candidhealth 1.14.3 → 1.17.3

data/lib/candid/contracts/v_3/types/professional_contract.rb

@@ -0,0 +1,13 @@
+# frozen_string_literal: true
+
+module Candid
+  module Contracts
+    module V3
+      module Types
+        class ProfessionalContract < Internal::Types::Model
+          field :rendering_provider_ids, -> { Internal::Types::Array[String] }, optional: false, nullable: false
+        end
+      end
+    end
+  end
+end

data/lib/candid/contracts/v_3/types/professional_contract_create.rb

@@ -0,0 +1,13 @@
+# frozen_string_literal: true
+
+module Candid
+  module Contracts
+    module V3
+      module Types
+        class ProfessionalContractCreate < Internal::Types::Model
+          field :rendering_provider_ids, -> { Internal::Types::Array[String] }, optional: false, nullable: false
+        end
+      end
+    end
+  end
+end

data/lib/candid/contracts/v_3/types/professional_contract_update.rb

@@ -0,0 +1,13 @@
+# frozen_string_literal: true
+
+module Candid
+  module Contracts
+    module V3
+      module Types
+        class ProfessionalContractUpdate < Internal::Types::Model
+          field :rendering_provider_ids, -> { Internal::Types::Array[String] }, optional: true, nullable: false
+        end
+      end
+    end
+  end
+end

data/lib/candid/eligibility/v_2/client.rb

@@ -9,44 +9,6 @@ module Candid
           @client = client
         end
 
-        # <Tip>Candid is deprecating support for this endpoint. It is instead recommended to use [Candid's Stedi passthrough endpoint](https://docs.joincandidhealth.com/api-reference/pre-encounter/eligibility-checks/v-1/post).
-        # For assistance with the transition, please reference the [Transitioning to Candid's New Eligibility Endpoint](https://support.joincandidhealth.com/hc/en-us/articles/34918552872980) document in the Candid Support Center.</Tip>
-        #
-        # This API is a wrapper around Change Healthcare's eligibility API. Below are some helpful documentation links:
-        #
-        # - [Change Healthcare - Guides: Contents of the Eligibility Request Body](https://developers.changehealthcare.com/eligibilityandclaims/docs/contents-of-the-eligibility-request-body)
-        # - [Change Healthcare - Guides: Use "Bare Minimum" Eligibility Requests](https://developers.changehealthcare.com/eligibilityandclaims/docs/use-bare-minimum-eligibility-requests)
-        # - [Change Healthcare - Guides: Contents of the Eligibility Response](https://developers.changehealthcare.com/eligibilityandclaims/docs/contents-of-the-eligibility-response)
-        # - [Change Healthcare - Guides: Eligibility JSON-to-EDI API Contents](https://developers.changehealthcare.com/eligibilityandclaims/docs/eligibility-json-to-edi-api-contents)
-        # - [Change Healthcare - Guides: Eligibility Error Messages](https://developers.changehealthcare.com/eligibilityandclaims/docs/eligibility-error-messages)
-        # - [Change Healthcare - Guides: FAQ](https://developers.changehealthcare.com/eligibilityandclaims/docs/frequently-asked-questions)
-        # - [Change Healthcare - Guides: Eligibility FAQs](https://developers.changehealthcare.com/eligibilityandclaims/docs/eligibility-api-requests)
-        # - [Change Healthcare - Guides: Sandbox API Values and Test Responses](https://developers.changehealthcare.com/eligibilityandclaims/docs/eligibility-sandbox-api-values-and-test-responses)
-        # - [Change Healthcare - Guides: Sandbox Predefined Fields and Values](https://developers.changehealthcare.com/eligibilityandclaims/docs/sandbox-predefined-fields-and-values)
-        # - [Change Healthcare - Guides: Using Test Payers in the Sandbox](https://developers.changehealthcare.com/eligibilityandclaims/docs/use-the-test-payers-in-the-sandbox-api)
-        #
-        # A schema of the response object can be found here: [Change Healthcare Docs](https://developers.changehealthcare.com/eligibilityandclaims/reference/medicaleligibility)
-        #
-        # @return [Hash[String, Object]]
-        def submit_eligibility_check(request_options: {}, **params)
-          _request = Candid::Internal::JSON::Request.new(
-            base_url: request_options[:base_url] || Candid::Environment::PRODUCTION,
-            method: "POST",
-            path: "/api/eligibility/v2",
-            body: params
-          )
-          begin
-            _response = @client.send(_request)
-          rescue Net::HTTPRequestTimeout
-            raise Candid::Errors::TimeoutError
-          end
-          code = _response.code.to_i
-          return if code.between?(200, 299)
-
-          error_class = Candid::Errors::ResponseError.subclass_for_code(code)
-          raise error_class.new(_response.body, code: code)
-        end
-
         # <Tip>Candid is deprecating support for this endpoint. It is instead recommended to use [Candid's Stedi passthrough endpoint](https://docs.joincandidhealth.com/api-reference/pre-encounter/eligibility-checks/v-1/post).
         # For assistance with the transition, please reference the [Transitioning to Candid's New Eligibility Endpoint](https://support.joincandidhealth.com/hc/en-us/articles/34918552872980) document in the Candid Support Center.</Tip>
         #

