candidhealth 1.0.0 → 1.3.1

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Files changed (66) hide show
  1. checksums.yaml +4 -4
  2. data/lib/candidhealth/auth/client.rb +7 -7
  3. data/lib/candidhealth/auth/{v_2 → default}/client.rb +39 -13
  4. data/lib/candidhealth/auth/{v_2 → default}/types/auth_get_token_response.rb +3 -3
  5. data/lib/candidhealth/auth/default/types/invalid_content_type_error_type.rb +60 -0
  6. data/lib/candidhealth/auth/{v_2 → default}/types/too_many_requests_error_type.rb +3 -3
  7. data/lib/candidhealth/billing_notes/v_2/types/billing_note_base_optional.rb +62 -0
  8. data/lib/candidhealth/charge_capture/v_1/client.rb +532 -484
  9. data/lib/candidhealth/charge_capture/v_1/types/charge_capture.rb +17 -1
  10. data/lib/candidhealth/charge_capture/v_1/types/charge_capture_data.rb +173 -173
  11. data/lib/candidhealth/charge_capture/v_1/types/charge_capture_error.rb +26 -2
  12. data/lib/candidhealth/charge_capture_bundles/v_1/client.rb +58 -0
  13. data/lib/candidhealth/claim_submission/v_1/types/claim_submission_record_create_optional.rb +100 -0
  14. data/lib/candidhealth/claim_submission/v_1/types/external_claim_submission_create_optional.rb +101 -0
  15. data/lib/candidhealth/commons/types/next_responsible_party.rb +16 -0
  16. data/lib/candidhealth/commons/types/phone_number_optional.rb +71 -0
  17. data/lib/candidhealth/commons/types/procedure_modifier.rb +2 -0
  18. data/lib/candidhealth/commons/types/street_address_long_zip_optional.rb +107 -0
  19. data/lib/candidhealth/contracts/v_2/client.rb +4 -4
  20. data/lib/candidhealth/custom_schemas/v_1/types/schema_instance_optional.rb +78 -0
  21. data/lib/candidhealth/diagnoses/client.rb +23 -4
  22. data/lib/candidhealth/diagnoses/types/diagnosis.rb +21 -2
  23. data/lib/candidhealth/diagnoses/types/diagnosis_create.rb +25 -2
  24. data/lib/candidhealth/diagnoses/types/diagnosis_create_optional.rb +126 -0
  25. data/lib/candidhealth/diagnoses/types/standalone_diagnosis_create.rb +22 -2
  26. data/lib/candidhealth/encounter_providers/v_2/types/ordering_provider_optional.rb +123 -0
  27. data/lib/candidhealth/encounters/v_4/client.rb +216 -208
  28. data/lib/candidhealth/encounters/v_4/types/claim_supplemental_information_optional.rb +86 -0
  29. data/lib/candidhealth/encounters/v_4/types/clinical_note_category_create_optional.rb +78 -0
  30. data/lib/candidhealth/encounters/v_4/types/clinical_note_optional.rb +93 -0
  31. data/lib/candidhealth/encounters/v_4/types/encounter.rb +27 -4
  32. data/lib/candidhealth/encounters/v_4/types/encounter_create_from_pre_encounter.rb +4 -2
  33. data/lib/candidhealth/encounters/v_4/types/encounter_deep_optional.rb +780 -0
  34. data/lib/candidhealth/encounters/v_4/types/encounter_optional.rb +1 -139
  35. data/lib/candidhealth/encounters/v_4/types/epsdt_referral_optional.rb +85 -0
  36. data/lib/candidhealth/encounters/v_4/types/intake_question_optional.rb +84 -0
  37. data/lib/candidhealth/encounters/v_4/types/intervention_optional.rb +114 -0
  38. data/lib/candidhealth/encounters/v_4/types/lab_optional.rb +80 -0
  39. data/lib/candidhealth/encounters/v_4/types/medication_optional.rb +108 -0
  40. data/lib/candidhealth/encounters/v_4/types/patient_history_category_optional.rb +78 -0
  41. data/lib/candidhealth/guarantor/v_1/types/guarantor_optional.rb +144 -0
  42. data/lib/candidhealth/individual/types/individual_base_optional.rb +78 -0
  43. data/lib/candidhealth/individual/types/patient_non_insurance_payer_info_create_optional.rb +89 -0
  44. data/lib/candidhealth/individual/types/patient_update_with_optional_address.rb +8 -8
  45. data/lib/candidhealth/individual/types/subscriber_base_optional.rb +118 -0
  46. data/lib/candidhealth/individual/types/subscriber_create_optional.rb +132 -0
  47. data/lib/candidhealth/insurance_adjudications/v_1/client.rb +2 -0
  48. data/lib/candidhealth/insurance_adjudications/v_1/types/insurance_adjudication_create.rb +9 -1
  49. data/lib/candidhealth/insurance_cards/v_2/types/insurance_card_create_optional.rb +167 -0
  50. data/lib/candidhealth/organization_providers/v_2/types/license_type.rb +1 -0
  51. data/lib/candidhealth/pre_encounter/patients/v_1/types/authorization.rb +13 -1
  52. data/lib/candidhealth/service_lines/v_2/client.rb +4 -0
  53. data/lib/candidhealth/service_lines/v_2/types/drug_identification_optional.rb +126 -0
  54. data/lib/candidhealth/service_lines/v_2/types/service_line.rb +10 -2
