candidhealth 0.0.0

data/lib/candidhealth/service_lines/v_2/types/service_line_create_standalone.rb

@@ -0,0 +1,293 @@
+# frozen_string_literal: true
+
+require_relative "../../../commons/types/procedure_modifier"
+require_relative "service_line_denial_reason"
+require_relative "../../../commons/types/facility_type_code"
+require_relative "../../../commons/types/service_line_units"
+require "date"
+require_relative "drug_identification"
+require_relative "../../../encounter_providers/v_2/types/ordering_provider"
+require_relative "test_result"
+require "ostruct"
+require "json"
+
+module CandidApiClient
+  module ServiceLines
+    module V2
+      module Types
+        class ServiceLineCreateStandalone
+          # @return [Array<CandidApiClient::Commons::Types::ProcedureModifier>]
+          attr_reader :modifiers
+          # @return [Integer] The total amount charged for this service line, factoring in quantity. If left
+          #  unfilled, the system will attempt to set it based on
+          #  chargemasters entries and the service line's quantity. For example, if a single
+          #  unit has an entry of 100 cents and 2 units were rendered,
+          #  the `charge_amount_cents` will be set to 200, if this field is unfilled.
+          attr_reader :charge_amount_cents
+          # @return [String]
+          attr_reader :diagnosis_id_zero
+          # @return [String]
+          attr_reader :diagnosis_id_one
+          # @return [String]
+          attr_reader :diagnosis_id_two
+          # @return [String]
+          attr_reader :diagnosis_id_three
+          # @return [CandidApiClient::ServiceLines::V2::Types::ServiceLineDenialReason]
+          attr_reader :denial_reason
+          # @return [CandidApiClient::Commons::Types::FacilityTypeCode] 837p Loop2300, SV105. If your organization does not intend to submit claims with
+          #  a different place of service at the service line level, this field should not be
+          #  populated. 02 for telemedicine, 11 for in-person. Full list
+          #  //www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set).
+          attr_reader :place_of_service_code
+          # @return [String]
+          attr_reader :procedure_code
+          # @return [String] String representation of a Decimal that can be parsed by most libraries.
+          #  A ServiceLine quantity cannot contain more than one digit of precision.
+          #  Example: 1.1 is valid, 1.11 is not.
+          attr_reader :quantity
+          # @return [CandidApiClient::Commons::Types::ServiceLineUnits]
+          attr_reader :units
+          # @return [String]
+          attr_reader :claim_id
+          # @return [String] A free-form description to clarify the related data elements and their content.
+          #  Maps to SV1-01, C003-07 on the 837-P.
+          attr_reader :description
+          # @return [Date]
+          attr_reader :date_of_service
+          # @return [Date]
+          attr_reader :end_date_of_service
+          # @return [CandidApiClient::ServiceLines::V2::Types::DrugIdentification]
+          attr_reader :drug_identification
+          # @return [CandidApiClient::EncounterProviders::V2::Types::OrderingProvider] Required when the service or supply was ordered by a provider who is different
+          #  than the rendering provider for this service line.
+          #  If not required by this implementation guide, do not send.
+          attr_reader :ordering_provider
+          # @return [Array<CandidApiClient::ServiceLines::V2::Types::TestResult>] Contains a list of test results. Test result types may map to MEA-02 on the
+          #  837-P (ex: Hemoglobin, Hematocrit).
+          #  No more than 5 MEA-02 test results may be submitted per service line.
+          attr_reader :test_results
+          # @return [Boolean] Maps to SV1-11 on the 837-P and Box 24H on the CMS-1500.
+          #  If the value is true, the box will be populated with "Y". Otherwise, the box
+          #  will not be populated.
+          attr_reader :has_epsdt_indicator
+          # @return [Boolean] Maps to SV1-12 on the 837-P and Box 24I on the CMS-1500.
+          #  If the value is true, the box will be populated with "Y". Otherwise, the box
+          #  will not be populated.
