Candid Health

Candid Health Patient Ar API

The Patient Ar API from Candid Health — 2 operation(s) for patient ar.

Documentation GitHub OpenAPI

Operations 2

GET /api/patient-ar/v1/inventory List Inventory Records #

GET /api/patient-ar/v1/invoice-itemization/{claim_id} Invoice Itemization #

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OpenAPI Specification

openapi: 3.2.0
info:
  title: Reference Patient Ar API
  version: 1.0.0
servers:
- url: https://pre-api.joincandidhealth.com
  description: Production
- url: https://pre-api-staging.joincandidhealth.com
  description: Staging
- url: https://sandbox-pre-api.joincandidhealth.com
  description: CandidSandbox
- url: https://staging-pre-api.joincandidhealth.com
  description: CandidStaging
- url: http://localhost:4000
  description: Local
- url: https://api.joincandidhealth.com
  description: Production
- url: https://api-staging.joincandidhealth.com
  description: Staging
- url: https://sandbox-api.joincandidhealth.com
  description: CandidSandbox
- url: https://staging-api.joincandidhealth.com
  description: CandidStaging
- url: http://localhost:5050
  description: Local
tags:
- name: Patient Ar
paths:
  /api/patient-ar/v1/inventory:
    get:
      operationId: list-inventory
      summary: List Inventory Records
      description: 'Retrieve a list of inventory records based on the provided filters. Each inventory record provides the latest invoiceable status of the associated claim.

        The response is paginated, and the `page_token` can be used to retrieve subsequent pages. Initial requests should not include `page_token`.'
      tags:
      - Patient Ar
      parameters:
      - name: since
        in: query
        description: Timestamp to filter records since, inclusive
        required: false
        schema:
          type: string
          format: date-time
      - name: limit
        in: query
        description: Maximum number of records to return, default is 100
        required: false
        schema:
          type: integer
          default: 100
      - name: page_token
        in: query
        required: false
        schema:
          $ref: '#/components/schemas/type_commons_PageToken'
      - name: Authorization
        in: header
        description: OAuth authentication
        required: true
        schema:
          type: string
      responses:
        '200':
          description: Response with status 200
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/type_patient-ar_v1_ListInventoryPagedResponse'
        '403':
          description: Error response with status 403
          content:
            application/json:
              schema:
                type: object
                properties:
                  errorName:
                    type: string
                    enum:
                    - UnauthorizedError
                  content:
                    $ref: '#/components/schemas/type_commons_UnauthorizedErrorMessage'
                required:
                - errorName
                - content
        '422':
          description: The provided filters are invalid or not supported.
          content:
            application/json:
              schema:
                type: object
                properties:
                  errorName:
                    type: string
                    enum:
                    - InvalidFiltersError
                    description: The provided filters are invalid or not supported.
                  content:
                    $ref: '#/components/schemas/type_patient-ar_v1_InvalidFiltersErrorType'
                    description: The provided filters are invalid or not supported.
                required:
                - errorName
                - content
  /api/patient-ar/v1/invoice-itemization/{claim_id}:
    get:
      operationId: itemize
      summary: Invoice Itemization
      description: Provides detailed itemization of invoice data for a specific claim.
      tags:
      - Patient Ar
      parameters:
      - name: claim_id
        in: path
        required: true
        schema:
          $ref: '#/components/schemas/type_commons_ClaimId'
      - name: Authorization
        in: header
        description: OAuth authentication
        required: true
        schema:
          type: string
      responses:
        '200':
          description: Response with status 200
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/type_patient-ar_v1_InvoiceItemizationResponse'
        '403':
          description: Error response with status 403
          content:
            application/json:
              schema:
                type: object
                properties:
                  errorName:
                    type: string
                    enum:
                    - UnauthorizedError
                  content:
                    $ref: '#/components/schemas/type_commons_UnauthorizedErrorMessage'
                required:
                - errorName
                - content
        '404':
          description: Error response with status 404
          content:
            application/json:
              schema:
                type: object
                properties:
                  errorName:
                    type: string
                    enum:
                    - EntityNotFoundError
                  content:
                    $ref: '#/components/schemas/type_commons_EntityNotFoundErrorMessage'
                required:
                - errorName
                - content
components:
  schemas:
    type_patient-ar_v1_PatientPaymentAllocation:
      type: object
      properties:
        source_id:
          type: string
          description: 'Payment identifier from the source system (e.g., patient portal, manual entry). Note multiple allocations may exist for a single payment and

