candidhealth 1.3.0 → 1.4.0

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Files changed (44) hide show
  1. checksums.yaml +4 -4
  2. data/lib/candidhealth/charge_capture/v_1/client.rb +28 -2
  3. data/lib/candidhealth/claim_submission/v_1/types/claim_submission_record_create.rb +4 -4
  4. data/lib/candidhealth/claim_submission/v_1/types/claim_submission_record_create_optional.rb +4 -4
  5. data/lib/candidhealth/commons/types/next_responsible_party.rb +16 -0
  6. data/lib/candidhealth/contracts/v_2/client.rb +4 -4
  7. data/lib/candidhealth/diagnoses/types/service_lines_must_have_at_least_one_diagnosis_error.rb +77 -0
  8. data/lib/candidhealth/encounters/v_4/client.rb +2 -0
  9. data/lib/candidhealth/encounters/v_4/types/encounter.rb +162 -2
  10. data/lib/candidhealth/encounters/v_4/types/encounter_submission_expectation.rb +23 -0
  11. data/lib/candidhealth/exports/v_3/client.rb +16 -10
  12. data/lib/candidhealth/organization_providers/v_2/types/license_type.rb +1 -0
  13. data/lib/candidhealth/pre_encounter/eligibility_checks/v_1/client.rb +205 -2
  14. data/lib/candidhealth/pre_encounter/eligibility_checks/v_1/types/coordination_of_benefits_recommendation.rb +63 -0
  15. data/lib/candidhealth/pre_encounter/eligibility_checks/v_1/types/eligibility_recommendation.rb +144 -0
  16. data/lib/candidhealth/pre_encounter/eligibility_checks/v_1/types/eligibility_recommendation_patient_info.rb +124 -0
  17. data/lib/candidhealth/pre_encounter/eligibility_checks/v_1/types/eligibility_recommendation_payload.rb +102 -0
  18. data/lib/candidhealth/pre_encounter/eligibility_checks/v_1/types/medicare_advantage_recommendation.rb +70 -0
  19. data/lib/candidhealth/pre_encounter/eligibility_checks/v_1/types/medicare_advantage_recommendation_payload.rb +87 -0
  20. data/lib/candidhealth/pre_encounter/eligibility_checks/v_1/types/payer_search_response.rb +107 -0
  21. data/lib/candidhealth/pre_encounter/eligibility_checks/v_1/types/post_eligibility_recommendation_request.rb +96 -0
  22. data/lib/candidhealth/pre_encounter/eligibility_checks/v_1/types/stedi_payer.rb +144 -0
  23. data/lib/candidhealth/pre_encounter/eligibility_checks/v_1/types/stedi_payer_item.rb +79 -0
  24. data/lib/candidhealth/pre_encounter/lists/v_1/types/patient_list_item.rb +28 -1
  25. data/lib/candidhealth/pre_encounter/tags/v_1/client.rb +8 -0
  26. data/lib/candidhealth/pre_encounter/tags/v_1/types/mutable_tag.rb +22 -3
  27. data/lib/candidhealth/pre_encounter/tags/v_1/types/tag.rb +21 -3
  28. data/lib/candidhealth/service_lines/v_2/client.rb +4 -0
  29. data/lib/candidhealth/service_lines/v_2/types/service_line.rb +18 -2
  30. data/lib/candidhealth/service_lines/v_2/types/service_line_create.rb +10 -2
  31. data/lib/candidhealth/service_lines/v_2/types/service_line_create_optional.rb +10 -2
  32. data/lib/candidhealth/service_lines/v_2/types/service_line_create_standalone.rb +10 -2
  33. data/lib/candidhealth/service_lines/v_2/types/service_line_update.rb +10 -2
  34. data/lib/candidhealth/x_12/v_1/types/patient_discharge_status_code.rb +52 -0
  35. data/lib/candidhealth/x_12/v_1/types/point_of_origin_for_admission_or_visit_code.rb +23 -0
  36. data/lib/candidhealth/x_12/v_1/types/type_of_admission_or_visit_code.rb +18 -0
  37. data/lib/candidhealth/x_12/v_1/types/type_of_bill_composite.rb +98 -0
  38. data/lib/candidhealth/x_12/v_1/types/type_of_bill_frequency_code.rb +39 -0
  39. data/lib/candidhealth/x_12/v_1/types/type_of_care_code.rb +21 -0
  40. data/lib/candidhealth/x_12/v_1/types/type_of_facility_code.rb +19 -0
  41. data/lib/requests.rb +2 -2
  42. data/lib/types_export.rb +20 -1
  43. metadata +22 -3
  44. data/lib/candidhealth/claim_submission/v_1/types/claim_frequency_type_code.rb +0 -15
@@ -1,9 +1,16 @@
1
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  # frozen_string_literal: true
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+ require_relative "../../../commons/types/state"
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  require_relative "../../../claims/types/claim"
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  require_relative "../../../individual/types/patient"
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  require_relative "../../../guarantor/v_1/types/guarantor"
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  require_relative "../../../encounter_providers/v_2/types/encounter_provider"
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+ require_relative "../../../encounter_providers/v_2/types/rendering_provider"
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+ require_relative "../../../x_12/v_1/types/type_of_admission_or_visit_code"
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+ require_relative "../../../x_12/v_1/types/point_of_origin_for_admission_or_visit_code"
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+ require_relative "../../../x_12/v_1/types/patient_discharge_status_code"
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+ require_relative "encounter_submission_expectation"
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+ require_relative "../../../x_12/v_1/types/type_of_bill_composite"
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  require_relative "../../../service_facility/types/encounter_service_facility"
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  require_relative "../../../individual/types/subscriber"
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  require_relative "responsible_party_type"
@@ -21,6 +28,7 @@ require_relative "encounter_submission_origin_type"
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  require_relative "../../../custom_schemas/v_1/types/schema_instance"
