth/pre_encounter/patients/v_1/types/authorization_unit.rb +0 -16
- data/lib/candidhealth/pre_encounter/patients/v_1/types/contact.rb +0 -132
- data/lib/candidhealth/pre_encounter/patients/v_1/types/do_not_invoice_reason.rb +0 -18
- data/lib/candidhealth/pre_encounter/patients/v_1/types/external_provenance.rb +0 -73
- data/lib/candidhealth/pre_encounter/patients/v_1/types/filing_order.rb +0 -63
- data/lib/candidhealth/pre_encounter/patients/v_1/types/guarantor.rb +0 -121
- data/lib/candidhealth/pre_encounter/patients/v_1/types/marital_status.rb +0 -26
- data/lib/candidhealth/pre_encounter/patients/v_1/types/mutable_patient.rb +0 -450
- data/lib/candidhealth/pre_encounter/patients/v_1/types/mutable_patient_with_mrn.rb +0 -457
- data/lib/candidhealth/pre_encounter/patients/v_1/types/patient.rb +0 -516
- data/lib/candidhealth/pre_encounter/patients/v_1/types/patient_page.rb +0 -98
- data/lib/candidhealth/pre_encounter/patients/v_1/types/referral.rb +0 -106
- data/lib/candidhealth/pre_encounter/tags/client.rb +0 -32
- data/lib/candidhealth/pre_encounter/tags/v_1/client.rb +0 -311
- data/lib/candidhealth/pre_encounter/tags/v_1/types/mutable_tag.rb +0 -63
- data/lib/candidhealth/pre_encounter/tags/v_1/types/tag.rb +0 -123
- data/lib/candidhealth/pre_encounter/tags/v_1/types/tag_page.rb +0 -98
- data/lib/candidhealth/service_facility/types/encounter_service_facility_update.rb +0 -111
- data/lib/candidhealth/service_facility/types/encounter_service_facility_update_with_optional_address.rb +0 -113
- data/lib/candidhealth/service_lines/client.rb +0 -30
- data/lib/candidhealth/service_lines/v_2/client.rb +0 -313
- data/lib/candidhealth/service_lines/v_2/types/drug_identification_optional.rb +0 -126
- data/lib/candidhealth/service_lines/v_2/types/service_line_create_optional.rb +0 -247
- data/lib/candidhealth/service_lines/v_2/types/service_line_create_standalone.rb +0 -293
- data/lib/candidhealth/service_lines/v_2/types/service_line_update.rb +0 -285
- data/lib/candidhealth/service_lines/v_2/types/test_result.rb +0 -71
- data/lib/candidhealth/service_lines/v_2/types/test_result_optional.rb +0 -73
- data/lib/candidhealth/service_lines/v_2/types/test_result_type.rb +0 -15
- data/lib/candidhealth/superbills/client.rb +0 -30
- data/lib/candidhealth/superbills/v_1/client.rb +0 -123
- data/lib/candidhealth/superbills/v_1/types/superbill.rb +0 -108
- data/lib/candidhealth/superbills/v_1/types/superbill_response.rb +0 -65
- data/lib/candidhealth/write_offs/v_1/types/non_insurance_payer_write_off.rb +0 -143
- data/lib/candidhealth/write_offs/v_1/types/non_insurance_payer_write_off_create.rb +0 -113
- data/lib/candidhealth/yes_no_indicator/types/yes_no_indicator.rb +0 -14
- data/lib/core/file_utilities.rb +0 -26
- data/lib/core/oauth.rb +0 -62
@@ -3,12 +3,19 @@
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require_relative "../../../requests"
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require_relative "../../claims/types/claim_status"
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require_relative "types/encounter_sort_options"
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require_relative "../../commons/types/page_token"
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require_relative "../../commons/types/date"
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require_relative "../../commons/types/encounter_external_id"
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require "date"
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require_relative "../../tags/types/tag_id"
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require_relative "../../commons/types/work_queue_id"
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require_relative "types/billable_status_type"
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require_relative "types/responsible_party_type"
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require_relative "types/encounter_owner_of_next_action_type"
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require_relative "types/encounter_page"
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require_relative "../../commons/types/encounter_id"
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require_relative "types/encounter"
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require_relative "types/prior_authorization_number"
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require_relative "types/medication"
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require_relative "types/vitals"
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require_relative "types/intervention"
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@@ -16,13 +23,10 @@ require_relative "../../commons/types/street_address_long_zip"
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require_relative "types/synchronicity_type"
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require_relative "types/service_authorization_exception_code"
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require_relative "../../commons/types/delay_reason_code"
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require "ostruct"
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require_relative "../../individual/types/patient_create"
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require_relative "../../encounter_providers/v_2/types/billing_provider"
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require_relative "../../encounter_providers/v_2/types/rendering_provider"
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require_relative "../../encounter_providers/v_2/types/referring_provider"
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require_relative "../../encounter_providers/v_2/types/initial_referring_provider"
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require_relative "../../encounter_providers/v_2/types/supervising_provider"
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require_relative "../../service_facility/types/encounter_service_facility_base"
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require_relative "../../individual/types/subscriber_create"
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require_relative "../../diagnoses/types/diagnosis_create"
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@@ -33,85 +37,47 @@ require_relative "types/patient_history_category"
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require_relative "../../service_lines/v_2/types/service_line_create"
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require_relative "../../guarantor/v_1/types/guarantor_create"
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require_relative "../../claim_submission/v_1/types/external_claim_submission_create"
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require_relative "../../
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require_relative "types/epsdt_referral"
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require_relative "types/claim_supplemental_information"
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require_relative "types/encounter_create_from_pre_encounter"
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require_relative "types/vitals_update"
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require_relative "../../guarantor/v_1/types/guarantor_update"
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require_relative "../../encounter_providers/v_2/types/initial_referring_provider_update"
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require_relative "../../encounter_providers/v_2/types/referring_provider_update"
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require_relative "../../individual/types/patient_update"
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require_relative "../../encounter_providers/v_2/types/rendering_provider_update"
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require_relative "../../service_facility/types/encounter_service_facility_update"
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require_relative "../../encounter_providers/v_2/types/supervising_provider_update"
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require_relative "../../encounter_providers/v_2/types/billing_provider_update"
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require_relative "../../diagnoses/types/diagnosis_id"
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require "async"
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module CandidApiClient
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module Encounters
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module V4
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class V4Client
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# @return [CandidApiClient::RequestClient]
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attr_reader :request_client
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# @param request_client [
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# @return [
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# @param request_client [RequestClient]
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# @return [Encounters::V4::V4Client]
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def initialize(request_client:)
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# @type [RequestClient]
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@request_client = request_client
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end
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# @param limit [Integer] Maximum number of entities per page, defaults to 100.
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# @param claim_status [
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# @param sort [
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# @param page_token [
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# @param date_of_service_min [
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# @param date_of_service_max [
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# @param claim_status [Claims::ClaimStatus] Indicates the current status of an insurance claim within the billing process.
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# @param sort [Encounters::V4::EncounterSortOptions] Defaults to created_at:desc.
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# @param page_token [Commons::PAGE_TOKEN]
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# @param date_of_service_min [Commons::DATE] Date formatted as YYYY-MM-DD; eg: 2019-08-25.
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# @param date_of_service_max [Commons::DATE] Date formatted as YYYY-MM-DD; eg: 2019-08-25.
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# @param primary_payer_names [String] Comma delimited string.
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# @param search_term [String] Filter by any of the following fields: encounter_id, claim_id, patient
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# responsible_party.
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# @param responsible_party [CandidApiClient::Encounters::V4::Types::ResponsiblePartyType] Defines the party to be billed with the initial balance owed on the claim. Use
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# SELF_PAY if you intend to bill self pay/cash pay.
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# @param owner_of_next_action [CandidApiClient::Encounters::V4::Types::EncounterOwnerOfNextActionType] The party who is responsible for taking the next action on an Encounter, as
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# defined by ownership of open Tasks.
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# @param patient_external_id [String] The patient ID from the external EMR platform for the patient
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# @param request_options [CandidApiClient::RequestOptions]
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# @return [CandidApiClient::Encounters::V4::Types::EncounterPage]
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# @example
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# api = CandidApiClient::Client.new(base_url: "https://api.example.com", environment: CandidApiClient::Environment::PRODUCTION)
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# api.encounters.v_4.get_all(
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# sort: CREATED_AT_ASC,
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# page_token: "eyJ0b2tlbiI6IjEiLCJwYWdlX3Rva2VuIjoiMiJ9",
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# date_of_service_max: DateTime.parse(2019-08-25),
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# primary_payer_names: "Medicare,Medicaid",
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# search_term: "doe",
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# diagnoses_updated_since: DateTime.parse(2019-08-24T14:15:22.000Z)
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# )
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# @param search_term [String] Filter by any of the following fields: encounter_id, claim_id, patient external_id,
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# patient date of birth, patient first name, patient last name,
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# or encounter external id.
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# @param external_id [Commons::ENCOUNTER_EXTERNAL_ID] Filter to an exact match on encounter external_id, if one exists.
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# @param diagnoses_updated_since [DateTime] ISO 8601 timestamp; ideally in UTC (although not required): 2019-08-24T14:15:22Z.
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# @param tag_ids [Tags::TAG_ID] Filter by name of tags on encounters.
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# @param work_queue_id [Commons::WORK_QUEUE_ID]
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# @param billable_status [Encounters::V4::BillableStatusType] Defines if the Encounter is to be billed by Candid to the responsible_party. Examples for when this should be set to NOT_BILLABLE include if the Encounter has not occurred yet or if there is no intention of ever billing the responsible_party.
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# @param responsible_party [Encounters::V4::ResponsiblePartyType] Defines the party to be billed with the initial balance owed on the claim. Use SELF_PAY if you intend to bill self pay/cash pay.
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# @param owner_of_next_action [Encounters::V4::EncounterOwnerOfNextActionType] The party who is responsible for taking the next action on an Encounter, as defined by ownership of open Tasks.
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# @param request_options [RequestOptions]
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# @return [Encounters::V4::EncounterPage]
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def get_all(limit: nil, claim_status: nil, sort: nil, page_token: nil, date_of_service_min: nil,
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date_of_service_max: nil, primary_payer_names: nil, search_term: nil, external_id: nil, diagnoses_updated_since: nil, tag_ids: nil, work_queue_id: nil, billable_status: nil, responsible_party: nil, owner_of_next_action: nil,
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response = @request_client.conn.get do |req|
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date_of_service_max: nil, primary_payer_names: nil, search_term: nil, external_id: nil, diagnoses_updated_since: nil, tag_ids: nil, work_queue_id: nil, billable_status: nil, responsible_party: nil, owner_of_next_action: nil, request_options: nil)
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response = @request_client.conn.get("/api/encounters/v4") do |req|
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"billable_status": billable_status,
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"owner_of_next_action": owner_of_next_action
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req.url "#{@request_client.get_url(environment: CandidApi,
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request_options: request_options)}/api/encounters/v4"
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end
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Encounters::V4::EncounterPage.from_json(json_object: response.body)
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# @param encounter_id [
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# @param request_options [
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# @return [
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# @example
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# api.encounters.v_4.get(encounter_id: "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32")
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# @param encounter_id [Commons::ENCOUNTER_ID]
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# @param request_options [RequestOptions]
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# @return [Encounters::V4::Encounter]
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def get(encounter_id:, request_options: nil)
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response = @request_client.conn.get("/api/encounters/v4/#{encounter_id}") do |req|
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Encounters::V4::Encounter.from_json(json_object: response.body)
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# @param external_id [
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# @param date_of_service [
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# @param end_date_of_service [Date] Date formatted as YYYY-MM-DD; eg: 2019-08-25.
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# This date must be the local date in the timezone where the service occurred.
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# If omitted, the Encounter is assumed to be for a single day.
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# Must not be temporally before the date_of_service field.
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# If there are greater than zero service lines, it is recommended to specify
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# end_date_of_service on the service_line instead of on the encounter to prepare
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# for future API versions.
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# @param external_id [Commons::ENCOUNTER_EXTERNAL_ID] A client-specified unique ID to associate with this encounter;
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# for example, your internal encounter ID or a Dr. Chrono encounter ID.
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# This field should not contain PHI.
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# @param date_of_service [Commons::DATE] Date formatted as YYYY-MM-DD; eg: 2019-08-24.
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# This date must be the local date in the timezone where the service occurred.
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# Box 24a on the CMS-1500 claim form.
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# If service occurred over a range of dates, this should be the start date.
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# @param end_date_of_service [Commons::DATE] Date formatted as YYYY-MM-DD; eg: 2019-08-25.
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# This date must be the local date in the timezone where the service occurred.
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# If omitted, the Encounter is assumed to be for a single day.
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# Must not be temporally before the date_of_service field.
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# @param prior_authorization_number [Encounters::V4::PRIOR_AUTHORIZATION_NUMBER] Box 23 on the CMS-1500 claim form.
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# @param patient_authorized_release [Boolean] Whether this patient has authorized the release of medical information
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#
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#
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# for billing purpose.
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# Box 12 on the CMS-1500 claim form.
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# @param benefits_assigned_to_provider [Boolean] Whether this patient has authorized insurance payments to be made to you,
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#
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#
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# not them. If false, patient may receive reimbursement.
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# Box 13 on the CMS-1500 claim form.
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# @param provider_accepts_assignment [Boolean] Whether you have accepted the patient's authorization for insurance payments
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#
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#
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|
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# @param appointment_type [String] Human-readable description of the appointment type (ex: "Acupuncture -
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#
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# @param existing_medications [Array<Hash>] Request of type Array<CandidApiClient::Encounters::V4::Types::Medication>, as a Hash
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# to be made to you, not them.
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# Box 27 on the CMS-1500 claim form.
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# @param appointment_type [String] Human-readable description of the appointment type (ex: "Acupuncture - Headaches").
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# @param existing_medications [Array<Hash>] Request of type Array<Encounters::V4::Medication>, as a Hash
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# * :name (String)
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# * :rx_cui (
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# * :rx_cui (Encounters::V4::RX_CUI)
|
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# * :dosage (String)
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# * :dosage_form (String)
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# * :frequency (String)
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# * :as_needed (Boolean)
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|
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# @param vitals [Hash] Request of type
|
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# @param vitals [Hash] Request of type Encounters::V4::Vitals, as a Hash
|
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# * :height_in (Integer)
|
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146
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# * :weight_lbs (Integer)
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147
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# * :blood_pressure_systolic_mmhg (Integer)
|
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# * :blood_pressure_diastolic_mmhg (Integer)
|
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# * :body_temperature_f (Float)
|
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|
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#
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# * :hematocrit_pct (Float)
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|
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# @param interventions [Array<Hash>] Request of type Array<CandidApiClient::Encounters::V4::Types::Intervention>, as a Hash
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# @param interventions [Array<Hash>] Request of type Array<Encounters::V4::Intervention>, as a Hash
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# * :name (String)
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|
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# * :category (
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# * :category (Encounters::V4::InterventionCategory)
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# * :description (String)
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# * :medication (Hash)
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# * :name (String)
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|
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# * :rx_cui (
|
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|
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# * :rx_cui (Encounters::V4::RX_CUI)
|
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# * :dosage (String)
|
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158
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# * :dosage_form (String)
|
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|
# * :frequency (String)
|
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|
# * :as_needed (Boolean)
|
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|
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# * :labs (Array<
|
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|
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# @param pay_to_address [Hash] Specifies the address to which payments for the claim should be sent.Request of type
|
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|
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# * :labs (Array<Encounters::V4::Lab>)
|
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# @param pay_to_address [Hash] Specifies the address to which payments for the claim should be sent.Request of type Commons::StreetAddressLongZip, as a Hash
|
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163
|
# * :zip_plus_four_code (String)
|
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164
|
# * :address_1 (String)
|
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165
|
# * :address_2 (String)
|
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166
|
# * :city (String)
|
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|
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# * :state (
|
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|
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# * :state (Commons::State)
|
224
168
|
# * :zip_code (String)
|
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|
-
# @param synchronicity [
|
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|
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#
|
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|
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#
|
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|
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#
|
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|
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|
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|
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#
|
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|
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#
|
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|
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#
|
233
|
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#
|
234
|
-
# if the Encounter has not occurred yet or if there is no intention of ever
|
235
|
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# billing the responsible_party.
|
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|
+
# @param synchronicity [Encounters::V4::SynchronicityType] Whether or not this was a synchronous or asynchronous encounter.
|
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|
+
# Asynchronous encounters occur when providers and patients communicate online using
|
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|
+
# forms, instant messaging, or other pre-recorded digital mediums.
|
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+
# Synchronous encounters occur in live, real-time settings where the patient interacts
|
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|
+
# directly with the provider, such as over video or a phone call.
|
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|
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# @param billable_status [Encounters::V4::BillableStatusType] Defines if the Encounter is to be billed by Candid to the responsible_party.
|
175
|
+
# Examples for when this should be set to NOT_BILLABLE include
|
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|
+
# if the Encounter has not occurred yet or if there is no intention of ever billing the responsible_party.
|
177
|
+
# @param responsible_party [Encounters::V4::ResponsiblePartyType] Defines the party to be billed with the initial balance owed on the claim.
|
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178
|
# @param additional_information [String] Defines additional information on the claim needed by the payer.
|
237
|
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#
|
238
|
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# @param service_authorization_exception_code [
|
239
|
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#
|
240
|
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#
|
241
|
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|
242
|
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|
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|
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|
244
|
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|
245
|
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#
|
246
|
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#
|
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|
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|
248
|
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#
|
249
|
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#
|
250
|
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#
|
251
|
-
#
|
252
|
-
# @param
|
253
|
-
#
|
254
|
-
#
|
255
|
-
#
|
256
|
-
# OR
|
257
|
-
# This date is the onset of acute symptoms for the current illness or condition.
|
258
|
-
# @param last_menstrual_period_date [Date] 837p Loop2300 DTP*484, CMS-1500 Box 14
|
259
|
-
# Required when, in the judgment of the provider, the services on this claim are
|
260
|
-
# related to the patient's pregnancy.
|
261
|
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# @param delay_reason_code [CandidApiClient::Commons::Types::DelayReasonCode] 837i Loop2300, CLM-1300 Box 20
|
262
|
-
# Code indicating the reason why a request was delayed
|
179
|
+
# Box 19 on the CMS-1500 claim form.
|
180
|
+
# @param service_authorization_exception_code [Encounters::V4::ServiceAuthorizationExceptionCode] 837p Loop2300 REF\*4N
|
181
|
+
# Required when mandated by government law or regulation to obtain authorization for specific service(s) but, for the
|
182
|
+
# reasons listed in one of the enum values of ServiceAuthorizationExceptionCode, the service was performed without
|
183
|
+
# obtaining the authorization.
|
184
|
+
# @param admission_date [Commons::DATE] 837p Loop2300 DTP\*435, CMS-1500 Box 18
|
185
|
+
# Required on all ambulance claims when the patient was known to be admitted to the hospital.
|
186
|
+
# OR
|
187
|
+
# Required on all claims involving inpatient medical visits.
|
188
|
+
# @param discharge_date [Commons::DATE] 837p Loop2300 DTP\*096, CMS-1500 Box 18
|
189
|
+
# Required for inpatient claims when the patient was discharged from the facility and the discharge date is known.
|
190
|
+
# @param onset_of_current_illness_or_symptom_date [Commons::DATE] 837p Loop2300 DTP\*431, CMS-1500 Box 14
|
191
|
+
# Required for the initial medical service or visit performed in response to a medical emergency when the date is available and is different than the date of service.
|
192
|
+
# OR
|
193
|
+
# This date is the onset of acute symptoms for the current illness or condition.
|
194
|
+
# @param last_menstrual_period_date [Commons::DATE] 837p Loop2300 DTP\*484, CMS-1500 Box 14
|
195
|
+
# Required when, in the judgment of the provider, the services on this claim are related to the patient's pregnancy.
|
196
|
+
# @param delay_reason_code [Commons::DelayReasonCode] 837i Loop2300, CLM-1300 Box 20
|
197
|
+
# Code indicating the reason why a request was delayed
|
263
198
|
# @param additional_properties [OpenStruct] Additional properties unmapped to the current class definition
|
264
|
-
# @param
|
265
|
-
#
|
266
|
-
# services.Request of type CandidApiClient::Individual::Types::PatientCreate, as a Hash
|
267
|
-
# * :phone_numbers (Array<CandidApiClient::Commons::Types::PhoneNumber>)
|
199
|
+
# @param patient [Hash] Contains the identification information of the individual receiving medical services.Request of type Individual::PatientCreate, as a Hash
|
200
|
+
# * :phone_numbers (Array<Commons::PhoneNumber>)
|
268
201
|
# * :phone_consent (Boolean)
|
269
|
-
# * :email (
|
270
|
-
# * :non_insurance_payers (Array<String>)
|
271
|
-
# * :non_insurance_payers_info (Array<CandidApiClient::Individual::Types::PatientNonInsurancePayerInfoCreate>)
|
202
|
+
# * :email (Commons::EMAIL)
|
272
203
|
# * :email_consent (Boolean)
|
273
204
|
# * :external_id (String)
|
274
|
-
# * :date_of_birth (
|
205
|
+
# * :date_of_birth (Commons::DATE)
|
275
206
|
# * :address (Hash)
|
276
207
|
# * :zip_plus_four_code (String)
|
277
208
|
# * :address_1 (String)
|
278
209
|
# * :address_2 (String)
|
279
210
|
# * :city (String)
|
280
|
-
# * :state (
|
211
|
+
# * :state (Commons::State)
|
281
212
|
# * :zip_code (String)
|
282
213
|
# * :first_name (String)
|
283
214
|
# * :last_name (String)
|
284
|
-
# * :gender (
|
285
|
-
# @param billing_provider [Hash] The billing provider is the provider or business entity submitting the claim.
|
286
|
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# These are not required fields when responsible_party is SELF_PAY (i.e. when the
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# However, if you collect this for patients, even self-pay, we recommend including
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# it when sending encounters to Candid.