+          attr_reader :has_family_planning_indicator
+          # @return [String] Maps to NTE02 loop 2400 on the EDI 837.
+          attr_reader :note
+          # @return [OpenStruct] Additional properties unmapped to the current class definition
+          attr_reader :additional_properties
+          # @return [Object]
+          attr_reader :_field_set
+          protected :_field_set
+
+          OMIT = Object.new
+
+          # @param modifiers [Array<CandidApiClient::Commons::Types::ProcedureModifier>]
+          # @param charge_amount_cents [Integer] The total amount charged for this service line, factoring in quantity. If left
+          #  unfilled, the system will attempt to set it based on
+          #  chargemasters entries and the service line's quantity. For example, if a single
+          #  unit has an entry of 100 cents and 2 units were rendered,
+          #  the `charge_amount_cents` will be set to 200, if this field is unfilled.
+          # @param diagnosis_id_zero [String]
+          # @param diagnosis_id_one [String]
+          # @param diagnosis_id_two [String]
+          # @param diagnosis_id_three [String]
+          # @param denial_reason [CandidApiClient::ServiceLines::V2::Types::ServiceLineDenialReason]
+          # @param place_of_service_code [CandidApiClient::Commons::Types::FacilityTypeCode] 837p Loop2300, SV105. If your organization does not intend to submit claims with
+          #  a different place of service at the service line level, this field should not be
+          #  populated. 02 for telemedicine, 11 for in-person. Full list
+          #  //www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set).
+          # @param procedure_code [String]
+          # @param quantity [String] String representation of a Decimal that can be parsed by most libraries.
+          #  A ServiceLine quantity cannot contain more than one digit of precision.
+          #  Example: 1.1 is valid, 1.11 is not.
+          # @param units [CandidApiClient::Commons::Types::ServiceLineUnits]
+          # @param claim_id [String]
+          # @param description [String] A free-form description to clarify the related data elements and their content.
+          #  Maps to SV1-01, C003-07 on the 837-P.
+          # @param date_of_service [Date]
+          # @param end_date_of_service [Date]
+          # @param drug_identification [CandidApiClient::ServiceLines::V2::Types::DrugIdentification]
+          # @param ordering_provider [CandidApiClient::EncounterProviders::V2::Types::OrderingProvider] Required when the service or supply was ordered by a provider who is different
+          #  than the rendering provider for this service line.
+          #  If not required by this implementation guide, do not send.
+          # @param test_results [Array<CandidApiClient::ServiceLines::V2::Types::TestResult>] Contains a list of test results. Test result types may map to MEA-02 on the
+          #  837-P (ex: Hemoglobin, Hematocrit).
+          #  No more than 5 MEA-02 test results may be submitted per service line.
+          # @param has_epsdt_indicator [Boolean] Maps to SV1-11 on the 837-P and Box 24H on the CMS-1500.
+          #  If the value is true, the box will be populated with "Y". Otherwise, the box
+          #  will not be populated.
+          # @param has_family_planning_indicator [Boolean] Maps to SV1-12 on the 837-P and Box 24I on the CMS-1500.
+          #  If the value is true, the box will be populated with "Y". Otherwise, the box
+          #  will not be populated.
+          # @param note [String] Maps to NTE02 loop 2400 on the EDI 837.
