Create encounter from pre-encounter patient

Create an encounter from a pre-encounter patient and appointment. This endpoint is intended to be used by consumers who are managing patients and appointments in the pre-encounter service and is currently under development. Consumers who are not taking advantage of the pre-encounter service should use the standard create endpoint. The endpoint will create an encounter from the provided fields, pulling information from the provided patient and appointment objects where applicable. In particular, the following fields are populated from the patient and appointment objects: - Patient - Referring Provider - Subscriber Primary - Subscriber Secondary - Referral Number - Responsible Party - Guarantor Utilizing this endpoint opts you into automatic updating of the encounter when the patient or appointment is updated, assuming the encounter has not already been submitted or adjudicated.

Authorization

BearerAuth

AuthorizationBearer <token>

Send your Taiga API key as a Bearer token. Create and manage keys in the Taiga developer portal.

In: header

Request Body

application/json

TypeScript Definitions

Use the request body type in TypeScript.

rendering_provider*

The rendering provider is the practitioner -- physician, nurse practitioner, etc. -- performing the service. For telehealth services, the rendering provider performs the visit, asynchronous communication, or other service. The rendering provider address should generally be the same as the service facility address.

place_of_service_code*FacilityTypeCode

Box 24B on the CMS-1500 claim form. 837p Loop2300, CLM-05-1. 02 for telemedicine, 11 for in-person. Full list here.

Value in

"01"
"02"
"03"
"04"
"05"
"06"
"07"
"08"
"09"
"10"
"11"
"12"
"13"
"14"
"15"
"16"
"17"
"18"
"19"
"20"
"21"
"22"
"23"
"24"
"25"
"26"
"31"
"32"
"33"
"34"
"41"
"42"
"49"
"50"
"51"
"52"
"53"
"54"
"55"
"56"
"57"
"58"
"60"
"61"
"62"
"65"
"71"
"72"
"81"
"99"

diagnoses*array<>

Ideally, this field should contain no more than 12 diagnoses. However, more diagnoses may be submitted at this time, and coders will later prioritize the 12 that will be submitted to the payor.

service_lines?array<>|

Each service line must be linked to a diagnosis. Concretely, service_line.diagnosis_pointersmust contain at least one entry which should be in bounds of the diagnoses list field.

pre_encounter_patient_id*PreEncounterPatientId

Formatuuid

pre_encounter_appointment_ids*array<>

billing_provider*

The billing provider is the provider or business entity submitting the claim. Billing provider may be, but is not necessarily, the same person/NPI as the rendering provider. From a payer's perspective, this represents the person or entity being reimbursed. When a contract exists with the target payer, the billing provider should be the entity contracted with the payer. In some circumstances, this will be an individual provider. In that case, submit that provider's NPI and the tax ID (TIN) that the provider gave to the payer during contracting. In other cases, the billing entity will be a medical group. If so, submit the group NPI and the group's tax ID. Box 33 on the CMS-1500 claim or Form Locator 1 on a UB-04 claim form.

initial_referring_provider?|

The second iteration of Loop ID-2310 on an 837P form. Use code "P3 - Primary Care Provider" in this loop to indicate the initial referral from the primary care provider or whatever provider wrote the initial referral for this patient's episode of care being billed/reported in this transaction. Not used in an 837i claim

supervising_provider?|

Required when the rendering provider is supervised by a physician. If not required by this implementation guide, do not send.

service_facility?|

Encounter Service facility is typically the location a medical service was rendered, such as a provider office or hospital. For telehealth, service facility can represent the provider's location when the service was delivered (e.g., home), or the location where an in-person visit would have taken place, whichever is easier to identify. If the provider is in-network, service facility may be defined in payer contracts. Box 32 on the CMS-1500 claim form. There is no equivalent on the paper UB-04 claim form, but this field is equivalent to Loop 2310E Service Facility Location details on an 837i form, and is used when this is different to the entity identified as the Billing Provider. Note that for an in-network claim to be successfully adjudicated, the service facility address listed. This field is mutually exclusive with service_facility_id — providing both will result in a 422 error.

service_facility_id?|

The ID of an existing Organization Service Facility to use for this encounter. The service facility's canonical data (name, address, NPI, etc.) will be populated automatically. If the value does not match an existing Organization Service Facility, the request will fail with a 422 error. This field is mutually exclusive with service_facility — providing both will result in a 422 error.

clinical_notes?array<>|

Holds a collection of clinical observations made by healthcare providers during patient encounters. Please note that medical records for appeals should be sent using the Encounter Attachments API.

