candidhealth 1.16.0 → 1.17.1
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/client.rb +1 -6
- 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/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 +13 -0
- 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_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/fee_schedules/v_3/client.rb +9 -1
- data/lib/candid/fee_schedules/v_3/types/payer_threshold.rb +6 -1
- 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/version.rb +1 -1
- data/lib/candid.rb +28 -7
- data/reference.md +541 -213
- metadata +28 -7
- data/lib/candid/insurance_payments/client.rb +0 -17
- data/lib/candid/insurance_payments/v_1/client.rb +0 -68
- 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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@@ -14,6 +14,9 @@ module Candid
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field :provider_commercial_license_type, lambda {
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Candid::Commons::Types::BillingProviderCommercialLicenseType
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}, optional: true, nullable: false
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field :secondary_identification, lambda {
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Candid::EncounterProviders::V2::Types::ProviderSecondaryIdentification
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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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@@ -0,0 +1,13 @@
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# frozen_string_literal: true
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module Candid
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module EncounterProviders
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module V2
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module Types
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class ProviderSecondaryIdentification < Internal::Types::Model
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field :reference_identification, -> { 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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@@ -8,6 +8,9 @@ module Candid
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field :npi, -> { String }, optional: false, nullable: false
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field :taxonomy_code, -> { String }, optional: true, nullable: false
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field :address, -> { Candid::Commons::Types::StreetAddressLongZip }, optional: true, nullable: false
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field :secondary_identification, lambda {
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Candid::EncounterProviders::V2::Types::ProviderSecondaryIdentification
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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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field :npi, -> { String }, optional: true, nullable: false
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field :taxonomy_code, -> { String }, optional: true, nullable: false
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field :address, -> { Candid::Commons::Types::StreetAddressLongZip }, optional: true, nullable: false
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field :secondary_identification, lambda {
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Candid::EncounterProviders::V2::Types::ProviderSecondaryIdentification
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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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data/lib/candid/encounter_providers/v_2/types/rendering_provider_update_with_optional_address.rb
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@@ -8,6 +8,9 @@ module Candid
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field :npi, -> { String }, optional: true, nullable: false
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field :taxonomy_code, -> { String }, optional: true, nullable: false
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field :address, -> { Candid::Commons::Types::StreetAddressShortZipOptional }, optional: true, nullable: false
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field :secondary_identification, lambda {
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Candid::EncounterProviders::V2::Types::ProviderSecondaryIdentification
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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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# Notice: The UB-04 Data File, 2025, is copyrighted by American Hospital Association (AHA), Chicago, Illinois.
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# No portion of the THE UB-04 Data File, may be reproduced, stored in a retrieval system, or transmitted,
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# in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without prior
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# express, written consent of AHA.
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#
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# @return [Candid::Encounters::V4::Types::Encounter]
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def create_universal(request_options: {}, **params)
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_request = Candid::Internal::JSON::Request.new(
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# Utilizing this endpoint opts you into automatic updating of the encounter when the patient or appointment is updated, assuming the
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# encounter has not already been submitted or adjudicated.
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#
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# Notice: The UB-04 Data File, 2025, is copyrighted by American Hospital Association (AHA), Chicago, Illinois.
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# No portion of the THE UB-04 Data File, may be reproduced, stored in a retrieval system, or transmitted,
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# in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without prior
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# express, written consent of AHA.
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#
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# @return [Candid::Encounters::V4::Types::Encounter]
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def create_from_pre_encounter_patient_universal(request_options: {}, **params)
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_request = Candid::Internal::JSON::Request.new(
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end
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end
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# Notice: The UB-04 Data File, 2025, is copyrighted by American Hospital Association (AHA), Chicago, Illinois.
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# No portion of the THE UB-04 Data File, may be reproduced, stored in a retrieval system, or transmitted,
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# in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without prior
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# express, written consent of AHA.
