candidhealth 1.14.3 → 1.17.4
This diff represents the content of publicly available package versions that have been released to one of the supported registries. The information contained in this diff is provided for informational purposes only and reflects changes between package versions as they appear in their respective public registries.
- checksums.yaml +4 -4
- data/lib/candid/claims/types/claim.rb +1 -1
- data/lib/candid/client.rb +7 -7
- data/lib/candid/commons/types/{http_service_unavailable_error_message.rb → bad_request_error_message.rb} +1 -1
- data/lib/candid/commons/types/claim_adjustment_group_codes.rb +22 -0
- data/lib/candid/commons/types/internal_error_message.rb +11 -0
- data/lib/candid/commons/types/procedure_modifier.rb +1 -0
- data/lib/candid/contracts/client.rb +5 -0
- data/lib/candid/contracts/v_2/client.rb +4 -0
- data/lib/candid/contracts/v_3/client.rb +176 -0
- data/lib/candid/contracts/v_3/types/contract.rb +18 -0
- data/lib/candid/contracts/v_3/types/contract_base.rb +28 -0
- data/lib/candid/contracts/v_3/types/contract_create.rb +15 -0
- data/lib/candid/contracts/v_3/types/contract_create_union.rb +18 -0
- data/lib/candid/contracts/v_3/types/contract_service_facility.rb +14 -0
- data/lib/candid/contracts/v_3/types/contract_service_facility_base.rb +14 -0
- data/lib/candid/contracts/v_3/types/contract_service_facility_create.rb +15 -0
- data/lib/candid/contracts/v_3/types/contract_service_facility_update.rb +16 -0
- data/lib/candid/contracts/v_3/types/contract_type.rb +16 -0
- data/lib/candid/contracts/v_3/types/contract_union.rb +18 -0
- data/lib/candid/contracts/v_3/types/contract_update.rb +28 -0
- data/lib/candid/contracts/v_3/types/contract_update_union.rb +18 -0
- data/lib/candid/contracts/v_3/types/contract_with_providers_union.rb +18 -0
- data/lib/candid/contracts/v_3/types/contracts_page.rb +15 -0
- data/lib/candid/contracts/v_3/types/get_multi_contracts_request.rb +22 -0
- data/lib/candid/contracts/v_3/types/institutional_contract.rb +15 -0
- data/lib/candid/contracts/v_3/types/institutional_contract_create.rb +15 -0
- data/lib/candid/contracts/v_3/types/institutional_contract_update.rb +13 -0
- data/lib/candid/contracts/v_3/types/professional_contract.rb +13 -0
- data/lib/candid/contracts/v_3/types/professional_contract_create.rb +13 -0
- data/lib/candid/contracts/v_3/types/professional_contract_update.rb +13 -0
- data/lib/candid/eligibility/v_2/client.rb +0 -38
- data/lib/candid/encounter_providers/v_2/types/billing_provider.rb +3 -0
- data/lib/candid/encounter_providers/v_2/types/billing_provider_update.rb +3 -0
- data/lib/candid/encounter_providers/v_2/types/billing_provider_update_with_optional_address.rb +3 -0
- data/lib/candid/encounter_providers/v_2/types/encounter_provider.rb +3 -0
- data/lib/candid/encounter_providers/v_2/types/provider_secondary_identification.rb +16 -0
- data/lib/candid/{expected_network_status/v_2/types/line_of_business.rb → encounter_providers/v_2/types/provider_secondary_identification_qualifier.rb} +4 -5
- data/lib/candid/encounter_providers/v_2/types/rendering_provider.rb +3 -0
- data/lib/candid/encounter_providers/v_2/types/rendering_provider_update.rb +3 -0
- data/lib/candid/encounter_providers/v_2/types/rendering_provider_update_with_optional_address.rb +3 -0
- data/lib/candid/encounters/v_4/client.rb +15 -0
- data/lib/candid/encounters/v_4/types/encounter.rb +3 -0
- data/lib/candid/encounters/v_4/types/encounter_deep_optional.rb +3 -0
- data/lib/candid/encounters_universal/types/universal_encounter_create_base.rb +3 -0
- data/lib/candid/encounters_universal/types/universal_encounter_create_from_pre_encounter_base.rb +3 -0
- data/lib/candid/encounters_universal/types/universal_encounter_update_base.rb +3 -0
- data/lib/candid/{era → eras}/types/era.rb +1 -1
- data/lib/candid/{era → eras}/types/era_base.rb +1 -1
- data/lib/candid/{insurance_payments → events}/client.rb +3 -3
- data/lib/candid/{insurance_payments → events}/v_1/client.rb +11 -15
- data/lib/candid/events/v_1/types/event.rb +18 -0
- data/lib/candid/events/v_1/types/event_scan_page.rb +16 -0
- data/lib/candid/events/v_1/types/get_event_scan_request.rb +17 -0
- data/lib/candid/fee_schedules/v_3/client.rb +9 -1
- data/lib/candid/fee_schedules/v_3/types/payer_threshold.rb +6 -1
- data/lib/candid/financials/types/allocation.rb +1 -0
- data/lib/candid/financials/types/allocation_create.rb +1 -0
- data/lib/candid/financials/types/allocation_earmark_type.rb +19 -0
- data/lib/candid/financials/types/balance_earmark.rb +15 -0
- data/lib/candid/insurance_adjudications/client.rb +17 -0
- data/lib/candid/{expected_network_status → insurance_adjudications}/v_1/client.rb +8 -9
- data/lib/candid/insurance_adjudications/v_1/types/claim_adjudication.rb +23 -0
- data/lib/candid/insurance_adjudications/v_1/types/insurance_adjudication.rb +21 -0
