Luma Health Billing Charges API

openapi: 3.2.0
info:
  version: 2.0.0
  title: Rest-Service Billing Charges API
  x-logo:
    url: https://lumahealth-assets.s3.us-west-2.amazonaws.com/new_luma_logo_black.png
    backgroundColor: '#FFFFFF'
    altText: Luma Health
  description: OpenAPI [Basic Structure](https://swagger.io/docs/specification/basic-structure/)
servers:
- url: https://api.lumahealth.io/api/v2
security:
- Bearer: []
tags:
- name: billingCharges
  description: Financial charges tracked against a patient, such as copays and patient balances
paths:
  /billingCharges:
    get:
      summary: List billing charges
      operationId: billingChargesList
      tags:
      - billingCharges
      parameters:
      - name: status
        in: query
        schema:
          type: string
          enum:
          - planned
          - billable
          - billed
          - aborted
      - name: type
        in: query
        schema:
          type: string
          enum:
          - copay
          - balance
          - custom-appointment-charge
          - convenience-fee
      - name: source
        in: query
        schema:
          type: string
          enum:
          - manual
          - integrator
          - insurance-verification
          - fixedAmount
      - name: paymentStatus
        in: query
        schema:
          type: string
          enum:
          - pending
          - not-paid
          - paid
          - partially-paid
          - refunded
      - name: patient
        in: query
        description: ID of a patient.
        schema:
          type: string
          pattern: '[0-9a-f]'
          minLength: 24
          maxLength: 24
      - name: appointment
        in: query
        description: ID of an appointment.
        schema:
          type: string
          pattern: '[0-9a-f]'
          minLength: 24
          maxLength: 24
      - $ref: '#/components/parameters/userParam'
      - $ref: '#/components/parameters/deletedParam'
      - $ref: '#/components/parameters/createdByParam'
      - $ref: '#/components/parameters/updatedByParam'
      - $ref: '#/components/parameters/createdAtParam'
      - $ref: '#/components/parameters/updatedAtParam'
      - $ref: '#/components/parameters/pageParam'
      - $ref: '#/components/parameters/limitParam'
      - $ref: '#/components/parameters/populateParam'
      - $ref: '#/components/parameters/selectParam'
      responses:
        '200':
          description: List of billing charges. When the caller is authenticated as a patient, the `reason` field (staff-only) is omitted from each charge.
          content:
            application/json:
              schema:
                type: object
                required:
                - response
                - page
                - size
                properties:
                  response:
                    type: array
                    minItems: 0
                    items:
                      $ref: '#/components/schemas/BillingChargeResponse'
                  page:
                    type: integer
                    format: int32
                    minimum: 1
                  size:
                    type: integer
                    format: int32
                    minimum: 0
                additionalProperties: false
        '401':
          description: Not authenticated
        '403':
          description: Access token does not have the required scope
    put:
      summary: Bulk upsert billing charges for an appointment
      description: Creates or updates the set of billing charges tied to a single appointment in one call. Only one `copay` type charge is allowed per appointment, and any existing `custom-appointment-charge` not present in the request will be aborted.
      operationId: billingChargesUpsert
      tags:
      - billingCharges
      requestBody:
        description: Charges to upsert for an appointment
        required: true
        content:
          application/json:
            schema:
              $ref: '#/components/schemas/BillingChargesUpsertRequest'
      responses:
        '200':
          description: The upserted billing charges
          content:
            application/json:
              schema:
                type: array
                items:
                  $ref: '#/components/schemas/BillingChargeResponse'
        '400':
          description: Missing appointmentId or charges
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/Error'
        '401':
          description: Not authenticated
        '403':
          description: Access token does not have the required scope
  /billingCharges/balance:
    post:
      summary: Create a balance charge for a patient
      description: Creates a standalone charge against a patient's balance, independent of the appointment upsert flow. Does not require an appointment.
      operationId: billingChargeCreateBalance
      tags:
      - billingCharges
      requestBody:
        description: The balance charge to create
        required: true
        content:
          application/json:
            schema:
              $ref: '#/components/schemas/BillingChargeBalanceRequestCreate'
      responses:
        '201':
          description: Successful creation
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/BillingChargeResponse'
        '400':
          description: patient and a positive numeric amount are required
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/Error'
        '401':
          description: Not authenticated
        '403':
          description: Access token does not have the required scope
  /billingCharges/{billingChargeId}:
    get:
      summary: Get billing charge by id
      operationId: billingChargeGet
      tags:
      - billingCharges
      parameters:
      - name: billingChargeId
        in: path
        required: true
        description: BillingCharge's unique identifier in Luma's database.