billing_notes?array<>|

Spot to store misc, human-readable, notes about this encounter to be used in the billing process.

patient_histories?array<>|null

external_claim_submission?|

To be included for claims that have been submitted outside of Taiga. Taiga supports posting remits and payments to these claims and working them in-platform (e.g. editing, resubmitting).

tag_ids?array<TagId>|

Names of tags that should be on the encounter.

schema_instances?array<>|

Key-value pairs that must adhere to a schema created via the Custom Schema API. Multiple schema instances cannot be created for the same schema on an encounter.

related_causes_information?|

Corresponds to box 10a on the CMS-1500 (Loop 2300 on 837)

property_casualty_claim_number?|

837p Loop2010 REF02, CMS1500 Box 11b

accident_date?|

837p Loop2300 DTP*439, CMS1500 Box 15

Formatdate

property_casualty_patient_identifier?|

Patient identifier for Property and Casualty claims 837p Loop 2010CA

external_id*EncounterExternalId

A client-specified unique ID to associate with this encounter; for example, your internal encounter ID or a Dr. Chrono encounter ID. This field should not contain PHI.

date_of_service?|

Date formatted as YYYY-MM-DD; eg: 2019-08-24. This date must be the local date in the timezone where the service occurred. Box 24a on the CMS-1500 claim form or Form Locator 45 on the UB-04 claim form. If service occurred over a range of dates, this should be the start date. date_of_service must be defined on either the encounter or the service lines but not both. If there are greater than zero service lines, it is recommended to specify date_of_service on the service_line instead of on the encounter to prepare for future API versions.

Formatdate

end_date_of_service?|

Date formatted as YYYY-MM-DD; eg: 2019-08-25. This date must be the local date in the timezone where the service occurred. If omitted, the Encounter is assumed to be for a single day. Must not be temporally before the date_of_service field. If there are greater than zero service lines, it is recommended to specify end_date_of_service on the service_line instead of on the encounter to prepare for future API versions.

Formatdate

patient_authorized_release*boolean

Whether this patient has authorized the release of medical information for billing purpose. Box 12 on the CMS-1500 claim form or Form Locator 52 on a UB-04 claim form.

benefits_assigned_to_provider*boolean

Whether this patient has authorized insurance payments to be made to you, not them. If false, patient may receive reimbursement. Box 13 on the CMS-1500 claim form or Form Locator 53 on a UB-04 claim form.

provider_accepts_assignment*boolean

Whether you have accepted the patient's authorization for insurance payments to be made to you, not them. Box 27 on the CMS-1500 claim form. There is no exact equivalent of this field on a UB-04 claim, however contributes to the concept of Form Locator 53.

appointment_type?|

Human-readable description of the appointment type (ex: "Acupuncture - Headaches").

existing_medications?array<>|null

interventions?array<>|null

pay_to_address?|

Specifies the address to which payments for the claim should be sent.

synchronicity?|

Whether or not this was a synchronous or asynchronous encounter. Asynchronous encounters occur when providers and patients communicate online using forms, instant messaging, or other pre-recorded digital mediums. Synchronous encounters occur in live, real-time settings where the patient interacts directly with the provider, such as over video or a phone call.

vitals?|null

billable_status*encountersv4BillableStatusType

Defines if the Encounter is to be billed by Taiga 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.

Value in

"BILLABLE"
"NOT_BILLABLE"

additional_information?|

Defines additional information on the claim needed by the payer. Box 19 on the CMS-1500 claim form or Form Locator 80 on a UB-04 claim form.

service_authorization_exception_code?|

837p Loop2300 REF*4N Required when mandated by government law or regulation to obtain authorization for specific service(s) but, for the reasons listed in one of the enum values of ServiceAuthorizationExceptionCode, the service was performed without obtaining the authorization.

admission_date?|

837p Loop2300 DTP*435, CMS-1500 Box 18 or UB-04 Form Locator 12. Required on all ambulance claims when the patient was known to be admitted to the hospital. OR Required on all claims involving inpatient medical visits.

Formatdate

discharge_date?|

837p Loop2300 DTP*096, CMS-1500 Box 18 Required for inpatient claims when the patient was discharged from the facility and the discharge date is known. Not used on an institutional claim.

Formatdate

onset_of_current_illness_or_symptom_date?|

837p Loop2300 DTP*431, CMS-1500 Box 14 Required for the initial medical service or visit performed in response to a medical emergency when the date is available and is different than the date of service. OR This date is the onset of acute symptoms for the current illness or condition. For UB-04 claims, this is populated separately via occurrence codes.

