Class: CandidApiClient::EncountersUniversal::Types::UniversalEncounterUpdateBase

Inherits:
Object
  • Object
show all
Defined in:
lib/candidhealth/encounters_universal/types/universal_encounter_update_base.rb

Constant Summary collapse

OMIT = 
Object.new

Instance Attribute Summary collapse

Class Method Summary collapse

Instance Method Summary collapse

Constructor Details

#initialize(epsdt_referral: OMIT, clinical_notes: OMIT, claim_supplemental_information: OMIT, schema_instances: OMIT, existing_medications: OMIT, guarantor: OMIT, subscriber_primary: OMIT, subscriber_secondary: OMIT, subscriber_tertiary: OMIT, pay_to_address: OMIT, initial_referring_provider: OMIT, referring_provider: OMIT, patient: OMIT, rendering_provider: OMIT, service_facility: OMIT, supervising_provider: OMIT, billing_provider: OMIT, place_of_service_code_as_submitted: OMIT, benefits_assigned_to_provider: OMIT, prior_authorization_number: OMIT, external_id: OMIT, date_of_service: OMIT, tag_ids: OMIT, billable_status: OMIT, responsible_party: OMIT, provider_accepts_assignment: OMIT, synchronicity: OMIT, place_of_service_code: OMIT, appointment_type: OMIT, end_date_of_service: 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, patient_authorized_release: OMIT, referral_number: OMIT, secondary_payer_carrier_code: OMIT, additional_properties: nil) ⇒ CandidApiClient::EncountersUniversal::Types::UniversalEncounterUpdateBase

Parameters:

  • epsdt_referral (CandidApiClient::Encounters::V4::Types::EpsdtReferral) (defaults to: OMIT) —

    Refers to Box 24H on the CMS1500 form and Loop 2300 CRC - EPSDT Referral on the 837P and 837i form

  • clinical_notes (Array<CandidApiClient::Encounters::V4::Types::ClinicalNoteCategoryCreate>) (defaults to: OMIT) —

    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.

  • claim_supplemental_information (Array<CandidApiClient::Encounters::V4::Types::ClaimSupplementalInformation>) (defaults to: OMIT) —

    Refers to Loop 2300 - Segment PWK on the 837P and 837i form. No more than 10 entries are permitted.

  • schema_instances (Array<CandidApiClient::CustomSchemas::V1::Types::SchemaInstance>) (defaults to: OMIT) —

    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. Updating schema instances utilizes PUT semantics, so the schema instances on the encounter will be set to whatever inputs are provided. If null is provided as an input, then the encounter’s schema instances will be cleared.

  • existing_medications (Array<CandidApiClient::Encounters::V4::Types::Medication>) (defaults to: OMIT) —

    Existing medications that should be on the encounter. Note all current existing medications on encounter will be overridden with this list.

  • guarantor (CandidApiClient::Guarantor::V1::Types::GuarantorUpdate) (defaults to: OMIT) —

    Personal and contact info for the guarantor of the patient responsibility.

  • subscriber_primary (CandidApiClient::Individual::Types::SubscriberCreate) (defaults to: OMIT) —

    Contains details of the primary insurance subscriber.

  • subscriber_secondary (CandidApiClient::Individual::Types::SubscriberCreate) (defaults to: OMIT) —

    Contains details of the secondary insurance subscriber.

  • subscriber_tertiary (CandidApiClient::Individual::Types::SubscriberCreate) (defaults to: OMIT) —

    Contains details of the tertiary insurance subscriber.

  • pay_to_address (CandidApiClient::Commons::Types::StreetAddressLongZip) (defaults to: OMIT) —

    Specifies the address to which payments for the claim should be sent.

  • initial_referring_provider (CandidApiClient::EncounterProviders::V2::Types::InitialReferringProviderUpdate) (defaults to: OMIT) —

    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

  • referring_provider (CandidApiClient::EncounterProviders::V2::Types::ReferringProviderUpdate) (defaults to: OMIT) —

    The final provider who referred the services that were rendered. All physicians who order services or refer Medicare beneficiaries must report this data.

  • patient (CandidApiClient::Individual::Types::PatientUpdate) (defaults to: OMIT) —

    Contains the identification information of the individual receiving medical services.

