Class: CandidApiClient::EncountersUniversal::Types::UniversalEncounterCreateBase
- Inherits:
-
Object
- Object
- CandidApiClient::EncountersUniversal::Types::UniversalEncounterCreateBase
- Defined in:
- lib/candidhealth/encounters_universal/types/universal_encounter_create_base.rb
Constant Summary collapse
- OMIT =
Object.new
Instance Attribute Summary collapse
-
#additional_information ⇒ String
readonly
Defines additional information on the claim needed by the payer.
-
#additional_properties ⇒ OpenStruct
readonly
Additional properties unmapped to the current class definition.
-
#admission_date ⇒ Date
readonly
837p Loop2300 DTP*435, CMS-1500 Box 18 or UB-04 Form Locator 12.
-
#appointment_type ⇒ String
readonly
Human-readable description of the appointment type (ex: “Acupuncture - Headaches”).
-
#benefits_assigned_to_provider ⇒ Boolean
readonly
Whether this patient has authorized insurance payments to be made to you, not them.
-
#billable_status ⇒ CandidApiClient::Encounters::V4::Types::BillableStatusType
readonly
Defines if the Encounter is to be billed by Candid to the responsible_party.
-
#billing_notes ⇒ Array<CandidApiClient::BillingNotes::V2::Types::BillingNoteBase>
readonly
Spot to store misc, human-readable, notes about this encounter to be used in the billing process.
-
#claim_supplemental_information ⇒ Array<CandidApiClient::Encounters::V4::Types::ClaimSupplementalInformation>
readonly
Refers to Loop 2300 - Segment PWK on the 837P and 837i forms.
-
#clinical_notes ⇒ Array<CandidApiClient::Encounters::V4::Types::ClinicalNoteCategoryCreate>
readonly
Holds a collection of clinical observations made by healthcare providers during patient encounters.
-
#date_of_service ⇒ Date
readonly
Date formatted as YYYY-MM-DD; eg: 2019-08-24.
-
#delay_reason_code ⇒ CandidApiClient::Commons::Types::DelayReasonCode
readonly
837i Loop2300, CLM-1300 Box 20 Code indicating the reason why a request was delayed.
-
#discharge_date ⇒ Date
readonly
837p Loop2300 DTP*096, CMS-1500 Box 18 Required for inpatient claims when the patient was discharged from the facility and the discharge date is known.
-
#end_date_of_service ⇒ Date
readonly
Date formatted as YYYY-MM-DD; eg: 2019-08-25.
-
#epsdt_referral ⇒ CandidApiClient::Encounters::V4::Types::EpsdtReferral
readonly
Refers to Box 24H on the CMS1500 form and Loop 2300 CRC - EPSDT Referral on the 837P and 837i form.
- #existing_medications ⇒ Array<CandidApiClient::Encounters::V4::Types::Medication> readonly
-
#external_claim_submission ⇒ CandidApiClient::ClaimSubmission::V1::Types::ExternalClaimSubmissionCreate
readonly
To be included for claims that have been submitted outside of Candid.
-
#external_id ⇒ String
readonly
A client-specified unique ID to associate with this encounter; for example, your internal encounter ID or a Dr.
-
#guarantor ⇒ CandidApiClient::Guarantor::V1::Types::GuarantorCreate
readonly
Personal and contact info for the guarantor of the patient responsibility.
-
#initial_referring_provider ⇒ CandidApiClient::EncounterProviders::V2::Types::InitialReferringProvider
readonly
The second iteration of Loop ID-2310 on an 837P form.
- #interventions ⇒ Array<CandidApiClient::Encounters::V4::Types::Intervention> readonly
-
#last_menstrual_period_date ⇒ Date
readonly
837p Loop2300 DTP*484, CMS-1500 Box 14 Required when, in the judgment of the provider, the services on this claim are related to the patient’s pregnancy.
-
#onset_of_current_illness_or_symptom_date ⇒ Date
readonly
837p Loop2300 DTP*431, CMS-1500 Box 14 Required for the initial medical service or visit performed in response to a medical emergency when the date is available and is different than the date of service.
-
#patient ⇒ CandidApiClient::Individual::Types::PatientCreate
readonly
Contains the identification information of the individual receiving medical services.
-
#patient_authorized_release ⇒ Boolean
readonly
Whether this patient has authorized the release of medical information for billing purpose.
- #patient_histories ⇒ Array<CandidApiClient::Encounters::V4::Types::PatientHistoryCategory> readonly
-
#pay_to_address ⇒ CandidApiClient::Commons::Types::StreetAddressLongZip
readonly
Specifies the address to which payments for the claim should be sent.
-
#prior_authorization_number ⇒ String
readonly
Box 23 on the CMS-1500 claim form or Form Locator 63 on a UB-04 claim form.
-
#provider_accepts_assignment ⇒ Boolean
readonly
Whether you have accepted the patient’s authorization for insurance payments to be made to you, not them.
-
#referral_number ⇒ String
readonly
Refers to REF*9F on the 837p and 837i.
-
#referring_provider ⇒ CandidApiClient::EncounterProviders::V2::Types::ReferringProvider
readonly
The final provider who referred the services that were rendered.
-
#responsible_party ⇒ CandidApiClient::Encounters::V4::Types::ResponsiblePartyType
readonly
Defines the party to be billed with the initial balance owed on the claim.
