EncountersV4
Get all encounters
GET
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.
Allowed values: BILLABLENOT_BILLABLE
GET
1 curl -G https://api.joincandidhealth.com/api/encounters/v4 \ 2 -H "Authorization: Bearer <token>" \ 3 -d limit=100 \ 4 -d claim_status=biller_received \ 5 --data-urlencode sort=created_at:asc \ 6 -d page_token=eyJ0b2tlbiI6IjEiLCJwYWdlX3Rva2VuIjoiMiJ9 \ 7 -d date_of_service_min=2019-08-24 \ 8 -d date_of_service_max=2019-08-25 \ 9 --data-urlencode primary_payer_names=Medicare,Medicaid \ 10 -d search_term=doe \ 11 -d external_id=123456 \ 12 --data-urlencode diagnoses_updated_since=2019-08-24T14:15:22Z
200Retrieved
1 { 2 "items": [ 3 { 4 "benefits_assigned_to_provider": true, 5 "billable_status": "BILLABLE", 6 "billing_provider": { 7 "address": { 8 "address1": "123 Main St", 9 "city": "New York", 10 "state": "NY", 11 "zip_code": "10001", 12 "zip_plus_four_code": "1234", 13 "address2": "Apt 1" 14 }, 15 "npi": "1234567890", 16 "provider_id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32", 17 "first_name": "John", 18 "last_name": "Doe", 19 "organization_name": "Organization Name", 20 "tax_id": "123456789", 21 "taxonomy_code": "207Q00000X" 22 }, 23 "claims": [ 24 { 25 "claim_id": "DD9D7F82-37B5-449D-AA63-26925398335B", 26 "status": "biller_received", 27 "service_lines": [ 28 { 29 "service_line_id": "CED00F23-6E68-4678-9DBC-F5AA2969A565", 30 "procedure_code": "99213", 31 "quantity": "1", 32 "units": "MJ", 33 "claim_id": "026A1FB8-748E-4859-A2D7-3EA9E07D25AE", 34 "date_of_service_range": { 35 "start_date": "2023-01-01", 36 "end_date": "2023-01-03" 37 }, 38 "date_of_service": "2023-01-01", 39 "modifiers": [ 40 "22" 41 ], 42 "charge_amount_cents": 10000, 43 "allowed_amount_cents": 8000, 44 "insurance_balance_cents": 0, 45 "patient_balance_cents": 2000, 46 "paid_amount_cents": 8000, 47 "patient_responsibility_cents": 2000, 48 "diagnosis_id_zero": "4AC84BCD-12F5-4F86-A57B-E06749127C98", 49 "diagnosis_id_one": "EEA5CA5A-8B43-45FD-8CBD-C6CC1103E759", 50 "diagnosis_id_two": "5C4AA029-2DB9-4202-916E-E93C708F65FF", 51 "diagnosis_id_three": "81795126-A3AC-443C-B47E-7259A16AB4A2", 52 "service_line_era_data": { 53 "service_line_adjustments": [ 54 { 55 "created_at": "2023-01-01T00:00:00Z", 56 "adjustment_group_code": "CO", 57 "adjustment_reason_code": "CO", 58 "adjustment_amount_cents": 1000, 59 "adjustment_note": "test_note" 60 } 61 ], 62 "remittance_advice_remark_codes": [ 63 "N362" 64 ] 65 }, 66 "service_line_manual_adjustments": [ 67 { 68 "created_at": "2023-01-01T00:00:00Z", 69 "adjustment_group_code": "CO", 70 "adjustment_reason_code": "CO", 71 "adjustment_amount_cents": 1000, 72 "adjustment_note": "test_note" 73 } 74 ], 75 "related_invoices": [ 76 { 77 "id": "901BE2F1-41BC-456E-9987-4FE2F84F9D75", 78 "created_at": "2023-01-01T00:00:00Z", 79 "updated_at": "2023-01-01T00:00:00Z", 80 "organzation_id": "F13F73D4-4344-46EA-9D93-33BCFFBB9F36", 81 "source_id": "9B626577-8808-4F28-9ED1-F0DFF0D49BBC", 82 "source_customer_id": "624D1972-8C69-4C2F-AEFA-10856F734DB3", 83 "patient_external_id": "10FED4D6-4C5A-48DF-838A-EEF45A74788D", 84 "due_date": "2023-10-10", 85 "status": "draft", 86 "items": [ 87 { 