change_health 0.4.0 → 0.5.0
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- checksums.yaml +4 -4
- data/CHANGELOG.md +13 -1
- data/lib/change_health.rb +1 -0
- data/lib/change_health/models/eligibility_benefit.rb +24 -77
- data/lib/change_health/models/eligibility_benefits.rb +75 -0
- data/lib/change_health/models/eligibility_data.rb +10 -8
- data/lib/change_health/version.rb +1 -1
- metadata +3 -2
checksums.yaml
CHANGED
@@ -1,7 +1,7 @@
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---
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SHA256:
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metadata.gz:
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data.tar.gz:
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metadata.gz: b245586b8b7f366d621983f271c11cceee11701edf47860ef6288aeee33051e7
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data.tar.gz: be5d5ebc67cbd031859e5ff7b1b5b473e150bdc94c73090f3147e515c51821d1
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SHA512:
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metadata.gz:
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data.tar.gz:
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metadata.gz: 3bc331e1e0fd50a4c2e9b372b6a679ee25d277b77c94f8aa4155d065be76797f0b86c1259e255eca95b5a6e4aa3c5e8b3e174583161b1c0c74c8de19ff9385aa
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data.tar.gz: 83b1c0e1ec97e2b565cdf10a69ceb0bf90db494a6a8ae97d2ee6dba43a1a399cca5e4e3819de36e3b4eb9398917cc7c895b9bfc3102d23556ebeeda9e5130a7f
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data/CHANGELOG.md
CHANGED
@@ -4,9 +4,20 @@ All notable changes to this project will be documented in this file.
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4
4
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The format is based on [Keep a Changelog](http://keepachangelog.com/en/1.0.0/)
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and this project adheres to [Semantic Versioning](http://semver.org/spec/v2.0.0.html).
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## [0.5.0] - [2020-03-11]
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### Added
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- EligibilityBenefit Deductible information
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- EligibilityBenefit benefits date information
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- EligibilityBenefit(s) child
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- EligibilityBenefit(s) employee
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- EligibilityBenefit(s) family
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- EligibilityBenefit(s) employee and child
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### Changed
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- Broke EligibilityBenefit and EligibilityBenefits into separate files
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## [0.4.0] - [2020-03-10]
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### Added
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-
- EligibilityBenefit(s) Deductible information
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- EligibilityBenefit(s) Employee information
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- EligibilityData plan date information
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- EligibilityData eligibility, plan and service date helpers on date info
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@@ -33,6 +44,7 @@ and this project adheres to [Semantic Versioning](http://semver.org/spec/v2.0.0.
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- Authentication
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- Configuration
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+
[0.5.0]: https://github.com/WeInfuse/change_health/compare/v0.4.0...v0.5.0
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[0.4.0]: https://github.com/WeInfuse/change_health/compare/v0.3.0...v0.4.0
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[0.3.0]: https://github.com/WeInfuse/change_health/compare/v0.2.0...v0.3.0
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[0.2.0]: https://github.com/WeInfuse/change_health/compare/v0.1.0...v0.2.0
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data/lib/change_health.rb
CHANGED
@@ -7,6 +7,7 @@ require 'change_health/authentication'
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require 'change_health/models/eligibility'
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require 'change_health/models/eligibility_data'
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require 'change_health/models/eligibility_benefit'
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require 'change_health/models/eligibility_benefits'
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require 'change_health/models/encounter'
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require 'change_health/models/provider'
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require 'change_health/models/subscriber'
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@@ -13,6 +13,8 @@ module ChangeHealth
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INDIVIDUAL = 'IND'
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CHILD = 'CHD'
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EMPLOYEE = 'EMP'
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+
FAMILY = 'FAM'
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EMPLOYEE_AND_CHILD = 'ECH'
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VISIT = '27'
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YEAR = '23'
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@@ -28,7 +30,9 @@ module ChangeHealth
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COVERAGES = {
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individual: INDIVIDUAL,
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child: CHILD,
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-
employee: EMPLOYEE
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employee: EMPLOYEE,
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family: FAMILY,
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employee_and_child: EMPLOYEE_AND_CHILD
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}
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TIMEFRAMES = {
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visit: VISIT,
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@@ -55,6 +59,14 @@ module ChangeHealth
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end
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end
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%w(insuranceType benefitsDateInformation).each do |method|
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define_method("#{method}") do
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self[method]
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end
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end
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alias_method :date_info, :benefitsDateInformation
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alias_method :insurance_type, :insuranceType
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+
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def in_plan_network?
