candidhealth 1.6.0 → 1.8.0

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Files changed (151) hide show
  1. checksums.yaml +4 -4
  2. data/lib/candidhealth/auth/default/client.rb +74 -0
  3. data/lib/candidhealth/charge_capture/v_1/client.rb +48 -48
  4. data/lib/candidhealth/charge_capture/v_1/types/charge_capture_data.rb +70 -56
  5. data/lib/candidhealth/commons/types/clearinghouse.rb +18 -0
  6. data/lib/candidhealth/commons/types/procedure_modifier.rb +11 -0
  7. data/lib/candidhealth/credentialing/v_2/client.rb +342 -8
  8. data/lib/candidhealth/credentialing/v_2/types/base_credentialing_span.rb +143 -0
  9. data/lib/candidhealth/credentialing/v_2/types/facility_credentialing_span.rb +165 -0
  10. data/lib/candidhealth/credentialing/v_2/types/facility_credentialing_span_page.rb +88 -0
  11. data/lib/candidhealth/credentialing/v_2/types/provider_credentialing_span.rb +34 -34
  12. data/lib/candidhealth/encounter_providers/v_2/types/billing_provider.rb +1 -1
  13. data/lib/candidhealth/encounter_providers/v_2/types/billing_provider_update.rb +1 -1
  14. data/lib/candidhealth/encounter_providers/v_2/types/billing_provider_update_with_optional_address.rb +1 -1
  15. data/lib/candidhealth/encounters/v_4/client.rb +3253 -2040
  16. data/lib/candidhealth/encounters/v_4/types/encounter.rb +111 -86
  17. data/lib/candidhealth/encounters/v_4/types/encounter_base.rb +39 -33
  18. data/lib/candidhealth/encounters/v_4/types/encounter_create.rb +796 -0
  19. data/lib/candidhealth/encounters/v_4/types/encounter_create_from_pre_encounter.rb +131 -117
  20. data/lib/candidhealth/encounters/v_4/types/encounter_deep_optional.rb +70 -56
  21. data/lib/candidhealth/encounters/v_4/types/encounter_optional.rb +29 -39
  22. data/lib/candidhealth/encounters/v_4/types/encounter_rendering_or_attending_provider_required_error.rb +55 -0
  23. data/lib/candidhealth/encounters/v_4/types/encounter_update.rb +736 -0
  24. data/lib/candidhealth/encounters_universal/types/universal_encounter_create.rb +944 -0
  25. data/lib/candidhealth/encounters_universal/types/universal_encounter_create_base.rb +691 -0
  26. data/lib/candidhealth/encounters_universal/types/universal_encounter_create_from_pre_encounter.rb +791 -0
  27. data/lib/candidhealth/encounters_universal/types/universal_encounter_create_from_pre_encounter_base.rb +572 -0
  28. data/lib/candidhealth/encounters_universal/types/universal_encounter_update.rb +872 -0
  29. data/lib/candidhealth/encounters_universal/types/universal_encounter_update_base.rb +700 -0
  30. data/lib/candidhealth/fee_schedules/v_3/client.rb +57 -0
  31. data/lib/candidhealth/fee_schedules/v_3/types/validation_error.rb +12 -0
  32. data/lib/candidhealth/financials/types/patient_transaction_source.rb +1 -0
  33. data/lib/candidhealth/health_care_code_information/client.rb +30 -0
  34. data/lib/candidhealth/health_care_code_information/v_1/client.rb +268 -0
  35. data/lib/candidhealth/health_care_code_information/v_1/types/admitting_diagnosis.rb +236 -0
  36. data/lib/candidhealth/health_care_code_information/v_1/types/admitting_diagnosis_code_qualifier.rb +14 -0
  37. data/lib/candidhealth/health_care_code_information/v_1/types/admitting_diagnosis_new.rb +206 -0
  38. data/lib/candidhealth/health_care_code_information/v_1/types/code_list_qualifier_code.rb +1068 -0
  39. data/lib/candidhealth/health_care_code_information/v_1/types/condition_code.rb +71 -0
  40. data/lib/candidhealth/health_care_code_information/v_1/types/condition_information.rb +237 -0
  41. data/lib/candidhealth/health_care_code_information/v_1/types/condition_information_code_qualifier.rb +13 -0
  42. data/lib/candidhealth/health_care_code_information/v_1/types/condition_information_new.rb +207 -0
  43. data/lib/candidhealth/health_care_code_information/v_1/types/date_time_period_format_qualifier.rb +54 -0
  44. data/lib/candidhealth/health_care_code_information/v_1/types/diagnosis_related_group.rb +236 -0
  45. data/lib/candidhealth/health_care_code_information/v_1/types/diagnosis_related_group_code_qualifier.rb +13 -0
  46. data/lib/candidhealth/health_care_code_information/v_1/types/diagnosis_related_group_new.rb +206 -0
  47. data/lib/candidhealth/health_care_code_information/v_1/types/external_cause_of_injury.rb +245 -0
  48. data/lib/candidhealth/health_care_code_information/v_1/types/external_cause_of_injury_code_qualifier.rb +14 -0
  49. data/lib/candidhealth/health_care_code_information/v_1/types/external_cause_of_injury_new.rb +245 -0
  50. data/lib/candidhealth/health_care_code_information/v_1/types/health_care_code_information.rb +218 -0
  51. data/lib/candidhealth/health_care_code_information/v_1/types/health_care_code_information_create.rb +225 -0
  52. data/lib/candidhealth/health_care_code_information/v_1/types/health_care_code_information_get_all_response.rb +227 -0
  53. data/lib/candidhealth/health_care_code_information/v_1/types/health_care_code_information_new.rb +188 -0
  54. data/lib/candidhealth/health_care_code_information/v_1/types/health_care_code_information_update.rb +225 -0
  55. data/lib/candidhealth/health_care_code_information/v_1/types/occurrence_code.rb +71 -0
  56. data/lib/candidhealth/health_care_code_information/v_1/types/occurrence_information.rb +249 -0
  57. data/lib/candidhealth/health_care_code_information/v_1/types/occurrence_information_code_qualifier.rb +13 -0
  58. data/lib/candidhealth/health_care_code_information/v_1/types/occurrence_information_new.rb +219 -0
  59. data/lib/candidhealth/health_care_code_information/v_1/types/occurrence_span_code.rb +25 -0
  60. data/lib/candidhealth/health_care_code_information/v_1/types/occurrence_span_code_qualifier.rb +13 -0
  61. data/lib/candidhealth/health_care_code_information/v_1/types/occurrence_span_information.rb +252 -0
  62. data/lib/candidhealth/health_care_code_information/v_1/types/occurrence_span_information_new.rb +222 -0
  63. data/lib/candidhealth/health_care_code_information/v_1/types/other_diagnosis_information.rb +245 -0
  64. data/lib/candidhealth/health_care_code_information/v_1/types/other_diagnosis_information_code_qualifier.rb +14 -0
  65. data/lib/candidhealth/health_care_code_information/v_1/types/other_diagnosis_information_new.rb +215 -0
  66. data/lib/candidhealth/health_care_code_information/v_1/types/other_procedure_information.rb +248 -0
  67. data/lib/candidhealth/health_care_code_information/v_1/types/other_procedure_information_code_qualifier.rb +14 -0
  68. data/lib/candidhealth/health_care_code_information/v_1/types/other_procedure_information_new.rb +218 -0
  69. data/lib/candidhealth/health_care_code_information/v_1/types/patient_reason_for_visit.rb +236 -0
  70. data/lib/candidhealth/health_care_code_information/v_1/types/patient_reason_for_visit_code_qualifier.rb +14 -0
  71. data/lib/candidhealth/health_care_code_information/v_1/types/patient_reason_for_visit_new.rb +206 -0
  72. data/lib/candidhealth/health_care_code_information/v_1/types/present_on_admission_indicator_code.rb +17 -0
  73. data/lib/candidhealth/health_care_code_information/v_1/types/principal_diagnosis.rb +245 -0
  74. data/lib/candidhealth/health_care_code_information/v_1/types/principal_diagnosis_code_qualifier.rb +14 -0
  75. data/lib/candidhealth/health_care_code_information/v_1/types/principal_diagnosis_new.rb +215 -0
  76. data/lib/candidhealth/health_care_code_information/v_1/types/principal_procedure_information.rb +246 -0
  77. data/lib/candidhealth/health_care_code_information/v_1/types/principal_procedure_information_code_qualifier.rb +15 -0
  78. data/lib/candidhealth/health_care_code_information/v_1/types/principal_procedure_information_new.rb +216 -0
  79. data/lib/candidhealth/health_care_code_information/v_1/types/rd_8_date.rb +72 -0
  80. data/lib/candidhealth/health_care_code_information/v_1/types/set_or_clear_admitting_diagnosis.rb +69 -0
  81. data/lib/candidhealth/health_care_code_information/v_1/types/set_or_clear_diagnosis_related_group.rb +69 -0
  82. data/lib/candidhealth/health_care_code_information/v_1/types/set_or_clear_principal_diagnosis.rb +69 -0
  83. data/lib/candidhealth/health_care_code_information/v_1/types/set_or_clear_principal_procedure_information.rb +71 -0