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  require_relative "epsdt_referral"
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  require_relative "claim_supplemental_information"
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+ require_relative "../../../commons/types/next_responsible_party"
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  require_relative "medication"
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  require_relative "vitals"
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  require_relative "intervention"
@@ -37,6 +45,9 @@ module CandidApiClient
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  module V4
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  module Types
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  class Encounter
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+ # @return [CandidApiClient::Commons::Types::State] 837i-REF1000 -- an optional state indicating where an accident related to the
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+ # encounter occurred.
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+ attr_reader :accident_state_or_province_code
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  # @return [String] If the encounter was created from ingested charge captures, this is the
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  # associated Charge Capture Claim Creation Id.
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  attr_reader :claim_creation_id
@@ -70,6 +81,41 @@ module CandidApiClient
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  # communication, or other service. The rendering provider address should generally
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  # be the same as the service facility address.
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  attr_reader :rendering_provider
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+ # @return [CandidApiClient::EncounterProviders::V2::Types::RenderingProvider] 837i NM1 2500 variant for Loop ID-2310. Used to indicate the individual whom
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+ # has overall responsibility for the patient in institutional claims processing.
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+ attr_reader :attending_provider
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+ # @return [Integer] 837i Loop 2300 DTP-03
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+ # Extension of the admission date with hour (0-23) details.
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+ # Required for institutional submission.
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+ attr_reader :admission_hour
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+ # @return [CandidApiClient::X12::V1::Types::TypeOfAdmissionOrVisitCode] 837i Loop 2300 CL1-01
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+ # Code used to indicate the priority of an admission or visit.
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+ attr_reader :admission_type_code
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+ # @return [CandidApiClient::X12::V1::Types::PointOfOriginForAdmissionOrVisitCode] 837i Loop 2300 CLI1-02
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+ # Code used to indicate the conditions under which an admission occurs.
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+ attr_reader :admission_source_code
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+ # @return [Integer] 837i Loop 2300 DTP-03
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+ # Extension of the discharge date with hour (0-23) details.
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+ # Required for institutional submission.
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+ attr_reader :discharge_hour
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+ # @return [CandidApiClient::X12::V1::Types::PatientDischargeStatusCode] 837i CL1-03
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+ # Code indicating patient status as of the "statement covers through date".
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+ attr_reader :discharge_status
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+ # @return [CandidApiClient::EncounterProviders::V2::Types::RenderingProvider] 837i NM1 2500 variant for Loop ID-2310. Used to indicate the individual whom
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+ # has primary responsibility for surgical procedures in institutional claims
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+ # processing.
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+ attr_reader :operating_provider
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+ # @return [CandidApiClient::EncounterProviders::V2::Types::RenderingProvider] 837i NM1 2500 variant for Loop ID-2310. Used to indicate the individual whom
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+ # has secondary responsibility for surgical procedures in institutional claims
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+ # processing. Only used when operating_provider is also set.
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+ attr_reader :other_operating_provider
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+ # @return [CandidApiClient::Encounters::V4::Types::EncounterSubmissionExpectation] Describes the currently expected target form for this encounter. This effects
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+ # what validations and queues the form is processed under. When this value is not
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+ # set, it should be assumed to be TARGET_PROFESSIONAL.
