candidhealth 1.6.0 → 1.8.0
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/candidhealth/auth/default/client.rb +74 -0
- data/lib/candidhealth/charge_capture/v_1/client.rb +48 -48
- data/lib/candidhealth/charge_capture/v_1/types/charge_capture_data.rb +70 -56
- data/lib/candidhealth/commons/types/clearinghouse.rb +18 -0
- data/lib/candidhealth/commons/types/procedure_modifier.rb +11 -0
- data/lib/candidhealth/credentialing/v_2/client.rb +342 -8
- data/lib/candidhealth/credentialing/v_2/types/base_credentialing_span.rb +143 -0
- data/lib/candidhealth/credentialing/v_2/types/facility_credentialing_span.rb +165 -0
- data/lib/candidhealth/credentialing/v_2/types/facility_credentialing_span_page.rb +88 -0
- data/lib/candidhealth/credentialing/v_2/types/provider_credentialing_span.rb +34 -34
- data/lib/candidhealth/encounter_providers/v_2/types/billing_provider.rb +1 -1
- data/lib/candidhealth/encounter_providers/v_2/types/billing_provider_update.rb +1 -1
- data/lib/candidhealth/encounter_providers/v_2/types/billing_provider_update_with_optional_address.rb +1 -1
- data/lib/candidhealth/encounters/v_4/client.rb +3253 -2040
- data/lib/candidhealth/encounters/v_4/types/encounter.rb +111 -86
- data/lib/candidhealth/encounters/v_4/types/encounter_base.rb +39 -33
- data/lib/candidhealth/encounters/v_4/types/encounter_create.rb +796 -0
- data/lib/candidhealth/encounters/v_4/types/encounter_create_from_pre_encounter.rb +131 -117
- data/lib/candidhealth/encounters/v_4/types/encounter_deep_optional.rb +70 -56
- data/lib/candidhealth/encounters/v_4/types/encounter_optional.rb +29 -39
- data/lib/candidhealth/encounters/v_4/types/encounter_rendering_or_attending_provider_required_error.rb +55 -0
- data/lib/candidhealth/encounters/v_4/types/encounter_update.rb +736 -0
- data/lib/candidhealth/encounters_universal/types/universal_encounter_create.rb +944 -0
- data/lib/candidhealth/encounters_universal/types/universal_encounter_create_base.rb +691 -0
- data/lib/candidhealth/encounters_universal/types/universal_encounter_create_from_pre_encounter.rb +791 -0
- data/lib/candidhealth/encounters_universal/types/universal_encounter_create_from_pre_encounter_base.rb +572 -0
- data/lib/candidhealth/encounters_universal/types/universal_encounter_update.rb +872 -0
- data/lib/candidhealth/encounters_universal/types/universal_encounter_update_base.rb +700 -0
- data/lib/candidhealth/fee_schedules/v_3/client.rb +57 -0
- data/lib/candidhealth/fee_schedules/v_3/types/validation_error.rb +12 -0
- data/lib/candidhealth/financials/types/patient_transaction_source.rb +1 -0
- data/lib/candidhealth/health_care_code_information/client.rb +30 -0
- data/lib/candidhealth/health_care_code_information/v_1/client.rb +268 -0
- data/lib/candidhealth/health_care_code_information/v_1/types/admitting_diagnosis.rb +236 -0
- data/lib/candidhealth/health_care_code_information/v_1/types/admitting_diagnosis_code_qualifier.rb +14 -0
- data/lib/candidhealth/health_care_code_information/v_1/types/admitting_diagnosis_new.rb +206 -0
- data/lib/candidhealth/health_care_code_information/v_1/types/code_list_qualifier_code.rb +1068 -0
- data/lib/candidhealth/health_care_code_information/v_1/types/condition_code.rb +71 -0
- data/lib/candidhealth/health_care_code_information/v_1/types/condition_information.rb +237 -0
- data/lib/candidhealth/health_care_code_information/v_1/types/condition_information_code_qualifier.rb +13 -0
- data/lib/candidhealth/health_care_code_information/v_1/types/condition_information_new.rb +207 -0
- data/lib/candidhealth/health_care_code_information/v_1/types/date_time_period_format_qualifier.rb +54 -0
- data/lib/candidhealth/health_care_code_information/v_1/types/diagnosis_related_group.rb +236 -0
- data/lib/candidhealth/health_care_code_information/v_1/types/diagnosis_related_group_code_qualifier.rb +13 -0
- data/lib/candidhealth/health_care_code_information/v_1/types/diagnosis_related_group_new.rb +206 -0
- data/lib/candidhealth/health_care_code_information/v_1/types/external_cause_of_injury.rb +245 -0
- data/lib/candidhealth/health_care_code_information/v_1/types/external_cause_of_injury_code_qualifier.rb +14 -0
- data/lib/candidhealth/health_care_code_information/v_1/types/external_cause_of_injury_new.rb +245 -0
- data/lib/candidhealth/health_care_code_information/v_1/types/health_care_code_information.rb +218 -0
- data/lib/candidhealth/health_care_code_information/v_1/types/health_care_code_information_create.rb +225 -0
- data/lib/candidhealth/health_care_code_information/v_1/types/health_care_code_information_get_all_response.rb +227 -0
- data/lib/candidhealth/health_care_code_information/v_1/types/health_care_code_information_new.rb +188 -0
- data/lib/candidhealth/health_care_code_information/v_1/types/health_care_code_information_update.rb +225 -0
- data/lib/candidhealth/health_care_code_information/v_1/types/occurrence_code.rb +71 -0
- data/lib/candidhealth/health_care_code_information/v_1/types/occurrence_information.rb +249 -0
- data/lib/candidhealth/health_care_code_information/v_1/types/occurrence_information_code_qualifier.rb +13 -0
- data/lib/candidhealth/health_care_code_information/v_1/types/occurrence_information_new.rb +219 -0
- data/lib/candidhealth/health_care_code_information/v_1/types/occurrence_span_code.rb +25 -0
- data/lib/candidhealth/health_care_code_information/v_1/types/occurrence_span_code_qualifier.rb +13 -0
- data/lib/candidhealth/health_care_code_information/v_1/types/occurrence_span_information.rb +252 -0
- data/lib/candidhealth/health_care_code_information/v_1/types/occurrence_span_information_new.rb +222 -0
- data/lib/candidhealth/health_care_code_information/v_1/types/other_diagnosis_information.rb +245 -0
- data/lib/candidhealth/health_care_code_information/v_1/types/other_diagnosis_information_code_qualifier.rb +14 -0
- data/lib/candidhealth/health_care_code_information/v_1/types/other_diagnosis_information_new.rb +215 -0
- data/lib/candidhealth/health_care_code_information/v_1/types/other_procedure_information.rb +248 -0
- data/lib/candidhealth/health_care_code_information/v_1/types/other_procedure_information_code_qualifier.rb +14 -0
- data/lib/candidhealth/health_care_code_information/v_1/types/other_procedure_information_new.rb +218 -0
- data/lib/candidhealth/health_care_code_information/v_1/types/patient_reason_for_visit.rb +236 -0
- data/lib/candidhealth/health_care_code_information/v_1/types/patient_reason_for_visit_code_qualifier.rb +14 -0