data/lib/candid/encounter_providers/v_2/types/billing_provider.rb

@@ -20,6 +20,9 @@ module Candid
           field :provider_commercial_license_type, lambda {
             Candid::Commons::Types::BillingProviderCommercialLicenseType
           }, optional: true, nullable: false
+          field :secondary_identification, lambda {
+            Candid::EncounterProviders::V2::Types::ProviderSecondaryIdentification
+          }, optional: true, nullable: false
         end
       end
     end

data/lib/candid/encounter_providers/v_2/types/billing_provider_update.rb

@@ -20,6 +20,9 @@ module Candid
           field :provider_commercial_license_type, lambda {
             Candid::Commons::Types::BillingProviderCommercialLicenseType
           }, optional: true, nullable: false
+          field :secondary_identification, lambda {
+            Candid::EncounterProviders::V2::Types::ProviderSecondaryIdentification
+          }, optional: true, nullable: false
         end
       end
     end

data/lib/candid/encounter_providers/v_2/types/billing_provider_update_with_optional_address.rb

@@ -21,6 +21,9 @@ module Candid
           field :provider_commercial_license_type, lambda {
             Candid::Commons::Types::BillingProviderCommercialLicenseType
           }, optional: true, nullable: false
+          field :secondary_identification, lambda {
+            Candid::EncounterProviders::V2::Types::ProviderSecondaryIdentification
+          }, optional: true, nullable: false
         end
       end
     end

data/lib/candid/encounter_providers/v_2/types/encounter_provider.rb

@@ -14,6 +14,9 @@ module Candid
           field :provider_commercial_license_type, lambda {
             Candid::Commons::Types::BillingProviderCommercialLicenseType
           }, optional: true, nullable: false
+          field :secondary_identification, lambda {
+            Candid::EncounterProviders::V2::Types::ProviderSecondaryIdentification
+          }, optional: true, nullable: false
         end
       end
     end

data/lib/candid/encounter_providers/v_2/types/provider_secondary_identification.rb

@@ -0,0 +1,16 @@
+# frozen_string_literal: true
+
+module Candid
+  module EncounterProviders
+    module V2
+      module Types
+        class ProviderSecondaryIdentification < Internal::Types::Model
+          field :reference_identification, -> { String }, optional: false, nullable: false
+          field :reference_identification_qualifier, lambda {
+            Candid::EncounterProviders::V2::Types::ProviderSecondaryIdentificationQualifier
+          }, optional: true, nullable: false
+        end
+      end
+    end
+  end
+end

data/lib/candid/{expected_network_status/v_2/types/line_of_business.rb → encounter_providers/v_2/types/provider_secondary_identification_qualifier.rb}

@@ -1,15 +1,14 @@
 # frozen_string_literal: true
 
 module Candid
-  module ExpectedNetworkStatus
+  module EncounterProviders
     module V2
       module Types
-        module LineOfBusiness
+        module ProviderSecondaryIdentificationQualifier
           extend Candid::Internal::Types::Enum
 