  84. data/lib/candidhealth/health_care_code_information/v_1/types/treatment_code_information.rb +236 -0
  85. data/lib/candidhealth/health_care_code_information/v_1/types/treatment_code_information_new.rb +206 -0
  86. data/lib/candidhealth/health_care_code_information/v_1/types/treatment_code_qualifier.rb +13 -0
  87. data/lib/candidhealth/health_care_code_information/v_1/types/value_code.rb +119 -0
  88. data/lib/candidhealth/health_care_code_information/v_1/types/value_code_qualifier.rb +13 -0
  89. data/lib/candidhealth/health_care_code_information/v_1/types/value_information.rb +245 -0
  90. data/lib/candidhealth/health_care_code_information/v_1/types/value_information_new.rb +215 -0
  91. data/lib/candidhealth/individual/types/patient.rb +6 -6
  92. data/lib/candidhealth/individual/types/patient_base.rb +6 -6
  93. data/lib/candidhealth/individual/types/patient_create.rb +6 -6
  94. data/lib/candidhealth/individual/types/patient_update.rb +6 -6
  95. data/lib/candidhealth/individual/types/patient_update_with_optional_address.rb +6 -6
  96. data/lib/candidhealth/organization_providers/v_2/types/license_type.rb +2 -0
  97. data/lib/candidhealth/patient_ar/client.rb +30 -0
  98. data/lib/candidhealth/patient_ar/v_1/client.rb +161 -0
  99. data/lib/candidhealth/patient_ar/v_1/types/insurance_adjustment_info.rb +60 -0
  100. data/lib/candidhealth/patient_ar/v_1/types/insurance_payment_info.rb +60 -0
  101. data/lib/candidhealth/patient_ar/v_1/types/invalid_filters_error_type.rb +60 -0
  102. data/lib/candidhealth/patient_ar/v_1/types/inventory_record.rb +101 -0
  103. data/lib/candidhealth/patient_ar/v_1/types/invoice_itemization_response.rb +103 -0
  104. data/lib/candidhealth/patient_ar/v_1/types/list_inventory_paged_response.rb +77 -0
  105. data/lib/candidhealth/patient_ar/v_1/types/non_insurance_adjustment_info.rb +60 -0
  106. data/lib/candidhealth/patient_ar/v_1/types/non_insurance_payment_info.rb +60 -0
  107. data/lib/candidhealth/patient_ar/v_1/types/patient_adjustment_info.rb +60 -0
  108. data/lib/candidhealth/patient_ar/v_1/types/patient_ar_status.rb +14 -0
  109. data/lib/candidhealth/patient_ar/v_1/types/patient_payment_allocation.rb +76 -0
  110. data/lib/candidhealth/patient_ar/v_1/types/patient_payment_info.rb +75 -0
  111. data/lib/candidhealth/patient_ar/v_1/types/service_line_itemization.rb +210 -0
  112. data/lib/candidhealth/payers/client.rb +7 -0
  113. data/lib/candidhealth/payers/v_4/client.rb +137 -0
  114. data/lib/candidhealth/payers/v_4/types/clearinghouse_payer_info.rb +93 -0
  115. data/lib/candidhealth/payers/v_4/types/payer.rb +116 -0
  116. data/lib/candidhealth/payers/v_4/types/payer_ids.rb +107 -0
  117. data/lib/candidhealth/payers/v_4/types/payer_page.rb +88 -0
  118. data/lib/candidhealth/payers/v_4/types/support_state.rb +15 -0
  119. data/lib/candidhealth/pre_encounter/coverages/v_1/client.rb +4 -4
  120. data/lib/candidhealth/pre_encounter/coverages/v_1/types/subscriber.rb +3 -3
  121. data/lib/candidhealth/pre_encounter/patients/v_1/client.rb +204 -6
  122. data/lib/candidhealth/pre_encounter/patients/v_1/types/guarantor.rb +3 -3
  123. data/lib/candidhealth/pre_encounter/patients/v_1/types/inferred_patient_metadata.rb +80 -0
  124. data/lib/candidhealth/pre_encounter/patients/v_1/types/mutable_patient.rb +33 -5
  125. data/lib/candidhealth/pre_encounter/patients/v_1/types/mutable_patient_with_mrn.rb +33 -5
  126. data/lib/candidhealth/pre_encounter/patients/v_1/types/origination_detail.rb +104 -0
  127. data/lib/candidhealth/pre_encounter/patients/v_1/types/patient.rb +32 -4
  128. data/lib/candidhealth/pre_encounter/patients/v_1/types/referral_source.rb +18 -0
  129. data/lib/candidhealth/pre_encounter/patients/v_1/types/referral_type.rb +17 -0
  130. data/lib/candidhealth/pre_encounter/patients/v_1/types/specialization_category.rb +42 -0
  131. data/lib/candidhealth/service_lines/v_2/client.rb +252 -10
  132. data/lib/candidhealth/service_lines/v_2/types/service_line.rb +28 -10
  133. data/lib/candidhealth/service_lines/v_2/types/service_line_create.rb +52 -40
  134. data/lib/candidhealth/service_lines/v_2/types/service_line_create_base.rb +251 -0
  135. data/lib/candidhealth/service_lines/v_2/types/service_line_create_base_base.rb +243 -0
  136. data/lib/candidhealth/service_lines/v_2/types/service_line_create_optional.rb +48 -24
  137. data/lib/candidhealth/service_lines/v_2/types/service_line_create_standalone.rb +58 -46
  138. data/lib/candidhealth/service_lines/v_2/types/service_line_create_standalone_base.rb +273 -0
  139. data/lib/candidhealth/service_lines/v_2/types/service_line_create_standalone_base_base.rb +265 -0
  140. data/lib/candidhealth/service_lines/v_2/types/service_line_update.rb +64 -54
  141. data/lib/candidhealth/service_lines/v_2/types/service_line_update_base.rb +263 -0
  142. data/lib/candidhealth/service_lines/v_2/types/universal_service_line_create.rb +271 -0
  143. data/lib/candidhealth/service_lines/v_2/types/universal_service_line_create_standalone.rb +317 -0
  144. data/lib/candidhealth/service_lines/v_2/types/universal_service_line_update.rb +307 -0
  145. data/lib/candidhealth/x_12/v_1/types/type_of_bill_composite.rb +2 -2
  146. data/lib/candidhealth/x_12/v_1/types/type_of_bill_composite_base.rb +90 -0
  147. data/lib/candidhealth/x_12/v_1/types/type_of_bill_composite_update.rb +112 -0
  148. data/lib/candidhealth.rb +21 -7
  149. data/lib/requests.rb +2 -2
  150. data/lib/types_export.rb +116 -13
  151. metadata +109 -2
@@ -1,24 +1,24 @@
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  # frozen_string_literal: true
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- require_relative "../../../encounter_providers/v_2/types/billing_provider"
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  require_relative "../../../encounter_providers/v_2/types/rendering_provider"
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+ require_relative "../../../commons/types/facility_type_code"
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+ require_relative "../../../diagnoses/types/diagnosis_create"
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+ require_relative "../../../service_lines/v_2/types/service_line_create"
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+ require_relative "../../../encounter_providers/v_2/types/billing_provider"
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  require_relative "../../../encounter_providers/v_2/types/initial_referring_provider"
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  require_relative "../../../encounter_providers/v_2/types/supervising_provider"
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  require_relative "../../../service_facility/types/encounter_service_facility_base"
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- require_relative "../../../diagnoses/types/diagnosis_create"
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  require_relative "clinical_note_category_create"
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  require_relative "../../../billing_notes/v_2/types/billing_note_base"
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- require_relative "../../../commons/types/facility_type_code"
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  require_relative "patient_history_category"
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- require_relative "../../../service_lines/v_2/types/service_line_create"
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  require_relative "../../../claim_submission/v_1/types/external_claim_submission_create"
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  require_relative "../../../custom_schemas/v_1/types/schema_instance"
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  require "date"
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  require_relative "medication"
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- require_relative "vitals"
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  require_relative "intervention"
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  require_relative "../../../commons/types/street_address_long_zip"
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  require_relative "synchronicity_type"