+          # @param additional_properties [OpenStruct] Additional properties unmapped to the current class definition
+          # @return [CandidApiClient::ServiceLines::V2::Types::ServiceLineCreateStandalone]
+          def initialize(procedure_code:, quantity:, units:, claim_id:, modifiers: OMIT, charge_amount_cents: OMIT, diagnosis_id_zero: OMIT, diagnosis_id_one: OMIT,
+                         diagnosis_id_two: OMIT, diagnosis_id_three: OMIT, denial_reason: OMIT, place_of_service_code: OMIT, description: OMIT, date_of_service: OMIT, end_date_of_service: OMIT, drug_identification: OMIT, ordering_provider: OMIT, test_results: OMIT, has_epsdt_indicator: OMIT, has_family_planning_indicator: OMIT, note: OMIT, additional_properties: nil)
+            @modifiers = modifiers if modifiers != OMIT
+            @charge_amount_cents = charge_amount_cents if charge_amount_cents != OMIT
+            @diagnosis_id_zero = diagnosis_id_zero if diagnosis_id_zero != OMIT
+            @diagnosis_id_one = diagnosis_id_one if diagnosis_id_one != OMIT
+            @diagnosis_id_two = diagnosis_id_two if diagnosis_id_two != OMIT
+            @diagnosis_id_three = diagnosis_id_three if diagnosis_id_three != OMIT
+            @denial_reason = denial_reason if denial_reason != OMIT
+            @place_of_service_code = place_of_service_code if place_of_service_code != OMIT
+            @procedure_code = procedure_code
+            @quantity = quantity
+            @units = units
+            @claim_id = claim_id
+            @description = description if description != OMIT
+            @date_of_service = date_of_service if date_of_service != OMIT
+            @end_date_of_service = end_date_of_service if end_date_of_service != OMIT
+            @drug_identification = drug_identification if drug_identification != OMIT
+            @ordering_provider = ordering_provider if ordering_provider != OMIT
+            @test_results = test_results if test_results != OMIT
+            @has_epsdt_indicator = has_epsdt_indicator if has_epsdt_indicator != OMIT
+            @has_family_planning_indicator = has_family_planning_indicator if has_family_planning_indicator != OMIT
+            @note = note if note != OMIT
+            @additional_properties = additional_properties
+            @_field_set = {
+              "modifiers": modifiers,
+              "charge_amount_cents": charge_amount_cents,
+              "diagnosis_id_zero": diagnosis_id_zero,
+              "diagnosis_id_one": diagnosis_id_one,
+              "diagnosis_id_two": diagnosis_id_two,
+              "diagnosis_id_three": diagnosis_id_three,
+              "denial_reason": denial_reason,
+              "place_of_service_code": place_of_service_code,
+              "procedure_code": procedure_code,
+              "quantity": quantity,
+              "units": units,
+              "claim_id": claim_id,
+              "description": description,
+              "date_of_service": date_of_service,
+              "end_date_of_service": end_date_of_service,
+              "drug_identification": drug_identification,
+              "ordering_provider": ordering_provider,
+              "test_results": test_results,
+              "has_epsdt_indicator": has_epsdt_indicator,
+              "has_family_planning_indicator": has_family_planning_indicator,
+              "note": note
+            }.reject do |_k, v|
+              v == OMIT
+            end
+          end
+
+          # Deserialize a JSON object to an instance of ServiceLineCreateStandalone
+          #
+          # @param json_object [String]
+          # @return [CandidApiClient::ServiceLines::V2::Types::ServiceLineCreateStandalone]
+          def self.from_json(json_object:)
+            struct = JSON.parse(json_object, object_class: OpenStruct)
+            parsed_json = JSON.parse(json_object)
+            modifiers = struct["modifiers"]
+            charge_amount_cents = struct["charge_amount_cents"]
+            diagnosis_id_zero = struct["diagnosis_id_zero"]
+            diagnosis_id_one = struct["diagnosis_id_one"]
+            diagnosis_id_two = struct["diagnosis_id_two"]
+            diagnosis_id_three = struct["diagnosis_id_three"]
+            if parsed_json["denial_reason"].nil?
+              denial_reason = nil
+            else
+              denial_reason = parsed_json["denial_reason"].to_json
+              denial_reason = CandidApiClient::ServiceLines::V2::Types::ServiceLineDenialReason.from_json(json_object: denial_reason)
+            end
+            place_of_service_code = struct["place_of_service_code"]
+            procedure_code = struct["procedure_code"]
+            quantity = struct["quantity"]
+            units = struct["units"]
+            claim_id = struct["claim_id"]
+            description = struct["description"]
+            date_of_service = (Date.parse(parsed_json["date_of_service"]) unless parsed_json["date_of_service"].nil?)
