candidhealth 0.43.1 → 0.45.0

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.
@@ -5,10 +5,17 @@ require_relative "../../../encounters/v_4/types/intervention"
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  require_relative "../../../claim_submission/v_1/types/external_claim_submission_create"
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  require_relative "../../../service_lines/v_2/types/service_line_create"
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  require_relative "../../../encounters/v_4/types/patient_history_category"
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- require_relative "../../../billing_notes/v_2/types/billing_note_optional"
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+ require_relative "../../../billing_notes/v_2/types/billing_note_base"
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+ require_relative "../../../individual/types/patient_update_with_optional_address"
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+ require_relative "../../../service_facility/types/encounter_service_facility_update_with_optional_address"
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+ require_relative "../../../encounter_providers/v_2/types/rendering_provider_update_with_optional_address"
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+ require_relative "../../../encounter_providers/v_2/types/initial_referring_provider_update_with_optional_address"
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+ require_relative "../../../encounter_providers/v_2/types/referring_provider_update_with_optional_address"
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+ require_relative "../../../encounter_providers/v_2/types/supervising_provider_update_with_optional_address"
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+ require_relative "../../../encounter_providers/v_2/types/billing_provider_update_with_optional_address"
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+ require_relative "../../../commons/types/street_address_short_zip_optional"
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  require "date"
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  require_relative "../../../encounters/v_4/types/clinical_note_category_create"
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- require_relative "../../../commons/types/street_address_long_zip"
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  require_relative "../../../encounters/v_4/types/billable_status_type"
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  require_relative "../../../encounters/v_4/types/responsible_party_type"
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  require_relative "../../../encounters/v_4/types/synchronicity_type"
@@ -16,17 +23,10 @@ require_relative "../../../commons/types/facility_type_code"
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  require_relative "../../../individual/types/subscriber_create"
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  require_relative "../../../encounters/v_4/types/service_authorization_exception_code"
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  require_relative "../../../commons/types/delay_reason_code"
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- require_relative "../../../individual/types/patient_update"
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  require_relative "../../../custom_schemas/v_1/types/schema_instance"
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  require_relative "../../../encounters/v_4/types/vitals_update"
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  require_relative "../../../encounters/v_4/types/medication"
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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 "../../../guarantor/v_1/types/guarantor_update"
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- require_relative "../../../encounter_providers/v_2/types/billing_provider_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/referring_provider_update"
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- require_relative "../../../encounter_providers/v_2/types/initial_referring_provider_update"
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  require_relative "../../../encounters/v_4/types/epsdt_referral"
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  require_relative "../../../encounters/v_4/types/claim_supplemental_information"
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  require "ostruct"
@@ -56,9 +56,53 @@ module CandidApiClient
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  attr_reader :service_lines
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  # @return [Array<CandidApiClient::Encounters::V4::Types::PatientHistoryCategory>]
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  attr_reader :patient_histories
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- # @return [Array<CandidApiClient::BillingNotes::V2::Types::BillingNoteOptional>] Spot to store misc, human-readable, notes about this encounter to be
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+ # @return [Array<CandidApiClient::BillingNotes::V2::Types::BillingNoteBase>] Spot to store misc, human-readable, notes about this encounter to be
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  # used in the billing process.
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  attr_reader :billing_notes
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+ # @return [CandidApiClient::Individual::Types::PatientUpdateWithOptionalAddress] Contains the identification information of the individual receiving medical
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+ # services.
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+ attr_reader :patient
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+ # @return [CandidApiClient::ServiceFacility::Types::EncounterServiceFacilityUpdateWithOptionalAddress] Encounter Service facility is typically the location a medical service was
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+ # rendered, such as a provider office or hospital. For telehealth, service
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+ # facility can represent the provider's location when the service was delivered
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+ # (e.g., home), or the location where an in-person visit would have taken place,
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+ # whichever is easier to identify. If the provider is in-network, service facility
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+ # may be defined in payer contracts. Box 32 on the CMS-1500 claim form. Note that
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+ # for an in-network claim to be successfully adjudicated, the service facility
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+ # address listed on claims must match what was provided to the payer during the
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+ # credentialing process.
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+ attr_reader :service_facility
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+ # @return [CandidApiClient::EncounterProviders::V2::Types::RenderingProviderUpdateWithOptionalAddress] The rendering provider is the practitioner -- physician, nurse practitioner,
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+ # etc. -- performing the service.
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+ # For telehealth services, the rendering provider performs the visit, asynchronous
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+ # communication, or other service. The rendering provider address should generally
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+ # be the same as the service facility address.
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+ attr_reader :rendering_provider
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+ # @return [CandidApiClient::EncounterProviders::V2::Types::InitialReferringProviderUpdateWithOptionalAddress] The second iteration of Loop ID-2310. Use code "P3 - Primary Care Provider" in
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+ # this loop to
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+ # indicate the initial referral from the primary care provider or whatever
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+ # provider wrote the initial referral for this patient's episode of care being
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+ # billed/reported in this transaction.
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+ attr_reader :initial_referring_provider
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+ # @return [CandidApiClient::EncounterProviders::V2::Types::ReferringProviderUpdateWithOptionalAddress] The final provider who referred the services that were rendered.
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+ # All physicians who order services or refer Medicare beneficiaries must
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+ # report this data.
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+ attr_reader :referring_provider
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+ # @return [CandidApiClient::EncounterProviders::V2::Types::SupervisingProviderUpdateWithOptionalAddress] Required when the rendering provider is supervised by a physician. If not
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+ # required by this implementation guide, do not send.
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+ attr_reader :supervising_provider
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+ # @return [CandidApiClient::EncounterProviders::V2::Types::BillingProviderUpdateWithOptionalAddress] The billing provider is the provider or business entity submitting the claim.