            thus may share the same source_id.'
        amount_cents:
          type: integer
          description: The amount of the patient payment in cents.
      required:
      - amount_cents
      title: PatientPaymentAllocation
    type_commons_PageToken:
      type: string
      title: PageToken
    type_patient-ar_v1_PatientAdjustmentInfo:
      type: object
      properties:
        total_adjustment_cents:
          type: integer
          description: The total amount of patient adjustments in cents for the service line.
      required:
      - total_adjustment_cents
      title: PatientAdjustmentInfo
    type_patient-ar_v1_NonInsuranceAdjustmentInfo:
      type: object
      properties:
        total_adjustment_cents:
          type: integer
          description: The total amount of non-insurance adjustments in cents for the service line.
      required:
      - total_adjustment_cents
      title: NonInsuranceAdjustmentInfo
    type_commons_ClaimId:
      type: string
      format: uuid
      title: ClaimId
    type_commons_PatientExternalId:
      type: string
      title: PatientExternalId
    type_patient-ar_v1_ServiceLineItemization:
      type: object
      properties:
        service_line_id:
          $ref: '#/components/schemas/type_commons_ServiceLineId'
          description: The ID of the service line.
        procedure_code:
          type: string
          description: The procedure code (CPT/HCPCS) associated with the service line.
        date_of_service:
          type: string
          format: date
          description: The date of service for the service line.
        patient_balance_cents:
          type: integer
          description: The total patient balance in cents for the service line. Negative values indicate a credit balance.
        charge_amount_cents:
          type: integer
          description: The total charge amount in cents for the service line.
        insurance_adjustments:
          $ref: '#/components/schemas/type_patient-ar_v1_InsuranceAdjustmentInfo'
        insurance_payments:
          $ref: '#/components/schemas/type_patient-ar_v1_InsurancePaymentInfo'
        non_insurance_adjustments:
          $ref: '#/components/schemas/type_patient-ar_v1_NonInsuranceAdjustmentInfo'
        non_insurance_payments:
          $ref: '#/components/schemas/type_patient-ar_v1_NonInsurancePaymentInfo'
        patient_adjustments:
          $ref: '#/components/schemas/type_patient-ar_v1_PatientAdjustmentInfo'
        patient_payments:
          $ref: '#/components/schemas/type_patient-ar_v1_PatientPaymentInfo'
        copay_cents:
          type: integer
          description: The copay amount in cents for the service line.
        coinsurance_cents:
          type: integer
          description: The coinsurance amount in cents for the service line.
        deductible_cents:
          type: integer
          description: The deductible amount in cents for the service line.
      required:
      - service_line_id
      - procedure_code
      - date_of_service
      - patient_balance_cents
      - charge_amount_cents
      - insurance_adjustments
      - insurance_payments
      - non_insurance_adjustments
      - non_insurance_payments
      - patient_adjustments
      - patient_payments
      - copay_cents
      - coinsurance_cents
      - deductible_cents
      title: ServiceLineItemization
    type_patient-ar_v1_InsuranceAdjustmentInfo:
      type: object
      properties:
        total_adjustment_cents:
          type: integer
          description: The total amount of insurance adjustments in cents for the service line.
      required:
      - total_adjustment_cents
      title: InsuranceAdjustmentInfo
    type_patient-ar_v1_InvalidFiltersErrorType:
      type: object
      properties:
        message:
          type: string
      required:
      - message
      title: InvalidFiltersErrorType
    type_patient-ar_v1_PatientARStatus:
      type: string
      enum:
      - invoiceable
      - non_invoiceable
      title: PatientARStatus
    type_commons_EntityNotFoundErrorMessage:
      type: object
      properties:
        id:
          type: string
      required:
      - id