- data/lib/candid/insurance_adjudications/v_1/types/service_line_adjudication.rb +27 -0
- data/lib/candid/insurance_cards/v_2/types/insurance_card_base.rb +1 -0
- data/lib/candid/patient_ar/v_1/client.rb +0 -4
- data/lib/candid/patient_payments/v_4/types/card_payment_method.rb +11 -0
- data/lib/candid/patient_payments/v_4/types/cash_payment_method.rb +11 -0
- data/lib/candid/patient_payments/v_4/types/check_payment_method.rb +13 -0
- data/lib/candid/patient_payments/v_4/types/patient_payment.rb +3 -0
- data/lib/candid/patient_payments/v_4/types/payment_method.rb +19 -0
- data/lib/candid/patient_payments/v_4/types/payment_method_detail.rb +18 -0
- data/lib/candid/pre_encounter/eligibility_checks/v_1/types/eligibility_request.rb +2 -0
- data/lib/candid/related_causes_information/v_1/types/related_causes_code.rb +20 -0
- data/lib/candid/related_causes_information/v_1/types/related_causes_information.rb +19 -0
- data/lib/candid/related_causes_information/v_1/types/related_causes_information_create.rb +11 -0
- data/lib/candid/related_causes_information/v_1/types/related_causes_information_update.rb +11 -0
- data/lib/candid/service_lines/v_2/types/service_line.rb +2 -0
- data/lib/candid/service_lines/v_2/types/service_line_create_base_base.rb +2 -0
- data/lib/candid/service_lines/v_2/types/service_line_create_optional.rb +2 -0
- data/lib/candid/service_lines/v_2/types/service_line_create_standalone.rb +2 -0
- data/lib/candid/service_lines/v_2/types/service_line_update_base.rb +2 -0
- data/lib/candid/service_lines/v_2/types/test_result_type.rb +1 -0
- data/lib/candid/service_lines/v_2/types/universal_service_line_create_standalone.rb +2 -0
- data/lib/candid/tasks/commons/types/task_type.rb +1 -0
- data/lib/candid/version.rb +1 -1
- data/lib/candid/x_12/v_1/types/carc.rb +418 -0
- data/lib/candid/x_12/v_1/types/claim_adjustment_reason_code.rb +15 -0
- data/lib/candid/x_12/v_1/types/rarc.rb +1201 -0
- data/lib/candid/x_12/v_1/types/remittance_advice_remark_code.rb +13 -0
- data/lib/candid.rb +57 -36
- data/reference.md +515 -363
- metadata +55 -34
- data/lib/candid/expected_network_status/client.rb +0 -22
- data/lib/candid/expected_network_status/v_1/types/expected_network_status.rb +0 -17
- data/lib/candid/expected_network_status/v_1/types/expected_network_status_request.rb +0 -24
- data/lib/candid/expected_network_status/v_1/types/expected_network_status_response.rb +0 -17
- data/lib/candid/expected_network_status/v_2/client.rb +0 -66
- data/lib/candid/expected_network_status/v_2/types/compute_all_in_network_providers_request.rb +0 -25
- data/lib/candid/expected_network_status/v_2/types/compute_all_in_network_providers_response.rb +0 -16
- data/lib/candid/expected_network_status/v_2/types/compute_all_in_network_rendering_providers_result.rb +0 -21
- data/lib/candid/expected_network_status/v_2/types/empty_object.rb +0 -11
- data/lib/candid/expected_network_status/v_2/types/expected_network_status_check_error_message.rb +0 -13
- data/lib/candid/expected_network_status/v_2/types/expected_network_status_request_v_2.rb +0 -25
- data/lib/candid/expected_network_status/v_2/types/expected_network_status_response_v_2.rb +0 -16
- data/lib/candid/expected_network_status/v_2/types/expected_network_status_subscriber_information.rb +0 -17
- data/lib/candid/expected_network_status/v_2/types/expected_network_status_v_2.rb +0 -19
- data/lib/candid/expected_network_status/v_2/types/explanation.rb +0 -22
- data/lib/candid/expected_network_status/v_2/types/in_network_rendering_providers_detail.rb +0 -15
- data/lib/candid/expected_network_status/v_2/types/in_network_status.rb +0 -14
- data/lib/candid/expected_network_status/v_2/types/indeterminate_network_status.rb +0 -18
- data/lib/candid/expected_network_status/v_2/types/insurance_type.rb +0 -18
- data/lib/candid/expected_network_status/v_2/types/insurance_type_codes.rb +0 -19
- data/lib/candid/expected_network_status/v_2/types/out_of_network_status.rb +0 -17
- data/lib/candid/expected_network_status/v_2/types/service_type.rb +0 -55
- data/lib/candid/insurance_payments/v_1/types/get_multi_insurance_payment_request.rb +0 -22
- data/lib/candid/insurance_payments/v_1/types/insurance_payment.rb +0 -20
- data/lib/candid/insurance_payments/v_1/types/insurance_payment_sort_field.rb +0 -17
- data/lib/candid/insurance_payments/v_1/types/insurance_payments_page.rb +0 -15
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# frozen_string_literal: true
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module Candid
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module InsuranceAdjudications
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module V1
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module Types
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class InsuranceAdjudication < Internal::Types::Model
