{"schemaVersion":"1.0","sourceCommit":"f6e9f05f76d443b26ebd2369f67d3c3bd52257ca","sourceVisibility":"private","article":{"id":"api-mansoq-core-claimworkbenchviewset-2774f807","title":"Claim Workbench API reference · mansoq-core","summary":"Static source contract for Claim Workbench: 6 declared or inherited operation mappings, schema/field evidence and authorization/refusal references. Deployment and behavioral review remain explicit.","module":"RCM & insurance","roles":["IT administrator","Developer","Integration engineer"],"facilities":["All configured facility types"],"kind":"reference","minutes":7,"prerequisites":["Use the API contract from the installed deployment and an authorized synthetic test environment.","Confirm facility/organization scope, action permissions and optional app enablement.","This reference is static source evidence; complete payload, authorization, failure and end-to-end review remains recorded as pending."],"steps":[],"sections":[{"title":"Declared route and availability","body":"This resource is declared in **mansoq-core** at `/api/v1/facility/{facility_external_id}/rcm/claims/`. verified core mount in config/urls.py A registered path and an indexed handler do not prove deployment availability, user permission or production readiness.\n\nOne claim, the eight facts that price it, and the encounter above it."},{"title":"Operation map","body":"| Method | Path | Action | Evidence |\n| --- | --- | --- | --- |\n| GET | `/api/v1/facility/{facility_external_id}/rcm/claims/` | list | declared/inherited method |\n| GET | `/api/v1/facility/{facility_external_id}/rcm/claims/{external_id}/` | retrieve | declared/inherited method |\n| GET | `/api/v1/facility/{facility_external_id}/rcm/claims/by-encounter/` | by_encounter | @action declaration |\n| GET | `/api/v1/facility/{facility_external_id}/rcm/claims/{external_id}/lines/` | lines | @action declaration |\n| GET | `/api/v1/facility/{facility_external_id}/rcm/claims/{external_id}/attachments/` | attachments | @action declaration |\n| POST | `/api/v1/facility/{facility_external_id}/rcm/claims/{external_id}/classify-response/` | classify_response | @action declaration |"},{"title":"list · GET","body":"**GET /api/v1/facility/{facility_external_id}/rcm/claims/** — action `list`. static contract extracted; runtime/permission/payload behavior review pending.\n\nPath and deployment-context parameters:\n\n| Location | Parameter | Type | Required |\n| --- | --- | --- | --- |\n| path | facility_external_id | router lookup string; semantic ID validation requires handler/schema review | true |\n\nDirectly observed request reads (these do not constitute a complete accepted-payload or requiredness guarantee):\n\n| Location | Field | Declared/inferred read type | Requiredness evidence |\n| --- | --- | --- | --- |\n| query | `encounter` | not declared at read site | not established |\n| query | `{computed field name}` | not declared at read site | not established |\n\n**Observed authorization checks:** `can_read_account_in_facility`. Helper/queryset evidence is included; this is not proof of complete security review.\n\n**Declared refusal/error evidence:** PermissionDenied: Cannot read revenue-cycle records."},{"title":"retrieve · GET","body":"**GET /api/v1/facility/{facility_external_id}/rcm/claims/{external_id}/** — action `retrieve`. static contract extracted; runtime/permission/payload behavior review pending.\n\nPath and deployment-context parameters:\n\n| Location | Parameter | Type | Required |\n| --- | --- | --- | --- |\n| path | facility_external_id | router lookup string; semantic ID validation requires handler/schema review | true |\n| path | external_id | router lookup string; semantic ID validation requires handler/schema review | true |\n\nDirectly observed request reads (these do not constitute a complete accepted-payload or requiredness guarantee):\n\n| Location | Field | Declared/inferred read type | Requiredness evidence |\n| --- | --- | --- | --- |\n| query | `encounter` | not declared at read site | not established |\n| query | `{computed field name}` | not declared at read site | not established |\n\n**Observed authorization checks:** `can_read_account_in_facility`. Helper/queryset evidence is included; this is not proof of complete security review.\n\n**Declared refusal/error evidence:** PermissionDenied: Cannot read revenue-cycle records."},{"title":"by_encounter · GET","body":"Every claim produced by one encounter, with the local invoices apart.\n\nOne encounter can produce several claims. This is the surface that says\nso, rather than letting a one-row-per-encounter list imply otherwise.\n\n**GET /api/v1/facility/{facility_external_id}/rcm/claims/by-encounter/** — action `by_encounter`. static contract extracted; runtime/permission/payload behavior review pending.\n\nPath and deployment-context parameters:\n\n| Location | Parameter | Type | Required |\n| --- | --- | --- | --- |\n| path | facility_external_id | router lookup string; semantic ID validation requires handler/schema review | true |\n\nDirectly observed request reads (these do not constitute a complete accepted-payload or requiredness guarantee):\n\n| Location | Field | Declared/inferred read type | Requiredness evidence |\n| --- | --- | --- | --- |\n| query | `encounter` | not declared at read site | not established |\n| query | `{computed field name}` | not declared at read site | not established |\n\n**Observed authorization checks:** `can_read_account_in_facility`. Helper/queryset evidence is included; this is not proof of complete security review.