Formatdate

last_menstrual_period_date?|

837p Loop2300 DTP*484, CMS-1500 Box 14 Required when, in the judgment of the provider, the services on this claim are related to the patient's pregnancy. This field is populated separately via occurrence codes for UB-04 claim forms.

Formatdate

delay_reason_code?|

Code indicating the reason why a claim submission was delayed. Corresponds to CLM-20 in the 837 specification (both professional and institutional).

Response Body

`application/json`

curl -X POST "https://example.com/api/encounters/v4/create-from-pre-encounter" \  -H "Content-Type: application/json" \  -d '{    "rendering_provider": {      "npi": "string"    },    "place_of_service_code": "01",    "diagnoses": [      {        "code_type": "ABF",        "code": "string"      }    ],    "pre_encounter_patient_id": "a3c6bac6-643c-4b5a-b230-e04c42253095",    "pre_encounter_appointment_ids": [      "60e34a99-c7e7-49be-bc52-74a19ec49658"    ],    "billing_provider": {      "address": {        "zip_plus_four_code": "1234",        "address1": "string",        "city": "string",        "state": "AA",        "zip_code": "string"      },      "tax_id": "string",      "npi": "string"    },    "external_id": "string",    "patient_authorized_release": true,    "benefits_assigned_to_provider": true,    "provider_accepts_assignment": true,    "billable_status": "BILLABLE"  }'