- data/lib/candidhealth/health_care_code_information/v_1/types/patient_reason_for_visit_new.rb +206 -0
- data/lib/candidhealth/health_care_code_information/v_1/types/present_on_admission_indicator_code.rb +17 -0
- data/lib/candidhealth/health_care_code_information/v_1/types/principal_diagnosis.rb +245 -0
- data/lib/candidhealth/health_care_code_information/v_1/types/principal_diagnosis_code_qualifier.rb +14 -0
- data/lib/candidhealth/health_care_code_information/v_1/types/principal_diagnosis_new.rb +215 -0
- data/lib/candidhealth/health_care_code_information/v_1/types/principal_procedure_information.rb +246 -0
- data/lib/candidhealth/health_care_code_information/v_1/types/principal_procedure_information_code_qualifier.rb +15 -0
- data/lib/candidhealth/health_care_code_information/v_1/types/principal_procedure_information_new.rb +216 -0
- data/lib/candidhealth/health_care_code_information/v_1/types/rd_8_date.rb +72 -0
- data/lib/candidhealth/health_care_code_information/v_1/types/set_or_clear_admitting_diagnosis.rb +69 -0
- data/lib/candidhealth/health_care_code_information/v_1/types/set_or_clear_diagnosis_related_group.rb +69 -0
- data/lib/candidhealth/health_care_code_information/v_1/types/set_or_clear_principal_diagnosis.rb +69 -0
- data/lib/candidhealth/health_care_code_information/v_1/types/set_or_clear_principal_procedure_information.rb +71 -0
- data/lib/candidhealth/health_care_code_information/v_1/types/treatment_code_information.rb +236 -0
- data/lib/candidhealth/health_care_code_information/v_1/types/treatment_code_information_new.rb +206 -0
- data/lib/candidhealth/health_care_code_information/v_1/types/treatment_code_qualifier.rb +13 -0
- data/lib/candidhealth/health_care_code_information/v_1/types/value_code.rb +119 -0
- data/lib/candidhealth/health_care_code_information/v_1/types/value_code_qualifier.rb +13 -0
- data/lib/candidhealth/health_care_code_information/v_1/types/value_information.rb +245 -0
- data/lib/candidhealth/health_care_code_information/v_1/types/value_information_new.rb +215 -0
- data/lib/candidhealth/individual/types/patient.rb +6 -6
- data/lib/candidhealth/individual/types/patient_base.rb +6 -6
- data/lib/candidhealth/individual/types/patient_create.rb +6 -6
- data/lib/candidhealth/individual/types/patient_update.rb +6 -6
- data/lib/candidhealth/individual/types/patient_update_with_optional_address.rb +6 -6
- data/lib/candidhealth/organization_providers/v_2/types/license_type.rb +2 -0
- data/lib/candidhealth/patient_ar/client.rb +30 -0
- data/lib/candidhealth/patient_ar/v_1/client.rb +161 -0
- data/lib/candidhealth/patient_ar/v_1/types/insurance_adjustment_info.rb +60 -0
- data/lib/candidhealth/patient_ar/v_1/types/insurance_payment_info.rb +60 -0
- data/lib/candidhealth/patient_ar/v_1/types/invalid_filters_error_type.rb +60 -0
- data/lib/candidhealth/patient_ar/v_1/types/inventory_record.rb +101 -0
- data/lib/candidhealth/patient_ar/v_1/types/invoice_itemization_response.rb +103 -0
- data/lib/candidhealth/patient_ar/v_1/types/list_inventory_paged_response.rb +77 -0
- data/lib/candidhealth/patient_ar/v_1/types/non_insurance_adjustment_info.rb +60 -0
- data/lib/candidhealth/patient_ar/v_1/types/non_insurance_payment_info.rb +60 -0
- data/lib/candidhealth/patient_ar/v_1/types/patient_adjustment_info.rb +60 -0
- data/lib/candidhealth/patient_ar/v_1/types/patient_ar_status.rb +14 -0
- data/lib/candidhealth/patient_ar/v_1/types/patient_payment_allocation.rb +76 -0
- data/lib/candidhealth/patient_ar/v_1/types/patient_payment_info.rb +75 -0
- data/lib/candidhealth/patient_ar/v_1/types/service_line_itemization.rb +210 -0
- data/lib/candidhealth/payers/client.rb +7 -0
- data/lib/candidhealth/payers/v_4/client.rb +137 -0
- data/lib/candidhealth/payers/v_4/types/clearinghouse_payer_info.rb +93 -0
- data/lib/candidhealth/payers/v_4/types/payer.rb +116 -0
- data/lib/candidhealth/payers/v_4/types/payer_ids.rb +107 -0
- data/lib/candidhealth/payers/v_4/types/payer_page.rb +88 -0
- data/lib/candidhealth/payers/v_4/types/support_state.rb +15 -0
- data/lib/candidhealth/pre_encounter/coverages/v_1/client.rb +4 -4
- data/lib/candidhealth/pre_encounter/coverages/v_1/types/subscriber.rb +3 -3
- data/lib/candidhealth/pre_encounter/patients/v_1/client.rb +204 -6
- data/lib/candidhealth/pre_encounter/patients/v_1/types/guarantor.rb +3 -3
- data/lib/candidhealth/pre_encounter/patients/v_1/types/inferred_patient_metadata.rb +80 -0
- data/lib/candidhealth/pre_encounter/patients/v_1/types/mutable_patient.rb +33 -5
- data/lib/candidhealth/pre_encounter/patients/v_1/types/mutable_patient_with_mrn.rb +33 -5
- data/lib/candidhealth/pre_encounter/patients/v_1/types/origination_detail.rb +104 -0
- data/lib/candidhealth/pre_encounter/patients/v_1/types/patient.rb +32 -4
- data/lib/candidhealth/pre_encounter/patients/v_1/types/referral_source.rb +18 -0
- data/lib/candidhealth/pre_encounter/patients/v_1/types/referral_type.rb +17 -0
- data/lib/candidhealth/pre_encounter/patients/v_1/types/specialization_category.rb +42 -0
- data/lib/candidhealth/service_lines/v_2/client.rb +252 -10
- data/lib/candidhealth/service_lines/v_2/types/service_line.rb +28 -10
- data/lib/candidhealth/service_lines/v_2/types/service_line_create.rb +52 -40
- data/lib/candidhealth/service_lines/v_2/types/service_line_create_base.rb +251 -0
- data/lib/candidhealth/service_lines/v_2/types/service_line_create_base_base.rb +243 -0
- data/lib/candidhealth/service_lines/v_2/types/service_line_create_optional.rb +48 -24
- data/lib/candidhealth/service_lines/v_2/types/service_line_create_standalone.rb +58 -46
- data/lib/candidhealth/service_lines/v_2/types/service_line_create_standalone_base.rb +273 -0
- data/lib/candidhealth/service_lines/v_2/types/service_line_create_standalone_base_base.rb +265 -0
- data/lib/candidhealth/service_lines/v_2/types/service_line_update.rb +64 -54
- data/lib/candidhealth/service_lines/v_2/types/service_line_update_base.rb +263 -0
- data/lib/candidhealth/service_lines/v_2/types/universal_service_line_create.rb +271 -0
- data/lib/candidhealth/service_lines/v_2/types/universal_service_line_create_standalone.rb +317 -0
- data/lib/candidhealth/service_lines/v_2/types/universal_service_line_update.rb +307 -0
- data/lib/candidhealth/x_12/v_1/types/type_of_bill_composite.rb +2 -2
- data/lib/candidhealth/x_12/v_1/types/type_of_bill_composite_base.rb +90 -0