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+ attr_reader :submission_expectation
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+ # @return [CandidApiClient::X12::V1::Types::TypeOfBillComposite] Used by institutional forms to indicate how the bill is to be interpreted.
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+ # Professional forms are not required to submit this attribute.
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+ attr_reader :type_of_bill
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  # @return [CandidApiClient::EncounterProviders::V2::Types::EncounterProvider]
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  attr_reader :referring_provider
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  # @return [CandidApiClient::EncounterProviders::V2::Types::EncounterProvider]
@@ -164,6 +210,9 @@ module CandidApiClient
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  attr_reader :last_submitted_at
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  # @return [DateTime] The date and time the encounter was created.
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  attr_reader :created_at
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+ # @return [CandidApiClient::Commons::Types::NextResponsibleParty] The party (payer, patient, etc.) responsible for the remainder of the balance on
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+ # the claim.
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+ attr_reader :next_responsible_party
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  # @return [String] A client-specified unique ID to associate with this encounter;
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  # for example, your internal encounter ID or a Dr. Chrono encounter ID.
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  # This field should not contain PHI.
@@ -264,6 +313,8 @@ module CandidApiClient
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  OMIT = Object.new
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+ # @param accident_state_or_province_code [CandidApiClient::Commons::Types::State] 837i-REF1000 -- an optional state indicating where an accident related to the
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+ # encounter occurred.
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  # @param claim_creation_id [String] If the encounter was created from ingested charge captures, this is the
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  # associated Charge Capture Claim Creation Id.
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  # @param patient_control_number [String] A patient control number (PCN) is a unique identifier assigned to a patient
@@ -289,6 +340,31 @@ module CandidApiClient
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  # For telehealth services, the rendering provider performs the visit, asynchronous
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  # communication, or other service. The rendering provider address should generally
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  # be the same as the service facility address.
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+ # @param attending_provider [CandidApiClient::EncounterProviders::V2::Types::RenderingProvider] 837i NM1 2500 variant for Loop ID-2310. Used to indicate the individual whom
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+ # has overall responsibility for the patient in institutional claims processing.
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+ # @param admission_hour [Integer] 837i Loop 2300 DTP-03
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+ # Extension of the admission date with hour (0-23) details.
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+ # Required for institutional submission.
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+ # @param admission_type_code [CandidApiClient::X12::V1::Types::TypeOfAdmissionOrVisitCode] 837i Loop 2300 CL1-01
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+ # Code used to indicate the priority of an admission or visit.
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+ # @param admission_source_code [CandidApiClient::X12::V1::Types::PointOfOriginForAdmissionOrVisitCode] 837i Loop 2300 CLI1-02
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+ # Code used to indicate the conditions under which an admission occurs.
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+ # @param discharge_hour [Integer] 837i Loop 2300 DTP-03
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+ # Extension of the discharge date with hour (0-23) details.
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+ # Required for institutional submission.
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+ # @param discharge_status [CandidApiClient::X12::V1::Types::PatientDischargeStatusCode] 837i CL1-03
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+ # Code indicating patient status as of the "statement covers through date".
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+ # @param operating_provider [CandidApiClient::EncounterProviders::V2::Types::RenderingProvider] 837i NM1 2500 variant for Loop ID-2310. Used to indicate the individual whom
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+ # has primary responsibility for surgical procedures in institutional claims
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+ # processing.
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+ # @param other_operating_provider [CandidApiClient::EncounterProviders::V2::Types::RenderingProvider] 837i NM1 2500 variant for Loop ID-2310. Used to indicate the individual whom
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+ # has secondary responsibility for surgical procedures in institutional claims
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+ # processing. Only used when operating_provider is also set.
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+ # @param submission_expectation [CandidApiClient::Encounters::V4::Types::EncounterSubmissionExpectation] Describes the currently expected target form for this encounter. This effects
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+ # what validations and queues the form is processed under. When this value is not
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+ # set, it should be assumed to be TARGET_PROFESSIONAL.
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+ # @param type_of_bill [CandidApiClient::X12::V1::Types::TypeOfBillComposite] Used by institutional forms to indicate how the bill is to be interpreted.
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+ # Professional forms are not required to submit this attribute.