  • rendering_provider (CandidApiClient::EncounterProviders::V2::Types::RenderingProviderUpdate) (defaults to: OMIT) —

    The rendering provider is the practitioner – physician, nurse practitioner, etc. – performing the service. For telehealth services, the rendering provider performs the visit, asynchronous communication, or other service. The rendering provider address should generally be the same as the service facility address.

  • service_facility (CandidApiClient::ServiceFacility::Types::EncounterServiceFacilityUpdate) (defaults to: OMIT) —

    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

  • supervising_provider (CandidApiClient::EncounterProviders::V2::Types::SupervisingProviderUpdate) (defaults to: OMIT) —

    Required when the rendering provider is supervised by a physician. If not required by this implementation guide, do not send.

  • billing_provider (CandidApiClient::EncounterProviders::V2::Types::BillingProviderUpdate) (defaults to: OMIT) —

    The billing provider is the provider or business entity submitting the claim. Billing provider may be, but is not necessarily, the same person/NPI as the rendering provider. From a payer’s perspective, this represents the person or entity being reimbursed. When a contract exists with the target payer, the billing provider should be the entity contracted with the payer. In some circumstances, this will be an individual provider. In that case, submit that provider’s NPI and the tax ID (TIN) that the provider gave to the payer during contracting. In other cases, the billing entity will be a medical group. If so, submit the group NPI and the group’s tax ID. Box 33 on the CMS-1500 claim or Form Locator 1 on a UB-04 claim form.

  • place_of_service_code_as_submitted (CandidApiClient::Commons::Types::FacilityTypeCode) (defaults to: OMIT) —

    Box 24B on the CMS-1500 claim form. 837p Loop2300, CLM-05-1. This box is not used on a UB-04 or 837i claim form. 02 for telemedicine, 11 for in-person. Full list //www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set).

  • benefits_assigned_to_provider (Boolean) (defaults to: OMIT) —

    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.

  • prior_authorization_number (String) (defaults to: OMIT) —

    Box 23 on the CMS-1500 claim form or Form Locator 63 on a UB-04 claim form.

  • external_id (String) (defaults to: OMIT) —

    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.

  • date_of_service (Date) (defaults to: OMIT) —

    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. If service lines have distinct date_of_service values, updating the encounter’s date_of_service will fail. If all service line date_of_service values are the same, updating the encounter’s date_of_service will update all service line date_of_service values.

  • tag_ids (Array<String>) (defaults to: OMIT) —

    Names of tags that should be on the encounter. Note all tags on encounter will be overridden with this list.

  • billable_status (CandidApiClient::Encounters::V4::Types::BillableStatusType) (defaults to: OMIT) —

    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.

  • responsible_party (CandidApiClient::Encounters::V4::Types::ResponsiblePartyType) (defaults to: OMIT) —

    Defines the party to be billed with the initial balance owed on the claim. Use SELF_PAY if you intend to bill self pay/cash pay.

  • provider_accepts_assignment (Boolean) (defaults to: OMIT) —

    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.

  • synchronicity (CandidApiClient::Encounters::V4::Types::SynchronicityType) (defaults to: OMIT) —

    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.

  • place_of_service_code (CandidApiClient::Commons::Types::FacilityTypeCode) (defaults to: OMIT) —

    Box 24B on the CMS-1500 claim form. 837p Loop2300, CLM-05-1. 02 for telemedicine, 11 for in-person. Full list //www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set).

  • appointment_type (String) (defaults to: OMIT) —

    Human-readable description of the appointment type (ex: “Acupuncture - Headaches”).

  • end_date_of_service (Date) (defaults to: OMIT) —

    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 service lines have distinct end_date_of_service values, updating the encounter’s end_date_of_service will fail. If all service line end_date_of_service values are the same, updating the encounter’s end_date_of_service will update all service line date_of_service values.

  • additional_information (String) (defaults to: OMIT) —

    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.

  • service_authorization_exception_code (CandidApiClient::Encounters::V4::Types::ServiceAuthorizationExceptionCode) (defaults to: OMIT) —

    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.

  • admission_date (Date) (defaults to: OMIT) —

    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.