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#
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# @return [Candid::Encounters::V4::Types::Encounter]
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def update_universal(request_options: {}, **params)
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_request = Candid::Internal::JSON::Request.new(
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field :other_operating_provider, lambda {
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Candid::EncounterProviders::V2::Types::EncounterProvider
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}, optional: true, nullable: false
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field :related_causes_information, lambda {
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Candid::RelatedCausesInformation::V1::Types::RelatedCausesInformation
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}, optional: true, nullable: false
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field :submission_expectation, lambda {
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Candid::Encounters::V4::Types::EncounterSubmissionExpectation
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}, optional: true, nullable: false
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Internal::Types::Array[Candid::Encounters::V4::Types::ClaimSupplementalInformation]
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}, optional: true, nullable: false
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field :secondary_payer_carrier_code, -> { String }, optional: true, nullable: false
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field :related_causes_information, lambda {
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Candid::RelatedCausesInformation::V1::Types::RelatedCausesInformationCreate
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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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data/lib/candid/encounters_universal/types/universal_encounter_create_from_pre_encounter_base.rb
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field :schema_instances, lambda {
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Internal::Types::Array[Candid::CustomSchemas::V1::Types::SchemaInstance]
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}, optional: true, nullable: false
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field :related_causes_information, lambda {
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Candid::RelatedCausesInformation::V1::Types::RelatedCausesInformationCreate
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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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field :place_of_service_code_as_submitted, lambda {
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Candid::Commons::Types::FacilityTypeCode
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}, optional: true, nullable: false
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field :related_causes_information, lambda {
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Candid::RelatedCausesInformation::V1::Types::RelatedCausesInformationUpdate
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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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raise error_class.new(_response.body, code: code)
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end
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# Uploads a new fee schedule
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# Uploads a new fee schedule.
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#
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# Each rate may either be totally new as qualified by it's dimensions or a new version for an existing rate.
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#
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# 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
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# be returned.
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#
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# Use the dry run flag to discover already existing rates and to run validations. If validations for any rate fail, no rates will
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# be saved to the system.
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#
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# @return [Array[Candid::FeeSchedules::V3::Types::Rate]]
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def upload_fee_schedule(request_options: {}, **params)
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module FeeSchedules
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# Rate thresholds that determine fee schedule rate matching behavior. When a service line is adjudicated by a payer Candid determines if the payer's
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# Rate thresholds that determine fee schedule rate matching behavior. When a service line is adjudicated by a payer Candid determines if the payer's
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# 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
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# 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
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# when the payer's allowed amount is greater than [rate_cents - lower_threshold_cents] and less than [rate_cents + upper_threshold_cents].
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#
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# Additionally, a client can set disable_paid_incorrectly to avoid the PAID_INCORRECTLY claim status entirely.
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class PayerThreshold < Internal::Types::Model
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field :upper_threshold_cents, -> { Integer }, optional: true, nullable: false
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field :lower_threshold_cents, -> { Integer }, optional: true, nullable: false
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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
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field :related_causes_code_2, lambda {
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Candid::RelatedCausesInformation::V1::Types::RelatedCausesCode
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}, optional: true, nullable: false
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field :state_or_province_code, -> { String }, 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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data/lib/candid/version.rb
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data/lib/candid.rb
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require_relative "candid/commons/types/street_address_optional_base"
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require_relative "candid/commons/types/street_address_long_zip_optional"
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require_relative "candid/encounter_providers/v_2/types/ordering_provider_optional"
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require_relative "candid/encounter_providers/v_2/types/provider_secondary_identification"
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require_relative "candid/commons/types/street_address_short_zip_optional"
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require_relative "candid/commons/types/billing_provider_commercial_license_type"
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require_relative "candid/encounter_providers/v_2/types/billing_provider_update_with_optional_address"
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require_relative "candid/contracts/v_2/types/contract_with_providers"
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require_relative "candid/contracts/v_2/types/contracts_page"
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require_relative "candid/contracts/v_2/types/contract_sort_field"
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require_relative "candid/contracts/v_3/types/contract_type"
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require_relative "candid/contracts/v_3/types/contract_service_facility_base"
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require_relative "candid/contracts/v_3/types/contract_service_facility"
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require_relative "candid/contracts/v_3/types/contract_base"
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require_relative "candid/contracts/v_3/types/contract"
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require_relative "candid/contracts/v_3/types/professional_contract"