- data/lib/candidhealth/x_12/v_1/types/type_of_bill_composite_update.rb +112 -0
- data/lib/candidhealth.rb +21 -7
- data/lib/requests.rb +2 -2
- data/lib/types_export.rb +116 -13
- metadata +109 -2
@@ -15,17 +15,6 @@ module CandidApiClient
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module V2
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module Types
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class ServiceLineUpdate
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# @return [String]
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attr_reader :edit_reason
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# @return [Array<CandidApiClient::Commons::Types::ProcedureModifier>]
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attr_reader :modifiers
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# @return [Integer] The total amount charged for this service line, factoring in quantity. If
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# `procedure_code` is updated and this is not, the system will attempt
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# to set it based on chargemasters entries and the service line's quantity. For
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# example, if a single unit has an entry of 100 cents and 2
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# units were rendered, the `charge_amount_cents` will be set to 200, if this field
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# is unfilled.
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attr_reader :charge_amount_cents
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# @return [String]
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attr_reader :diagnosis_id_zero
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# @return [String]
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attr_reader :diagnosis_id_two
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# @return [String]
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attr_reader :diagnosis_id_three
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# @return [String]
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attr_reader :edit_reason
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# @return [Array<CandidApiClient::Commons::Types::ProcedureModifier>]
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attr_reader :modifiers
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# @return [Integer] The total amount charged for this service line, factoring in quantity. If
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# procedure_code is updated and this is not, the system will attempt to set it
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# based on chargemasters entries and the service line’s quantity. For example, if
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# a single unit has an entry of 100 cents and 2 units were rendered, the
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# charge_amount_cents will be set to 200, if there is no chargemaster entry, it
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# will default to the amount set in this field.
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attr_reader :charge_amount_cents
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# @return [CandidApiClient::ServiceLines::V2::Types::DrugIdentification]
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attr_reader :drug_identification
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# @return [CandidApiClient::ServiceLines::V2::Types::ServiceLineDenialReason]
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attr_reader :denial_reason
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# @return [CandidApiClient::Commons::Types::FacilityTypeCode] 837p Loop2300, SV105.
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#
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# @return [CandidApiClient::Commons::Types::FacilityTypeCode] 837p Loop2300, SV105. This enum is not used or required in 837i claims. If your
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# organization does not intend to submit claims with a different place of service
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# at the service line level, this field should not be populated. 02 for
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# telemedicine, 11 for in-person. Full list
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# //www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set).
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attr_reader :place_of_service_code
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# @return [CandidApiClient::Commons::Types::ServiceLineUnits]
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# `charge_amount_cents` will be set by the system.
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attr_reader :procedure_code
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# @return [String] String representation of a Decimal that can be parsed by most libraries.
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#
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#
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# For professional claims, a ServiceLine quantity cannot contain more than one
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# digit of precision
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# (Example: 1.1 is valid, 1.11 is not). For institutional claims, a ServiceLine
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# quantity cannot contain
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# more than three decimal digits of precision.
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attr_reader :quantity
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# @return [String] A free-form description to clarify the related data elements and their content.
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# Maps to SV1-01, C003-07 on
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# Maps to SV1-01, C003-07 on a 837-P and SV2-02, C003-07 on a 837-I form.
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attr_reader :description
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# @return [Date] date_of_service must be defined on either the encounter or the service lines but
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# not both.