  • discharge_date (Date) (defaults to: OMIT) —

    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.

  • onset_of_current_illness_or_symptom_date (Date) (defaults to: OMIT) —

    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.

  • last_menstrual_period_date (Date) (defaults to: OMIT) —

    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.de This field is populated separately via occurrence codes for UB-04 claim forms.

  • delay_reason_code (CandidApiClient::Commons::Types::DelayReasonCode) (defaults to: OMIT) —

    837i Loop2300, CLM-1300 Box 20 Code indicating the reason why a request was delayed

  • patient_authorized_release (Boolean) (defaults to: OMIT) —

    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.

  • referral_number (String) (defaults to: OMIT) —

    Refers to REF*9F on the 837p. Value cannot be greater than 50 characters.

  • secondary_payer_carrier_code (String) (defaults to: OMIT) —

    When Medicaid is billed as the secondary payer the Carrier Code is used to identify the primary payer. This is required for certain states.

  • additional_properties (OpenStruct) (defaults to: nil) —

    Additional properties unmapped to the current class definition



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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_update_base.rb', line 372

def initialize(epsdt_referral: OMIT, clinical_notes: OMIT, claim_supplemental_information: OMIT,
               schema_instances: OMIT, existing_medications: OMIT, guarantor: OMIT, subscriber_primary: OMIT, subscriber_secondary: OMIT, subscriber_tertiary: OMIT, pay_to_address: OMIT, initial_referring_provider: OMIT, referring_provider: OMIT, patient: OMIT, rendering_provider: OMIT, service_facility: OMIT, supervising_provider: OMIT, billing_provider: OMIT, place_of_service_code_as_submitted: OMIT, benefits_assigned_to_provider: OMIT, prior_authorization_number: OMIT, external_id: OMIT, date_of_service: OMIT, tag_ids: OMIT, billable_status: OMIT, responsible_party: OMIT, provider_accepts_assignment: OMIT, synchronicity: OMIT, place_of_service_code: OMIT, appointment_type: OMIT, end_date_of_service: 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, patient_authorized_release: OMIT, referral_number: OMIT, secondary_payer_carrier_code: OMIT, additional_properties: nil)
  @epsdt_referral = epsdt_referral if epsdt_referral != OMIT
  @clinical_notes = clinical_notes if clinical_notes != OMIT
  @claim_supplemental_information = claim_supplemental_information if claim_supplemental_information != OMIT
  @schema_instances = schema_instances if schema_instances != OMIT
  @existing_medications = existing_medications if existing_medications != OMIT
  @guarantor = guarantor if guarantor != 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
  @pay_to_address = pay_to_address if pay_to_address != OMIT
  @initial_referring_provider = initial_referring_provider if initial_referring_provider != OMIT
  @referring_provider = referring_provider if referring_provider != OMIT
  @patient = patient if patient != OMIT
  @rendering_provider = rendering_provider if rendering_provider != OMIT
  @service_facility = service_facility if service_facility != OMIT
  @supervising_provider = supervising_provider if supervising_provider != OMIT
  @billing_provider = billing_provider if billing_provider != OMIT
  if place_of_service_code_as_submitted != OMIT
    @place_of_service_code_as_submitted = place_of_service_code_as_submitted
  end
  @benefits_assigned_to_provider = benefits_assigned_to_provider if benefits_assigned_to_provider != OMIT
  @prior_authorization_number = prior_authorization_number if prior_authorization_number != OMIT
  @external_id = external_id if external_id != OMIT
  @date_of_service = date_of_service if date_of_service != OMIT
  @tag_ids = tag_ids if tag_ids != OMIT
  @billable_status = billable_status if billable_status != OMIT
  @responsible_party = responsible_party if responsible_party != OMIT
  @provider_accepts_assignment = provider_accepts_assignment if provider_accepts_assignment != OMIT
  @synchronicity = synchronicity if synchronicity != OMIT
  @place_of_service_code = place_of_service_code if place_of_service_code != OMIT
  @appointment_type = appointment_type if appointment_type != OMIT
  @end_date_of_service = end_date_of_service if end_date_of_service != OMIT
  @additional_information = additional_information if additional_information != OMIT
  if service_authorization_exception_code != OMIT
    @service_authorization_exception_code = 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
  @patient_authorized_release = patient_authorized_release if patient_authorized_release != OMIT
  @referral_number = referral_number if referral_number != OMIT
  @secondary_payer_carrier_code = secondary_payer_carrier_code if secondary_payer_carrier_code != OMIT
  @additional_properties = additional_properties
  @_field_set = {
    "epsdt_referral": epsdt_referral,
    "clinical_notes": clinical_notes,
    "claim_supplemental_information": claim_supplemental_information,
    "schema_instances": schema_instances,
    "existing_medications": existing_medications,
    "guarantor": guarantor,
    "subscriber_primary": subscriber_primary,
    "subscriber_secondary": subscriber_secondary,
    "subscriber_tertiary": subscriber_tertiary,
    "pay_to_address": pay_to_address,
    "initial_referring_provider": initial_referring_provider,
    "referring_provider": referring_provider,
    "patient": patient,
    "rendering_provider": rendering_provider,
    "service_facility": service_facility,
    "supervising_provider": supervising_provider,
    "billing_provider": billing_provider,
    "place_of_service_code_as_submitted": place_of_service_code_as_submitted,
    "benefits_assigned_to_provider": benefits_assigned_to_provider,
    "prior_authorization_number": prior_authorization_number,
    "external_id": external_id,
    "date_of_service": date_of_service,
    "tag_ids": tag_ids,
    "billable_status": billable_status,
    "responsible_party": responsible_party,
    "provider_accepts_assignment": provider_accepts_assignment,
    "synchronicity": synchronicity,
    "place_of_service_code": place_of_service_code,
    "appointment_type": appointment_type,
    "end_date_of_service": end_date_of_service,
    "additional_information": additional_information,
    "service_authorization_exception_code": 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,
    "patient_authorized_release": patient_authorized_release,
    "referral_number": referral_number,
    "secondary_payer_carrier_code": secondary_payer_carrier_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.