{  "accident_state_or_province_code": "AA",  "claim_creation_id": "9a134162-d4e8-46bc-8336-94faf8779b88",  "patient_control_number": "string",  "encounter_id": "7a82c561-3d07-4ff8-8b24-4d41b12287d2",  "claims": [    {      "claim_id": "6ed32748-64af-4d95-94ea-a78b6397033c",      "status": "biller_received",      "clearinghouse": "string",      "clearinghouse_claim_id": "string",      "payer_claim_id": "string",      "clia_number": "string",      "service_lines": [        {          "created_at": "2023-01-01T00:00:00Z",          "modifiers": [            "AV"          ],          "charge_amount_cents": 0,          "allowed_amount_cents": 0,          "insurance_balance_cents": 0,          "patient_balance_cents": 0,          "paid_amount_cents": 0,          "primary_paid_amount_cents": 0,          "secondary_paid_amount_cents": 0,          "tertiary_paid_amount_cents": 0,          "patient_responsibility_cents": 0,          "copay_cents": 0,          "coinsurance_cents": 0,          "deductible_cents": 0,          "diagnosis_id_zero": "f0fef26d-b316-4adc-b36b-8de9eb0c937b",          "diagnosis_id_one": "06f8cea7-70fe-4c7c-8160-1b76eba0a401",          "diagnosis_id_two": "a6faa11d-f54e-4d73-876b-28911a593769",          "diagnosis_id_three": "8ab279cc-d7d5-4b13-b283-309cad42c284",          "drug_identification": {            "service_id_qualifier": "EN",            "national_drug_code": "string",            "national_drug_unit_count": "string",            "measurement_unit_code": "ML",            "link_sequence_number": "string",            "pharmacy_prescription_number": "string",            "conversion_formula": "string",            "drug_description": "string"          },          "service_line_era_data": {            "service_line_adjustments": [              {                "created_at": "2019-08-24T14:15:22Z",                "adjustment_group_code": "string",                "adjustment_reason_code": "string",                "adjustment_amount_cents": 0,                "adjustment_note": "string"              }            ],            "remittance_advice_remark_codes": [              "string"            ]          },          "service_line_manual_adjustments": [            {              "created_at": "2019-08-24T14:15:22Z",              "adjustment_group_code": "string",              "adjustment_reason_code": "string",              "adjustment_amount_cents": 0,              "adjustment_note": "string"            }          ],          "related_invoices": [            {              "id": "497f6eca-6276-4993-bfeb-53cbbbba6f08",              "created_at": "2019-08-24T14:15:22Z",              "updated_at": "2019-08-24T14:15:22Z",              "organzation_id": "6b7e4588-f600-4079-894b-c4ac282ac6b3",              "source_id": "string",              "source_customer_id": "string",              "patient_external_id": "string",              "note": "string",              "due_date": "string",              "status": "draft",              "url": "string",              "customer_invoice_url": "string",              "items": [                {                  "service_line_id": "a87d8c62-6b36-44c6-9f01-a675dd3707d1",                  "amount_cents": 0                }              ]            }          ],          "related_invoice_info": [            {              "id": "497f6eca-6276-4993-bfeb-53cbbbba6f08",              "invoice": {                "amount_cents": 0,                "created_at": "2019-08-24T14:15:22Z",                "updated_at": "2019-08-24T14:15:22Z",                "organization_id": "7c60d51f-b44e-4682-87d6-449835ea4de6",                "invoice_destination_metadata": {                  "invoice_destination": "STRIPE",                  "source_id": "string",                  "source_customer_id": "string",                  "destination_status": "string"                },                "patient_external_id": "string",                "note": "string",                "due_date": "2019-08-24",                "status": "DRAFT",                "url": "string",                "customer_invoice_url": "string",                "items": {                  "claim_invoice_items": {                    "property1": {                      "claim_invoice_item": {                        "claim_id": "6ed32748-64af-4d95-94ea-a78b6397033c",                        "amount_cents": 0                      },                      "service_line_invoice_items": {                        "property1": {                          "service_line_id": "a87d8c62-6b36-44c6-9f01-a675dd3707d1",                          "amount_cents": 0                        },                        "property2": {                          "service_line_id": "a87d8c62-6b36-44c6-9f01-a675dd3707d1",                          "amount_cents": 0                        }                      }                    },                    "property2": {                      "claim_invoice_item": {                        "claim_id": "6ed32748-64af-4d95-94ea-a78b6397033c",                        "amount_cents": 0                      },                      "service_line_invoice_items": {                        "property1": {                          "service_line_id": "a87d8c62-6b36-44c6-9f01-a675dd3707d1",                          "amount_cents": 0                        },                        "property2": {                          "service_line_id": "a87d8c62-6b36-44c6-9f01-a675dd3707d1",                          "amount_cents": 0                        }                      }                    }                  },                  "unattributed_items": [                    {                      "amount_cents": 0                    }                  ]                }              },              "invoice_type": "STRIPE"            }          ],          "denial_reason": {            "reason": "Authorization Required"          },          "place_of_service_code": "01",          "place_of_service_code_as_submitted": "01",          "service_line_id": "a87d8c62-6b36-44c6-9f01-a675dd3707d1",          "procedure_code": "99213",          "ordering_provider": {            "provider_id": "fe3d49af-4061-436b-ae60-f7044f252a44",            "address": {              "zip_plus_four_code": "1234",              "address1": "string",              "address2": "string",              "city": "string",              "state": "AA",              "zip_code": "string"            },            "tax_id": "string",            "npi": "1234567890",            "taxonomy_code": "string",            "qualifier": "DQ",            "provider_commercial_license_type": "0",            "secondary_identification": {              "reference_identification": "string",              "reference_identification_qualifier": "0B"            },            "first_name": "string",            "last_name": "string",            "organization_name": "string"          },          "revenue_code": "string",          "quantity": "string",          "units": "MJ",          "claim_id": "6ed32748-64af-4d95-94ea-a78b6397033c",          "date_of_service_range": {            "start_date": "string",            "end_date": "string"          },          "description": "string",          "date_of_service": "2023-01-01",          "end_date_of_service": "2019-08-24",          "test_results": [            {              "value": 0.1,              "result_type": "HEMATOCRIT"            }          ],          "has_epsdt_indicator": true,          "has_family_planning_indicator": true,          "note": "string",          "prior_authorization_number": "string",          "external_id": "string"        }      ],      "eras": [        {          "era_id": "d6a5de53-3d03-460f-8f81-f0002ae5dc22",          "check_number": "string",          "check_date": "string"        }      ]    }  ],  "patient": {    "individual_id": "b2338cfb-472f-4f72-9faa-e028c083144a",    "phone_numbers": [      {        "number": "1234567890",        "type": "Home"      }    ],    "phone_consent": true,    "email": "string",    "email_consent": true,    "auto_charge_consent": true,    "non_insurance_payers": [      {        "non_insurance_payer_id": "8aaf7567-cd3d-41a3-9d13-4e727c1f7ad1",        "name": "Sunrise Foundation",        "description": "string",        "category": "string",        "enabled": true,        "address": {          "zip_plus_four_code": "string",          "address1": "string",          "address2": "string",          "city": "string",          "state": "AA",          "zip_code": "string"        },        "clinical_trials": [          {            "clinical_trial_id": "656d392d-2bad-45a1-bb5d-94637107f232",            "non_insurance_payer_id": "8aaf7567-cd3d-41a3-9d13-4e727c1f7ad1",            "is_active": true,            "name": "string",            "clinical_trial_number": "string",            "clinical_trial_phase": "Phase 1"          }        ]      }    ],    "non_insurance_payers_info": [      {        "non_insurance_payer": {          "non_insurance_payer_id": "8aaf7567-cd3d-41a3-9d13-4e727c1f7ad1",          "name": "Sunrise Foundation",          "description": "string",          "category": "string",          "enabled": true,          "address": {            "zip_plus_four_code": "string",            "address1": "string",            "address2": "string",            "city": "string",            "state": "AA",            "zip_code": "string"          },          "clinical_trials": [            {              "clinical_trial_id": "656d392d-2bad-45a1-bb5d-94637107f232",              "non_insurance_payer_id": "8aaf7567-cd3d-41a3-9d13-4e727c1f7ad1",              "is_active": true,              "name": "string",              "clinical_trial_number": "string",              "clinical_trial_phase": "Phase 1"            }          ]        },        "member_id": "string",        "clinical_trial_info": [          {            "clinical_trial_arm": "string",            "clinical_trial": {              "clinical_trial_id": "656d392d-2bad-45a1-bb5d-94637107f232",              "non_insurance_payer_id": "8aaf7567-cd3d-41a3-9d13-4e727c1f7ad1",              "is_active": true,              "name": "string",              "clinical_trial_number": "string",              "clinical_trial_phase": "Phase 1"            }          }        ]      }    ],    "external_id": "string",    "date_of_birth": "2019-08-24",    "address": {      "zip_plus_four_code": "string",      "address1": "string",      "address2": "string",      "city": "string",      "state": "AA",      "zip_code": "string"    },    "first_name": "string",    "last_name": "string",    "gender": "male"  },  "guarantor": {    "guarantor_id": "c0c01d4d-fcb6-471e-b135-937143c9f8d1",    "phone_numbers": [      {        "number": "1234567890",        "type": "Home"      }    ],    "phone_consent": true,    "email": "string",    "email_consent": true,    "auto_charge_consent": true,    "first_name": "string",    "last_name": "string",    "external_id": "string",    "date_of_birth": "2019-08-24",    "address": {      "zip_plus_four_code": "string",      "address1": "string",      "address2": "string",      "city": "string",      "state": "AA",      "zip_code": "string"    }  },  "billing_provider": {    "provider_id": "fe3d49af-4061-436b-ae60-f7044f252a44",    "address": {      "zip_plus_four_code": "1234",      "address1": "string",      "address2": "string",      "city": "string",      "state": "AA",      "zip_code": "string"    },    "tax_id": "string",    "npi": "1234567890",    "taxonomy_code": "string",    "qualifier": "DQ",    "provider_commercial_license_type": "0",    "secondary_identification": {      "reference_identification": "string",      "reference_identification_qualifier": "0B"    },    "first_name": "string",    "last_name": "string",    "organization_name": "string"  },  "rendering_provider": {    "provider_id": "fe3d49af-4061-436b-ae60-f7044f252a44",    "address": {      "zip_plus_four_code": "1234",      "address1": "string",      "address2": "string",      "city": "string",      "state": "AA",      "zip_code": "string"    },    "tax_id": "string",    "npi": "1234567890",    "taxonomy_code": "string",    "qualifier": "DQ",    "provider_commercial_license_type": "0",    "secondary_identification": {      "reference_identification": "string",      "reference_identification_qualifier": "0B"    },    "first_name": "string",    "last_name": "string",    "organization_name": "string"  },  "attending_provider": {    "provider_id": "fe3d49af-4061-436b-ae60-f7044f252a44",    "address": {      "zip_plus_four_code": "1234",      "address1": "string",      "address2": "string",      "city": "string",      "state": "AA",      "zip_code": "string"    },    "tax_id": "string",    "npi": "1234567890",    "taxonomy_code": "string",    "qualifier": "DQ",    "provider_commercial_license_type": "0",    "secondary_identification": {      "reference_identification": "string",      "reference_identification_qualifier": "0B"    },    "first_name": "string",    "last_name": "string",    "organization_name": "string"  },  "admission_hour": 0,  "admission_type_code": "1",  "admission_source_code": "1",  "discharge_hour": 0,  "discharge_status": "01",  "operating_provider": {    "provider_id": "fe3d49af-4061-436b-ae60-f7044f252a44",    "address": {      "zip_plus_four_code": "1234",      "address1": "string",      "address2": "string",      "city": "string",      "state": "AA",      "zip_code": "string"    },    "tax_id": "string",    "npi": "1234567890",    "taxonomy_code": "string",    "qualifier": "DQ",    "provider_commercial_license_type": "0",    "secondary_identification": {      "reference_identification": "string",      "reference_identification_qualifier": "0B"    },    "first_name": "string",    "last_name": "string",    "organization_name": "string"  },  "other_operating_provider": {    "provider_id": "fe3d49af-4061-436b-ae60-f7044f252a44",    "address": {      "zip_plus_four_code": "1234",      "address1": "string",      "address2": "string",      "city": "string",      "state": "AA",      "zip_code": "string"    },    "tax_id": "string",    "npi": "1234567890",    "taxonomy_code": "string",    "qualifier": "DQ",    "provider_commercial_license_type": "0",    "secondary_identification": {      "reference_identification": "string",      "reference_identification_qualifier": "0B"    },    "first_name": "string",    "last_name": "string",    "organization_name": "string"  },  "treating_provider": {    "provider_id": "fe3d49af-4061-436b-ae60-f7044f252a44",    "first_name": "string",    "last_name": "string",    "npi": "string",    "taxonomy_code": "string",    "address": {      "zip_plus_four_code": "1234",      "address1": "string",      "address2": "string",      "city": "string",      "state": "AA",      "zip_code": "string"    },    "tax_id": "string",    "license_type": "MD"  },  "related_causes_information": {    "related_causes_code_1": "AA",    "related_causes_code_2": "AA",    "state_or_province_code": "string"  },  "property_casualty_claim_number": "string",  "accident_date": "2019-08-24",  "property_casualty_patient_identifier": {    "property_casualty_patient_identifier_qualifier": "1W",    "property_casualty_patient_identifier": "string"  },  "submission_expectation": "TARGET_PROFESSIONAL",  "type_of_bill": {    "code": "string",    "type_of_facility": "1",    "type_of_care": "1",    "frequency_code": "0"  },  "referring_provider": {    "provider_id": "fe3d49af-4061-436b-ae60-f7044f252a44",    "address": {      "zip_plus_four_code": "1234",      "address1": "string",      "address2": "string",      "city": "string",      "state": "AA",      "zip_code": "string"    },    "tax_id": "string",    "npi": "1234567890",    "taxonomy_code": "string",    "qualifier": "DQ",    "provider_commercial_license_type": "0",    "secondary_identification": {      "reference_identification": "string",      "reference_identification_qualifier": "0B"    },    "first_name": "string",    "last_name": "string",    "organization_name": "string"  },  "initial_referring_provider": {    "provider_id": "fe3d49af-4061-436b-ae60-f7044f252a44",    "address": {      "zip_plus_four_code": "1234",      "address1": "string",      "address2": "string",      "city": "string",      "state": "AA",      "zip_code": "string"    },    "tax_id": "string",    "npi": "1234567890",    "taxonomy_code": "string",    "qualifier": "DQ",    "provider_commercial_license_type": "0",    "secondary_identification": {      "reference_identification": "string",      "reference_identification_qualifier": "0B"    },    "first_name": "string",    "last_name": "string",    "organization_name": "string"  },  "supervising_provider": {    "provider_id": "fe3d49af-4061-436b-ae60-f7044f252a44",    "address": {      "zip_plus_four_code": "1234",      "address1": "string",      "address2": "string",      "city": "string",      "state": "AA",      "zip_code": "string"    },    "tax_id": "string",    "npi": "1234567890",    "taxonomy_code": "string",    "qualifier": "DQ",    "provider_commercial_license_type": "0",    "secondary_identification": {      "reference_identification": "string",      "reference_identification_qualifier": "0B"    },    "first_name": "string",    "last_name": "string",    "organization_name": "string"  },  "service_facility": {    "service_facility_id": "58baa28e-b455-455b-9312-24927ab2d970",    "organization_name": "Test Organization",    "npi": "string",    "address": {      "zip_plus_four_code": "1234",      "address1": "string",      "address2": "string",      "city": "string",      "state": "AA",      "zip_code": "string"    },    "secondary_identification": "string",    "mammography_certification_number": "string"  },  "subscriber_primary": {    "individual_id": "b2338cfb-472f-4f72-9faa-e028c083144a",    "insurance_card": {      "insurance_card_id": "65aa7098-3564-4986-99ec-33869b156c11",      "member_id": "E85313B4-0FFC-4119-8042-8161A4ECFF0A",      "payer_name": "John Doe",      "payer_id": "836DDAA6-863F-4020-ACCA-205A689F0002",      "rx_bin": "string",      "rx_pcn": "string",      "image_url_front": "string",      "image_url_back": "string",      "payer_uuid": "ecc6b222-ef84-4433-9856-dedc46036dc7",      "group_number": "string",      "plan_name": "string",      "plan_type": "09",      "insurance_type": "01",      "payer_plan_group_id": "166be4f9-7019-434a-a528-4fd642d5501d",      "payer_address": {        "zip_plus_four_code": "1234",        "address1": "string",        "address2": "string",        "city": "string",        "state": "AA",        "zip_code": "string"      }    },    "patient_relationship_to_subscriber_code": "01",    "date_of_birth": "2019-08-24",    "address": {      "zip_plus_four_code": "string",      "address1": "string",      "address2": "string",      "city": "string",      "state": "AA",      "zip_code": "string"    },    "first_name": "string",    "last_name": "string",    "gender": "male"  },  "subscriber_secondary": {    "individual_id": "b2338cfb-472f-4f72-9faa-e028c083144a",    "insurance_card": {      "insurance_card_id": "65aa7098-3564-4986-99ec-33869b156c11",      "member_id": "E85313B4-0FFC-4119-8042-8161A4ECFF0A",      "payer_name": "John Doe",      "payer_id": "836DDAA6-863F-4020-ACCA-205A689F0002",      "rx_bin": "string",      "rx_pcn": "string",      "image_url_front": "string",      "image_url_back": "string",      "payer_uuid": "ecc6b222-ef84-4433-9856-dedc46036dc7",      "group_number": "string",      "plan_name": "string",      "plan_type": "09",      "insurance_type": "01",      "payer_plan_group_id": "166be4f9-7019-434a-a528-4fd642d5501d",      "payer_address": {        "zip_plus_four_code": "1234",        "address1": "string",        "address2": "string",        "city": "string",        "state": "AA",        "zip_code": "string"      }    },    "patient_relationship_to_subscriber_code": "01",    "date_of_birth": "2019-08-24",    "address": {      "zip_plus_four_code": "string",      "address1": "string",      "address2": "string",      "city": "string",      "state": "AA",      "zip_code": "string"    },    "first_name": "string",    "last_name": "string",    "gender": "male"  },  "subscriber_tertiary": {    "individual_id": "b2338cfb-472f-4f72-9faa-e028c083144a",    "insurance_card": {      "insurance_card_id": "65aa7098-3564-4986-99ec-33869b156c11",      "member_id": "E85313B4-0FFC-4119-8042-8161A4ECFF0A",      "payer_name": "John Doe",      "payer_id": "836DDAA6-863F-4020-ACCA-205A689F0002",      "rx_bin": "string",      "rx_pcn": "string",      "image_url_front": "string",      "image_url_back": "string",      "payer_uuid": "ecc6b222-ef84-4433-9856-dedc46036dc7",      "group_number": "string",      "plan_name": "string",      "plan_type": "09",      "insurance_type": "01",      "payer_plan_group_id": "166be4f9-7019-434a-a528-4fd642d5501d",      "payer_address": {        "zip_plus_four_code": "1234",        "address1": "string",        "address2": "string",        "city": "string",        "state": "AA",        "zip_code": "string"      }    },    "patient_relationship_to_subscriber_code": "01",    "date_of_birth": "2019-08-24",    "address": {      "zip_plus_four_code": "string",      "address1": "string",      "address2": "string",      "city": "string",      "state": "AA",      "zip_code": "string"    },    "first_name": "string",    "last_name": "string",    "gender": "male"  },  "prior_authorization_number": "string",  "responsible_party": "INSURANCE_PAY",  "url": "string",  "diagnoses": [    {      "diagnosis_id": "e362bafe-c21d-4b79-ac38-db0020d70360",      "created_at": "2023-01-01T00:00:00Z",      "updated_at": "2023-01-01T00:00:00Z",      "encounter_id": "7a82c561-3d07-4ff8-8b24-4d41b12287d2",      "name": "string",      "code_type": "ABF",      "code": "string",      "present_on_admission_indicator": "YES"    }  ],  "clinical_notes": [    {      "category": "clinical",      "notes": [        "Patient complained of mild chest pain."      ],      "notes_structured": [        {          "text": "string",          "author_name": "string",          "author_npi": "string",          "timestamp": "2019-08-24T14:15:22Z"        }      ]    }  ],  "billing_notes": [    {      "billing_note_id": "26b2af45-9be9-4bc3-b844-f5dfbee8f238",      "encounter_id": "7a82c561-3d07-4ff8-8b24-4d41b12287d2",      "created_at": "2023-01-01T00:00:00Z",      "author_auth0_id": "string",      "author_name": "string",      "billing_note_type": "manual",      "billing_note_metadata": {        "type": "queue_added",        "queue_id": "string",        "queue_name": "string"      },      "text": "string"    }  ],  "place_of_service_code": "01",  "place_of_service_code_as_submitted": "01",  "patient_histories": [    {      "category": "present_illness",      "questions": [        {          "id": "string",          "text": "Do you have any allergies?",          "responses": [            {              "response": "string",              "follow_ups": [                {                  "id": "string",                  "text": "Do you have any allergies?",                  "response": "string"                }              ]            }          ]        }      ]    }  ],  "patient_payments": [    {      "patient_payment_id": "string",      "organization_id": "7c60d51f-b44e-4682-87d6-449835ea4de6",      "source_internal_id": "D1A76039-D5C5-4323-A2FC-B7C8B6AEF6A4",      "source": "MANUAL_ENTRY",      "amount_cents": 2000,      "payment_timestamp": "2019-08-24T14:15:22Z",      "status": "PENDING",      "payment_name": "string",      "payment_note": "string",      "patient_external_id": "string",      "encounter_external_id": "string",      "service_line_id": "a87d8c62-6b36-44c6-9f01-a675dd3707d1"    }  ],  "tags": [    {      "creator_id": "00EB5A46-35C6-441B-9751-AF307AEF5888",      "tag_id": "string",      "description": "string",      "color": "black"    }  ],  "coding_attribution": "TAIGA",  "work_queue_id": "string",  "work_queue_membership_activated_at": "2019-08-24T14:15:22Z",  "owner_of_next_action": "TAIGA",  "submission_origin": "TAIGA",  "schema_instances": [    {      "schema_id": "9c37f32d-8308-4815-9b0d-83fa3c1b25f9",      "content": {}    }  ],  "referral_number": "string",  "epsdt_referral": {    "condition_indicator1": "AV",    "condition_indicator2": "AV",    "condition_indicator3": "AV"  },  "claim_supplemental_information": [    {      "attachment_report_type_code": "03",      "attachment_transmission_code": "BM",      "attachment_control_number": "string"    }  ],  "secondary_payer_carrier_code": "string",  "last_submitted_at": "2019-08-24T14:15:22Z",  "created_at": "2023-01-01T00:00:00Z",  "next_responsible_party": "primary",  "organization_id": "7c60d51f-b44e-4682-87d6-449835ea4de6",  "external_id": "string",  "date_of_service": "2019-08-24",  "end_date_of_service": "2019-08-24",  "patient_authorized_release": true,  "benefits_assigned_to_provider": true,  "provider_accepts_assignment": true,  "appointment_type": "string",  "existing_medications": [    {      "name": "Lisinopril",      "rx_cui": "string",      "dosage": "string",      "dosage_form": "string",      "frequency": "string",      "as_needed": true    }  ],  "interventions": [    {      "name": "Physical Therapy Session",      "category": "allopathic",      "description": "string",      "medication": {        "name": "Lisinopril",        "rx_cui": "string",        "dosage": "string",        "dosage_form": "string",        "frequency": "string",        "as_needed": true      },      "labs": [        {          "name": "Genetic Health Labs",          "code": "string",          "code_type": "quest"        }      ]    }  ],  "pay_to_address": {    "zip_plus_four_code": "1234",    "address1": "string",    "address2": "string",    "city": "string",    "state": "AA",    "zip_code": "string"  },  "synchronicity": "Synchronous",  "vitals": {    "height_in": 0,    "weight_lbs": 0,    "blood_pressure_systolic_mmhg": 0,    "blood_pressure_diastolic_mmhg": 0,    "body_temperature_f": 0,    "hemoglobin_gdl": 0,    "hematocrit_pct": 0  },  "billable_status": "BILLABLE",  "additional_information": "string",  "service_authorization_exception_code": "1",  "admission_date": "2019-08-24",  "discharge_date": "2019-08-24",  "onset_of_current_illness_or_symptom_date": "2019-08-24",  "last_menstrual_period_date": "2019-08-24",  "delay_reason_code": "1"}

Create encounter from pre-encounter patient

Authorization

Request Body

Response Body

200application/json

403application/json

404application/json

422application/json

`application/json`

`application/json`

`application/json`

`application/json`