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+ # Billing provider may be, but is not necessarily, the same person/NPI as the
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+ # rendering provider. From a payer's perspective, this represents the person or
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+ # entity being reimbursed. When a contract exists with the target payer, the
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+ # billing provider should be the entity contracted with the payer. In some
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+ # circumstances, this will be an individual provider. In that case, submit that
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+ # provider's NPI and the tax ID (TIN) that the provider gave to the payer during
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+ # contracting. In other cases, the billing entity will be a medical group. If so,
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+ # submit the group NPI and the group's tax ID. Box 33 on the CMS-1500 claim form.
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+ attr_reader :billing_provider
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+ # @return [CandidApiClient::Commons::Types::StreetAddressShortZipOptional] Specifies the address to which payments for the claim should be sent.
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+ attr_reader :pay_to_address
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  # @return [Boolean] Whether this patient has authorized insurance payments to be made to you, not
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  # them. If false, patient may receive reimbursement. Box 13 on the CMS-1500 claim
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  # form.
@@ -84,8 +128,6 @@ module CandidApiClient
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  # @return [Array<CandidApiClient::Encounters::V4::Types::ClinicalNoteCategoryCreate>] Holds a collection of clinical observations made by healthcare providers during
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  # patient encounters.
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  attr_reader :clinical_notes
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- # @return [CandidApiClient::Commons::Types::StreetAddressLongZip] Specifies the address to which payments for the claim should be sent.
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- attr_reader :pay_to_address
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  # @return [CandidApiClient::Encounters::V4::Types::BillableStatusType] Defines if the Encounter is to be billed by Candid to the responsible_party.
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  # Examples for when this should be set to NOT_BILLABLE include if the Encounter
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  # has not occurred yet or if there is no intention of ever billing the
@@ -159,9 +201,6 @@ module CandidApiClient
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  # @return [CandidApiClient::Commons::Types::DelayReasonCode] 837i Loop2300, CLM-1300 Box 20
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  # Code indicating the reason why a request was delayed
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  attr_reader :delay_reason_code
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- # @return [CandidApiClient::Individual::Types::PatientUpdate] Contains the identification information of the individual receiving medical
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- # services.
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- attr_reader :patient
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  # @return [Boolean] Whether this patient has authorized the release of medical information
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  # for billing purpose.
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  # Box 12 on the CMS-1500 claim form.
@@ -182,47 +221,8 @@ module CandidApiClient
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  # Note all current existing medications on encounter will be overridden with this
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  # list.
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  attr_reader :existing_medications
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- # @return [CandidApiClient::EncounterProviders::V2::Types::RenderingProviderUpdate] The rendering provider is the practitioner -- physician, nurse practitioner,
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- # etc. -- performing the service.
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- # For telehealth services, the rendering provider performs the visit, asynchronous
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- # communication, or other service. The rendering provider address should generally
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- # be the same as the service facility address.
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- attr_reader :rendering_provider
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- # @return [CandidApiClient::ServiceFacility::Types::EncounterServiceFacilityUpdate] Encounter Service facility is typically the location a medical service was
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- # rendered, such as a provider office or hospital. For telehealth, service
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- # facility can represent the provider's location when the service was delivered
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- # (e.g., home), or the location where an in-person visit would have taken place,
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- # whichever is easier to identify. If the provider is in-network, service facility
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- # may be defined in payer contracts. Box 32 on the CMS-1500 claim form. Note that
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- # for an in-network claim to be successfully adjudicated, the service facility
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- # address listed on claims must match what was provided to the payer during the
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- # credentialing process.
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- attr_reader :service_facility
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  # @return [CandidApiClient::Guarantor::V1::Types::GuarantorUpdate] Personal and contact info for the guarantor of the patient responsibility.
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  attr_reader :guarantor
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- # @return [CandidApiClient::EncounterProviders::V2::Types::BillingProviderUpdate] The billing provider is the provider or business entity submitting the claim.
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- # Billing provider may be, but is not necessarily, the same person/NPI as the
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- # rendering provider. From a payer's perspective, this represents the person or
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- # entity being reimbursed. When a contract exists with the target payer, the
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- # billing provider should be the entity contracted with the payer. In some
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- # circumstances, this will be an individual provider. In that case, submit that
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- # provider's NPI and the tax ID (TIN) that the provider gave to the payer during
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- # contracting. In other cases, the billing entity will be a medical group. If so,
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- # submit the group NPI and the group's tax ID. Box 33 on the CMS-1500 claim form.
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- attr_reader :billing_provider
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- # @return [CandidApiClient::EncounterProviders::V2::Types::SupervisingProviderUpdate] Required when the rendering provider is supervised by a physician. If not
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- # required by this implementation guide, do not send.
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- attr_reader :supervising_provider
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- # @return [CandidApiClient::EncounterProviders::V2::Types::ReferringProviderUpdate] The final provider who referred the services that were rendered.
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- # All physicians who order services or refer Medicare beneficiaries must
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- # report this data.
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- attr_reader :referring_provider
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- # @return [CandidApiClient::EncounterProviders::V2::Types::InitialReferringProviderUpdate] The second iteration of Loop ID-2310. Use code "P3 - Primary Care Provider" in
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- # this loop to
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- # indicate the initial referral from the primary care provider or whatever
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- # provider wrote the initial referral for this patient's episode of care being
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- # billed/reported in this transaction.
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- attr_reader :initial_referring_provider
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  # @return [String] Refers to REF\*9F on the 837p. Value cannot be greater than 50 characters.
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  attr_reader :referral_number
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  # @return [CandidApiClient::Encounters::V4::Types::EpsdtReferral] Refers Box 24H on the CMS1500 form and Loop 2300 CRC - EPSDT Referral on the
@@ -231,6 +231,9 @@ module CandidApiClient
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  # @return [Array<CandidApiClient::Encounters::V4::Types::ClaimSupplementalInformation>] Refers to Loop 2300 - Segment PWK on the 837P form. No more than 10 entries are
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  # permitted.