Returns:

  • (String) —

    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_update_base.rb', line 174

def additional_information
  @additional_information
end

#additional_properties ⇒ OpenStruct (readonly)

Returns Additional properties unmapped to the current class definition.

Returns:

  • (OpenStruct) —

    Additional properties unmapped to the current class definition



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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_update_base.rb', line 218

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.

Returns:

  • (Date) —

    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_update_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”).

Returns:

  • (String) —

    Human-readable description of the appointment type (ex: “Acupuncture - Headaches”).



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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_update_base.rb', line 162

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.

Returns:

  • (Boolean) —

    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_update_base.rb', line 118

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.

Returns:

  • (CandidApiClient::Encounters::V4::Types::BillableStatusType) —

    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_update_base.rb', line 141

def billable_status
  @billable_status
end

#billing_provider ⇒ CandidApiClient::EncounterProviders::V2::Types::BillingProviderUpdate (readonly)

Returns The billing provider is the provider or business entity submitting the claim. Billing provider may be, but is not necessarily, the same person/NPI as the rendering provider. From a payer’s perspective, this represents the person or entity being reimbursed. When a contract exists with the target payer, the billing provider should be the entity contracted with the payer. In some circumstances, this will be an individual provider. In that case, submit that provider’s NPI and the tax ID (TIN) that the provider gave to the payer during contracting. In other cases, the billing entity will be a medical group. If so, submit the group NPI and the group’s tax ID. Box 33 on the CMS-1500 claim or Form Locator 1 on a UB-04 claim form.

Returns:

  • (CandidApiClient::EncounterProviders::V2::Types::BillingProviderUpdate) —

    The billing provider is the provider or business entity submitting the claim. Billing provider may be, but is not necessarily, the same person/NPI as the rendering provider. From a payer’s perspective, this represents the person or entity being reimbursed. When a contract exists with the target payer, the billing provider should be the entity contracted with the payer. In some circumstances, this will be an individual provider. In that case, submit that provider’s NPI and the tax ID (TIN) that the provider gave to the payer during contracting. In other cases, the billing entity will be a medical group. If so, submit the group NPI and the group’s tax ID. Box 33 on the CMS-1500 claim or Form Locator 1 on a UB-04 claim form.