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  # @param referring_provider [CandidApiClient::EncounterProviders::V2::Types::EncounterProvider]
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  # @param initial_referring_provider [CandidApiClient::EncounterProviders::V2::Types::EncounterProvider]
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  # @param supervising_provider [CandidApiClient::EncounterProviders::V2::Types::EncounterProvider]
@@ -353,6 +429,8 @@ module CandidApiClient
353
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  # identify the primary payer. This is required for certain states.
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  # @param last_submitted_at [DateTime] The date and time the encounter was last submitted to a payer.
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  # @param created_at [DateTime] The date and time the encounter was created.
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+ # @param next_responsible_party [CandidApiClient::Commons::Types::NextResponsibleParty] The party (payer, patient, etc.) responsible for the remainder of the balance on
433
+ # the claim.
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  # @param external_id [String] A client-specified unique ID to associate with this encounter;
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  # for example, your internal encounter ID or a Dr. Chrono encounter ID.
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  # This field should not contain PHI.
@@ -427,8 +505,11 @@ module CandidApiClient
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  # Code indicating the reason why a request was delayed
428
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  # @param additional_properties [OpenStruct] Additional properties unmapped to the current class definition
429
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  # @return [CandidApiClient::Encounters::V4::Types::Encounter]
430
- def initialize(encounter_id:, claims:, patient:, billing_provider:, rendering_provider:, service_facility:, responsible_party:, url:, diagnoses:, clinical_notes:, patient_histories:, patient_payments:, tags:, owner_of_next_action:, submission_origin:, schema_instances:, created_at:, external_id:, patient_authorized_release:, benefits_assigned_to_provider:, provider_accepts_assignment:, billable_status:, claim_creation_id: OMIT, patient_control_number: OMIT,
431
- guarantor: OMIT, referring_provider: OMIT, initial_referring_provider: OMIT, supervising_provider: OMIT, subscriber_primary: OMIT, subscriber_secondary: OMIT, subscriber_tertiary: OMIT, prior_authorization_number: OMIT, billing_notes: OMIT, place_of_service_code: OMIT, place_of_service_code_as_submitted: OMIT, coding_attribution: OMIT, work_queue_id: OMIT, work_queue_membership_activated_at: OMIT, referral_number: OMIT, epsdt_referral: OMIT, claim_supplemental_information: OMIT, secondary_payer_carrier_code: OMIT, last_submitted_at: OMIT, date_of_service: OMIT, end_date_of_service: OMIT, appointment_type: OMIT, existing_medications: OMIT, vitals: OMIT, interventions: OMIT, pay_to_address: OMIT, synchronicity: OMIT, additional_information: OMIT, service_authorization_exception_code: OMIT, admission_date: OMIT, discharge_date: OMIT, onset_of_current_illness_or_symptom_date: OMIT, last_menstrual_period_date: OMIT, delay_reason_code: OMIT, additional_properties: nil)
508
+ def initialize(encounter_id:, claims:, patient:, billing_provider:, rendering_provider:, service_facility:,
509
+ responsible_party:, url:, diagnoses:, clinical_notes:, patient_histories:, patient_payments:, tags:, owner_of_next_action:, submission_origin:, schema_instances:, created_at:, external_id:, patient_authorized_release:, benefits_assigned_to_provider:, provider_accepts_assignment:, billable_status:, accident_state_or_province_code: OMIT, claim_creation_id: OMIT, patient_control_number: OMIT, guarantor: OMIT, attending_provider: OMIT, admission_hour: OMIT, admission_type_code: OMIT, admission_source_code: OMIT, discharge_hour: OMIT, discharge_status: OMIT, operating_provider: OMIT, other_operating_provider: OMIT, submission_expectation: OMIT, type_of_bill: OMIT, referring_provider: OMIT, initial_referring_provider: OMIT, supervising_provider: OMIT, subscriber_primary: OMIT, subscriber_secondary: OMIT, subscriber_tertiary: OMIT, prior_authorization_number: OMIT, billing_notes: OMIT, place_of_service_code: OMIT, place_of_service_code_as_submitted: OMIT, coding_attribution: OMIT, work_queue_id: OMIT, work_queue_membership_activated_at: OMIT, referral_number: OMIT, epsdt_referral: OMIT, claim_supplemental_information: OMIT, secondary_payer_carrier_code: OMIT, last_submitted_at: OMIT, next_responsible_party: OMIT, date_of_service: OMIT, end_date_of_service: OMIT, appointment_type: OMIT, existing_medications: OMIT, vitals: OMIT, interventions: OMIT, pay_to_address: OMIT, synchronicity: OMIT, additional_information: OMIT, service_authorization_exception_code: OMIT, admission_date: OMIT, discharge_date: OMIT, onset_of_current_illness_or_symptom_date: OMIT, last_menstrual_period_date: OMIT, delay_reason_code: OMIT, additional_properties: nil)
510
+ if accident_state_or_province_code != OMIT
511
+ @accident_state_or_province_code = accident_state_or_province_code
512
+ end
432
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  @claim_creation_id = claim_creation_id if claim_creation_id != OMIT