-          MEDICARE = "medicare"
-          MEDICAID = "medicaid"
-          COMMERCIAL = "commercial"
+          G_2 = "G2"
+          LU = "LU"
         end
       end
     end

data/lib/candid/encounter_providers/v_2/types/rendering_provider.rb

@@ -8,6 +8,9 @@ module Candid
           field :npi, -> { String }, optional: false, nullable: false
           field :taxonomy_code, -> { String }, optional: true, nullable: false
           field :address, -> { Candid::Commons::Types::StreetAddressLongZip }, optional: true, nullable: false
+          field :secondary_identification, lambda {
+            Candid::EncounterProviders::V2::Types::ProviderSecondaryIdentification
+          }, optional: true, nullable: false
         end
       end
     end

data/lib/candid/encounter_providers/v_2/types/rendering_provider_update.rb

@@ -8,6 +8,9 @@ module Candid
           field :npi, -> { String }, optional: true, nullable: false
           field :taxonomy_code, -> { String }, optional: true, nullable: false
           field :address, -> { Candid::Commons::Types::StreetAddressLongZip }, optional: true, nullable: false
+          field :secondary_identification, lambda {
+            Candid::EncounterProviders::V2::Types::ProviderSecondaryIdentification
+          }, optional: true, nullable: false
         end
       end
     end

data/lib/candid/encounter_providers/v_2/types/rendering_provider_update_with_optional_address.rb

@@ -8,6 +8,9 @@ module Candid
           field :npi, -> { String }, optional: true, nullable: false
           field :taxonomy_code, -> { String }, optional: true, nullable: false
           field :address, -> { Candid::Commons::Types::StreetAddressShortZipOptional }, optional: true, nullable: false
+          field :secondary_identification, lambda {
+            Candid::EncounterProviders::V2::Types::ProviderSecondaryIdentification
+          }, optional: true, nullable: false
         end
       end
     end

data/lib/candid/encounters/v_4/client.rb

@@ -58,6 +58,11 @@ module Candid
           end
         end
 
+        # Notice: The UB-04 Data File, 2025, is copyrighted by American Hospital Association (AHA), Chicago, Illinois.
+        # No portion of the THE UB-04 Data File, may be reproduced, stored in a retrieval system, or transmitted,
+        # in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without prior
+        # express, written consent of AHA.
+        #
         # @return [Candid::Encounters::V4::Types::Encounter]
         def create_universal(request_options: {}, **params)
           _request = Candid::Internal::JSON::Request.new(
@@ -119,6 +124,11 @@ module Candid
         # Utilizing this endpoint opts you into automatic updating of the encounter when the patient or appointment is updated, assuming the
         # encounter has not already been submitted or adjudicated.
         #
+        # Notice: The UB-04 Data File, 2025, is copyrighted by American Hospital Association (AHA), Chicago, Illinois.
+        # No portion of the THE UB-04 Data File, may be reproduced, stored in a retrieval system, or transmitted,
+        # in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without prior
+        # express, written consent of AHA.
+        #
         # @return [Candid::Encounters::V4::Types::Encounter]
         def create_from_pre_encounter_patient_universal(request_options: {}, **params)
           _request = Candid::Internal::JSON::Request.new(
@@ -180,6 +190,11 @@ module Candid
           end
         end
 
+        # Notice: The UB-04 Data File, 2025, is copyrighted by American Hospital Association (AHA), Chicago, Illinois.
+        # No portion of the THE UB-04 Data File, may be reproduced, stored in a retrieval system, or transmitted,
+        # in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without prior
+        # express, written consent of AHA.
+        #
         # @return [Candid::Encounters::V4::Types::Encounter]
         def update_universal(request_options: {}, **params)
           _request = Candid::Internal::JSON::Request.new(

data/lib/candid/encounters/v_4/types/encounter.rb

@@ -38,6 +38,9 @@ module Candid
           field :other_operating_provider, lambda {
             Candid::EncounterProviders::V2::Types::EncounterProvider
           }, optional: true, nullable: false
+          field :related_causes_information, lambda {
+            Candid::RelatedCausesInformation::V1::Types::RelatedCausesInformation
+          }, optional: true, nullable: false
           field :submission_expectation, lambda {
             Candid::Encounters::V4::Types::EncounterSubmissionExpectation
           }, optional: true, nullable: false

