@teja-app/api-client 2026.5.22 → 2026.6.4

package/dist/generated/services/InsuranceClaimTroubleshootingService.d.ts

@@ -0,0 +1,359 @@
+import type { CancelablePromise } from '../core/CancelablePromise';
+export declare class InsuranceClaimTroubleshootingService {
+    /**
+     * List denied/rejected claims (rejections queue) with CARC + KPI rollup
+     * @returns any Response for status 200
+     * @throws ApiError
+     */
+    static getInsuranceClaimsDenied({ payerId, carcCode, }: {
+        payerId?: string;
+        carcCode?: string;
+    }): CancelablePromise<{
+        success: boolean;
+        data: {
+            rows: Array<{
+                claimId: string;
+                clientId: string;
+                payerName: string;
+                carcCode: string;
+                reasonShort: string;
+                reasonFull: (string | null);
+                billedCents: (string | number);
+                fixable: 'auto' | 'manual' | 'patient' | 'appeal';
+                ageDays: (string | number);
+                deniedAt: string;
+            }>;
+            kpi: {
+                totalRejections: (string | number);
+                autoFixableCount: (string | number);
+                autoFixableCents: (string | number);
+                manualCount: (string | number);
+                recoveredCents: (string | number);
+                recoveredClaimsCount: (string | number);
+            };
+        };
+    }>;
+    /**
+     * List a claim's troubleshooting actions
+     * @returns any Response for status 200
+     * @throws ApiError
+     */
+    static getInsuranceClaimsByIdActions({ id, }: {
+        id: string;
+    }): CancelablePromise<{
+        success: boolean;
+        data: Array<{
+            id: string;
+            tenantId: string;
+            claimId: string;
+            action: string;
+            reason: (string | null);
+            denialCarc: (string | null);
+            replacesClaimId: (string | null);
+            newClaimId: (string | null);
+            performedBy: (string | null);
+            createdAt: string;
+        }>;
+        total?: number;
+    }>;
+    /**
+     * Spawn a corrected claim for a rejected/denied claim
+     * @returns any Response for status 201
+     * @throws ApiError
+     */
+    static postInsuranceClaimsByIdCorrect({ id, }: {
+        id: string;
+    }): CancelablePromise<{
+        success: boolean;
+        data: {
+            id: string;
+            tenantId: string;
+            clientId: string;
+            policyId: string;
+            payerId: string;
+            billingProfileId: string;
+            renderingProviderId: string;
+            authorizationId: (string | null);
+            invoiceId: (string | null);
+            claimType: string;
+            status: string;
+            frequencyCode: string;
+            originalRefNumber: (string | null);
+            priorClaimId: (string | null);
+            clearinghouseRef: (string | null);
+            payerClaimNumber: (string | null);
+            clearinghouse: (string | null);
+            acceptAssignment: boolean;
+            priorAuthNumber: (string | null);
+            referringProviderNpi: (string | null);
+            totalBilled: number;
+            totalAllowed: (number | null);
+            totalPaid: (number | null);
+            totalAdjustment: (number | null);
+            patientResponsibility: (number | null);
+            submittedAt: (string | null);
+            decidedAt: (string | null);
+            createdBy: (string | null);
+            version: number;
+            createdAt: string;
+            updatedAt: string;
+            serviceLines: Array<{
+                id: string;
+                claimId: string;
+                lineControlNumber: string;
+                cptCode: string;
+                modifiers: Array<string>;
+                units: number;
+                billedAmount: number;
+                placeOfService: string;
+                diagnosisPointers: Array<number>;
+                serviceDate: string;
+                allowedAmount: (number | null);
+                paidAmount: (number | null);
+                writeOffAmount: (number | null);
+                patientResponsibility: (number | null);
+                carcCodes: (Array<string> | null);
+                rarcCodes: (Array<string> | null);
+                createdAt: string;
+            }>;
+            statusHistory?: Array<{
+                id: string;
+                claimId: string;
+                fromStatus: (string | null);
+                toStatus: string;
+                source: string;
+                clearinghouseStatusCode: (string | null);
+                reason: (string | null);
+                changedBy: (string | null);
+                createdAt: string;
+            }>;
+        };
+    }>;
+    /**
+     * Void a filed claim
+     * @returns any Response for status 200
+     * @throws ApiError
+     */
+    static postInsuranceClaimsByIdVoid({ id, requestBody, }: {
+        id: string;
+        requestBody: {
+            reason: string;
+        };
+    }): CancelablePromise<{
+        success: boolean;
+        data: {
+            id: string;
+            tenantId: string;
+            clientId: string;
+            policyId: string;
+            payerId: string;
+            billingProfileId: string;
+            renderingProviderId: string;
+            authorizationId: (string | null);
+            invoiceId: (string | null);
+            claimType: string;
+            status: string;
+            frequencyCode: string;
+            originalRefNumber: (string | null);
+            priorClaimId: (string | null);
+            clearinghouseRef: (string | null);
+            payerClaimNumber: (string | null);
+            clearinghouse: (string | null);
+            acceptAssignment: boolean;
+            priorAuthNumber: (string | null);
+            referringProviderNpi: (string | null);
+            totalBilled: number;
+            totalAllowed: (number | null);
+            totalPaid: (number | null);
+            totalAdjustment: (number | null);
+            patientResponsibility: (number | null);
+            submittedAt: (string | null);
+            decidedAt: (string | null);
+            createdBy: (string | null);
+            version: number;
+            createdAt: string;
+            updatedAt: string;
+            serviceLines: Array<{
+                id: string;
+                claimId: string;
+                lineControlNumber: string;
+                cptCode: string;