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# * :patient_relationship_to_subscriber_code (CandidApiClient::Commons::Types::PatientRelationshipToInsuredCodeAll)
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# Note: Cash Pay is no longer a valid payer_id in v4, please use responsible party to define self-pay claims.Request of type Individual::SubscriberCreate, as a Hash
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# * :emr_payer_crosswalk (
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# * :plan_type (
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# * :insurance_type (
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|
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|
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# * :patient_relationship_to_subscriber_code (Commons::PatientRelationshipToInsuredCodeAll)
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# * :state (
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# * :gender (
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# @param
|
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#
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#
|
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# diagnoses
|
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|
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# may be submitted at this time, and coders will later prioritize the 12 that will
|
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# be
|
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# submitted to the payor.Request of type Array<CandidApiClient::Diagnoses::Types::DiagnosisCreate>, as a Hash
|
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# @param diagnoses [Array<Hash>] Ideally, this field should contain no more than 12 diagnoses. However, more diagnoses
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# may be submitted at this time, and coders will later prioritize the 12 that will be
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# submitted to the payor.Request of type Array<Diagnoses::DiagnosisCreate>, as a Hash
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# * :code_type (
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# * :code_type (Diagnoses::DiagnosisTypeCode)
|
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|
# * :code (String)
|
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|
-
#
|
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|
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#
|
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|
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#
|
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|
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# using the Encounter Attachments API.Request of type Array<CandidApiClient::Encounters::V4::Types::ClinicalNoteCategoryCreate>, as a Hash
|
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|
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# * :category (CandidApiClient::Encounters::V4::Types::NoteCategory)
|
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|
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# * :notes (Array<CandidApiClient::Encounters::V4::Types::ClinicalNote>)
|
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|
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# @param clinical_notes [Array<Hash>] Holds a collection of clinical observations made by healthcare providers during patient encounters.Request of type Array<Encounters::V4::ClinicalNoteCategoryCreate>, as a Hash
|
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# * :category (Encounters::V4::NoteCategory)
|
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|
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# * :notes (Array<Encounters::V4::ClinicalNote>)
|
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|
# @param billing_notes [Array<Hash>] Spot to store misc, human-readable, notes about this encounter to be used
|
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|
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#
|
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|
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# in the billing process.Request of type Array<BillingNotes::V2::BillingNoteBase>, as a Hash
|
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# * :text (String)
|
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|
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# @param place_of_service_code [
|
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|
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#
|
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|
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#
|
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|
-
#
|
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|
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# * :category (CandidApiClient::Encounters::V4::Types::PatientHistoryCategoryEnum)
|
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|
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# * :questions (Array<CandidApiClient::Encounters::V4::Types::IntakeQuestion>)
|
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|
+
# @param place_of_service_code [Commons::FacilityTypeCode] Box 24B on the CMS-1500 claim form. Line-level place of service is not currently supported. 02 for telemedicine, 11 for in-person. Full list [here](https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set).
|
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|
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# @param patient_histories [Array<Hash>] Request of type Array<Encounters::V4::PatientHistoryCategory>, as a Hash
|
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|
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# * :category (Encounters::V4::PatientHistoryCategoryEnum)
|
341
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# * :questions (Array<Encounters::V4::IntakeQuestion>)
|
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|
# @param service_lines [Array<Hash>] Each service line must be linked to a diagnosis. Concretely,
|
505
|
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#
|
506
|
-
#
|
507
|
-
# * :modifiers (Array<
|
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|
-
# * :has_epsdt_indicator (Boolean)
|
509
|
-
# * :has_family_planning_indicator (Boolean)
|
343
|
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# `service_line.diagnosis_pointers`must contain at least one entry which should be
|
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|
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# in bounds of the diagnoses list field.Request of type Array<ServiceLines::V2::ServiceLineCreate>, as a Hash
|
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|
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# * :modifiers (Array<Commons::ProcedureModifier>)
|
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|
# * :procedure_code (String)
|
511
|
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# * :quantity (
|
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|
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# * :units (
|
347
|
+
# * :quantity (Commons::DECIMAL)
|
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|
+
# * :units (Commons::ServiceLineUnits)
|
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349
|
# * :charge_amount_cents (Integer)
|
514
350
|
# * :diagnosis_pointers (Array<Integer>)
|
515
351
|
# * :drug_identification (Hash)
|
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|
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# * :service_id_qualifier (
|
352
|
+
# * :service_id_qualifier (ServiceLines::V2::ServiceIdQualifier)
|
517
353
|
# * :national_drug_code (String)
|
518
354
|
# * :national_drug_unit_count (String)
|
519
|
-
# * :measurement_unit_code (
|
355
|
+
# * :measurement_unit_code (ServiceLines::V2::MeasurementUnitCode)
|
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356
|
# * :link_sequence_number (String)
|
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357
|
# * :pharmacy_prescription_number (String)
|
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|
-
#
|
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|
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# * :drug_description (String)
|
524
|
-
# * :place_of_service_code (CandidApiClient::Commons::Types::FacilityTypeCode)
|
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|
+
# * :place_of_service_code (Commons::FacilityTypeCode)
|
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359
|
# * :description (String)
|
526
|
-
#
|
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|
-
# * :
|
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|
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# * :ordering_provider (Hash)
|
529
|
-
# * :npi (String)
|
530
|
-
# * :taxonomy_code (String)
|
531
|
-
# * :address (Hash)
|
532
|
-
# * :zip_plus_four_code (String)
|
533
|
-
# * :address_1 (String)
|
534
|
-
# * :address_2 (String)
|
535
|
-
# * :city (String)
|
536
|
-
# * :state (CandidApiClient::Commons::Types::State)
|
537
|
-
# * :zip_code (String)
|
538
|
-
# * :first_name (String)
|
539
|
-
# * :last_name (String)
|
540
|
-
# * :organization_name (String)
|
541
|
-
# * :test_results (Array<CandidApiClient::ServiceLines::V2::Types::TestResult>)
|
542
|
-
# * :note (String)
|
543
|
-
# @param guarantor [Hash] Personal and contact info for the guarantor of the patient responsibility.Request of type CandidApiClient::Guarantor::V1::Types::GuarantorCreate, as a Hash
|
544
|
-
# * :phone_numbers (Array<CandidApiClient::Commons::Types::PhoneNumber>)
|
360
|
+
# @param guarantor [Hash] Personal and contact info for the guarantor of the patient responsibility.Request of type Guarantor::V1::GuarantorCreate, as a Hash
|
361
|
+
# * :phone_numbers (Array<Commons::PhoneNumber>)
|
545
362
|
# * :phone_consent (Boolean)
|
546
|
-
# * :email (
|
363
|
+
# * :email (Commons::EMAIL)
|
547
364
|
# * :email_consent (Boolean)
|
548
365
|
# * :first_name (String)
|
549
366
|
# * :last_name (String)
|
@@ -554,60 +371,28 @@ module CandidApiClient
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|
554
371
|
# * :address_1 (String)
|
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372
|
# * :address_2 (String)
|
556
373
|
# * :city (String)
|
557
|
-
# * :state (
|
374
|
+
# * :state (Commons::State)
|
558
375
|
# * :zip_code (String)
|
559
|
-
# @param external_claim_submission [Hash]
|
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|
-
#
|
561
|
-
#
|
376
|
+
# @param external_claim_submission [Hash] ***This field is in beta.***
|
377
|
+
# To be included for claims that have been submitted outside of Candid.
|
378
|
+
# Candid supports posting remits and payments to these claims and working them in-platform (e.g. editing, resubmitting).Request of type ClaimSubmission::V1::ExternalClaimSubmissionCreate, as a Hash
|
562
379
|
# * :claim_created_at (DateTime)
|
563
380
|
# * :patient_control_number (String)
|
564
|
-
# * :submission_records (Array<
|
565
|
-
# @param
|
566
|
-
# @
|
567
|
-
|
568
|
-
|
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|
-
|
570
|
-
# * :content (Hash{String => Object})
|
571
|
-
# @param referral_number [String] Refers to REF*9F on the 837p. Value cannot be greater than 50 characters.
|
572
|
-
# @param epsdt_referral [Hash] Refers Box 24H on the CMS1500 form and Loop 2300 CRC - EPSDT Referral on the
|
573
|
-
# 837P formRequest of type CandidApiClient::Encounters::V4::Types::EpsdtReferral, as a Hash
|
574
|
-
# * :condition_indicator_1 (CandidApiClient::Commons::Types::EpsdtReferralConditionIndicatorCode)
|
575
|
-
# * :condition_indicator_2 (CandidApiClient::Commons::Types::EpsdtReferralConditionIndicatorCode)
|
576
|
-
# * :condition_indicator_3 (CandidApiClient::Commons::Types::EpsdtReferralConditionIndicatorCode)
|
577
|
-
# @param claim_supplemental_information [Array<Hash>] Refers to Loop 2300 - Segment PWK on the 837P form. No more than 10 entries are
|
578
|
-
# permitted.Request of type Array<CandidApiClient::Encounters::V4::Types::ClaimSupplementalInformation>, as a Hash
|
579
|
-
# * :attachment_report_type_code (CandidApiClient::Encounters::V4::Types::ReportTypeCode)
|
580
|
-
# * :attachment_transmission_code (CandidApiClient::Encounters::V4::Types::ReportTransmissionCode)
|
581
|
-
# * :attachment_control_number (String)
|
582
|
-
# @param secondary_payer_carrier_code [String] When Medicaid is billed as the secondary payer the Carrier Code is used to
|
583
|
-
# identify the primary payer. This is required for certain states.
|
584
|
-
# @param request_options [CandidApiClient::RequestOptions]
|
585
|
-
# @return [CandidApiClient::Encounters::V4::Types::Encounter]
|
586
|
-
# @example
|
587
|
-
# api = CandidApiClient::Client.new(base_url: "https://api.example.com", environment: CandidApiClient::Environment::PRODUCTION)
|
588
|
-
# api.encounters.v_4.create(
|
589
|
-
# patient: { first_name: "first_name", last_name: "last_name", gender: MALE, external_id: "external_id", date_of_birth: DateTime.parse(2023-01-15), address: { address_1: "address1", city: "city", state: AA, zip_code: "zip_code" } },
|
590
|
-
# billing_provider: { address: { address_1: "address1", city: "city", state: AA, zip_code: "zip_code", zip_plus_four_code: "zip_plus_four_code" }, tax_id: "tax_id", npi: "npi" },
|
591
|
-
# rendering_provider: { npi: "npi" },
|
592
|
-
# responsible_party: INSURANCE_PAY,
|
593
|
-
# diagnoses: [{ code_type: ABF, code: "code" }, { code_type: ABF, code: "code" }],
|
594
|
-
# place_of_service_code: PHARMACY
|
595
|
-
# )
|
596
|
-
def create(external_id:, patient_authorized_release:, benefits_assigned_to_provider:,
|
597
|
-
provider_accepts_assignment:, billable_status:, patient:, billing_provider:, rendering_provider:, responsible_party:, diagnoses:, place_of_service_code:, date_of_service: nil, end_date_of_service: nil, appointment_type: nil, existing_medications: nil, vitals: nil, interventions: nil, pay_to_address: nil, synchronicity: nil, additional_information: nil, service_authorization_exception_code: nil, admission_date: nil, discharge_date: nil, onset_of_current_illness_or_symptom_date: nil, last_menstrual_period_date: nil, delay_reason_code: nil, additional_properties: nil, _field_set: nil, referring_provider: nil, initial_referring_provider: nil, supervising_provider: nil, service_facility: nil, subscriber_primary: nil, subscriber_secondary: nil, subscriber_tertiary: nil, prior_authorization_number: nil, clinical_notes: nil, billing_notes: nil, patient_histories: nil, service_lines: nil, guarantor: nil, external_claim_submission: nil, tag_ids: nil, schema_instances: nil, referral_number: nil, epsdt_referral: nil, claim_supplemental_information: nil, secondary_payer_carrier_code: nil, request_options: nil)
|
598
|
-
response = @request_client.conn.post do |req|
|
381
|
+
# * :submission_records (Array<ClaimSubmission::V1::ClaimSubmissionRecordCreate>)
|
382
|
+
# @param request_options [RequestOptions]
|
383
|
+
# @return [Encounters::V4::Encounter]
|
384
|
+
def create(external_id:, date_of_service:, patient_authorized_release:, benefits_assigned_to_provider:,
|
385
|
+
provider_accepts_assignment:, billable_status:, responsible_party:, patient:, billing_provider:, rendering_provider:, diagnoses:, place_of_service_code:, end_date_of_service: nil, prior_authorization_number: nil, appointment_type: nil, existing_medications: nil, vitals: nil, interventions: nil, pay_to_address: nil, synchronicity: nil, additional_information: nil, service_authorization_exception_code: nil, admission_date: nil, discharge_date: nil, onset_of_current_illness_or_symptom_date: nil, last_menstrual_period_date: nil, delay_reason_code: nil, additional_properties: nil, referring_provider: nil, service_facility: nil, subscriber_primary: nil, subscriber_secondary: nil, clinical_notes: nil, billing_notes: nil, patient_histories: nil, service_lines: nil, guarantor: nil, external_claim_submission: nil, request_options: nil)
|
386
|
+
response = @request_client.conn.post("/api/encounters/v4") do |req|
|
599
387
|
req.options.timeout = request_options.timeout_in_seconds unless request_options&.timeout_in_seconds.nil?
|
600
388
|
req.headers["Authorization"] = request_options.token unless request_options&.token.nil?
|
601
|
-
req.headers = {
|
602
|
-
**(req.headers || {}),
|
603
|
-
**@request_client.get_headers,
|
604
|
-
**(request_options&.additional_headers || {})
|
605
|
-
}.compact
|
389
|
+
req.headers = { **req.headers, **(request_options&.additional_headers || {}) }.compact
|
606
390
|
req.body = {
|
607
391
|
**(request_options&.additional_body_parameters || {}),
|
608
392
|
external_id: external_id,
|
609
393
|
date_of_service: date_of_service,
|
610
394
|
end_date_of_service: end_date_of_service,
|
395
|
+
prior_authorization_number: prior_authorization_number,
|
611
396
|
patient_authorized_release: patient_authorized_release,
|
612
397
|
benefits_assigned_to_provider: benefits_assigned_to_provider,
|
613
398
|
provider_accepts_assignment: provider_accepts_assignment,
|
@@ -618,6 +403,7 @@ module CandidApiClient
|
|
618
403
|
pay_to_address: pay_to_address,
|
619
404
|
synchronicity: synchronicity,
|
620
405
|
billable_status: billable_status,
|
406
|
+
responsible_party: responsible_party,
|
621
407
|
additional_information: additional_information,
|
622
408
|
service_authorization_exception_code: service_authorization_exception_code,
|
623
409
|
admission_date: admission_date,
|
@@ -626,19 +412,13 @@ module CandidApiClient
|
|
626
412
|
last_menstrual_period_date: last_menstrual_period_date,
|
627
413
|
delay_reason_code: delay_reason_code,
|
628
414
|
additional_properties: additional_properties,
|
629
|
-
_field_set: _field_set,
|
630
415
|
patient: patient,
|
631
416
|
billing_provider: billing_provider,
|
632
417
|
rendering_provider: rendering_provider,
|
633
418
|
referring_provider: referring_provider,
|
634
|
-
initial_referring_provider: initial_referring_provider,
|
635
|
-
supervising_provider: supervising_provider,
|
636
419
|
service_facility: service_facility,
|
637
420
|
subscriber_primary: subscriber_primary,
|
638
421
|
subscriber_secondary: subscriber_secondary,
|
639
|
-
subscriber_tertiary: subscriber_tertiary,
|
640
|
-
prior_authorization_number: prior_authorization_number,
|
641
|
-
responsible_party: responsible_party,
|
642
422
|
diagnoses: diagnoses,
|
643
423
|
clinical_notes: clinical_notes,
|
644
424
|
billing_notes: billing_notes,
|
@@ -646,341 +426,47 @@ module CandidApiClient
|
|
646
426
|
patient_histories: patient_histories,
|
647
427
|
service_lines: service_lines,
|
648
428
|
guarantor: guarantor,
|
649
|
-
external_claim_submission: external_claim_submission
|
650
|
-
tag_ids: tag_ids,
|
651
|
-
schema_instances: schema_instances,
|
652
|
-
referral_number: referral_number,
|
653
|
-
epsdt_referral: epsdt_referral,
|
654
|
-
claim_supplemental_information: claim_supplemental_information,
|
655
|
-
secondary_payer_carrier_code: secondary_payer_carrier_code
|
429
|
+
external_claim_submission: external_claim_submission
|
656
430
|
}.compact
|
657
|
-
req.url "#{@request_client.get_url(environment: CandidApi,
|
658
|
-
request_options: request_options)}/api/encounters/v4"
|
659
431
|
end
|
660
|
-
|
432
|
+
Encounters::V4::Encounter.from_json(json_object: response.body)
|
661
433
|
end
|
662
434
|
|
663
|
-
#
|
664
|
-
#
|
665
|
-
#
|
666
|
-
#
|
667
|
-
#
|
668
|
-
#
|
669
|
-
#
|
670
|
-
#
|
671
|
-
#
|
672
|
-
#
|
673
|
-
#
|
674
|
-
#
|
675
|
-
#
|
676
|
-
#
|
677
|
-
#
|
678
|
-
#
|
679
|
-
#
|
680
|
-
#
|
681
|
-
#
|
682
|
-
#
|
683
|
-
#
|
684
|
-
# * :
|
685
|
-
# * :
|
686
|
-
#
|
687
|
-
#
|
688
|
-
#
|
689
|
-
#
|
690
|
-
#
|
691
|
-
#
|
692
|
-
#
|
693
|
-
#
|
694
|
-
#
|
695
|
-
#
|
696
|
-
#
|
697
|
-
#
|
698
|
-
# * :first_name (String)
|
699
|
-
# * :last_name (String)
|
700
|
-
# * :organization_name (String)
|
701
|
-
# * :rendering_provider (Hash)
|
702
|
-
# * :npi (String)
|
703
|
-
# * :taxonomy_code (String)
|
704
|
-
# * :address (Hash)
|
705
|
-
# * :zip_plus_four_code (String)
|
706
|
-
# * :address_1 (String)
|
707
|
-
# * :address_2 (String)
|
708
|
-
# * :city (String)
|
709
|
-
# * :state (CandidApiClient::Commons::Types::State)
|
710
|
-
# * :zip_code (String)
|
711
|
-
# * :first_name (String)
|
712
|
-
# * :last_name (String)
|
713
|
-
# * :organization_name (String)
|
714
|
-
# * :initial_referring_provider (Hash)
|
715
|
-
# * :npi (String)
|
716
|
-
# * :taxonomy_code (String)
|
717
|
-
# * :address (Hash)
|
718
|
-
# * :zip_plus_four_code (String)
|
719
|
-
# * :address_1 (String)
|
720
|
-
# * :address_2 (String)
|
721
|
-
# * :city (String)
|
722
|
-
# * :state (CandidApiClient::Commons::Types::State)
|
723
|
-
# * :zip_code (String)
|
724
|
-
# * :qualifier (CandidApiClient::Commons::Types::QualifierCode)
|
725
|
-
# * :first_name (String)
|
726
|
-
# * :last_name (String)
|
727
|
-
# * :organization_name (String)
|
728
|
-
# * :supervising_provider (Hash)
|
729
|
-
# * :npi (String)
|
730
|
-
# * :taxonomy_code (String)
|
731
|
-
# * :address (Hash)
|
732
|
-
# * :zip_plus_four_code (String)
|
733
|
-
# * :address_1 (String)
|
734
|
-
# * :address_2 (String)
|
735
|
-
# * :city (String)
|
736
|
-
# * :state (CandidApiClient::Commons::Types::State)
|
737
|
-
# * :zip_code (String)
|
738
|
-
# * :first_name (String)
|
739
|
-
# * :last_name (String)
|
740
|
-
# * :organization_name (String)
|
741
|
-
# * :service_facility (Hash)
|
742
|
-
# * :organization_name (String)
|
743
|
-
# * :npi (String)
|
744
|
-
# * :address (Hash)
|
745
|
-
# * :zip_plus_four_code (String)
|
746
|
-
# * :address_1 (String)
|
747
|
-
# * :address_2 (String)
|
748
|
-
# * :city (String)
|
749
|
-
# * :state (CandidApiClient::Commons::Types::State)
|
750
|
-
# * :zip_code (String)
|
751
|
-
# * :secondary_identification (String)
|
752
|
-
# * :diagnoses (Array<CandidApiClient::Diagnoses::Types::DiagnosisCreate>)
|
753
|
-
# * :clinical_notes (Array<CandidApiClient::Encounters::V4::Types::ClinicalNoteCategoryCreate>)
|
754
|
-
# * :billing_notes (Array<CandidApiClient::BillingNotes::V2::Types::BillingNoteBase>)
|
755
|
-
# * :place_of_service_code (CandidApiClient::Commons::Types::FacilityTypeCode)
|
756
|
-
# * :patient_histories (Array<CandidApiClient::Encounters::V4::Types::PatientHistoryCategory>)
|
757
|
-
# * :service_lines (Array<CandidApiClient::ServiceLines::V2::Types::ServiceLineCreate>)
|
758
|
-
# * :external_claim_submission (Hash)
|
759
|
-
# * :claim_created_at (DateTime)
|
760
|
-
# * :patient_control_number (String)
|
761
|
-
# * :submission_records (Array<CandidApiClient::ClaimSubmission::V1::Types::ClaimSubmissionRecordCreate>)
|
762
|
-
# * :tag_ids (Array<String>)
|
763
|
-
# * :schema_instances (Array<CandidApiClient::CustomSchemas::V1::Types::SchemaInstance>)
|
764
|
-
# * :external_id (String)
|
765
|
-
# * :date_of_service (Date)
|
766
|
-
# * :end_date_of_service (Date)
|
767
|
-
# * :patient_authorized_release (Boolean)
|
768
|
-
# * :benefits_assigned_to_provider (Boolean)
|
769
|
-
# * :provider_accepts_assignment (Boolean)
|
770
|
-
# * :appointment_type (String)
|
771
|
-
# * :existing_medications (Array<CandidApiClient::Encounters::V4::Types::Medication>)
|
772
|
-
# * :vitals (Hash)
|
773
|
-
# * :height_in (Integer)
|
774
|
-
# * :weight_lbs (Integer)
|
775
|
-
# * :blood_pressure_systolic_mmhg (Integer)
|
776
|
-
# * :blood_pressure_diastolic_mmhg (Integer)
|
777
|
-
# * :body_temperature_f (Float)
|
778
|
-
# * :hemoglobin_gdl (Float)
|
779
|
-
# * :hematocrit_pct (Float)
|
780
|
-
# * :interventions (Array<CandidApiClient::Encounters::V4::Types::Intervention>)
|
781
|
-
# * :pay_to_address (Hash)
|
782
|
-
# * :zip_plus_four_code (String)
|
783
|
-
# * :address_1 (String)
|
784
|
-
# * :address_2 (String)
|
785
|
-
# * :city (String)
|
786
|
-
# * :state (CandidApiClient::Commons::Types::State)
|
787
|
-
# * :zip_code (String)
|
788
|
-
# * :synchronicity (CandidApiClient::Encounters::V4::Types::SynchronicityType)
|
789
|
-
# * :billable_status (CandidApiClient::Encounters::V4::Types::BillableStatusType)
|
790
|
-
# * :additional_information (String)
|
791
|
-
# * :service_authorization_exception_code (CandidApiClient::Encounters::V4::Types::ServiceAuthorizationExceptionCode)
|
792
|
-
# * :admission_date (Date)
|
793
|
-
# * :discharge_date (Date)
|
794
|
-
# * :onset_of_current_illness_or_symptom_date (Date)
|
795
|
-
# * :last_menstrual_period_date (Date)
|
796
|
-
# * :delay_reason_code (CandidApiClient::Commons::Types::DelayReasonCode)
|
797
|
-
# @param request_options [CandidApiClient::RequestOptions]
|
798
|
-
# @return [CandidApiClient::Encounters::V4::Types::Encounter]
|
799
|
-
# @example
|
800
|
-
# api = CandidApiClient::Client.new(base_url: "https://api.example.com", environment: CandidApiClient::Environment::PRODUCTION)
|
801
|
-
# api.encounters.v_4.create_from_pre_encounter_patient(request: { external_id: "external_id", patient_authorized_release: true, benefits_assigned_to_provider: true, provider_accepts_assignment: true, billable_status: BILLABLE, pre_encounter_patient_id: "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32", pre_encounter_appointment_ids: ["d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32", "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32"], billing_provider: { address: { address_1: "address1", city: "city", state: AA, zip_code: "zip_code", zip_plus_four_code: "zip_plus_four_code" }, tax_id: "tax_id", npi: "npi" }, rendering_provider: { npi: "npi" }, diagnoses: [{ code_type: ABF, code: "code" }, { code_type: ABF, code: "code" }], place_of_service_code: PHARMACY })
|
802
|
-
def create_from_pre_encounter_patient(request:, request_options: nil)
|
803
|
-
response = @request_client.conn.post do |req|
|
804
|
-
req.options.timeout = request_options.timeout_in_seconds unless request_options&.timeout_in_seconds.nil?
|
805
|
-
req.headers["Authorization"] = request_options.token unless request_options&.token.nil?