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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_update_base.rb', line 109

def billing_provider
  @billing_provider
end

#claim_supplemental_information ⇒ Array<CandidApiClient::Encounters::V4::Types::ClaimSupplementalInformation> (readonly)

Returns Refers to Loop 2300 - Segment PWK on the 837P and 837i form. No more than 10 entries are permitted.

Returns:



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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_update_base.rb', line 41

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.

Returns:



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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_update_base.rb', line 38

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. If service lines have distinct date_of_service values, updating the encounter’s date_of_service will fail. If all service line date_of_service values are the same, updating the encounter’s date_of_service will update all service line date_of_service values.

Returns:

  • (Date) —

    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. If service lines have distinct date_of_service values, updating the encounter’s date_of_service will fail. If all service line date_of_service values are the same, updating the encounter’s date_of_service will update all service line date_of_service values.



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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_update_base.rb', line 133

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.

Returns:



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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_update_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.

Returns:

  • (Date) —

    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_update_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 service lines have distinct end_date_of_service values, updating the encounter’s end_date_of_service will fail. If all service line end_date_of_service values are the same, updating the encounter’s end_date_of_service will update all service line date_of_service values.

Returns:

  • (Date) —

    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 service lines have distinct end_date_of_service values, updating the encounter’s end_date_of_service will fail. If all service line end_date_of_service values are the same, updating the encounter’s end_date_of_service will update all service line date_of_service values.



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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_update_base.rb', line 171

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.

Returns:



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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_update_base.rb', line 34

def epsdt_referral
  @epsdt_referral
end

#existing_medications ⇒ Array<CandidApiClient::Encounters::V4::Types::Medication> (readonly)

Returns Existing medications that should be on the encounter. Note all current existing medications on encounter will be overridden with this list.

Returns:



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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_update_base.rb', line 53

def existing_medications
  @existing_medications
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.

Returns:

  • (String) —

    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_update_base.rb', line 124

def external_id
  @external_id
end

#guarantor ⇒ CandidApiClient::Guarantor::V1::Types::GuarantorUpdate (readonly)

Returns Personal and contact info for the guarantor of the patient responsibility.

Returns:



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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_update_base.rb', line 55

def guarantor
  @guarantor
end

#initial_referring_provider ⇒ CandidApiClient::EncounterProviders::V2::Types::InitialReferringProviderUpdate (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.

Returns:

  • (CandidApiClient::EncounterProviders::V2::Types::InitialReferringProviderUpdate) —

    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_update_base.rb', line 70

def initial_referring_provider
  @initial_referring_provider
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.de This field is populated separately via occurrence codes for UB-04 claim forms.

Returns:

  • (Date) —

    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.de 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_update_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.

Returns:

  • (Date) —

    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_update_base.rb', line 199

def onset_of_current_illness_or_symptom_date
  @onset_of_current_illness_or_symptom_date
end

#patient ⇒ CandidApiClient::Individual::Types::PatientUpdate (readonly)

Returns Contains the identification information of the individual receiving medical services.

Returns:



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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_update_base.rb', line 77

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.

Returns:

  • (Boolean) —

    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_update_base.rb', line 211

def patient_authorized_release
  @patient_authorized_release
end

#pay_to_address ⇒ CandidApiClient::Commons::Types::StreetAddressLongZip (readonly)

Returns Specifies the address to which payments for the claim should be sent.

Returns:



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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_update_base.rb', line 63

def pay_to_address
  @pay_to_address
end

#place_of_service_code ⇒ CandidApiClient::Commons::Types::FacilityTypeCode (readonly)

Returns Box 24B on the CMS-1500 claim form. 837p Loop2300, CLM-05-1. 02 for telemedicine, 11 for in-person. Full list //www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set).

Returns:



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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_update_base.rb', line 159

def place_of_service_code
  @place_of_service_code
end

#place_of_service_code_as_submitted ⇒ CandidApiClient::Commons::Types::FacilityTypeCode (readonly)

Returns Box 24B on the CMS-1500 claim form. 837p Loop2300, CLM-05-1. This box is not used on a UB-04 or 837i claim form. 02 for telemedicine, 11 for in-person. Full list //www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set).