  55. data/lib/candidhealth/service_lines/v_2/types/service_line_create.rb +10 -2
  56. data/lib/candidhealth/service_lines/v_2/types/service_line_create_optional.rb +247 -0
  57. data/lib/candidhealth/service_lines/v_2/types/service_line_create_standalone.rb +10 -2
  58. data/lib/candidhealth/service_lines/v_2/types/service_line_update.rb +10 -2
  59. data/lib/candidhealth/service_lines/v_2/types/test_result_optional.rb +73 -0
  60. data/lib/candidhealth/write_offs/v_1/types/insurance_write_off_reason.rb +1 -0
  61. data/lib/candidhealth/write_offs/v_1/types/patient_write_off_reason.rb +1 -0
  62. data/lib/candidhealth/yes_no_indicator/types/yes_no_indicator.rb +14 -0
  63. data/lib/core/oauth.rb +2 -2
  64. data/lib/requests.rb +2 -2
  65. data/lib/types_export.rb +33 -3
  66. metadata +35 -5
@@ -486,8 +486,10 @@ module CandidApiClient
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  # * :name (String)
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  # * :code_type (CandidApiClient::Diagnoses::Types::DiagnosisTypeCode)
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  # * :code (String)
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+ # * :present_on_admission_indicator (CandidApiClient::YesNoIndicator::Types::YesNoIndicator)
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  # @param clinical_notes [Array<Hash>] Holds a collection of clinical observations made by healthcare providers during
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- # patient encounters.Request of type Array<CandidApiClient::Encounters::V4::Types::ClinicalNoteCategoryCreate>, as a Hash
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+ # patient encounters. Please note that medical records for appeals should be sent
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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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  # * :category (CandidApiClient::Encounters::V4::Types::NoteCategory)
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  # * :notes (Array<CandidApiClient::Encounters::V4::Types::ClinicalNote>)
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  # @param billing_notes [Array<Hash>] Spot to store misc, human-readable, notes about this encounter to be used
@@ -537,6 +539,7 @@ module CandidApiClient
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  # * :last_name (String)
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  # * :organization_name (String)
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  # * :test_results (Array<CandidApiClient::ServiceLines::V2::Types::TestResult>)
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+ # * :note (String)
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  # @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
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  # * :phone_numbers (Array<CandidApiClient::Commons::Types::PhoneNumber>)
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  # * :phone_consent (Boolean)
@@ -830,10 +833,6 @@ module CandidApiClient
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  # date_of_service values.
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  # @param tag_ids [Array<String>] Names of tags that should be on the encounter. Note all tags on encounter will
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  # be overridden with this list.
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- # @param clinical_notes [Array<Hash>] Holds a collection of clinical observations made by healthcare providers during
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- # patient encounters.Request of type Array<CandidApiClient::Encounters::V4::Types::ClinicalNoteCategoryCreate>, as a Hash
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- # * :category (CandidApiClient::Encounters::V4::Types::NoteCategory)
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- # * :notes (Array<CandidApiClient::Encounters::V4::Types::ClinicalNote>)
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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
@@ -860,6 +859,100 @@ module CandidApiClient
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  # encounter's end_date_of_service will fail. If all service line
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  # end_date_of_service values are the same, updating the encounter's
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  # end_date_of_service will update all service line date_of_service values.