433
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  @patient_control_number = patient_control_number if patient_control_number != OMIT
434
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  @encounter_id = encounter_id
@@ -437,6 +518,16 @@ module CandidApiClient
437
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  @guarantor = guarantor if guarantor != OMIT
438
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  @billing_provider = billing_provider
439
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  @rendering_provider = rendering_provider
521
+ @attending_provider = attending_provider if attending_provider != OMIT
522
+ @admission_hour = admission_hour if admission_hour != OMIT
523
+ @admission_type_code = admission_type_code if admission_type_code != OMIT
524
+ @admission_source_code = admission_source_code if admission_source_code != OMIT
525
+ @discharge_hour = discharge_hour if discharge_hour != OMIT
526
+ @discharge_status = discharge_status if discharge_status != OMIT
527
+ @operating_provider = operating_provider if operating_provider != OMIT
528
+ @other_operating_provider = other_operating_provider if other_operating_provider != OMIT
529
+ @submission_expectation = submission_expectation if submission_expectation != OMIT
530
+ @type_of_bill = type_of_bill if type_of_bill != OMIT
440
531
  @referring_provider = referring_provider if referring_provider != OMIT
441
532
  @initial_referring_provider = initial_referring_provider if initial_referring_provider != OMIT
442
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  @supervising_provider = supervising_provider if supervising_provider != OMIT
@@ -471,6 +562,7 @@ module CandidApiClient
471
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  @secondary_payer_carrier_code = secondary_payer_carrier_code if secondary_payer_carrier_code != OMIT
472
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  @last_submitted_at = last_submitted_at if last_submitted_at != OMIT
473
564
  @created_at = created_at
565
+ @next_responsible_party = next_responsible_party if next_responsible_party != OMIT
474
566
  @external_id = external_id
475
567
  @date_of_service = date_of_service if date_of_service != OMIT
476
568
  @end_date_of_service = end_date_of_service if end_date_of_service != OMIT
@@ -497,6 +589,7 @@ module CandidApiClient
497
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  @delay_reason_code = delay_reason_code if delay_reason_code != OMIT
498
590
  @additional_properties = additional_properties
499
591
  @_field_set = {
592
+ "accident_state_or_province_code": accident_state_or_province_code,
500
593
  "claim_creation_id": claim_creation_id,
501
594
  "patient_control_number": patient_control_number,
502
595
  "encounter_id": encounter_id,
@@ -505,6 +598,16 @@ module CandidApiClient
505
598
  "guarantor": guarantor,
506
599
  "billing_provider": billing_provider,
507
600
  "rendering_provider": rendering_provider,
601
+ "attending_provider": attending_provider,
602
+ "admission_hour": admission_hour,
603
+ "admission_type_code": admission_type_code,
604
+ "admission_source_code": admission_source_code,
605
+ "discharge_hour": discharge_hour,
606
+ "discharge_status": discharge_status,
607
+ "operating_provider": operating_provider,
608
+ "other_operating_provider": other_operating_provider,
609
+ "submission_expectation": submission_expectation,
610
+ "type_of_bill": type_of_bill,
508
611
  "referring_provider": referring_provider,
509
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  "initial_referring_provider": initial_referring_provider,
510
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  "supervising_provider": supervising_provider,
@@ -535,6 +638,7 @@ module CandidApiClient
535
638
  "secondary_payer_carrier_code": secondary_payer_carrier_code,
536
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  "last_submitted_at": last_submitted_at,
537
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  "created_at": created_at,
641
+ "next_responsible_party": next_responsible_party,
538
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  "external_id": external_id,
539
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  "date_of_service": date_of_service,
540
644
  "end_date_of_service": end_date_of_service,
@@ -567,6 +671,7 @@ module CandidApiClient
567
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  def self.from_json(json_object:)
568
672
  struct = JSON.parse(json_object, object_class: OpenStruct)
569
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  parsed_json = JSON.parse(json_object)
674
+ accident_state_or_province_code = struct["accident_state_or_province_code"]
570
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  claim_creation_id = struct["claim_creation_id"]
571
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  patient_control_number = struct["patient_control_number"]
572
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  encounter_id = struct["encounter_id"]
@@ -598,6 +703,36 @@ module CandidApiClient
598
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  rendering_provider = parsed_json["rendering_provider"].to_json
599
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  rendering_provider = CandidApiClient::EncounterProviders::V2::Types::EncounterProvider.from_json(json_object: rendering_provider)
600
705
  end
706
+ if parsed_json["attending_provider"].nil?