|
806
|
-
req.headers = {
|
807
|
-
**(req.headers || {}),
|
808
|
-
**@request_client.get_headers,
|
809
|
-
**(request_options&.additional_headers || {})
|
810
|
-
}.compact
|
811
|
-
req.body = { **(request || {}), **(request_options&.additional_body_parameters || {}) }.compact
|
812
|
-
req.url "#{@request_client.get_url(environment: CandidApi,
|
813
|
-
request_options: request_options)}/api/encounters/v4/create-from-pre-encounter"
|
814
|
-
end
|
815
|
-
CandidApiClient::Encounters::V4::Types::Encounter.from_json(json_object: response.body)
|
816
|
-
end
|
817
|
-
|
818
|
-
# @param encounter_id [String]
|
819
|
-
# @param benefits_assigned_to_provider [Boolean] Whether this patient has authorized insurance payments to be made to you, not
|
820
|
-
# them. If false, patient may receive reimbursement. Box 13 on the CMS-1500 claim
|
821
|
-
# form.
|
822
|
-
# @param prior_authorization_number [String] Box 23 on the CMS-1500 claim form.
|
823
|
-
# @param external_id [String] A client-specified unique ID to associate with this encounter;
|
824
|
-
# for example, your internal encounter ID or a Dr. Chrono encounter ID.
|
825
|
-
# This field should not contain PHI.
|
826
|
-
# @param date_of_service [Date] Date formatted as YYYY-MM-DD; eg: 2019-08-24.
|
827
|
-
# This date must be the local date in the timezone where the service occurred.
|
828
|
-
# Box 24a on the CMS-1500 claim form.
|
829
|
-
# If service occurred over a range of dates, this should be the start date.
|
830
|
-
# If service lines have distinct date_of_service values, updating the encounter's
|
831
|
-
# date_of_service will fail. If all service line date_of_service values are the
|
832
|
-
# same, updating the encounter's date_of_service will update all service line
|
833
|
-
# date_of_service values.
|
834
|
-
# @param tag_ids [Array<String>] Names of tags that should be on the encounter. Note all tags on encounter will
|
835
|
-
# be overridden with this list.
|
836
|
-
# @param billable_status [CandidApiClient::Encounters::V4::Types::BillableStatusType] Defines if the Encounter is to be billed by Candid to the responsible_party.
|
837
|
-
# Examples for when this should be set to NOT_BILLABLE include if the Encounter
|
838
|
-
# has not occurred yet or if there is no intention of ever billing the
|
839
|
-
# responsible_party.
|
840
|
-
# @param responsible_party [CandidApiClient::Encounters::V4::Types::ResponsiblePartyType] Defines the party to be billed with the initial balance owed on the claim. Use
|
841
|
-
# SELF_PAY if you intend to bill self pay/cash pay.
|
842
|
-
# @param provider_accepts_assignment [Boolean] Whether you have accepted the patient's authorization for insurance payments to
|
843
|
-
# be made to you, not them. Box 27 on the CMS-1500 claim form.
|
844
|
-
# @param synchronicity [CandidApiClient::Encounters::V4::Types::SynchronicityType] Whether or not this was a synchronous or asynchronous encounter. Asynchronous
|
845
|
-
# encounters occur when providers and patients communicate online using forms,
|
846
|
-
# instant messaging, or other pre-recorded digital mediums. Synchronous encounters
|
847
|
-
# occur in live, real-time settings where the patient interacts directly with the
|
848
|
-
# provider, such as over video or a phone call.
|
849
|
-
# @param place_of_service_code [CandidApiClient::Commons::Types::FacilityTypeCode] Box 24B on the CMS-1500 claim form. 837p Loop2300, CLM-05-1. 02 for
|
850
|
-
# telemedicine, 11 for in-person. Full list
|
851
|
-
# //www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set).
|
852
|
-
# @param appointment_type [String] Human-readable description of the appointment type (ex: "Acupuncture -
|
853
|
-
# Headaches").
|
854
|
-
# @param end_date_of_service [Date] Date formatted as YYYY-MM-DD; eg: 2019-08-25.
|
855
|
-
# This date must be the local date in the timezone where the service occurred.
|
856
|
-
# If omitted, the Encounter is assumed to be for a single day.
|
857
|
-
# Must not be temporally before the date_of_service field.
|
858
|
-
# If service lines have distinct end_date_of_service values, updating the
|
859
|
-
# encounter's end_date_of_service will fail. If all service line
|
860
|
-
# end_date_of_service values are the same, updating the encounter's
|
861
|
-
# end_date_of_service will update all service line date_of_service values.
|
862
|
-
# @param additional_information [String] Defines additional information on the claim needed by the payer.
|
863
|
-
# Box 19 on the CMS-1500 claim form.
|
864
|
-
# @param service_authorization_exception_code [CandidApiClient::Encounters::V4::Types::ServiceAuthorizationExceptionCode] 837p Loop2300 REF*4N
|
865
|
-
# Required when mandated by government law or regulation to obtain authorization
|
866
|
-
# for specific service(s) but, for the
|
867
|
-
# reasons listed in one of the enum values of ServiceAuthorizationExceptionCode,
|
868
|
-
# the service was performed without
|
869
|
-
# obtaining the authorization.
|
870
|
-
# @param admission_date [Date] 837p Loop2300 DTP*435, CMS-1500 Box 18
|
871
|
-
# Required on all ambulance claims when the patient was known to be admitted to
|
872
|
-
# the hospital.
|
873
|
-
# OR
|
874
|
-
# Required on all claims involving inpatient medical visits.
|
875
|
-
# @param discharge_date [Date] 837p Loop2300 DTP*096, CMS-1500 Box 18
|
876
|
-
# Required for inpatient claims when the patient was discharged from the facility
|
877
|
-
# and the discharge date is known.
|
878
|
-
# @param onset_of_current_illness_or_symptom_date [Date] 837p Loop2300 DTP*431, CMS-1500 Box 14
|
879
|
-
# Required for the initial medical service or visit performed in response to a
|
880
|
-
# medical emergency when the date is available and is different than the date of
|
881
|
-
# service.
|
882
|
-
# OR
|
883
|
-
# This date is the onset of acute symptoms for the current illness or condition.
|
884
|
-
# @param last_menstrual_period_date [Date] 837p Loop2300 DTP*484, CMS-1500 Box 14
|
885
|
-
# Required when, in the judgment of the provider, the services on this claim are
|
886
|
-
# related to the patient's pregnancy.de
|
887
|
-
# @param delay_reason_code [CandidApiClient::Commons::Types::DelayReasonCode] 837i Loop2300, CLM-1300 Box 20
|
888
|
-
# Code indicating the reason why a request was delayed
|
889
|
-
# @param patient_authorized_release [Boolean] Whether this patient has authorized the release of medical information
|
890
|
-
# for billing purpose.
|
891
|
-
# Box 12 on the CMS-1500 claim form.
|
892
|
-
# @param vitals [Hash] If a vitals entity already exists for the encounter, then all values will be
|
893
|
-
# updated to the provided values.
|
894
|
-
# Otherwise, a new vitals object will be created for the encounter.Request of type CandidApiClient::Encounters::V4::Types::VitalsUpdate, as a Hash
|
895
|
-
# * :height_in (Integer)
|
896
|
-
# * :weight_lbs (Integer)
|
897
|
-
# * :blood_pressure_systolic_mmhg (Integer)
|
898
|
-
# * :blood_pressure_diastolic_mmhg (Integer)
|
899
|
-
# * :body_temperature_f (Float)
|
900
|
-
# * :hemoglobin_gdl (Float)
|
901
|
-
# * :hematocrit_pct (Float)
|
902
|
-
# @param referral_number [String] Refers to REF*9F on the 837p. Value cannot be greater than 50 characters.
|
903
|
-
# @param secondary_payer_carrier_code [String] When Medicaid is billed as the secondary payer the Carrier Code is used to
|
904
|
-
# identify the primary payer. This is required for certain states.
|
905
|
-
# @param additional_properties [OpenStruct] Additional properties unmapped to the current class definition
|
906
|
-
# @param _field_set [Object]
|
907
|
-
# @param epsdt_referral [Hash] Refers Box 24H on the CMS1500 form and Loop 2300 CRC - EPSDT Referral on the
|
908
|
-
# 837P formRequest of type CandidApiClient::Encounters::V4::Types::EpsdtReferral, as a Hash
|
909
|
-
# * :condition_indicator_1 (CandidApiClient::Commons::Types::EpsdtReferralConditionIndicatorCode)
|
910
|
-
# * :condition_indicator_2 (CandidApiClient::Commons::Types::EpsdtReferralConditionIndicatorCode)
|
911
|
-
# * :condition_indicator_3 (CandidApiClient::Commons::Types::EpsdtReferralConditionIndicatorCode)
|
912
|
-
# @param clinical_notes [Array<Hash>] Holds a collection of clinical observations made by healthcare providers during
|
913
|
-
# patient encounters. Please note that medical records for appeals should be sent
|
914
|
-
# using the Encounter Attachments API.Request of type Array<CandidApiClient::Encounters::V4::Types::ClinicalNoteCategoryCreate>, as a Hash
|
915
|
-
# * :category (CandidApiClient::Encounters::V4::Types::NoteCategory)
|
916
|
-
# * :notes (Array<CandidApiClient::Encounters::V4::Types::ClinicalNote>)
|
917
|
-
# @param claim_supplemental_information [Array<Hash>] Refers to Loop 2300 - Segment PWK on the 837P form. No more than 10 entries are
|
918
|
-
# permitted.Request of type Array<CandidApiClient::Encounters::V4::Types::ClaimSupplementalInformation>, as a Hash
|
919
|
-
# * :attachment_report_type_code (CandidApiClient::Encounters::V4::Types::ReportTypeCode)
|
920
|
-
# * :attachment_transmission_code (CandidApiClient::Encounters::V4::Types::ReportTransmissionCode)
|
921
|
-
# * :attachment_control_number (String)
|
922
|
-
# @param schema_instances [Array<Hash>] Key-value pairs that must adhere to a schema created via the Custom Schema API.
|
923
|
-
# Multiple schema
|
924
|
-
# instances cannot be created for the same schema on an encounter. Updating schema
|
925
|
-
# instances utilizes PUT
|
926
|
-
# semantics, so the schema instances on the encounter will be set to whatever
|
927
|
-
# inputs are provided. If null
|
928
|
-
# is provided as an input, then the encounter's schema instances will be cleared.Request of type Array<CandidApiClient::CustomSchemas::V1::Types::SchemaInstance>, as a Hash
|
929
|
-
# * :schema_id (String)
|
930
|
-
# * :content (Hash{String => Object})
|
931
|
-
# @param existing_medications [Array<Hash>] Existing medications that should be on the encounter.
|
932
|
-
# Note all current existing medications on encounter will be overridden with this
|
933
|
-
# list.Request of type Array<CandidApiClient::Encounters::V4::Types::Medication>, as a Hash
|
934
|
-
# * :name (String)
|
935
|
-
# * :rx_cui (String)
|
936
|
-
# * :dosage (String)
|
937
|
-
# * :dosage_form (String)
|
938
|
-
# * :frequency (String)
|
939
|
-
# * :as_needed (Boolean)
|
940
|
-
# @param guarantor [Hash] Personal and contact info for the guarantor of the patient responsibility.Request of type CandidApiClient::Guarantor::V1::Types::GuarantorUpdate, as a Hash
|
941
|
-
# * :first_name (String)
|
942
|
-
# * :last_name (String)
|
943
|
-
# * :external_id (String)
|
944
|
-
# * :date_of_birth (Date)
|
945
|
-
# * :address (Hash)
|
946
|
-
# * :zip_plus_four_code (String)
|
947
|
-
# * :address_1 (String)
|
948
|
-
# * :address_2 (String)
|
949
|
-
# * :city (String)
|
950
|
-
# * :state (CandidApiClient::Commons::Types::State)
|
951
|
-
# * :zip_code (String)
|
952
|
-
# * :phone_numbers (Array<CandidApiClient::Commons::Types::PhoneNumber>)
|
953
|
-
# * :phone_consent (Boolean)
|
954
|
-
# * :email (String)
|
955
|
-
# * :email_consent (Boolean)
|
956
|
-
# @param subscriber_primary [Hash] Contains details of the primary insurance subscriber.Request of type CandidApiClient::Individual::Types::SubscriberCreate, as a Hash
|
957
|
-
# * :insurance_card (Hash)
|
958
|
-
# * :member_id (String)
|
959
|
-
# * :payer_name (String)
|
960
|
-
# * :payer_id (String)
|
961
|
-
# * :rx_bin (String)
|
962
|
-
# * :rx_pcn (String)
|
963
|
-
# * :image_url_front (String)
|
964
|
-
# * :image_url_back (String)
|
965
|
-
# * :emr_payer_crosswalk (CandidApiClient::Commons::Types::EmrPayerCrosswalk)
|
966
|
-
# * :group_number (String)
|
967
|
-
# * :plan_name (String)
|
968
|
-
# * :plan_type (CandidApiClient::Commons::Types::SourceOfPaymentCode)
|
969
|
-
# * :insurance_type (CandidApiClient::Commons::Types::InsuranceTypeCode)
|
970
|
-
# * :payer_plan_group_id (String)
|
971
|
-
# * :patient_relationship_to_subscriber_code (CandidApiClient::Commons::Types::PatientRelationshipToInsuredCodeAll)
|
972
|
-
# * :date_of_birth (Date)
|
973
|
-
# * :address (Hash)
|
974
|
-
# * :zip_plus_four_code (String)
|
975
|
-
# * :address_1 (String)
|
976
|
-
# * :address_2 (String)
|
977
|
-
# * :city (String)
|
978
|
-
# * :state (CandidApiClient::Commons::Types::State)
|
979
|
-
# * :zip_code (String)
|
980
|
-
# * :first_name (String)
|
981
|
-
# * :last_name (String)
|
982
|
-
# * :gender (CandidApiClient::Individual::Types::Gender)
|
983
|
-
# @param subscriber_secondary [Hash] Contains details of the secondary insurance subscriber.Request of type CandidApiClient::Individual::Types::SubscriberCreate, as a Hash
|
435
|
+
# @param encounter_id [Commons::ENCOUNTER_ID]
|
436
|
+
# @param prior_authorization_number [Encounters::V4::PRIOR_AUTHORIZATION_NUMBER] Box 23 on the CMS-1500 claim form.
|
437
|
+
# @param external_id [Commons::ENCOUNTER_EXTERNAL_ID] A client-specified unique ID to associate with this encounter;
|
438
|
+
# for example, your internal encounter ID or a Dr. Chrono encounter ID.
|
439
|
+
# This field should not contain PHI.
|
440
|
+
# @param date_of_service [Commons::DATE] Date formatted as YYYY-MM-DD; eg: 2019-08-24.
|
441
|
+
# This date must be the local date in the timezone where the service occurred.
|
442
|
+
# Box 24a on the CMS-1500 claim form.
|
443
|
+
# If service occurred over a range of dates, this should be the start date.
|
444
|
+
# @param diagnosis_ids [Array<Diagnoses::DIAGNOSIS_ID>] Ideally, this field should contain no more than 12 diagnoses. However, more diagnoses
|
445
|
+
# may be submitted at this time, and coders will later prioritize the 12 that will be
|
446
|
+
# submitted to the payor.
|
447
|
+
# @param tag_ids [Array<Tags::TAG_ID>] Names of tags that should be on the encounter.
|
448
|
+
# @param clinical_notes [Array<Hash>] Holds a collection of clinical observations made by healthcare providers during patient encounters.Request of type Array<Encounters::V4::ClinicalNoteCategoryCreate>, as a Hash
|
449
|
+
# * :category (Encounters::V4::NoteCategory)
|
450
|
+
# * :notes (Array<Encounters::V4::ClinicalNote>)
|
451
|
+
# @param pay_to_address [Hash] Specifies the address to which payments for the claim should be sent.Request of type Commons::StreetAddressLongZip, as a Hash
|
452
|
+
# * :zip_plus_four_code (String)
|
453
|
+
# * :address_1 (String)
|
454
|
+
# * :address_2 (String)
|
455
|
+
# * :city (String)
|
456
|
+
# * :state (Commons::State)
|
457
|
+
# * :zip_code (String)
|
458
|
+
# @param billable_status [Encounters::V4::BillableStatusType] Defines if the Encounter is to be billed by Candid to the responsible_party. Examples for when this should be set to NOT_BILLABLE include if the Encounter has not occurred yet or if there is no intention of ever billing the responsible_party.
|
459
|
+
# @param responsible_party [Encounters::V4::ResponsiblePartyType] Defines the party to be billed with the initial balance owed on the claim. Use SELF_PAY if you intend to bill self pay/cash pay.
|
460
|
+
# @param provider_accepts_assignment [Boolean] Whether you have accepted the patient's authorization for insurance payments to be made to you, not them. Box 27 on the CMS-1500 claim form.
|
461
|
+
# @param benefits_assigned_to_provider [Boolean] Whether this patient has authorized insurance payments to be made to you, not them. If false, patient may receive reimbursement. Box 13 on the CMS-1500 claim form.
|
462
|
+
# @param synchronicity [Encounters::V4::SynchronicityType] Whether or not this was a synchronous or asynchronous encounter. Asynchronous encounters occur when providers and patients communicate online using forms, instant messaging, or other pre-recorded digital mediums. Synchronous encounters occur in live, real-time settings where the patient interacts directly with the provider, such as over video or a phone call.
|
463
|
+
# @param place_of_service_code [Commons::FacilityTypeCode] Box 24B on the CMS-1500 claim form. Line-level place of service is not currently supported. 02 for telemedicine, 11 for in-person. Full list [here](https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set).
|
464
|
+
# @param appointment_type [String] Human-readable description of the appointment type (ex: "Acupuncture - Headaches").
|
465
|
+
# @param end_date_of_service [Commons::DATE] Date formatted as YYYY-MM-DD; eg: 2019-08-25.
|
466
|
+
# This date must be the local date in the timezone where the service occurred.
|
467
|
+
# If omitted, the Encounter is assumed to be for a single day.
|
468
|
+
# Must not be temporally before the date_of_service field.
|
469
|
+
# @param subscriber_primary [Hash] Contains details of the primary insurance subscriber.Request of type Individual::SubscriberCreate, as a Hash
|
984
470
|
# * :insurance_card (Hash)
|
985
471
|
# * :member_id (String)
|
986
472
|
# * :payer_name (String)
|
@@ -989,25 +475,24 @@ module CandidApiClient
|
|
989
475
|
# * :rx_pcn (String)
|
990
476
|
# * :image_url_front (String)
|
991
477
|
# * :image_url_back (String)
|
992
|
-
# * :emr_payer_crosswalk (
|
478
|
+
# * :emr_payer_crosswalk (Commons::EmrPayerCrosswalk)
|
993
479
|
# * :group_number (String)
|
994
480
|
# * :plan_name (String)
|
995
|
-
# * :plan_type (
|
996
|
-
# * :insurance_type (
|
997
|
-
#
|
998
|
-
# * :
|
999
|
-
# * :date_of_birth (Date)
|
481
|
+
# * :plan_type (Commons::SourceOfPaymentCode)
|
482
|
+
# * :insurance_type (Commons::InsuranceTypeCode)
|
483
|
+
# * :patient_relationship_to_subscriber_code (Commons::PatientRelationshipToInsuredCodeAll)
|
484
|
+
# * :date_of_birth (Commons::DATE)
|
1000
485
|
# * :address (Hash)
|
1001
486
|
# * :zip_plus_four_code (String)
|
1002
487
|
# * :address_1 (String)
|
1003
488
|
# * :address_2 (String)
|
1004
489
|
# * :city (String)
|
1005
|
-
# * :state (
|
490
|
+
# * :state (Commons::State)
|
1006
491
|
# * :zip_code (String)
|
1007
492
|
# * :first_name (String)
|
1008
493
|
# * :last_name (String)
|
1009
|
-
# * :gender (
|
1010
|
-
# @param
|
494
|
+
# * :gender (Individual::Gender)
|
495
|
+
# @param subscriber_secondary [Hash] Contains details of the secondary insurance subscriber.Request of type Individual::SubscriberCreate, as a Hash
|
1011
496
|
# * :insurance_card (Hash)
|
1012
497
|
# * :member_id (String)
|
1013
498
|
# * :payer_name (String)
|
@@ -1016,296 +501,119 @@ module CandidApiClient
|
|
1016
501
|
# * :rx_pcn (String)
|
1017
502
|
# * :image_url_front (String)
|
1018
503
|
# * :image_url_back (String)
|
1019
|
-
# * :emr_payer_crosswalk (
|
504
|
+
# * :emr_payer_crosswalk (Commons::EmrPayerCrosswalk)
|
1020
505
|
# * :group_number (String)
|
1021
506
|
# * :plan_name (String)
|
1022
|
-
# * :plan_type (
|
1023
|
-
# * :insurance_type (
|
1024
|
-
#
|
1025
|
-
# * :
|
1026
|
-
# * :date_of_birth (Date)
|
1027
|
-
# * :address (Hash)
|
1028
|
-
# * :zip_plus_four_code (String)
|
1029
|
-
# * :address_1 (String)
|
1030
|
-
# * :address_2 (String)
|
1031
|
-
# * :city (String)
|
1032
|
-
# * :state (CandidApiClient::Commons::Types::State)
|
1033
|
-
# * :zip_code (String)
|
1034
|
-
# * :first_name (String)
|
1035
|
-
# * :last_name (String)
|
1036
|
-
# * :gender (CandidApiClient::Individual::Types::Gender)
|
1037
|
-
# @param pay_to_address [Hash] Specifies the address to which payments for the claim should be sent.Request of type CandidApiClient::Commons::Types::StreetAddressLongZip, as a Hash
|
1038
|
-
# * :zip_plus_four_code (String)
|
1039
|
-
# * :address_1 (String)
|
1040
|
-
# * :address_2 (String)
|
1041
|
-
# * :city (String)
|
1042
|
-
# * :state (CandidApiClient::Commons::Types::State)
|
1043
|
-
# * :zip_code (String)
|
1044
|
-
# @param diagnosis_ids [Array<String>] Ideally, this field should contain no more than 12 diagnoses. However, more
|
1045
|
-
# diagnoses
|
1046
|
-
# may be submitted at this time, and coders will later prioritize the 12 that will
|
1047
|
-
# be
|
1048
|
-
# submitted to the payor.
|
1049
|
-
# @param initial_referring_provider [Hash] The second iteration of Loop ID-2310. Use code "P3 - Primary Care Provider" in
|
1050
|
-
# this loop to
|
1051
|
-
# indicate the initial referral from the primary care provider or whatever
|
1052
|
-
# provider wrote the initial referral for this patient's episode of care being
|
1053
|
-
# billed/reported in this transaction.Request of type CandidApiClient::EncounterProviders::V2::Types::InitialReferringProviderUpdate, as a Hash