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attr_reader :end_date_of_service
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# @return [Array<CandidApiClient::ServiceLines::V2::Types::TestResult>] Contains a list of test results. Test result types may map to MEA-02 on the
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# 837-P (ex: Hemoglobin, Hematocrit).
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# This is unused by 837-i and ignored for institutional service lines.
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# No more than 5 MEA-02 test results may be submitted per service line.
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# Updating test results utilizes PUT semantics, so the test results on the service
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# line will be set to whatever inputs are provided.
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attr_reader :test_results
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# @return [Boolean] Maps to SV1-
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# @return [Boolean] Maps to SV1-12 on the 837-P and Box 24I on the CMS-1500. If the value is true,
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# the box will be populated with “Y”. Otherwise, the box will not be populated.
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# This box is not used on an 837i.
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attr_reader :has_epsdt_indicator
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# @return [Boolean] Maps to SV1-12 on the 837-P and Box 24I on the CMS-1500.
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# If the value is true, the box will be populated with "Y". Otherwise, the box
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OMIT = Object.new
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# @param edit_reason [String]
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# @param modifiers [Array<CandidApiClient::Commons::Types::ProcedureModifier>]
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# @param charge_amount_cents [Integer] The total amount charged for this service line, factoring in quantity. If
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# `procedure_code` is updated and this is not, the system will attempt
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# to set it based on chargemasters entries and the service line's quantity. For
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# example, if a single unit has an entry of 100 cents and 2
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# units were rendered, the `charge_amount_cents` will be set to 200, if this field
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# @param diagnosis_id_zero [String]
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# @param diagnosis_id_one [String]
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# @param diagnosis_id_two [String]
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# @param diagnosis_id_three [String]
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# @param edit_reason [String]
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# @param modifiers [Array<CandidApiClient::Commons::Types::ProcedureModifier>]
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# @param charge_amount_cents [Integer] The total amount charged for this service line, factoring in quantity. If
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# procedure_code is updated and this is not, the system will attempt to set it
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# based on chargemasters entries and the service line’s quantity. For example, if
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# a single unit has an entry of 100 cents and 2 units were rendered, the
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# charge_amount_cents will be set to 200, if there is no chargemaster entry, it
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# will default to the amount set in this field.
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# @param drug_identification [CandidApiClient::ServiceLines::V2::Types::DrugIdentification]
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# @param denial_reason [CandidApiClient::ServiceLines::V2::Types::ServiceLineDenialReason]
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# @param place_of_service_code [CandidApiClient::Commons::Types::FacilityTypeCode] 837p Loop2300, SV105.
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#
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#
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# @param place_of_service_code [CandidApiClient::Commons::Types::FacilityTypeCode] 837p Loop2300, SV105. This enum is not used or required in 837i claims. If your
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# organization does not intend to submit claims with a different place of service
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# at the service line level, this field should not be populated. 02 for
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# telemedicine, 11 for in-person. Full list
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# //www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set).
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# @param units [CandidApiClient::Commons::Types::ServiceLineUnits]
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# @param procedure_code [String] If `procedure_code` is updated, and `charge_amount_cents` is not, then
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# `charge_amount_cents` will be set by the system.
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#
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#
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# For professional claims, a ServiceLine quantity cannot contain more than one
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# digit of precision
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# (Example: 1.1 is valid, 1.11 is not). For institutional claims, a ServiceLine
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# quantity cannot contain
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# more than three decimal digits of precision.
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# @param description [String] A free-form description to clarify the related data elements and their content.
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# Maps to SV1-01, C003-07 on
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# Maps to SV1-01, C003-07 on a 837-P and SV2-02, C003-07 on a 837-I form.
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# not both.
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# @param end_date_of_service [Date]
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# @param test_results [Array<CandidApiClient::ServiceLines::V2::Types::TestResult>] Contains a list of test results. Test result types may map to MEA-02 on the
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# 837-P (ex: Hemoglobin, Hematocrit).
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# This is unused by 837-i and ignored for institutional service lines.
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# No more than 5 MEA-02 test results may be submitted per service line.
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# @param has_epsdt_indicator [Boolean] Maps to SV1-
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#
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#
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# @param has_epsdt_indicator [Boolean] Maps to SV1-12 on the 837-P and Box 24I on the CMS-1500. If the value is true,
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# the box will be populated with “Y”. Otherwise, the box will not be populated.
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# This box is not used on an 837i.
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# @param has_family_planning_indicator [Boolean] Maps to SV1-12 on the 837-P and Box 24I on the CMS-1500.
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# If the value is true, the box will be populated with "Y". Otherwise, the box
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# will not be populated.
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# @param note [String] Maps to NTE02 loop 2400 on the EDI 837.