-
#schema_instances ⇒ Array<CandidApiClient::CustomSchemas::V1::Types::SchemaInstance>
readonly
Key-value pairs that must adhere to a schema created via the Custom Schema API.
-
#secondary_payer_carrier_code ⇒ String
readonly
When Medicaid is billed as the secondary payer the Carrier Code is used to identify the primary payer.
-
#service_authorization_exception_code ⇒ CandidApiClient::Encounters::V4::Types::ServiceAuthorizationExceptionCode
readonly
837p Loop2300 REF*4N Required when mandated by government law or regulation to obtain authorization for specific service(s) but, for the reasons listed in one of the enum values of ServiceAuthorizationExceptionCode, the service was performed without obtaining the authorization.
-
#service_facility ⇒ CandidApiClient::ServiceFacility::Types::EncounterServiceFacilityBase
readonly
Encounter Service facility is typically the location a medical service was rendered, such as a provider office or hospital.
-
#subscriber_primary ⇒ CandidApiClient::Individual::Types::SubscriberCreate
readonly
Subscriber_primary is required when responsible_party is INSURANCE_PAY (i.e. when the claim should be billed to insurance).
-
#subscriber_secondary ⇒ CandidApiClient::Individual::Types::SubscriberCreate
readonly
Please always include this when you have it, even for self-pay claims.
-
#subscriber_tertiary ⇒ CandidApiClient::Individual::Types::SubscriberCreate
readonly
Please always include this when you have it, even for self-pay claims.
-
#supervising_provider ⇒ CandidApiClient::EncounterProviders::V2::Types::SupervisingProvider
readonly
Required when the rendering provider is supervised by a physician.
-
#synchronicity ⇒ CandidApiClient::Encounters::V4::Types::SynchronicityType
readonly
Whether or not this was a synchronous or asynchronous encounter.
-
#tag_ids ⇒ Array<String>
readonly
Names of tags that should be on the encounter.
- #vitals ⇒ CandidApiClient::Encounters::V4::Types::Vitals readonly
Class Method Summary collapse
-
.from_json(json_object:) ⇒ CandidApiClient::EncountersUniversal::Types::UniversalEncounterCreateBase
Deserialize a JSON object to an instance of UniversalEncounterCreateBase.
-
.validate_raw(obj:) ⇒ Void
Leveraged for Union-type generation, validate_raw attempts to parse the given hash and check each fields type against the current object’s property definitions.
Instance Method Summary collapse
- #initialize(patient:, responsible_party:, external_id:, patient_authorized_release:, benefits_assigned_to_provider:, provider_accepts_assignment:, billable_status:, referring_provider: OMIT, initial_referring_provider: OMIT, supervising_provider: OMIT, service_facility: OMIT, subscriber_primary: OMIT, subscriber_secondary: OMIT, subscriber_tertiary: OMIT, prior_authorization_number: OMIT, clinical_notes: OMIT, billing_notes: OMIT, patient_histories: OMIT, guarantor: OMIT, external_claim_submission: OMIT, tag_ids: OMIT, schema_instances: OMIT, referral_number: OMIT, epsdt_referral: OMIT, claim_supplemental_information: OMIT, secondary_payer_carrier_code: 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) ⇒ CandidApiClient::EncountersUniversal::Types::UniversalEncounterCreateBase constructor
-
#to_json(*_args) ⇒ String
Serialize an instance of UniversalEncounterCreateBase to a JSON object.
Constructor Details
#initialize(patient:, responsible_party:, external_id:, patient_authorized_release:, benefits_assigned_to_provider:, provider_accepts_assignment:, billable_status:, referring_provider: OMIT, initial_referring_provider: OMIT, supervising_provider: OMIT, service_facility: OMIT, subscriber_primary: OMIT, subscriber_secondary: OMIT, subscriber_tertiary: OMIT, prior_authorization_number: OMIT, clinical_notes: OMIT, billing_notes: OMIT, patient_histories: OMIT, guarantor: OMIT, external_claim_submission: OMIT, tag_ids: OMIT, schema_instances: OMIT, referral_number: OMIT, epsdt_referral: OMIT, claim_supplemental_information: OMIT, secondary_payer_carrier_code: 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) ⇒ CandidApiClient::EncountersUniversal::Types::UniversalEncounterCreateBase
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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_create_base.rb', line 351 def initialize(patient:, responsible_party:, external_id:, patient_authorized_release:, benefits_assigned_to_provider:, provider_accepts_assignment:, billable_status:, referring_provider: OMIT, initial_referring_provider: OMIT, supervising_provider: OMIT, service_facility: OMIT, subscriber_primary: OMIT, subscriber_secondary: OMIT, subscriber_tertiary: OMIT, prior_authorization_number: OMIT, clinical_notes: OMIT, billing_notes: OMIT, patient_histories: OMIT, guarantor: OMIT, external_claim_submission: OMIT, tag_ids: OMIT, schema_instances: OMIT, referral_number: OMIT, epsdt_referral: OMIT, claim_supplemental_information: OMIT, secondary_payer_carrier_code: 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) @patient = patient @referring_provider = referring_provider if referring_provider != OMIT @initial_referring_provider = initial_referring_provider if initial_referring_provider != OMIT @supervising_provider = supervising_provider if supervising_provider != OMIT @service_facility = service_facility if service_facility != OMIT @subscriber_primary = subscriber_primary if subscriber_primary != OMIT @subscriber_secondary = subscriber_secondary if subscriber_secondary != OMIT @subscriber_tertiary = subscriber_tertiary if subscriber_tertiary != OMIT @prior_authorization_number = if != OMIT @responsible_party = responsible_party @clinical_notes = clinical_notes if clinical_notes != OMIT @billing_notes = billing_notes if billing_notes != OMIT @patient_histories = patient_histories if patient_histories != OMIT @guarantor = guarantor if guarantor != OMIT @external_claim_submission = external_claim_submission if external_claim_submission != OMIT @tag_ids = tag_ids if tag_ids != OMIT @schema_instances = schema_instances if schema_instances != OMIT @referral_number = referral_number if referral_number != OMIT @epsdt_referral = epsdt_referral if epsdt_referral != OMIT @claim_supplemental_information = claim_supplemental_information if claim_supplemental_information != OMIT @secondary_payer_carrier_code = secondary_payer_carrier_code if secondary_payer_carrier_code != OMIT @external_id = external_id @date_of_service = date_of_service if date_of_service != OMIT @end_date_of_service = end_date_of_service if end_date_of_service != OMIT @patient_authorized_release = @benefits_assigned_to_provider = benefits_assigned_to_provider @provider_accepts_assignment = provider_accepts_assignment @appointment_type = appointment_type if appointment_type != OMIT @existing_medications = existing_medications if existing_medications != OMIT @interventions = interventions if interventions != OMIT @pay_to_address = pay_to_address if pay_to_address != OMIT @synchronicity = synchronicity if synchronicity != OMIT @vitals = vitals if vitals != OMIT @billable_status = billable_status @additional_information = additional_information if additional_information != OMIT if != OMIT @service_authorization_exception_code = end @admission_date = admission_date if admission_date != OMIT @discharge_date = discharge_date if discharge_date != OMIT if onset_of_current_illness_or_symptom_date != OMIT @onset_of_current_illness_or_symptom_date = onset_of_current_illness_or_symptom_date end @last_menstrual_period_date = last_menstrual_period_date if last_menstrual_period_date != OMIT @delay_reason_code = delay_reason_code if delay_reason_code != OMIT @additional_properties = additional_properties @_field_set = { "patient": patient, "referring_provider": referring_provider, "initial_referring_provider": initial_referring_provider, "supervising_provider": supervising_provider, "service_facility": service_facility, "subscriber_primary": subscriber_primary, "subscriber_secondary": subscriber_secondary, "subscriber_tertiary": subscriber_tertiary, "prior_authorization_number": , "responsible_party": responsible_party, "clinical_notes": clinical_notes, "billing_notes": billing_notes, "patient_histories": patient_histories, "guarantor": guarantor, "external_claim_submission": external_claim_submission, "tag_ids": tag_ids, "schema_instances": schema_instances, "referral_number": referral_number, "epsdt_referral": epsdt_referral, "claim_supplemental_information": claim_supplemental_information, "secondary_payer_carrier_code": secondary_payer_carrier_code, "external_id": external_id, "date_of_service": date_of_service, "end_date_of_service": end_date_of_service, "patient_authorized_release": , "benefits_assigned_to_provider": benefits_assigned_to_provider, "provider_accepts_assignment": provider_accepts_assignment, "appointment_type": appointment_type, "existing_medications": existing_medications, "interventions": interventions, "pay_to_address": pay_to_address, "synchronicity": synchronicity, "vitals": vitals, "billable_status": billable_status, "additional_information": additional_information, "service_authorization_exception_code": , "admission_date": admission_date, "discharge_date": discharge_date, "onset_of_current_illness_or_symptom_date": onset_of_current_illness_or_symptom_date, "last_menstrual_period_date": last_menstrual_period_date, "delay_reason_code": delay_reason_code }.reject do |_k, v| v == OMIT end end |
Instance Attribute Details
#additional_information ⇒ String (readonly)
Returns Defines additional information on the claim needed by the payer. Box 19 on the CMS-1500 claim form or Form Locator 80 on a UB-04 claim form.
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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_create_base.rb', line 174 def additional_information @additional_information end |
#additional_properties ⇒ OpenStruct (readonly)
Returns Additional properties unmapped to the current class definition.
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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_create_base.rb', line 209 def additional_properties @additional_properties end |
#admission_date ⇒ Date (readonly)
Returns 837p Loop2300 DTP*435, CMS-1500 Box 18 or UB-04 Form Locator 12. Required on all ambulance claims when the patient was known to be admitted to the hospital. OR Required on all claims involving inpatient medical visits.
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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_create_base.rb', line 187 def admission_date @admission_date end |
#appointment_type ⇒ String (readonly)
Returns Human-readable description of the appointment type (ex: “Acupuncture - Headaches”).
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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_create_base.rb', line 150 def appointment_type @appointment_type end |
#benefits_assigned_to_provider ⇒ Boolean (readonly)
Returns Whether this patient has authorized insurance payments to be made to you, not them. If false, patient may receive reimbursement. Box 13 on the CMS-1500 claim form or Form Locator 53 on a UB-04 claim form.