|
1054
|
-
# * :npi (String)
|
1055
|
-
# * :taxonomy_code (String)
|
1056
|
-
# * :address (Hash)
|
1057
|
-
# * :zip_plus_four_code (String)
|
1058
|
-
# * :address_1 (String)
|
1059
|
-
# * :address_2 (String)
|
1060
|
-
# * :city (String)
|
1061
|
-
# * :state (CandidApiClient::Commons::Types::State)
|
1062
|
-
# * :zip_code (String)
|
1063
|
-
# * :qualifier (CandidApiClient::Commons::Types::QualifierCode)
|
1064
|
-
# * :first_name (String)
|
1065
|
-
# * :last_name (String)
|
1066
|
-
# * :organization_name (String)
|
1067
|
-
# @param referring_provider [Hash] The final provider who referred the services that were rendered.
|
1068
|
-
# All physicians who order services or refer Medicare beneficiaries must
|
1069
|
-
# report this data.Request of type CandidApiClient::EncounterProviders::V2::Types::ReferringProviderUpdate, as a Hash
|
1070
|
-
# * :npi (String)
|
1071
|
-
# * :taxonomy_code (String)
|
1072
|
-
# * :address (Hash)
|
1073
|
-
# * :zip_plus_four_code (String)
|
1074
|
-
# * :address_1 (String)
|
1075
|
-
# * :address_2 (String)
|
1076
|
-
# * :city (String)
|
1077
|
-
# * :state (CandidApiClient::Commons::Types::State)
|
1078
|
-
# * :zip_code (String)
|
1079
|
-
# * :first_name (String)
|
1080
|
-
# * :last_name (String)
|
1081
|
-
# * :organization_name (String)
|
1082
|
-
# @param patient [Hash] Contains the identification information of the individual receiving medical
|
1083
|
-
# services.Request of type CandidApiClient::Individual::Types::PatientUpdate, as a Hash
|
1084
|
-
# * :first_name (String)
|
1085
|
-
# * :last_name (String)
|
1086
|
-
# * :gender (CandidApiClient::Individual::Types::Gender)
|
1087
|
-
# * :external_id (String)
|
1088
|
-
# * :date_of_birth (Date)
|
1089
|
-
# * :address (Hash)
|
1090
|
-
# * :zip_plus_four_code (String)
|
1091
|
-
# * :address_1 (String)
|
1092
|
-
# * :address_2 (String)
|
1093
|
-
# * :city (String)
|
1094
|
-
# * :state (CandidApiClient::Commons::Types::State)
|
1095
|
-
# * :zip_code (String)
|
1096
|
-
# * :phone_numbers (Array<CandidApiClient::Commons::Types::PhoneNumber>)
|
1097
|
-
# * :phone_consent (Boolean)
|
1098
|
-
# * :email (String)
|
1099
|
-
# * :email_consent (Boolean)
|
1100
|
-
# * :non_insurance_payers (Array<String>)
|
1101
|
-
# * :non_insurance_payers_info (Array<CandidApiClient::Individual::Types::PatientNonInsurancePayerInfoCreate>)
|
1102
|
-
# @param rendering_provider [Hash] The rendering provider is the practitioner -- physician, nurse practitioner,
|
1103
|
-
# etc. -- performing the service.
|
1104
|
-
# For telehealth services, the rendering provider performs the visit, asynchronous
|
1105
|
-
# communication, or other service. The rendering provider address should generally
|
1106
|
-
# be the same as the service facility address.Request of type CandidApiClient::EncounterProviders::V2::Types::RenderingProviderUpdate, as a Hash
|
1107
|
-
# * :npi (String)
|
1108
|
-
# * :taxonomy_code (String)
|
507
|
+
# * :plan_type (Commons::SourceOfPaymentCode)
|
508
|
+
# * :insurance_type (Commons::InsuranceTypeCode)
|
509
|
+
# * :patient_relationship_to_subscriber_code (Commons::PatientRelationshipToInsuredCodeAll)
|
510
|
+
# * :date_of_birth (Commons::DATE)
|
1109
511
|
# * :address (Hash)
|
1110
512
|
# * :zip_plus_four_code (String)
|
1111
513
|
# * :address_1 (String)
|
1112
514
|
# * :address_2 (String)
|
1113
515
|
# * :city (String)
|
1114
|
-
# * :state (
|
516
|
+
# * :state (Commons::State)
|
1115
517
|
# * :zip_code (String)
|
1116
518
|
# * :first_name (String)
|
1117
519
|
# * :last_name (String)
|
1118
|
-
# * :
|
1119
|
-
# @param
|
1120
|
-
#
|
1121
|
-
#
|
1122
|
-
#
|
1123
|
-
#
|
1124
|
-
#
|
1125
|
-
#
|
1126
|
-
#
|
1127
|
-
#
|
1128
|
-
#
|
1129
|
-
#
|
1130
|
-
#
|
1131
|
-
#
|
1132
|
-
#
|
1133
|
-
#
|
1134
|
-
#
|
1135
|
-
#
|
1136
|
-
#
|
1137
|
-
#
|
1138
|
-
#
|
1139
|
-
#
|
1140
|
-
#
|
1141
|
-
|
1142
|
-
|
1143
|
-
|
1144
|
-
# * :address_1 (String)
|
1145
|
-
# * :address_2 (String)
|
1146
|
-
# * :city (String)
|
1147
|
-
# * :state (CandidApiClient::Commons::Types::State)
|
1148
|
-
# * :zip_code (String)
|
1149
|
-
# * :first_name (String)
|
1150
|
-
# * :last_name (String)
|
1151
|
-
# * :organization_name (String)
|
1152
|
-
# @param billing_provider [Hash] The billing provider is the provider or business entity submitting the claim.
|
1153
|
-
# Billing provider may be, but is not necessarily, the same person/NPI as the
|
1154
|
-
# rendering provider. From a payer's perspective, this represents the person or
|
1155
|
-
# entity being reimbursed. When a contract exists with the target payer, the
|
1156
|
-
# billing provider should be the entity contracted with the payer. In some
|
1157
|
-
# circumstances, this will be an individual provider. In that case, submit that
|
1158
|
-
# provider's NPI and the tax ID (TIN) that the provider gave to the payer during
|
1159
|
-
# contracting. In other cases, the billing entity will be a medical group. If so,
|
1160
|
-
# submit the group NPI and the group's tax ID. Box 33 on the CMS-1500 claim form.Request of type CandidApiClient::EncounterProviders::V2::Types::BillingProviderUpdate, as a Hash
|
1161
|
-
# * :address (Hash)
|
1162
|
-
# * :zip_plus_four_code (String)
|
1163
|
-
# * :address_1 (String)
|
1164
|
-
# * :address_2 (String)
|
1165
|
-
# * :city (String)
|
1166
|
-
# * :state (CandidApiClient::Commons::Types::State)
|
1167
|
-
# * :zip_code (String)
|
1168
|
-
# * :tax_id (String)
|
1169
|
-
# * :npi (String)
|
1170
|
-
# * :taxonomy_code (String)
|
1171
|
-
# * :provider_commercial_license_type (CandidApiClient::Commons::Types::BillingProviderCommercialLicenseType)
|
1172
|
-
# * :first_name (String)
|
1173
|
-
# * :last_name (String)
|
1174
|
-
# * :organization_name (String)
|
1175
|
-
# @param place_of_service_code_as_submitted [CandidApiClient::Commons::Types::FacilityTypeCode] Box 24B on the CMS-1500 claim form. 837p Loop2300, CLM-05-1. 02 for
|
1176
|
-
# telemedicine, 11 for in-person. Full list
|
1177
|
-
# //www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set).
|
1178
|
-
# @param request_options [CandidApiClient::RequestOptions]
|
1179
|
-
# @return [CandidApiClient::Encounters::V4::Types::Encounter]
|
1180
|
-
# @example
|
1181
|
-
# api = CandidApiClient::Client.new(base_url: "https://api.example.com", environment: CandidApiClient::Environment::PRODUCTION)
|
1182
|
-
# api.encounters.v_4.update(encounter_id: "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32")
|
1183
|
-
def update(encounter_id:, benefits_assigned_to_provider: nil, prior_authorization_number: nil,
|
1184
|
-
external_id: nil, date_of_service: nil, tag_ids: nil, billable_status: nil, responsible_party: nil, provider_accepts_assignment: nil, synchronicity: nil, place_of_service_code: nil, appointment_type: nil, end_date_of_service: nil, additional_information: nil, service_authorization_exception_code: nil, admission_date: nil, discharge_date: nil, onset_of_current_illness_or_symptom_date: nil, last_menstrual_period_date: nil, delay_reason_code: nil, patient_authorized_release: nil, vitals: nil, referral_number: nil, secondary_payer_carrier_code: nil, additional_properties: nil, _field_set: nil, epsdt_referral: nil, clinical_notes: nil, claim_supplemental_information: nil, schema_instances: nil, existing_medications: nil, guarantor: nil, subscriber_primary: nil, subscriber_secondary: nil, subscriber_tertiary: nil, pay_to_address: nil, diagnosis_ids: nil, initial_referring_provider: nil, referring_provider: nil, patient: nil, rendering_provider: nil, service_facility: nil, supervising_provider: nil, billing_provider: nil, place_of_service_code_as_submitted: nil, request_options: nil)
|
1185
|
-
response = @request_client.conn.patch do |req|
|
520
|
+
# * :gender (Individual::Gender)
|
521
|
+
# @param additional_information [String] Defines additional information on the claim needed by the payer.
|
522
|
+
# Box 19 on the CMS-1500 claim form.
|
523
|
+
# @param service_authorization_exception_code [Encounters::V4::ServiceAuthorizationExceptionCode] 837p Loop2300 REF*4N
|
524
|
+
# Required when mandated by government law or regulation to obtain authorization for specific service(s) but, for the
|
525
|
+
# reasons listed in one of the enum values of ServiceAuthorizationExceptionCode, the service was performed without
|
526
|
+
# obtaining the authorization.
|
527
|
+
# @param admission_date [Commons::DATE] 837p Loop2300 DTP*435, CMS-1500 Box 18
|
528
|
+
# Required on all ambulance claims when the patient was known to be admitted to the hospital.
|
529
|
+
# OR
|
530
|
+
# Required on all claims involving inpatient medical visits.
|
531
|
+
# @param discharge_date [Commons::DATE] 837p Loop2300 DTP*096, CMS-1500 Box 18
|
532
|
+
# Required for inpatient claims when the patient was discharged from the facility and the discharge date is known.
|
533
|
+
# @param onset_of_current_illness_or_symptom_date [Commons::DATE] 837p Loop2300 DTP*431, CMS-1500 Box 14
|
534
|
+
# Required for the initial medical service or visit performed in response to a medical emergency when the date is available and is different than the date of service.
|
535
|
+
# OR
|
536
|
+
# This date is the onset of acute symptoms for the current illness or condition.
|
537
|
+
# @param last_menstrual_period_date [Commons::DATE] 837p Loop2300 DTP*484, CMS-1500 Box 14
|
538
|
+
# Required when, in the judgment of the provider, the services on this claim are related to the patient's pregnancy.
|
539
|
+
# @param delay_reason_code [Commons::DelayReasonCode] 837i Loop2300, CLM-1300 Box 20
|
540
|
+
# Code indicating the reason why a request was delayed
|
541
|
+
# @param request_options [RequestOptions]
|
542
|
+
# @return [Encounters::V4::Encounter]
|
543
|
+
def update(encounter_id:, prior_authorization_number: nil, external_id: nil, date_of_service: nil,
|
544
|
+
diagnosis_ids: nil, tag_ids: nil, clinical_notes: nil, pay_to_address: nil, billable_status: nil, responsible_party: nil, provider_accepts_assignment: nil, benefits_assigned_to_provider: nil, synchronicity: nil, place_of_service_code: nil, appointment_type: nil, end_date_of_service: nil, subscriber_primary: nil, subscriber_secondary: nil, additional_information: nil, service_authorization_exception_code: nil, admission_date: nil, discharge_date: nil, onset_of_current_illness_or_symptom_date: nil, last_menstrual_period_date: nil, delay_reason_code: nil, request_options: nil)
|
545
|
+
response = @request_client.conn.patch("/api/encounters/v4/#{encounter_id}") do |req|
|
1186
546
|
req.options.timeout = request_options.timeout_in_seconds unless request_options&.timeout_in_seconds.nil?
|
1187
547
|
req.headers["Authorization"] = request_options.token unless request_options&.token.nil?
|
1188
|
-
req.headers = {
|
1189
|
-
**(req.headers || {}),
|
1190
|
-
**@request_client.get_headers,
|
1191
|
-
**(request_options&.additional_headers || {})
|
1192
|
-
}.compact
|
548
|
+
req.headers = { **req.headers, **(request_options&.additional_headers || {}) }.compact
|
1193
549
|
req.body = {
|
1194
550
|
**(request_options&.additional_body_parameters || {}),
|
1195
|
-
benefits_assigned_to_provider: benefits_assigned_to_provider,
|
1196
551
|
prior_authorization_number: prior_authorization_number,
|
1197
552
|
external_id: external_id,
|
1198
553
|
date_of_service: date_of_service,
|
554
|
+
diagnosis_ids: diagnosis_ids,
|
1199
555
|
tag_ids: tag_ids,
|
556
|
+
clinical_notes: clinical_notes,
|
557
|
+
pay_to_address: pay_to_address,
|
1200
558
|
billable_status: billable_status,
|
1201
559
|
responsible_party: responsible_party,
|
1202
560
|
provider_accepts_assignment: provider_accepts_assignment,
|
561
|
+
benefits_assigned_to_provider: benefits_assigned_to_provider,
|
1203
562
|
synchronicity: synchronicity,
|
1204
563
|
place_of_service_code: place_of_service_code,
|
1205
564
|
appointment_type: appointment_type,
|
1206
565
|
end_date_of_service: end_date_of_service,
|
566
|
+
subscriber_primary: subscriber_primary,
|
567
|
+
subscriber_secondary: subscriber_secondary,
|
1207
568
|
additional_information: additional_information,
|
1208
569
|
service_authorization_exception_code: service_authorization_exception_code,
|
1209
570
|
admission_date: admission_date,
|
1210
571
|
discharge_date: discharge_date,
|
1211
572
|
onset_of_current_illness_or_symptom_date: onset_of_current_illness_or_symptom_date,
|
1212
573
|
last_menstrual_period_date: last_menstrual_period_date,
|
1213
|
-
delay_reason_code: delay_reason_code
|
1214
|
-
patient_authorized_release: patient_authorized_release,
|
1215
|
-
vitals: vitals,
|
1216
|
-
referral_number: referral_number,
|
1217
|
-
secondary_payer_carrier_code: secondary_payer_carrier_code,
|
1218
|
-
additional_properties: additional_properties,
|
1219
|
-
_field_set: _field_set,
|
1220
|
-
epsdt_referral: epsdt_referral,
|
1221
|
-
clinical_notes: clinical_notes,
|
1222
|
-
claim_supplemental_information: claim_supplemental_information,
|
1223
|
-
schema_instances: schema_instances,
|
1224
|
-
existing_medications: existing_medications,
|
1225
|
-
guarantor: guarantor,
|
1226
|
-
subscriber_primary: subscriber_primary,
|
1227
|
-
subscriber_secondary: subscriber_secondary,
|
1228
|
-
subscriber_tertiary: subscriber_tertiary,
|
1229
|
-
pay_to_address: pay_to_address,
|
1230
|
-
diagnosis_ids: diagnosis_ids,
|
1231
|
-
initial_referring_provider: initial_referring_provider,
|
1232
|
-
referring_provider: referring_provider,
|
1233
|
-
patient: patient,
|
1234
|
-
rendering_provider: rendering_provider,
|
1235
|
-
service_facility: service_facility,
|
1236
|
-
supervising_provider: supervising_provider,
|
1237
|
-
billing_provider: billing_provider,
|
1238
|
-
place_of_service_code_as_submitted: place_of_service_code_as_submitted
|
574
|
+
delay_reason_code: delay_reason_code
|
1239
575
|
}.compact
|
1240
|
-
req.url "#{@request_client.get_url(environment: CandidApi,
|
1241
|
-
request_options: request_options)}/api/encounters/v4/#{encounter_id}"
|
1242
576
|
end
|
1243
|
-
|
577
|
+
Encounters::V4::Encounter.from_json(json_object: response.body)
|
1244
578
|
end
|
1245
579
|
end
|
1246
580
|
|
1247
581
|
class AsyncV4Client
|
1248
|
-
# @return [CandidApiClient::AsyncRequestClient]
|
1249
582
|
attr_reader :request_client
|
1250
583
|
|
1251
|
-
# @param request_client [
|
1252
|
-
# @return [
|
584
|
+
# @param request_client [AsyncRequestClient]
|
585
|
+
# @return [Encounters::V4::AsyncV4Client]
|
1253
586
|
def initialize(request_client:)
|
587
|
+
# @type [AsyncRequestClient]
|
1254
588
|
@request_client = request_client
|
1255
589
|
end
|
1256
590
|
|
1257
591
|
# @param limit [Integer] Maximum number of entities per page, defaults to 100.
|
1258
|
-
# @param claim_status [
|
1259
|
-
# @param sort [
|
1260
|
-
# @param page_token [
|
1261
|
-
# @param date_of_service_min [
|
1262
|
-
# @param date_of_service_max [
|
592
|
+
# @param claim_status [Claims::ClaimStatus] Indicates the current status of an insurance claim within the billing process.
|
593
|
+
# @param sort [Encounters::V4::EncounterSortOptions] Defaults to created_at:desc.
|
594
|
+
# @param page_token [Commons::PAGE_TOKEN]
|
595
|
+
# @param date_of_service_min [Commons::DATE] Date formatted as YYYY-MM-DD; eg: 2019-08-25.
|
596
|
+
# @param date_of_service_max [Commons::DATE] Date formatted as YYYY-MM-DD; eg: 2019-08-25.
|
1263
597
|
# @param primary_payer_names [String] Comma delimited string.
|
1264
|
-
# @param search_term [String] Filter by any of the following fields: encounter_id, claim_id, patient
|
1265
|
-
#
|
1266
|
-
#
|
1267
|
-
#
|
1268
|
-
# @param
|
1269
|
-
# @param
|
1270
|
-
#
|
1271
|
-
# @param
|
1272
|
-
# @param
|
1273
|
-
# @param
|
1274
|
-
#
|
1275
|
-
#
|
1276
|
-
# responsible_party.
|
1277
|
-
# @param responsible_party [CandidApiClient::Encounters::V4::Types::ResponsiblePartyType] Defines the party to be billed with the initial balance owed on the claim. Use
|
1278
|
-
# SELF_PAY if you intend to bill self pay/cash pay.
|
1279
|
-
# @param owner_of_next_action [CandidApiClient::Encounters::V4::Types::EncounterOwnerOfNextActionType] The party who is responsible for taking the next action on an Encounter, as
|
1280
|
-
# defined by ownership of open Tasks.
|
1281
|
-
# @param patient_external_id [String] The patient ID from the external EMR platform for the patient
|
1282
|
-
# @param request_options [CandidApiClient::RequestOptions]
|
1283
|
-
# @return [CandidApiClient::Encounters::V4::Types::EncounterPage]
|
1284
|
-
# @example
|
1285
|
-
# api = CandidApiClient::Client.new(base_url: "https://api.example.com", environment: CandidApiClient::Environment::PRODUCTION)
|
1286
|
-
# api.encounters.v_4.get_all(
|
1287
|
-
# limit: 100,
|
1288
|
-
# claim_status: BILLER_RECEIVED,
|
1289
|
-
# sort: CREATED_AT_ASC,
|
1290
|
-
# page_token: "eyJ0b2tlbiI6IjEiLCJwYWdlX3Rva2VuIjoiMiJ9",
|
1291
|
-
# date_of_service_min: DateTime.parse(2019-08-24),
|
1292
|
-
# date_of_service_max: DateTime.parse(2019-08-25),
|
1293
|
-
# primary_payer_names: "Medicare,Medicaid",
|
1294
|
-
# search_term: "doe",
|
1295
|
-
# external_id: "123456",
|
1296
|
-
# diagnoses_updated_since: DateTime.parse(2019-08-24T14:15:22.000Z)
|
1297
|
-
# )
|
598
|
+
# @param search_term [String] Filter by any of the following fields: encounter_id, claim_id, patient external_id,
|
599
|
+
# patient date of birth, patient first name, patient last name,
|
600
|
+
# or encounter external id.
|
601
|
+
# @param external_id [Commons::ENCOUNTER_EXTERNAL_ID] Filter to an exact match on encounter external_id, if one exists.
|
602
|
+
# @param diagnoses_updated_since [DateTime] ISO 8601 timestamp; ideally in UTC (although not required): 2019-08-24T14:15:22Z.
|
603
|
+
# @param tag_ids [Tags::TAG_ID] Filter by name of tags on encounters.
|
604
|
+
# @param work_queue_id [Commons::WORK_QUEUE_ID]
|
605
|
+
# @param billable_status [Encounters::V4::BillableStatusType] Defines if the Encounter is to be billed by Candid to the responsible_party. Examples for when this should be set to NOT_BILLABLE include if the Encounter has not occurred yet or if there is no intention of ever billing the responsible_party.
|
606
|
+
# @param responsible_party [Encounters::V4::ResponsiblePartyType] Defines the party to be billed with the initial balance owed on the claim. Use SELF_PAY if you intend to bill self pay/cash pay.
|
607
|
+
# @param owner_of_next_action [Encounters::V4::EncounterOwnerOfNextActionType] The party who is responsible for taking the next action on an Encounter, as defined by ownership of open Tasks.
|
608
|
+
# @param request_options [RequestOptions]
|
609
|
+
# @return [Encounters::V4::EncounterPage]
|
1298
610
|
def get_all(limit: nil, claim_status: nil, sort: nil, page_token: nil, date_of_service_min: nil,
|
1299
|
-
date_of_service_max: nil, primary_payer_names: nil, search_term: nil, external_id: nil, diagnoses_updated_since: nil, tag_ids: nil, work_queue_id: nil, billable_status: nil, responsible_party: nil, owner_of_next_action: nil,
|
611
|
+
date_of_service_max: nil, primary_payer_names: nil, search_term: nil, external_id: nil, diagnoses_updated_since: nil, tag_ids: nil, work_queue_id: nil, billable_status: nil, responsible_party: nil, owner_of_next_action: nil, request_options: nil)
|
1300
612
|
Async do
|
1301
|
-
response = @request_client.conn.get do |req|
|
613
|
+
response = @request_client.conn.get("/api/encounters/v4") do |req|
|
1302
614
|
req.options.timeout = request_options.timeout_in_seconds unless request_options&.timeout_in_seconds.nil?
|
1303
615
|
req.headers["Authorization"] = request_options.token unless request_options&.token.nil?
|
1304
|
-
req.headers = {
|
1305
|
-
**(req.headers || {}),
|
1306
|
-
**@request_client.get_headers,
|
1307
|
-
**(request_options&.additional_headers || {})
|
1308
|
-
}.compact
|
616
|
+
req.headers = { **req.headers, **(request_options&.additional_headers || {}) }.compact
|
1309
617
|
req.params = {
|
1310
618
|
**(request_options&.additional_query_parameters || {}),
|
1311
619
|
"limit": limit,
|
@@ -1322,238 +630,161 @@ module CandidApiClient
|
|
1322
630
|
"work_queue_id": work_queue_id,
|
1323
631
|
"billable_status": billable_status,
|
1324
632
|
"responsible_party": responsible_party,
|
1325
|
-
"owner_of_next_action": owner_of_next_action
|
1326
|
-
"patient_external_id": patient_external_id
|
633
|
+
"owner_of_next_action": owner_of_next_action
|
1327
634
|
}.compact
|
1328
|
-
req.url "#{@request_client.get_url(environment: CandidApi,
|
1329
|
-
request_options: request_options)}/api/encounters/v4"
|
1330
635
|
end
|
1331
|
-
|
636
|
+
Encounters::V4::EncounterPage.from_json(json_object: response.body)
|
1332
637
|
end
|
1333
638
|
end
|
1334
639
|
|
1335
|
-
# @param encounter_id [
|
1336
|
-
# @param request_options [
|
1337
|
-
# @return [
|
1338
|
-
# @example
|
1339
|
-
# api = CandidApiClient::Client.new(base_url: "https://api.example.com", environment: CandidApiClient::Environment::PRODUCTION)
|
1340
|
-
# api.encounters.v_4.get(encounter_id: "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32")
|
640
|
+
# @param encounter_id [Commons::ENCOUNTER_ID]
|
641
|
+
# @param request_options [RequestOptions]
|
642
|
+
# @return [Encounters::V4::Encounter]
|
1341
643
|
def get(encounter_id:, request_options: nil)
|
1342
644
|
Async do
|
1343
|
-
response = @request_client.conn.get do |req|
|
645
|
+
response = @request_client.conn.get("/api/encounters/v4/#{encounter_id}") do |req|
|
1344
646
|
req.options.timeout = request_options.timeout_in_seconds unless request_options&.timeout_in_seconds.nil?