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def initialize(
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@edit_reason = edit_reason if edit_reason != OMIT
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@modifiers = modifiers if modifiers != OMIT
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@charge_amount_cents = charge_amount_cents if charge_amount_cents != OMIT
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def initialize(diagnosis_id_zero: OMIT, diagnosis_id_one: OMIT, diagnosis_id_two: OMIT,
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diagnosis_id_three: OMIT, edit_reason: OMIT, modifiers: OMIT, charge_amount_cents: OMIT, drug_identification: OMIT, denial_reason: OMIT, place_of_service_code: OMIT, units: OMIT, procedure_code: OMIT, quantity: OMIT, description: OMIT, date_of_service: OMIT, end_date_of_service: OMIT, test_results: OMIT, has_epsdt_indicator: OMIT, has_family_planning_indicator: OMIT, note: OMIT, additional_properties: nil)
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@diagnosis_id_zero = diagnosis_id_zero if diagnosis_id_zero != OMIT
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@diagnosis_id_one = diagnosis_id_one if diagnosis_id_one != OMIT
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@diagnosis_id_two = diagnosis_id_two if diagnosis_id_two != OMIT
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@diagnosis_id_three = diagnosis_id_three if diagnosis_id_three != OMIT
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@edit_reason = edit_reason if edit_reason != OMIT
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@modifiers = modifiers if modifiers != OMIT
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@charge_amount_cents = charge_amount_cents if charge_amount_cents != OMIT
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@drug_identification = drug_identification if drug_identification != OMIT
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@denial_reason = denial_reason if denial_reason != OMIT
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@place_of_service_code = place_of_service_code if place_of_service_code != OMIT
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@@ -151,13 +161,13 @@ module CandidApiClient
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@note = note if note != OMIT
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"edit_reason": edit_reason,
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"modifiers": modifiers,
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"charge_amount_cents": charge_amount_cents,
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"diagnosis_id_zero": diagnosis_id_zero,
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"diagnosis_id_one": diagnosis_id_one,
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"diagnosis_id_two": diagnosis_id_two,
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"diagnosis_id_three": diagnosis_id_three,
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"edit_reason": edit_reason,
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"modifiers": modifiers,
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"charge_amount_cents": charge_amount_cents,
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"drug_identification": drug_identification,
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"denial_reason": denial_reason,
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"place_of_service_code": place_of_service_code,
|
@@ -183,13 +193,13 @@ module CandidApiClient
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def self.from_json(json_object:)
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struct = JSON.parse(json_object, object_class: OpenStruct)
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parsed_json = JSON.parse(json_object)
|
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edit_reason = struct["edit_reason"]
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modifiers = struct["modifiers"]
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charge_amount_cents = struct["charge_amount_cents"]
|
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diagnosis_id_zero = struct["diagnosis_id_zero"]
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diagnosis_id_one = struct["diagnosis_id_one"]
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diagnosis_id_two = struct["diagnosis_id_two"]
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|
diagnosis_id_three = struct["diagnosis_id_three"]
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+
edit_reason = struct["edit_reason"]
|
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modifiers = struct["modifiers"]
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charge_amount_cents = struct["charge_amount_cents"]
|
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|
if parsed_json["drug_identification"].nil?
|
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|
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205
|
else
|
@@ -219,13 +229,13 @@ module CandidApiClient
|
|
219
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|
has_family_planning_indicator = struct["has_family_planning_indicator"]
|
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note = struct["note"]
|
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231
|
new(
|
222
|
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edit_reason: edit_reason,
|
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|
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modifiers: modifiers,
|
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|
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charge_amount_cents: charge_amount_cents,
|
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|
diagnosis_id_zero: diagnosis_id_zero,
|
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diagnosis_id_one: diagnosis_id_one,
|
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234
|
diagnosis_id_two: diagnosis_id_two,
|
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235
|
diagnosis_id_three: diagnosis_id_three,
|
236
|
+
edit_reason: edit_reason,
|
237
|
+
modifiers: modifiers,
|
238
|
+
charge_amount_cents: charge_amount_cents,
|
229
239
|
drug_identification: drug_identification,
|
230
240
|
denial_reason: denial_reason,
|
231
241
|
place_of_service_code: place_of_service_code,
|
@@ -257,13 +267,13 @@ module CandidApiClient
|
|
257
267
|
# @param obj [Object]
|
258
268
|
# @return [Void]
|
259
269
|
def self.validate_raw(obj:)
|
260
|
-
obj.edit_reason&.is_a?(String) != false || raise("Passed value for field obj.edit_reason is not the expected type, validation failed.")
|
261
|
-
obj.modifiers&.is_a?(Array) != false || raise("Passed value for field obj.modifiers is not the expected type, validation failed.")
|
262
|
-
obj.charge_amount_cents&.is_a?(Integer) != false || raise("Passed value for field obj.charge_amount_cents is not the expected type, validation failed.")
|
263
270
|
obj.diagnosis_id_zero&.is_a?(String) != false || raise("Passed value for field obj.diagnosis_id_zero is not the expected type, validation failed.")
|
264
271
|
obj.diagnosis_id_one&.is_a?(String) != false || raise("Passed value for field obj.diagnosis_id_one is not the expected type, validation failed.")
|
265
272
|
obj.diagnosis_id_two&.is_a?(String) != false || raise("Passed value for field obj.diagnosis_id_two is not the expected type, validation failed.")
|
266
273
|
obj.diagnosis_id_three&.is_a?(String) != false || raise("Passed value for field obj.diagnosis_id_three is not the expected type, validation failed.")
|
274
|
+
obj.edit_reason&.is_a?(String) != false || raise("Passed value for field obj.edit_reason is not the expected type, validation failed.")
|
275
|
+
obj.modifiers&.is_a?(Array) != false || raise("Passed value for field obj.modifiers is not the expected type, validation failed.")
|
276
|
+
obj.charge_amount_cents&.is_a?(Integer) != false || raise("Passed value for field obj.charge_amount_cents is not the expected type, validation failed.")
|
267
277
|
obj.drug_identification.nil? || CandidApiClient::ServiceLines::V2::Types::DrugIdentification.validate_raw(obj: obj.drug_identification)
|
268
278
|
obj.denial_reason.nil? || CandidApiClient::ServiceLines::V2::Types::ServiceLineDenialReason.validate_raw(obj: obj.denial_reason)
|
269
279
|
obj.place_of_service_code&.is_a?(CandidApiClient::Commons::Types::FacilityTypeCode) != false || raise("Passed value for field obj.place_of_service_code is not the expected type, validation failed.")