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field :insurance_adjudication_id, -> { String }, optional: false, nullable: false
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field :payer_uuid, -> { String }, optional: false, nullable: false
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field :post_date, -> { String }, optional: true, nullable: false
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field :check_number, -> { String }, optional: true, nullable: false
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field :check_date, -> { String }, optional: false, nullable: false
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field :note, -> { String }, optional: true, nullable: false
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field :claims, lambda {
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Internal::Types::Hash[String, Internal::Types::Array[Candid::InsuranceAdjudications::V1::Types::ClaimAdjudication]]
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}, optional: false, nullable: false
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end
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end
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end
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end
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end
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# frozen_string_literal: true
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module Candid
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module InsuranceAdjudications
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module V1
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module Types
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class ServiceLineAdjudication < Internal::Types::Model
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field :service_line_adjudication_id, -> { String }, optional: false, nullable: false
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field :denial_reason, lambda {
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Candid::ServiceLines::V2::Types::DenialReasonContent
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}, optional: true, nullable: false
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field :insurance_allowed_amount_cents, -> { Integer }, optional: true, nullable: false
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field :insurance_paid_amount_cents, -> { Integer }, optional: true, nullable: false
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field :deductible_amount_cents, -> { Integer }, optional: true, nullable: false
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field :coinsurance_amount_cents, -> { Integer }, optional: true, nullable: false
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field :copay_amount_cents, -> { Integer }, optional: true, nullable: false
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field :carcs, lambda {
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Internal::Types::Array[Candid::X12::V1::Types::ClaimAdjustmentReasonCode]
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}, optional: false, nullable: false
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field :rarcs, lambda {
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Internal::Types::Array[Candid::X12::V1::Types::RemittanceAdviceRemarkCode]
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}, optional: false, nullable: false
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end
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end
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end
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end
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end
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field :plan_type, -> { Candid::Commons::Types::SourceOfPaymentCode }, optional: true, nullable: false
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field :insurance_type, -> { Candid::Commons::Types::InsuranceTypeCode }, optional: true, nullable: false
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field :payer_plan_group_id, -> { String }, optional: true, nullable: false
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field :payer_address, -> { Candid::Commons::Types::StreetAddressLongZip }, optional: true, nullable: false
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end
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end
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end
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@client = client
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end
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# NOTE: This service is in-development and can only be used by select partners. Please contact Candid Health to request access.
