change_health 0.8.0 → 0.9.0

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

@@ -4,9 +4,18 @@ 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).
 
+## [0.9.0] - [2020-04-08]
+### Added
+- Added EligibilityBenefit#medicare?
+- Added EligibilityData#medicare?
+
+### Changed
+- EligibilityBenefit(s)#individual returns true for medicare in benefit and queries that look for 'IND'
+- EligibilityBenefit(s)#in\_network returns true for medicare in benefit and queries that look for 'Y'
+
 ## [0.8.0] - [2020-04-04]
 ### Changed
-- Attemp to serialize all properties with 'date' in the name to ChangeHealth date format
+- Attempt to serialize all properties with 'date' in the name to ChangeHealth date format
 
 ## [0.7.0] - [2020-04-03]
 ### Changed

data/lib/change_health/models/eligibility_benefit.rb

@@ -39,6 +39,11 @@ module ChangeHealth
         year: YEAR,
         remaining: REMAINING
       }
+      MEDICARE = {
+        part_a: 'MA',
+        part_b: 'MB',
+        primary: 'MP'
+      }
       HELPERS = {
         timeQualifierCode: TIMEFRAMES,
         coverageLevelCode: COVERAGES,
@@ -48,27 +53,32 @@ module ChangeHealth
       HELPERS.each do |key, types|
         types.each do |method, value|
           define_method("#{method}?") do
-            value == self[key]
+            value == self[key] || :individual == method && self[key].nil? && self.medicare?
           end
         end
       end
 
+      def medicare?
+        MEDICARE.values.include?(self.insuranceTypeCode)
+      end
+
       %w(benefitAmount benefitPercent).each do |amount_method|
         define_method("#{amount_method}") do
           format_amount(amount_method)
         end
       end
 
-      %w(insuranceType benefitsDateInformation).each do |method|
+      %w(insuranceType insuranceTypeCode benefitsDateInformation).each do |method|
         define_method("#{method}") do
           self[method]
         end
       end
       alias_method :date_info, :benefitsDateInformation
       alias_method :insurance_type, :insuranceType
+      alias_method :insurance_type_code, :insuranceTypeCode
 
       def in_plan_network?
-        return 'Y' == self[:inPlanNetworkIndicatorCode]
+        return 'Y' == self[:inPlanNetworkIndicatorCode] || self[:inPlanNetworkIndicatorCode].nil? && self.medicare?
       end
       alias_method :in_plan?, :in_plan_network?
       alias_method :in_network?, :in_plan_network?
@@ -92,6 +102,19 @@ module ChangeHealth
       alias_method :plan_end_date, :planEnd
       alias_method :service_date, :service
 
+      def plan_date_range
+        pd = self.date_info&.dig('plan') || ''
+        pd.split('-')
+      end
+
+      def plan_date_range_start
+        ChangeHealth::Models::EligibilityData::PARSE_DATE.call(self.plan_date_range[0])
+      end
+
+      def plan_date_range_end
+        ChangeHealth::Models::EligibilityData::PARSE_DATE.call(self.plan_date_range[1])
+      end
+
       private
       def format_amount(key)
         amt = self[key]

data/lib/change_health/models/eligibility_benefits.rb

@@ -65,9 +65,17 @@ module ChangeHealth
         else
           if v.is_a?(Array)
             return v.include?(benefit[k])
-          else
-            return v == benefit[k]
+          elsif benefit.medicare?
+            if :inPlanNetworkIndicatorCode == k.to_sym
+              return false == benefit.in_plan_network? if 'N' == v
+              return benefit.in_plan_network? if 'Y' == v
+            elsif :coverageLevelCode == k.to_sym
+              return false == benefit.individual? if EligibilityBenefit::INDIVIDUAL != v
+              return benefit.individual? if EligibilityBenefit::INDIVIDUAL == v
+            end
           end
+
+          return v == benefit[k]
         end
       end
     end

data/lib/change_health/models/eligibility_data.rb

@@ -39,6 +39,23 @@ module ChangeHealth
           return PARSE_DATE.call(self.date_info&.dig(f))
         end
       end
+      alias_method :eligibility_begin_date, :eligibilityBegin
+      alias_method :plan_begin_date, :planBegin
+      alias_method :service_date, :service
+
+      def plan_date_range
+        pd = self.date_info&.dig('plan') || ''
+        pd.split('-')
+      end
+
+      def plan_date_range_start
+        ChangeHealth::Models::EligibilityData::PARSE_DATE.call(self.plan_date_range[0])
+      end
+
+      def plan_date_range_end
+        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) } || {}
@@ -48,13 +65,14 @@ module ChangeHealth
         ChangeHealth::Models::EligibilityBenefits.new(self.benefitsInformation || [])
       end
 
+      def medicare?
+        false == benefits.empty? && benefits.all? {|b| b.medicare? }
+      end
+
       alias_method :control_number, :controlNumber
       alias_method :benefits_information, :benefitsInformation
       alias_method :plan_statuses, :planStatus
       alias_method :date_info, :planDateInformation
-      alias_method :eligibility_begin_date, :eligibilityBegin
-      alias_method :plan_begin_date, :planBegin
-      alias_method :service_date, :service
     end
   end
 end

data/lib/change_health/version.rb

@@ -1,3 +1,3 @@
 module ChangeHealth
-  VERSION = '0.8.0'.freeze
+  VERSION = '0.9.0'.freeze
 end

metadata

@@ -1,14 +1,14 @@
 --- !ruby/object:Gem::Specification
 name: change_health
 version: !ruby/object:Gem::Version
-  version: 0.8.0
+  version: 0.9.0
 platform: ruby
 authors:
 - Mike Crockett
 autorequire: 
 bindir: exe
 cert_chain: []
-date: 2020-04-03 00:00:00.000000000 Z
+date: 2020-04-08 00:00:00.000000000 Z
 dependencies:
 - !ruby/object:Gem::Dependency
   name: httparty