      title: EntityNotFoundErrorMessage
    type_commons_EncounterId:
      type: string
      format: uuid
      title: EncounterId
    type_patient-ar_v1_InsurancePaymentInfo:
      type: object
      properties:
        total_payment_cents:
          type: integer
          description: The total amount of insurance payments in cents for the service line.
      required:
      - total_payment_cents
      title: InsurancePaymentInfo
    type_patient-ar_v1_PatientPaymentInfo:
      type: object
      properties:
        total_payment_cents:
          type: integer
          description: The total amount of patient payments in cents for the service line.
        items:
          type: array
          items:
            $ref: '#/components/schemas/type_patient-ar_v1_PatientPaymentAllocation'
          description: A list of patient payment items associated with the service line.
      required:
      - total_payment_cents
      - items
      title: PatientPaymentInfo
    type_patient-ar_v1_InvoiceItemizationResponse:
      type: object
      properties:
        claim_id:
          $ref: '#/components/schemas/type_commons_ClaimId'
          description: The ID of the claim associated with the invoice itemization.
        patient_balance_cents:
          type: integer
          description: The total patient balance in cents for the claim. Negative values indicate a credit balance.
        organization_service_facility_id:
          $ref: '#/components/schemas/type_organization-service-facilities_v2_OrganizationServiceFacilityId'
          description: The organization service facility ID from the claim's encounter.
        claim_level_patient_payments:
          $ref: '#/components/schemas/type_patient-ar_v1_PatientPaymentInfo'
        service_line_itemization:
          type: array
          items:
            $ref: '#/components/schemas/type_patient-ar_v1_ServiceLineItemization'
          description: A list of service line itemizations for the claim.
      required:
      - claim_id
      - patient_balance_cents
      - claim_level_patient_payments
      - service_line_itemization
      title: InvoiceItemizationResponse
    type_patient-ar_v1_NonInsurancePaymentInfo:
      type: object
      properties:
        total_payment_cents:
          type: integer
          description: The total amount of non-insurance payments in cents for the service line.
      required:
      - total_payment_cents
      title: NonInsurancePaymentInfo
    type_commons_ServiceLineId:
      type: string
      format: uuid
      title: ServiceLineId
    type_commons_UnauthorizedErrorMessage:
      type: object
      properties:
        message:
          type: string
      title: UnauthorizedErrorMessage
    type_organization-service-facilities_v2_OrganizationServiceFacilityId:
      type: string
      format: uuid
      title: OrganizationServiceFacilityId
    type_patient-ar_v1_InventoryRecord:
      type: object
      properties:
        claim_id:
          $ref: '#/components/schemas/type_commons_ClaimId'
        encounter_id:
          $ref: '#/components/schemas/type_commons_EncounterId'
        timestamp:
          type: string
          format: date-time
        patient_external_id:
          $ref: '#/components/schemas/type_commons_PatientExternalId'
        patient_ar_status:
          $ref: '#/components/schemas/type_patient-ar_v1_PatientARStatus'
      required:
      - claim_id
      - encounter_id
      - timestamp
      - patient_external_id
      - patient_ar_status
      title: InventoryRecord
    type_patient-ar_v1_ListInventoryPagedResponse:
      type: object
      properties:
        records:
          type: array
          items:
            $ref: '#/components/schemas/type_patient-ar_v1_InventoryRecord'
          description: List of inventory records matching the filters
        next_page_token:
          $ref: '#/components/schemas/type_commons_PageToken'
          description: Token for the next page of results, if available
      required:
      - records
      title: ListInventoryPagedResponse
  securitySchemes:
    OAuthScheme:
      type: http
      scheme: bearer
      description: OAuth 2.0 authentication