|
@@ -0,0 +1,263 @@
|
|
1
|
+
# frozen_string_literal: true
|
2
|
+
|
3
|
+
require_relative "../../../commons/types/procedure_modifier"
|
4
|
+
require_relative "drug_identification"
|
5
|
+
require_relative "service_line_denial_reason"
|
6
|
+
require_relative "../../../commons/types/facility_type_code"
|
7
|
+
require_relative "../../../commons/types/service_line_units"
|
8
|
+
require "date"
|
9
|
+
require_relative "test_result"
|
10
|
+
require "ostruct"
|
11
|
+
require "json"
|
12
|
+
|
13
|
+
module CandidApiClient
|
14
|
+
module ServiceLines
|
15
|
+
module V2
|
16
|
+
module Types
|
17
|
+
class ServiceLineUpdateBase
|
18
|
+
# @return [String]
|
19
|
+
attr_reader :edit_reason
|
20
|
+
# @return [Array<CandidApiClient::Commons::Types::ProcedureModifier>]
|
21
|
+
attr_reader :modifiers
|
22
|
+
# @return [Integer] The total amount charged for this service line, factoring in quantity. If
|
23
|
+
# procedure_code is updated and this is not, the system will attempt to set it
|
24
|
+
# based on chargemasters entries and the service line’s quantity. For example, if
|
25
|
+
# a single unit has an entry of 100 cents and 2 units were rendered, the
|
26
|
+
# charge_amount_cents will be set to 200, if there is no chargemaster entry, it
|
27
|
+
# will default to the amount set in this field.
|
28
|
+
attr_reader :charge_amount_cents
|
29
|
+
# @return [CandidApiClient::ServiceLines::V2::Types::DrugIdentification]
|
30
|
+
attr_reader :drug_identification
|
31
|
+
# @return [CandidApiClient::ServiceLines::V2::Types::ServiceLineDenialReason]
|
32
|
+
attr_reader :denial_reason
|
33
|
+
# @return [CandidApiClient::Commons::Types::FacilityTypeCode] 837p Loop2300, SV105. This enum is not used or required in 837i claims. If your
|
34
|
+
# organization does not intend to submit claims with a different place of service
|
35
|
+
# at the service line level, this field should not be populated. 02 for
|
36
|
+
# telemedicine, 11 for in-person. Full list
|
37
|
+
# //www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set).
|
38
|
+
attr_reader :place_of_service_code
|
39
|
+
# @return [CandidApiClient::Commons::Types::ServiceLineUnits]
|
40
|
+
attr_reader :units
|
41
|
+
# @return [String] If `procedure_code` is updated, and `charge_amount_cents` is not, then
|
42
|
+
# `charge_amount_cents` will be set by the system.
|
43
|
+
attr_reader :procedure_code
|
44
|
+
# @return [String] String representation of a Decimal that can be parsed by most libraries.
|
45
|
+
# For professional claims, a ServiceLine quantity cannot contain more than one
|
46
|
+
# digit of precision
|
47
|
+
# (Example: 1.1 is valid, 1.11 is not). For institutional claims, a ServiceLine
|
48
|
+
# quantity cannot contain
|
49
|
+
# more than three decimal digits of precision.
|
50
|
+
attr_reader :quantity
|
51
|
+
# @return [String] A free-form description to clarify the related data elements and their content.
|
52
|
+
# Maps to SV1-01, C003-07 on a 837-P and SV2-02, C003-07 on a 837-I form.
|
53
|
+
attr_reader :description
|
54
|
+
# @return [Date] date_of_service must be defined on either the encounter or the service lines but
|
55
|
+
# not both.
|
56
|
+
attr_reader :date_of_service
|
57
|
+
# @return [Date]
|
58
|
+
attr_reader :end_date_of_service
|
59
|
+
# @return [Array<CandidApiClient::ServiceLines::V2::Types::TestResult>] Contains a list of test results. Test result types may map to MEA-02 on the
|
60
|
+
# 837-P (ex: Hemoglobin, Hematocrit).
|
61
|
+
# This is unused by 837-i and ignored for institutional service lines.
|
62
|
+
# No more than 5 MEA-02 test results may be submitted per service line.
|
63
|
+
# Updating test results utilizes PUT semantics, so the test results on the service
|
64
|
+
# line will be set to whatever inputs are provided.
|
65
|
+
attr_reader :test_results
|
66
|
+
# @return [Boolean] Maps to SV1-12 on the 837-P and Box 24I on the CMS-1500. If the value is true,
|
67
|
+
# the box will be populated with “Y”. Otherwise, the box will not be populated.
|
68
|
+
# This box is not used on an 837i.
|
69
|
+
attr_reader :has_epsdt_indicator
|
70
|
+
# @return [Boolean] Maps to SV1-12 on the 837-P and Box 24I on the CMS-1500.
|
71
|
+
# If the value is true, the box will be populated with "Y". Otherwise, the box
|
72
|
+
# will not be populated.
|
73
|
+
attr_reader :has_family_planning_indicator
|
74
|
+
# @return [String] Maps to NTE02 loop 2400 on the EDI 837.
|
75
|
+
attr_reader :note
|
76
|
+
# @return [OpenStruct] Additional properties unmapped to the current class definition
|
77
|
+
attr_reader :additional_properties
|
78
|
+
# @return [Object]
|
79
|
+
attr_reader :_field_set
|
80
|
+
protected :_field_set
|
81
|
+
|
82
|
+
OMIT = Object.new
|
83
|
+
|
84
|
+
# @param edit_reason [String]
|
85
|
+
# @param modifiers [Array<CandidApiClient::Commons::Types::ProcedureModifier>]
|
86
|
+
# @param charge_amount_cents [Integer] The total amount charged for this service line, factoring in quantity. If
|
87
|
+
# procedure_code is updated and this is not, the system will attempt to set it
|
88
|
+
# based on chargemasters entries and the service line’s quantity. For example, if
|
89
|
+
# a single unit has an entry of 100 cents and 2 units were rendered, the
|
90
|
+
# charge_amount_cents will be set to 200, if there is no chargemaster entry, it
|
91
|
+
# will default to the amount set in this field.
|
92
|
+
# @param drug_identification [CandidApiClient::ServiceLines::V2::Types::DrugIdentification]
|
93
|
+
# @param denial_reason [CandidApiClient::ServiceLines::V2::Types::ServiceLineDenialReason]
|
94
|
+
# @param place_of_service_code [CandidApiClient::Commons::Types::FacilityTypeCode] 837p Loop2300, SV105. This enum is not used or required in 837i claims. If your
