Compute network status | Candid

Computes the expected network status given the provided information.

This endpoint expects an object.

subscriber_payer_idstringRequired

subscriber_payer_namestringRequired

billing_provider_npistringRequired

The National Provider Identifier (NPI) of the healthcare provider responsible for billing. A unique 10-digit identification number.

billing_provider_tinstringRequired

Follow the 9-digit format of the Taxpayer Identification Number (TIN).

rendering_provider_npistringRequired

The National Provider Identifier (NPI) of the healthcare provider who delivered the services. A unique 10-digit identification number.

contracted_stateenumRequired

The state in which the healthcare provider has a contractual agreement with the insurance payer.

date_of_servicestringRequired

Date formatted as YYYY-MM-DD; eg: 2019-08-25.

external_patient_idstringOptional

subscriber_insurance_typeenumOptional

Code identifying the type of insurance policy within a specific insurance program (X12 008020 Element 1336)

subscriber_plan_namestringOptional

The descriptive name of the insurance plan selected by the subscriber, often indicating coverage specifics or tier.

This endpoint returns an object.

expected_network_statusenum

The anticipated classification of a healthcare provider within the insurance plan's network.

Allowed values:

explanationstring

contract_idUUID or null

1	from candid import CandidApiClient
2	from candid.resources.commons import State
3
4	client = CandidApiClient(
5	client_id="YOUR_CLIENT_ID",
6	client_secret="YOUR_CLIENT_SECRET",
7	)
8	client.expected_network_status.v_1.compute(
9	subscriber_payer_id="subscriber_payer_id",
10	subscriber_payer_name="subscriber_payer_name",
11	billing_provider_npi="billing_provider_npi",
12	billing_provider_tin="billing_provider_tin",
13	rendering_provider_npi="rendering_provider_npi",
14	contracted_state=State.AA,
15	date_of_service="date_of_service",
16	)

1	{
2	"expected_network_status": "in_network",
3	"explanation": "explanation",
4	"contract_id": "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32"
5	}