+            end_date_of_service = unless parsed_json["end_date_of_service"].nil?
+                                    Date.parse(parsed_json["end_date_of_service"])
+                                  end
+            if parsed_json["drug_identification"].nil?
+              drug_identification = nil
+            else
+              drug_identification = parsed_json["drug_identification"].to_json
+              drug_identification = CandidApiClient::ServiceLines::V2::Types::DrugIdentification.from_json(json_object: drug_identification)
+            end
+            if parsed_json["ordering_provider"].nil?
+              ordering_provider = nil
+            else
+              ordering_provider = parsed_json["ordering_provider"].to_json
+              ordering_provider = CandidApiClient::EncounterProviders::V2::Types::OrderingProvider.from_json(json_object: ordering_provider)
+            end
+            test_results = parsed_json["test_results"]&.map do |item|
+              item = item.to_json
+              CandidApiClient::ServiceLines::V2::Types::TestResult.from_json(json_object: item)
+            end
+            has_epsdt_indicator = struct["has_epsdt_indicator"]
+            has_family_planning_indicator = struct["has_family_planning_indicator"]
+            note = struct["note"]
+            new(
+              modifiers: modifiers,
+              charge_amount_cents: charge_amount_cents,
+              diagnosis_id_zero: diagnosis_id_zero,
+              diagnosis_id_one: diagnosis_id_one,
+              diagnosis_id_two: diagnosis_id_two,
+              diagnosis_id_three: diagnosis_id_three,
+              denial_reason: denial_reason,
+              place_of_service_code: place_of_service_code,
+              procedure_code: procedure_code,
+              quantity: quantity,
+              units: units,
+              claim_id: claim_id,
+              description: description,
+              date_of_service: date_of_service,
+              end_date_of_service: end_date_of_service,
+              drug_identification: drug_identification,
+              ordering_provider: ordering_provider,
+              test_results: test_results,
+              has_epsdt_indicator: has_epsdt_indicator,
+              has_family_planning_indicator: has_family_planning_indicator,
+              note: note,
+              additional_properties: struct
+            )
+          end
+
+          # Serialize an instance of ServiceLineCreateStandalone to a JSON object
+          #
+          # @return [String]
+          def to_json(*_args)
+            @_field_set&.to_json
+          end
+
+          # Leveraged for Union-type generation, validate_raw attempts to parse the given
+          #  hash and check each fields type against the current object's property
+          #  definitions.
+          #
+          # @param obj [Object]
+          # @return [Void]
+          def self.validate_raw(obj:)
+            obj.modifiers&.is_a?(Array) != false || raise("Passed value for field obj.modifiers is not the expected type, validation failed.")
+            obj.charge_amount_cents&.is_a?(Integer) != false || raise("Passed value for field obj.charge_amount_cents is not the expected type, validation failed.")
+            obj.diagnosis_id_zero&.is_a?(String) != false || raise("Passed value for field obj.diagnosis_id_zero is not the expected type, validation failed.")
+            obj.diagnosis_id_one&.is_a?(String) != false || raise("Passed value for field obj.diagnosis_id_one is not the expected type, validation failed.")
+            obj.diagnosis_id_two&.is_a?(String) != false || raise("Passed value for field obj.diagnosis_id_two is not the expected type, validation failed.")
+            obj.diagnosis_id_three&.is_a?(String) != false || raise("Passed value for field obj.diagnosis_id_three is not the expected type, validation failed.")
+            obj.denial_reason.nil? || CandidApiClient::ServiceLines::V2::Types::ServiceLineDenialReason.validate_raw(obj: obj.denial_reason)
+            obj.place_of_service_code&.is_a?(CandidApiClient::Commons::Types::FacilityTypeCode) != false || raise("Passed value for field obj.place_of_service_code is not the expected type, validation failed.")