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#
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# Retrieve a list of inventory records based on the provided filters. Each inventory record provides the latest invoiceable status of the associated claim.
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# The response is paginated, and the `page_token` can be used to retrieve subsequent pages. Initial requests should not include `page_token`.
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end
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end
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# NOTE: This service is in-development and can only be used by select partners. Please contact Candid Health to request access.
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# Provides detailed itemization of invoice data for a specific claim.
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#
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# @return [Candid::PatientAr::V1::Types::InvoiceItemizationResponse]
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module Candid
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module PatientPayments
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module V4
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module Types
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class CheckPaymentMethod < Internal::Types::Model
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field :check_number, -> { String }, optional: false, nullable: false
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end
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end
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end
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end
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end
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Internal::Types::Array[Candid::Financials::Types::Allocation]
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}, optional: false, nullable: false
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field :invoice, -> { String }, optional: true, nullable: false
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field :payment_method_detail, lambda {
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Candid::PatientPayments::V4::Types::PaymentMethodDetail
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}, optional: true, nullable: false
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end
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end
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end
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module Candid
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module PatientPayments
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module V4
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module Types
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class PaymentMethod < Internal::Types::Model
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extend Candid::Internal::Types::Union
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discriminant :type
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member -> { Candid::PatientPayments::V4::Types::CashPaymentMethod }, key: "CASH"
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member -> { Candid::PatientPayments::V4::Types::CheckPaymentMethod }, key: "CHECK"
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member -> { Candid::PatientPayments::V4::Types::CardPaymentMethod }, key: "CARD"
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end
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end
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end
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end
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end
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module Candid
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module PatientPayments
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module V4
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module Types
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class PaymentMethodDetail < Internal::Types::Model
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field :payment_method, lambda {
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Candid::PatientPayments::V4::Types::PaymentMethod
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}, optional: false, nullable: false
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field :collected_at_address, lambda {
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Candid::Commons::Types::StreetAddressShortZip
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}, optional: true, nullable: false
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end
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end
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end
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end
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end
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field :encounter, lambda {
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}, optional: true, nullable: false
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field :get_existing_check_initiated_after, -> { String }, optional: true, nullable: false
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field :source, -> { String }, optional: true, nullable: false