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+ require_relative "vitals"
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  require_relative "billable_status_type"
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  require_relative "service_authorization_exception_code"
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  require_relative "../../../commons/types/delay_reason_code"
@@ -30,6 +30,26 @@ module CandidApiClient
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  module V4
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  module Types
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  class EncounterCreateFromPreEncounter
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+ # @return [CandidApiClient::EncounterProviders::V2::Types::RenderingProvider] The rendering provider is the practitioner -- physician, nurse practitioner,
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+ # etc. -- performing the service.
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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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+ attr_reader :rendering_provider
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+ # @return [CandidApiClient::Commons::Types::FacilityTypeCode] Box 24B on the CMS-1500 claim form. 837p Loop2300, CLM-05-1. 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 [Array<CandidApiClient::Diagnoses::Types::DiagnosisCreate>] Ideally, this field should contain no more than 12 diagnoses. However, more
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+ # diagnoses
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+ # may be submitted at this time, and coders will later prioritize the 12 that will
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+ # be
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+ # submitted to the payor.
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+ attr_reader :diagnoses
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+ # @return [Array<CandidApiClient::ServiceLines::V2::Types::ServiceLineCreate>] Each service line must be linked to a diagnosis. Concretely,
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+ # `service_line.diagnosis_pointers`must contain at least one entry which should be
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+ # in bounds of the diagnoses list field.
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+ attr_reader :service_lines
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  # @return [String]
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  attr_reader :pre_encounter_patient_id
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  # @return [Array<String>]
@@ -42,19 +62,15 @@ module CandidApiClient
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  # circumstances, this will be an individual provider. In that case, submit that
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  # provider's NPI and the tax ID (TIN) that the provider gave to the payer during
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  # contracting. In other cases, the billing entity will be a medical group. If so,
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- # submit the group NPI and the group's tax ID. Box 33 on the CMS-1500 claim form.
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+ # submit the group NPI and the group's tax ID. Box 33 on the CMS-1500 claim or
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+ # Form Locator 1 on a UB-04 claim form.
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  attr_reader :billing_provider
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- # @return [CandidApiClient::EncounterProviders::V2::Types::RenderingProvider] The rendering provider is the practitioner -- physician, nurse practitioner,
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- # etc. -- performing the service.
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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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- attr_reader :rendering_provider
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- # @return [CandidApiClient::EncounterProviders::V2::Types::InitialReferringProvider] The second iteration of Loop ID-2310. Use code "P3 - Primary Care Provider" in
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- # this loop to
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+ # @return [CandidApiClient::EncounterProviders::V2::Types::InitialReferringProvider] The second iteration of Loop ID-2310 on an 837P form. Use code "P3 - Primary
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+ # Care Provider" in this loop to
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  # indicate the initial referral from the primary care provider or whatever
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  # provider wrote the initial referral for this patient's episode of care being
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  # billed/reported in this transaction.
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+ # Not used in an 837i claim
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  attr_reader :initial_referring_provider
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  # @return [CandidApiClient::EncounterProviders::V2::Types::SupervisingProvider] Required when the rendering provider is supervised by a physician. If not
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  # required by this implementation guide, do not send.
@@ -64,17 +80,13 @@ module CandidApiClient
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  # facility can represent the provider's location when the service was delivered
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  # (e.g., home), or the location where an in-person visit would have taken place,
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  # whichever is easier to identify. If the provider is in-network, service facility
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- # may be defined in payer contracts. Box 32 on the CMS-1500 claim form. Note that
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+ # may be defined in payer contracts. Box 32 on the CMS-1500 claim form. There is
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+ # no equivalent on the paper UB-04 claim form, but this field is equivalent to
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+ # Loop 2310E Service Facility Location details on an 837i form, and is used when
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+ # this is different to the entity identified as the Billing Provider. Note that
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  # for an in-network claim to be successfully adjudicated, the service facility
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- # address listed on claims must match what was provided to the payer during the
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- # credentialing process.
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+ # address listed
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  attr_reader :service_facility
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- # @return [Array<CandidApiClient::Diagnoses::Types::DiagnosisCreate>] Ideally, this field should contain no more than 12 diagnoses. However, more
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- # diagnoses
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- # may be submitted at this time, and coders will later prioritize the 12 that will
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- # be
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- # submitted to the payor.
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- attr_reader :diagnoses
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  # @return [Array<CandidApiClient::Encounters::V4::Types::ClinicalNoteCategoryCreate>] Holds a collection of clinical observations made by healthcare providers during
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  # patient encounters. Please note that medical records for appeals should be sent
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  # using the Encounter Attachments API.