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  attr_reader :claim_supplemental_information
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+ # @return [String] When Medicaid is billed as the secondary payer the Carrier Code is used to
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+ # identify the primary payer. This is required for certain states.
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+ attr_reader :secondary_payer_carrier_code
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  # @return [OpenStruct] Additional properties unmapped to the current class definition
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  attr_reader :additional_properties
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  # @return [Object]
@@ -253,8 +256,44 @@ module CandidApiClient
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  # `service_line.diagnosis_pointers`must contain at least one entry which should be
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  # in bounds of the diagnoses list field.
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  # @param patient_histories [Array<CandidApiClient::Encounters::V4::Types::PatientHistoryCategory>]
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- # @param billing_notes [Array<CandidApiClient::BillingNotes::V2::Types::BillingNoteOptional>] Spot to store misc, human-readable, notes about this encounter to be
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+ # @param billing_notes [Array<CandidApiClient::BillingNotes::V2::Types::BillingNoteBase>] Spot to store misc, human-readable, notes about this encounter to be
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  # used in the billing process.
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+ # @param patient [CandidApiClient::Individual::Types::PatientUpdateWithOptionalAddress] Contains the identification information of the individual receiving medical
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+ # services.
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+ # @param service_facility [CandidApiClient::ServiceFacility::Types::EncounterServiceFacilityUpdateWithOptionalAddress] Encounter Service facility is typically the location a medical service was
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+ # rendered, such as a provider office or hospital. For telehealth, service
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+ # facility can represent the provider's location when the service was delivered
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+ # (e.g., home), or the location where an in-person visit would have taken place,
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+ # whichever is easier to identify. If the provider is in-network, service facility
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+ # may be defined in payer contracts. Box 32 on the CMS-1500 claim form. Note that
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+ # for an in-network claim to be successfully adjudicated, the service facility
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+ # address listed on claims must match what was provided to the payer during the
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+ # credentialing process.
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+ # @param rendering_provider [CandidApiClient::EncounterProviders::V2::Types::RenderingProviderUpdateWithOptionalAddress] The rendering provider is the practitioner -- physician, nurse practitioner,
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+ # etc. -- performing the service.
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+ # For telehealth services, the rendering provider performs the visit, asynchronous
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+ # communication, or other service. The rendering provider address should generally
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+ # be the same as the service facility address.
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+ # @param initial_referring_provider [CandidApiClient::EncounterProviders::V2::Types::InitialReferringProviderUpdateWithOptionalAddress] The second iteration of Loop ID-2310. Use code "P3 - Primary Care Provider" in
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+ # this loop to
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+ # indicate the initial referral from the primary care provider or whatever
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+ # provider wrote the initial referral for this patient's episode of care being
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+ # billed/reported in this transaction.
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+ # @param referring_provider [CandidApiClient::EncounterProviders::V2::Types::ReferringProviderUpdateWithOptionalAddress] The final provider who referred the services that were rendered.
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+ # All physicians who order services or refer Medicare beneficiaries must
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+ # report this data.
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+ # @param supervising_provider [CandidApiClient::EncounterProviders::V2::Types::SupervisingProviderUpdateWithOptionalAddress] Required when the rendering provider is supervised by a physician. If not
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+ # required by this implementation guide, do not send.
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+ # @param billing_provider [CandidApiClient::EncounterProviders::V2::Types::BillingProviderUpdateWithOptionalAddress] The billing provider is the provider or business entity submitting the claim.
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+ # Billing provider may be, but is not necessarily, the same person/NPI as the
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+ # rendering provider. From a payer's perspective, this represents the person or
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+ # entity being reimbursed. When a contract exists with the target payer, the
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+ # billing provider should be the entity contracted with the payer. In some
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+ # circumstances, this will be an individual provider. In that case, submit that
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+ # provider's NPI and the tax ID (TIN) that the provider gave to the payer during
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+ # contracting. In other cases, the billing entity will be a medical group. If so,
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+ # submit the group NPI and the group's tax ID. Box 33 on the CMS-1500 claim form.
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+ # @param pay_to_address [CandidApiClient::Commons::Types::StreetAddressShortZipOptional] Specifies the address to which payments for the claim should be sent.
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  # @param benefits_assigned_to_provider [Boolean] Whether this patient has authorized insurance payments to be made to you, not
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  # them. If false, patient may receive reimbursement. Box 13 on the CMS-1500 claim
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  # form.
@@ -274,7 +313,6 @@ module CandidApiClient
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  # be overridden with this list.
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  # @param clinical_notes [Array<CandidApiClient::Encounters::V4::Types::ClinicalNoteCategoryCreate>] Holds a collection of clinical observations made by healthcare providers during
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  # patient encounters.
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- # @param pay_to_address [CandidApiClient::Commons::Types::StreetAddressLongZip] Specifies the address to which payments for the claim should be sent.
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  # @param billable_status [CandidApiClient::Encounters::V4::Types::BillableStatusType] Defines if the Encounter is to be billed by Candid to the responsible_party.
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  # Examples for when this should be set to NOT_BILLABLE include if the Encounter
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  # has not occurred yet or if there is no intention of ever billing the
@@ -331,8 +369,6 @@ module CandidApiClient
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  # related to the patient's pregnancy.de
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  # @param delay_reason_code [CandidApiClient::Commons::Types::DelayReasonCode] 837i Loop2300, CLM-1300 Box 20
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  # Code indicating the reason why a request was delayed
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- # @param patient [CandidApiClient::Individual::Types::PatientUpdate] Contains the identification information of the individual receiving medical
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- # services.
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  # @param patient_authorized_release [Boolean] Whether this patient has authorized the release of medical information
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  # for billing purpose.
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  # Box 12 on the CMS-1500 claim form.
@@ -349,62 +385,38 @@ module CandidApiClient
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  # @param existing_medications [Array<CandidApiClient::Encounters::V4::Types::Medication>] Existing medications that should be on the encounter.