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+ # @param additional_information [String] Defines additional information on the claim needed by the payer.
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+ # Box 19 on the CMS-1500 claim form.
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+ # @param service_authorization_exception_code [CandidApiClient::Encounters::V4::Types::ServiceAuthorizationExceptionCode] 837p Loop2300 REF*4N
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+ # Required when mandated by government law or regulation to obtain authorization
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+ # for specific service(s) but, for the
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+ # reasons listed in one of the enum values of ServiceAuthorizationExceptionCode,
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+ # the service was performed without
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+ # obtaining the authorization.
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+ # @param admission_date [Date] 837p Loop2300 DTP*435, CMS-1500 Box 18
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+ # Required on all ambulance claims when the patient was known to be admitted to
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+ # the hospital.
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+ # OR
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+ # Required on all claims involving inpatient medical visits.
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+ # @param discharge_date [Date] 837p Loop2300 DTP*096, CMS-1500 Box 18
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+ # Required for inpatient claims when the patient was discharged from the facility
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+ # and the discharge date is known.
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+ # @param onset_of_current_illness_or_symptom_date [Date] 837p Loop2300 DTP*431, CMS-1500 Box 14
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+ # Required for the initial medical service or visit performed in response to a
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+ # medical emergency when the date is available and is different than the date of
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+ # service.
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+ # OR
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+ # This date is the onset of acute symptoms for the current illness or condition.
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+ # @param last_menstrual_period_date [Date] 837p Loop2300 DTP*484, CMS-1500 Box 14
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+ # Required when, in the judgment of the provider, the services on this claim are
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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_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.
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+ # @param vitals [Hash] If a vitals entity already exists for the encounter, then all values will be
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+ # updated to the provided values.
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+ # Otherwise, a new vitals object will be created for the encounter.Request of type CandidApiClient::Encounters::V4::Types::VitalsUpdate, as a Hash
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+ # * :height_in (Integer)
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+ # * :weight_lbs (Integer)
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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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+ # * :hemoglobin_gdl (Float)
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+ # * :hematocrit_pct (Float)
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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 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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+ # @param _field_set [Object]
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+ # @param epsdt_referral [Hash] Refers Box 24H on the CMS1500 form and Loop 2300 CRC - EPSDT Referral on the
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+ # 837P formRequest of type CandidApiClient::Encounters::V4::Types::EpsdtReferral, as a Hash
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+ # * :condition_indicator_1 (CandidApiClient::Commons::Types::EpsdtReferralConditionIndicatorCode)
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+ # * :condition_indicator_2 (CandidApiClient::Commons::Types::EpsdtReferralConditionIndicatorCode)
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+ # * :condition_indicator_3 (CandidApiClient::Commons::Types::EpsdtReferralConditionIndicatorCode)
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+ # @param clinical_notes [Array<Hash>] Holds a collection of clinical observations made by healthcare providers during
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+ # patient encounters. Please note that medical records for appeals should be sent
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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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+ # * :category (CandidApiClient::Encounters::V4::Types::NoteCategory)
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+ # * :notes (Array<CandidApiClient::Encounters::V4::Types::ClinicalNote>)
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+ # @param claim_supplemental_information [Array<Hash>] Refers to Loop 2300 - Segment PWK on the 837P form. No more than 10 entries are
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+ # permitted.Request of type Array<CandidApiClient::Encounters::V4::Types::ClaimSupplementalInformation>, as a Hash
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+ # * :attachment_report_type_code (CandidApiClient::Encounters::V4::Types::ReportTypeCode)
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+ # * :attachment_transmission_code (CandidApiClient::Encounters::V4::Types::ReportTransmissionCode)
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+ # * :attachment_control_number (String)
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+ # @param schema_instances [Array<Hash>] Key-value pairs that must adhere to a schema created via the Custom Schema API.