88 "service_line_id": "CED00F23-6E68-4678-9DBC-F5AA2969A565", 89 "amount_cents": 500 90 } 91 ], 92 "note": "test_note", 93 "url": "https://example.com", 94 "customer_invoice_url": "https://example.com" 95 } 96 ], 97 "denial_reason": { 98 "reason": "Authorization Required" 99 }, 100 "place_of_service_code": "01", 101 "end_date_of_service": "2023-01-03" 102 } 103 ], 104 "eras": [ 105 { 106 "check_date": "2023-10-12", 107 "check_number": "CHK12345", 108 "era_id": "4D844EF1-2253-43CD-A4F1-6DB7E65CB54B" 109 } 110 ], 111 "clearinghouse": "Change Healthcare", 112 "clearinghouse_claim_id": "5BA7C3AB-2BC2-496C-8B10-6CAC73D0729D", 113 "payer_claim_id": "9BB9F259-9756-4F16-8F53-9DBB9F7EB1BB" 114 } 115 ], 116 "clinical_notes": [ 117 { 118 "category": "clinical", 119 "notes": [ 120 "Patient complained of mild chest pain." 121 ], 122 "notes_structured": [ 123 { 124 "text": "Mild chest pain since morning.", 125 "author_name": "John Doe", 126 "timestamp": "2023-01-01T00:00:00Z", 127 "author_npi": "1234567890" 128 } 129 ] 130 } 131 ], 132 "date_of_service": "2023-01-01", 133 "diagnoses": [ 134 { 135 "code": "I10", 136 "code_type": "ABF", 137 "created_at": "2023-01-01T00:00:00Z", 138 "diagnosis_id": "5C770E00-4BBF-42AF-A73F-99C5E91FC0DB", 139 "encounter_id": "3F63985B-51A4-4DD4-9418-7D50B2520792", 140 "updated_at": "2023-01-01T00:00:00Z", 141 "name": "John Doe" 142 } 143 ], 144 "encounter_id": "B2506E84-4470-4CBA-8A68-6883367739E1", 145 "external_id": "5C21490F-A9C0-45F4-B5DB-136E3AEC617A", 146 "owner_of_next_action": "CANDID", 147 "patient": { 148 "address": { 149 "address1": "123 Main St", 150 "city": "New York", 151 "state": "NY", 152 "zip_code": "10001", 153 "address2": "Apt 1", 154 "zip_plus_four_code": "1234" 155 }, 156 "date_of_birth": "2000-01-01", 157 "email_consent": true, 158 "external_id": "49460F77-6456-41F1-AC6D-0AED08614D39", 159 "first_name": "John", 160 "gender": "male", 161 "individual_id": "93DDBEBF-4956-4482-9A6C-21499B7E4E5D", 162 "last_name": "Doe", 163 "phone_consent": true, 164 "phone_numbers": [ 165 { 166 "number": "1234567890", 167 "type": "Home" 168 } 169 ], 170 "email": "johndoe@joincandidhealth.com" 171 }, 172 "patient_authorized_release": true, 173 "patient_histories": [ 174 { 175 "category": "present_illness", 176 "questions": [ 177 { 178 "id": "6E7FBCE4-A8EA-46D0-A8D8-FF83CA3BB176", 179 "text": "Do you have any allergies?", 180 "responses": [ 181 { 182 "response": "No allergies", 183 "follow_ups": [ 184 { 185 "id": "4F3D57F9-AC94-49D6-87E4-E804B709917A", 186 "text": "Do you have any allergies?", 187 "response": "No allergies" 188 } 189 ] 190 } 191 ] 192 } 193 ] 194 } 195 ], 196 "patient_payments": [ 197 { 198 "patient_payment_id": "CF237BE1-E793-4BBF-8958-61D5179D1D0D", 199 "organization_id": "0788CA2A-B20D-4B8E-B8D4-07FA0B3B4907", 200 "source_internal_id": "D1A76039-D5C5-4323-A2FC-B7C8B6AEF6A4", 201 "source": "MANUAL_ENTRY", 202 "amount_cents": 2000, 203 "payment_timestamp": "2023-01-01T00:00:00Z", 204 "status": "PENDING", 205 "payment_name": "John Doe", 206 "payment_note": "test payment note", 207 "patient_external_id": "B7437260-D6B4-48CF-B9D7-753C09F34E76", 208 "encounter_external_id": "0F26B9C3-199F-4CBB-A166-B87EA7C631BB", 209 "service_line_id": "B557DC86-C629-478C-850A-02D45AC11783" 210 } 211 ], 212 "provider_accepts_assignment": true, 213 "rendering_provider": { 214 "address": { 215 "address1": "123 Main St", 216 "city": "New York", 217 "state": "NY", 218 "zip_code": "10001", 219 "zip_plus_four_code": "1234", 220 "address2": "Apt 1" 221 }, 222 "npi": "1234567890", 223 "provider_id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32", 224 "first_name": "John", 225 "last_name": "Doe", 226 "organization_name": "Organization Name", 227 "tax_id": "123456789", 228 "taxonomy_code": "207Q00000X" 229 }, 230 "responsible_party": "INSURANCE_PAY", 231 "service_facility": { 232 "service_facility_id": "2861487B-232C-4DED-A874-616A5DB0688F", 233 "organization_name": "Test Organization", 234 "address": { 235 "address1": "123 Main St", 236 "city": "New York", 237 "state": "NY", 238 "zip_code": "10001", 239 "zip_plus_four_code": "1234", 240 "address2": "Apt 1" 241 } 242 }, 243 "submission_origin": "CANDID", 244 "tags": [ 245 { 246 "color": "black", 247 "creator_id": "00EB5A46-35C6-441B-9751-AF307AEF5888", 248 "description": "to indicate claims where a void claim has been submitted", 249 "tag_id": "void-claim-submitted" 250 } 251 ], 252 "url": "https://example.com", 253 "admission_date": "2023-01-01", 254 "appointment_type": "Routine Checkup", 255 "billing_notes": [ 256 { 257 "billing_note_id": "99882EEA-936F-4E71-BC4F-520E4D14E3E2", 258 "created_at": "2023-01-01T00:00:00Z", 259 "encounter_id": "8BCFB6A8-2876-4111-9E3F-602B541FCF62", 260 "text": "Patient was billed for an MRI.", 261 "author_auth0_id": "F0DE3BF9-F9A1-4FA7-BF6B-28C0B46BADD8", 262 "author_name": "John Doe" 263 } 264 ], 265 "coding_attribution": "CANDID", 266 "discharge_date": "2023-01-05", 267 "end_date_of_service": "2023-01-05", 268 "existing_medications": [ 269 { 270 "name": "Lisinopril", 271 "rx_cui": "860975", 272 "dosage": "10mg", 273 "dosage_form": "Tablet", 274 "frequency": "Once Daily", 275 "as_needed": true 276 } 277 ], 278 "guarantor": { 279 "email_consent": true, 280 "external_id": "49460F77-6456-41F1-AC6D-0AED08614D39", 281 "first_name": "John", 282 "guarantor_id": "8BBDBE63-58D3-4D40-98C9-40403C050977", 283 "last_name": "Doe", 284 "phone_consent": true, 285 "phone_numbers": [ 286 { 287 "number": "1234567890", 288 "type": "Home" 289 } 290 ], 291 "address": { 292 "address1": "123 Main St", 293 "city": "New York", 294 "state": "NY", 295 "zip_code": "10001", 296 "address2": "Apt 1", 297 "zip_plus_four_code": "1234" 298 }, 299 "date_of_birth": "2000-01-01", 300 "email": "johndoe@joincandidhealth.com" 301 }, 302 "interventions": [ 303 { 304 "name": "Physical Therapy Session", 305 "category": "lifestyle", 306 "description": "A session focused on improving muscular strength, flexibility, and range of motion post-injury.", 307 "medication": { 308 "name": "Lisinopril", 309 "rx_cui": "860975", 310 "dosage": "10mg", 311 "dosage_form": "Tablet", 312 "frequency": "Once Daily", 313 "as_needed": true 314 }, 315 "labs": [ 316 { 317 "name": "Genetic Health Labs", 318 "code": "GH12345", 319 "code_type": "quest" 320 } 321 ] 322 } 323 ], 324 "onset_of_current_illness_or_symptom_date": "2023-01-01", 325 "pay_to_address": { 326 "address1": "123 Main St", 327 "city": "New York", 328 "state": "NY", 329 "zip_code": "10001", 330 "zip_plus_four_code": "1234", 331 "address2": "Apt 1" 332 }, 333 "place_of_service_code": "01", 334 "place_of_service_code_as_submitted": "01", 335 "prior_authorization_number": "PA1234567", 336 "referring_provider": { 337 "address": { 338 "address1": "123 Main St", 339 "city": "New York", 340 "state": "NY", 341 "zip_code": "10001", 342 "zip_plus_four_code": "1234", 343 "address2": "Apt 1" 344 }, 345 "npi": "1234567890", 346 "provider_id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32", 347 "first_name": "John", 348 "last_name": "Doe", 349 "organization_name": "Organization Name", 350 "tax_id": "123456789", 351 "taxonomy_code": "207Q00000X" 352 }, 353 "service_authorization_exception_code": "1", 354 "subscriber_primary": { 355 "first_name": "John", 356 "gender": "male", 357 "individual_id": "797348A9-E7E8-4E59-8628-95390D079C0B", 358 "insurance_card": { 359 "insurance_card_id": "CA5B7711-4419-4161-9B7C-3494AC40C8D4", 360 "member_id": "E85313B4-0FFC-4119-8042-8161A4ECFF0A", 361 "payer_id": "836DDAA6-863F-4020-ACCA-205A689F0002", 362 "payer_name": "John Doe", 363 "group_number": "ABC12345", 364 "image_url_back": "https://s3.amazonaws.com/back.jpg", 365 "image_url_front": "https://s3.amazonaws.com/front.jpg", 366 "insurance_type": "12", 367 "plan_name": "Silver PPO Plan", 368 "plan_type": "09", 369 "rx_bin": "610014", 370 "rx_pcn": "MEDDPRIME" 371 }, 372 "last_name": "Doe", 373 "patient_relationship_to_subscriber_code": "01", 374 "address": { 375 "address1": "123 Main St", 376 "city": "New York", 377 "state": "NY", 378 "zip_code": "10001", 379 "address2": "Apt 1", 380 "zip_plus_four_code": "1234" 381 }, 382 "date_of_birth": "2000-01-01" 383 }, 384 "subscriber_secondary": { 385 "first_name": "John", 386 "gender": "male", 387 "individual_id": "797348A9-E7E8-4E59-8628-95390D079C0B", 388 "insurance_card": { 389 "insurance_card_id": "CA5B7711-4419-4161-9B7C-3494AC40C8D4", 390 "member_id": "E85313B4-0FFC-4119-8042-8161A4ECFF0A", 391 "payer_id": "836DDAA6-863F-4020-ACCA-205A689F0002", 392 "payer_name": "John Doe", 393 "group_number": "ABC12345", 394 "image_url_back": "https://s3.amazonaws.com/back.jpg", 395 "image_url_front": "https://s3.amazonaws.com/front.jpg", 396 "insurance_type": "12", 397 "plan_name": "Silver PPO Plan", 398 "plan_type": "09", 399 "rx_bin": "610014", 400 "rx_pcn": "MEDDPRIME" 401 }, 402 "last_name": "Doe", 403 "patient_relationship_to_subscriber_code": "01", 404 "address": { 405 "address1": "123 Main St", 406 "city": "New York", 407 "state": "NY", 408 "zip_code": "10001", 409 "address2": "Apt 1", 410 "zip_plus_four_code": "1234" 411 }, 412 "date_of_birth": "2000-01-01" 413 }, 414 "synchronicity": "Synchronous", 415 "vitals": { 416 "height_in": 70, 417 "weight_lbs": 165, 418 "blood_pressure_systolic_mmhg": 115, 419 "blood_pressure_diastolic_mmhg": 85, 420 "body_temperature_f": 98 421 }, 422 "work_queue_id": "000856FE-1024-418F-BF96-2E7347AB4520", 423 "work_queue_membership_activated_at": "2023-01-01T00:00:00Z" 424 } 425 ] 426 }