@@ -82,16 +94,8 @@ module CandidApiClient
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  # @return [Array<CandidApiClient::BillingNotes::V2::Types::BillingNoteBase>] Spot to store misc, human-readable, notes about this encounter to be used
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  # in the billing process.
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  attr_reader :billing_notes
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- # @return [CandidApiClient::Commons::Types::FacilityTypeCode] Box 24B on the CMS-1500 claim form. 837p Loop2300, CLM-05-1. 02 for
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- # telemedicine, 11 for in-person. Full list [here](https://www.cms
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- # .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 [Array<CandidApiClient::Encounters::V4::Types::PatientHistoryCategory>]
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  attr_reader :patient_histories
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- # @return [Array<CandidApiClient::ServiceLines::V2::Types::ServiceLineCreate>] Each service line must be linked to a diagnosis. Concretely,
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- # `service_line.diagnosis_pointers`must contain at least one entry which should be
93
- # in bounds of the diagnoses list field.
94
- attr_reader :service_lines
95
99
  # @return [CandidApiClient::ClaimSubmission::V1::Types::ExternalClaimSubmissionCreate] To be included for claims that have been submitted outside of Candid.
96
100
  # Candid supports posting remits and payments to these claims and working them
97
101
  # in-platform (e.g. editing, resubmitting).
@@ -108,7 +112,7 @@ module CandidApiClient
108
112
  attr_reader :external_id
109
113
  # @return [Date] Date formatted as YYYY-MM-DD; eg: 2019-08-24.
110
114
  # This date must be the local date in the timezone where the service occurred.
111
- # Box 24a on the CMS-1500 claim form.
115
+ # Box 24a on the CMS-1500 claim form or Form Locator 45 on the UB-04 claim form.
112
116
  # If service occurred over a range of dates, this should be the start date.
113
117
  # date_of_service must be defined on either the encounter or the service lines but
114
118
  # not both.
@@ -126,23 +130,22 @@ module CandidApiClient
126
130
  attr_reader :end_date_of_service
127
131
  # @return [Boolean] Whether this patient has authorized the release of medical information
128
132
  # for billing purpose.
129
- # Box 12 on the CMS-1500 claim form.
133
+ # Box 12 on the CMS-1500 claim form or Form Locator 52 on a UB-04 claim form.
130
134
  attr_reader :patient_authorized_release
131
135
  # @return [Boolean] Whether this patient has authorized insurance payments to be made to you,
132
136
  # not them. If false, patient may receive reimbursement.
133
- # Box 13 on the CMS-1500 claim form.
137
+ # Box 13 on the CMS-1500 claim form or Form Locator 53 on a UB-04 claim form.
134
138
  attr_reader :benefits_assigned_to_provider
135
139
  # @return [Boolean] Whether you have accepted the patient's authorization for insurance payments
136
140
  # to be made to you, not them.
137
- # Box 27 on the CMS-1500 claim form.
141
+ # Box 27 on the CMS-1500 claim form. There is no exact equivalent of this field on
142
+ # a UB-04 claim, however contributes to the concept of Form Locator 53.
138
143
  attr_reader :provider_accepts_assignment
139
144
  # @return [String] Human-readable description of the appointment type (ex: "Acupuncture -
140
145
  # Headaches").
141
146
  attr_reader :appointment_type
142
147
  # @return [Array<CandidApiClient::Encounters::V4::Types::Medication>]
143
148
  attr_reader :existing_medications
144
- # @return [CandidApiClient::Encounters::V4::Types::Vitals]
145
- attr_reader :vitals
146
149
  # @return [Array<CandidApiClient::Encounters::V4::Types::Intervention>]
147
150
  attr_reader :interventions
148
151
  # @return [CandidApiClient::Commons::Types::StreetAddressLongZip] Specifies the address to which payments for the claim should be sent.
@@ -155,13 +158,15 @@ module CandidApiClient
155
158
  # interacts
156
159
  # directly with the provider, such as over video or a phone call.
157
160
  attr_reader :synchronicity
161
+ # @return [CandidApiClient::Encounters::V4::Types::Vitals]
162
+ attr_reader :vitals
158
163
  # @return [CandidApiClient::Encounters::V4::Types::BillableStatusType] Defines if the Encounter is to be billed by Candid to the responsible_party.
159
164
  # Examples for when this should be set to NOT_BILLABLE include
160
165
  # if the Encounter has not occurred yet or if there is no intention of ever
161
166
  # billing the responsible_party.
162
167
  attr_reader :billable_status
163
168
  # @return [String] Defines additional information on the claim needed by the payer.
164
- # Box 19 on the CMS-1500 claim form.
169
+ # Box 19 on the CMS-1500 claim form or Form Locator 80 on a UB-04 claim form.
165
170
  attr_reader :additional_information
166
171
  # @return [CandidApiClient::Encounters::V4::Types::ServiceAuthorizationExceptionCode] 837p Loop2300 REF*4N
167
172
  # Required when mandated by government law or regulation to obtain authorization
@@ -170,15 +175,15 @@ module CandidApiClient
170
175
  # the service was performed without
171
176
  # obtaining the authorization.
172
177
  attr_reader :service_authorization_exception_code
173
- # @return [Date] 837p Loop2300 DTP*435, CMS-1500 Box 18
178
+ # @return [Date] 837p Loop2300 DTP*435, CMS-1500 Box 18 or UB-04 Form Locator 12.
174
179
  # Required on all ambulance claims when the patient was known to be admitted to
175
180
  # the hospital.
176
181
  # OR
177
182
  # Required on all claims involving inpatient medical visits.
178
183
  attr_reader :admission_date
179
- # @return [Date] 837p Loop2300 DTP*096, CMS-1500 Box 18
180
- # Required for inpatient claims when the patient was discharged from the facility
181
- # and the discharge date is known.
184
+ # @return [Date] 837p Loop2300 DTP*096, CMS-1500 Box 18 Required for inpatient claims when the
185
+ # patient was discharged from the facility and the discharge date is known. Not
186
+ # used on an institutional claim.
182
187
  attr_reader :discharge_date
183
188
  # @return [Date] 837p Loop2300 DTP*431, CMS-1500 Box 14
184
189
  # Required for the initial medical service or visit performed in response to a
@@ -186,10 +191,12 @@ module CandidApiClient
186
191
  # service.
187
192
  # OR
188
193
  # This date is the onset of acute symptoms for the current illness or condition.
194
+ # For UB-04 claims, this is populated separately via occurrence codes.
189
195
  attr_reader :onset_of_current_illness_or_symptom_date
190
196
  # @return [Date] 837p Loop2300 DTP*484, CMS-1500 Box 14
191
197
  # Required when, in the judgment of the provider, the services on this claim are
192
198
  # related to the patient's pregnancy.
199
+ # This field is populated separately via occurrence codes for UB-04 claim forms.
193
200
  attr_reader :last_menstrual_period_date
194
201
  # @return [CandidApiClient::Commons::Types::DelayReasonCode] 837i Loop2300, CLM-1300 Box 20
195
202
  # Code indicating the reason why a request was delayed
@@ -202,6 +209,22 @@ module CandidApiClient
202
209
 
203
210
  OMIT = Object.new
204
211
 
212
+ # @param rendering_provider [CandidApiClient::EncounterProviders::V2::Types::RenderingProvider] The rendering provider is the practitioner -- physician, nurse practitioner,
213
+ # etc. -- performing the service.