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require_relative "candid/contracts/v_3/types/institutional_contract"
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require_relative "candid/contracts/v_3/types/contract_union"
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require_relative "candid/contracts/v_3/types/contract_with_providers_union"
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require_relative "candid/contracts/v_3/types/contract_create"
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require_relative "candid/contracts/v_3/types/professional_contract_create"
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require_relative "candid/contracts/v_3/types/institutional_contract_create"
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require_relative "candid/contracts/v_3/types/contract_create_union"
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require_relative "candid/contracts/v_3/types/contract_update"
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require_relative "candid/contracts/v_3/types/professional_contract_update"
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require_relative "candid/contracts/v_3/types/institutional_contract_update"
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require_relative "candid/contracts/v_3/types/contract_update_union"
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require_relative "candid/contracts/v_3/types/contracts_page"
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require_relative "candid/credentialing/v_2/types/credentialing_span_status"
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require_relative "candid/commons/types/date_range_optional_end"
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require_relative "candid/identifiers/types/identifier_code"
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@@ -233,6 +252,9 @@ require_relative "candid/guarantor/v_1/types/guarantor_base"
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require_relative "candid/commons/types/phone_number"
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require_relative "candid/guarantor/v_1/types/guarantor_create"
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require_relative "candid/insurance_cards/v_2/types/insurance_card_create"
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+
require_relative "candid/related_causes_information/v_1/types/related_causes_code"
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require_relative "candid/related_causes_information/v_1/types/related_causes_information"
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require_relative "candid/related_causes_information/v_1/types/related_causes_information_create"
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require_relative "candid/individual/types/individual_base"
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require_relative "candid/individual/types/subscriber_base"
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require_relative "candid/individual/types/subscriber_create"
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@@ -289,6 +311,7 @@ require_relative "candid/x_12/v_1/types/point_of_origin_for_admission_or_visit_c
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require_relative "candid/x_12/v_1/types/patient_discharge_status_code"
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require_relative "candid/encounters_universal/types/universal_encounter_create"
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require_relative "candid/guarantor/v_1/types/guarantor_update"
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+
require_relative "candid/related_causes_information/v_1/types/related_causes_information_update"
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require_relative "candid/individual/types/patient_update"
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require_relative "candid/service_facility/types/encounter_service_facility_update"
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require_relative "candid/encounters_universal/types/universal_encounter_update_base"
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@@ -457,16 +480,13 @@ require_relative "candid/x_12/v_1/types/remittance_advice_remark_code"
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457
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require_relative "candid/insurance_adjudications/v_1/types/service_line_adjudication"
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458
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require_relative "candid/insurance_adjudications/v_1/types/claim_adjudication"
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459
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|
require_relative "candid/insurance_adjudications/v_1/types/insurance_adjudication"
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483
|
+
require_relative "candid/financials/types/refund_reason"
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460
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|
require_relative "candid/financials/types/service_line_allocation_target"
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461
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|
require_relative "candid/financials/types/claim_allocation_target"
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462
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|
require_relative "candid/financials/types/billing_provider_allocation_target"
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463
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require_relative "candid/financials/types/appointment_allocation_target"
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|
require_relative "candid/financials/types/allocation_target"
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489
|
require_relative "candid/financials/types/allocation"
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|
466
|
-
require_relative "candid/insurance_payments/v_1/types/insurance_payment"
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|
467
|
-
require_relative "candid/insurance_payments/v_1/types/insurance_payments_page"
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|
468
|
-
require_relative "candid/insurance_payments/v_1/types/insurance_payment_sort_field"
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|
469
|
-
require_relative "candid/financials/types/refund_reason"
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|
require_relative "candid/insurance_refunds/v_1/types/insurance_refund"
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|
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|
require_relative "candid/payers/v_3/types/payer_info"
|
|
472
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|
require_relative "candid/payers/v_3/types/payer_identifier"
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|
@@ -744,6 +764,10 @@ require_relative "candid/contracts/v_2/client"
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|
744
764
|
require_relative "candid/contracts/v_2/types/get_multi_contracts_request"
|
|
745
765
|
require_relative "candid/contracts/v_2/types/contract_create"
|
|
746
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|
require_relative "candid/contracts/v_2/types/contract_update"
|
|
767
|
+
require_relative "candid/contracts/v_3/client"
|
|
768
|
+
require_relative "candid/contracts/v_3/types/get_multi_contracts_request"
|
|
769
|
+
require_relative "candid/contracts/v_3/types/contract_service_facility_create"
|
|
770
|
+
require_relative "candid/contracts/v_3/types/contract_service_facility_update"
|
|
747
771
|
require_relative "candid/credentialing/client"
|
|
748
772
|
require_relative "candid/credentialing/v_2/client"
|
|
749
773
|
require_relative "candid/credentialing/v_2/types/facility_credentialing_span_create"
|
|
@@ -799,9 +823,6 @@ require_relative "candid/import_invoice/v_1/client"
|
|
|
799
823
|
require_relative "candid/import_invoice/v_1/types/search_imported_invoices_request"
|
|
800
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|
require_relative "candid/insurance_adjudications/client"
|
|
801
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|
require_relative "candid/insurance_adjudications/v_1/client"
|
|
802
|
-
require_relative "candid/insurance_payments/client"
|
|
803
|
-
require_relative "candid/insurance_payments/v_1/client"
|
|
804
|
-
require_relative "candid/insurance_payments/v_1/types/get_multi_insurance_payment_request"
|
|
805
826
|
require_relative "candid/insurance_refunds/client"
|
|
806
827
|
require_relative "candid/insurance_refunds/v_1/client"
|
|
807
828
|
require_relative "candid/insurance_refunds/v_1/types/get_multi_insurance_refunds_request"
|