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+ # Multiple schema
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+ # instances cannot be created for the same schema on an encounter. Updating schema
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+ # instances utilizes PUT
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+ # semantics, so the schema instances on the encounter will be set to whatever
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+ # inputs are provided. If null
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+ # 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
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+ # * :schema_id (String)
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+ # * :content (Hash{String => Object})
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+ # @param existing_medications [Array<Hash>] 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.Request of type Array<CandidApiClient::Encounters::V4::Types::Medication>, as a Hash
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+ # * :name (String)
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+ # * :rx_cui (String)
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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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+ # @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
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+ # * :first_name (String)
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+ # * :last_name (String)
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+ # * :external_id (String)
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+ # * :date_of_birth (Date)
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+ # * :address (Hash)
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+ # * :zip_plus_four_code (String)
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+ # * :address_1 (String)
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+ # * :address_2 (String)
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+ # * :city (String)
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+ # * :state (CandidApiClient::Commons::Types::State)
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+ # * :zip_code (String)
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+ # * :phone_numbers (Array<CandidApiClient::Commons::Types::PhoneNumber>)
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+ # * :phone_consent (Boolean)
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+ # * :email (String)
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+ # * :email_consent (Boolean)
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  # @param subscriber_primary [Hash] Contains details of the primary insurance subscriber.Request of type CandidApiClient::Individual::Types::SubscriberCreate, as a Hash
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  # * :insurance_card (Hash)
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  # * :member_id (String)
@@ -941,95 +1034,6 @@ module CandidApiClient
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  # * :first_name (String)
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  # * :last_name (String)
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  # * :gender (CandidApiClient::Individual::Types::Gender)
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- # @param additional_information [String] Defines additional information on the claim needed by the payer.
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- # Box 19 on the CMS-1500 claim form.
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- # @param service_authorization_exception_code [CandidApiClient::Encounters::V4::Types::ServiceAuthorizationExceptionCode] 837p Loop2300 REF*4N
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- # Required when mandated by government law or regulation to obtain authorization
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- # for specific service(s) but, for the
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- # reasons listed in one of the enum values of ServiceAuthorizationExceptionCode,
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- # the service was performed without
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- # obtaining the authorization.
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- # @param admission_date [Date] 837p Loop2300 DTP*435, CMS-1500 Box 18
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- # Required on all ambulance claims when the patient was known to be admitted to
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- # the hospital.
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- # OR
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- # Required on all claims involving inpatient medical visits.
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- # @param discharge_date [Date] 837p Loop2300 DTP*096, CMS-1500 Box 18
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- # Required for inpatient claims when the patient was discharged from the facility
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- # and the discharge date is known.
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- # @param onset_of_current_illness_or_symptom_date [Date] 837p Loop2300 DTP*431, CMS-1500 Box 14
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- # Required for the initial medical service or visit performed in response to a
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- # medical emergency when the date is available and is different than the date of
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- # service.
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- # OR
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- # This date is the onset of acute symptoms for the current illness or condition.
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- # @param last_menstrual_period_date [Date] 837p Loop2300 DTP*484, CMS-1500 Box 14
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- # Required when, in the judgment of the provider, the services on this claim are
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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_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.
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- # @param schema_instances [Array<Hash>] Key-value pairs that must adhere to a schema created via the Custom Schema API.
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- # Multiple schema
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- # instances cannot be created for the same schema on an encounter. Updating schema
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- # instances utilizes PUT
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- # semantics, so the schema instances on the encounter will be set to whatever
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- # inputs are provided. If null
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- # 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
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- # * :schema_id (String)
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- # * :content (Hash{String => Object})
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- # @param vitals [Hash] If a vitals entity already exists for the encounter, then all values will be
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- # updated to the provided values.