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  # Note all current existing medications on encounter will be overridden with this
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  # list.
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- # @param rendering_provider [CandidApiClient::EncounterProviders::V2::Types::RenderingProviderUpdate] The rendering provider is the practitioner -- physician, nurse practitioner,
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- # etc. -- performing the service.
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- # For telehealth services, the rendering provider performs the visit, asynchronous
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- # communication, or other service. The rendering provider address should generally
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- # be the same as the service facility address.
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- # @param service_facility [CandidApiClient::ServiceFacility::Types::EncounterServiceFacilityUpdate] Encounter Service facility is typically the location a medical service was
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- # rendered, such as a provider office or hospital. For telehealth, service
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- # facility can represent the provider's location when the service was delivered
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- # (e.g., home), or the location where an in-person visit would have taken place,
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- # whichever is easier to identify. If the provider is in-network, service facility
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- # may be defined in payer contracts. Box 32 on the CMS-1500 claim form. Note that
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- # for an in-network claim to be successfully adjudicated, the service facility
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- # address listed on claims must match what was provided to the payer during the
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- # credentialing process.
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  # @param guarantor [CandidApiClient::Guarantor::V1::Types::GuarantorUpdate] Personal and contact info for the guarantor of the patient responsibility.
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- # @param billing_provider [CandidApiClient::EncounterProviders::V2::Types::BillingProviderUpdate] The billing provider is the provider or business entity submitting the claim.
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- # Billing provider may be, but is not necessarily, the same person/NPI as the
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- # rendering provider. From a payer's perspective, this represents the person or
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- # entity being reimbursed. When a contract exists with the target payer, the
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- # billing provider should be the entity contracted with the payer. In some
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- # circumstances, this will be an individual provider. In that case, submit that
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- # provider's NPI and the tax ID (TIN) that the provider gave to the payer during
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- # contracting. In other cases, the billing entity will be a medical group. If so,
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- # submit the group NPI and the group's tax ID. Box 33 on the CMS-1500 claim form.
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- # @param supervising_provider [CandidApiClient::EncounterProviders::V2::Types::SupervisingProviderUpdate] Required when the rendering provider is supervised by a physician. If not
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- # required by this implementation guide, do not send.
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- # @param referring_provider [CandidApiClient::EncounterProviders::V2::Types::ReferringProviderUpdate] The final provider who referred the services that were rendered.
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- # All physicians who order services or refer Medicare beneficiaries must
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- # report this data.
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- # @param initial_referring_provider [CandidApiClient::EncounterProviders::V2::Types::InitialReferringProviderUpdate] The second iteration of Loop ID-2310. Use code "P3 - Primary Care Provider" in
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- # this loop to
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- # indicate the initial referral from the primary care provider or whatever
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- # provider wrote the initial referral for this patient's episode of care being
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- # billed/reported in this transaction.
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  # @param referral_number [String] Refers to REF\*9F on the 837p. Value cannot be greater than 50 characters.
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  # @param epsdt_referral [CandidApiClient::Encounters::V4::Types::EpsdtReferral] Refers Box 24H on the CMS1500 form and Loop 2300 CRC - EPSDT Referral on the
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  # 837P form
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  # @param claim_supplemental_information [Array<CandidApiClient::Encounters::V4::Types::ClaimSupplementalInformation>] Refers to Loop 2300 - Segment PWK on the 837P form. No more than 10 entries are
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  # permitted.
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+ # @param secondary_payer_carrier_code [String] When Medicaid is billed as the secondary payer the Carrier Code is used to
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+ # identify the primary payer. This is required for certain states.
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  # @param additional_properties [OpenStruct] Additional properties unmapped to the current class definition
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  # @return [CandidApiClient::ChargeCapture::V1::Types::ChargeCaptureData]
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  def initialize(diagnoses: OMIT, interventions: OMIT, external_claim_submission: OMIT, service_lines: OMIT,
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- patient_histories: OMIT, billing_notes: OMIT, benefits_assigned_to_provider: OMIT, prior_authorization_number: OMIT, external_id: OMIT, date_of_service: OMIT, tag_ids: OMIT, clinical_notes: OMIT, pay_to_address: OMIT, billable_status: OMIT, responsible_party: OMIT, provider_accepts_assignment: OMIT, synchronicity: OMIT, place_of_service_code: OMIT, appointment_type: OMIT, end_date_of_service: OMIT, subscriber_primary: OMIT, subscriber_secondary: OMIT, subscriber_tertiary: OMIT, additional_information: OMIT, service_authorization_exception_code: OMIT, admission_date: OMIT, discharge_date: OMIT, onset_of_current_illness_or_symptom_date: OMIT, last_menstrual_period_date: OMIT, delay_reason_code: OMIT, patient: OMIT, patient_authorized_release: OMIT, schema_instances: OMIT, vitals: OMIT, existing_medications: OMIT, rendering_provider: OMIT, service_facility: OMIT, guarantor: OMIT, billing_provider: OMIT, supervising_provider: OMIT, referring_provider: OMIT, initial_referring_provider: OMIT, referral_number: OMIT, epsdt_referral: OMIT, claim_supplemental_information: OMIT, additional_properties: nil)