+                modifiers: Array<string>;
+                units: number;
+                billedAmount: number;
+                placeOfService: string;
+                diagnosisPointers: Array<number>;
+                serviceDate: string;
+                allowedAmount: (number | null);
+                paidAmount: (number | null);
+                writeOffAmount: (number | null);
+                patientResponsibility: (number | null);
+                carcCodes: (Array<string> | null);
+                rarcCodes: (Array<string> | null);
+                createdAt: string;
+            }>;
+            statusHistory?: Array<{
+                id: string;
+                claimId: string;
+                fromStatus: (string | null);
+                toStatus: string;
+                source: string;
+                clearinghouseStatusCode: (string | null);
+                reason: (string | null);
+                changedBy: (string | null);
+                createdAt: string;
+            }>;
+        };
+    }>;
+    /**
+     * Resubmit a rejected claim as a fresh original
+     * @returns any Response for status 201
+     * @throws ApiError
+     */
+    static postInsuranceClaimsByIdResubmit({ id, }: {
+        id: string;
+    }): CancelablePromise<{
+        success: boolean;
+        data: {
+            id: string;
+            tenantId: string;
+            clientId: string;
+            policyId: string;
+            payerId: string;
+            billingProfileId: string;
+            renderingProviderId: string;
+            authorizationId: (string | null);
+            invoiceId: (string | null);
+            claimType: string;
+            status: string;
+            frequencyCode: string;
+            originalRefNumber: (string | null);
+            priorClaimId: (string | null);
+            clearinghouseRef: (string | null);
+            payerClaimNumber: (string | null);
+            clearinghouse: (string | null);
+            acceptAssignment: boolean;
+            priorAuthNumber: (string | null);
+            referringProviderNpi: (string | null);
+            totalBilled: number;
+            totalAllowed: (number | null);
+            totalPaid: (number | null);
+            totalAdjustment: (number | null);
+            patientResponsibility: (number | null);
+            submittedAt: (string | null);
+            decidedAt: (string | null);
+            createdBy: (string | null);
+            version: number;
+            createdAt: string;
+            updatedAt: string;
+            serviceLines: Array<{
+                id: string;
+                claimId: string;
+                lineControlNumber: string;
+                cptCode: string;
+                modifiers: Array<string>;
+                units: number;
+                billedAmount: number;
+                placeOfService: string;
+                diagnosisPointers: Array<number>;
+                serviceDate: string;
+                allowedAmount: (number | null);
+                paidAmount: (number | null);
+                writeOffAmount: (number | null);
+                patientResponsibility: (number | null);
+                carcCodes: (Array<string> | null);
+                rarcCodes: (Array<string> | null);
+                createdAt: string;
+            }>;
+            statusHistory?: Array<{
+                id: string;
+                claimId: string;
+                fromStatus: (string | null);
+                toStatus: string;
+                source: string;
+                clearinghouseStatusCode: (string | null);
+                reason: (string | null);
+                changedBy: (string | null);
+                createdAt: string;
+            }>;
+        };
+    }>;
+    /**
+     * Record a payer denial on a claim
+     * @returns any Response for status 200
+     * @throws ApiError
+     */
+    static postInsuranceClaimsByIdDenial({ id, requestBody, }: {
+        id: string;
+        requestBody: {
+            denialCarc?: string;
+            reason?: string;
+        };
+    }): CancelablePromise<{
+        success: boolean;
+        data: {
+            id: string;
+            tenantId: string;
+            clientId: string;
+            policyId: string;
+            payerId: string;
+            billingProfileId: string;
+            renderingProviderId: string;
+            authorizationId: (string | null);
+            invoiceId: (string | null);
+            claimType: string;
+            status: string;
+            frequencyCode: string;
+            originalRefNumber: (string | null);
+            priorClaimId: (string | null);
+            clearinghouseRef: (string | null);
+            payerClaimNumber: (string | null);
+            clearinghouse: (string | null);
+            acceptAssignment: boolean;
+            priorAuthNumber: (string | null);
+            referringProviderNpi: (string | null);
+            totalBilled: number;
+            totalAllowed: (number | null);
+            totalPaid: (number | null);
+            totalAdjustment: (number | null);
+            patientResponsibility: (number | null);
+            submittedAt: (string | null);
+            decidedAt: (string | null);
+            createdBy: (string | null);
+            version: number;
+            createdAt: string;
+            updatedAt: string;
+            serviceLines: Array<{
+                id: string;
+                claimId: string;
+                lineControlNumber: string;
+                cptCode: string;
+                modifiers: Array<string>;
+                units: number;
+                billedAmount: number;
+                placeOfService: string;
+                diagnosisPointers: Array<number>;
+                serviceDate: string;
+                allowedAmount: (number | null);
+                paidAmount: (number | null);
+                writeOffAmount: (number | null);
+                patientResponsibility: (number | null);
+                carcCodes: (Array<string> | null);
+                rarcCodes: (Array<string> | null);
+                createdAt: string;
+            }>;
+            statusHistory?: Array<{
+                id: string;
+                claimId: string;
+                fromStatus: (string | null);
+                toStatus: string;
+                source: string;
+                clearinghouseStatusCode: (string | null);
+                reason: (string | null);
+                changedBy: (string | null);
+                createdAt: string;
+            }>;
+        };
+    }>;
+}
+//# sourceMappingURL=InsuranceClaimTroubleshootingService.d.ts.map