|
1345
647
|
req.headers["Authorization"] = request_options.token unless request_options&.token.nil?
|
1346
|
-
req.headers = {
|
1347
|
-
**(req.headers || {}),
|
1348
|
-
**@request_client.get_headers,
|
1349
|
-
**(request_options&.additional_headers || {})
|
1350
|
-
}.compact
|
1351
|
-
req.url "#{@request_client.get_url(environment: CandidApi,
|
1352
|
-
request_options: request_options)}/api/encounters/v4/#{encounter_id}"
|
648
|
+
req.headers = { **req.headers, **(request_options&.additional_headers || {}) }.compact
|
1353
649
|
end
|
1354
|
-
|
650
|
+
Encounters::V4::Encounter.from_json(json_object: response.body)
|
1355
651
|
end
|
1356
652
|
end
|
1357
653
|
|
1358
|
-
# @param external_id [
|
1359
|
-
#
|
1360
|
-
#
|
1361
|
-
# @param date_of_service [
|
1362
|
-
#
|
1363
|
-
#
|
1364
|
-
#
|
1365
|
-
#
|
1366
|
-
#
|
1367
|
-
#
|
1368
|
-
#
|
1369
|
-
#
|
1370
|
-
# @param end_date_of_service [Date] Date formatted as YYYY-MM-DD; eg: 2019-08-25.
|
1371
|
-
# This date must be the local date in the timezone where the service occurred.
|
1372
|
-
# If omitted, the Encounter is assumed to be for a single day.
|
1373
|
-
# Must not be temporally before the date_of_service field.
|
1374
|
-
# If there are greater than zero service lines, it is recommended to specify
|
1375
|
-
# end_date_of_service on the service_line instead of on the encounter to prepare
|
1376
|
-
# for future API versions.
|
654
|
+
# @param external_id [Commons::ENCOUNTER_EXTERNAL_ID] A client-specified unique ID to associate with this encounter;
|
655
|
+
# for example, your internal encounter ID or a Dr. Chrono encounter ID.
|
656
|
+
# This field should not contain PHI.
|
657
|
+
# @param date_of_service [Commons::DATE] Date formatted as YYYY-MM-DD; eg: 2019-08-24.
|
658
|
+
# This date must be the local date in the timezone where the service occurred.
|
659
|
+
# Box 24a on the CMS-1500 claim form.
|
660
|
+
# If service occurred over a range of dates, this should be the start date.
|
661
|
+
# @param end_date_of_service [Commons::DATE] Date formatted as YYYY-MM-DD; eg: 2019-08-25.
|
662
|
+
# This date must be the local date in the timezone where the service occurred.
|
663
|
+
# If omitted, the Encounter is assumed to be for a single day.
|
664
|
+
# Must not be temporally before the date_of_service field.
|
665
|
+
# @param prior_authorization_number [Encounters::V4::PRIOR_AUTHORIZATION_NUMBER] Box 23 on the CMS-1500 claim form.
|
1377
666
|
# @param patient_authorized_release [Boolean] Whether this patient has authorized the release of medical information
|
1378
|
-
#
|
1379
|
-
#
|
667
|
+
# for billing purpose.
|
668
|
+
# Box 12 on the CMS-1500 claim form.
|
1380
669
|
# @param benefits_assigned_to_provider [Boolean] Whether this patient has authorized insurance payments to be made to you,
|
1381
|
-
#
|
1382
|
-
#
|
670
|
+
# not them. If false, patient may receive reimbursement.
|
671
|
+
# Box 13 on the CMS-1500 claim form.
|
1383
672
|
# @param provider_accepts_assignment [Boolean] Whether you have accepted the patient's authorization for insurance payments
|
1384
|
-
#
|
1385
|
-
#
|
1386
|
-
# @param appointment_type [String] Human-readable description of the appointment type (ex: "Acupuncture -
|
1387
|
-
#
|
1388
|
-
# @param existing_medications [Array<Hash>] Request of type Array<CandidApiClient::Encounters::V4::Types::Medication>, as a Hash
|
673
|
+
# to be made to you, not them.
|
674
|
+
# Box 27 on the CMS-1500 claim form.
|
675
|
+
# @param appointment_type [String] Human-readable description of the appointment type (ex: "Acupuncture - Headaches").
|
676
|
+
# @param existing_medications [Array<Hash>] Request of type Array<Encounters::V4::Medication>, as a Hash
|
1389
677
|
# * :name (String)
|
1390
|
-
# * :rx_cui (
|
678
|
+
# * :rx_cui (Encounters::V4::RX_CUI)
|
1391
679
|
# * :dosage (String)
|
1392
680
|
# * :dosage_form (String)
|
1393
681
|
# * :frequency (String)
|
1394
682
|
# * :as_needed (Boolean)
|
1395
|
-
# @param vitals [Hash] Request of type
|
683
|
+
# @param vitals [Hash] Request of type Encounters::V4::Vitals, as a Hash
|
1396
684
|
# * :height_in (Integer)
|
1397
685
|
# * :weight_lbs (Integer)
|
1398
686
|
# * :blood_pressure_systolic_mmhg (Integer)
|
1399
687
|
# * :blood_pressure_diastolic_mmhg (Integer)
|
1400
688
|
# * :body_temperature_f (Float)
|
1401
|
-
#
|
1402
|
-
# * :hematocrit_pct (Float)
|
1403
|
-
# @param interventions [Array<Hash>] Request of type Array<CandidApiClient::Encounters::V4::Types::Intervention>, as a Hash
|
689
|
+
# @param interventions [Array<Hash>] Request of type Array<Encounters::V4::Intervention>, as a Hash
|
1404
690
|
# * :name (String)
|
1405
|
-
# * :category (
|
691
|
+
# * :category (Encounters::V4::InterventionCategory)
|
1406
692
|
# * :description (String)
|
1407
693
|
# * :medication (Hash)
|
1408
694
|
# * :name (String)
|
1409
|
-
# * :rx_cui (
|
695
|
+
# * :rx_cui (Encounters::V4::RX_CUI)
|
1410
696
|
# * :dosage (String)
|
1411
697
|
# * :dosage_form (String)
|
1412
698
|
# * :frequency (String)
|
1413
699
|
# * :as_needed (Boolean)
|
1414
|
-
# * :labs (Array<
|
1415
|
-
# @param pay_to_address [Hash] Specifies the address to which payments for the claim should be sent.Request of type
|
700
|
+
# * :labs (Array<Encounters::V4::Lab>)
|
701
|
+
# @param pay_to_address [Hash] Specifies the address to which payments for the claim should be sent.Request of type Commons::StreetAddressLongZip, as a Hash
|
1416
702
|
# * :zip_plus_four_code (String)
|
1417
703
|
# * :address_1 (String)
|
1418
704
|
# * :address_2 (String)
|
1419
705
|
# * :city (String)
|
1420
|
-
# * :state (
|
706
|
+
# * :state (Commons::State)
|
1421
707
|
# * :zip_code (String)
|
1422
|
-
# @param synchronicity [
|
1423
|
-
#
|
1424
|
-
#
|
1425
|
-
#
|
1426
|
-
#
|
1427
|
-
#
|
1428
|
-
#
|
1429
|
-
#
|
1430
|
-
#
|
1431
|
-
# if the Encounter has not occurred yet or if there is no intention of ever
|
1432
|
-
# billing the responsible_party.
|
708
|
+
# @param synchronicity [Encounters::V4::SynchronicityType] Whether or not this was a synchronous or asynchronous encounter.
|
709
|
+
# Asynchronous encounters occur when providers and patients communicate online using
|
710
|
+
# forms, instant messaging, or other pre-recorded digital mediums.
|
711
|
+
# Synchronous encounters occur in live, real-time settings where the patient interacts
|
712
|
+
# directly with the provider, such as over video or a phone call.
|
713
|
+
# @param billable_status [Encounters::V4::BillableStatusType] Defines if the Encounter is to be billed by Candid to the responsible_party.
|
714
|
+
# Examples for when this should be set to NOT_BILLABLE include
|
715
|
+
# if the Encounter has not occurred yet or if there is no intention of ever billing the responsible_party.
|
716
|
+
# @param responsible_party [Encounters::V4::ResponsiblePartyType] Defines the party to be billed with the initial balance owed on the claim.
|
1433
717
|
# @param additional_information [String] Defines additional information on the claim needed by the payer.
|
1434
|
-
#
|
1435
|
-
# @param service_authorization_exception_code [
|
1436
|
-
#
|
1437
|
-
#
|
1438
|
-
#
|
1439
|
-
#
|
1440
|
-
#
|
1441
|
-
#
|
1442
|
-
#
|
1443
|
-
#
|
1444
|
-
#
|
1445
|
-
#
|
1446
|
-
#
|
1447
|
-
#
|
1448
|
-
#
|
1449
|
-
# @param
|
1450
|
-
#
|
1451
|
-
#
|
1452
|
-
#
|
1453
|
-
# OR
|
1454
|
-
# This date is the onset of acute symptoms for the current illness or condition.
|
1455
|
-
# @param last_menstrual_period_date [Date] 837p Loop2300 DTP*484, CMS-1500 Box 14
|
1456
|
-
# Required when, in the judgment of the provider, the services on this claim are
|
1457
|
-
# related to the patient's pregnancy.
|
1458
|
-
# @param delay_reason_code [CandidApiClient::Commons::Types::DelayReasonCode] 837i Loop2300, CLM-1300 Box 20
|
1459
|
-
# Code indicating the reason why a request was delayed
|
718
|
+
# Box 19 on the CMS-1500 claim form.
|
719
|
+
# @param service_authorization_exception_code [Encounters::V4::ServiceAuthorizationExceptionCode] 837p Loop2300 REF\*4N
|
720
|
+
# Required when mandated by government law or regulation to obtain authorization for specific service(s) but, for the
|
721
|
+
# reasons listed in one of the enum values of ServiceAuthorizationExceptionCode, the service was performed without
|
722
|
+
# obtaining the authorization.
|
723
|
+
# @param admission_date [Commons::DATE] 837p Loop2300 DTP\*435, CMS-1500 Box 18
|
724
|
+
# Required on all ambulance claims when the patient was known to be admitted to the hospital.
|
725
|
+
# OR
|
726
|
+
# Required on all claims involving inpatient medical visits.
|
727
|
+
# @param discharge_date [Commons::DATE] 837p Loop2300 DTP\*096, CMS-1500 Box 18
|
728
|
+
# Required for inpatient claims when the patient was discharged from the facility and the discharge date is known.
|
729
|
+
# @param onset_of_current_illness_or_symptom_date [Commons::DATE] 837p Loop2300 DTP\*431, CMS-1500 Box 14
|
730
|
+
# Required for the initial medical service or visit performed in response to a medical emergency when the date is available and is different than the date of service.
|
731
|
+
# OR
|
732
|
+
# This date is the onset of acute symptoms for the current illness or condition.
|
733
|
+
# @param last_menstrual_period_date [Commons::DATE] 837p Loop2300 DTP\*484, CMS-1500 Box 14
|
734
|
+
# Required when, in the judgment of the provider, the services on this claim are related to the patient's pregnancy.
|
735
|
+
# @param delay_reason_code [Commons::DelayReasonCode] 837i Loop2300, CLM-1300 Box 20
|
736
|
+
# Code indicating the reason why a request was delayed
|
1460
737
|
# @param additional_properties [OpenStruct] Additional properties unmapped to the current class definition
|
1461
|
-
# @param
|
1462
|
-
#
|
1463
|
-
# services.Request of type CandidApiClient::Individual::Types::PatientCreate, as a Hash
|
1464
|
-
# * :phone_numbers (Array<CandidApiClient::Commons::Types::PhoneNumber>)
|
738
|
+
# @param patient [Hash] Contains the identification information of the individual receiving medical services.Request of type Individual::PatientCreate, as a Hash
|
739
|
+
# * :phone_numbers (Array<Commons::PhoneNumber>)
|
1465
740
|
# * :phone_consent (Boolean)
|
1466
|
-
# * :email (
|
1467
|
-
# * :non_insurance_payers (Array<String>)
|
1468
|
-
# * :non_insurance_payers_info (Array<CandidApiClient::Individual::Types::PatientNonInsurancePayerInfoCreate>)
|
741
|
+
# * :email (Commons::EMAIL)
|
1469
742
|
# * :email_consent (Boolean)
|
1470
743
|
# * :external_id (String)
|
1471
|
-
# * :date_of_birth (
|
744
|
+
# * :date_of_birth (Commons::DATE)
|
1472
745
|
# * :address (Hash)
|
1473
746
|
# * :zip_plus_four_code (String)
|
1474
747
|
# * :address_1 (String)
|
1475
748
|
# * :address_2 (String)
|
1476
749
|
# * :city (String)
|
1477
|
-
# * :state (
|
750
|
+
# * :state (Commons::State)
|
1478
751
|
# * :zip_code (String)
|
1479
752
|
# * :first_name (String)
|
1480
753
|
# * :last_name (String)
|
1481
|
-
# * :gender (
|
1482
|
-
# @param billing_provider [Hash] The billing provider is the provider or business entity submitting the claim.
|
1483
|
-
# Billing provider may be, but is not necessarily, the same person/NPI as the
|
1484
|
-
# rendering provider. From a payer's perspective, this represents the person or
|
1485
|
-
# entity being reimbursed. When a contract exists with the target payer, the
|
1486
|
-
# billing provider should be the entity contracted with the payer. In some
|
1487
|
-
# circumstances, this will be an individual provider. In that case, submit that
|
1488
|
-
# provider's NPI and the tax ID (TIN) that the provider gave to the payer during
|
1489
|
-
# contracting. In other cases, the billing entity will be a medical group. If so,
|
1490
|
-
# submit the group NPI and the group's tax ID. Box 33 on the CMS-1500 claim form.Request of type CandidApiClient::EncounterProviders::V2::Types::BillingProvider, as a Hash
|
754
|
+
# * :gender (Individual::Gender)
|
755
|
+
# @param billing_provider [Hash] The billing provider is the provider or business entity submitting the claim. Billing provider may be, but is not necessarily, the same person/NPI as the rendering provider. From a payer's perspective, this represents the person or entity being reimbursed. When a contract exists with the target payer, the billing provider should be the entity contracted with the payer. In some circumstances, this will be an individual provider. In that case, submit that provider's NPI and the tax ID (TIN) that the provider gave to the payer during contracting. In other cases, the billing entity will be a medical group. If so, submit the group NPI and the group's tax ID. Box 33 on the CMS-1500 claim form.Request of type EncounterProviders::V2::BillingProvider, as a Hash
|
1491
756
|
# * :address (Hash)
|
1492
757
|
# * :zip_plus_four_code (String)
|
1493
758
|
# * :address_1 (String)
|
1494
759
|
# * :address_2 (String)
|
1495
760
|
# * :city (String)
|
1496
|
-
# * :state (
|
761
|
+
# * :state (Commons::State)
|
1497
762
|
# * :zip_code (String)
|
1498
763
|
# * :tax_id (String)
|
1499
764
|
# * :npi (String)
|
1500
765
|
# * :taxonomy_code (String)
|
1501
|
-
# * :provider_commercial_license_type (CandidApiClient::Commons::Types::BillingProviderCommercialLicenseType)
|
1502
|
-
# * :first_name (String)
|
1503
|
-
# * :last_name (String)
|
1504
|
-
# * :organization_name (String)
|
1505
|
-
# @param rendering_provider [Hash] The rendering provider is the practitioner -- physician, nurse practitioner,
|
1506
|
-
# etc. -- performing the service.
|
1507
|
-
# For telehealth services, the rendering provider performs the visit, asynchronous
|
1508
|
-
# communication, or other service. The rendering provider address should generally
|
1509
|
-
# be the same as the service facility address.Request of type CandidApiClient::EncounterProviders::V2::Types::RenderingProvider, as a Hash
|
1510
|
-
# * :npi (String)
|
1511
|
-
# * :taxonomy_code (String)
|
1512
|
-
# * :address (Hash)
|
1513
|
-
# * :zip_plus_four_code (String)
|
1514
|
-
# * :address_1 (String)
|
1515
|
-
# * :address_2 (String)
|
1516
|
-
# * :city (String)
|
1517
|
-
# * :state (CandidApiClient::Commons::Types::State)
|
1518
|
-
# * :zip_code (String)
|
1519
766
|
# * :first_name (String)
|
1520
767
|
# * :last_name (String)
|
1521
768
|
# * :organization_name (String)
|
1522
|
-
# @param
|
1523
|
-
#
|
1524
|
-
# report this data.Request of type CandidApiClient::EncounterProviders::V2::Types::ReferringProvider, as a Hash
|
1525
|
-
# * :npi (String)
|
1526
|
-
# * :taxonomy_code (String)
|
769
|
+
# @param rendering_provider [Hash] The rendering provider is the practitioner -- physician, nurse practitioner, etc. -- performing the service.
|
770
|
+
# For telehealth services, the rendering provider performs the visit, asynchronous communication, or other service. The rendering provider address should generally be the same as the service facility address.Request of type EncounterProviders::V2::RenderingProvider, as a Hash
|
1527
771
|
# * :address (Hash)
|
1528
772
|
# * :zip_plus_four_code (String)
|
1529
773
|
# * :address_1 (String)
|
1530
774
|
# * :address_2 (String)
|
1531
775
|
# * :city (String)
|
1532
|
-
# * :state (
|
776
|
+
# * :state (Commons::State)
|
1533
777
|
# * :zip_code (String)
|
1534
|
-
# * :first_name (String)
|
1535
|
-
# * :last_name (String)
|
1536
|
-
# * :organization_name (String)
|
1537
|
-
# @param initial_referring_provider [Hash] The second iteration of Loop ID-2310. Use code "P3 - Primary Care Provider" in
|
1538
|
-
# this loop to
|
1539
|
-
# indicate the initial referral from the primary care provider or whatever
|
1540
|
-
# provider wrote the initial referral for this patient's episode of care being
|
1541
|
-
# billed/reported in this transaction.Request of type CandidApiClient::EncounterProviders::V2::Types::InitialReferringProvider, as a Hash
|
1542
778
|
# * :npi (String)
|
1543
779
|
# * :taxonomy_code (String)
|
1544
|
-
# * :address (Hash)
|
1545
|
-
# * :zip_plus_four_code (String)
|
1546
|
-
# * :address_1 (String)
|
1547
|
-
# * :address_2 (String)
|
1548
|
-
# * :city (String)
|
1549
|
-
# * :state (CandidApiClient::Commons::Types::State)
|
1550
|
-
# * :zip_code (String)
|
1551
|
-
# * :qualifier (CandidApiClient::Commons::Types::QualifierCode)
|
1552
780
|
# * :first_name (String)
|
1553
781
|
# * :last_name (String)
|
1554
782
|
# * :organization_name (String)
|
1555
|
-
# @param
|
1556
|
-
#
|
783
|
+
# @param referring_provider [Hash] The provider who referred the services that were rendered.
|
784
|
+
# All physicians who order services or refer Medicare beneficiaries must
|
785
|
+
# report this data.
|
786
|
+
# If a claim involves multiple referring physicians, create a separate
|
787
|
+
# encounter for each physician.Request of type EncounterProviders::V2::ReferringProvider, as a Hash
|
1557
788
|
# * :npi (String)
|
1558
789
|
# * :taxonomy_code (String)
|
1559
790
|
# * :address (Hash)
|
@@ -1561,20 +792,12 @@ module CandidApiClient
|
|
1561
792
|
# * :address_1 (String)
|
1562
793
|
# * :address_2 (String)
|
1563
794
|
# * :city (String)
|
1564
|
-
# * :state (
|
795
|
+
# * :state (Commons::State)
|
1565
796
|
# * :zip_code (String)
|
1566
797
|
# * :first_name (String)
|
1567
798
|
# * :last_name (String)
|
1568
799
|
# * :organization_name (String)
|
1569
|
-
# @param service_facility [Hash] Encounter Service facility is typically the location a medical service was
|
1570
|
-
# rendered, such as a provider office or hospital. For telehealth, service
|
1571
|
-
# facility can represent the provider's location when the service was delivered
|
1572
|
-
# (e.g., home), or the location where an in-person visit would have taken place,
|
1573
|
-
# whichever is easier to identify. If the provider is in-network, service facility
|
1574
|
-
# may be defined in payer contracts. Box 32 on the CMS-1500 claim form. Note that
|
1575
|
-
# for an in-network claim to be successfully adjudicated, the service facility
|
1576
|
-
# address listed on claims must match what was provided to the payer during the
|
1577
|
-
# credentialing process.Request of type CandidApiClient::ServiceFacility::Types::EncounterServiceFacilityBase, as a Hash
|
800
|
+
# @param service_facility [Hash] Encounter Service facility is typically the location a medical service was rendered, such as a provider office or hospital. For telehealth, service facility can represent the provider's location when the service was delivered (e.g., home), or the location where an in-person visit would have taken place, whichever is easier to identify. If the provider is in-network, service facility may be defined in payer contracts. Box 32 on the CMS-1500 claim form. Note that for an in-network claim to be successfully adjudicated, the service facility address listed on claims must match what was provided to the payer during the credentialing process.Request of type ServiceFacility::EncounterServiceFacilityBase, as a Hash
|
1578
801
|
# * :organization_name (String)
|
1579
802
|
# * :npi (String)
|
1580
803
|
# * :address (Hash)
|
@@ -1582,44 +805,12 @@ module CandidApiClient
|
|
1582
805
|
# * :address_1 (String)
|
1583
806
|
# * :address_2 (String)
|
1584
807
|
# * :city (String)
|
1585
|
-
# * :state (
|
1586
|
-
# * :zip_code (String)
|
1587
|
-
# * :secondary_identification (String)
|
1588
|
-
# @param subscriber_primary [Hash] Subscriber_primary is required when responsible_party is INSURANCE_PAY (i.e.
|
1589
|
-
# when the claim should be billed to insurance).
|
1590
|
-
# These are not required fields when responsible_party is SELF_PAY (i.e. when the
|
1591
|
-
# claim should be billed to the patient).
|
1592
|
-
# However, if you collect this for patients, even self-pay, we recommend including
|
1593
|
-
# it when sending encounters to Candid.
|
1594
|
-
# Note: Cash Pay is no longer a valid payer_id in v4, please use responsible party
|
1595
|
-
# to define self-pay claims.Request of type CandidApiClient::Individual::Types::SubscriberCreate, as a Hash
|
1596
|
-
# * :insurance_card (Hash)
|
1597
|
-
# * :member_id (String)
|
1598
|
-
# * :payer_name (String)
|
1599
|
-
# * :payer_id (String)
|
1600
|
-
# * :rx_bin (String)
|
1601
|
-
# * :rx_pcn (String)
|
1602
|
-
# * :image_url_front (String)
|
1603
|
-
# * :image_url_back (String)
|
1604
|
-
# * :emr_payer_crosswalk (CandidApiClient::Commons::Types::EmrPayerCrosswalk)
|
1605
|
-
# * :group_number (String)
|
1606
|
-
# * :plan_name (String)
|
1607
|
-
# * :plan_type (CandidApiClient::Commons::Types::SourceOfPaymentCode)
|
1608
|
-
# * :insurance_type (CandidApiClient::Commons::Types::InsuranceTypeCode)
|
1609
|
-
# * :payer_plan_group_id (String)
|
1610
|
-
# * :patient_relationship_to_subscriber_code (CandidApiClient::Commons::Types::PatientRelationshipToInsuredCodeAll)
|
1611
|
-
# * :date_of_birth (Date)
|
1612
|
-
# * :address (Hash)
|
1613
|
-
# * :zip_plus_four_code (String)
|
1614
|
-
# * :address_1 (String)
|
1615
|
-
# * :address_2 (String)
|
1616
|
-
# * :city (String)
|
1617
|
-
# * :state (CandidApiClient::Commons::Types::State)
|
808
|
+
# * :state (Commons::State)
|
1618
809
|
# * :zip_code (String)
|
1619
|
-
#
|
1620
|
-
#
|
1621
|
-
#
|
1622
|
-
#
|
810
|
+
# @param subscriber_primary [Hash] Subscriber_primary is required when responsible_party is INSURANCE_PAY (i.e. when the claim should be billed to insurance).