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- # Otherwise, a new vitals object will be created for the encounter.Request of type CandidApiClient::Encounters::V4::Types::VitalsUpdate, as a Hash
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- # * :height_in (Integer)
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- # * :weight_lbs (Integer)
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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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- # * :hemoglobin_gdl (Float)
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- # * :hematocrit_pct (Float)
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- # @param existing_medications [Array<Hash>] 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.Request of type Array<CandidApiClient::Encounters::V4::Types::Medication>, as a Hash
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- # * :name (String)
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- # * :rx_cui (String)
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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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- # @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
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- # * :first_name (String)
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- # * :last_name (String)
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- # * :external_id (String)
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- # * :date_of_birth (Date)
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- # * :address (Hash)
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- # * :zip_plus_four_code (String)
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- # * :address_1 (String)
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- # * :address_2 (String)
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- # * :city (String)
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- # * :state (CandidApiClient::Commons::Types::State)
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- # * :zip_code (String)
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- # * :phone_numbers (Array<CandidApiClient::Commons::Types::PhoneNumber>)
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- # * :phone_consent (Boolean)
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- # * :email (String)
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- # * :email_consent (Boolean)
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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 [Hash] Refers Box 24H on the CMS1500 form and Loop 2300 CRC - EPSDT Referral on the
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- # 837P formRequest of type CandidApiClient::Encounters::V4::Types::EpsdtReferral, as a Hash
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- # * :condition_indicator_1 (CandidApiClient::Commons::Types::EpsdtReferralConditionIndicatorCode)
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- # * :condition_indicator_2 (CandidApiClient::Commons::Types::EpsdtReferralConditionIndicatorCode)
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- # * :condition_indicator_3 (CandidApiClient::Commons::Types::EpsdtReferralConditionIndicatorCode)
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- # @param claim_supplemental_information [Array<Hash>] Refers to Loop 2300 - Segment PWK on the 837P form. No more than 10 entries are
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- # permitted.Request of type Array<CandidApiClient::Encounters::V4::Types::ClaimSupplementalInformation>, as a Hash
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- # * :attachment_report_type_code (CandidApiClient::Encounters::V4::Types::ReportTypeCode)
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- # * :attachment_transmission_code (CandidApiClient::Encounters::V4::Types::ReportTransmissionCode)
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- # * :attachment_control_number (String)
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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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- # @param _field_set [Object]
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  # @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
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  # * :zip_plus_four_code (String)
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  # * :address_1 (String)
@@ -1177,7 +1181,7 @@ module CandidApiClient
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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.update(encounter_id: "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32")
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  def update(encounter_id:, benefits_assigned_to_provider: nil, prior_authorization_number: nil,
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- external_id: nil, date_of_service: nil, tag_ids: nil, clinical_notes: 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, subscriber_primary: nil, subscriber_secondary: nil, subscriber_tertiary: 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, schema_instances: nil, vitals: nil, existing_medications: nil, guarantor: nil, referral_number: nil, epsdt_referral: nil, claim_supplemental_information: nil, secondary_payer_carrier_code: nil, additional_properties: nil, _field_set: 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)
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)
1181
1185
  response = @request_client.conn.patch do |req|
1182
1186
  req.options.timeout = request_options.timeout_in_seconds unless request_options&.timeout_in_seconds.nil?