data/lib/candid/encounters/v_4/types/encounter_deep_optional.rb

@@ -73,6 +73,9 @@ module Candid
           field :pay_to_address, lambda {
             Candid::Commons::Types::StreetAddressShortZipOptional
           }, optional: true, nullable: false
+          field :related_causes_information, lambda {
+            Candid::RelatedCausesInformation::V1::Types::RelatedCausesInformationCreate
+          }, optional: true, nullable: false
         end
       end
     end

data/lib/candid/encounters_universal/types/universal_encounter_create_base.rb

@@ -47,6 +47,9 @@ module Candid
           Internal::Types::Array[Candid::Encounters::V4::Types::ClaimSupplementalInformation]
         }, optional: true, nullable: false
         field :secondary_payer_carrier_code, -> { String }, optional: true, nullable: false
+        field :related_causes_information, lambda {
+          Candid::RelatedCausesInformation::V1::Types::RelatedCausesInformationCreate
+        }, optional: true, nullable: false
       end
     end
   end

data/lib/candid/encounters_universal/types/universal_encounter_create_from_pre_encounter_base.rb

@@ -34,6 +34,9 @@ module Candid
         field :schema_instances, lambda {
           Internal::Types::Array[Candid::CustomSchemas::V1::Types::SchemaInstance]
         }, optional: true, nullable: false
+        field :related_causes_information, lambda {
+          Candid::RelatedCausesInformation::V1::Types::RelatedCausesInformationCreate
+        }, optional: true, nullable: false
       end
     end
   end

data/lib/candid/encounters_universal/types/universal_encounter_update_base.rb

@@ -44,6 +44,9 @@ module Candid
         field :place_of_service_code_as_submitted, lambda {
           Candid::Commons::Types::FacilityTypeCode
         }, optional: true, nullable: false
+        field :related_causes_information, lambda {
+          Candid::RelatedCausesInformation::V1::Types::RelatedCausesInformationUpdate
+        }, optional: true, nullable: false
       end
     end
   end

data/lib/candid/{era → eras}/types/era.rb

@@ -1,7 +1,7 @@
 # frozen_string_literal: true
 
 module Candid
-  module Era
+  module Eras
     module Types
       class Era < Internal::Types::Model
         field :era_id, -> { String }, optional: false, nullable: false

data/lib/candid/{era → eras}/types/era_base.rb

@@ -1,7 +1,7 @@
 # frozen_string_literal: true
 
 module Candid
-  module Era
+  module Eras
     module Types
       class EraBase < Internal::Types::Model
         field :check_number, -> { String }, optional: false, nullable: false

data/lib/candid/{insurance_payments → events}/client.rb

@@ -1,16 +1,16 @@
 # frozen_string_literal: true
 
 module Candid
-  module InsurancePayments
+  module Events
     class Client
-      # @return [Candid::InsurancePayments::Client]
+      # @return [Candid::Events::Client]
       def initialize(client:)
         @client = client
       end
 
       # @return [Candid::V1::Client]
       def v_1
-        @v_1 ||= Candid::InsurancePayments::V1::Client.new(client: @client)
+        @v_1 ||= Candid::Events::V1::Client.new(client: @client)
       end
     end
   end

data/lib/candid/{insurance_payments → events}/v_1/client.rb

@@ -1,28 +1,27 @@
 # frozen_string_literal: true
 
 module Candid
-  module InsurancePayments
+  module Events
     module V1
       class Client
-        # @return [Candid::InsurancePayments::V1::Client]
+        # @return [Candid::Events::V1::Client]
         def initialize(client:)
           @client = client
         end
 
-        # Returns all non-ERA originated insurance payments satisfying the search criteria
+        # Scans the last 30 days of events. All results are sorted by created date, descending.
         #
-        # @return [Candid::InsurancePayments::V1::Types::InsurancePaymentsPage]
-        def get_multi(request_options: {}, **params)
+        # @return [Candid::Events::V1::Types::EventScanPage]
+        def scan(request_options: {}, **params)
           params = Candid::Internal::Types::Utils.symbolize_keys(params)
-          _query_param_names = %i[limit payer_uuid claim_id service_line_id billing_provider_id sort sort_direction
-                                  page_token]
+          _query_param_names = %i[page_token limit event_types created_before created_after]
           _query = params.slice(*_query_param_names)
           params.except(*_query_param_names)
 