Returns:



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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_update_base.rb', line 114

def place_of_service_code_as_submitted
  @place_of_service_code_as_submitted
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.

Returns:

  • (String) —

    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_update_base.rb', line 120

def prior_authorization_number
  @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.

Returns:

  • (Boolean) —

    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_update_base.rb', line 149

def provider_accepts_assignment
  @provider_accepts_assignment
end

#referral_number ⇒ String (readonly)

Returns Refers to REF*9F on the 837p. Value cannot be greater than 50 characters.

Returns:

  • (String) —

    Refers to REF*9F on the 837p. Value cannot be greater than 50 characters.



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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_update_base.rb', line 213

def referral_number
  @referral_number
end

#referring_provider ⇒ CandidApiClient::EncounterProviders::V2::Types::ReferringProviderUpdate (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.

Returns:



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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_update_base.rb', line 74

def referring_provider
  @referring_provider
end

#rendering_provider ⇒ CandidApiClient::EncounterProviders::V2::Types::RenderingProviderUpdate (readonly)

Returns The rendering provider is the practitioner – physician, nurse practitioner, etc. – performing the service. For telehealth services, the rendering provider performs the visit, asynchronous communication, or other service. The rendering provider address should generally be the same as the service facility address.

Returns:

  • (CandidApiClient::EncounterProviders::V2::Types::RenderingProviderUpdate) —

    The rendering provider is the practitioner – physician, nurse practitioner, etc. – performing the service. For telehealth services, the rendering provider performs the visit, asynchronous communication, or other service. The rendering provider address should generally be the same as the service facility address.



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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_update_base.rb', line 83

def rendering_provider
  @rendering_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. Use SELF_PAY if you intend to bill self pay/cash pay.

Returns:



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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_update_base.rb', line 144

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. Updating schema instances utilizes PUT semantics, so the schema instances on the encounter will be set to whatever inputs are provided. If null is provided as an input, then the encounter’s schema instances will be cleared.

Returns:

  • (Array<CandidApiClient::CustomSchemas::V1::Types::SchemaInstance>) —

    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. Updating schema instances utilizes PUT semantics, so the schema instances on the encounter will be set to whatever inputs are provided. If null is provided as an input, then the encounter’s schema instances will be cleared.



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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_update_base.rb', line 49

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.

Returns:

  • (String) —

    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_update_base.rb', line 216

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.

Returns:



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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_update_base.rb', line 181

def service_authorization_exception_code
  @service_authorization_exception_code
end

#service_facility ⇒ CandidApiClient::ServiceFacility::Types::EncounterServiceFacilityUpdate (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.

Returns:

  • (CandidApiClient::ServiceFacility::Types::EncounterServiceFacilityUpdate) —

    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_update_base.rb', line 95

def service_facility
  @service_facility
end

#subscriber_primary ⇒ CandidApiClient::Individual::Types::SubscriberCreate (readonly)

Returns Contains details of the primary insurance subscriber.

Returns:



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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_update_base.rb', line 57

def subscriber_primary
  @subscriber_primary
end

#subscriber_secondary ⇒ CandidApiClient::Individual::Types::SubscriberCreate (readonly)

Returns Contains details of the secondary insurance subscriber.

Returns:



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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_update_base.rb', line 59

def subscriber_secondary
  @subscriber_secondary
end

#subscriber_tertiary ⇒ CandidApiClient::Individual::Types::SubscriberCreate (readonly)

Returns Contains details of the tertiary insurance subscriber.

Returns:



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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_update_base.rb', line 61

def subscriber_tertiary
  @subscriber_tertiary
end

#supervising_provider ⇒ CandidApiClient::EncounterProviders::V2::Types::SupervisingProviderUpdate (readonly)

Returns Required when the rendering provider is supervised by a physician. If not required by this implementation guide, do not send.

Returns:



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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_update_base.rb', line 98

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.

Returns:

  • (CandidApiClient::Encounters::V4::Types::SynchronicityType) —

    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_update_base.rb', line 155

def synchronicity
  @synchronicity
end

#tag_ids ⇒ Array<String> (readonly)

Returns Names of tags that should be on the encounter. Note all tags on encounter will be overridden with this list.