+            obj.procedure_code.is_a?(String) != false || raise("Passed value for field obj.procedure_code is not the expected type, validation failed.")
+            obj.quantity.is_a?(String) != false || raise("Passed value for field obj.quantity is not the expected type, validation failed.")
+            obj.units.is_a?(CandidApiClient::Commons::Types::ServiceLineUnits) != false || raise("Passed value for field obj.units is not the expected type, validation failed.")
+            obj.claim_id.is_a?(String) != false || raise("Passed value for field obj.claim_id is not the expected type, validation failed.")
+            obj.description&.is_a?(String) != false || raise("Passed value for field obj.description is not the expected type, validation failed.")
+            obj.date_of_service&.is_a?(Date) != false || raise("Passed value for field obj.date_of_service is not the expected type, validation failed.")
+            obj.end_date_of_service&.is_a?(Date) != false || raise("Passed value for field obj.end_date_of_service is not the expected type, validation failed.")
+            obj.drug_identification.nil? || CandidApiClient::ServiceLines::V2::Types::DrugIdentification.validate_raw(obj: obj.drug_identification)
+            obj.ordering_provider.nil? || CandidApiClient::EncounterProviders::V2::Types::OrderingProvider.validate_raw(obj: obj.ordering_provider)
+            obj.test_results&.is_a?(Array) != false || raise("Passed value for field obj.test_results is not the expected type, validation failed.")
+            obj.has_epsdt_indicator&.is_a?(Boolean) != false || raise("Passed value for field obj.has_epsdt_indicator is not the expected type, validation failed.")
+            obj.has_family_planning_indicator&.is_a?(Boolean) != false || raise("Passed value for field obj.has_family_planning_indicator is not the expected type, validation failed.")
+            obj.note&.is_a?(String) != false || raise("Passed value for field obj.note is not the expected type, validation failed.")
+          end
+        end
+      end
+    end
+  end
+end

data/lib/candidhealth/service_lines/v_2/types/service_line_denial_reason.rb

@@ -0,0 +1,66 @@
+# frozen_string_literal: true
+
+require_relative "denial_reason_content"
+require "ostruct"
+require "json"
+
+module CandidApiClient
+  module ServiceLines
+    module V2
+      module Types
+        # The reason a given service line was denied within a given time range.
+        #  A service line may be denied for different reasons over time, but only one
+        #  reason at a time.
+        class ServiceLineDenialReason
+          # @return [CandidApiClient::ServiceLines::V2::Types::DenialReasonContent] Text of the denial reason
+          attr_reader :reason
+          # @return [OpenStruct] Additional properties unmapped to the current class definition
+          attr_reader :additional_properties
+          # @return [Object]
+          attr_reader :_field_set
+          protected :_field_set
+
+          OMIT = Object.new
+
+          # @param reason [CandidApiClient::ServiceLines::V2::Types::DenialReasonContent] Text of the denial reason
+          # @param additional_properties [OpenStruct] Additional properties unmapped to the current class definition
+          # @return [CandidApiClient::ServiceLines::V2::Types::ServiceLineDenialReason]
+          def initialize(reason: OMIT, additional_properties: nil)
+            @reason = reason if reason != OMIT
+            @additional_properties = additional_properties
+            @_field_set = { "reason": reason }.reject do |_k, v|
+              v == OMIT
+            end
+          end
+
+          # Deserialize a JSON object to an instance of ServiceLineDenialReason
+          #
+          # @param json_object [String]
+          # @return [CandidApiClient::ServiceLines::V2::Types::ServiceLineDenialReason]
+          def self.from_json(json_object:)
+            struct = JSON.parse(json_object, object_class: OpenStruct)
+            reason = struct["reason"]
+            new(reason: reason, additional_properties: struct)
+          end
+
+          # Serialize an instance of ServiceLineDenialReason to a JSON object
+          #
+          # @return [String]
+          def to_json(*_args)
+            @_field_set&.to_json
+          end
+
+          # Leveraged for Union-type generation, validate_raw attempts to parse the given
+          #  hash and check each fields type against the current object's property
+          #  definitions.