           _request = Candid::Internal::JSON::Request.new(
             base_url: request_options[:base_url] || Candid::Environment::PRODUCTION,
             method: "GET",
-            path: "/api/insurance-payments/v1",
+            path: "/api/events/v1/",
             query: _query
           )
           begin
@@ -32,22 +31,19 @@ module Candid
           end
           code = _response.code.to_i
           if code.between?(200, 299)
-            Candid::InsurancePayments::V1::Types::InsurancePaymentsPage.load(_response.body)
+            Candid::Events::V1::Types::EventScanPage.load(_response.body)
           else
             error_class = Candid::Errors::ResponseError.subclass_for_code(code)
             raise error_class.new(_response.body, code: code)
           end
         end
 
-        # Retrieves a previously created insurance payment by its `insurance_payment_id`.
-        # If the payment does not exist, a `403` will be thrown.
-        #
-        # @return [Candid::InsurancePayments::V1::Types::InsurancePayment]
+        # @return [Candid::Events::V1::Types::Event]
         def get(request_options: {}, **params)
           _request = Candid::Internal::JSON::Request.new(
             base_url: request_options[:base_url] || Candid::Environment::PRODUCTION,
             method: "GET",
-            path: "/api/insurance-payments/v1/#{params[:insurance_payment_id]}"
+            path: "/api/events/v1/#{params[:event_id]}"
           )
           begin
             _response = @client.send(_request)
@@ -56,7 +52,7 @@ module Candid
           end
           code = _response.code.to_i
           if code.between?(200, 299)
-            Candid::InsurancePayments::V1::Types::InsurancePayment.load(_response.body)
+            Candid::Events::V1::Types::Event.load(_response.body)
           else
             error_class = Candid::Errors::ResponseError.subclass_for_code(code)
             raise error_class.new(_response.body, code: code)

data/lib/candid/events/v_1/types/event.rb

@@ -0,0 +1,18 @@
+# frozen_string_literal: true
+
+module Candid
+  module Events
+    module V1
+      module Types
+        class Event < Internal::Types::Model
+          field :id, -> { String }, optional: false, nullable: false
+          field :created_at, -> { String }, optional: false, nullable: false
+          field :timestamp, -> { String }, optional: false, nullable: false
+          field :event_type, -> { String }, optional: false, nullable: false
+          field :schema_version, -> { String }, optional: false, nullable: false
+          field :payload, -> { Internal::Types::Hash[String, Object] }, optional: false, nullable: false
+        end
+      end
+    end
+  end
+end

data/lib/candid/events/v_1/types/event_scan_page.rb

@@ -0,0 +1,16 @@
+# frozen_string_literal: true
+
+module Candid
+  module Events
+    module V1
+      module Types
+        class EventScanPage < Internal::Types::Model
+          field :next_page_token, -> { String }, optional: true, nullable: false
+          field :items, lambda {
+            Internal::Types::Array[Candid::Events::V1::Types::Event]
+          }, optional: false, nullable: false
+        end
+      end
+    end
+  end
+end

data/lib/candid/events/v_1/types/get_event_scan_request.rb

@@ -0,0 +1,17 @@
+# frozen_string_literal: true
+
+module Candid
+  module Events
+    module V1
+      module Types
+        class GetEventScanRequest < Internal::Types::Model
+          field :page_token, -> { String }, optional: true, nullable: false
+          field :limit, -> { Integer }, optional: true, nullable: false
+          field :event_types, -> { String }, optional: true, nullable: false
+          field :created_before, -> { String }, optional: true, nullable: false
+          field :created_after, -> { String }, optional: true, nullable: false
+        end
+      end
+    end
+  end
+end

data/lib/candid/fee_schedules/v_3/client.rb

@@ -134,7 +134,15 @@ module Candid
           raise error_class.new(_response.body, code: code)
         end
 