214
+ # For telehealth services, the rendering provider performs the visit, asynchronous
215
+ # communication, or other service. The rendering provider address should generally
216
+ # be the same as the service facility address.
217
+ # @param place_of_service_code [CandidApiClient::Commons::Types::FacilityTypeCode] Box 24B on the CMS-1500 claim form. 837p Loop2300, CLM-05-1. 02 for
218
+ # telemedicine, 11 for in-person. Full list
219
+ # //www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set).
220
+ # @param diagnoses [Array<CandidApiClient::Diagnoses::Types::DiagnosisCreate>] Ideally, this field should contain no more than 12 diagnoses. However, more
221
+ # diagnoses
222
+ # may be submitted at this time, and coders will later prioritize the 12 that will
223
+ # be
224
+ # submitted to the payor.
225
+ # @param service_lines [Array<CandidApiClient::ServiceLines::V2::Types::ServiceLineCreate>] Each service line must be linked to a diagnosis. Concretely,
226
+ # `service_line.diagnosis_pointers`must contain at least one entry which should be
227
+ # in bounds of the diagnoses list field.
205
228
  # @param pre_encounter_patient_id [String]
206
229
  # @param pre_encounter_appointment_ids [Array<String>]
207
230
  # @param billing_provider [CandidApiClient::EncounterProviders::V2::Types::BillingProvider] The billing provider is the provider or business entity submitting the claim.
@@ -212,17 +235,14 @@ module CandidApiClient
212
235
  # circumstances, this will be an individual provider. In that case, submit that
213
236
  # provider's NPI and the tax ID (TIN) that the provider gave to the payer during
214
237
  # contracting. In other cases, the billing entity will be a medical group. If so,
215
- # submit the group NPI and the group's tax ID. Box 33 on the CMS-1500 claim form.
216
- # @param rendering_provider [CandidApiClient::EncounterProviders::V2::Types::RenderingProvider] The rendering provider is the practitioner -- physician, nurse practitioner,
217
- # etc. -- performing the service.
218
- # For telehealth services, the rendering provider performs the visit, asynchronous
219
- # communication, or other service. The rendering provider address should generally
220
- # be the same as the service facility address.
221
- # @param initial_referring_provider [CandidApiClient::EncounterProviders::V2::Types::InitialReferringProvider] The second iteration of Loop ID-2310. Use code "P3 - Primary Care Provider" in
222
- # this loop to
238
+ # submit the group NPI and the group's tax ID. Box 33 on the CMS-1500 claim or
239
+ # Form Locator 1 on a UB-04 claim form.
240
+ # @param initial_referring_provider [CandidApiClient::EncounterProviders::V2::Types::InitialReferringProvider] The second iteration of Loop ID-2310 on an 837P form. Use code "P3 - Primary
241
+ # Care Provider" in this loop to
223
242
  # indicate the initial referral from the primary care provider or whatever
224
243
  # provider wrote the initial referral for this patient's episode of care being
225
244
  # billed/reported in this transaction.
245
+ # Not used in an 837i claim
226
246
  # @param supervising_provider [CandidApiClient::EncounterProviders::V2::Types::SupervisingProvider] Required when the rendering provider is supervised by a physician. If not
227
247
  # required by this implementation guide, do not send.
228
248
  # @param service_facility [CandidApiClient::ServiceFacility::Types::EncounterServiceFacilityBase] Encounter Service facility is typically the location a medical service was
@@ -230,27 +250,18 @@ module CandidApiClient
230
250
  # facility can represent the provider's location when the service was delivered
231
251
  # (e.g., home), or the location where an in-person visit would have taken place,
232
252
  # whichever is easier to identify. If the provider is in-network, service facility
233
- # may be defined in payer contracts. Box 32 on the CMS-1500 claim form. Note that
253
+ # may be defined in payer contracts. Box 32 on the CMS-1500 claim form. There is
254
+ # no equivalent on the paper UB-04 claim form, but this field is equivalent to
255
+ # Loop 2310E Service Facility Location details on an 837i form, and is used when
256
+ # this is different to the entity identified as the Billing Provider. Note that
234
257
  # for an in-network claim to be successfully adjudicated, the service facility
235
- # address listed on claims must match what was provided to the payer during the
236
- # credentialing process.
237
- # @param diagnoses [Array<CandidApiClient::Diagnoses::Types::DiagnosisCreate>] Ideally, this field should contain no more than 12 diagnoses. However, more
238
- # diagnoses
239
- # may be submitted at this time, and coders will later prioritize the 12 that will
240
- # be
241
- # submitted to the payor.
258
+ # address listed
242
259
  # @param clinical_notes [Array<CandidApiClient::Encounters::V4::Types::ClinicalNoteCategoryCreate>] Holds a collection of clinical observations made by healthcare providers during
243
260
  # patient encounters. Please note that medical records for appeals should be sent
244
261
  # using the Encounter Attachments API.
245
262
  # @param billing_notes [Array<CandidApiClient::BillingNotes::V2::Types::BillingNoteBase>] Spot to store misc, human-readable, notes about this encounter to be used
246
263
  # in the billing process.
247
- # @param place_of_service_code [CandidApiClient::Commons::Types::FacilityTypeCode] Box 24B on the CMS-1500 claim form. 837p Loop2300, CLM-05-1. 02 for
248
- # telemedicine, 11 for in-person. Full list [here](https://www.cms
249
- # .gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set).
250
264
  # @param patient_histories [Array<CandidApiClient::Encounters::V4::Types::PatientHistoryCategory>]
251
- # @param service_lines [Array<CandidApiClient::ServiceLines::V2::Types::ServiceLineCreate>] Each service line must be linked to a diagnosis. Concretely,
252
- # `service_line.diagnosis_pointers`must contain at least one entry which should be
253
- # in bounds of the diagnoses list field.
254
265
  # @param external_claim_submission [CandidApiClient::ClaimSubmission::V1::Types::ExternalClaimSubmissionCreate] To be included for claims that have been submitted outside of Candid.
255
266
  # Candid supports posting remits and payments to these claims and working them
256
267
  # in-platform (e.g. editing, resubmitting).
@@ -263,7 +274,7 @@ module CandidApiClient
263
274
  # This field should not contain PHI.
264
275
  # @param date_of_service [Date] Date formatted as YYYY-MM-DD; eg: 2019-08-24.
265
276
  # This date must be the local date in the timezone where the service occurred.
266
- # Box 24a on the CMS-1500 claim form.
277
+ # Box 24a on the CMS-1500 claim form or Form Locator 45 on the UB-04 claim form.
267
278
  # If service occurred over a range of dates, this should be the start date.
268
279
  # date_of_service must be defined on either the encounter or the service lines but
269
280
  # not both.
@@ -279,17 +290,17 @@ module CandidApiClient
279
290
  # for future API versions.
280
291
  # @param patient_authorized_release [Boolean] Whether this patient has authorized the release of medical information
281
292
  # for billing purpose.
282
- # Box 12 on the CMS-1500 claim form.