\n\n**Declared refusal/error evidence:** ValidationError: encounter is required; PermissionDenied: Cannot read revenue-cycle records."},{"title":"lines · GET","body":"The line grid: charge, contractual, authorization, tax, liability.\n\n**GET /api/v1/facility/{facility_external_id}/rcm/claims/{external_id}/lines/** — action `lines`. static contract extracted; runtime/permission/payload behavior review pending.\n\nPath and deployment-context parameters:\n\n| Location | Parameter | Type | Required |\n| --- | --- | --- | --- |\n| path | facility_external_id | router lookup string; semantic ID validation requires handler/schema review | true |\n| path | external_id | router lookup string; semantic ID validation requires handler/schema review | true |\n\nDirectly observed request reads (these do not constitute a complete accepted-payload or requiredness guarantee):\n\n| Location | Field | Declared/inferred read type | Requiredness evidence |\n| --- | --- | --- | --- |\n| query | `encounter` | not declared at read site | not established |\n| query | `{computed field name}` | not declared at read site | not established |\n\n**Observed authorization checks:** `can_read_account_in_facility`. Helper/queryset evidence is included; this is not proof of complete security review.\n\n**Declared refusal/error evidence:** PermissionDenied: Cannot read revenue-cycle records."},{"title":"attachments · GET","body":"Required supporting information, and what is still missing.\n\n**GET /api/v1/facility/{facility_external_id}/rcm/claims/{external_id}/attachments/** — action `attachments`. static contract extracted; runtime/permission/payload behavior review pending.\n\nPath and deployment-context parameters:\n\n| Location | Parameter | Type | Required |\n| --- | --- | --- | --- |\n| path | facility_external_id | router lookup string; semantic ID validation requires handler/schema review | true |\n| path | external_id | router lookup string; semantic ID validation requires handler/schema review | true |\n\nDirectly observed request reads (these do not constitute a complete accepted-payload or requiredness guarantee):\n\n| Location | Field | Declared/inferred read type | Requiredness evidence |\n| --- | --- | --- | --- |\n| query | `encounter` | not declared at read site | not established |\n| query | `{computed field name}` | not declared at read site | not established |\n\n**Observed authorization checks:** `can_read_account_in_facility`. Helper/queryset evidence is included; this is not proof of complete security review.\n\n**Declared refusal/error evidence:** PermissionDenied: Cannot read revenue-cycle records."},{"title":"classify_response · POST","body":"Where a response belongs: adjudication, denial, error queue or polling.\n\nExposed as its own endpoint because the rule is worth asserting directly:\n``complete`` + ``rejected`` never routes to the error queue.\n\n**POST /api/v1/facility/{facility_external_id}/rcm/claims/{external_id}/classify-response/** — action `classify_response`. static contract extracted; runtime/permission/payload behavior review pending.\n\nPath and deployment-context parameters:\n\n| Location | Parameter | Type | Required |\n| --- | --- | --- | --- |\n| path | facility_external_id | router lookup string; semantic ID validation requires handler/schema review | true |\n| path | external_id | router lookup string; semantic ID validation requires handler/schema review | true |\n\nDirectly observed request reads (these do not constitute a complete accepted-payload or requiredness guarantee):\n\n| Location | Field | Declared/inferred read type | Requiredness evidence |\n| --- | --- | --- | --- |\n| body | `processing_outcome` | not declared at read site | not established |\n| body | `adjudication_outcome` | not declared at read site | not established |\n| query | `encounter` | not declared at read site | not established |\n| query | `{computed field name}` | not declared at read site | not established |\n\n**Observed authorization checks:** `can_read_account_in_facility`. Helper/queryset evidence is included; this is not proof of complete security review.\n\n**Declared refusal/error evidence:** PermissionDenied: Cannot read revenue-cycle records."},{"title":"Integration review checklist","body":"Confirm the installed route and full schema; review authentication, organization/facility scoping, all accepted fields, value-state and date/time semantics, idempotency, pagination, response/exception branches and the allowed correction/reversal workflow. Test positive and negative cases with synthetic data. This source reference does not establish external certification or replace an illustrated user procedure."}],"troubleshooting":[{"problem":"A declared route is unavailable or a request is rejected","solution":"Compare the installed revision, actual API schema, optional plugin mount, HTTP-method restrictions and recorded validation/permission evidence. 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