Class: Candid::FeeSchedules::V3::Types::PayerThreshold

Inherits:
Internal::Types::Model show all
Defined in:
lib/candid/fee_schedules/v_3/types/payer_threshold.rb

Overview

Rate thresholds that determine fee schedule rate matching behavior. When a service line is adjudicated by a payer Candid determines if the payer’s allowed amount “matches” the rate value. If the allowed amount doesn’t equal the rate value, Candid moves the claim to a PAID_INCORRECTLY state. These optional thresholds allow a user to set wiggle room to avoid claims moving to PAID_INCORRECTLY and instead have them move directly to FINALIZED_PAID when the payer’s allowed amount is greater than [rate_cents - lower_threshold_cents] and less than [rate_cents + upper_threshold_cents].n Additionally, a client can set disable_paid_incorrectly to avoid the PAID_INCORRECTLY claim status entirely.

Method Summary

Methods inherited from Internal::Types::Model

#==, ===, add_extra_field_definition, coerce, extra_fields, field, fields, #initialize, #inspect, literal, load, #to_h

Methods included from Internal::Types::Type

#coerce, #strict!, #strict?

Methods included from Internal::JSON::Serializable

#dump, #load

Constructor Details

This class inherits a constructor from Candid::Internal::Types::Model