293
+ # Box 12 on the CMS-1500 claim form or Form Locator 52 on a UB-04 claim form.
283
294
  # @param benefits_assigned_to_provider [Boolean] Whether this patient has authorized insurance payments to be made to you,
284
295
  # not them. If false, patient may receive reimbursement.
285
- # Box 13 on the CMS-1500 claim form.
296
+ # Box 13 on the CMS-1500 claim form or Form Locator 53 on a UB-04 claim form.
286
297
  # @param provider_accepts_assignment [Boolean] Whether you have accepted the patient's authorization for insurance payments
287
298
  # to be made to you, not them.
288
- # Box 27 on the CMS-1500 claim form.
299
+ # Box 27 on the CMS-1500 claim form. There is no exact equivalent of this field on
300
+ # a UB-04 claim, however contributes to the concept of Form Locator 53.
289
301
  # @param appointment_type [String] Human-readable description of the appointment type (ex: "Acupuncture -
290
302
  # Headaches").
291
303
  # @param existing_medications [Array<CandidApiClient::Encounters::V4::Types::Medication>]
292
- # @param vitals [CandidApiClient::Encounters::V4::Types::Vitals]
293
304
  # @param interventions [Array<CandidApiClient::Encounters::V4::Types::Intervention>]
294
305
  # @param pay_to_address [CandidApiClient::Commons::Types::StreetAddressLongZip] Specifies the address to which payments for the claim should be sent.
295
306
  # @param synchronicity [CandidApiClient::Encounters::V4::Types::SynchronicityType] Whether or not this was a synchronous or asynchronous encounter.
@@ -299,54 +310,57 @@ module CandidApiClient
299
310
  # Synchronous encounters occur in live, real-time settings where the patient
300
311
  # interacts
301
312
  # directly with the provider, such as over video or a phone call.
313
+ # @param vitals [CandidApiClient::Encounters::V4::Types::Vitals]
302
314
  # @param billable_status [CandidApiClient::Encounters::V4::Types::BillableStatusType] Defines if the Encounter is to be billed by Candid to the responsible_party.
303
315
  # Examples for when this should be set to NOT_BILLABLE include
304
316
  # if the Encounter has not occurred yet or if there is no intention of ever
305
317
  # billing the responsible_party.
306
318
  # @param additional_information [String] Defines additional information on the claim needed by the payer.
307
- # Box 19 on the CMS-1500 claim form.
319
+ # Box 19 on the CMS-1500 claim form or Form Locator 80 on a UB-04 claim form.
308
320
  # @param service_authorization_exception_code [CandidApiClient::Encounters::V4::Types::ServiceAuthorizationExceptionCode] 837p Loop2300 REF*4N
309
321
  # Required when mandated by government law or regulation to obtain authorization
310
322
  # for specific service(s) but, for the
311
323
  # reasons listed in one of the enum values of ServiceAuthorizationExceptionCode,
312
324
  # the service was performed without
313
325
  # obtaining the authorization.
314
- # @param admission_date [Date] 837p Loop2300 DTP*435, CMS-1500 Box 18
326
+ # @param admission_date [Date] 837p Loop2300 DTP*435, CMS-1500 Box 18 or UB-04 Form Locator 12.
315
327
  # Required on all ambulance claims when the patient was known to be admitted to
316
328
  # the hospital.
317
329
  # OR
318
330
  # Required on all claims involving inpatient medical visits.
319
- # @param discharge_date [Date] 837p Loop2300 DTP*096, CMS-1500 Box 18
320
- # Required for inpatient claims when the patient was discharged from the facility
321
- # and the discharge date is known.
331
+ # @param discharge_date [Date] 837p Loop2300 DTP*096, CMS-1500 Box 18 Required for inpatient claims when the
332
+ # patient was discharged from the facility and the discharge date is known. Not
333
+ # used on an institutional claim.
322
334
  # @param onset_of_current_illness_or_symptom_date [Date] 837p Loop2300 DTP*431, CMS-1500 Box 14
323
335
  # Required for the initial medical service or visit performed in response to a
324
336
  # medical emergency when the date is available and is different than the date of
325
337
  # service.
326
338
  # OR
327
339
  # This date is the onset of acute symptoms for the current illness or condition.
340
+ # For UB-04 claims, this is populated separately via occurrence codes.
328
341
  # @param last_menstrual_period_date [Date] 837p Loop2300 DTP*484, CMS-1500 Box 14
329
342
  # Required when, in the judgment of the provider, the services on this claim are
330
343
  # related to the patient's pregnancy.
344
+ # This field is populated separately via occurrence codes for UB-04 claim forms.
331
345
  # @param delay_reason_code [CandidApiClient::Commons::Types::DelayReasonCode] 837i Loop2300, CLM-1300 Box 20
332
346
  # Code indicating the reason why a request was delayed
333
347
  # @param additional_properties [OpenStruct] Additional properties unmapped to the current class definition
334
348
  # @return [CandidApiClient::Encounters::V4::Types::EncounterCreateFromPreEncounter]
335
- def initialize(pre_encounter_patient_id:, pre_encounter_appointment_ids:, billing_provider:,
336
- rendering_provider:, diagnoses:, place_of_service_code:, external_id:, patient_authorized_release:, benefits_assigned_to_provider:, provider_accepts_assignment:, billable_status:, initial_referring_provider: OMIT, supervising_provider: OMIT, service_facility: OMIT, clinical_notes: OMIT, billing_notes: OMIT, patient_histories: OMIT, service_lines: OMIT, external_claim_submission: OMIT, tag_ids: OMIT, schema_instances: 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)
349
+ def initialize(rendering_provider:, place_of_service_code:, diagnoses:, pre_encounter_patient_id:,
350
+ pre_encounter_appointment_ids:, billing_provider:, external_id:, patient_authorized_release:, benefits_assigned_to_provider:, provider_accepts_assignment:, billable_status:, service_lines: OMIT, initial_referring_provider: OMIT, supervising_provider: OMIT, service_facility: OMIT, clinical_notes: OMIT, billing_notes: OMIT, patient_histories: OMIT, external_claim_submission: OMIT, tag_ids: OMIT, schema_instances: OMIT, date_of_service: OMIT, end_date_of_service: OMIT, appointment_type: OMIT, existing_medications: OMIT, interventions: OMIT, pay_to_address: OMIT, synchronicity: OMIT, vitals: 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)
351
+ @rendering_provider = rendering_provider
352
+ @place_of_service_code = place_of_service_code
353
+ @diagnoses = diagnoses
354
+ @service_lines = service_lines if service_lines != OMIT
337
355
  @pre_encounter_patient_id = pre_encounter_patient_id
338
356
  @pre_encounter_appointment_ids = pre_encounter_appointment_ids
339
357
  @billing_provider = billing_provider
340
- @rendering_provider = rendering_provider
341
358
  @initial_referring_provider = initial_referring_provider if initial_referring_provider != OMIT
342
359
  @supervising_provider = supervising_provider if supervising_provider != OMIT
343
360
  @service_facility = service_facility if service_facility != OMIT
344
- @diagnoses = diagnoses
345
361
  @clinical_notes = clinical_notes if clinical_notes != OMIT
346
362