|
95
|
+
# organization does not intend to submit claims with a different place of service
|
96
|
+
# at the service line level, this field should not be populated. 02 for
|
97
|
+
# telemedicine, 11 for in-person. Full list
|
98
|
+
# //www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set).
|
99
|
+
# @param units [CandidApiClient::Commons::Types::ServiceLineUnits]
|
100
|
+
# @param procedure_code [String] If `procedure_code` is updated, and `charge_amount_cents` is not, then
|
101
|
+
# `charge_amount_cents` will be set by the system.
|
102
|
+
# @param quantity [String] String representation of a Decimal that can be parsed by most libraries.
|
103
|
+
# For professional claims, a ServiceLine quantity cannot contain more than one
|
104
|
+
# digit of precision
|
105
|
+
# (Example: 1.1 is valid, 1.11 is not). For institutional claims, a ServiceLine
|
106
|
+
# quantity cannot contain
|
107
|
+
# more than three decimal digits of precision.
|
108
|
+
# @param description [String] A free-form description to clarify the related data elements and their content.
|
109
|
+
# Maps to SV1-01, C003-07 on a 837-P and SV2-02, C003-07 on a 837-I form.
|
110
|
+
# @param date_of_service [Date] date_of_service must be defined on either the encounter or the service lines but
|
111
|
+
# not both.
|
112
|
+
# @param end_date_of_service [Date]
|
113
|
+
# @param test_results [Array<CandidApiClient::ServiceLines::V2::Types::TestResult>] Contains a list of test results. Test result types may map to MEA-02 on the
|
114
|
+
# 837-P (ex: Hemoglobin, Hematocrit).
|
115
|
+
# This is unused by 837-i and ignored for institutional service lines.
|
116
|
+
# No more than 5 MEA-02 test results may be submitted per service line.
|
117
|
+
# Updating test results utilizes PUT semantics, so the test results on the service
|
118
|
+
# line will be set to whatever inputs are provided.
|
119
|
+
# @param has_epsdt_indicator [Boolean] Maps to SV1-12 on the 837-P and Box 24I on the CMS-1500. If the value is true,
|
120
|
+
# the box will be populated with “Y”. Otherwise, the box will not be populated.
|
121
|
+
# This box is not used on an 837i.
|
122
|
+
# @param has_family_planning_indicator [Boolean] Maps to SV1-12 on the 837-P and Box 24I on the CMS-1500.
|
123
|
+
# If the value is true, the box will be populated with "Y". Otherwise, the box
|
124
|
+
# will not be populated.
|
125
|
+
# @param note [String] Maps to NTE02 loop 2400 on the EDI 837.
|
126
|
+
# @param additional_properties [OpenStruct] Additional properties unmapped to the current class definition
|
127
|
+
# @return [CandidApiClient::ServiceLines::V2::Types::ServiceLineUpdateBase]
|
128
|
+
def initialize(edit_reason: OMIT, modifiers: OMIT, charge_amount_cents: OMIT, drug_identification: OMIT,
|
129
|
+
denial_reason: OMIT, place_of_service_code: OMIT, units: OMIT, procedure_code: OMIT, quantity: OMIT, description: OMIT, date_of_service: OMIT, end_date_of_service: OMIT, test_results: OMIT, has_epsdt_indicator: OMIT, has_family_planning_indicator: OMIT, note: OMIT, additional_properties: nil)
|
130
|
+
@edit_reason = edit_reason if edit_reason != OMIT
|
131
|
+
@modifiers = modifiers if modifiers != OMIT
|
132
|
+
@charge_amount_cents = charge_amount_cents if charge_amount_cents != OMIT
|
133
|
+
@drug_identification = drug_identification if drug_identification != OMIT
|
134
|
+
@denial_reason = denial_reason if denial_reason != OMIT
|
135
|
+
@place_of_service_code = place_of_service_code if place_of_service_code != OMIT
|
136
|
+
@units = units if units != OMIT
|
137
|
+
@procedure_code = procedure_code if procedure_code != OMIT
|
138
|
+
@quantity = quantity if quantity != OMIT
|
139
|
+
@description = description if description != OMIT
|
140
|
+
@date_of_service = date_of_service if date_of_service != OMIT
|
141
|
+
@end_date_of_service = end_date_of_service if end_date_of_service != OMIT
|
142
|
+
@test_results = test_results if test_results != OMIT
|
143
|
+
@has_epsdt_indicator = has_epsdt_indicator if has_epsdt_indicator != OMIT
|
144
|
+
@has_family_planning_indicator = has_family_planning_indicator if has_family_planning_indicator != OMIT
|
145
|
+
@note = note if note != OMIT
|
146
|
+
@additional_properties = additional_properties
|
147
|
+
@_field_set = {
|
148
|
+
"edit_reason": edit_reason,
|
149
|
+
"modifiers": modifiers,
|
150
|
+
"charge_amount_cents": charge_amount_cents,
|
151
|
+
"drug_identification": drug_identification,
|
152
|
+
"denial_reason": denial_reason,
|
153
|
+
"place_of_service_code": place_of_service_code,
|
154
|
+
"units": units,
|
155
|
+
"procedure_code": procedure_code,
|
156
|
+
"quantity": quantity,
|
157
|
+
"description": description,
|
158
|
+
"date_of_service": date_of_service,
|
159
|
+
"end_date_of_service": end_date_of_service,
|
160
|
+
"test_results": test_results,
|
161
|
+
"has_epsdt_indicator": has_epsdt_indicator,
|
162
|
+
"has_family_planning_indicator": has_family_planning_indicator,
|
163
|
+
"note": note
|
164
|
+
}.reject do |_k, v|
|
165
|
+
v == OMIT
|
166
|
+
end
|
167
|
+
end
|
168
|
+
|
169
|
+
# Deserialize a JSON object to an instance of ServiceLineUpdateBase
|
170
|
+
#
|
171
|
+
# @param json_object [String]
|
172
|
+
# @return [CandidApiClient::ServiceLines::V2::Types::ServiceLineUpdateBase]
|
173
|
+
def self.from_json(json_object:)
|
174
|
+
struct = JSON.parse(json_object, object_class: OpenStruct)
|
175
|
+
parsed_json = JSON.parse(json_object)
|
176
|
+
edit_reason = struct["edit_reason"]
|
177
|
+
modifiers = struct["modifiers"]
|
178
|
+
charge_amount_cents = struct["charge_amount_cents"]
|
179
|
+
if parsed_json["drug_identification"].nil?