1183
1187
  req.headers["Authorization"] = request_options.token unless request_options&.token.nil?
@@ -1193,7 +1197,6 @@ module CandidApiClient
1193
1197
  external_id: external_id,
1194
1198
  date_of_service: date_of_service,
1195
1199
  tag_ids: tag_ids,
1196
- clinical_notes: clinical_notes,
1197
1200
  billable_status: billable_status,
1198
1201
  responsible_party: responsible_party,
1199
1202
  provider_accepts_assignment: provider_accepts_assignment,
@@ -1201,9 +1204,6 @@ module CandidApiClient
1201
1204
  place_of_service_code: place_of_service_code,
1202
1205
  appointment_type: appointment_type,
1203
1206
  end_date_of_service: end_date_of_service,
1204
- subscriber_primary: subscriber_primary,
1205
- subscriber_secondary: subscriber_secondary,
1206
- subscriber_tertiary: subscriber_tertiary,
1207
1207
  additional_information: additional_information,
1208
1208
  service_authorization_exception_code: service_authorization_exception_code,
1209
1209
  admission_date: admission_date,
@@ -1212,16 +1212,20 @@ module CandidApiClient
1212
1212
  last_menstrual_period_date: last_menstrual_period_date,
1213
1213
  delay_reason_code: delay_reason_code,
1214
1214
  patient_authorized_release: patient_authorized_release,
1215
- schema_instances: schema_instances,
1216
1215
  vitals: vitals,
1217
- existing_medications: existing_medications,
1218
- guarantor: guarantor,
1219
1216
  referral_number: referral_number,
1220
- epsdt_referral: epsdt_referral,
1221
- claim_supplemental_information: claim_supplemental_information,
1222
1217
  secondary_payer_carrier_code: secondary_payer_carrier_code,
1223
1218
  additional_properties: additional_properties,
1224
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,
1225
1229
  pay_to_address: pay_to_address,
1226
1230
  diagnosis_ids: diagnosis_ids,
1227
1231
  initial_referring_provider: initial_referring_provider,
@@ -1679,8 +1683,10 @@ module CandidApiClient
1679
1683
  # * :name (String)
1680
1684
  # * :code_type (CandidApiClient::Diagnoses::Types::DiagnosisTypeCode)
1681
1685
  # * :code (String)
1686
+ # * :present_on_admission_indicator (CandidApiClient::YesNoIndicator::Types::YesNoIndicator)
1682
1687
  # @param clinical_notes [Array<Hash>] Holds a collection of clinical observations made by healthcare providers during
1683
- # patient encounters.Request of type Array<CandidApiClient::Encounters::V4::Types::ClinicalNoteCategoryCreate>, as a Hash
1688
+ # patient encounters. Please note that medical records for appeals should be sent
1689
+ # using the Encounter Attachments API.Request of type Array<CandidApiClient::Encounters::V4::Types::ClinicalNoteCategoryCreate>, as a Hash
1684
1690
  # * :category (CandidApiClient::Encounters::V4::Types::NoteCategory)
1685
1691
  # * :notes (Array<CandidApiClient::Encounters::V4::Types::ClinicalNote>)
1686
1692
  # @param billing_notes [Array<Hash>] Spot to store misc, human-readable, notes about this encounter to be used
@@ -1730,6 +1736,7 @@ module CandidApiClient
1730
1736
  # * :last_name (String)
1731
1737
  # * :organization_name (String)
1732
1738
  # * :test_results (Array<CandidApiClient::ServiceLines::V2::Types::TestResult>)
1739
+ # * :note (String)
1733
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
1734
1741
  # * :phone_numbers (Array<CandidApiClient::Commons::Types::PhoneNumber>)
1735
1742
  # * :phone_consent (Boolean)
@@ -2027,10 +2034,6 @@ module CandidApiClient
2027
2034
  # date_of_service values.
2028
2035
  # @param tag_ids [Array<String>] Names of tags that should be on the encounter. Note all tags on encounter will
2029
2036
  # be overridden with this list.
2030
- # @param clinical_notes [Array<Hash>] Holds a collection of clinical observations made by healthcare providers during
2031
- # patient encounters.Request of type Array<CandidApiClient::Encounters::V4::Types::ClinicalNoteCategoryCreate>, as a Hash
2032
- # * :category (CandidApiClient::Encounters::V4::Types::NoteCategory)
2033
- # * :notes (Array<CandidApiClient::Encounters::V4::Types::ClinicalNote>)
2034
2037
  # @param billable_status [CandidApiClient::Encounters::V4::Types::BillableStatusType] Defines if the Encounter is to be billed by Candid to the responsible_party.
2035
2038
  # Examples for when this should be set to NOT_BILLABLE include if the Encounter
2036
2039
  # has not occurred yet or if there is no intention of ever billing the
@@ -2057,6 +2060,100 @@ module CandidApiClient
2057
2060
  # encounter's end_date_of_service will fail. If all service line
2058
2061
  # end_date_of_service values are the same, updating the encounter's
2059
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)
2060
2157
  # @param subscriber_primary [Hash] Contains details of the primary insurance subscriber.Request of type CandidApiClient::Individual::Types::SubscriberCreate, as a Hash
2061
2158
  # * :insurance_card (Hash)
2062
2159
  # * :member_id (String)
@@ -2138,95 +2235,6 @@ module CandidApiClient
2138
2235
  # * :first_name (String)
2139
2236
  # * :last_name (String)
2140
2237
  # * :gender (CandidApiClient::Individual::Types::Gender)
2141
- # @param additional_information [String] Defines additional information on the claim needed by the payer.
2142
- # Box 19 on the CMS-1500 claim form.
2143
- # @param service_authorization_exception_code [CandidApiClient::Encounters::V4::Types::ServiceAuthorizationExceptionCode] 837p Loop2300 REF*4N
2144
- # Required when mandated by government law or regulation to obtain authorization
2145
- # for specific service(s) but, for the
2146
- # reasons listed in one of the enum values of ServiceAuthorizationExceptionCode,
2147
- # the service was performed without
2148
- # obtaining the authorization.