  @billing_notes = billing_notes if billing_notes != OMIT
347
- @place_of_service_code = place_of_service_code
348
363
  @patient_histories = patient_histories if patient_histories != OMIT
349
- @service_lines = service_lines if service_lines != OMIT
350
364
  @external_claim_submission = external_claim_submission if external_claim_submission != OMIT
351
365
  @tag_ids = tag_ids if tag_ids != OMIT
352
366
  @schema_instances = schema_instances if schema_instances != OMIT
@@ -358,10 +372,10 @@ module CandidApiClient
358
372
  @provider_accepts_assignment = provider_accepts_assignment
359
373
  @appointment_type = appointment_type if appointment_type != OMIT
360
374
  @existing_medications = existing_medications if existing_medications != OMIT
361
- @vitals = vitals if vitals != OMIT
362
375
  @interventions = interventions if interventions != OMIT
363
376
  @pay_to_address = pay_to_address if pay_to_address != OMIT
364
377
  @synchronicity = synchronicity if synchronicity != OMIT
378
+ @vitals = vitals if vitals != OMIT
365
379
  @billable_status = billable_status
366
380
  @additional_information = additional_information if additional_information != OMIT
367
381
  if service_authorization_exception_code != OMIT
@@ -376,19 +390,19 @@ module CandidApiClient
376
390
  @delay_reason_code = delay_reason_code if delay_reason_code != OMIT
377
391
  @additional_properties = additional_properties
378
392
  @_field_set = {
393
+ "rendering_provider": rendering_provider,
394
+ "place_of_service_code": place_of_service_code,
395
+ "diagnoses": diagnoses,
396
+ "service_lines": service_lines,
379
397
  "pre_encounter_patient_id": pre_encounter_patient_id,
380
398
  "pre_encounter_appointment_ids": pre_encounter_appointment_ids,
381
399
  "billing_provider": billing_provider,
382
- "rendering_provider": rendering_provider,
383
400
  "initial_referring_provider": initial_referring_provider,
384
401
  "supervising_provider": supervising_provider,
385
402
  "service_facility": service_facility,
386
- "diagnoses": diagnoses,
387
403
  "clinical_notes": clinical_notes,
388
404
  "billing_notes": billing_notes,
389
- "place_of_service_code": place_of_service_code,
390
405
  "patient_histories": patient_histories,
391
- "service_lines": service_lines,
392
406
  "external_claim_submission": external_claim_submission,
393
407
  "tag_ids": tag_ids,
394
408
  "schema_instances": schema_instances,
@@ -400,10 +414,10 @@ module CandidApiClient
400
414
  "provider_accepts_assignment": provider_accepts_assignment,
401
415
  "appointment_type": appointment_type,
402
416
  "existing_medications": existing_medications,
403
- "vitals": vitals,
404
417
  "interventions": interventions,
405
418
  "pay_to_address": pay_to_address,
406
419
  "synchronicity": synchronicity,
420
+ "vitals": vitals,
407
421
  "billable_status": billable_status,
408
422
  "additional_information": additional_information,
409
423
  "service_authorization_exception_code": service_authorization_exception_code,
@@ -424,6 +438,21 @@ module CandidApiClient
424
438
  def self.from_json(json_object:)
425
439
  struct = JSON.parse(json_object, object_class: OpenStruct)
426
440
  parsed_json = JSON.parse(json_object)
441
+ if parsed_json["rendering_provider"].nil?
442
+ rendering_provider = nil
443
+ else
444
+ rendering_provider = parsed_json["rendering_provider"].to_json
445
+ rendering_provider = CandidApiClient::EncounterProviders::V2::Types::RenderingProvider.from_json(json_object: rendering_provider)
446
+ end
447
+ place_of_service_code = struct["place_of_service_code"]
448
+ diagnoses = parsed_json["diagnoses"]&.map do |item|
449
+ item = item.to_json
450
+ CandidApiClient::Diagnoses::Types::DiagnosisCreate.from_json(json_object: item)
451
+ end
452
+ service_lines = parsed_json["service_lines"]&.map do |item|
453
+ item = item.to_json
454
+ CandidApiClient::ServiceLines::V2::Types::ServiceLineCreate.from_json(json_object: item)
455
+ end
427
456
  pre_encounter_patient_id = struct["pre_encounter_patient_id"]
428
457
  pre_encounter_appointment_ids = struct["pre_encounter_appointment_ids"]
429
458
  if parsed_json["billing_provider"].nil?
@@ -432,12 +461,6 @@ module CandidApiClient
432
461
  billing_provider = parsed_json["billing_provider"].to_json
433
462
  billing_provider = CandidApiClient::EncounterProviders::V2::Types::BillingProvider.from_json(json_object: billing_provider)
434
463
  end
435
- if parsed_json["rendering_provider"].nil?
436
- rendering_provider = nil
437
- else
438
- rendering_provider = parsed_json["rendering_provider"].to_json
439
- rendering_provider = CandidApiClient::EncounterProviders::V2::Types::RenderingProvider.from_json(json_object: rendering_provider)
440
- end
441
464
  if parsed_json["initial_referring_provider"].nil?
442
465
  initial_referring_provider = nil
443
466
  else
@@ -456,10 +479,6 @@ module CandidApiClient
456
479
  service_facility = parsed_json["service_facility"].to_json
457
480
  service_facility = CandidApiClient::ServiceFacility::Types::EncounterServiceFacilityBase.from_json(json_object: service_facility)
458
481
  end
459
- diagnoses = parsed_json["diagnoses"]&.map do |item|
460
- item = item.to_json
461
- CandidApiClient::Diagnoses::Types::DiagnosisCreate.from_json(json_object: item)
462
- end
463
482
  clinical_notes = parsed_json["clinical_notes"]&.map do |item|
464
483
  item = item.to_json
465
484
  CandidApiClient::Encounters::V4::Types::ClinicalNoteCategoryCreate.from_json(json_object: item)
@@ -468,15 +487,10 @@ module CandidApiClient
468
487
  item = item.to_json
469
488
  CandidApiClient::BillingNotes::V2::Types::BillingNoteBase.from_json(json_object: item)
470
489
  end
471
- place_of_service_code = struct["place_of_service_code"]
472
490
  patient_histories = parsed_json["patient_histories"]&.map do |item|
473
491
  item = item.to_json
474
492
  CandidApiClient::Encounters::V4::Types::PatientHistoryCategory.from_json(json_object: item)
475
493
  end
476
- service_lines = parsed_json["service_lines"]&.map do |item|
477
- item = item.to_json
478
- CandidApiClient::ServiceLines::V2::Types::ServiceLineCreate.from_json(json_object: item)
479
- end
480
494
  if parsed_json["external_claim_submission"].nil?
481
495
  external_claim_submission = nil
482
496
  else
@@ -501,12 +515,6 @@ module CandidApiClient
501
515
  item = item.to_json
502
516
  CandidApiClient::Encounters::V4::Types::Medication.from_json(json_object: item)
503
517
  end
504
- if parsed_json["vitals"].nil?
505
- vitals = nil
506
- else
507
- vitals = parsed_json["vitals"].to_json
508
- vitals = CandidApiClient::Encounters::V4::Types::Vitals.from_json(json_object: vitals)
509
- end
510
518
  interventions = parsed_json["interventions"]&.map do |item|
511
519
  item = item.to_json
512
520
  CandidApiClient::Encounters::V4::Types::Intervention.from_json(json_object: item)
@@ -518,6 +526,12 @@ module CandidApiClient
518
526
  pay_to_address = CandidApiClient::Commons::Types::StreetAddressLongZip.from_json(json_object: pay_to_address)
519
527
  end
520
528
  synchronicity = struct["synchronicity"]
529
+ if parsed_json["vitals"].nil?