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return 'Y' == self[:inPlanNetworkIndicatorCode]
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end
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@@ -69,86 +81,21 @@ module ChangeHealth
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self['serviceTypeCodes']&.each_with_index&.map {|stc, i| [stc, self['serviceTypes']&.at(i)]} || []
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end
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-
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-
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-
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-
amt = amt.to_f unless amt.nil?
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-
end
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-
end
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-
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-
class EligibilityBenefits < Array
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def initialize(benefits)
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-
super(benefits.map {|benefit| ChangeHealth::Models::EligibilityBenefit.new(benefit) })
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-
end
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-
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def where(**kwargs)
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EligibilityBenefits.new(self.select {|benefit| kwargs.all? {|k,v| benefit_matches?(benefit, k, v) } })
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-
end
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-
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-
def find_by(**kwargs)
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self.find {|benefit| kwargs.all? {|k,v| benefit[k].is_a?(Array) ? benefit[k].include?(v) : v == benefit[k] } }
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-
end
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-
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-
def in_network
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-
self.where(inPlanNetworkIndicatorCode: 'Y')
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-
end
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-
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-
ChangeHealth::Models::EligibilityBenefit::HELPERS.each do |key, types|
|
97
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-
types.each do |method, value|
|
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-
define_method("#{method}s") do
|
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-
self.where(key => value)
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-
end
|
84
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+
%w(eligibilityBegin eligibilityEnd planBegin planEnd service).each do |f|
|
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+
define_method(f) do
|
86
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return ChangeHealth::Models::EligibilityData::PARSE_DATE.call(self.date_info&.dig(f))
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end
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end
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-
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-
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-
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-
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-
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-
def individual_copayment_visit(**kwargs)
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-
self.individual.copayments.visits.where(kwargs).first
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-
end
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-
|
112
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-
def individual_out_of_pocket_remaining(**kwargs)
|
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-
self.individual.out_of_pockets.remainings.where(kwargs).first
|
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-
end
|
115
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-
|
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-
def individual_out_of_pocket_total(**kwargs)
|
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-
self.individual.out_of_pockets.years.where(kwargs).first
|
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-
end
|
119
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-
|
120
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-
def individual_deductible_remaining(**kwargs)
|
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-
self.individual.deductibles.remainings.where(kwargs).first
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122
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-
end
|
123
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-
|
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-
def individual_deductible_total(**kwargs)
|
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-
self.individual.deductibles.years.where(kwargs).first
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-
end
|
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-
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-
alias_method :oops, :out_of_pockets
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-
alias_method :copays, :copayments
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-
alias_method :individual_copay_visit, :individual_copayment_visit
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-
alias_method :individual_oop_remaining, :individual_out_of_pocket_remaining
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-
alias_method :individual_oop_total, :individual_out_of_pocket_total
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-
alias_method :individual, :individuals
|
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-
alias_method :employee, :employees
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-
alias_method :child, :childs
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+
alias_method :eligibility_begin_date, :eligibilityBegin
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+
alias_method :eligibility_end_date, :eligibilityEnd
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alias_method :plan_begin_date, :planBegin
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alias_method :plan_end_date, :planEnd
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alias_method :service_date, :service
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private
|
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-
def
|
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-
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-
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-
return v.any? {|possible_v| benefit[k].include?(possible_v) }
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-
else
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return benefit[k].include?(v)
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-
end
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-
else
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if v.is_a?(Array)
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return v.include?(benefit[k])
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-
else
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-
return v == benefit[k]
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-
end
|
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-
end
|
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+
def format_amount(key)
|
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amt = self[key]
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amt = amt.to_f unless amt.nil?