-        # Uploads a new fee schedule.\n Each rate may either be totally new as qualified by it's dimensions or a new version for an existing rate.\n If adding a new version to an existing rate, the rate must be posted with the next version number (previous version + 1) or a EntityConflictError will be returned.\n Use the dry run flag to discover already existing rates and to run validations.  If validations for any rate fail, no rates will be saved to the system.
+        # Uploads a new fee schedule.
+        #
+        # Each rate may either be totally new as qualified by it's dimensions or a new version for an existing rate.
+        #
+        # If adding a new version to an existing rate, the rate must be posted with the next version number (previous version + 1) or a EntityConflictError will
+        # be returned.
+        #
+        # Use the dry run flag to discover already existing rates and to run validations.  If validations for any rate fail, no rates will
+        # be saved to the system.
         #
         # @return [Array[Candid::FeeSchedules::V3::Types::Rate]]
         def upload_fee_schedule(request_options: {}, **params)

data/lib/candid/fee_schedules/v_3/types/payer_threshold.rb

@@ -4,7 +4,12 @@ module Candid
   module FeeSchedules
     module V3
       module Types
-        # Rate thresholds that determine fee schedule rate matching behavior.  When a service line is adjudicated by a payer Candid determines if the payer's allowed amount "matches" the rate value.  If the allowed amount doesn't equal the rate value, Candid moves the claim to a PAID_INCORRECTLY state.  These optional thresholds allow a user to set wiggle room to avoid claims moving to PAID_INCORRECTLY and instead have them move directly to FINALIZED_PAID when the payer's allowed amount is greater than [rate_cents - lower_threshold_cents] and less than [rate_cents + upper_threshold_cents].\n Additionally, a client can set disable_paid_incorrectly to avoid the PAID_INCORRECTLY claim status entirely.
+        # Rate thresholds that determine fee schedule rate matching behavior.  When a service line is adjudicated by a payer Candid determines if the payer's
+        # allowed amount "matches" the rate value.  If the allowed amount doesn't equal the rate value, Candid moves the claim to a PAID_INCORRECTLY state.  These
+        # optional thresholds allow a user to set wiggle room to avoid claims moving to PAID_INCORRECTLY and instead have them move directly to FINALIZED_PAID
+        # when the payer's allowed amount is greater than [rate_cents - lower_threshold_cents] and less than [rate_cents + upper_threshold_cents].
+        #
+        # Additionally, a client can set disable_paid_incorrectly to avoid the PAID_INCORRECTLY claim status entirely.
         class PayerThreshold < Internal::Types::Model
           field :upper_threshold_cents, -> { Integer }, optional: true, nullable: false
           field :lower_threshold_cents, -> { Integer }, optional: true, nullable: false

data/lib/candid/financials/types/allocation_create.rb

@@ -8,6 +8,7 @@ module Candid
       class AllocationCreate < Internal::Types::Model
         field :amount_cents, -> { Integer }, optional: false, nullable: false
         field :target, -> { Candid::Financials::Types::AllocationTargetCreate }, optional: false, nullable: false
+        field :earmark, -> { Candid::Financials::Types::AllocationEarmarkType }, optional: true, nullable: false
       end
     end
   end

data/lib/candid/financials/types/allocation_earmark_type.rb

@@ -0,0 +1,19 @@
+# frozen_string_literal: true
+
+module Candid
+  module Financials
+    module Types
+      # CURRENTLY UNIMPLEMENTED - Defines how a patient prepayment allocation should be earmarked for future auto-allocation.
+      # When implemented, earmarks will hold the allocation until a matching encounter is created, then attempt to allocate to that encounter.
+      # Only applicable for unattributed allocations.
+      class AllocationEarmarkType < Internal::Types::Model
+        extend Candid::Internal::Types::Union
+
+        discriminant :type
+
+        member -> { String }, key: "DATE_OF_SERVICE"
+        member -> { String }, key: "EXTERNAL_ENCOUNTER_ID"
+      end
+    end
+  end
+end

data/lib/candid/insurance_adjudications/client.rb

@@ -0,0 +1,17 @@
+# frozen_string_literal: true
+
+module Candid
+  module InsuranceAdjudications
+    class Client
+      # @return [Candid::InsuranceAdjudications::Client]
+      def initialize(client:)
+        @client = client
+      end
+
+      # @return [Candid::V1::Client]
+      def v_1
+        @v_1 ||= Candid::InsuranceAdjudications::V1::Client.new(client: @client)
+      end
+    end
+  end
+end

data/lib/candid/{expected_network_status → insurance_adjudications}/v_1/client.rb

