candidhealth 1.14.4 → 1.15.0

checksums.yaml

@@ -1,7 +1,7 @@
 ---
 SHA256:
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-  data.tar.gz: dbbeedd36d9c2095fc794aa427a43652e51f76ef1f8f5d2130369e965da5d4a6
+  metadata.gz: f97511828261e1d92b7ebd79bbac031b5f3748608ed9f7195a0fbdc2a50331b7
+  data.tar.gz: f946dc477b922bee9d9d1f7e0081a8df6ad3397b5ae18b35d643c6df86f327d0
 SHA512:
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-  data.tar.gz: a52bd419c6242903f74730ae026b63d6a042ac7570d42aca7171170b4087d4ceda0cf4deb52e0c86981e8a5425962bd9f2eb1db0cb521d3a8459ad57d55cdd6f
+  metadata.gz: ac693074053535d604c90472213b42f24b5ef647563b5b22b3a83620cae6efb87a30884ea00b54368522741de8284a376b3789a4126cfd52208dd91afa7f199b
+  data.tar.gz: a331f4d044e638060d5fc375d911efa0998318e3a2ce925247a658c84ad377101cf034c97985e9a1a6e6b83755b95bb4b8ce539173c707d3cefa88d376404f60

data/lib/candid/client.rb

@@ -7,7 +7,7 @@ module Candid
       @raw_client = Candid::Internal::Http::RawClient.new(
         base_url: base_url,
         headers: {
-          "User-Agent": "candidhealth/1.14.4",
+          "User-Agent": "candidhealth/1.15.0",
           "X-Fern-Language": "Ruby"
         }
       )
@@ -108,6 +108,11 @@ module Candid
       @import_invoice ||= Candid::ImportInvoice::Client.new(client: @raw_client)
     end
 
+    # @return [Candid::InsuranceAdjudications::Client]
+    def insurance_adjudications
+      @insurance_adjudications ||= Candid::InsuranceAdjudications::Client.new(client: @raw_client)
+    end
+
     # @return [Candid::InsurancePayments::Client]
     def insurance_payments
       @insurance_payments ||= Candid::InsurancePayments::Client.new(client: @raw_client)

data/lib/candid/commons/types/claim_adjustment_group_codes.rb

@@ -0,0 +1,22 @@
+# frozen_string_literal: true
+
+module Candid
+  module Commons
+    module Types
+      module ClaimAdjustmentGroupCodes
+        extend Candid::Internal::Types::Enum
+
+        CO = "CO"
+        CR = "CR"
+        DE = "DE"
+        MA = "MA"
+        OA = "OA"
+        PI = "PI"
+        PR = "PR"
+        RR = "RR"
+        NC = "NC"
+        UNKNOWN = "UNKNOWN"
+      end
+    end
+  end
+end

data/lib/candid/commons/types/procedure_modifier.rb

@@ -417,6 +417,7 @@ module Candid
         XS = "XS"
         XU = "XU"
         XY = "XY"
+        ZZ = "ZZ"
       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/insurance_adjudications/v_1/client.rb

@@ -0,0 +1,37 @@
+# frozen_string_literal: true
+
+module Candid
+  module InsuranceAdjudications
+    module V1
+      class Client
+        # @return [Candid::InsuranceAdjudications::V1::Client]
+        def initialize(client:)
+          @client = client
+        end
+
+        # Retrieves a previously created insurance adjudication by its `insurance_adjudication_id`.
+        #
+        # @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: "GET",
+            path: "/api/insurance-adjudications/v1/#{params[:insurance_adjudication_id]}"
+          )
+          begin
+            _response = @client.send(_request)
+          rescue Net::HTTPRequestTimeout
+            raise Candid::Errors::TimeoutError
+          end
+          code = _response.code.to_i
+          if code.between?(200, 299)
+            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)
+          end
+        end
+      end
+    end
+  end
+end

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

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

@@ -0,0 +1,27 @@
+# frozen_string_literal: true
+
+module Candid
+  module InsuranceAdjudications
+    module V1
+      module Types
+        class ServiceLineAdjudication < Internal::Types::Model
+          field :service_line_adjudication_id, -> { String }, optional: false, nullable: false
+          field :denial_reason, lambda {
+            Candid::ServiceLines::V2::Types::DenialReasonContent
+          }, optional: true, nullable: false
+          field :insurance_allowed_amount_cents, -> { Integer }, optional: true, nullable: false
+          field :insurance_paid_amount_cents, -> { Integer }, optional: true, nullable: false
+          field :deductible_amount_cents, -> { Integer }, optional: true, nullable: false
+          field :coinsurance_amount_cents, -> { Integer }, optional: true, nullable: false
+          field :copay_amount_cents, -> { Integer }, optional: true, nullable: false
+          field :carcs, lambda {
+            Internal::Types::Array[Candid::X12::V1::Types::ClaimAdjustmentReasonCode]
+          }, optional: false, nullable: false
+          field :rarcs, lambda {
+            Internal::Types::Array[Candid::X12::V1::Types::RemittanceAdviceRemarkCode]
+          }, optional: false, nullable: false
+        end
+      end
+    end
+  end
+end

data/lib/candid/patient_payments/v_4/types/card_payment_method.rb

@@ -0,0 +1,11 @@
+# frozen_string_literal: true
+
+module Candid
+  module PatientPayments
+    module V4
+      module Types
+        class CardPaymentMethod < Internal::Types::Model; end
+      end
+    end
+  end
+end