|
811
|
+
# These are not required fields when responsible_party is SELF_PAY (i.e. when the claim should be billed to the patient).
|
812
|
+
# However, if you collect this for patients, even self-pay, we recommend including it when sending encounters to Candid.
|
813
|
+
# Note: Cash Pay is no longer a valid payer_id in v4, please use responsible party to define self-pay claims.Request of type Individual::SubscriberCreate, as a Hash
|
1623
814
|
# * :insurance_card (Hash)
|
1624
815
|
# * :member_id (String)
|
1625
816
|
# * :payer_name (String)
|
@@ -1628,25 +819,24 @@ module CandidApiClient
|
|
1628
819
|
# * :rx_pcn (String)
|
1629
820
|
# * :image_url_front (String)
|
1630
821
|
# * :image_url_back (String)
|
1631
|
-
# * :emr_payer_crosswalk (
|
822
|
+
# * :emr_payer_crosswalk (Commons::EmrPayerCrosswalk)
|
1632
823
|
# * :group_number (String)
|
1633
824
|
# * :plan_name (String)
|
1634
|
-
# * :plan_type (
|
1635
|
-
# * :insurance_type (
|
1636
|
-
#
|
1637
|
-
# * :
|
1638
|
-
# * :date_of_birth (Date)
|
825
|
+
# * :plan_type (Commons::SourceOfPaymentCode)
|
826
|
+
# * :insurance_type (Commons::InsuranceTypeCode)
|
827
|
+
# * :patient_relationship_to_subscriber_code (Commons::PatientRelationshipToInsuredCodeAll)
|
828
|
+
# * :date_of_birth (Commons::DATE)
|
1639
829
|
# * :address (Hash)
|
1640
830
|
# * :zip_plus_four_code (String)
|
1641
831
|
# * :address_1 (String)
|
1642
832
|
# * :address_2 (String)
|
1643
833
|
# * :city (String)
|
1644
|
-
# * :state (
|
834
|
+
# * :state (Commons::State)
|
1645
835
|
# * :zip_code (String)
|
1646
836
|
# * :first_name (String)
|
1647
837
|
# * :last_name (String)
|
1648
|
-
# * :gender (
|
1649
|
-
# @param
|
838
|
+
# * :gender (Individual::Gender)
|
839
|
+
# @param subscriber_secondary [Hash] Please always include this when you have it, even for self-pay claims.Request of type Individual::SubscriberCreate, as a Hash
|
1650
840
|
# * :insurance_card (Hash)
|
1651
841
|
# * :member_id (String)
|
1652
842
|
# * :payer_name (String)
|
@@ -1655,92 +845,61 @@ module CandidApiClient
|
|
1655
845
|
# * :rx_pcn (String)
|
1656
846
|
# * :image_url_front (String)
|
1657
847
|
# * :image_url_back (String)
|
1658
|
-
# * :emr_payer_crosswalk (
|
848
|
+
# * :emr_payer_crosswalk (Commons::EmrPayerCrosswalk)
|
1659
849
|
# * :group_number (String)
|
1660
850
|
# * :plan_name (String)
|
1661
|
-
# * :plan_type (
|
1662
|
-
# * :insurance_type (
|
1663
|
-
#
|
1664
|
-
# * :
|
1665
|
-
# * :date_of_birth (Date)
|
851
|
+
# * :plan_type (Commons::SourceOfPaymentCode)
|
852
|
+
# * :insurance_type (Commons::InsuranceTypeCode)
|
853
|
+
# * :patient_relationship_to_subscriber_code (Commons::PatientRelationshipToInsuredCodeAll)
|
854
|
+
# * :date_of_birth (Commons::DATE)
|
1666
855
|
# * :address (Hash)
|
1667
856
|
# * :zip_plus_four_code (String)
|
1668
857
|
# * :address_1 (String)
|
1669
858
|
# * :address_2 (String)
|
1670
859
|
# * :city (String)
|
1671
|
-
# * :state (
|
860
|
+
# * :state (Commons::State)
|
1672
861
|
# * :zip_code (String)
|
1673
862
|
# * :first_name (String)
|
1674
863
|
# * :last_name (String)
|
1675
|
-
# * :gender (
|
1676
|
-
# @param
|
1677
|
-
#
|
1678
|
-
#
|
1679
|
-
# diagnoses
|
1680
|
-
# may be submitted at this time, and coders will later prioritize the 12 that will
|
1681
|
-
# be
|
1682
|
-
# submitted to the payor.Request of type Array<CandidApiClient::Diagnoses::Types::DiagnosisCreate>, as a Hash
|
864
|
+
# * :gender (Individual::Gender)
|
865
|
+
# @param diagnoses [Array<Hash>] Ideally, this field should contain no more than 12 diagnoses. However, more diagnoses
|
866
|
+
# may be submitted at this time, and coders will later prioritize the 12 that will be
|
867
|
+
# submitted to the payor.Request of type Array<Diagnoses::DiagnosisCreate>, as a Hash
|
1683
868
|
# * :name (String)
|
1684
|
-
# * :code_type (
|
869
|
+
# * :code_type (Diagnoses::DiagnosisTypeCode)
|
1685
870
|
# * :code (String)
|
1686
|
-
#
|
1687
|
-
#
|
1688
|
-
#
|
1689
|
-
# using the Encounter Attachments API.Request of type Array<CandidApiClient::Encounters::V4::Types::ClinicalNoteCategoryCreate>, as a Hash
|
1690
|
-
# * :category (CandidApiClient::Encounters::V4::Types::NoteCategory)
|
1691
|
-
# * :notes (Array<CandidApiClient::Encounters::V4::Types::ClinicalNote>)
|
871
|
+
# @param clinical_notes [Array<Hash>] Holds a collection of clinical observations made by healthcare providers during patient encounters.Request of type Array<Encounters::V4::ClinicalNoteCategoryCreate>, as a Hash
|
872
|
+
# * :category (Encounters::V4::NoteCategory)
|
873
|
+
# * :notes (Array<Encounters::V4::ClinicalNote>)
|
1692
874
|
# @param billing_notes [Array<Hash>] Spot to store misc, human-readable, notes about this encounter to be used
|
1693
|
-
#
|
875
|
+
# in the billing process.Request of type Array<BillingNotes::V2::BillingNoteBase>, as a Hash
|
1694
876
|
# * :text (String)
|
1695
|
-
# @param place_of_service_code [
|
1696
|
-
#
|
1697
|
-
#
|
1698
|
-
#
|
1699
|
-
# * :category (CandidApiClient::Encounters::V4::Types::PatientHistoryCategoryEnum)
|
1700
|
-
# * :questions (Array<CandidApiClient::Encounters::V4::Types::IntakeQuestion>)
|
877
|
+
# @param place_of_service_code [Commons::FacilityTypeCode] Box 24B on the CMS-1500 claim form. Line-level place of service is not currently supported. 02 for telemedicine, 11 for in-person. Full list [here](https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set).
|
878
|
+
# @param patient_histories [Array<Hash>] Request of type Array<Encounters::V4::PatientHistoryCategory>, as a Hash
|
879
|
+
# * :category (Encounters::V4::PatientHistoryCategoryEnum)
|
880
|
+
# * :questions (Array<Encounters::V4::IntakeQuestion>)
|
1701
881
|
# @param service_lines [Array<Hash>] Each service line must be linked to a diagnosis. Concretely,
|
1702
|
-
#
|
1703
|
-
#
|
1704
|
-
# * :modifiers (Array<
|
1705
|
-
# * :has_epsdt_indicator (Boolean)
|
1706
|
-
# * :has_family_planning_indicator (Boolean)
|
882
|
+
# `service_line.diagnosis_pointers`must contain at least one entry which should be
|
883
|
+
# in bounds of the diagnoses list field.Request of type Array<ServiceLines::V2::ServiceLineCreate>, as a Hash
|
884
|
+
# * :modifiers (Array<Commons::ProcedureModifier>)
|
1707
885
|
# * :procedure_code (String)
|
1708
|
-
# * :quantity (
|
1709
|
-
# * :units (
|
886
|
+
# * :quantity (Commons::DECIMAL)
|
887
|
+
# * :units (Commons::ServiceLineUnits)
|
1710
888
|
# * :charge_amount_cents (Integer)
|
1711
889
|
# * :diagnosis_pointers (Array<Integer>)
|
1712
890
|
# * :drug_identification (Hash)
|
1713
|
-
# * :service_id_qualifier (
|
891
|
+
# * :service_id_qualifier (ServiceLines::V2::ServiceIdQualifier)
|
1714
892
|
# * :national_drug_code (String)
|
1715
893
|
# * :national_drug_unit_count (String)
|
1716
|
-
# * :measurement_unit_code (
|
894
|
+
# * :measurement_unit_code (ServiceLines::V2::MeasurementUnitCode)
|
1717
895
|
# * :link_sequence_number (String)
|
1718
896
|
# * :pharmacy_prescription_number (String)
|
1719
|
-
#
|
1720
|
-
# * :drug_description (String)
|
1721
|
-
# * :place_of_service_code (CandidApiClient::Commons::Types::FacilityTypeCode)
|
897
|
+
# * :place_of_service_code (Commons::FacilityTypeCode)
|
1722
898
|
# * :description (String)
|
1723
|
-
#
|
1724
|
-
# * :
|
1725
|
-
# * :ordering_provider (Hash)
|
1726
|
-
# * :npi (String)
|
1727
|
-
# * :taxonomy_code (String)
|
1728
|
-
# * :address (Hash)
|
1729
|
-
# * :zip_plus_four_code (String)
|
1730
|
-
# * :address_1 (String)
|
1731
|
-
# * :address_2 (String)
|
1732
|
-
# * :city (String)
|
1733
|
-
# * :state (CandidApiClient::Commons::Types::State)
|
1734
|
-
# * :zip_code (String)
|
1735
|
-
# * :first_name (String)
|
1736
|
-
# * :last_name (String)
|
1737
|
-
# * :organization_name (String)
|
1738
|
-
# * :test_results (Array<CandidApiClient::ServiceLines::V2::Types::TestResult>)
|
1739
|
-
# * :note (String)
|
1740
|
-
# @param guarantor [Hash] Personal and contact info for the guarantor of the patient responsibility.Request of type CandidApiClient::Guarantor::V1::Types::GuarantorCreate, as a Hash
|
1741
|
-
# * :phone_numbers (Array<CandidApiClient::Commons::Types::PhoneNumber>)
|
899
|
+
# @param guarantor [Hash] Personal and contact info for the guarantor of the patient responsibility.Request of type Guarantor::V1::GuarantorCreate, as a Hash
|
900
|
+
# * :phone_numbers (Array<Commons::PhoneNumber>)
|
1742
901
|
# * :phone_consent (Boolean)
|
1743
|
-
# * :email (
|
902
|
+
# * :email (Commons::EMAIL)
|
1744
903
|
# * :email_consent (Boolean)
|
1745
904
|
# * :first_name (String)
|
1746
905
|
# * :last_name (String)
|
@@ -1751,61 +910,29 @@ module CandidApiClient
|
|
1751
910
|
# * :address_1 (String)
|
1752
911
|
# * :address_2 (String)
|
1753
912
|
# * :city (String)
|
1754
|
-
# * :state (
|
913
|
+
# * :state (Commons::State)
|
1755
914
|
# * :zip_code (String)
|
1756
|
-
# @param external_claim_submission [Hash]
|
1757
|
-
#
|
1758
|
-
#
|
915
|
+
# @param external_claim_submission [Hash] ***This field is in beta.***
|
916
|
+
# To be included for claims that have been submitted outside of Candid.
|
917
|
+
# Candid supports posting remits and payments to these claims and working them in-platform (e.g. editing, resubmitting).Request of type ClaimSubmission::V1::ExternalClaimSubmissionCreate, as a Hash
|
1759
918
|
# * :claim_created_at (DateTime)
|
1760
919
|
# * :patient_control_number (String)
|
1761
|
-
# * :submission_records (Array<
|
1762
|
-
# @param
|
1763
|
-
# @
|
1764
|
-
|
1765
|
-
|
1766
|
-
# * :schema_id (String)
|
1767
|
-
# * :content (Hash{String => Object})
|
1768
|
-
# @param referral_number [String] Refers to REF*9F on the 837p. Value cannot be greater than 50 characters.
|
1769
|
-
# @param epsdt_referral [Hash] Refers Box 24H on the CMS1500 form and Loop 2300 CRC - EPSDT Referral on the
|
1770
|
-
# 837P formRequest of type CandidApiClient::Encounters::V4::Types::EpsdtReferral, as a Hash
|
1771
|
-
# * :condition_indicator_1 (CandidApiClient::Commons::Types::EpsdtReferralConditionIndicatorCode)
|
1772
|
-
# * :condition_indicator_2 (CandidApiClient::Commons::Types::EpsdtReferralConditionIndicatorCode)
|
1773
|
-
# * :condition_indicator_3 (CandidApiClient::Commons::Types::EpsdtReferralConditionIndicatorCode)
|
1774
|
-
# @param claim_supplemental_information [Array<Hash>] Refers to Loop 2300 - Segment PWK on the 837P form. No more than 10 entries are
|
1775
|
-
# permitted.Request of type Array<CandidApiClient::Encounters::V4::Types::ClaimSupplementalInformation>, as a Hash
|
1776
|
-
# * :attachment_report_type_code (CandidApiClient::Encounters::V4::Types::ReportTypeCode)
|
1777
|
-
# * :attachment_transmission_code (CandidApiClient::Encounters::V4::Types::ReportTransmissionCode)
|
1778
|
-
# * :attachment_control_number (String)
|
1779
|
-
# @param secondary_payer_carrier_code [String] When Medicaid is billed as the secondary payer the Carrier Code is used to
|
1780
|
-
# identify the primary payer. This is required for certain states.
|
1781
|
-
# @param request_options [CandidApiClient::RequestOptions]
|
1782
|
-
# @return [CandidApiClient::Encounters::V4::Types::Encounter]
|
1783
|
-
# @example
|
1784
|
-
# api = CandidApiClient::Client.new(base_url: "https://api.example.com", environment: CandidApiClient::Environment::PRODUCTION)
|
1785
|
-
# api.encounters.v_4.create(
|
1786
|
-
# patient: { first_name: "first_name", last_name: "last_name", gender: MALE, external_id: "external_id", date_of_birth: DateTime.parse(2023-01-15), address: { address_1: "address1", city: "city", state: AA, zip_code: "zip_code" } },
|
1787
|
-
# billing_provider: { address: { address_1: "address1", city: "city", state: AA, zip_code: "zip_code", zip_plus_four_code: "zip_plus_four_code" }, tax_id: "tax_id", npi: "npi" },
|
1788
|
-
# rendering_provider: { npi: "npi" },
|
1789
|
-
# responsible_party: INSURANCE_PAY,
|
1790
|
-
# diagnoses: [{ code_type: ABF, code: "code" }, { code_type: ABF, code: "code" }],
|
1791
|
-
# place_of_service_code: PHARMACY
|
1792
|
-
# )
|
1793
|
-
def create(external_id:, patient_authorized_release:, benefits_assigned_to_provider:,
|
1794
|
-
provider_accepts_assignment:, billable_status:, patient:, billing_provider:, rendering_provider:, responsible_party:, diagnoses:, place_of_service_code:, date_of_service: nil, end_date_of_service: nil, appointment_type: nil, existing_medications: nil, vitals: nil, interventions: nil, pay_to_address: nil, synchronicity: nil, additional_information: nil, service_authorization_exception_code: nil, admission_date: nil, discharge_date: nil, onset_of_current_illness_or_symptom_date: nil, last_menstrual_period_date: nil, delay_reason_code: nil, additional_properties: nil, _field_set: nil, referring_provider: nil, initial_referring_provider: nil, supervising_provider: nil, service_facility: nil, subscriber_primary: nil, subscriber_secondary: nil, subscriber_tertiary: nil, prior_authorization_number: nil, clinical_notes: nil, billing_notes: nil, patient_histories: nil, service_lines: nil, guarantor: nil, external_claim_submission: nil, tag_ids: nil, schema_instances: nil, referral_number: nil, epsdt_referral: nil, claim_supplemental_information: nil, secondary_payer_carrier_code: nil, request_options: nil)
|
920
|
+
# * :submission_records (Array<ClaimSubmission::V1::ClaimSubmissionRecordCreate>)
|
921
|
+
# @param request_options [RequestOptions]
|
922
|
+
# @return [Encounters::V4::Encounter]
|
923
|
+
def create(external_id:, date_of_service:, patient_authorized_release:, benefits_assigned_to_provider:,
|
924
|
+
provider_accepts_assignment:, billable_status:, responsible_party:, patient:, billing_provider:, rendering_provider:, diagnoses:, place_of_service_code:, end_date_of_service: nil, prior_authorization_number: nil, appointment_type: nil, existing_medications: nil, vitals: nil, interventions: nil, pay_to_address: nil, synchronicity: nil, additional_information: nil, service_authorization_exception_code: nil, admission_date: nil, discharge_date: nil, onset_of_current_illness_or_symptom_date: nil, last_menstrual_period_date: nil, delay_reason_code: nil, additional_properties: nil, referring_provider: nil, service_facility: nil, subscriber_primary: nil, subscriber_secondary: nil, clinical_notes: nil, billing_notes: nil, patient_histories: nil, service_lines: nil, guarantor: nil, external_claim_submission: nil, request_options: nil)
|
1795
925
|
Async do
|
1796
|
-
response = @request_client.conn.post do |req|
|
926
|
+
response = @request_client.conn.post("/api/encounters/v4") do |req|
|
1797
927
|
req.options.timeout = request_options.timeout_in_seconds unless request_options&.timeout_in_seconds.nil?
|
1798
928
|
req.headers["Authorization"] = request_options.token unless request_options&.token.nil?