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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_create_base.rb', line 142 def benefits_assigned_to_provider @benefits_assigned_to_provider end |
#billable_status ⇒ CandidApiClient::Encounters::V4::Types::BillableStatusType (readonly)
Returns Defines if the Encounter is to be billed by Candid to the responsible_party. Examples for when this should be set to NOT_BILLABLE include if the Encounter has not occurred yet or if there is no intention of ever billing the responsible_party.
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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_create_base.rb', line 171 def billable_status @billable_status end |
#billing_notes ⇒ Array<CandidApiClient::BillingNotes::V2::Types::BillingNoteBase> (readonly)
Returns Spot to store misc, human-readable, notes about this encounter to be used in the billing process.
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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_create_base.rb', line 86 def billing_notes @billing_notes end |
#claim_supplemental_information ⇒ Array<CandidApiClient::Encounters::V4::Types::ClaimSupplementalInformation> (readonly)
Returns Refers to Loop 2300 - Segment PWK on the 837P and 837i forms. No more than 10 entries are permitted.
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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_create_base.rb', line 109 def claim_supplemental_information @claim_supplemental_information end |
#clinical_notes ⇒ Array<CandidApiClient::Encounters::V4::Types::ClinicalNoteCategoryCreate> (readonly)
Returns Holds a collection of clinical observations made by healthcare providers during patient encounters. Please note that medical records for appeals should be sent using the Encounter Attachments API.
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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_create_base.rb', line 83 def clinical_notes @clinical_notes end |
#date_of_service ⇒ Date (readonly)
Returns Date formatted as YYYY-MM-DD; eg: 2019-08-24. This date must be the local date in the timezone where the service occurred. Box 24a on the CMS-1500 claim form or Form Locator 45 on the UB-04 claim form. If service occurred over a range of dates, this should be the start date. date_of_service must be defined on either the encounter or the service lines but not both. If there are greater than zero service lines, it is recommended to specify date_of_service on the service_line instead of on the encounter to prepare for future API versions.
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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_create_base.rb', line 126 def date_of_service @date_of_service end |
#delay_reason_code ⇒ CandidApiClient::Commons::Types::DelayReasonCode (readonly)
Returns 837i Loop2300, CLM-1300 Box 20 Code indicating the reason why a request was delayed.
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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_create_base.rb', line 207 def delay_reason_code @delay_reason_code end |
#discharge_date ⇒ Date (readonly)
Returns 837p Loop2300 DTP*096, CMS-1500 Box 18 Required for inpatient claims when the patient was discharged from the facility and the discharge date is known. Not used on an institutional claim.
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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_create_base.rb', line 191 def discharge_date @discharge_date end |
#end_date_of_service ⇒ Date (readonly)
Returns Date formatted as YYYY-MM-DD; eg: 2019-08-25. This date must be the local date in the timezone where the service occurred. If omitted, the Encounter is assumed to be for a single day. Must not be temporally before the date_of_service field. If there are greater than zero service lines, it is recommended to specify end_date_of_service on the service_line instead of on the encounter to prepare for future API versions.
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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_create_base.rb', line 134 def end_date_of_service @end_date_of_service end |
#epsdt_referral ⇒ CandidApiClient::Encounters::V4::Types::EpsdtReferral (readonly)
Returns Refers to Box 24H on the CMS1500 form and Loop 2300 CRC - EPSDT Referral on the 837P and 837i form.
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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_create_base.rb', line 106 def epsdt_referral @epsdt_referral end |
#existing_medications ⇒ Array<CandidApiClient::Encounters::V4::Types::Medication> (readonly)
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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_create_base.rb', line 152 def existing_medications @existing_medications end |
#external_claim_submission ⇒ CandidApiClient::ClaimSubmission::V1::Types::ExternalClaimSubmissionCreate (readonly)
Returns To be included for claims that have been submitted outside of Candid. Candid supports posting remits and payments to these claims and working them in-platform (e.g. editing, resubmitting).
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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_create_base.rb', line 94 def external_claim_submission @external_claim_submission end |
#external_id ⇒ String (readonly)
Returns A client-specified unique ID to associate with this encounter; for example, your internal encounter ID or a Dr. Chrono encounter ID. This field should not contain PHI.
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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_create_base.rb', line 116 def external_id @external_id end |
#guarantor ⇒ CandidApiClient::Guarantor::V1::Types::GuarantorCreate (readonly)
Returns Personal and contact info for the guarantor of the patient responsibility.
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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_create_base.rb', line 90 def guarantor @guarantor end |
#initial_referring_provider ⇒ CandidApiClient::EncounterProviders::V2::Types::InitialReferringProvider (readonly)
Returns The second iteration of Loop ID-2310 on an 837P form. Use code “P3 - Primary Care Provider” in this loop to indicate the initial referral from the primary care provider or whatever provider wrote the initial referral for this patient’s episode of care being billed/reported in this transaction. Not used in an 837i claim.
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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_create_base.rb', line 47 def initial_referring_provider @initial_referring_provider end |
#interventions ⇒ Array<CandidApiClient::Encounters::V4::Types::Intervention> (readonly)
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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_create_base.rb', line 154 def interventions @interventions end |
#last_menstrual_period_date ⇒ Date (readonly)
Returns 837p Loop2300 DTP*484, CMS-1500 Box 14 Required when, in the judgment of the provider, the services on this claim are related to the patient’s pregnancy. This field is populated separately via occurrence codes for UB-04 claim forms.