707
+ attending_provider = nil
708
+ else
709
+ attending_provider = parsed_json["attending_provider"].to_json
710
+ attending_provider = CandidApiClient::EncounterProviders::V2::Types::RenderingProvider.from_json(json_object: attending_provider)
711
+ end
712
+ admission_hour = struct["admission_hour"]
713
+ admission_type_code = struct["admission_type_code"]
714
+ admission_source_code = struct["admission_source_code"]
715
+ discharge_hour = struct["discharge_hour"]
716
+ discharge_status = struct["discharge_status"]
717
+ if parsed_json["operating_provider"].nil?
718
+ operating_provider = nil
719
+ else
720
+ operating_provider = parsed_json["operating_provider"].to_json
721
+ operating_provider = CandidApiClient::EncounterProviders::V2::Types::RenderingProvider.from_json(json_object: operating_provider)
722
+ end
723
+ if parsed_json["other_operating_provider"].nil?
724
+ other_operating_provider = nil
725
+ else
726
+ other_operating_provider = parsed_json["other_operating_provider"].to_json
727
+ other_operating_provider = CandidApiClient::EncounterProviders::V2::Types::RenderingProvider.from_json(json_object: other_operating_provider)
728
+ end
729
+ submission_expectation = struct["submission_expectation"]
730
+ if parsed_json["type_of_bill"].nil?
731
+ type_of_bill = nil
732
+ else
733
+ type_of_bill = parsed_json["type_of_bill"].to_json
734
+ type_of_bill = CandidApiClient::X12::V1::Types::TypeOfBillComposite.from_json(json_object: type_of_bill)
735
+ end
601
736
  if parsed_json["referring_provider"].nil?
602
737
  referring_provider = nil
603
738
  else
@@ -696,6 +831,7 @@ module CandidApiClient
696
831
  DateTime.parse(parsed_json["last_submitted_at"])
697
832
  end
698
833
  created_at = (DateTime.parse(parsed_json["created_at"]) unless parsed_json["created_at"].nil?)
834
+ next_responsible_party = struct["next_responsible_party"]
699
835
  external_id = struct["external_id"]
700
836
  date_of_service = (Date.parse(parsed_json["date_of_service"]) unless parsed_json["date_of_service"].nil?)
701
837
  end_date_of_service = unless parsed_json["end_date_of_service"].nil?
@@ -739,6 +875,7 @@ module CandidApiClient
739
875
  end
740
876
  delay_reason_code = struct["delay_reason_code"]
741
877
  new(
878
+ accident_state_or_province_code: accident_state_or_province_code,
742
879
  claim_creation_id: claim_creation_id,
743
880
  patient_control_number: patient_control_number,
744
881
  encounter_id: encounter_id,
@@ -747,6 +884,16 @@ module CandidApiClient
747
884
  guarantor: guarantor,
748
885
  billing_provider: billing_provider,
749
886
  rendering_provider: rendering_provider,
887
+ attending_provider: attending_provider,
888
+ admission_hour: admission_hour,
889
+ admission_type_code: admission_type_code,
890
+ admission_source_code: admission_source_code,
891
+ discharge_hour: discharge_hour,
892
+ discharge_status: discharge_status,
893
+ operating_provider: operating_provider,
894
+ other_operating_provider: other_operating_provider,
895
+ submission_expectation: submission_expectation,
896
+ type_of_bill: type_of_bill,
750
897
  referring_provider: referring_provider,
751
898
  initial_referring_provider: initial_referring_provider,
752
899
  supervising_provider: supervising_provider,
@@ -777,6 +924,7 @@ module CandidApiClient
777
924
  secondary_payer_carrier_code: secondary_payer_carrier_code,
778
925
  last_submitted_at: last_submitted_at,
779
926
  created_at: created_at,
927
+ next_responsible_party: next_responsible_party,
780
928
  external_id: external_id,
781
929
  date_of_service: date_of_service,
782
930
  end_date_of_service: end_date_of_service,
@@ -815,6 +963,7 @@ module CandidApiClient
815
963
  # @param obj [Object]
816
964
  # @return [Void]
817
965
  def self.validate_raw(obj:)
966
+ obj.accident_state_or_province_code&.is_a?(CandidApiClient::Commons::Types::State) != false || raise("Passed value for field obj.accident_state_or_province_code is not the expected type, validation failed.")