2149
- # @param admission_date [Date] 837p Loop2300 DTP*435, CMS-1500 Box 18
2150
- # Required on all ambulance claims when the patient was known to be admitted to
2151
- # the hospital.
2152
- # OR
2153
- # Required on all claims involving inpatient medical visits.
2154
- # @param discharge_date [Date] 837p Loop2300 DTP*096, CMS-1500 Box 18
2155
- # Required for inpatient claims when the patient was discharged from the facility
2156
- # and the discharge date is known.
2157
- # @param onset_of_current_illness_or_symptom_date [Date] 837p Loop2300 DTP*431, CMS-1500 Box 14
2158
- # Required for the initial medical service or visit performed in response to a
2159
- # medical emergency when the date is available and is different than the date of
2160
- # service.
2161
- # OR
2162
- # This date is the onset of acute symptoms for the current illness or condition.
2163
- # @param last_menstrual_period_date [Date] 837p Loop2300 DTP*484, CMS-1500 Box 14
2164
- # Required when, in the judgment of the provider, the services on this claim are
2165
- # related to the patient's pregnancy.de
2166
- # @param delay_reason_code [CandidApiClient::Commons::Types::DelayReasonCode] 837i Loop2300, CLM-1300 Box 20
2167
- # Code indicating the reason why a request was delayed
2168
- # @param patient_authorized_release [Boolean] Whether this patient has authorized the release of medical information
2169
- # for billing purpose.
2170
- # Box 12 on the CMS-1500 claim form.
2171
- # @param schema_instances [Array<Hash>] Key-value pairs that must adhere to a schema created via the Custom Schema API.
2172
- # Multiple schema
2173
- # instances cannot be created for the same schema on an encounter. Updating schema
2174
- # instances utilizes PUT
2175
- # semantics, so the schema instances on the encounter will be set to whatever
2176
- # inputs are provided. If null
2177
- # 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
2178
- # * :schema_id (String)
2179
- # * :content (Hash{String => Object})
2180
- # @param vitals [Hash] If a vitals entity already exists for the encounter, then all values will be
2181
- # updated to the provided values.
2182
- # Otherwise, a new vitals object will be created for the encounter.Request of type CandidApiClient::Encounters::V4::Types::VitalsUpdate, as a Hash
2183
- # * :height_in (Integer)
2184
- # * :weight_lbs (Integer)
2185
- # * :blood_pressure_systolic_mmhg (Integer)
2186
- # * :blood_pressure_diastolic_mmhg (Integer)
2187
- # * :body_temperature_f (Float)
2188
- # * :hemoglobin_gdl (Float)
2189
- # * :hematocrit_pct (Float)
2190
- # @param existing_medications [Array<Hash>] Existing medications that should be on the encounter.
2191
- # Note all current existing medications on encounter will be overridden with this
2192
- # list.Request of type Array<CandidApiClient::Encounters::V4::Types::Medication>, as a Hash
2193
- # * :name (String)
2194
- # * :rx_cui (String)
2195
- # * :dosage (String)
2196
- # * :dosage_form (String)
2197
- # * :frequency (String)
2198
- # * :as_needed (Boolean)
2199
- # @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
2200
- # * :first_name (String)
2201
- # * :last_name (String)
2202
- # * :external_id (String)
2203
- # * :date_of_birth (Date)
2204
- # * :address (Hash)
2205
- # * :zip_plus_four_code (String)
2206
- # * :address_1 (String)
2207
- # * :address_2 (String)
2208
- # * :city (String)
2209
- # * :state (CandidApiClient::Commons::Types::State)
2210
- # * :zip_code (String)
2211
- # * :phone_numbers (Array<CandidApiClient::Commons::Types::PhoneNumber>)
2212
- # * :phone_consent (Boolean)
2213
- # * :email (String)
2214
- # * :email_consent (Boolean)
2215
- # @param referral_number [String] Refers to REF*9F on the 837p. Value cannot be greater than 50 characters.