Returns:

  • (Array<String>) —

    Names of tags that should be on the encounter. Note all tags on encounter will be overridden with this list.



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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_update_base.rb', line 136

def tag_ids
  @tag_ids
end

Class Method Details

.from_json(json_object:) ⇒ CandidApiClient::EncountersUniversal::Types::UniversalEncounterUpdateBase

Deserialize a JSON object to an instance of UniversalEncounterUpdateBase

Parameters:

  • json_object (String)

Returns:



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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_update_base.rb', line 471

def self.from_json(json_object:)
  struct = JSON.parse(json_object, object_class: OpenStruct)
  parsed_json = JSON.parse(json_object)
  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
  clinical_notes = parsed_json["clinical_notes"]&.map do |item|
    item = item.to_json
    CandidApiClient::Encounters::V4::Types::ClinicalNoteCategoryCreate.from_json(json_object: item)
  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
  schema_instances = parsed_json["schema_instances"]&.map do |item|
    item = item.to_json
    CandidApiClient::CustomSchemas::V1::Types::SchemaInstance.from_json(json_object: item)
  end
  existing_medications = parsed_json["existing_medications"]&.map do |item|
    item = item.to_json
    CandidApiClient::Encounters::V4::Types::Medication.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::GuarantorUpdate.from_json(json_object: guarantor)
  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
  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
  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::InitialReferringProviderUpdate.from_json(json_object: initial_referring_provider)
  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::ReferringProviderUpdate.from_json(json_object: referring_provider)
  end
  if parsed_json["patient"].nil?
    patient = nil
  else
    patient = parsed_json["patient"].to_json
    patient = CandidApiClient::Individual::Types::PatientUpdate.from_json(json_object: patient)
  end
  if parsed_json["rendering_provider"].nil?
    rendering_provider = nil
  else
    rendering_provider = parsed_json["rendering_provider"].to_json
    rendering_provider = CandidApiClient::EncounterProviders::V2::Types::RenderingProviderUpdate.from_json(json_object: rendering_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::EncounterServiceFacilityUpdate.from_json(json_object: service_facility)
  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::SupervisingProviderUpdate.from_json(json_object: supervising_provider)
  end
  if parsed_json["billing_provider"].nil?
    billing_provider = nil
  else
    billing_provider = parsed_json["billing_provider"].to_json
    billing_provider = CandidApiClient::EncounterProviders::V2::Types::BillingProviderUpdate.from_json(json_object: billing_provider)
  end
  place_of_service_code_as_submitted = struct["place_of_service_code_as_submitted"]
  benefits_assigned_to_provider = struct["benefits_assigned_to_provider"]
  prior_authorization_number = struct["prior_authorization_number"]
  external_id = struct["external_id"]
  date_of_service = (Date.parse(parsed_json["date_of_service"]) unless parsed_json["date_of_service"].nil?)
  tag_ids = struct["tag_ids"]
  billable_status = struct["billable_status"]
  responsible_party = struct["responsible_party"]
  provider_accepts_assignment = struct["provider_accepts_assignment"]
  synchronicity = struct["synchronicity"]
  place_of_service_code = struct["place_of_service_code"]
  appointment_type = struct["appointment_type"]
  end_date_of_service = unless parsed_json["end_date_of_service"].nil?
                          Date.parse(parsed_json["end_date_of_service"])
                        end
  additional_information = struct["additional_information"]
  service_authorization_exception_code = 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"]
  patient_authorized_release = struct["patient_authorized_release"]
  referral_number = struct["referral_number"]
  secondary_payer_carrier_code = struct["secondary_payer_carrier_code"]
  new(
    epsdt_referral: epsdt_referral,
    clinical_notes: clinical_notes,
    claim_supplemental_information: claim_supplemental_information,
    schema_instances: schema_instances,
    existing_medications: existing_medications,
    guarantor: guarantor,
    subscriber_primary: subscriber_primary,
    subscriber_secondary: subscriber_secondary,
    subscriber_tertiary: subscriber_tertiary,
    pay_to_address: pay_to_address,
    initial_referring_provider: initial_referring_provider,
    referring_provider: referring_provider,
    patient: patient,
    rendering_provider: rendering_provider,
    service_facility: service_facility,
    supervising_provider: supervising_provider,
    billing_provider: billing_provider,
    place_of_service_code_as_submitted: place_of_service_code_as_submitted,
    benefits_assigned_to_provider: benefits_assigned_to_provider,
    prior_authorization_number: prior_authorization_number,
    external_id: external_id,
    date_of_service: date_of_service,
    tag_ids: tag_ids,
    billable_status: billable_status,
    responsible_party: responsible_party,
    provider_accepts_assignment: provider_accepts_assignment,
    synchronicity: synchronicity,
    place_of_service_code: place_of_service_code,
    appointment_type: appointment_type,
    end_date_of_service: end_date_of_service,
    additional_information: additional_information,
    service_authorization_exception_code: 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,
    patient_authorized_release: patient_authorized_release,
    referral_number: referral_number,
    secondary_payer_carrier_code: secondary_payer_carrier_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.