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+ patient_histories: OMIT, billing_notes: OMIT, patient: OMIT, service_facility: OMIT, rendering_provider: OMIT, initial_referring_provider: OMIT, referring_provider: OMIT, supervising_provider: OMIT, billing_provider: OMIT, pay_to_address: OMIT, benefits_assigned_to_provider: OMIT, prior_authorization_number: OMIT, external_id: OMIT, date_of_service: OMIT, tag_ids: OMIT, clinical_notes: OMIT, billable_status: OMIT, responsible_party: OMIT, provider_accepts_assignment: OMIT, synchronicity: OMIT, place_of_service_code: OMIT, appointment_type: OMIT, end_date_of_service: OMIT, subscriber_primary: OMIT, subscriber_secondary: OMIT, subscriber_tertiary: OMIT, additional_information: OMIT, service_authorization_exception_code: OMIT, admission_date: OMIT, discharge_date: OMIT, onset_of_current_illness_or_symptom_date: OMIT, last_menstrual_period_date: OMIT, delay_reason_code: OMIT, patient_authorized_release: OMIT, schema_instances: OMIT, vitals: OMIT, existing_medications: OMIT, guarantor: OMIT, referral_number: OMIT, epsdt_referral: OMIT, claim_supplemental_information: OMIT, secondary_payer_carrier_code: OMIT, additional_properties: nil)
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  @diagnoses = diagnoses if diagnoses != OMIT
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  @interventions = interventions if interventions != OMIT
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  @external_claim_submission = external_claim_submission if external_claim_submission != OMIT
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  @service_lines = service_lines if service_lines != OMIT
399
404
  @patient_histories = patient_histories if patient_histories != OMIT
400
405
  @billing_notes = billing_notes if billing_notes != OMIT
406
+ @patient = patient if patient != OMIT
407
+ @service_facility = service_facility if service_facility != OMIT
408
+ @rendering_provider = rendering_provider if rendering_provider != OMIT
409
+ @initial_referring_provider = initial_referring_provider if initial_referring_provider != OMIT
410
+ @referring_provider = referring_provider if referring_provider != OMIT
411
+ @supervising_provider = supervising_provider if supervising_provider != OMIT
412
+ @billing_provider = billing_provider if billing_provider != OMIT
413
+ @pay_to_address = pay_to_address if pay_to_address != OMIT
401
414
  @benefits_assigned_to_provider = benefits_assigned_to_provider if benefits_assigned_to_provider != OMIT
402
415
  @prior_authorization_number = prior_authorization_number if prior_authorization_number != OMIT
403
416
  @external_id = external_id if external_id != OMIT
404
417
  @date_of_service = date_of_service if date_of_service != OMIT
405
418
  @tag_ids = tag_ids if tag_ids != OMIT
406
419
  @clinical_notes = clinical_notes if clinical_notes != OMIT
407
- @pay_to_address = pay_to_address if pay_to_address != OMIT
408
420
  @billable_status = billable_status if billable_status != OMIT
409
421
  @responsible_party = responsible_party if responsible_party != OMIT
410
422
  @provider_accepts_assignment = provider_accepts_assignment if provider_accepts_assignment != OMIT
@@ -426,21 +438,15 @@ module CandidApiClient
426
438
  end
427
439
  @last_menstrual_period_date = last_menstrual_period_date if last_menstrual_period_date != OMIT
428
440
  @delay_reason_code = delay_reason_code if delay_reason_code != OMIT
429
- @patient = patient if patient != OMIT
430
441
  @patient_authorized_release = patient_authorized_release if patient_authorized_release != OMIT
431
442
  @schema_instances = schema_instances if schema_instances != OMIT
432
443
  @vitals = vitals if vitals != OMIT
433
444
  @existing_medications = existing_medications if existing_medications != OMIT
434
- @rendering_provider = rendering_provider if rendering_provider != OMIT
435
- @service_facility = service_facility if service_facility != OMIT
436
445
  @guarantor = guarantor if guarantor != OMIT
437
- @billing_provider = billing_provider if billing_provider != OMIT
438
- @supervising_provider = supervising_provider if supervising_provider != OMIT
439
- @referring_provider = referring_provider if referring_provider != OMIT
440
- @initial_referring_provider = initial_referring_provider if initial_referring_provider != OMIT
441
446
  @referral_number = referral_number if referral_number != OMIT
442
447
  @epsdt_referral = epsdt_referral if epsdt_referral != OMIT
443
448
  @claim_supplemental_information = claim_supplemental_information if claim_supplemental_information != OMIT
449
+ @secondary_payer_carrier_code = secondary_payer_carrier_code if secondary_payer_carrier_code != OMIT
444
450
  @additional_properties = additional_properties
445
451
  @_field_set = {
446
452
  "diagnoses": diagnoses,
@@ -449,13 +455,20 @@ module CandidApiClient
449
455
  "service_lines": service_lines,
450
456
  "patient_histories": patient_histories,
451
457
  "billing_notes": billing_notes,
458
+ "patient": patient,
459
+ "service_facility": service_facility,
460
+ "rendering_provider": rendering_provider,
461
+ "initial_referring_provider": initial_referring_provider,
462
+ "referring_provider": referring_provider,
463
+ "supervising_provider": supervising_provider,
464
+ "billing_provider": billing_provider,
465
+ "pay_to_address": pay_to_address,
452
466
  "benefits_assigned_to_provider": benefits_assigned_to_provider,
453
467
  "prior_authorization_number": prior_authorization_number,
454
468
  "external_id": external_id,
455
469
  "date_of_service": date_of_service,
456
470
  "tag_ids": tag_ids,
457
471
  "clinical_notes": clinical_notes,
458
- "pay_to_address": pay_to_address,
459
472
  "billable_status": billable_status,
460
473
  "responsible_party": responsible_party,
461
474
  "provider_accepts_assignment": provider_accepts_assignment,
@@ -473,21 +486,15 @@ module CandidApiClient
473
486
  "onset_of_current_illness_or_symptom_date": onset_of_current_illness_or_symptom_date,
474
487
  "last_menstrual_period_date": last_menstrual_period_date,
475
488
  "delay_reason_code": delay_reason_code,
476
- "patient": patient,
477
489
  "patient_authorized_release": patient_authorized_release,
478
490
  "schema_instances": schema_instances,
479
491
  "vitals": vitals,
480
492
  "existing_medications": existing_medications,
481
- "rendering_provider": rendering_provider,
482
- "service_facility": service_facility,
483
493
  "guarantor": guarantor,
484
- "billing_provider": billing_provider,
485
- "supervising_provider": supervising_provider,
486
- "referring_provider": referring_provider,
487
- "initial_referring_provider": initial_referring_provider,
488
494
  "referral_number": referral_number,
489
495
  "epsdt_referral": epsdt_referral,
490
- "claim_supplemental_information": claim_supplemental_information
496
+ "claim_supplemental_information": claim_supplemental_information,
497
+ "secondary_payer_carrier_code": secondary_payer_carrier_code
491
498
  }.reject do |_k, v|
492
499
  v == OMIT
493
500
  end
@@ -524,7 +531,55 @@ module CandidApiClient
524
531
  end
525
532
  billing_notes = parsed_json["billing_notes"]&.map do |item|
526
533
  item = item.to_json
527
- CandidApiClient::BillingNotes::V2::Types::BillingNoteOptional.from_json(json_object: item)
534
+ CandidApiClient::BillingNotes::V2::Types::BillingNoteBase.from_json(json_object: item)
535
+ end
536
+ if parsed_json["patient"].nil?
