change_health 0.11.0 → 1.0.0

checksums.yaml

@@ -1,7 +1,7 @@
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data/CHANGELOG.md

@@ -4,7 +4,35 @@ All notable changes to this project will be documented in this file.
 The format is based on [Keep a Changelog](http://keepachangelog.com/en/1.0.0/)
 and this project adheres to [Semantic Versioning](http://semver.org/spec/v2.0.0.html).
 
-## [0.11.0] - [2020-04-23]
+## [1.0.0] - [2021-03-17]
+### Added
+- Model::Error - help with error codes
+- EligibilityData#recommend_retry? - if it looks like you can retry the exact same request
+- EligibilityData#inactive? - looks for plan status 6
+
+## [0.15.0] - [2020-06-12]
+### Added
+- Extensions - InNetworkMissing for plans that don't provide in network indicators.
+
+### Fixed
+- Bug where active codes with no service codes cause exception.
+
+## [0.14.0] - [2020-05-07]
+### Added
+- Extensions - mixins for common overrides
+
+## [0.13.0] - [2020-05-05]
+### Changed
+- Removed `alias_method` for `where` helpers so you can override a single method
+- Added type Year to Date type 24
+- Added type Day type 7
+
+## [0.12.0] - [2020-04-30]
+### Added
+- EligibilityData#errors
+- EligibilityData#errors?
+
+## [0.11.0] - [2020-04-24]
 ### Added
 - EligibilityData#medicare?
 - EligibilityData#plan\_id
@@ -89,6 +117,10 @@ and this project adheres to [Semantic Versioning](http://semver.org/spec/v2.0.0.
 - Authentication
 - Configuration
 
+[0.15.0]: https://github.com/WeInfuse/change_health/compare/v0.14.0...v0.15.0
+[0.14.0]: https://github.com/WeInfuse/change_health/compare/v0.13.0...v0.14.0
+[0.13.0]: https://github.com/WeInfuse/change_health/compare/v0.12.0...v0.13.0
+[0.12.0]: https://github.com/WeInfuse/change_health/compare/v0.11.0...v0.12.0
 [0.11.0]: https://github.com/WeInfuse/change_health/compare/v0.10.0...v0.11.0
 [0.10.0]: https://github.com/WeInfuse/change_health/compare/v0.9.0...v0.10.0
 [0.9.0]: https://github.com/WeInfuse/change_health/compare/v0.8.0...v0.9.0

data/lib/change_health.rb

@@ -4,6 +4,7 @@ require 'change_health/version'
 require 'change_health/change_health_exception'
 require 'change_health/connection'
 require 'change_health/authentication'
+require 'change_health/extensions'
 require 'change_health/models/model'
 require 'change_health/models/eligibility'
 require 'change_health/models/eligibility_data'

data/lib/change_health/extensions.rb

@@ -0,0 +1,39 @@
+module ChangeHealth
+  module Extensions
+    module InNetworkW
+      def in_network
+        self.where(inPlanNetworkIndicatorCode: 'Y') + self.where(inPlanNetworkIndicatorCode: 'W')
+      end
+    end
+
+    module InNetworkMissing
+      def in_network
+        self.where_not(inPlanNetworkIndicatorCode: 'N')
+      end
+    end
+
+    module DeductiblesIgnoreSpecialistZero
+      def deductibles
+        super.where_not(serviceTypeCodes: '98', benefitAmount: '0')
+      end
+    end
+
+    module CopaymentsIgnoreSpecialistZero
+      def copayments
+        super.where_not(serviceTypeCodes: '98', benefitAmount: '0')
+      end
+    end
+
+    module CoinsurancesIgnoreSpecialistZero
+      def coinsurances
+        super.where_not(serviceTypeCodes: '98', benefitPercent: '0')
+      end
+    end
+
+    module IndividualsAllNonFamily
+      def individuals
+        self.where_not(coverageLevelCode: 'FAM')
+      end
+    end
+  end
+end

data/lib/change_health/models/eligibility_benefit.rb

@@ -18,7 +18,10 @@ module ChangeHealth
       EMPLOYEE_AND_SPOUSE = 'ESP'
 
       VISIT         = '27'
+      SERVICE_YEAR  = '22'
       YEAR          = '23'
+      YTD           = '24'
+      DAY           =  '7'
       REMAINING     = '29'
 
       CODES = {

data/lib/change_health/models/eligibility_benefits.rb

@@ -34,33 +34,48 @@ module ChangeHealth
       end
 
       %w(family individual employee child employee_and_child).each do |method|
-        alias_method method, "#{method}s"
+        define_method(method) do
+          self.send("#{method}s")
+        end
 
         %w(copayment coinsurance).each do |type_mod|
           method_name = "#{method}_#{type_mod}"
-          alias_name  = method_name.gsub('copayment', 'copay')
 
           define_method(method_name) do |**kwargs|
             self.send(method).send("#{type_mod}s").where(kwargs).first
           end
 
-          alias_method alias_name, method_name if alias_name != method_name
+          if ('copayment' == type_mod)
+            define_method(method_name.gsub('copayment', 'copay')) do |**kwargs|
+              self.send(method_name, kwargs)
+            end
+          end
         end
 