|
1799
|
-
req.headers = {
|
1800
|
-
**(req.headers || {}),
|
1801
|
-
**@request_client.get_headers,
|
1802
|
-
**(request_options&.additional_headers || {})
|
1803
|
-
}.compact
|
929
|
+
req.headers = { **req.headers, **(request_options&.additional_headers || {}) }.compact
|
1804
930
|
req.body = {
|
1805
931
|
**(request_options&.additional_body_parameters || {}),
|
1806
932
|
external_id: external_id,
|
1807
933
|
date_of_service: date_of_service,
|
1808
934
|
end_date_of_service: end_date_of_service,
|
935
|
+
prior_authorization_number: prior_authorization_number,
|
1809
936
|
patient_authorized_release: patient_authorized_release,
|
1810
937
|
benefits_assigned_to_provider: benefits_assigned_to_provider,
|
1811
938
|
provider_accepts_assignment: provider_accepts_assignment,
|
@@ -1816,6 +943,7 @@ module CandidApiClient
|
|
1816
943
|
pay_to_address: pay_to_address,
|
1817
944
|
synchronicity: synchronicity,
|
1818
945
|
billable_status: billable_status,
|
946
|
+
responsible_party: responsible_party,
|
1819
947
|
additional_information: additional_information,
|
1820
948
|
service_authorization_exception_code: service_authorization_exception_code,
|
1821
949
|
admission_date: admission_date,
|
@@ -1824,19 +952,13 @@ module CandidApiClient
|
|
1824
952
|
last_menstrual_period_date: last_menstrual_period_date,
|
1825
953
|
delay_reason_code: delay_reason_code,
|
1826
954
|
additional_properties: additional_properties,
|
1827
|
-
_field_set: _field_set,
|
1828
955
|
patient: patient,
|
1829
956
|
billing_provider: billing_provider,
|
1830
957
|
rendering_provider: rendering_provider,
|
1831
958
|
referring_provider: referring_provider,
|
1832
|
-
initial_referring_provider: initial_referring_provider,
|
1833
|
-
supervising_provider: supervising_provider,
|
1834
959
|
service_facility: service_facility,
|
1835
960
|
subscriber_primary: subscriber_primary,
|
1836
961
|
subscriber_secondary: subscriber_secondary,
|
1837
|
-
subscriber_tertiary: subscriber_tertiary,
|
1838
|
-
prior_authorization_number: prior_authorization_number,
|
1839
|
-
responsible_party: responsible_party,
|
1840
962
|
diagnoses: diagnoses,
|
1841
963
|
clinical_notes: clinical_notes,
|
1842
964
|
billing_notes: billing_notes,
|
@@ -1844,344 +966,48 @@ module CandidApiClient
|
|
1844
966
|
patient_histories: patient_histories,
|
1845
967
|
service_lines: service_lines,
|
1846
968
|
guarantor: guarantor,
|
1847
|
-
external_claim_submission: external_claim_submission
|
1848
|
-
tag_ids: tag_ids,
|
1849
|
-
schema_instances: schema_instances,
|
1850
|
-
referral_number: referral_number,
|
1851
|
-
epsdt_referral: epsdt_referral,
|
1852
|
-
claim_supplemental_information: claim_supplemental_information,
|
1853
|
-
secondary_payer_carrier_code: secondary_payer_carrier_code
|
969
|
+
external_claim_submission: external_claim_submission
|
1854
970
|
}.compact
|
1855
|
-
req.url "#{@request_client.get_url(environment: CandidApi,
|
1856
|
-
request_options: request_options)}/api/encounters/v4"
|
1857
971
|
end
|
1858
|
-
|
972
|
+
Encounters::V4::Encounter.from_json(json_object: response.body)
|
1859
973
|
end
|
1860
974
|
end
|
1861
975
|
|
1862
|
-
#
|
1863
|
-
#
|
1864
|
-
#
|
1865
|
-
#
|
1866
|
-
#
|
1867
|
-
#
|
1868
|
-
#
|
1869
|
-
#
|
1870
|
-
#
|
1871
|
-
#
|
1872
|
-
#
|
1873
|
-
#
|
1874
|
-
#
|
1875
|
-
#
|
1876
|
-
#
|
1877
|
-
#
|
1878
|
-
#
|
1879
|
-
#
|
1880
|
-
#
|
1881
|
-
#
|
1882
|
-
#
|
1883
|
-
# * :
|
1884
|
-
# * :
|
1885
|
-
#
|
1886
|
-
#
|
1887
|
-
#
|
1888
|
-
#
|
1889
|
-
#
|
1890
|
-
#
|
1891
|
-
#
|
1892
|
-
#
|
1893
|
-
#
|
1894
|
-
#
|
1895
|
-
#
|
1896
|
-
#
|
1897
|
-
# * :first_name (String)
|
1898
|
-
# * :last_name (String)
|
1899
|
-
# * :organization_name (String)
|
1900
|
-
# * :rendering_provider (Hash)
|
1901
|
-
# * :npi (String)
|
1902
|
-
# * :taxonomy_code (String)
|
1903
|
-
# * :address (Hash)
|
1904
|
-
# * :zip_plus_four_code (String)
|
1905
|
-
# * :address_1 (String)
|
1906
|
-
# * :address_2 (String)
|
1907
|
-
# * :city (String)
|
1908
|
-
# * :state (CandidApiClient::Commons::Types::State)
|
1909
|
-
# * :zip_code (String)
|
1910
|
-
# * :first_name (String)
|
1911
|
-
# * :last_name (String)
|
1912
|
-
# * :organization_name (String)
|
1913
|
-
# * :initial_referring_provider (Hash)
|
1914
|
-
# * :npi (String)
|
1915
|
-
# * :taxonomy_code (String)
|
1916
|
-
# * :address (Hash)
|
1917
|
-
# * :zip_plus_four_code (String)
|
1918
|
-
# * :address_1 (String)
|
1919
|
-
# * :address_2 (String)
|
1920
|
-
# * :city (String)
|
1921
|
-
# * :state (CandidApiClient::Commons::Types::State)
|
1922
|
-
# * :zip_code (String)
|
1923
|
-
# * :qualifier (CandidApiClient::Commons::Types::QualifierCode)
|
1924
|
-
# * :first_name (String)
|
1925
|
-
# * :last_name (String)
|
1926
|
-
# * :organization_name (String)
|
1927
|
-
# * :supervising_provider (Hash)
|
1928
|
-
# * :npi (String)
|
1929
|
-
# * :taxonomy_code (String)
|
1930
|
-
# * :address (Hash)
|
1931
|
-
# * :zip_plus_four_code (String)
|
1932
|
-
# * :address_1 (String)
|
1933
|
-
# * :address_2 (String)
|
1934
|
-
# * :city (String)
|
1935
|
-
# * :state (CandidApiClient::Commons::Types::State)
|
1936
|
-
# * :zip_code (String)
|
1937
|
-
# * :first_name (String)
|
1938
|
-
# * :last_name (String)
|
1939
|
-
# * :organization_name (String)
|
1940
|
-
# * :service_facility (Hash)
|
1941
|
-
# * :organization_name (String)
|
1942
|
-
# * :npi (String)
|
1943
|
-
# * :address (Hash)
|
1944
|
-
# * :zip_plus_four_code (String)
|
1945
|
-
# * :address_1 (String)
|
1946
|
-
# * :address_2 (String)
|
1947
|
-
# * :city (String)
|
1948
|
-
# * :state (CandidApiClient::Commons::Types::State)
|
1949
|
-
# * :zip_code (String)
|
1950
|
-
# * :secondary_identification (String)
|
1951
|
-
# * :diagnoses (Array<CandidApiClient::Diagnoses::Types::DiagnosisCreate>)
|
1952
|
-
# * :clinical_notes (Array<CandidApiClient::Encounters::V4::Types::ClinicalNoteCategoryCreate>)
|
1953
|
-
# * :billing_notes (Array<CandidApiClient::BillingNotes::V2::Types::BillingNoteBase>)
|
1954
|
-
# * :place_of_service_code (CandidApiClient::Commons::Types::FacilityTypeCode)
|
1955
|
-
# * :patient_histories (Array<CandidApiClient::Encounters::V4::Types::PatientHistoryCategory>)
|
1956
|
-
# * :service_lines (Array<CandidApiClient::ServiceLines::V2::Types::ServiceLineCreate>)
|
1957
|
-
# * :external_claim_submission (Hash)
|
1958
|
-
# * :claim_created_at (DateTime)
|
1959
|
-
# * :patient_control_number (String)
|
1960
|
-
# * :submission_records (Array<CandidApiClient::ClaimSubmission::V1::Types::ClaimSubmissionRecordCreate>)
|
1961
|
-
# * :tag_ids (Array<String>)
|
1962
|
-
# * :schema_instances (Array<CandidApiClient::CustomSchemas::V1::Types::SchemaInstance>)
|
1963
|
-
# * :external_id (String)
|
1964
|
-
# * :date_of_service (Date)
|
1965
|
-
# * :end_date_of_service (Date)
|
1966
|
-
# * :patient_authorized_release (Boolean)
|
1967
|
-
# * :benefits_assigned_to_provider (Boolean)
|
1968
|
-
# * :provider_accepts_assignment (Boolean)
|
1969
|
-
# * :appointment_type (String)
|
1970
|
-
# * :existing_medications (Array<CandidApiClient::Encounters::V4::Types::Medication>)
|
1971
|
-
# * :vitals (Hash)
|
1972
|
-
# * :height_in (Integer)
|
1973
|
-
# * :weight_lbs (Integer)
|
1974
|
-
# * :blood_pressure_systolic_mmhg (Integer)
|
1975
|
-
# * :blood_pressure_diastolic_mmhg (Integer)
|
1976
|
-
# * :body_temperature_f (Float)
|
1977
|
-
# * :hemoglobin_gdl (Float)
|
1978
|
-
# * :hematocrit_pct (Float)
|
1979
|
-
# * :interventions (Array<CandidApiClient::Encounters::V4::Types::Intervention>)
|
1980
|
-
# * :pay_to_address (Hash)
|
1981
|
-
# * :zip_plus_four_code (String)
|
1982
|
-
# * :address_1 (String)
|
1983
|
-
# * :address_2 (String)
|
1984
|
-
# * :city (String)
|
1985
|
-
# * :state (CandidApiClient::Commons::Types::State)
|
1986
|
-
# * :zip_code (String)
|
1987
|
-
# * :synchronicity (CandidApiClient::Encounters::V4::Types::SynchronicityType)
|
1988
|
-
# * :billable_status (CandidApiClient::Encounters::V4::Types::BillableStatusType)
|
1989
|
-
# * :additional_information (String)
|
1990
|
-
# * :service_authorization_exception_code (CandidApiClient::Encounters::V4::Types::ServiceAuthorizationExceptionCode)
|
1991
|
-
# * :admission_date (Date)
|
1992
|
-
# * :discharge_date (Date)
|
1993
|
-
# * :onset_of_current_illness_or_symptom_date (Date)
|
1994
|
-
# * :last_menstrual_period_date (Date)
|
1995
|
-
# * :delay_reason_code (CandidApiClient::Commons::Types::DelayReasonCode)
|
1996
|
-
# @param request_options [CandidApiClient::RequestOptions]
|
1997
|
-
# @return [CandidApiClient::Encounters::V4::Types::Encounter]
|
1998
|
-
# @example
|
1999
|
-
# api = CandidApiClient::Client.new(base_url: "https://api.example.com", environment: CandidApiClient::Environment::PRODUCTION)
|
2000
|
-
# api.encounters.v_4.create_from_pre_encounter_patient(request: { external_id: "external_id", patient_authorized_release: true, benefits_assigned_to_provider: true, provider_accepts_assignment: true, billable_status: BILLABLE, pre_encounter_patient_id: "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32", pre_encounter_appointment_ids: ["d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32", "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32"], billing_provider: { address: { address_1: "address1", city: "city", state: AA, zip_code: "zip_code", zip_plus_four_code: "zip_plus_four_code" }, tax_id: "tax_id", npi: "npi" }, rendering_provider: { npi: "npi" }, diagnoses: [{ code_type: ABF, code: "code" }, { code_type: ABF, code: "code" }], place_of_service_code: PHARMACY })
|
2001
|
-
def create_from_pre_encounter_patient(request:, request_options: nil)
|
2002
|
-
Async do
|
2003
|
-
response = @request_client.conn.post do |req|
|
2004
|
-
req.options.timeout = request_options.timeout_in_seconds unless request_options&.timeout_in_seconds.nil?
|
2005
|
-
req.headers["Authorization"] = request_options.token unless request_options&.token.nil?
|
2006
|
-
req.headers = {
|
2007
|
-
**(req.headers || {}),
|
2008
|
-
**@request_client.get_headers,
|
2009
|
-
**(request_options&.additional_headers || {})
|
2010
|
-
}.compact
|
2011
|
-
req.body = { **(request || {}), **(request_options&.additional_body_parameters || {}) }.compact
|
2012
|
-
req.url "#{@request_client.get_url(environment: CandidApi,
|
2013
|
-
request_options: request_options)}/api/encounters/v4/create-from-pre-encounter"
|
2014
|
-
end
|
2015
|
-
CandidApiClient::Encounters::V4::Types::Encounter.from_json(json_object: response.body)
|
2016
|
-
end
|
2017
|
-
end
|
2018
|
-
|
2019
|
-
# @param encounter_id [String]
|
2020
|
-
# @param benefits_assigned_to_provider [Boolean] Whether this patient has authorized insurance payments to be made to you, not
|
2021
|
-
# them. If false, patient may receive reimbursement. Box 13 on the CMS-1500 claim
|
2022
|
-
# form.
|
2023
|
-
# @param prior_authorization_number [String] Box 23 on the CMS-1500 claim form.
|
2024
|
-
# @param external_id [String] A client-specified unique ID to associate with this encounter;
|
2025
|
-
# for example, your internal encounter ID or a Dr. Chrono encounter ID.
|
2026
|
-
# This field should not contain PHI.
|
2027
|
-
# @param date_of_service [Date] Date formatted as YYYY-MM-DD; eg: 2019-08-24.
|
2028
|
-
# This date must be the local date in the timezone where the service occurred.
|
2029
|
-
# Box 24a on the CMS-1500 claim form.
|
2030
|
-
# If service occurred over a range of dates, this should be the start date.
|
2031
|
-
# If service lines have distinct date_of_service values, updating the encounter's
|
2032
|
-
# date_of_service will fail. If all service line date_of_service values are the
|
2033
|
-
# same, updating the encounter's date_of_service will update all service line
|
2034
|
-
# date_of_service values.
|
2035
|
-
# @param tag_ids [Array<String>] Names of tags that should be on the encounter. Note all tags on encounter will
|
2036
|
-
# be overridden with this list.
|
2037
|
-
# @param billable_status [CandidApiClient::Encounters::V4::Types::BillableStatusType] Defines if the Encounter is to be billed by Candid to the responsible_party.
|
2038
|
-
# Examples for when this should be set to NOT_BILLABLE include if the Encounter
|
2039
|
-
# has not occurred yet or if there is no intention of ever billing the
|
2040
|
-
# responsible_party.
|
2041
|
-
# @param responsible_party [CandidApiClient::Encounters::V4::Types::ResponsiblePartyType] Defines the party to be billed with the initial balance owed on the claim. Use
|
2042
|
-
# SELF_PAY if you intend to bill self pay/cash pay.
|
2043
|
-
# @param provider_accepts_assignment [Boolean] Whether you have accepted the patient's authorization for insurance payments to
|
2044
|
-
# be made to you, not them. Box 27 on the CMS-1500 claim form.
|
2045
|
-
# @param synchronicity [CandidApiClient::Encounters::V4::Types::SynchronicityType] Whether or not this was a synchronous or asynchronous encounter. Asynchronous
|
2046
|
-
# encounters occur when providers and patients communicate online using forms,
|
2047
|
-
# instant messaging, or other pre-recorded digital mediums. Synchronous encounters
|
2048
|
-
# occur in live, real-time settings where the patient interacts directly with the
|
2049
|
-
# provider, such as over video or a phone call.
|
2050
|
-
# @param place_of_service_code [CandidApiClient::Commons::Types::FacilityTypeCode] Box 24B on the CMS-1500 claim form. 837p Loop2300, CLM-05-1. 02 for
|
2051
|
-
# telemedicine, 11 for in-person. Full list
|
2052
|
-
# //www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set).
|
2053
|
-
# @param appointment_type [String] Human-readable description of the appointment type (ex: "Acupuncture -
|
2054
|
-
# Headaches").
|
2055
|
-
# @param end_date_of_service [Date] Date formatted as YYYY-MM-DD; eg: 2019-08-25.
|
2056
|
-
# This date must be the local date in the timezone where the service occurred.
|
2057
|
-
# If omitted, the Encounter is assumed to be for a single day.
|
2058
|
-
# Must not be temporally before the date_of_service field.
|
2059
|
-
# If service lines have distinct end_date_of_service values, updating the
|
2060
|
-
# encounter's end_date_of_service will fail. If all service line
|
2061
|
-
# end_date_of_service values are the same, updating the encounter's
|
2062
|
-
# end_date_of_service will update all service line date_of_service values.
|
2063
|
-
# @param additional_information [String] Defines additional information on the claim needed by the payer.
|
2064
|
-
# Box 19 on the CMS-1500 claim form.
|
2065
|
-
# @param service_authorization_exception_code [CandidApiClient::Encounters::V4::Types::ServiceAuthorizationExceptionCode] 837p Loop2300 REF*4N
|
2066
|
-
# Required when mandated by government law or regulation to obtain authorization
|
2067
|
-
# for specific service(s) but, for the
|
2068
|
-
# reasons listed in one of the enum values of ServiceAuthorizationExceptionCode,
|
2069
|
-
# the service was performed without
|
2070
|
-
# obtaining the authorization.
|
2071
|
-
# @param admission_date [Date] 837p Loop2300 DTP*435, CMS-1500 Box 18
|
2072
|
-
# Required on all ambulance claims when the patient was known to be admitted to
|
2073
|
-
# the hospital.
|
2074
|
-
# OR
|
2075
|
-
# Required on all claims involving inpatient medical visits.
|
2076
|
-
# @param discharge_date [Date] 837p Loop2300 DTP*096, CMS-1500 Box 18
|
2077
|
-
# Required for inpatient claims when the patient was discharged from the facility
|
2078
|
-
# and the discharge date is known.
|
2079
|
-
# @param onset_of_current_illness_or_symptom_date [Date] 837p Loop2300 DTP*431, CMS-1500 Box 14
|
2080
|
-
# Required for the initial medical service or visit performed in response to a
|
2081
|
-
# medical emergency when the date is available and is different than the date of
|
2082
|
-
# service.
|
2083
|
-
# OR
|
2084
|
-
# This date is the onset of acute symptoms for the current illness or condition.
|
2085
|
-
# @param last_menstrual_period_date [Date] 837p Loop2300 DTP*484, CMS-1500 Box 14
|
2086
|
-
# Required when, in the judgment of the provider, the services on this claim are
|
2087
|
-
# related to the patient's pregnancy.de
|
2088
|
-
# @param delay_reason_code [CandidApiClient::Commons::Types::DelayReasonCode] 837i Loop2300, CLM-1300 Box 20
|
2089
|
-
# Code indicating the reason why a request was delayed
|
2090
|
-
# @param patient_authorized_release [Boolean] Whether this patient has authorized the release of medical information
|
2091
|
-
# for billing purpose.
|
2092
|
-
# Box 12 on the CMS-1500 claim form.
|
2093
|
-
# @param vitals [Hash] If a vitals entity already exists for the encounter, then all values will be
|
2094
|
-
# updated to the provided values.
|
2095
|
-
# Otherwise, a new vitals object will be created for the encounter.Request of type CandidApiClient::Encounters::V4::Types::VitalsUpdate, as a Hash
|
2096
|
-
# * :height_in (Integer)
|
2097
|
-
# * :weight_lbs (Integer)
|
2098
|
-
# * :blood_pressure_systolic_mmhg (Integer)
|
2099
|
-
# * :blood_pressure_diastolic_mmhg (Integer)
|
2100
|
-
# * :body_temperature_f (Float)
|
2101
|
-
# * :hemoglobin_gdl (Float)
|
2102
|
-
# * :hematocrit_pct (Float)
|
2103
|
-
# @param referral_number [String] Refers to REF*9F on the 837p. Value cannot be greater than 50 characters.
|
2104
|
-
# @param secondary_payer_carrier_code [String] When Medicaid is billed as the secondary payer the Carrier Code is used to
|
2105
|
-
# identify the primary payer. This is required for certain states.
|
2106
|
-
# @param additional_properties [OpenStruct] Additional properties unmapped to the current class definition
|
2107
|
-
# @param _field_set [Object]
|
2108
|
-
# @param epsdt_referral [Hash] Refers Box 24H on the CMS1500 form and Loop 2300 CRC - EPSDT Referral on the
|
2109
|
-
# 837P formRequest of type CandidApiClient::Encounters::V4::Types::EpsdtReferral, as a Hash
|
2110
|
-
# * :condition_indicator_1 (CandidApiClient::Commons::Types::EpsdtReferralConditionIndicatorCode)
|
2111
|
-
# * :condition_indicator_2 (CandidApiClient::Commons::Types::EpsdtReferralConditionIndicatorCode)
|
2112
|
-
# * :condition_indicator_3 (CandidApiClient::Commons::Types::EpsdtReferralConditionIndicatorCode)
|
2113
|
-
# @param clinical_notes [Array<Hash>] Holds a collection of clinical observations made by healthcare providers during
|
2114
|
-
# patient encounters. Please note that medical records for appeals should be sent
|
2115
|
-
# using the Encounter Attachments API.Request of type Array<CandidApiClient::Encounters::V4::Types::ClinicalNoteCategoryCreate>, as a Hash
|
2116
|
-
# * :category (CandidApiClient::Encounters::V4::Types::NoteCategory)
|
2117
|
-
# * :notes (Array<CandidApiClient::Encounters::V4::Types::ClinicalNote>)
|
2118
|
-
# @param claim_supplemental_information [Array<Hash>] Refers to Loop 2300 - Segment PWK on the 837P form. No more than 10 entries are
|
2119
|
-
# permitted.Request of type Array<CandidApiClient::Encounters::V4::Types::ClaimSupplementalInformation>, as a Hash
|
2120
|
-
# * :attachment_report_type_code (CandidApiClient::Encounters::V4::Types::ReportTypeCode)
|
2121
|
-
# * :attachment_transmission_code (CandidApiClient::Encounters::V4::Types::ReportTransmissionCode)
|
2122
|
-
# * :attachment_control_number (String)
|
2123
|
-
# @param schema_instances [Array<Hash>] Key-value pairs that must adhere to a schema created via the Custom Schema API.
|
2124
|
-
# Multiple schema
|
2125
|
-
# instances cannot be created for the same schema on an encounter. Updating schema
|
2126
|
-
# instances utilizes PUT
|
2127
|
-
# semantics, so the schema instances on the encounter will be set to whatever
|
2128
|
-
# inputs are provided. If null
|
2129
|
-
# is provided as an input, then the encounter's schema instances will be cleared.Request of type Array<CandidApiClient::CustomSchemas::V1::Types::SchemaInstance>, as a Hash
|
2130
|
-
# * :schema_id (String)
|
2131
|
-
# * :content (Hash{String => Object})
|
2132
|
-
# @param existing_medications [Array<Hash>] Existing medications that should be on the encounter.
|
2133
|
-
# Note all current existing medications on encounter will be overridden with this
|
2134
|
-
# list.Request of type Array<CandidApiClient::Encounters::V4::Types::Medication>, as a Hash
|
2135
|
-
# * :name (String)
|
2136
|
-
# * :rx_cui (String)
|
2137
|
-
# * :dosage (String)
|
2138
|
-
# * :dosage_form (String)
|
2139
|
-
# * :frequency (String)
|
2140
|
-
# * :as_needed (Boolean)
|
2141
|
-
# @param guarantor [Hash] Personal and contact info for the guarantor of the patient responsibility.Request of type CandidApiClient::Guarantor::V1::Types::GuarantorUpdate, as a Hash
|
2142
|
-
# * :first_name (String)
|
2143
|
-
# * :last_name (String)
|
2144
|
-
# * :external_id (String)
|
2145
|
-
# * :date_of_birth (Date)
|
2146
|
-
# * :address (Hash)
|
2147
|
-
# * :zip_plus_four_code (String)
|
2148
|
-
# * :address_1 (String)
|
2149
|
-
# * :address_2 (String)
|
2150
|
-
# * :city (String)
|
2151
|
-
# * :state (CandidApiClient::Commons::Types::State)
|
2152
|
-
# * :zip_code (String)
|
2153
|
-
# * :phone_numbers (Array<CandidApiClient::Commons::Types::PhoneNumber>)
|
2154
|
-
# * :phone_consent (Boolean)
|
2155
|
-
# * :email (String)
|
2156
|
-
# * :email_consent (Boolean)
|
2157
|
-
# @param subscriber_primary [Hash] Contains details of the primary insurance subscriber.Request of type CandidApiClient::Individual::Types::SubscriberCreate, as a Hash
|
2158
|
-
# * :insurance_card (Hash)
|
2159
|
-
# * :member_id (String)
|
2160
|
-
# * :payer_name (String)
|
2161
|
-
# * :payer_id (String)
|
2162
|
-
# * :rx_bin (String)
|
2163
|
-
# * :rx_pcn (String)
|
2164
|
-
# * :image_url_front (String)
|
2165
|
-
# * :image_url_back (String)
|
2166
|
-
# * :emr_payer_crosswalk (CandidApiClient::Commons::Types::EmrPayerCrosswalk)
|
2167
|
-
# * :group_number (String)
|
2168
|
-
# * :plan_name (String)
|
2169
|
-
# * :plan_type (CandidApiClient::Commons::Types::SourceOfPaymentCode)
|
2170
|
-
# * :insurance_type (CandidApiClient::Commons::Types::InsuranceTypeCode)
|
2171
|
-
# * :payer_plan_group_id (String)
|
2172
|
-
# * :patient_relationship_to_subscriber_code (CandidApiClient::Commons::Types::PatientRelationshipToInsuredCodeAll)
|
2173
|
-
# * :date_of_birth (Date)
|
2174
|
-
# * :address (Hash)
|
2175
|
-
# * :zip_plus_four_code (String)
|
2176
|
-
# * :address_1 (String)
|
2177
|
-
# * :address_2 (String)
|
2178
|
-
# * :city (String)
|
2179
|
-
# * :state (CandidApiClient::Commons::Types::State)
|
2180
|
-
# * :zip_code (String)
|
2181
|
-
# * :first_name (String)
|
2182
|
-
# * :last_name (String)
|
2183
|
-
# * :gender (CandidApiClient::Individual::Types::Gender)
|
2184
|
-
# @param subscriber_secondary [Hash] Contains details of the secondary insurance subscriber.Request of type CandidApiClient::Individual::Types::SubscriberCreate, as a Hash
|
976
|
+
# @param encounter_id [Commons::ENCOUNTER_ID]
|
977
|
+
# @param prior_authorization_number [Encounters::V4::PRIOR_AUTHORIZATION_NUMBER] Box 23 on the CMS-1500 claim form.
|
978
|
+
# @param external_id [Commons::ENCOUNTER_EXTERNAL_ID] A client-specified unique ID to associate with this encounter;
|
979
|
+
# for example, your internal encounter ID or a Dr. Chrono encounter ID.
|
980
|
+
# This field should not contain PHI.
|
981
|
+
# @param date_of_service [Commons::DATE] Date formatted as YYYY-MM-DD; eg: 2019-08-24.
|
982
|
+
# This date must be the local date in the timezone where the service occurred.
|
983
|
+
# Box 24a on the CMS-1500 claim form.
|
984
|
+
# If service occurred over a range of dates, this should be the start date.
|
985
|
+
# @param diagnosis_ids [Array<Diagnoses::DIAGNOSIS_ID>] Ideally, this field should contain no more than 12 diagnoses. However, more diagnoses
|
986
|
+
# may be submitted at this time, and coders will later prioritize the 12 that will be
|
987
|
+
# submitted to the payor.
|
988
|
+
# @param tag_ids [Array<Tags::TAG_ID>] Names of tags that should be on the encounter.
|
989
|
+
# @param clinical_notes [Array<Hash>] Holds a collection of clinical observations made by healthcare providers during patient encounters.Request of type Array<Encounters::V4::ClinicalNoteCategoryCreate>, as a Hash
|
990
|
+
# * :category (Encounters::V4::NoteCategory)
|
991
|
+
# * :notes (Array<Encounters::V4::ClinicalNote>)
|
992
|
+
# @param pay_to_address [Hash] Specifies the address to which payments for the claim should be sent.Request of type Commons::StreetAddressLongZip, as a Hash
|
993
|
+
# * :zip_plus_four_code (String)
|
994
|
+
# * :address_1 (String)
|
995
|
+
# * :address_2 (String)
|
996
|
+
# * :city (String)
|
997
|
+
# * :state (Commons::State)
|
998
|
+
# * :zip_code (String)
|
999
|
+
# @param billable_status [Encounters::V4::BillableStatusType] Defines if the Encounter is to be billed by Candid to the responsible_party. Examples for when this should be set to NOT_BILLABLE include if the Encounter has not occurred yet or if there is no intention of ever billing the responsible_party.