Parameters:

  • obj (Object)

Returns:

  • (Void) 


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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_update_base.rb', line 655

def self.validate_raw(obj:)
  obj.epsdt_referral.nil? || CandidApiClient::Encounters::V4::Types::EpsdtReferral.validate_raw(obj: obj.epsdt_referral)
  obj.clinical_notes&.is_a?(Array) != false || raise("Passed value for field obj.clinical_notes is not the expected type, validation failed.")
  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.schema_instances&.is_a?(Array) != false || raise("Passed value for field obj.schema_instances 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.guarantor.nil? || CandidApiClient::Guarantor::V1::Types::GuarantorUpdate.validate_raw(obj: obj.guarantor)
  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.pay_to_address.nil? || CandidApiClient::Commons::Types::StreetAddressLongZip.validate_raw(obj: obj.pay_to_address)
  obj.initial_referring_provider.nil? || CandidApiClient::EncounterProviders::V2::Types::InitialReferringProviderUpdate.validate_raw(obj: obj.initial_referring_provider)
  obj.referring_provider.nil? || CandidApiClient::EncounterProviders::V2::Types::ReferringProviderUpdate.validate_raw(obj: obj.referring_provider)
  obj.patient.nil? || CandidApiClient::Individual::Types::PatientUpdate.validate_raw(obj: obj.patient)
  obj.rendering_provider.nil? || CandidApiClient::EncounterProviders::V2::Types::RenderingProviderUpdate.validate_raw(obj: obj.rendering_provider)
  obj.service_facility.nil? || CandidApiClient::ServiceFacility::Types::EncounterServiceFacilityUpdate.validate_raw(obj: obj.service_facility)
  obj.supervising_provider.nil? || CandidApiClient::EncounterProviders::V2::Types::SupervisingProviderUpdate.validate_raw(obj: obj.supervising_provider)
  obj.billing_provider.nil? || CandidApiClient::EncounterProviders::V2::Types::BillingProviderUpdate.validate_raw(obj: obj.billing_provider)
  obj.place_of_service_code_as_submitted&.is_a?(CandidApiClient::Commons::Types::FacilityTypeCode) != false || raise("Passed value for field obj.place_of_service_code_as_submitted 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.prior_authorization_number&.is_a?(String) != false || raise("Passed value for field obj.prior_authorization_number 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.tag_ids&.is_a?(Array) != false || raise("Passed value for field obj.tag_ids is not the expected type, validation failed.")
  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.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.provider_accepts_assignment&.is_a?(Boolean) != false || raise("Passed value for field obj.provider_accepts_assignment is not the expected type, validation failed.")
  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.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.")
  obj.appointment_type&.is_a?(String) != false || raise("Passed value for field obj.appointment_type 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.additional_information&.is_a?(String) != false || raise("Passed value for field obj.additional_information is not the expected type, validation failed.")
  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.")
  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.")
  obj.patient_authorized_release&.is_a?(Boolean) != false || raise("Passed value for field obj.patient_authorized_release 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.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.")
end

Instance Method Details

#to_json(*_args) ⇒ String

Serialize an instance of UniversalEncounterUpdateBase to a JSON object

Returns:

  • (String) 


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# File 'lib/candidhealth/encounters_universal/types/universal_encounter_update_base.rb', line 645

def to_json(*_args)
  @_field_set&.to_json
end