package/dist/generated/services/InsuranceClaimTroubleshootingService.d.ts.map

@@ -0,0 +1 @@
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package/dist/generated/services/InsuranceClaimTroubleshootingService.js

@@ -0,0 +1,94 @@
+import { OpenAPI } from '../core/OpenAPI';
+import { request as __request } from '../core/request';
+export class InsuranceClaimTroubleshootingService {
+    /**
+     * List denied/rejected claims (rejections queue) with CARC + KPI rollup
+     * @returns any Response for status 200
+     * @throws ApiError
+     */
+    static getInsuranceClaimsDenied({ payerId, carcCode, }) {
+        return __request(OpenAPI, {
+            method: 'GET',
+            url: '/insurance/claims/denied',
+            query: {
+                'payerId': payerId,
+                'carcCode': carcCode,
+            },
+        });
+    }
+    /**
+     * List a claim's troubleshooting actions
+     * @returns any Response for status 200
+     * @throws ApiError
+     */
+    static getInsuranceClaimsByIdActions({ id, }) {
+        return __request(OpenAPI, {
+            method: 'GET',
+            url: '/insurance/claims/{id}/actions',
+            path: {
+                'id': id,
+            },
+        });
+    }
+    /**
+     * Spawn a corrected claim for a rejected/denied claim
+     * @returns any Response for status 201
+     * @throws ApiError
+     */
+    static postInsuranceClaimsByIdCorrect({ id, }) {
+        return __request(OpenAPI, {
+            method: 'POST',
+            url: '/insurance/claims/{id}/correct',
+            path: {
+                'id': id,
+            },
+        });
+    }
+    /**
+     * Void a filed claim
+     * @returns any Response for status 200
+     * @throws ApiError
+     */
+    static postInsuranceClaimsByIdVoid({ id, requestBody, }) {
+        return __request(OpenAPI, {
+            method: 'POST',
+            url: '/insurance/claims/{id}/void',
+            path: {
+                'id': id,
+            },
+            body: requestBody,
+            mediaType: 'application/json',
+        });
+    }
+    /**
+     * Resubmit a rejected claim as a fresh original
+     * @returns any Response for status 201
+     * @throws ApiError
+     */
+    static postInsuranceClaimsByIdResubmit({ id, }) {
+        return __request(OpenAPI, {
+            method: 'POST',
+            url: '/insurance/claims/{id}/resubmit',
+            path: {
+                'id': id,
+            },
+        });
+    }
+    /**
+     * Record a payer denial on a claim
+     * @returns any Response for status 200
+     * @throws ApiError
+     */
+    static postInsuranceClaimsByIdDenial({ id, requestBody, }) {
+        return __request(OpenAPI, {
+            method: 'POST',
+            url: '/insurance/claims/{id}/denial',
+            path: {
+                'id': id,
+            },
+            body: requestBody,
+            mediaType: 'application/json',
+        });
+    }
+}
+//# sourceMappingURL=InsuranceClaimTroubleshootingService.js.map

package/dist/generated/services/InsuranceClaimTroubleshootingService.js.map

@@ -0,0 +1 @@
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