|
180
|
+
drug_identification = nil
|
181
|
+
else
|
182
|
+
drug_identification = parsed_json["drug_identification"].to_json
|
183
|
+
drug_identification = CandidApiClient::ServiceLines::V2::Types::DrugIdentification.from_json(json_object: drug_identification)
|
184
|
+
end
|
185
|
+
if parsed_json["denial_reason"].nil?
|
186
|
+
denial_reason = nil
|
187
|
+
else
|
188
|
+
denial_reason = parsed_json["denial_reason"].to_json
|
189
|
+
denial_reason = CandidApiClient::ServiceLines::V2::Types::ServiceLineDenialReason.from_json(json_object: denial_reason)
|
190
|
+
end
|
191
|
+
place_of_service_code = struct["place_of_service_code"]
|
192
|
+
units = struct["units"]
|
193
|
+
procedure_code = struct["procedure_code"]
|
194
|
+
quantity = struct["quantity"]
|
195
|
+
description = struct["description"]
|
196
|
+
date_of_service = (Date.parse(parsed_json["date_of_service"]) unless parsed_json["date_of_service"].nil?)
|
197
|
+
end_date_of_service = unless parsed_json["end_date_of_service"].nil?
|
198
|
+
Date.parse(parsed_json["end_date_of_service"])
|
199
|
+
end
|
200
|
+
test_results = parsed_json["test_results"]&.map do |item|
|
201
|
+
item = item.to_json
|
202
|
+
CandidApiClient::ServiceLines::V2::Types::TestResult.from_json(json_object: item)
|
203
|
+
end
|
204
|
+
has_epsdt_indicator = struct["has_epsdt_indicator"]
|
205
|
+
has_family_planning_indicator = struct["has_family_planning_indicator"]
|
206
|
+
note = struct["note"]
|
207
|
+
new(
|
208
|
+
edit_reason: edit_reason,
|
209
|
+
modifiers: modifiers,
|
210
|
+
charge_amount_cents: charge_amount_cents,
|
211
|
+
drug_identification: drug_identification,
|
212
|
+
denial_reason: denial_reason,
|
213
|
+
place_of_service_code: place_of_service_code,
|
214
|
+
units: units,
|
215
|
+
procedure_code: procedure_code,
|
216
|
+
quantity: quantity,
|
217
|
+
description: description,
|
218
|
+
date_of_service: date_of_service,
|
219
|
+
end_date_of_service: end_date_of_service,
|
220
|
+
test_results: test_results,
|
221
|
+
has_epsdt_indicator: has_epsdt_indicator,
|
222
|
+
has_family_planning_indicator: has_family_planning_indicator,
|
223
|
+
note: note,
|
224
|
+
additional_properties: struct
|
225
|
+
)
|
226
|
+
end
|
227
|
+
|
228
|
+
# Serialize an instance of ServiceLineUpdateBase to a JSON object
|
229
|
+
#
|
230
|
+
# @return [String]
|
231
|
+
def to_json(*_args)
|
232
|
+
@_field_set&.to_json
|
233
|
+
end
|
234
|
+
|
235
|
+
# Leveraged for Union-type generation, validate_raw attempts to parse the given
|
236
|
+
# hash and check each fields type against the current object's property
|
237
|
+
# definitions.
|
238
|
+
#
|
239
|
+
# @param obj [Object]
|
240
|
+
# @return [Void]
|
241
|
+
def self.validate_raw(obj:)
|
242
|
+
obj.edit_reason&.is_a?(String) != false || raise("Passed value for field obj.edit_reason is not the expected type, validation failed.")
|
243
|
+
obj.modifiers&.is_a?(Array) != false || raise("Passed value for field obj.modifiers is not the expected type, validation failed.")
|
244
|
+
obj.charge_amount_cents&.is_a?(Integer) != false || raise("Passed value for field obj.charge_amount_cents is not the expected type, validation failed.")
|
245
|
+
obj.drug_identification.nil? || CandidApiClient::ServiceLines::V2::Types::DrugIdentification.validate_raw(obj: obj.drug_identification)
|
246
|
+
obj.denial_reason.nil? || CandidApiClient::ServiceLines::V2::Types::ServiceLineDenialReason.validate_raw(obj: obj.denial_reason)
|
247
|
+
obj.place_of_service_code&.is_a?(CandidApiClient::Commons::Types::FacilityTypeCode) != false || raise("Passed value for field obj.place_of_service_code is not the expected type, validation failed.")
|
248
|
+
obj.units&.is_a?(CandidApiClient::Commons::Types::ServiceLineUnits) != false || raise("Passed value for field obj.units is not the expected type, validation failed.")
|
249
|
+
obj.procedure_code&.is_a?(String) != false || raise("Passed value for field obj.procedure_code is not the expected type, validation failed.")
|
250
|
+
obj.quantity&.is_a?(String) != false || raise("Passed value for field obj.quantity is not the expected type, validation failed.")
|
251
|
+
obj.description&.is_a?(String) != false || raise("Passed value for field obj.description is not the expected type, validation failed.")
|
252
|
+
obj.date_of_service&.is_a?(Date) != false || raise("Passed value for field obj.date_of_service is not the expected type, validation failed.")
|
253
|
+
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.")
|
254
|
+
obj.test_results&.is_a?(Array) != false || raise("Passed value for field obj.test_results is not the expected type, validation failed.")
|
255
|
+
obj.has_epsdt_indicator&.is_a?(Boolean) != false || raise("Passed value for field obj.has_epsdt_indicator is not the expected type, validation failed.")
|
256
|
+
obj.has_family_planning_indicator&.is_a?(Boolean) != false || raise("Passed value for field obj.has_family_planning_indicator is not the expected type, validation failed.")
|
257
|
+
obj.note&.is_a?(String) != false || raise("Passed value for field obj.note is not the expected type, validation failed.")
|
258
|
+
end
|
259
|
+
end
|
260
|
+
end
|
261
|
+
end
|
262
|
+
end
|
263
|
+
end
|