537
+ patient = nil
538
+ else
539
+ patient = parsed_json["patient"].to_json
540
+ patient = CandidApiClient::Individual::Types::PatientUpdateWithOptionalAddress.from_json(json_object: patient)
541
+ end
542
+ if parsed_json["service_facility"].nil?
543
+ service_facility = nil
544
+ else
545
+ service_facility = parsed_json["service_facility"].to_json
546
+ service_facility = CandidApiClient::ServiceFacility::Types::EncounterServiceFacilityUpdateWithOptionalAddress.from_json(json_object: service_facility)
547
+ end
548
+ if parsed_json["rendering_provider"].nil?
549
+ rendering_provider = nil
550
+ else
551
+ rendering_provider = parsed_json["rendering_provider"].to_json
552
+ rendering_provider = CandidApiClient::EncounterProviders::V2::Types::RenderingProviderUpdateWithOptionalAddress.from_json(json_object: rendering_provider)
553
+ end
554
+ if parsed_json["initial_referring_provider"].nil?
555
+ initial_referring_provider = nil
556
+ else
557
+ initial_referring_provider = parsed_json["initial_referring_provider"].to_json
558
+ initial_referring_provider = CandidApiClient::EncounterProviders::V2::Types::InitialReferringProviderUpdateWithOptionalAddress.from_json(json_object: initial_referring_provider)
559
+ end
560
+ if parsed_json["referring_provider"].nil?
561
+ referring_provider = nil
562
+ else
563
+ referring_provider = parsed_json["referring_provider"].to_json
564
+ referring_provider = CandidApiClient::EncounterProviders::V2::Types::ReferringProviderUpdateWithOptionalAddress.from_json(json_object: referring_provider)
565
+ end
566
+ if parsed_json["supervising_provider"].nil?
567
+ supervising_provider = nil
568
+ else
569
+ supervising_provider = parsed_json["supervising_provider"].to_json
570
+ supervising_provider = CandidApiClient::EncounterProviders::V2::Types::SupervisingProviderUpdateWithOptionalAddress.from_json(json_object: supervising_provider)
571
+ end
572
+ if parsed_json["billing_provider"].nil?
573
+ billing_provider = nil
574
+ else
575
+ billing_provider = parsed_json["billing_provider"].to_json
576
+ billing_provider = CandidApiClient::EncounterProviders::V2::Types::BillingProviderUpdateWithOptionalAddress.from_json(json_object: billing_provider)
577
+ end
578
+ if parsed_json["pay_to_address"].nil?
579
+ pay_to_address = nil
580
+ else
581
+ pay_to_address = parsed_json["pay_to_address"].to_json
582
+ pay_to_address = CandidApiClient::Commons::Types::StreetAddressShortZipOptional.from_json(json_object: pay_to_address)
528
583
  end
529
584
  benefits_assigned_to_provider = struct["benefits_assigned_to_provider"]
530
585
  prior_authorization_number = struct["prior_authorization_number"]
@@ -535,12 +590,6 @@ module CandidApiClient
535
590
  item = item.to_json
536
591
  CandidApiClient::Encounters::V4::Types::ClinicalNoteCategoryCreate.from_json(json_object: item)
537
592
  end
538
- if parsed_json["pay_to_address"].nil?
539
- pay_to_address = nil
540
- else
541
- pay_to_address = parsed_json["pay_to_address"].to_json
542
- pay_to_address = CandidApiClient::Commons::Types::StreetAddressLongZip.from_json(json_object: pay_to_address)
543
- end
544
593
  billable_status = struct["billable_status"]
545
594
  responsible_party = struct["responsible_party"]
546
595
  provider_accepts_assignment = struct["provider_accepts_assignment"]
@@ -579,12 +628,6 @@ module CandidApiClient
579
628
  Date.parse(parsed_json["last_menstrual_period_date"])
580
629
  end
581
630
  delay_reason_code = struct["delay_reason_code"]
582
- if parsed_json["patient"].nil?
583
- patient = nil
584
- else
585
- patient = parsed_json["patient"].to_json
586
- patient = CandidApiClient::Individual::Types::PatientUpdate.from_json(json_object: patient)
587
- end
588
631
  patient_authorized_release = struct["patient_authorized_release"]
589
632
  schema_instances = parsed_json["schema_instances"]&.map do |item|
590
633
  item = item.to_json
@@ -600,48 +643,12 @@ module CandidApiClient
600
643
  item = item.to_json
601
644
  CandidApiClient::Encounters::V4::Types::Medication.from_json(json_object: item)
602
645
  end
603
- if parsed_json["rendering_provider"].nil?
604
- rendering_provider = nil
605
- else
606
- rendering_provider = parsed_json["rendering_provider"].to_json
607
- rendering_provider = CandidApiClient::EncounterProviders::V2::Types::RenderingProviderUpdate.from_json(json_object: rendering_provider)
608
- end
609
- if parsed_json["service_facility"].nil?