530
+ vitals = nil
531
+ else
532
+ vitals = parsed_json["vitals"].to_json
533
+ vitals = CandidApiClient::Encounters::V4::Types::Vitals.from_json(json_object: vitals)
534
+ end
521
535
  billable_status = struct["billable_status"]
522
536
  additional_information = struct["additional_information"]
523
537
  service_authorization_exception_code = struct["service_authorization_exception_code"]
@@ -531,19 +545,19 @@ module CandidApiClient
531
545
  end
532
546
  delay_reason_code = struct["delay_reason_code"]
533
547
  new(
548
+ rendering_provider: rendering_provider,
549
+ place_of_service_code: place_of_service_code,
550
+ diagnoses: diagnoses,
551
+ service_lines: service_lines,
534
552
  pre_encounter_patient_id: pre_encounter_patient_id,
535
553
  pre_encounter_appointment_ids: pre_encounter_appointment_ids,
536
554
  billing_provider: billing_provider,
537
- rendering_provider: rendering_provider,
538
555
  initial_referring_provider: initial_referring_provider,
539
556
  supervising_provider: supervising_provider,
540
557
  service_facility: service_facility,
541
- diagnoses: diagnoses,
542
558
  clinical_notes: clinical_notes,
543
559
  billing_notes: billing_notes,
544
- place_of_service_code: place_of_service_code,
545
560
  patient_histories: patient_histories,
546
- service_lines: service_lines,
547
561
  external_claim_submission: external_claim_submission,
548
562
  tag_ids: tag_ids,
549
563
  schema_instances: schema_instances,
@@ -555,10 +569,10 @@ module CandidApiClient
555
569
  provider_accepts_assignment: provider_accepts_assignment,
556
570
  appointment_type: appointment_type,
557
571
  existing_medications: existing_medications,
558
- vitals: vitals,
559
572
  interventions: interventions,
560
573
  pay_to_address: pay_to_address,
561
574
  synchronicity: synchronicity,
575
+ vitals: vitals,
562
576
  billable_status: billable_status,
563
577
  additional_information: additional_information,
564
578
  service_authorization_exception_code: service_authorization_exception_code,
@@ -585,19 +599,19 @@ module CandidApiClient
585
599
  # @param obj [Object]
586
600
  # @return [Void]
587
601
  def self.validate_raw(obj:)
602
+ CandidApiClient::EncounterProviders::V2::Types::RenderingProvider.validate_raw(obj: obj.rendering_provider)
603
+ 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.")
604
+ obj.diagnoses.is_a?(Array) != false || raise("Passed value for field obj.diagnoses is not the expected type, validation failed.")
605
+ obj.service_lines&.is_a?(Array) != false || raise("Passed value for field obj.service_lines is not the expected type, validation failed.")
588
606
  obj.pre_encounter_patient_id.is_a?(String) != false || raise("Passed value for field obj.pre_encounter_patient_id is not the expected type, validation failed.")
589
607
  obj.pre_encounter_appointment_ids.is_a?(Array) != false || raise("Passed value for field obj.pre_encounter_appointment_ids is not the expected type, validation failed.")
590
608
  CandidApiClient::EncounterProviders::V2::Types::BillingProvider.validate_raw(obj: obj.billing_provider)
591
- CandidApiClient::EncounterProviders::V2::Types::RenderingProvider.validate_raw(obj: obj.rendering_provider)
592
609
  obj.initial_referring_provider.nil? || CandidApiClient::EncounterProviders::V2::Types::InitialReferringProvider.validate_raw(obj: obj.initial_referring_provider)
593
610
  obj.supervising_provider.nil? || CandidApiClient::EncounterProviders::V2::Types::SupervisingProvider.validate_raw(obj: obj.supervising_provider)
594
611
  obj.service_facility.nil? || CandidApiClient::ServiceFacility::Types::EncounterServiceFacilityBase.validate_raw(obj: obj.service_facility)
595
- obj.diagnoses.is_a?(Array) != false || raise("Passed value for field obj.diagnoses is not the expected type, validation failed.")
596
612
  obj.clinical_notes&.is_a?(Array) != false || raise("Passed value for field obj.clinical_notes is not the expected type, validation failed.")
597
613
  obj.billing_notes&.is_a?(Array) != false || raise("Passed value for field obj.billing_notes is not the expected type, validation failed.")
598
- 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.")
599
614
  obj.patient_histories&.is_a?(Array) != false || raise("Passed value for field obj.patient_histories is not the expected type, validation failed.")
600
- obj.service_lines&.is_a?(Array) != false || raise("Passed value for field obj.service_lines is not the expected type, validation failed.")
601
615
  obj.external_claim_submission.nil? || CandidApiClient::ClaimSubmission::V1::Types::ExternalClaimSubmissionCreate.validate_raw(obj: obj.external_claim_submission)
602
616
  obj.tag_ids&.is_a?(Array) != false || raise("Passed value for field obj.tag_ids is not the expected type, validation failed.")
603
617
  obj.schema_instances&.is_a?(Array) != false || raise("Passed value for field obj.schema_instances is not the expected type, validation failed.")
@@ -609,10 +623,10 @@ module CandidApiClient
609
623
  obj.provider_accepts_assignment.is_a?(Boolean) != false || raise("Passed value for field obj.provider_accepts_assignment is not the expected type, validation failed.")
610
624
  obj.appointment_type&.is_a?(String) != false || raise("Passed value for field obj.appointment_type is not the expected type, validation failed.")
611
625
  obj.existing_medications&.is_a?(Array) != false || raise("Passed value for field obj.existing_medications is not the expected type, validation failed.")
612
- obj.vitals.nil? || CandidApiClient::Encounters::V4::Types::Vitals.validate_raw(obj: obj.vitals)
613
626
  obj.interventions&.is_a?(Array) != false || raise("Passed value for field obj.interventions is not the expected type, validation failed.")
614
627
  obj.pay_to_address.nil? || CandidApiClient::Commons::Types::StreetAddressLongZip.validate_raw(obj: obj.pay_to_address)
615
628
  obj.synchronicity&.is_a?(CandidApiClient::Encounters::V4::Types::SynchronicityType) != false || raise("Passed value for field obj.synchronicity is not the expected type, validation failed.")
629
+ obj.vitals.nil? || CandidApiClient::Encounters::V4::Types::Vitals.validate_raw(obj: obj.vitals)
616
630
  obj.billable_status.is_a?(CandidApiClient::Encounters::V4::Types::BillableStatusType) != false || raise("Passed value for field obj.billable_status is not the expected type, validation failed.")
617
631
  obj.additional_information&.is_a?(String) != false || raise("Passed value for field obj.additional_information is not the expected type, validation failed.")
618
632
  obj.service_authorization_exception_code&.is_a?(CandidApiClient::Encounters::V4::Types::ServiceAuthorizationExceptionCode) != false || raise("Passed value for field obj.service_authorization_exception_code is not the expected type, validation failed.")