818
967
  obj.claim_creation_id&.is_a?(String) != false || raise("Passed value for field obj.claim_creation_id is not the expected type, validation failed.")
819
968
  obj.patient_control_number&.is_a?(String) != false || raise("Passed value for field obj.patient_control_number is not the expected type, validation failed.")
820
969
  obj.encounter_id.is_a?(String) != false || raise("Passed value for field obj.encounter_id is not the expected type, validation failed.")
@@ -823,6 +972,16 @@ module CandidApiClient
823
972
  obj.guarantor.nil? || CandidApiClient::Guarantor::V1::Types::Guarantor.validate_raw(obj: obj.guarantor)
824
973
  CandidApiClient::EncounterProviders::V2::Types::EncounterProvider.validate_raw(obj: obj.billing_provider)
825
974
  CandidApiClient::EncounterProviders::V2::Types::EncounterProvider.validate_raw(obj: obj.rendering_provider)
975
+ obj.attending_provider.nil? || CandidApiClient::EncounterProviders::V2::Types::RenderingProvider.validate_raw(obj: obj.attending_provider)
976
+ obj.admission_hour&.is_a?(Integer) != false || raise("Passed value for field obj.admission_hour is not the expected type, validation failed.")
977
+ obj.admission_type_code&.is_a?(CandidApiClient::X12::V1::Types::TypeOfAdmissionOrVisitCode) != false || raise("Passed value for field obj.admission_type_code is not the expected type, validation failed.")
978
+ obj.admission_source_code&.is_a?(CandidApiClient::X12::V1::Types::PointOfOriginForAdmissionOrVisitCode) != false || raise("Passed value for field obj.admission_source_code is not the expected type, validation failed.")
979
+ obj.discharge_hour&.is_a?(Integer) != false || raise("Passed value for field obj.discharge_hour is not the expected type, validation failed.")
980
+ obj.discharge_status&.is_a?(CandidApiClient::X12::V1::Types::PatientDischargeStatusCode) != false || raise("Passed value for field obj.discharge_status is not the expected type, validation failed.")
981
+ obj.operating_provider.nil? || CandidApiClient::EncounterProviders::V2::Types::RenderingProvider.validate_raw(obj: obj.operating_provider)
982
+ obj.other_operating_provider.nil? || CandidApiClient::EncounterProviders::V2::Types::RenderingProvider.validate_raw(obj: obj.other_operating_provider)
983
+ obj.submission_expectation&.is_a?(CandidApiClient::Encounters::V4::Types::EncounterSubmissionExpectation) != false || raise("Passed value for field obj.submission_expectation is not the expected type, validation failed.")
984
+ obj.type_of_bill.nil? || CandidApiClient::X12::V1::Types::TypeOfBillComposite.validate_raw(obj: obj.type_of_bill)
826
985
  obj.referring_provider.nil? || CandidApiClient::EncounterProviders::V2::Types::EncounterProvider.validate_raw(obj: obj.referring_provider)
827
986
  obj.initial_referring_provider.nil? || CandidApiClient::EncounterProviders::V2::Types::EncounterProvider.validate_raw(obj: obj.initial_referring_provider)
828
987
  obj.supervising_provider.nil? || CandidApiClient::EncounterProviders::V2::Types::EncounterProvider.validate_raw(obj: obj.supervising_provider)
@@ -853,6 +1012,7 @@ module CandidApiClient
853
1012
  obj.secondary_payer_carrier_code&.is_a?(String) != false || raise("Passed value for field obj.secondary_payer_carrier_code is not the expected type, validation failed.")
854
1013
  obj.last_submitted_at&.is_a?(DateTime) != false || raise("Passed value for field obj.last_submitted_at is not the expected type, validation failed.")
855
1014
  obj.created_at.is_a?(DateTime) != false || raise("Passed value for field obj.created_at is not the expected type, validation failed.")
1015
+ obj.next_responsible_party&.is_a?(CandidApiClient::Commons::Types::NextResponsibleParty) != false || raise("Passed value for field obj.next_responsible_party is not the expected type, validation failed.")
856
1016
  obj.external_id.is_a?(String) != false || raise("Passed value for field obj.external_id is not the expected type, validation failed.")