610
- service_facility = nil
611
- else
612
- service_facility = parsed_json["service_facility"].to_json
613
- service_facility = CandidApiClient::ServiceFacility::Types::EncounterServiceFacilityUpdate.from_json(json_object: service_facility)
614
- end
615
646
  if parsed_json["guarantor"].nil?
616
647
  guarantor = nil
617
648
  else
618
649
  guarantor = parsed_json["guarantor"].to_json
619
650
  guarantor = CandidApiClient::Guarantor::V1::Types::GuarantorUpdate.from_json(json_object: guarantor)
620
651
  end
621
- if parsed_json["billing_provider"].nil?
622
- billing_provider = nil
623
- else
624
- billing_provider = parsed_json["billing_provider"].to_json
625
- billing_provider = CandidApiClient::EncounterProviders::V2::Types::BillingProviderUpdate.from_json(json_object: billing_provider)
626
- end
627
- if parsed_json["supervising_provider"].nil?
628
- supervising_provider = nil
629
- else
630
- supervising_provider = parsed_json["supervising_provider"].to_json
631
- supervising_provider = CandidApiClient::EncounterProviders::V2::Types::SupervisingProviderUpdate.from_json(json_object: supervising_provider)
632
- end
633
- if parsed_json["referring_provider"].nil?
634
- referring_provider = nil
635
- else
636
- referring_provider = parsed_json["referring_provider"].to_json
637
- referring_provider = CandidApiClient::EncounterProviders::V2::Types::ReferringProviderUpdate.from_json(json_object: referring_provider)
638
- end
639
- if parsed_json["initial_referring_provider"].nil?
640
- initial_referring_provider = nil
641
- else
642
- initial_referring_provider = parsed_json["initial_referring_provider"].to_json
643
- initial_referring_provider = CandidApiClient::EncounterProviders::V2::Types::InitialReferringProviderUpdate.from_json(json_object: initial_referring_provider)
644
- end
645
652
  referral_number = struct["referral_number"]
646
653
  if parsed_json["epsdt_referral"].nil?
647
654
  epsdt_referral = nil
@@ -653,6 +660,7 @@ module CandidApiClient
653
660
  item = item.to_json
654
661
  CandidApiClient::Encounters::V4::Types::ClaimSupplementalInformation.from_json(json_object: item)
655
662
  end
663
+ secondary_payer_carrier_code = struct["secondary_payer_carrier_code"]
656
664
  new(
657
665
  diagnoses: diagnoses,
658
666
  interventions: interventions,
@@ -660,13 +668,20 @@ module CandidApiClient
660
668
  service_lines: service_lines,
661
669
  patient_histories: patient_histories,
662
670
  billing_notes: billing_notes,
671
+ patient: patient,
672
+ service_facility: service_facility,
673
+ rendering_provider: rendering_provider,
674
+ initial_referring_provider: initial_referring_provider,
675
+ referring_provider: referring_provider,
676
+ supervising_provider: supervising_provider,
677
+ billing_provider: billing_provider,
678
+ pay_to_address: pay_to_address,
663
679
  benefits_assigned_to_provider: benefits_assigned_to_provider,
664
680
  prior_authorization_number: prior_authorization_number,
665
681
  external_id: external_id,
666
682
  date_of_service: date_of_service,
667
683
  tag_ids: tag_ids,
668
684
  clinical_notes: clinical_notes,
669
- pay_to_address: pay_to_address,
670
685
  billable_status: billable_status,
671
686
  responsible_party: responsible_party,
672
687
  provider_accepts_assignment: provider_accepts_assignment,
@@ -684,21 +699,15 @@ module CandidApiClient
684
699
  onset_of_current_illness_or_symptom_date: onset_of_current_illness_or_symptom_date,
685
700
  last_menstrual_period_date: last_menstrual_period_date,
686
701
  delay_reason_code: delay_reason_code,
687
- patient: patient,
688
702
  patient_authorized_release: patient_authorized_release,
689
703
  schema_instances: schema_instances,
690
704
  vitals: vitals,
691
705
  existing_medications: existing_medications,
692
- rendering_provider: rendering_provider,
693
- service_facility: service_facility,
694
706
  guarantor: guarantor,
695
- billing_provider: billing_provider,
696
- supervising_provider: supervising_provider,
697
- referring_provider: referring_provider,
698
- initial_referring_provider: initial_referring_provider,
699
707
  referral_number: referral_number,
700
708
  epsdt_referral: epsdt_referral,
701
709
  claim_supplemental_information: claim_supplemental_information,
710
+ secondary_payer_carrier_code: secondary_payer_carrier_code,
702
711
  additional_properties: struct
703
712
  )
704
713
  end
@@ -723,13 +732,20 @@ module CandidApiClient
723
732
  obj.service_lines&.is_a?(Array) != false || raise("Passed value for field obj.service_lines is not the expected type, validation failed.")
724
733
  obj.patient_histories&.is_a?(Array) != false || raise("Passed value for field obj.patient_histories is not the expected type, validation failed.")
725
734
  obj.billing_notes&.is_a?(Array) != false || raise("Passed value for field obj.billing_notes is not the expected type, validation failed.")