         %w(deductible out_of_pocket).each do |type_mod|
           %w(year remaining).each do |time_mod|
             method_name = "#{method}_#{type_mod}_#{time_mod}"
-            alias_name  = method_name.gsub('out_of_pocket', 'oop')
 
             define_method(method_name) do |**kwargs|
               self.send(method).send("#{type_mod}s").send("#{time_mod}s").where(kwargs).first || self.send(method).send("#{type_mod}s").where(kwargs).first
             end
 
-            alias_method alias_name, method_name if alias_name != method_name
+            if ('out_of_pocket' == type_mod)
+              define_method(method_name.gsub('out_of_pocket', 'oop')) do |**kwargs|
+                self.send(method_name, kwargs)
+              end
+
+              if ('year' == time_mod)
+                define_method(method_name.gsub('out_of_pocket', 'oop').gsub('year', 'total')) do |**kwargs|
+                  self.send(method_name, kwargs)
+                end
+              end
+            end
 
-            if method_name.include?('year')
-              alias_method method_name.gsub('year', 'total'), method_name
-              alias_method alias_name.gsub('year', 'total'), method_name
+            if ('year' == time_mod)
+              define_method(method_name.gsub('year', 'total')) do |**kwargs|
+                self.send(method_name, kwargs)
+              end
             end
           end
         end

data/lib/change_health/models/eligibility_data.rb

@@ -1,8 +1,55 @@
 module ChangeHealth
   module Models
+    class Error
+      attr_reader :data
+
+      SIMPLE_RETRY_CODES = %w[
+        42
+        80
+      ].freeze
+
+      NO_RESUBMIT_MESSAGES = %w[
+        resubmission not allowed
+        do not resubmit
+      ].freeze
+
+      def initialize(data)
+        @data = data
+      end
+
+      def message
+        field_message || code_message
+      end
+
+      def field_message
+        "#{field}: #{description}" if field?
+      end
+
+      def code_message
+        "#{code}: #{description}" if code?
+      end
+
+      def retryable?
+        code? && SIMPLE_RETRY_CODES.include?(code) && followupAction? && NO_RESUBMIT_MESSAGES.none? {|msg| followupAction.downcase.include?(msg) }
+      end
+
+      %w[field description code followupAction location].each do |method_name|
+        define_method("#{method_name}?") do
+          false == send(method_name).nil?
+        end
+
+        define_method("#{method_name}") do
+          @data[method_name]
+        end
+      end
+    end
+
     class EligibilityData
       attr_reader :response, :raw
 
+      ACTIVE = '1'
+      INACTIVE = '6'
+
       PARSE_DATE = ->(d) {
         begin
           d = Date.strptime(d, ChangeHealth::Models::DATE_FORMAT)
@@ -25,7 +72,31 @@ module ChangeHealth
       end
 
       def active?(service_code: '30')
-        return '1' == plan_status(service_code: service_code).dig('statusCode')
+        return ACTIVE == plan_status(service_code: service_code).dig('statusCode')
+      end
+
+      def inactive?(service_code: '30')
+        return INACTIVE == plan_status(service_code: service_code).dig('statusCode')
+      end
+
+      def errors?
+        self.errors.is_a?(Array) && false == self.errors.empty?
+      end
+
+      def errors
+        errors = @raw.dig('errors') || []
+
+        errors.flatten.map {|error| ChangeHealth::Models::Error.new(error) }
+      end
+
+      def recommend_retry?
+        return false if errors.empty?
+
+        error_codes = errors.select(&:code?)
+
+        return false if error_codes.empty?
+
+        return error_codes.all?(&:retryable?)
       end
 
       def dependents?
@@ -61,7 +132,7 @@ module ChangeHealth
       end
 
       def plan_status(service_code: )
-        self.planStatus&.find {|plan| plan.dig('serviceTypeCodes').include?(service_code) } || {}
+        self.planStatus&.find {|plan| plan.dig('serviceTypeCodes')&.include?(service_code) } || {}
       end
 
       def benefits

data/lib/change_health/version.rb

@@ -1,3 +1,3 @@
 module ChangeHealth
-  VERSION = '0.11.0'.freeze
+  VERSION = '1.0.0'.freeze
 end

metadata

@@ -1,14 +1,14 @@
 --- !ruby/object:Gem::Specification
 name: change_health
 version: !ruby/object:Gem::Version
-  version: 0.11.0
+  version: 1.0.0
 platform: ruby
 authors:
 - Mike Crockett
 autorequire: 
 bindir: exe
 cert_chain: []
-date: 2020-04-24 00:00:00.000000000 Z
+date: 2021-03-17 00:00:00.000000000 Z
 dependencies:
 - !ruby/object:Gem::Dependency
   name: httparty
@@ -146,6 +146,7 @@ files:
 - lib/change_health/authentication.rb
 - lib/change_health/change_health_exception.rb
 - lib/change_health/connection.rb
+- lib/change_health/extensions.rb
 - lib/change_health/models/eligibility.rb
 - lib/change_health/models/eligibility_benefit.rb
 - lib/change_health/models/eligibility_benefits.rb
@@ -179,8 +180,7 @@ required_rubygems_version: !ruby/object:Gem::Requirement
     - !ruby/object:Gem::Version
       version: '0'
 requirements: []
-rubyforge_project: 
-rubygems_version: 2.7.6
+rubygems_version: 3.1.4
 signing_key: 
 specification_version: 4
 summary: Ruby wrapper for the ChangeHealth API