|
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end
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end
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end
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@@ -0,0 +1,75 @@
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1
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module ChangeHealth
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module Models
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3
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class EligibilityBenefits < Array
|
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def initialize(benefits)
|
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super(benefits.map {|benefit| ChangeHealth::Models::EligibilityBenefit.new(benefit) })
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end
|
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+
|
8
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+
def where(**kwargs)
|
9
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EligibilityBenefits.new(self.select {|benefit| kwargs.all? {|k,v| benefit_matches?(benefit, k, v) } })
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+
end
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+
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def find_by(**kwargs)
|
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self.find {|benefit| kwargs.all? {|k,v| benefit[k].is_a?(Array) ? benefit[k].include?(v) : v == benefit[k] } }
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+
end
|
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def in_network
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self.where(inPlanNetworkIndicatorCode: 'Y')
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+
end
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+
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ChangeHealth::Models::EligibilityBenefit::HELPERS.each do |key, types|
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21
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types.each do |method, value|
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22
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define_method("#{method}s") do
|
23
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self.where(key => value)
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24
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+
end
|
25
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+
end
|
26
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+
end
|
27
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+
|
28
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+
def individual_coinsurance_visit(**kwargs)
|
29
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self.individual.coinsurances.visits.where(kwargs).first
|
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+
end
|
31
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+
|
32
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+
%w(family individual employee child employee_and_child).each do |method|
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33
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+
alias_method method, "#{method}s"
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34
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+
|
35
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+
%w(copayment deductible out_of_pocket).each do |type_mod|
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36
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%w(year remaining visit).each do |time_mod|
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method_name = "#{method}_#{type_mod}_#{time_mod}"
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+
alias_name = method_name.gsub('copayment', 'copay').gsub('out_of_pocket', 'oop')
|
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+
|
40
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define_method(method_name) do |**kwargs|
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+
self.send(method).send("#{type_mod}s").send("#{time_mod}s").where(kwargs).first || self.send(method).send("#{type_mod}s").where(kwargs).first
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+
end
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+
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alias_method alias_name, method_name if alias_name != method_name
|
45
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+
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46
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+
if method_name.include?('year')
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+
alias_method method_name.gsub('year', 'total'), method_name
|
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+
alias_method alias_name.gsub('year', 'total'), method_name
|
49
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+
end
|
50
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+
end
|
51
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+
end
|
52
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+
end
|
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+
|
54
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alias_method :oops, :out_of_pockets
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55
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alias_method :copays, :copayments
|
56
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+
|
57
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private
|
58
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+
def benefit_matches?(benefit, k, v)
|
59
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+
if benefit[k].is_a?(Array)
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60
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+
if v.is_a?(Array)
|
61
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return v.any? {|possible_v| benefit[k].include?(possible_v) }
|
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+
else
|
63
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+
return benefit[k].include?(v)
|
64
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+
end
|
65
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+
else
|
66
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+
if v.is_a?(Array)
|
67
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+
return v.include?(benefit[k])
|
68
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+
else
|
69
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+
return v == benefit[k]
|
70
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+
end
|
71
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+
end
|
72
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+
end
|
73
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+
end
|
74
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end
|
75
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+
end
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@@ -3,6 +3,15 @@ module ChangeHealth
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3
3
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class EligibilityData
|
4
4
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attr_reader :response, :raw
|
5
5
|
|
6
|
+
PARSE_DATE = ->(d) {
|
7
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+
begin
|
8
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+
d = Date.strptime(d, ChangeHealth::Models::DATE_FORMAT)
|
9
|
+
rescue
|
10
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+
end
|
11
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+
|
12
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d
|
13
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}
|
14
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+
|
6
15
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def initialize(data: nil, response: nil)
|
7
16
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@response = response
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8
17
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@raw = data
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@@ -27,14 +36,7 @@ module ChangeHealth
|
|
27
36
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|
28
37
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%w(eligibilityBegin planBegin service).each do |f|
|
29
38
|
define_method(f) do
|
30
|
-
|
31
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-
|
32
|
-
begin
|
33
|
-
d = Date.strptime(d, ChangeHealth::Models::DATE_FORMAT)
|
34
|
-
rescue
|
35
|
-
end
|
36
|
-
|
37
|
-
return d
|
39
|
+
return PARSE_DATE.call(self.date_info&.dig(f))
|
38
40
|
end
|
39
41
|
end
|
40
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metadata
CHANGED
@@ -1,14 +1,14 @@
|
|
1
1
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--- !ruby/object:Gem::Specification
|
2
2
|
name: change_health
|
3
3
|
version: !ruby/object:Gem::Version
|
4
|
-
version: 0.
|
4
|
+
version: 0.5.0
|
5
5
|
platform: ruby
|
6
6
|
authors:
|
7
7
|
- Mike Crockett
|
8
8
|
autorequire:
|
9
9
|
bindir: exe
|
10
10
|
cert_chain: []
|
11
|
-
date: 2020-03-
|
11
|
+
date: 2020-03-11 00:00:00.000000000 Z
|
12
12
|
dependencies:
|
13
13
|
- !ruby/object:Gem::Dependency
|
14
14
|
name: httparty
|
@@ -148,6 +148,7 @@ files:
|
|
148
148
|
- lib/change_health/connection.rb
|
149
149
|
- lib/change_health/models/eligibility.rb
|
150
150
|
- lib/change_health/models/eligibility_benefit.rb
|
151
|
+
- lib/change_health/models/eligibility_benefits.rb
|
151
152
|
- lib/change_health/models/eligibility_data.rb
|
152
153
|
- lib/change_health/models/encounter.rb
|
153
154
|
- lib/change_health/models/provider.rb
|