735
+ obj.patient.nil? || CandidApiClient::Individual::Types::PatientUpdateWithOptionalAddress.validate_raw(obj: obj.patient)
736
+ obj.service_facility.nil? || CandidApiClient::ServiceFacility::Types::EncounterServiceFacilityUpdateWithOptionalAddress.validate_raw(obj: obj.service_facility)
737
+ obj.rendering_provider.nil? || CandidApiClient::EncounterProviders::V2::Types::RenderingProviderUpdateWithOptionalAddress.validate_raw(obj: obj.rendering_provider)
738
+ obj.initial_referring_provider.nil? || CandidApiClient::EncounterProviders::V2::Types::InitialReferringProviderUpdateWithOptionalAddress.validate_raw(obj: obj.initial_referring_provider)
739
+ obj.referring_provider.nil? || CandidApiClient::EncounterProviders::V2::Types::ReferringProviderUpdateWithOptionalAddress.validate_raw(obj: obj.referring_provider)
740
+ obj.supervising_provider.nil? || CandidApiClient::EncounterProviders::V2::Types::SupervisingProviderUpdateWithOptionalAddress.validate_raw(obj: obj.supervising_provider)
741
+ obj.billing_provider.nil? || CandidApiClient::EncounterProviders::V2::Types::BillingProviderUpdateWithOptionalAddress.validate_raw(obj: obj.billing_provider)
742
+ obj.pay_to_address.nil? || CandidApiClient::Commons::Types::StreetAddressShortZipOptional.validate_raw(obj: obj.pay_to_address)
726
743
  obj.benefits_assigned_to_provider&.is_a?(Boolean) != false || raise("Passed value for field obj.benefits_assigned_to_provider is not the expected type, validation failed.")
727
744
  obj.prior_authorization_number&.is_a?(String) != false || raise("Passed value for field obj.prior_authorization_number is not the expected type, validation failed.")
728
745
  obj.external_id&.is_a?(String) != false || raise("Passed value for field obj.external_id is not the expected type, validation failed.")
729
746
  obj.date_of_service&.is_a?(Date) != false || raise("Passed value for field obj.date_of_service is not the expected type, validation failed.")
730
747
  obj.tag_ids&.is_a?(Array) != false || raise("Passed value for field obj.tag_ids is not the expected type, validation failed.")
731
748
  obj.clinical_notes&.is_a?(Array) != false || raise("Passed value for field obj.clinical_notes is not the expected type, validation failed.")
732
- obj.pay_to_address.nil? || CandidApiClient::Commons::Types::StreetAddressLongZip.validate_raw(obj: obj.pay_to_address)
733
749
  obj.billable_status&.is_a?(CandidApiClient::Encounters::V4::Types::BillableStatusType) != false || raise("Passed value for field obj.billable_status is not the expected type, validation failed.")
734
750
  obj.responsible_party&.is_a?(CandidApiClient::Encounters::V4::Types::ResponsiblePartyType) != false || raise("Passed value for field obj.responsible_party is not the expected type, validation failed.")
735
751
  obj.provider_accepts_assignment&.is_a?(Boolean) != false || raise("Passed value for field obj.provider_accepts_assignment is not the expected type, validation failed.")
@@ -747,21 +763,15 @@ module CandidApiClient
747
763
  obj.onset_of_current_illness_or_symptom_date&.is_a?(Date) != false || raise("Passed value for field obj.onset_of_current_illness_or_symptom_date is not the expected type, validation failed.")
748
764
  obj.last_menstrual_period_date&.is_a?(Date) != false || raise("Passed value for field obj.last_menstrual_period_date is not the expected type, validation failed.")
749
765
  obj.delay_reason_code&.is_a?(CandidApiClient::Commons::Types::DelayReasonCode) != false || raise("Passed value for field obj.delay_reason_code is not the expected type, validation failed.")
750
- obj.patient.nil? || CandidApiClient::Individual::Types::PatientUpdate.validate_raw(obj: obj.patient)
751
766
  obj.patient_authorized_release&.is_a?(Boolean) != false || raise("Passed value for field obj.patient_authorized_release is not the expected type, validation failed.")
752
767
  obj.schema_instances&.is_a?(Array) != false || raise("Passed value for field obj.schema_instances is not the expected type, validation failed.")
753
768
  obj.vitals.nil? || CandidApiClient::Encounters::V4::Types::VitalsUpdate.validate_raw(obj: obj.vitals)
754
769
  obj.existing_medications&.is_a?(Array) != false || raise("Passed value for field obj.existing_medications is not the expected type, validation failed.")
755
- obj.rendering_provider.nil? || CandidApiClient::EncounterProviders::V2::Types::RenderingProviderUpdate.validate_raw(obj: obj.rendering_provider)
756
- obj.service_facility.nil? || CandidApiClient::ServiceFacility::Types::EncounterServiceFacilityUpdate.validate_raw(obj: obj.service_facility)
757
770
  obj.guarantor.nil? || CandidApiClient::Guarantor::V1::Types::GuarantorUpdate.validate_raw(obj: obj.guarantor)
758
- obj.billing_provider.nil? || CandidApiClient::EncounterProviders::V2::Types::BillingProviderUpdate.validate_raw(obj: obj.billing_provider)
759
- obj.supervising_provider.nil? || CandidApiClient::EncounterProviders::V2::Types::SupervisingProviderUpdate.validate_raw(obj: obj.supervising_provider)
760
- obj.referring_provider.nil? || CandidApiClient::EncounterProviders::V2::Types::ReferringProviderUpdate.validate_raw(obj: obj.referring_provider)
761
- obj.initial_referring_provider.nil? || CandidApiClient::EncounterProviders::V2::Types::InitialReferringProviderUpdate.validate_raw(obj: obj.initial_referring_provider)
762
771
  obj.referral_number&.is_a?(String) != false || raise("Passed value for field obj.referral_number is not the expected type, validation failed.")
763
772
  obj.epsdt_referral.nil? || CandidApiClient::Encounters::V4::Types::EpsdtReferral.validate_raw(obj: obj.epsdt_referral)
764
773
  obj.claim_supplemental_information&.is_a?(Array) != false || raise("Passed value for field obj.claim_supplemental_information is not the expected type, validation failed.")
774
+ obj.secondary_payer_carrier_code&.is_a?(String) != false || raise("Passed value for field obj.secondary_payer_carrier_code is not the expected type, validation failed.")
765
775
  end
766
776
  end
767
777
  end