@@ -1,23 +1,22 @@
 # frozen_string_literal: true
 
 module Candid
-  module ExpectedNetworkStatus
+  module InsuranceAdjudications
     module V1
       class Client
-        # @return [Candid::ExpectedNetworkStatus::V1::Client]
+        # @return [Candid::InsuranceAdjudications::V1::Client]
         def initialize(client:)
           @client = client
         end
 
-        # Computes the expected network status given the provided information.
+        # Retrieves a previously created insurance adjudication by its `insurance_adjudication_id`.
         #
-        # @return [Candid::ExpectedNetworkStatus::V1::Types::ExpectedNetworkStatusResponse]
-        def compute(request_options: {}, **params)
+        # @return [Candid::InsuranceAdjudications::V1::Types::InsuranceAdjudication]
+        def get(request_options: {}, **params)
           _request = Candid::Internal::JSON::Request.new(
             base_url: request_options[:base_url] || Candid::Environment::PRODUCTION,
-            method: "POST",
-            path: "/api/expected-network-status/v1",
-            body: params
+            method: "GET",
+            path: "/api/insurance-adjudications/v1/#{params[:insurance_adjudication_id]}"
           )
           begin
             _response = @client.send(_request)
@@ -26,7 +25,7 @@ module Candid
           end
           code = _response.code.to_i
           if code.between?(200, 299)
-            Candid::ExpectedNetworkStatus::V1::Types::ExpectedNetworkStatusResponse.load(_response.body)
+            Candid::InsuranceAdjudications::V1::Types::InsuranceAdjudication.load(_response.body)
           else
             error_class = Candid::Errors::ResponseError.subclass_for_code(code)
             raise error_class.new(_response.body, code: code)

data/lib/candid/insurance_adjudications/v_1/types/claim_adjudication.rb

@@ -0,0 +1,23 @@
+# frozen_string_literal: true
+
+module Candid
+  module InsuranceAdjudications
+    module V1
+      module Types
+        class ClaimAdjudication < Internal::Types::Model
+          field :claim_id, -> { String }, optional: false, nullable: false
+          field :insurance_allowed_amount_cents, -> { Integer }, optional: true, nullable: false
+          field :insurance_paid_amount_cents, -> { Integer }, optional: true, nullable: false
+          field :charge_amount_cents, -> { Integer }, optional: true, nullable: false
+          field :service_lines, lambda {
+            Internal::Types::Hash[String, Internal::Types::Array[Candid::InsuranceAdjudications::V1::Types::ServiceLineAdjudication]]
+          }, optional: false, nullable: false
+          field :payer_claim_number, -> { String }, optional: true, nullable: false
+          field :carcs, lambda {
+            Internal::Types::Array[Candid::X12::V1::Types::ClaimAdjustmentReasonCode]
+          }, optional: false, nullable: false
+        end
+      end
+    end
+  end
+end

data/lib/candid/insurance_adjudications/v_1/types/insurance_adjudication.rb

@@ -0,0 +1,21 @@
+# frozen_string_literal: true
+
+module Candid
+  module InsuranceAdjudications
+    module V1
+      module Types
+        class InsuranceAdjudication < Internal::Types::Model
+          field :insurance_adjudication_id, -> { String }, optional: false, nullable: false
+          field :payer_uuid, -> { String }, optional: false, nullable: false
+          field :post_date, -> { String }, optional: true, nullable: false
+          field :check_number, -> { String }, optional: true, nullable: false
+          field :check_date, -> { String }, optional: false, nullable: false
+          field :note, -> { String }, optional: true, nullable: false
+          field :claims, lambda {
+            Internal::Types::Hash[String, Internal::Types::Array[Candid::InsuranceAdjudications::V1::Types::ClaimAdjudication]]
+          }, optional: false, nullable: false
+        end
+      end
+    end
+  end
+end