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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_create_base.rb', line 204 def last_menstrual_period_date @last_menstrual_period_date end |
#onset_of_current_illness_or_symptom_date ⇒ Date (readonly)
Returns 837p Loop2300 DTP*431, CMS-1500 Box 14 Required for the initial medical service or visit performed in response to a medical emergency when the date is available and is different than the date of service. OR This date is the onset of acute symptoms for the current illness or condition. For UB-04 claims, this is populated separately via occurrence codes.
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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_create_base.rb', line 199 def onset_of_current_illness_or_symptom_date @onset_of_current_illness_or_symptom_date end |
#patient ⇒ CandidApiClient::Individual::Types::PatientCreate (readonly)
Returns Contains the identification information of the individual receiving medical services.
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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_create_base.rb', line 36 def patient @patient end |
#patient_authorized_release ⇒ Boolean (readonly)
Returns Whether this patient has authorized the release of medical information for billing purpose. Box 12 on the CMS-1500 claim form or Form Locator 52 on a UB-04 claim form.
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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_create_base.rb', line 138 def @patient_authorized_release end |
#patient_histories ⇒ Array<CandidApiClient::Encounters::V4::Types::PatientHistoryCategory> (readonly)
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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_create_base.rb', line 88 def patient_histories @patient_histories end |
#pay_to_address ⇒ CandidApiClient::Commons::Types::StreetAddressLongZip (readonly)
Returns Specifies the address to which payments for the claim should be sent.
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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_create_base.rb', line 156 def pay_to_address @pay_to_address end |
#prior_authorization_number ⇒ String (readonly)
Returns Box 23 on the CMS-1500 claim form or Form Locator 63 on a UB-04 claim form.
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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_create_base.rb', line 77 def @prior_authorization_number end |
#provider_accepts_assignment ⇒ Boolean (readonly)
Returns Whether you have accepted the patient’s authorization for insurance payments to be made to you, not them. Box 27 on the CMS-1500 claim form. There is no exact equivalent of this field on a UB-04 claim, however contributes to the concept of Form Locator 53.
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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_create_base.rb', line 147 def provider_accepts_assignment @provider_accepts_assignment end |
#referral_number ⇒ String (readonly)
Returns Refers to REF*9F on the 837p and 837i. Value cannot be greater than 50 characters.
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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_create_base.rb', line 103 def referral_number @referral_number end |
#referring_provider ⇒ CandidApiClient::EncounterProviders::V2::Types::ReferringProvider (readonly)
Returns The final provider who referred the services that were rendered. All physicians who order services or refer Medicare beneficiaries must report this data.
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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_create_base.rb', line 40 def referring_provider @referring_provider end |
#responsible_party ⇒ CandidApiClient::Encounters::V4::Types::ResponsiblePartyType (readonly)
Returns Defines the party to be billed with the initial balance owed on the claim.
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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_create_base.rb', line 79 def responsible_party @responsible_party end |
#schema_instances ⇒ Array<CandidApiClient::CustomSchemas::V1::Types::SchemaInstance> (readonly)
Returns Key-value pairs that must adhere to a schema created via the Custom Schema API. Multiple schema instances cannot be created for the same schema on an encounter.
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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_create_base.rb', line 100 def schema_instances @schema_instances end |
#secondary_payer_carrier_code ⇒ String (readonly)
Returns When Medicaid is billed as the secondary payer the Carrier Code is used to identify the primary payer. This is required for certain states.
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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_create_base.rb', line 112 def secondary_payer_carrier_code @secondary_payer_carrier_code end |
#service_authorization_exception_code ⇒ CandidApiClient::Encounters::V4::Types::ServiceAuthorizationExceptionCode (readonly)
Returns 837p Loop2300 REF*4N Required when mandated by government law or regulation to obtain authorization for specific service(s) but, for the reasons listed in one of the enum values of ServiceAuthorizationExceptionCode, the service was performed without obtaining the authorization.
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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_create_base.rb', line 181 def @service_authorization_exception_code end |
#service_facility ⇒ CandidApiClient::ServiceFacility::Types::EncounterServiceFacilityBase (readonly)
Returns Encounter Service facility is typically the location a medical service was rendered, such as a provider office or hospital. For telehealth, service facility can represent the provider’s location when the service was delivered (e.g., home), or the location where an in-person visit would have taken place, whichever is easier to identify. If the provider is in-network, service facility may be defined in payer contracts. Box 32 on the CMS-1500 claim form. There is no equivalent on the paper UB-04 claim form, but this field is equivalent to Loop 2310E Service Facility Location details on an 837i form, and is used when this is different to the entity identified as the Billing Provider. Note that for an in-network claim to be successfully adjudicated, the service facility address listed.
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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_create_base.rb', line 62 def service_facility @service_facility end |
#subscriber_primary ⇒ CandidApiClient::Individual::Types::SubscriberCreate (readonly)
Returns Subscriber_primary is required when responsible_party is INSURANCE_PAY (i.e. when the claim should be billed to insurance). These are not required fields when responsible_party is SELF_PAY (i.e. when the claim should be billed to the patient). However, if you collect this for patients, even self-pay, we recommend including it when sending encounters to Candid. Note: Cash Pay is no longer a valid payer_id in v4, please use responsible party to define self-pay claims.