857
1017
  obj.date_of_service&.is_a?(Date) != false || raise("Passed value for field obj.date_of_service is not the expected type, validation failed.")
858
1018
  obj.end_date_of_service&.is_a?(Date) != false || raise("Passed value for field obj.end_date_of_service is not the expected type, validation failed.")
@@ -0,0 +1,23 @@
1
+ # frozen_string_literal: true
2
+
3
+ module CandidApiClient
4
+ module Encounters
5
+ module V4
6
+ module Types
7
+ # Used to describe the currently expected target form for this encounter. This
8
+ # effects what
9
+ # validations and queues the form is processed under. If you're not sure, you can
10
+ # set this value
11
+ # to UNEXPECTED, in which case the form will be treated loosely during processing.
12
+ # Before
13
+ # submission, this value will be required by some rules or user intervention. It
14
+ # can be changed
15
+ # at any time, although doing so may incur other rules.
16
+ class EncounterSubmissionExpectation
17
+ TARGET_PROFESSIONAL = "TARGET_PROFESSIONAL"
18
+ TARGET_INSTITUTIONAL = "TARGET_INSTITUTIONAL"
19
+ end
20
+ end
21
+ end
22
+ end
23
+ end
@@ -18,7 +18,14 @@ module CandidApiClient
18
18
  @request_client = request_client
19
19
  end
20
20
 
21
- # Retrieve CSV-formatted reports on claim submissions and outcomes. This endpoint
21
+ # <Warning>
22
+ # API-based exports are in the process of being deprecated in favor of Candid Data
23
+ # Share and are not being offered to new customers.
24
+ # Please see the [Candid Data Share
25
+ # docs](https://docs.joincandidhealth.com/introduction/candid-data-share) for more
26
+ # information.
27
+ # </Warning>
28
+ # Retrieve CSV-formatted reports on claim submissions and outcomes. This endpoint
22
29
  # returns Export objects that contain an
23
30
  # authenticated URL to a customer's reports with a 2min TTL. The schema for the
24
31
  # CSV export can be found
@@ -40,10 +47,6 @@ module CandidApiClient
40
47
  # up to 90 days in the past by default. Please email our [Support
41
48
  # team](mailto:support@joincandidhealth.com) with any data requests
42
49
  # outside of these stated guarantees.
43
- # **New Customers:** This endpoint is not enabled by default for new Candid
44
- # customers. To have this endpoint enabled for your organization,
45
- # please email our [Support team](mailto:support@joincandidhealth.com) with the
46
- # request.
47
50
  #
48
51
  # @param start_date [Date] Beginning date of claim versions returned in the export, ISO 8601 date e.g.
49
52
  # 2019-08-24.
@@ -87,7 +90,14 @@ module CandidApiClient
87
90
  @request_client = request_client
88
91
  end
89
92
 
90
- # Retrieve CSV-formatted reports on claim submissions and outcomes. This endpoint
93
+ # <Warning>
94
+ # API-based exports are in the process of being deprecated in favor of Candid Data
95
+ # Share and are not being offered to new customers.
96
+ # Please see the [Candid Data Share
97
+ # docs](https://docs.joincandidhealth.com/introduction/candid-data-share) for more
98
+ # information.
99
+ # </Warning>
100
+ # Retrieve CSV-formatted reports on claim submissions and outcomes. This endpoint
91
101
  # returns Export objects that contain an
92
102
  # authenticated URL to a customer's reports with a 2min TTL. The schema for the
93
103
  # CSV export can be found
@@ -109,10 +119,6 @@ module CandidApiClient
109
119
  # up to 90 days in the past by default. Please email our [Support
110
120
  # team](mailto:support@joincandidhealth.com) with any data requests
111
121
  # outside of these stated guarantees.
112
- # **New Customers:** This endpoint is not enabled by default for new Candid
113
- # customers. To have this endpoint enabled for your organization,
114
- # please email our [Support team](mailto:support@joincandidhealth.com) with the
115
- # request.
116
122
  #
117
123
  # @param start_date [Date] Beginning date of claim versions returned in the export, ISO 8601 date e.g.
118
124
  # 2019-08-24.
@@ -103,6 +103,7 @@ module CandidApiClient
103
103
  SLP_CF = "SLP-CF"
104
104
  NP_C = "NP-C"
105
105
  PA_C = "PA-C"
106
+ AMFT = "AMFT"
106
107
  end
107
108
  end
108
109
  end