|
1000
|
+
# @param responsible_party [Encounters::V4::ResponsiblePartyType] Defines the party to be billed with the initial balance owed on the claim. Use SELF_PAY if you intend to bill self pay/cash pay.
|
1001
|
+
# @param provider_accepts_assignment [Boolean] Whether you have accepted the patient's authorization for insurance payments to be made to you, not them. Box 27 on the CMS-1500 claim form.
|
1002
|
+
# @param benefits_assigned_to_provider [Boolean] Whether this patient has authorized insurance payments to be made to you, not them. If false, patient may receive reimbursement. Box 13 on the CMS-1500 claim form.
|
1003
|
+
# @param synchronicity [Encounters::V4::SynchronicityType] Whether or not this was a synchronous or asynchronous encounter. Asynchronous encounters occur when providers and patients communicate online using forms, instant messaging, or other pre-recorded digital mediums. Synchronous encounters occur in live, real-time settings where the patient interacts directly with the provider, such as over video or a phone call.
|
1004
|
+
# @param place_of_service_code [Commons::FacilityTypeCode] Box 24B on the CMS-1500 claim form. Line-level place of service is not currently supported. 02 for telemedicine, 11 for in-person. Full list [here](https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set).
|
1005
|
+
# @param appointment_type [String] Human-readable description of the appointment type (ex: "Acupuncture - Headaches").
|
1006
|
+
# @param end_date_of_service [Commons::DATE] Date formatted as YYYY-MM-DD; eg: 2019-08-25.
|
1007
|
+
# This date must be the local date in the timezone where the service occurred.
|
1008
|
+
# If omitted, the Encounter is assumed to be for a single day.
|
1009
|
+
# Must not be temporally before the date_of_service field.
|
1010
|
+
# @param subscriber_primary [Hash] Contains details of the primary insurance subscriber.Request of type Individual::SubscriberCreate, as a Hash
|
2185
1011
|
# * :insurance_card (Hash)
|
2186
1012
|
# * :member_id (String)
|
2187
1013
|
# * :payer_name (String)
|
@@ -2190,25 +1016,24 @@ module CandidApiClient
|
|
2190
1016
|
# * :rx_pcn (String)
|
2191
1017
|
# * :image_url_front (String)
|
2192
1018
|
# * :image_url_back (String)
|
2193
|
-
# * :emr_payer_crosswalk (
|
1019
|
+
# * :emr_payer_crosswalk (Commons::EmrPayerCrosswalk)
|
2194
1020
|
# * :group_number (String)
|
2195
1021
|
# * :plan_name (String)
|
2196
|
-
# * :plan_type (
|
2197
|
-
# * :insurance_type (
|
2198
|
-
#
|
2199
|
-
# * :
|
2200
|
-
# * :date_of_birth (Date)
|
1022
|
+
# * :plan_type (Commons::SourceOfPaymentCode)
|
1023
|
+
# * :insurance_type (Commons::InsuranceTypeCode)
|
1024
|
+
# * :patient_relationship_to_subscriber_code (Commons::PatientRelationshipToInsuredCodeAll)
|
1025
|
+
# * :date_of_birth (Commons::DATE)
|
2201
1026
|
# * :address (Hash)
|
2202
1027
|
# * :zip_plus_four_code (String)
|
2203
1028
|
# * :address_1 (String)
|
2204
1029
|
# * :address_2 (String)
|
2205
1030
|
# * :city (String)
|
2206
|
-
# * :state (
|
1031
|
+
# * :state (Commons::State)
|
2207
1032
|
# * :zip_code (String)
|
2208
1033
|
# * :first_name (String)
|
2209
1034
|
# * :last_name (String)
|
2210
|
-
# * :gender (
|
2211
|
-
# @param
|
1035
|
+
# * :gender (Individual::Gender)
|
1036
|
+
# @param subscriber_secondary [Hash] Contains details of the secondary insurance subscriber.Request of type Individual::SubscriberCreate, as a Hash
|
2212
1037
|
# * :insurance_card (Hash)
|
2213
1038
|
# * :member_id (String)
|
2214
1039
|
# * :payer_name (String)
|
@@ -2217,232 +1042,81 @@ module CandidApiClient
|
|
2217
1042
|
# * :rx_pcn (String)
|
2218
1043
|
# * :image_url_front (String)
|
2219
1044
|
# * :image_url_back (String)
|
2220
|
-
# * :emr_payer_crosswalk (
|
1045
|
+
# * :emr_payer_crosswalk (Commons::EmrPayerCrosswalk)
|
2221
1046
|
# * :group_number (String)
|
2222
1047
|
# * :plan_name (String)
|
2223
|
-
# * :plan_type (
|
2224
|
-
# * :insurance_type (
|
2225
|
-
#
|
2226
|
-
# * :
|
2227
|
-
# * :date_of_birth (Date)
|
2228
|
-
# * :address (Hash)
|
2229
|
-
# * :zip_plus_four_code (String)
|
2230
|
-
# * :address_1 (String)
|
2231
|
-
# * :address_2 (String)
|
2232
|
-
# * :city (String)
|
2233
|
-
# * :state (CandidApiClient::Commons::Types::State)
|
2234
|
-
# * :zip_code (String)
|
2235
|
-
# * :first_name (String)
|
2236
|
-
# * :last_name (String)
|
2237
|
-
# * :gender (CandidApiClient::Individual::Types::Gender)
|
2238
|
-
# @param pay_to_address [Hash] Specifies the address to which payments for the claim should be sent.Request of type CandidApiClient::Commons::Types::StreetAddressLongZip, as a Hash
|
2239
|
-
# * :zip_plus_four_code (String)
|
2240
|
-
# * :address_1 (String)
|
2241
|
-
# * :address_2 (String)
|
2242
|
-
# * :city (String)
|
2243
|
-
# * :state (CandidApiClient::Commons::Types::State)
|
2244
|
-
# * :zip_code (String)
|
2245
|
-
# @param diagnosis_ids [Array<String>] Ideally, this field should contain no more than 12 diagnoses. However, more
|
2246
|
-
# diagnoses
|
2247
|
-
# may be submitted at this time, and coders will later prioritize the 12 that will
|
2248
|
-
# be
|
2249
|
-
# submitted to the payor.
|
2250
|
-
# @param initial_referring_provider [Hash] The second iteration of Loop ID-2310. Use code "P3 - Primary Care Provider" in
|
2251
|
-
# this loop to
|
2252
|
-
# indicate the initial referral from the primary care provider or whatever
|
2253
|
-
# provider wrote the initial referral for this patient's episode of care being
|
2254
|
-
# billed/reported in this transaction.Request of type CandidApiClient::EncounterProviders::V2::Types::InitialReferringProviderUpdate, as a Hash
|
2255
|
-
# * :npi (String)
|
2256
|
-
# * :taxonomy_code (String)
|
2257
|
-
# * :address (Hash)
|
2258
|
-
# * :zip_plus_four_code (String)
|
2259
|
-
# * :address_1 (String)
|
2260
|
-
# * :address_2 (String)
|
2261
|
-
# * :city (String)
|
2262
|
-
# * :state (CandidApiClient::Commons::Types::State)
|
2263
|
-
# * :zip_code (String)
|
2264
|
-
# * :qualifier (CandidApiClient::Commons::Types::QualifierCode)
|
2265
|
-
# * :first_name (String)
|
2266
|
-
# * :last_name (String)
|
2267
|
-
# * :organization_name (String)
|
2268
|
-
# @param referring_provider [Hash] The final provider who referred the services that were rendered.
|
2269
|
-
# All physicians who order services or refer Medicare beneficiaries must
|
2270
|
-
# report this data.Request of type CandidApiClient::EncounterProviders::V2::Types::ReferringProviderUpdate, as a Hash
|
2271
|
-
# * :npi (String)
|
2272
|
-
# * :taxonomy_code (String)
|
2273
|
-
# * :address (Hash)
|
2274
|
-
# * :zip_plus_four_code (String)
|
2275
|
-
# * :address_1 (String)
|
2276
|
-
# * :address_2 (String)
|
2277
|
-
# * :city (String)
|
2278
|
-
# * :state (CandidApiClient::Commons::Types::State)
|
2279
|
-
# * :zip_code (String)
|
2280
|
-
# * :first_name (String)
|
2281
|
-
# * :last_name (String)
|
2282
|
-
# * :organization_name (String)
|
2283
|
-
# @param patient [Hash] Contains the identification information of the individual receiving medical
|
2284
|
-
# services.Request of type CandidApiClient::Individual::Types::PatientUpdate, as a Hash
|
2285
|
-
# * :first_name (String)
|
2286
|
-
# * :last_name (String)
|
2287
|
-
# * :gender (CandidApiClient::Individual::Types::Gender)
|
2288
|
-
# * :external_id (String)
|
2289
|
-
# * :date_of_birth (Date)
|
2290
|
-
# * :address (Hash)
|
2291
|
-
# * :zip_plus_four_code (String)
|
2292
|
-
# * :address_1 (String)
|
2293
|
-
# * :address_2 (String)
|
2294
|
-
# * :city (String)
|
2295
|
-
# * :state (CandidApiClient::Commons::Types::State)
|
2296
|
-
# * :zip_code (String)
|
2297
|
-
# * :phone_numbers (Array<CandidApiClient::Commons::Types::PhoneNumber>)
|
2298
|
-
# * :phone_consent (Boolean)
|
2299
|
-
# * :email (String)
|
2300
|
-
# * :email_consent (Boolean)
|
2301
|
-
# * :non_insurance_payers (Array<String>)
|
2302
|
-
# * :non_insurance_payers_info (Array<CandidApiClient::Individual::Types::PatientNonInsurancePayerInfoCreate>)
|
2303
|
-
# @param rendering_provider [Hash] The rendering provider is the practitioner -- physician, nurse practitioner,
|
2304
|
-
# etc. -- performing the service.
|
2305
|
-
# For telehealth services, the rendering provider performs the visit, asynchronous
|
2306
|
-
# communication, or other service. The rendering provider address should generally
|
2307
|
-
# be the same as the service facility address.Request of type CandidApiClient::EncounterProviders::V2::Types::RenderingProviderUpdate, as a Hash
|
2308
|
-
# * :npi (String)
|
2309
|
-
# * :taxonomy_code (String)
|
1048
|
+
# * :plan_type (Commons::SourceOfPaymentCode)
|
1049
|
+
# * :insurance_type (Commons::InsuranceTypeCode)
|
1050
|
+
# * :patient_relationship_to_subscriber_code (Commons::PatientRelationshipToInsuredCodeAll)
|
1051
|
+
# * :date_of_birth (Commons::DATE)
|
2310
1052
|
# * :address (Hash)
|
2311
1053
|
# * :zip_plus_four_code (String)
|
2312
1054
|
# * :address_1 (String)
|
2313
1055
|
# * :address_2 (String)
|
2314
1056
|
# * :city (String)
|
2315
|
-
# * :state (
|
1057
|
+
# * :state (Commons::State)
|
2316
1058
|
# * :zip_code (String)
|
2317
1059
|
# * :first_name (String)
|
2318
1060
|
# * :last_name (String)
|
2319
|
-
# * :
|
2320
|
-
# @param
|
2321
|
-
#
|
2322
|
-
#
|
2323
|
-
#
|
2324
|
-
#
|
2325
|
-
#
|
2326
|
-
#
|
2327
|
-
#
|
2328
|
-
#
|
2329
|
-
#
|
2330
|
-
#
|
2331
|
-
#
|
2332
|
-
#
|
2333
|
-
#
|
2334
|
-
#
|
2335
|
-
#
|
2336
|
-
#
|
2337
|
-
#
|
2338
|
-
#
|
2339
|
-
#
|
2340
|
-
#
|
2341
|
-
#
|
2342
|
-
|
2343
|
-
|
2344
|
-
# * :zip_plus_four_code (String)
|
2345
|
-
# * :address_1 (String)
|
2346
|
-
# * :address_2 (String)
|
2347
|
-
# * :city (String)
|
2348
|
-
# * :state (CandidApiClient::Commons::Types::State)
|
2349
|
-
# * :zip_code (String)
|
2350
|
-
# * :first_name (String)
|
2351
|
-
# * :last_name (String)
|
2352
|
-
# * :organization_name (String)
|
2353
|
-
# @param billing_provider [Hash] The billing provider is the provider or business entity submitting the claim.
|
2354
|
-
# Billing provider may be, but is not necessarily, the same person/NPI as the
|
2355
|
-
# rendering provider. From a payer's perspective, this represents the person or
|
2356
|
-
# entity being reimbursed. When a contract exists with the target payer, the
|
2357
|
-
# billing provider should be the entity contracted with the payer. In some
|
2358
|
-
# circumstances, this will be an individual provider. In that case, submit that
|
2359
|
-
# provider's NPI and the tax ID (TIN) that the provider gave to the payer during
|
2360
|
-
# contracting. In other cases, the billing entity will be a medical group. If so,
|
2361
|
-
# submit the group NPI and the group's tax ID. Box 33 on the CMS-1500 claim form.Request of type CandidApiClient::EncounterProviders::V2::Types::BillingProviderUpdate, as a Hash
|
2362
|
-
# * :address (Hash)
|
2363
|
-
# * :zip_plus_four_code (String)
|
2364
|
-
# * :address_1 (String)
|
2365
|
-
# * :address_2 (String)
|
2366
|
-
# * :city (String)
|
2367
|
-
# * :state (CandidApiClient::Commons::Types::State)
|
2368
|
-
# * :zip_code (String)
|
2369
|
-
# * :tax_id (String)
|
2370
|
-
# * :npi (String)
|
2371
|
-
# * :taxonomy_code (String)
|
2372
|
-
# * :provider_commercial_license_type (CandidApiClient::Commons::Types::BillingProviderCommercialLicenseType)
|
2373
|
-
# * :first_name (String)
|
2374
|
-
# * :last_name (String)
|
2375
|
-
# * :organization_name (String)
|
2376
|
-
# @param place_of_service_code_as_submitted [CandidApiClient::Commons::Types::FacilityTypeCode] Box 24B on the CMS-1500 claim form. 837p Loop2300, CLM-05-1. 02 for
|
2377
|
-
# telemedicine, 11 for in-person. Full list
|
2378
|
-
# //www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set).
|
2379
|
-
# @param request_options [CandidApiClient::RequestOptions]
|
2380
|
-
# @return [CandidApiClient::Encounters::V4::Types::Encounter]
|
2381
|
-
# @example
|
2382
|
-
# api = CandidApiClient::Client.new(base_url: "https://api.example.com", environment: CandidApiClient::Environment::PRODUCTION)
|
2383
|
-
# api.encounters.v_4.update(encounter_id: "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32")
|
2384
|
-
def update(encounter_id:, benefits_assigned_to_provider: nil, prior_authorization_number: nil,
|
2385
|
-
external_id: nil, date_of_service: nil, tag_ids: nil, billable_status: nil, responsible_party: nil, provider_accepts_assignment: nil, synchronicity: nil, place_of_service_code: nil, appointment_type: nil, end_date_of_service: nil, additional_information: nil, service_authorization_exception_code: nil, admission_date: nil, discharge_date: nil, onset_of_current_illness_or_symptom_date: nil, last_menstrual_period_date: nil, delay_reason_code: nil, patient_authorized_release: nil, vitals: nil, referral_number: nil, secondary_payer_carrier_code: nil, additional_properties: nil, _field_set: nil, epsdt_referral: nil, clinical_notes: nil, claim_supplemental_information: nil, schema_instances: nil, existing_medications: nil, guarantor: nil, subscriber_primary: nil, subscriber_secondary: nil, subscriber_tertiary: nil, pay_to_address: nil, diagnosis_ids: nil, initial_referring_provider: nil, referring_provider: nil, patient: nil, rendering_provider: nil, service_facility: nil, supervising_provider: nil, billing_provider: nil, place_of_service_code_as_submitted: nil, request_options: nil)
|
1061
|
+
# * :gender (Individual::Gender)
|
1062
|
+
# @param additional_information [String] Defines additional information on the claim needed by the payer.
|
1063
|
+
# Box 19 on the CMS-1500 claim form.
|
1064
|
+
# @param service_authorization_exception_code [Encounters::V4::ServiceAuthorizationExceptionCode] 837p Loop2300 REF*4N
|
1065
|
+
# Required when mandated by government law or regulation to obtain authorization for specific service(s) but, for the
|
1066
|
+
# reasons listed in one of the enum values of ServiceAuthorizationExceptionCode, the service was performed without
|
1067
|
+
# obtaining the authorization.
|
1068
|
+
# @param admission_date [Commons::DATE] 837p Loop2300 DTP*435, CMS-1500 Box 18
|
1069
|
+
# Required on all ambulance claims when the patient was known to be admitted to the hospital.
|
1070
|
+
# OR
|
1071
|
+
# Required on all claims involving inpatient medical visits.
|
1072
|
+
# @param discharge_date [Commons::DATE] 837p Loop2300 DTP*096, CMS-1500 Box 18
|
1073
|
+
# Required for inpatient claims when the patient was discharged from the facility and the discharge date is known.
|
1074
|
+
# @param onset_of_current_illness_or_symptom_date [Commons::DATE] 837p Loop2300 DTP*431, CMS-1500 Box 14
|
1075
|
+
# Required for the initial medical service or visit performed in response to a medical emergency when the date is available and is different than the date of service.
|
1076
|
+
# OR
|
1077
|
+
# This date is the onset of acute symptoms for the current illness or condition.
|
1078
|
+
# @param last_menstrual_period_date [Commons::DATE] 837p Loop2300 DTP*484, CMS-1500 Box 14
|
1079
|
+
# Required when, in the judgment of the provider, the services on this claim are related to the patient's pregnancy.
|
1080
|
+
# @param delay_reason_code [Commons::DelayReasonCode] 837i Loop2300, CLM-1300 Box 20
|
1081
|
+
# Code indicating the reason why a request was delayed
|
1082
|
+
# @param request_options [RequestOptions]
|
1083
|
+
# @return [Encounters::V4::Encounter]
|
1084
|
+
def update(encounter_id:, prior_authorization_number: nil, external_id: nil, date_of_service: nil,
|
1085
|
+
diagnosis_ids: nil, tag_ids: nil, clinical_notes: nil, pay_to_address: nil, billable_status: nil, responsible_party: nil, provider_accepts_assignment: nil, benefits_assigned_to_provider: nil, synchronicity: nil, place_of_service_code: nil, appointment_type: nil, end_date_of_service: nil, subscriber_primary: nil, subscriber_secondary: nil, additional_information: nil, service_authorization_exception_code: nil, admission_date: nil, discharge_date: nil, onset_of_current_illness_or_symptom_date: nil, last_menstrual_period_date: nil, delay_reason_code: nil, request_options: nil)
|
2386
1086
|
Async do
|
2387
|
-
response = @request_client.conn.patch do |req|
|
1087
|
+
response = @request_client.conn.patch("/api/encounters/v4/#{encounter_id}") do |req|
|
2388
1088
|
req.options.timeout = request_options.timeout_in_seconds unless request_options&.timeout_in_seconds.nil?
|
2389
1089
|
req.headers["Authorization"] = request_options.token unless request_options&.token.nil?
|
2390
|
-
req.headers = {
|
2391
|
-
**(req.headers || {}),
|
2392
|
-
**@request_client.get_headers,
|
2393
|
-
**(request_options&.additional_headers || {})
|
2394
|
-
}.compact
|
1090
|
+
req.headers = { **req.headers, **(request_options&.additional_headers || {}) }.compact
|
2395
1091
|
req.body = {
|
2396
1092
|
**(request_options&.additional_body_parameters || {}),
|
2397
|
-
benefits_assigned_to_provider: benefits_assigned_to_provider,
|
2398
1093
|
prior_authorization_number: prior_authorization_number,
|
2399
1094
|
external_id: external_id,
|
2400
1095
|
date_of_service: date_of_service,
|
1096
|
+
diagnosis_ids: diagnosis_ids,
|
2401
1097
|
tag_ids: tag_ids,
|
1098
|
+
clinical_notes: clinical_notes,
|
1099
|
+
pay_to_address: pay_to_address,
|
2402
1100
|
billable_status: billable_status,
|
2403
1101
|
responsible_party: responsible_party,
|
2404
1102
|
provider_accepts_assignment: provider_accepts_assignment,
|
1103
|
+
benefits_assigned_to_provider: benefits_assigned_to_provider,
|
2405
1104
|
synchronicity: synchronicity,
|
2406
1105
|
place_of_service_code: place_of_service_code,
|
2407
1106
|
appointment_type: appointment_type,
|
2408
1107
|
end_date_of_service: end_date_of_service,
|
1108
|
+
subscriber_primary: subscriber_primary,
|
1109
|
+
subscriber_secondary: subscriber_secondary,
|
2409
1110
|
additional_information: additional_information,
|
2410
1111
|
service_authorization_exception_code: service_authorization_exception_code,
|
2411
1112
|
admission_date: admission_date,
|
2412
1113
|
discharge_date: discharge_date,
|
2413
1114
|
onset_of_current_illness_or_symptom_date: onset_of_current_illness_or_symptom_date,
|
2414
1115
|
last_menstrual_period_date: last_menstrual_period_date,
|
2415
|
-
delay_reason_code: delay_reason_code
|
2416
|
-
patient_authorized_release: patient_authorized_release,
|
2417
|
-
vitals: vitals,
|
2418
|
-
referral_number: referral_number,
|
2419
|
-
secondary_payer_carrier_code: secondary_payer_carrier_code,
|
2420
|
-
additional_properties: additional_properties,
|
2421
|
-
_field_set: _field_set,
|
2422
|
-
epsdt_referral: epsdt_referral,
|
2423
|
-
clinical_notes: clinical_notes,
|
2424
|
-
claim_supplemental_information: claim_supplemental_information,
|
2425
|
-
schema_instances: schema_instances,
|
2426
|
-
existing_medications: existing_medications,
|
2427
|
-
guarantor: guarantor,
|
2428
|
-
subscriber_primary: subscriber_primary,
|
2429
|
-
subscriber_secondary: subscriber_secondary,
|
2430
|
-
subscriber_tertiary: subscriber_tertiary,
|
2431
|
-
pay_to_address: pay_to_address,
|
2432
|
-
diagnosis_ids: diagnosis_ids,
|
2433
|
-
initial_referring_provider: initial_referring_provider,
|
2434
|
-
referring_provider: referring_provider,
|
2435
|
-
patient: patient,
|
2436
|
-
rendering_provider: rendering_provider,
|
2437
|
-
service_facility: service_facility,
|
2438
|
-
supervising_provider: supervising_provider,
|
2439
|
-
billing_provider: billing_provider,
|
2440
|
-
place_of_service_code_as_submitted: place_of_service_code_as_submitted
|
1116
|
+
delay_reason_code: delay_reason_code
|
2441
1117
|
}.compact
|
2442
|
-
req.url "#{@request_client.get_url(environment: CandidApi,
|
2443
|
-
request_options: request_options)}/api/encounters/v4/#{encounter_id}"
|
2444
1118
|
end
|
2445
|
-
|
1119
|
+
Encounters::V4::Encounter.from_json(json_object: response.body)
|
2446
1120
|
end
|
2447
1121
|
end
|
2448
1122
|
end
|