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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_create_base.rb', line 71 def subscriber_primary @subscriber_primary end |
#subscriber_secondary ⇒ CandidApiClient::Individual::Types::SubscriberCreate (readonly)
Returns Please always include this when you have it, even for self-pay claims.
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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_create_base.rb', line 73 def subscriber_secondary @subscriber_secondary end |
#subscriber_tertiary ⇒ CandidApiClient::Individual::Types::SubscriberCreate (readonly)
Returns Please always include this when you have it, even for self-pay claims.
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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_create_base.rb', line 75 def subscriber_tertiary @subscriber_tertiary end |
#supervising_provider ⇒ CandidApiClient::EncounterProviders::V2::Types::SupervisingProvider (readonly)
Returns Required when the rendering provider is supervised by a physician. If not required by this implementation guide, do not send.
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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_create_base.rb', line 50 def supervising_provider @supervising_provider end |
#synchronicity ⇒ CandidApiClient::Encounters::V4::Types::SynchronicityType (readonly)
Returns Whether or not this was a synchronous or asynchronous encounter. Asynchronous encounters occur when providers and patients communicate online using forms, instant messaging, or other pre-recorded digital mediums. Synchronous encounters occur in live, real-time settings where the patient interacts directly with the provider, such as over video or a phone call.
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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_create_base.rb', line 164 def synchronicity @synchronicity end |
#tag_ids ⇒ Array<String> (readonly)
Returns Names of tags that should be on the encounter.
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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_create_base.rb', line 96 def tag_ids @tag_ids end |
#vitals ⇒ CandidApiClient::Encounters::V4::Types::Vitals (readonly)
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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_create_base.rb', line 166 def vitals @vitals end |
Class Method Details
.from_json(json_object:) ⇒ CandidApiClient::EncountersUniversal::Types::UniversalEncounterCreateBase
Deserialize a JSON object to an instance of UniversalEncounterCreateBase
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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_create_base.rb', line 450 def self.from_json(json_object:) struct = JSON.parse(json_object, object_class: OpenStruct) parsed_json = JSON.parse(json_object) if parsed_json["patient"].nil? patient = nil else patient = parsed_json["patient"].to_json patient = CandidApiClient::Individual::Types::PatientCreate.from_json(json_object: patient) end if parsed_json["referring_provider"].nil? referring_provider = nil else referring_provider = parsed_json["referring_provider"].to_json referring_provider = CandidApiClient::EncounterProviders::V2::Types::ReferringProvider.from_json(json_object: referring_provider) end if parsed_json["initial_referring_provider"].nil? initial_referring_provider = nil else initial_referring_provider = parsed_json["initial_referring_provider"].to_json initial_referring_provider = CandidApiClient::EncounterProviders::V2::Types::InitialReferringProvider.from_json(json_object: initial_referring_provider) end if parsed_json["supervising_provider"].nil? supervising_provider = nil else supervising_provider = parsed_json["supervising_provider"].to_json supervising_provider = CandidApiClient::EncounterProviders::V2::Types::SupervisingProvider.from_json(json_object: supervising_provider) end if parsed_json["service_facility"].nil? service_facility = nil else service_facility = parsed_json["service_facility"].to_json service_facility = CandidApiClient::ServiceFacility::Types::EncounterServiceFacilityBase.from_json(json_object: service_facility) end if parsed_json["subscriber_primary"].nil? subscriber_primary = nil else subscriber_primary = parsed_json["subscriber_primary"].to_json subscriber_primary = CandidApiClient::Individual::Types::SubscriberCreate.from_json(json_object: subscriber_primary) end if parsed_json["subscriber_secondary"].nil? subscriber_secondary = nil else subscriber_secondary = parsed_json["subscriber_secondary"].to_json subscriber_secondary = CandidApiClient::Individual::Types::SubscriberCreate.from_json(json_object: subscriber_secondary) end if parsed_json["subscriber_tertiary"].nil? subscriber_tertiary = nil else subscriber_tertiary = parsed_json["subscriber_tertiary"].to_json subscriber_tertiary = CandidApiClient::Individual::Types::SubscriberCreate.from_json(json_object: subscriber_tertiary) end = struct["prior_authorization_number"] responsible_party = struct["responsible_party"] clinical_notes = parsed_json["clinical_notes"]&.map do |item| item = item.to_json CandidApiClient::Encounters::V4::Types::ClinicalNoteCategoryCreate.from_json(json_object: item) end billing_notes = parsed_json["billing_notes"]&.map do |item| item = item.to_json CandidApiClient::BillingNotes::V2::Types::BillingNoteBase.from_json(json_object: item) end patient_histories = parsed_json["patient_histories"]&.map do |item| item = item.to_json CandidApiClient::Encounters::V4::Types::PatientHistoryCategory.from_json(json_object: item) end if parsed_json["guarantor"].nil? guarantor = nil else guarantor = parsed_json["guarantor"].to_json guarantor = CandidApiClient::Guarantor::V1::Types::GuarantorCreate.from_json(json_object: guarantor) end if parsed_json["external_claim_submission"].nil? external_claim_submission = nil else external_claim_submission = parsed_json["external_claim_submission"].to_json external_claim_submission = CandidApiClient::ClaimSubmission::V1::Types::ExternalClaimSubmissionCreate.from_json(json_object: external_claim_submission) end tag_ids = struct["tag_ids"] schema_instances = parsed_json["schema_instances"]&.map do |item| item = item.to_json CandidApiClient::CustomSchemas::V1::Types::SchemaInstance.from_json(json_object: item) end referral_number = struct["referral_number"] if parsed_json["epsdt_referral"].nil? epsdt_referral = nil else epsdt_referral = parsed_json["epsdt_referral"].to_json epsdt_referral = CandidApiClient::Encounters::V4::Types::EpsdtReferral.from_json(json_object: epsdt_referral) end claim_supplemental_information = parsed_json["claim_supplemental_information"]&.map do |item| item = item.to_json CandidApiClient::Encounters::V4::Types::ClaimSupplementalInformation.from_json(json_object: item) end secondary_payer_carrier_code = struct["secondary_payer_carrier_code"] external_id = struct["external_id"] date_of_service = (Date.parse(parsed_json["date_of_service"]) unless parsed_json["date_of_service"].nil?) end_date_of_service = unless parsed_json["end_date_of_service"].nil? Date.parse(parsed_json["end_date_of_service"]) end = struct["patient_authorized_release"] benefits_assigned_to_provider = struct["benefits_assigned_to_provider"] provider_accepts_assignment = struct["provider_accepts_assignment"] appointment_type = struct["appointment_type"] existing_medications = parsed_json["existing_medications"]&.map do |item| item = item.to_json CandidApiClient::Encounters::V4::Types::Medication.from_json(json_object: item) end interventions = parsed_json["interventions"]&.map do |item| item = item.to_json CandidApiClient::Encounters::V4::Types::Intervention.from_json(json_object: item) end if parsed_json["pay_to_address"].nil? pay_to_address = nil else pay_to_address = parsed_json["pay_to_address"].to_json pay_to_address = CandidApiClient::Commons::Types::StreetAddressLongZip.from_json(json_object: pay_to_address) end synchronicity = struct["synchronicity"] if parsed_json["vitals"].nil? vitals = nil else vitals = parsed_json["vitals"].to_json vitals = CandidApiClient::Encounters::V4::Types::Vitals.from_json(json_object: vitals) end billable_status = struct["billable_status"] additional_information = struct["additional_information"] = struct["service_authorization_exception_code"] admission_date = (Date.parse(parsed_json["admission_date"]) unless parsed_json["admission_date"].nil?) discharge_date = (Date.parse(parsed_json["discharge_date"]) unless parsed_json["discharge_date"].nil?) onset_of_current_illness_or_symptom_date = unless parsed_json["onset_of_current_illness_or_symptom_date"].nil? Date.parse(parsed_json["onset_of_current_illness_or_symptom_date"]) end last_menstrual_period_date = unless parsed_json["last_menstrual_period_date"].nil? Date.parse(parsed_json["last_menstrual_period_date"]) end delay_reason_code = struct["delay_reason_code"] new( patient: patient, referring_provider: referring_provider, initial_referring_provider: initial_referring_provider, supervising_provider: supervising_provider, service_facility: service_facility, subscriber_primary: subscriber_primary, subscriber_secondary: subscriber_secondary, subscriber_tertiary: subscriber_tertiary, prior_authorization_number: , responsible_party: responsible_party, clinical_notes: clinical_notes, billing_notes: billing_notes, patient_histories: patient_histories, guarantor: guarantor, external_claim_submission: external_claim_submission, tag_ids: tag_ids, schema_instances: schema_instances, referral_number: referral_number, epsdt_referral: epsdt_referral, claim_supplemental_information: claim_supplemental_information, secondary_payer_carrier_code: secondary_payer_carrier_code, external_id: external_id, date_of_service: date_of_service, end_date_of_service: end_date_of_service, patient_authorized_release: , benefits_assigned_to_provider: benefits_assigned_to_provider, provider_accepts_assignment: provider_accepts_assignment, appointment_type: appointment_type, existing_medications: existing_medications, interventions: interventions, pay_to_address: pay_to_address, synchronicity: synchronicity, vitals: vitals, billable_status: billable_status, additional_information: additional_information, service_authorization_exception_code: , admission_date: admission_date, discharge_date: discharge_date, onset_of_current_illness_or_symptom_date: onset_of_current_illness_or_symptom_date, last_menstrual_period_date: last_menstrual_period_date, delay_reason_code: delay_reason_code, additional_properties: struct ) end |
.validate_raw(obj:) ⇒ Void
Leveraged for Union-type generation, validate_raw attempts to parse the given
hash and check each fields type against the current object's property
definitions.