+          #
+          # @param obj [Object]
+          # @return [Void]
+          def self.validate_raw(obj:)
+            obj.reason&.is_a?(CandidApiClient::ServiceLines::V2::Types::DenialReasonContent) != false || raise("Passed value for field obj.reason is not the expected type, validation failed.")
+          end
+        end
+      end
+    end
+  end
+end

data/lib/candidhealth/service_lines/v_2/types/service_line_era_data.rb

@@ -0,0 +1,78 @@
+# frozen_string_literal: true
+
+require_relative "service_line_adjustment"
+require "ostruct"
+require "json"
+
+module CandidApiClient
+  module ServiceLines
+    module V2
+      module Types
+        class ServiceLineEraData
+          # @return [Array<CandidApiClient::ServiceLines::V2::Types::ServiceLineAdjustment>]
+          attr_reader :service_line_adjustments
+          # @return [Array<String>]
+          attr_reader :remittance_advice_remark_codes
+          # @return [OpenStruct] Additional properties unmapped to the current class definition
+          attr_reader :additional_properties
+          # @return [Object]
+          attr_reader :_field_set
+          protected :_field_set
+
+          OMIT = Object.new
+
+          # @param service_line_adjustments [Array<CandidApiClient::ServiceLines::V2::Types::ServiceLineAdjustment>]
+          # @param remittance_advice_remark_codes [Array<String>]
+          # @param additional_properties [OpenStruct] Additional properties unmapped to the current class definition
+          # @return [CandidApiClient::ServiceLines::V2::Types::ServiceLineEraData]
+          def initialize(service_line_adjustments:, remittance_advice_remark_codes:, additional_properties: nil)
+            @service_line_adjustments = service_line_adjustments
+            @remittance_advice_remark_codes = remittance_advice_remark_codes
+            @additional_properties = additional_properties
+            @_field_set = {
+              "service_line_adjustments": service_line_adjustments,
+              "remittance_advice_remark_codes": remittance_advice_remark_codes
+            }
+          end
+
+          # Deserialize a JSON object to an instance of ServiceLineEraData
+          #
+          # @param json_object [String]
+          # @return [CandidApiClient::ServiceLines::V2::Types::ServiceLineEraData]
+          def self.from_json(json_object:)
+            struct = JSON.parse(json_object, object_class: OpenStruct)
+            parsed_json = JSON.parse(json_object)
+            service_line_adjustments = parsed_json["service_line_adjustments"]&.map do |item|
+              item = item.to_json
+              CandidApiClient::ServiceLines::V2::Types::ServiceLineAdjustment.from_json(json_object: item)
+            end
+            remittance_advice_remark_codes = struct["remittance_advice_remark_codes"]
+            new(
+              service_line_adjustments: service_line_adjustments,
+              remittance_advice_remark_codes: remittance_advice_remark_codes,
+              additional_properties: struct
+            )
+          end
+
+          # Serialize an instance of ServiceLineEraData to a JSON object
+          #
+          # @return [String]
+          def to_json(*_args)
+            @_field_set&.to_json
+          end
+
+          # Leveraged for Union-type generation, validate_raw attempts to parse the given
+          #  hash and check each fields type against the current object's property
+          #  definitions.
+          #
+          # @param obj [Object]
+          # @return [Void]
+          def self.validate_raw(obj:)
+            obj.service_line_adjustments.is_a?(Array) != false || raise("Passed value for field obj.service_line_adjustments is not the expected type, validation failed.")
+            obj.remittance_advice_remark_codes.is_a?(Array) != false || raise("Passed value for field obj.remittance_advice_remark_codes is not the expected type, validation failed.")
+          end
+        end
+      end
+    end
+  end
+end