        schema:
          type: string
          pattern: '[0-9a-f]'
          minLength: 24
          maxLength: 24
      responses:
        '200':
          description: BillingCharge
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/BillingChargeResponse'
        '401':
          description: Not authenticated
        '403':
          description: Access token does not have the required scope
components:
  parameters:
    pageParam:
      in: query
      name: page
      required: false
      type: integer
      format: int32
      default: 1
      minimum: 1
      schema:
        type: integer
        format: int32
        default: 1
        minimum: 1
    createdAtParam:
      in: query
      name: createdAt
      type: string
      format: date-time
      schema:
        type: string
        format: date-time
      required: false
      description: The date/time when this object was created.
    updatedAtParam:
      in: query
      name: updatedAt
      type: string
      format: date-time
      schema:
        type: string
        format: date-time
      required: false
      description: The date/time when this object was updated.
    updatedByParam:
      in: query
      name: updatedBy
      required: false
      type: string
      pattern: '[0-9a-f]'
      minLength: 24
      maxLength: 24
      schema:
        type: string
        pattern: '[0-9a-f]'
        minLength: 24
        maxLength: 24
      description: The ID of the user who updated this object.
    createdByParam:
      in: query
      name: createdBy
      type: string
      pattern: '[0-9a-f]'
      minLength: 24
      maxLength: 24
      schema:
        type: string
        pattern: '[0-9a-f]'
        minLength: 24
        maxLength: 24
      required: false
      description: The ID of the user who created this object.
    populateParam:
      name: _populate
      in: query
      description: Response properties which will be replaced by the referenced objects, separated by commas.
      required: false
      type: string
      schema:
        type: string
    selectParam:
      name: _select
      in: query
      description: Response properties that should be returned, separated by commas.
      required: false
      type: string
      schema:
        type: string
    deletedParam:
      in: query
      name: deleted
      required: false
      type: number
      enum:
      - 0
      - 1
      schema:
        type: number
        enum:
        - 0
        - 1
      description: Flag for logical deletion where 1 means deleted.
    limitParam:
      name: limit
      in: query
      description: How many items to fetch per page
      required: false
      type: integer
      format: int32
      default: 500
      minimum: 1
      maximum: 1000
      schema:
        type: integer
        format: int32
        default: 500
        minimum: 1
        maximum: 1000
    userParam:
      in: query
      name: user
      required: false
      type: string
      pattern: '[0-9a-f]'
      minLength: 24
      maxLength: 24
      schema:
        type: string
        pattern: '[0-9a-f]'
        minLength: 24
        maxLength: 24
      description: The ID of the root account user.
  schemas:
    userParam:
      in: query
      name: user
      required: false
      type: string
      pattern: '[0-9a-f]'
      minLength: 24
      maxLength: 24
      schema:
        type: string
        pattern: '[0-9a-f]'
        minLength: 24
        maxLength: 24
      description: The ID of the root account user.
    Error:
      type: object
      required:
      - code
      - message
      properties:
        code:
          type: integer
          format: int32
        message:
          type: string
    BillingChargesUpsertRequest:
      type: object
      required:
      - appointmentId
      - charges
      properties:
        appointmentId:
          type: string
          description: ID of the appointment these charges belong to.
          pattern: '[0-9a-f]'
          minLength: 24
          maxLength: 24
        charges:
          type: array
          description: Charges to upsert for this appointment. Include `_id` to update an existing charge, or omit it to create a new one. Only one `copay` type charge is allowed per appointment. Any existing custom-appointment-charge not present in this array will be aborted.
          minItems: 1
          items:
            type: object
            properties:
              _id:
                type: string
                description: ID of an existing charge to update. Omit to create a new charge.
                pattern: '[0-9a-f]'
                minLength: 24
                maxLength: 24
              amount:
                type: number
                description: The charge amount.
              type:
                type: string
                description: The kind of charge.
                enum:
                - copay
                - balance
                - custom-appointment-charge
                - convenience-fee
              description:
                type: string
                description: Public description of the charge, visible to the patient.
    BillingChargeResponse:
      type: object
      description: Represents a single financial charge tracked against a patient, such as a copay, patient balance, custom appointment fee, or convenience fee. A billing charge moves through a status lifecycle (planned, billable, billed, or aborted) and a separate payment status (pending, paid, partially paid, refunded) as it is billed and collected, and can be linked to an appointment, patient, insurance verification, and one or more billing transactions.
      properties:
        _id:
          $ref: '#/components/schemas/idParam'
        user:
          $ref: '#/components/schemas/userParam'
        deleted:
          $ref: '#/components/schemas/deletedParam'
        createdBy:
          $ref: '#/components/schemas/createdByParam'
        updatedBy:
          $ref: '#/components/schemas/updatedByParam'
        createdAt:
          $ref: '#/components/schemas/createdAtParam'
        updatedAt:
          $ref: '#/components/schemas/updatedAtParam'
        amount:
          type: number
          description: The charge amount.
        currency:
          type: string
          description: Currency code for the charge.
