change_health 0.13.0 → 1.0.2

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

@@ -4,6 +4,32 @@ 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).
 
+## [1.0.2] - [2021-04-06]
+### Added
+- EligibilityData#recommend_retry? - fix a bug in the search statement
+
+## [1.0.1] - [2021-03-24]
+### Added
+- EligibilityData#plan_status - adds ability to select instead of find
+- EligibilityData#inactive? active? - use new plan_status select
+
+## [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
@@ -100,6 +126,11 @@ and this project adheres to [Semantic Versioning](http://semver.org/spec/v2.0.0.
 - Authentication
 - Configuration
 
+[1.0.2]: https://github.com/WeInfuse/change_health/compare/v1.0.1...v1.0.2
+[1.0.1]: https://github.com/WeInfuse/change_health/compare/v1.0.0...v1.0.1
+[1.0.0]: https://github.com/WeInfuse/change_health/compare/v0.15.0...v1.0.0
+[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

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

@@ -18,6 +18,7 @@ module ChangeHealth
       EMPLOYEE_AND_SPOUSE = 'ESP'
 
       VISIT         = '27'
+      SERVICE_YEAR  = '22'
       YEAR          = '23'
       YTD           = '24'
       DAY           =  '7'

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 = [
+        '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)
@@ -25,18 +72,38 @@ module ChangeHealth
       end
 
       def active?(service_code: '30')
-        return '1' == plan_status(service_code: service_code).dig('statusCode')
+        plan_status(service_code: service_code, single: false).any? {|status| ACTIVE == status['statusCode'] }
+      end
+
+      def inactive?(service_code: '30')
+        plan_status(service_code: service_code, single: false).any? {|status| INACTIVE == status['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 unless errors?
+
+        error_codes = errors.select(&:code?)
+
+        return false if error_codes.empty?
+
+        return error_codes.all?(&:retryable?)
+      end
+
       def dependents?
         true == self.dependents&.any?
       end
 
-      %w(planStatus benefitsInformation controlNumber planDateInformation dependents errors).each do |v|
+      %w(planStatus benefitsInformation controlNumber planDateInformation dependents).each do |v|
         define_method(v) do
           @raw.dig(v)
         end
@@ -64,8 +131,12 @@ module ChangeHealth
         ChangeHealth::Models::EligibilityData::PARSE_DATE.call(self.plan_date_range[1])
       end
 
-      def plan_status(service_code: )
-        self.planStatus&.find {|plan| plan.dig('serviceTypeCodes').include?(service_code) } || {}
+      def plan_status(service_code: , single: true)
+        if true == single
+          self.planStatus&.find {|plan| plan.dig('serviceTypeCodes')&.include?(service_code) } || {}
+        else
+          self.planStatus&.select {|plan| plan.dig('serviceTypeCodes')&.include?(service_code) } || []
+        end
       end
 
       def benefits

data/lib/change_health/version.rb

@@ -1,3 +1,3 @@
 module ChangeHealth
-  VERSION = '0.13.0'.freeze
+  VERSION = '1.0.2'.freeze
 end

metadata

@@ -1,14 +1,14 @@
 --- !ruby/object:Gem::Specification
 name: change_health
 version: !ruby/object:Gem::Version
-  version: 0.13.0
+  version: 1.0.2
 platform: ruby
 authors:
 - Mike Crockett
-autorequire: 
+autorequire:
 bindir: exe
 cert_chain: []
-date: 2020-05-05 00:00:00.000000000 Z
+date: 2021-04-06 00:00:00.000000000 Z
 dependencies:
 - !ruby/object:Gem::Dependency
   name: httparty
@@ -128,7 +128,7 @@ dependencies:
     - - "~>"
       - !ruby/object:Gem::Version
         version: '0.9'
-description: 
+description:
 email:
 - mike.crockett@weinfuse.com
 executables: []
@@ -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
@@ -164,7 +165,7 @@ licenses:
 - MIT
 metadata:
   allowed_push_host: https://rubygems.org
-post_install_message: 
+post_install_message:
 rdoc_options: []
 require_paths:
 - lib
@@ -179,9 +180,8 @@ required_rubygems_version: !ruby/object:Gem::Requirement
     - !ruby/object:Gem::Version
       version: '0'
 requirements: []
-rubyforge_project: 
-rubygems_version: 2.7.6
-signing_key: 
+rubygems_version: 3.2.15
+signing_key:
 specification_version: 4
 summary: Ruby wrapper for the ChangeHealth API
 test_files: []