2216
- # @param epsdt_referral [Hash] Refers Box 24H on the CMS1500 form and Loop 2300 CRC - EPSDT Referral on the
2217
- # 837P formRequest of type CandidApiClient::Encounters::V4::Types::EpsdtReferral, as a Hash
2218
- # * :condition_indicator_1 (CandidApiClient::Commons::Types::EpsdtReferralConditionIndicatorCode)
2219
- # * :condition_indicator_2 (CandidApiClient::Commons::Types::EpsdtReferralConditionIndicatorCode)
2220
- # * :condition_indicator_3 (CandidApiClient::Commons::Types::EpsdtReferralConditionIndicatorCode)
2221
- # @param claim_supplemental_information [Array<Hash>] Refers to Loop 2300 - Segment PWK on the 837P form. No more than 10 entries are
2222
- # permitted.Request of type Array<CandidApiClient::Encounters::V4::Types::ClaimSupplementalInformation>, as a Hash
2223
- # * :attachment_report_type_code (CandidApiClient::Encounters::V4::Types::ReportTypeCode)
2224
- # * :attachment_transmission_code (CandidApiClient::Encounters::V4::Types::ReportTransmissionCode)
2225
- # * :attachment_control_number (String)
2226
- # @param secondary_payer_carrier_code [String] When Medicaid is billed as the secondary payer the Carrier Code is used to
2227
- # identify the primary payer. This is required for certain states.
2228
- # @param additional_properties [OpenStruct] Additional properties unmapped to the current class definition
2229
- # @param _field_set [Object]
2230
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
2231
2239
  # * :zip_plus_four_code (String)
2232
2240
  # * :address_1 (String)
@@ -2374,7 +2382,7 @@ module CandidApiClient
2374
2382
  # api = CandidApiClient::Client.new(base_url: "https://api.example.com", environment: CandidApiClient::Environment::PRODUCTION)
2375
2383
  # api.encounters.v_4.update(encounter_id: "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32")
2376
2384
  def update(encounter_id:, benefits_assigned_to_provider: nil, prior_authorization_number: nil,
2377
- external_id: nil, date_of_service: nil, tag_ids: nil, clinical_notes: 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, subscriber_primary: nil, subscriber_secondary: nil, subscriber_tertiary: 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, schema_instances: nil, vitals: nil, existing_medications: nil, guarantor: nil, referral_number: nil, epsdt_referral: nil, claim_supplemental_information: nil, secondary_payer_carrier_code: nil, additional_properties: nil, _field_set: 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)
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)
2378
2386
  Async do
2379
2387
  response = @request_client.conn.patch do |req|
2380
2388
  req.options.timeout = request_options.timeout_in_seconds unless request_options&.timeout_in_seconds.nil?
@@ -2391,7 +2399,6 @@ module CandidApiClient
2391
2399
  external_id: external_id,
2392
2400
  date_of_service: date_of_service,
2393
2401
  tag_ids: tag_ids,
2394
- clinical_notes: clinical_notes,
2395
2402
  billable_status: billable_status,
2396
2403
  responsible_party: responsible_party,
2397
2404
  provider_accepts_assignment: provider_accepts_assignment,
@@ -2399,9 +2406,6 @@ module CandidApiClient
2399
2406
  place_of_service_code: place_of_service_code,
2400
2407
  appointment_type: appointment_type,
2401
2408
  end_date_of_service: end_date_of_service,
2402
- subscriber_primary: subscriber_primary,
2403
- subscriber_secondary: subscriber_secondary,
2404
- subscriber_tertiary: subscriber_tertiary,
2405
2409
  additional_information: additional_information,
2406
2410
  service_authorization_exception_code: service_authorization_exception_code,
2407
2411
  admission_date: admission_date,
@@ -2410,16 +2414,20 @@ module CandidApiClient
2410
2414
  last_menstrual_period_date: last_menstrual_period_date,
2411
2415
  delay_reason_code: delay_reason_code,
2412
2416
  patient_authorized_release: patient_authorized_release,
2413
- schema_instances: schema_instances,
2414
2417
  vitals: vitals,
2415
- existing_medications: existing_medications,
2416
- guarantor: guarantor,
2417
2418
  referral_number: referral_number,
2418
- epsdt_referral: epsdt_referral,
2419
- claim_supplemental_information: claim_supplemental_information,
2420
2419
  secondary_payer_carrier_code: secondary_payer_carrier_code,
2421
2420
  additional_properties: additional_properties,
2422
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,
2423
2431
  pay_to_address: pay_to_address,
2424
2432
  diagnosis_ids: diagnosis_ids,
2425
2433
  initial_referring_provider: initial_referring_provider,