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end
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end
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end
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module Candid
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module RelatedCausesInformation
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module V1
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module Types
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module RelatedCausesCode
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extend Candid::Internal::Types::Enum
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CAA = "AA"
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CAB = "AB"
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CAP = "AP"
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CEM = "EM"
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COA = "OA"
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CZZ = "ZZ"
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end
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end
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end
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end
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end
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module Candid
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module RelatedCausesInformation
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module V1
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module Types
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class RelatedCausesInformation < Internal::Types::Model
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field :related_causes_code_1, lambda {
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Candid::RelatedCausesInformation::V1::Types::RelatedCausesCode
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}, optional: false, nullable: false
|
|
11
|
+
field :related_causes_code_2, lambda {
|
|
12
|
+
Candid::RelatedCausesInformation::V1::Types::RelatedCausesCode
|
|
13
|
+
}, optional: true, nullable: false
|
|
14
|
+
field :state_or_province_code, -> { String }, optional: true, nullable: false
|
|
15
|
+
end
|
|
16
|
+
end
|
|
17
|
+
end
|
|
18
|
+
end
|
|
19
|
+
end
|
|
@@ -68,6 +68,8 @@ module Candid
|
|
|
68
68
|
field :has_epsdt_indicator, -> { Internal::Types::Boolean }, optional: true, nullable: false
|
|
69
69
|
field :has_family_planning_indicator, -> { Internal::Types::Boolean }, optional: true, nullable: false
|
|
70
70
|
field :note, -> { String }, optional: true, nullable: false
|
|
71
|
+
field :prior_authorization_number, -> { String }, optional: true, nullable: false
|
|
72
|
+
field :external_id, -> { String }, optional: true, nullable: false
|
|
71
73
|
end
|
|
72
74
|
end
|
|
73
75
|
end
|
|
@@ -27,6 +27,8 @@ module Candid
|
|
|
27
27
|
Internal::Types::Array[Candid::ServiceLines::V2::Types::TestResult]
|
|
28
28
|
}, optional: true, nullable: false
|
|
29
29
|
field :note, -> { String }, optional: true, nullable: false
|
|
30
|
+
field :prior_authorization_number, -> { String }, optional: true, nullable: false
|
|
31
|
+
field :external_id, -> { String }, optional: true, nullable: false
|
|
30
32
|
end
|
|
31
33
|
end
|
|
32
34
|
end
|
|
@@ -30,6 +30,8 @@ module Candid
|
|
|
30
30
|
}, optional: true, nullable: false
|
|
31
31
|
field :note, -> { String }, optional: true, nullable: false
|
|
32
32
|
field :revenue_code, -> { String }, optional: true, nullable: false
|
|
33
|
+
field :prior_authorization_number, -> { String }, optional: true, nullable: false
|
|
34
|
+
field :external_id, -> { String }, optional: true, nullable: false
|
|
33
35
|
end
|
|
34
36
|
end
|
|
35
37
|
end
|
|
@@ -9,6 +9,8 @@ module Candid
|
|
|
9
9
|
field :diagnosis_id_one, -> { String }, optional: true, nullable: false
|
|
10
10
|
field :diagnosis_id_two, -> { String }, optional: true, nullable: false
|
|
11
11
|
field :diagnosis_id_three, -> { String }, optional: true, nullable: false
|
|
12
|
+
field :prior_authorization_number, -> { String }, optional: true, nullable: false
|
|
13
|
+
field :external_id, -> { String }, optional: true, nullable: false
|
|
12
14
|
end
|
|
13
15
|
end
|
|
14
16
|
end
|
|
@@ -29,6 +29,8 @@ module Candid
|
|
|
29
29
|
field :has_epsdt_indicator, -> { Internal::Types::Boolean }, optional: true, nullable: false
|
|
30
30
|
field :has_family_planning_indicator, -> { Internal::Types::Boolean }, optional: true, nullable: false
|
|
31
31
|
field :note, -> { String }, optional: true, nullable: false
|
|
32
|
+
field :prior_authorization_number, -> { String }, optional: true, nullable: false
|
|
33
|
+
field :external_id, -> { String }, optional: true, nullable: false
|
|
32
34
|
end
|
|
33
35
|
end
|
|
34
36
|
end
|
|
@@ -11,6 +11,8 @@ module Candid
|
|
|
11
11
|
field :diagnosis_id_three, -> { String }, optional: true, nullable: false
|
|
12
12
|
field :revenue_code, -> { String }, optional: true, nullable: false
|
|
13
13
|
field :procedure_code, -> { String }, optional: true, nullable: false
|
|
14
|
+
field :prior_authorization_number, -> { String }, optional: true, nullable: false
|
|
15
|
+
field :external_id, -> { String }, optional: true, nullable: false
|
|
14
16
|
end
|
|
15
17
|
end
|
|
16
18
|
end
|
data/lib/candid/version.rb
CHANGED