Class: CandidApiClient::FeeSchedules::V3::Types::PayerThreshold

Inherits:
Object
  • Object
show all
Defined in:
lib/candidhealth/fee_schedules/v_3/types/payer_threshold.rb

Overview

Rate thresholds that determine fee schedule rate matching behavior. When a

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

Constant Summary collapse

OMIT = 
Object.new

Instance Attribute Summary collapse

Class Method Summary collapse

Instance Method Summary collapse

Constructor Details

#initialize(disable_paid_incorrectly:, upper_threshold_cents: OMIT, lower_threshold_cents: OMIT, additional_properties: nil) ⇒ CandidApiClient::FeeSchedules::V3::Types::PayerThreshold

Parameters:

  • upper_threshold_cents (Integer) (defaults to: OMIT)
  • lower_threshold_cents (Integer) (defaults to: OMIT)
  • disable_paid_incorrectly (Boolean)
  • additional_properties (OpenStruct) (defaults to: nil) —

    Additional properties unmapped to the current class definition



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# File 'lib/candidhealth/fee_schedules/v_3/types/payer_threshold.rb', line 39

def initialize(disable_paid_incorrectly:, upper_threshold_cents: OMIT, lower_threshold_cents: OMIT,
               additional_properties: nil)
  @upper_threshold_cents = upper_threshold_cents if upper_threshold_cents != OMIT
  @lower_threshold_cents = lower_threshold_cents if lower_threshold_cents != OMIT
  @disable_paid_incorrectly = disable_paid_incorrectly
  @additional_properties = additional_properties
  @_field_set = {
    "upper_threshold_cents": upper_threshold_cents,
    "lower_threshold_cents": lower_threshold_cents,
    "disable_paid_incorrectly": disable_paid_incorrectly
  }.reject do |_k, v|
    v == OMIT
  end
end

Instance Attribute Details

#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/fee_schedules/v_3/types/payer_threshold.rb', line 27

def additional_properties
  @additional_properties
end

#disable_paid_incorrectly ⇒ Boolean (readonly)

Returns:

  • (Boolean) 


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# File 'lib/candidhealth/fee_schedules/v_3/types/payer_threshold.rb', line 25

def disable_paid_incorrectly
  @disable_paid_incorrectly
end

#lower_threshold_cents ⇒ Integer (readonly)

Returns:

  • (Integer) 


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# File 'lib/candidhealth/fee_schedules/v_3/types/payer_threshold.rb', line 23

def lower_threshold_cents
  @lower_threshold_cents
end

#upper_threshold_cents ⇒ Integer (readonly)

Returns:

  • (Integer) 


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# File 'lib/candidhealth/fee_schedules/v_3/types/payer_threshold.rb', line 21

def upper_threshold_cents
  @upper_threshold_cents
end

Class Method Details

.from_json(json_object:) ⇒ CandidApiClient::FeeSchedules::V3::Types::PayerThreshold

Deserialize a JSON object to an instance of PayerThreshold

Parameters:

  • json_object (String)

Returns:



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# File 'lib/candidhealth/fee_schedules/v_3/types/payer_threshold.rb', line 58

def self.from_json(json_object:)
  struct = JSON.parse(json_object, object_class: OpenStruct)
  upper_threshold_cents = struct["upper_threshold_cents"]
  lower_threshold_cents = struct["lower_threshold_cents"]
  disable_paid_incorrectly = struct["disable_paid_incorrectly"]
  new(
    upper_threshold_cents: upper_threshold_cents,
    lower_threshold_cents: lower_threshold_cents,
    disable_paid_incorrectly: disable_paid_incorrectly,
    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/fee_schedules/v_3/types/payer_threshold.rb', line 84

def self.validate_raw(obj:)
  obj.upper_threshold_cents&.is_a?(Integer) != false || raise("Passed value for field obj.upper_threshold_cents is not the expected type, validation failed.")
  obj.lower_threshold_cents&.is_a?(Integer) != false || raise("Passed value for field obj.lower_threshold_cents is not the expected type, validation failed.")
  obj.disable_paid_incorrectly.is_a?(Boolean) != false || raise("Passed value for field obj.disable_paid_incorrectly is not the expected type, validation failed.")
end

Instance Method Details

#to_json(*_args) ⇒ String

Serialize an instance of PayerThreshold to a JSON object

Returns:

  • (String) 


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# File 'lib/candidhealth/fee_schedules/v_3/types/payer_threshold.rb', line 74

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