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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_create_base.rb', line 645 def self.validate_raw(obj:) CandidApiClient::Individual::Types::PatientCreate.validate_raw(obj: obj.patient) obj.referring_provider.nil? || CandidApiClient::EncounterProviders::V2::Types::ReferringProvider.validate_raw(obj: obj.referring_provider) obj.initial_referring_provider.nil? || CandidApiClient::EncounterProviders::V2::Types::InitialReferringProvider.validate_raw(obj: obj.initial_referring_provider) obj.supervising_provider.nil? || CandidApiClient::EncounterProviders::V2::Types::SupervisingProvider.validate_raw(obj: obj.supervising_provider) obj.service_facility.nil? || CandidApiClient::ServiceFacility::Types::EncounterServiceFacilityBase.validate_raw(obj: obj.service_facility) obj.subscriber_primary.nil? || CandidApiClient::Individual::Types::SubscriberCreate.validate_raw(obj: obj.subscriber_primary) obj.subscriber_secondary.nil? || CandidApiClient::Individual::Types::SubscriberCreate.validate_raw(obj: obj.subscriber_secondary) obj.subscriber_tertiary.nil? || CandidApiClient::Individual::Types::SubscriberCreate.validate_raw(obj: obj.subscriber_tertiary) obj.&.is_a?(String) != false || raise("Passed value for field obj.prior_authorization_number is not the expected type, validation failed.") obj.responsible_party.is_a?(CandidApiClient::Encounters::V4::Types::ResponsiblePartyType) != false || raise("Passed value for field obj.responsible_party is not the expected type, validation failed.") obj.clinical_notes&.is_a?(Array) != false || raise("Passed value for field obj.clinical_notes is not the expected type, validation failed.") obj.billing_notes&.is_a?(Array) != false || raise("Passed value for field obj.billing_notes is not the expected type, validation failed.") obj.patient_histories&.is_a?(Array) != false || raise("Passed value for field obj.patient_histories is not the expected type, validation failed.") obj.guarantor.nil? || CandidApiClient::Guarantor::V1::Types::GuarantorCreate.validate_raw(obj: obj.guarantor) obj.external_claim_submission.nil? || CandidApiClient::ClaimSubmission::V1::Types::ExternalClaimSubmissionCreate.validate_raw(obj: obj.external_claim_submission) obj.tag_ids&.is_a?(Array) != false || raise("Passed value for field obj.tag_ids is not the expected type, validation failed.") obj.schema_instances&.is_a?(Array) != false || raise("Passed value for field obj.schema_instances is not the expected type, validation failed.") obj.referral_number&.is_a?(String) != false || raise("Passed value for field obj.referral_number is not the expected type, validation failed.") obj.epsdt_referral.nil? || CandidApiClient::Encounters::V4::Types::EpsdtReferral.validate_raw(obj: obj.epsdt_referral) obj.claim_supplemental_information&.is_a?(Array) != false || raise("Passed value for field obj.claim_supplemental_information is not the expected type, validation failed.") obj.secondary_payer_carrier_code&.is_a?(String) != false || raise("Passed value for field obj.secondary_payer_carrier_code is not the expected type, validation failed.") obj.external_id.is_a?(String) != false || raise("Passed value for field obj.external_id is not the expected type, validation failed.") obj.date_of_service&.is_a?(Date) != false || raise("Passed value for field obj.date_of_service is not the expected type, validation failed.") 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.") obj..is_a?(Boolean) != false || raise("Passed value for field obj.patient_authorized_release is not the expected type, validation failed.") obj.benefits_assigned_to_provider.is_a?(Boolean) != false || raise("Passed value for field obj.benefits_assigned_to_provider is not the expected type, validation failed.") obj.provider_accepts_assignment.is_a?(Boolean) != false || raise("Passed value for field obj.provider_accepts_assignment is not the expected type, validation failed.") obj.appointment_type&.is_a?(String) != false || raise("Passed value for field obj.appointment_type is not the expected type, validation failed.") obj.existing_medications&.is_a?(Array) != false || raise("Passed value for field obj.existing_medications is not the expected type, validation failed.") obj.interventions&.is_a?(Array) != false || raise("Passed value for field obj.interventions is not the expected type, validation failed.") obj.pay_to_address.nil? || CandidApiClient::Commons::Types::StreetAddressLongZip.validate_raw(obj: obj.pay_to_address) obj.synchronicity&.is_a?(CandidApiClient::Encounters::V4::Types::SynchronicityType) != false || raise("Passed value for field obj.synchronicity is not the expected type, validation failed.") obj.vitals.nil? || CandidApiClient::Encounters::V4::Types::Vitals.validate_raw(obj: obj.vitals) 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.") obj.additional_information&.is_a?(String) != false || raise("Passed value for field obj.additional_information is not the expected type, validation failed.") obj.&.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.") obj.admission_date&.is_a?(Date) != false || raise("Passed value for field obj.admission_date is not the expected type, validation failed.") obj.discharge_date&.is_a?(Date) != false || raise("Passed value for field obj.discharge_date is not the expected type, validation failed.") obj.onset_of_current_illness_or_symptom_date&.is_a?(Date) != false || raise("Passed value for field obj.onset_of_current_illness_or_symptom_date is not the expected type, validation failed.") obj.last_menstrual_period_date&.is_a?(Date) != false || raise("Passed value for field obj.last_menstrual_period_date is not the expected type, validation failed.") obj.delay_reason_code&.is_a?(CandidApiClient::Commons::Types::DelayReasonCode) != false || raise("Passed value for field obj.delay_reason_code is not the expected type, validation failed.") end |
Instance Method Details
#to_json(*_args) ⇒ String
Serialize an instance of UniversalEncounterCreateBase to a JSON object
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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_create_base.rb', line 635 def to_json(*_args) @_field_set&.to_json end |