          default: USD
        status:
          type: string
          description: Lifecycle status of the charge. `planned` = planned but not yet billed, `billable` = confirmed by staff and ready to bill, `billed` = sent to the patient for collection, `aborted` = wrongfully added or aborted.
          enum:
          - planned
          - billable
          - billed
          - aborted
        lastStatusUpdatedAt:
          type: string
          format: date-time
          description: When `status` was last changed.
        lastStatusUpdatedBy:
          type: string
          description: ID of the user who last changed `status`.
          pattern: '[0-9a-f]'
          minLength: 24
          maxLength: 24
        type:
          type: string
          description: The kind of charge. `copay` = copay amount for the appointment, `balance` = patient balance tied to the appointment, `custom-appointment-charge` = custom value added by staff, `convenience-fee` = a convenience fee charge.
          enum:
          - copay
          - balance
          - custom-appointment-charge
          - convenience-fee
        source:
          type: string
          description: Where the charge originated from. `manual` = added by staff, `integrator` = from the EHR, `insurance-verification` = from the insurance verification process, `fixedAmount` = created from a fixed copay rule.
          enum:
          - manual
          - integrator
          - insurance-verification
          - fixedAmount
        description:
          type: string
          description: Public description of the charge, visible to the patient.
        reason:
          type: string
          description: Internal, staff-only note about the charge. Omitted from patient-facing responses.
        appointment:
          type: string
          description: ID of the appointment associated with this charge.
          pattern: '[0-9a-f]'
          minLength: 24
          maxLength: 24
        patient:
          type: string
          description: ID of the patient associated with this charge.
          pattern: '[0-9a-f]'
          minLength: 24
          maxLength: 24
        insuranceVerification:
          type: string
          description: ID of the insurance verification this charge's copay was derived from, if any.
          pattern: '[0-9a-f]'
          minLength: 24
          maxLength: 24
        insurance:
          type: string
          description: ID of the patient's insurance saved alongside the insurance verification.
          pattern: '[0-9a-f]'
          minLength: 24
          maxLength: 24
        paymentStatus:
          type: string
          description: How much of the charge has been collected.
          enum:
          - pending
          - not-paid
          - paid
          - partially-paid
          - refunded
        amountPaid:
          type: number
          description: The amount paid toward this charge so far.
        billingTransactions:
          type: array
          description: IDs of the billing transactions associated with this charge.
          items:
            type: string
            pattern: '[0-9a-f]'
            minLength: 24
            maxLength: 24
        isCreatedByAI:
          type: boolean
          description: Indicates whether this charge was created or suggested by AI.
    idParam:
      in: query
      name: _id
      type: string
      pattern: '[0-9a-f]'
      minLength: 24
      maxLength: 24
      required: false
      schema:
        type: string
        pattern: '[0-9a-f]'
        minLength: 24
        maxLength: 24
      description: Luma's internal ID of an object.
    updatedAtParam:
      in: query
      name: updatedAt
      type: string
      format: date-time
      schema:
        type: string
        format: date-time
      required: false
      description: The date/time when this object was updated.
    createdAtParam:
      in: query
      name: createdAt
      type: string
      format: date-time
      schema:
        type: string
        format: date-time
      required: false
      description: The date/time when this object was created.
    updatedByParam:
      in: query
      name: updatedBy
      required: false
      type: string
      pattern: '[0-9a-f]'
      minLength: 24
      maxLength: 24
      schema:
        type: string
        pattern: '[0-9a-f]'
        minLength: 24
        maxLength: 24
      description: The ID of the user who updated this object.
    BillingChargeBalanceRequestCreate:
      type: object
      required:
      - patient
      - amount
      properties:
        patient:
          type: string
          description: ID of the patient this balance charge is for.
          pattern: '[0-9a-f]'
          minLength: 24
          maxLength: 24
        amount:
          type: number
          description: The balance amount to charge. Must be a positive number.
        currency:
          type: string
          description: Currency code for the charge. Defaults to the account's payment localization currency, or USD.
        appointment:
          type: string
          description: ID of an appointment to associate with this balance charge, if any.
          pattern: '[0-9a-f]'
          minLength: 24
          maxLength: 24
    deletedParam:
      in: query
      name: deleted
      required: false
      type: number
      enum:
      - 0
      - 1
      schema:
        type: number
        enum:
        - 0
        - 1
      description: Flag for logical deletion where 1 means deleted.
    createdByParam:
      in: query
      name: createdBy
      type: string
      pattern: '[0-9a-f]'
      minLength: 24
      maxLength: 24
      schema:
        type: string
        pattern: '[0-9a-f]'
        minLength: 24
        maxLength: 24
      required: false
      description: The ID of the user who created this object.
  securitySchemes:
    Bearer:
      type: http
      scheme: bearer
      bearerFormat: JWT