data/lib/candid/patient_payments/v_4/types/cash_payment_method.rb

@@ -0,0 +1,11 @@
+# frozen_string_literal: true
+
+module Candid
+  module PatientPayments
+    module V4
+      module Types
+        class CashPaymentMethod < Internal::Types::Model; end
+      end
+    end
+  end
+end

data/lib/candid/patient_payments/v_4/types/check_payment_method.rb

@@ -0,0 +1,13 @@
+# frozen_string_literal: true
+
+module Candid
+  module PatientPayments
+    module V4
+      module Types
+        class CheckPaymentMethod < Internal::Types::Model
+          field :check_number, -> { String }, optional: false, nullable: false
+        end
+      end
+    end
+  end
+end

data/lib/candid/patient_payments/v_4/types/patient_payment.rb

@@ -19,6 +19,9 @@ module Candid
             Internal::Types::Array[Candid::Financials::Types::Allocation]
           }, optional: false, nullable: false
           field :invoice, -> { String }, optional: true, nullable: false
+          field :payment_method_detail, lambda {
+            Candid::PatientPayments::V4::Types::PaymentMethodDetail
+          }, optional: true, nullable: false
         end
       end
     end

data/lib/candid/patient_payments/v_4/types/payment_method.rb

@@ -0,0 +1,19 @@
+# frozen_string_literal: true
+
+module Candid
+  module PatientPayments
+    module V4
+      module Types
+        class PaymentMethod < Internal::Types::Model
+          extend Candid::Internal::Types::Union
+
+          discriminant :type
+
+          member -> { Candid::PatientPayments::V4::Types::CashPaymentMethod }, key: "CASH"
+          member -> { Candid::PatientPayments::V4::Types::CheckPaymentMethod }, key: "CHECK"
+          member -> { Candid::PatientPayments::V4::Types::CardPaymentMethod }, key: "CARD"
+        end
+      end
+    end
+  end
+end

data/lib/candid/patient_payments/v_4/types/payment_method_detail.rb

@@ -0,0 +1,18 @@
+# frozen_string_literal: true
+
+module Candid
+  module PatientPayments
+    module V4
+      module Types
+        class PaymentMethodDetail < Internal::Types::Model
+          field :payment_method, lambda {
+            Candid::PatientPayments::V4::Types::PaymentMethod
+          }, optional: false, nullable: false
+          field :collected_at_address, lambda {
+            Candid::Commons::Types::StreetAddressShortZip
+          }, optional: true, nullable: false
+        end
+      end
+    end
+  end
+end

data/lib/candid/pre_encounter/eligibility_checks/v_1/types/eligibility_request.rb

@@ -21,6 +21,8 @@ module Candid
             field :encounter, lambda {
               Candid::PreEncounter::EligibilityChecks::V1::Types::Encounter
             }, optional: true, nullable: false
+            field :get_existing_check_initiated_after, -> { String }, optional: true, nullable: false
+            field :source, -> { String }, optional: true, nullable: false
           end
         end
       end

data/lib/candid/service_lines/v_2/types/service_line.rb

@@ -68,6 +68,7 @@ module Candid
           field :has_epsdt_indicator, -> { Internal::Types::Boolean }, optional: true, nullable: false
           field :has_family_planning_indicator, -> { Internal::Types::Boolean }, optional: true, nullable: false
           field :note, -> { String }, optional: true, nullable: false
+          field :prior_authorization_number, -> { String }, optional: true, nullable: false
         end
       end
     end

data/lib/candid/service_lines/v_2/types/service_line_create_base_base.rb

@@ -27,6 +27,7 @@ module Candid
             Internal::Types::Array[Candid::ServiceLines::V2::Types::TestResult]
           }, optional: true, nullable: false
           field :note, -> { String }, optional: true, nullable: false
+          field :prior_authorization_number, -> { String }, optional: true, nullable: false
         end
       end
     end

data/lib/candid/service_lines/v_2/types/service_line_create_optional.rb

@@ -30,6 +30,7 @@ module Candid
           }, optional: true, nullable: false
           field :note, -> { String }, optional: true, nullable: false
           field :revenue_code, -> { String }, optional: true, nullable: false
+          field :prior_authorization_number, -> { String }, optional: true, nullable: false
         end
       end
     end

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

@@ -9,6 +9,7 @@ module Candid
           field :diagnosis_id_one, -> { String }, optional: true, nullable: false
           field :diagnosis_id_two, -> { String }, optional: true, nullable: false
           field :diagnosis_id_three, -> { String }, optional: true, nullable: false
+          field :prior_authorization_number, -> { String }, optional: true, nullable: false
         end
       end
     end

data/lib/candid/service_lines/v_2/types/service_line_update_base.rb

@@ -29,6 +29,7 @@ module Candid
           field :has_epsdt_indicator, -> { Internal::Types::Boolean }, optional: true, nullable: false
           field :has_family_planning_indicator, -> { Internal::Types::Boolean }, optional: true, nullable: false
           field :note, -> { String }, optional: true, nullable: false
+          field :prior_authorization_number, -> { String }, optional: true, nullable: false
         end
       end
     end

data/lib/candid/service_lines/v_2/types/universal_service_line_create_standalone.rb

@@ -11,6 +11,7 @@ module Candid
           field :diagnosis_id_three, -> { String }, optional: true, nullable: false
           field :revenue_code, -> { String }, optional: true, nullable: false
           field :procedure_code, -> { String }, optional: true, nullable: false
+          field :prior_authorization_number, -> { String }, optional: true, nullable: false
         end
       end
     end

data/lib/candid/version.rb

@@ -1,5 +1,5 @@
 # frozen_string_literal: true
 
 module Candid
-  VERSION = "1.14.4"
+  VERSION = "1.15.0"
 end