Fee SchedulesV3

Get Payer Thresholds

GET
Gets a list of payers and thresholds by their uuids

Query parameters

payer_uuidsUUIDRequired

Response

This endpoint returns an object
payer_thresholds
map from UUIDs to objects

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.

next_page_token
stringOptional
prev_page_token
stringOptional
GET
1curl -G https://api.joincandidhealth.com/api/fee-schedules/v3/payer-threshold \
2 -H "Authorization: Bearer <token>" \
3 -d payer_uuids=d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32
200Retrieved
1{
2 "payer_thresholds": {
3 "d5e9c84f-c2b2-4bf4-b4b0-7ffd7a9ffc32": {
4 "disable_paid_incorrectly": true,
5 "upper_threshold_cents": 0,
6 "lower_threshold_cents": 0
7 }
8 },
9 "next_page_token": "string",
10 "prev_page_token": "string"
11}