change_health 1.0.0 → 2.0.0
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- checksums.yaml +4 -4
- data/CHANGELOG.md +51 -0
- data/README.md +115 -15
- data/lib/change_health/connection.rb +1 -1
- data/lib/change_health/models/claim/submission/claim_information.rb +31 -0
- data/lib/change_health/models/claim/submission/provider.rb +17 -0
- data/lib/change_health/models/claim/submission/service_line.rb +12 -0
- data/lib/change_health/models/claim/submission/submitter.rb +11 -0
- data/lib/change_health/models/claim/submission/subscriber.rb +15 -0
- data/lib/change_health/models/eligibility/encounter.rb +22 -0
- data/lib/change_health/models/eligibility/provider.rb +23 -0
- data/lib/change_health/models/eligibility/subscriber.rb +31 -0
- data/lib/change_health/models/error.rb +56 -0
- data/lib/change_health/models/model.rb +11 -0
- data/lib/change_health/models/{trading_partner.rb → trading_partner/trading_partner.rb} +0 -0
- data/lib/change_health/{models → request}/eligibility.rb +5 -5
- data/lib/change_health/request/submission.rb +38 -0
- data/lib/change_health/response/claim/submission/submission_data.rb +23 -0
- data/lib/change_health/{models → response/eligibility}/eligibility_benefit.rb +6 -6
- data/lib/change_health/{models → response/eligibility}/eligibility_benefits.rb +3 -3
- data/lib/change_health/response/eligibility/eligibility_data.rb +94 -0
- data/lib/change_health/response/response_data.rb +41 -0
- data/lib/change_health/response/{trading_partner_data.rb → trading_partner/trading_partner_data.rb} +0 -0
- data/lib/change_health/response/{trading_partners_data.rb → trading_partner/trading_partners_data.rb} +0 -0
- data/lib/change_health/version.rb +1 -1
- data/lib/change_health.rb +20 -11
- metadata +22 -13
- data/lib/change_health/models/eligibility_data.rb +0 -176
- data/lib/change_health/models/encounter.rb +0 -20
- data/lib/change_health/models/provider.rb +0 -21
- data/lib/change_health/models/subscriber.rb +0 -29
checksums.yaml
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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: 984e07a44c15c8b628c8826d012e5acdee3695ba3a1b0bcdd000d07b0d9f920c
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data.tar.gz: af752baf4e2d7e0fe73b77d7a9199feb1f24ea6d9a6be9163d7c87ef6484c8d6
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SHA512:
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metadata.gz:
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metadata.gz: 76641120792ba599030e2a3875696a2167dbf585095d0cafb7c5961a7f1a55a735769b91bea6cc098710adc418d819b5144ab8f9bbb1272add0f102c6dba2ad2
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data.tar.gz: 269647d12a949fc69ec6e1e493d522a13cd7ffdf59fcc2510f285219d1dc7e4a52212b83fdce4fb33fd72b2bcbc75eefa5400df5e0f539dcb7403b1b760cf1a3
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data/CHANGELOG.md
CHANGED
@@ -4,6 +4,52 @@ All notable changes to this project will be documented in this file.
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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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## [2.0.0] - [2021-10-08]
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### Added
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#### Models
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* ResponseData - for responses from calling change healthcare api used by EligibilityData and SubmissionData
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#### Claim Submission
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Added the ability to hit professional claim submission API. For more details, see [Change Healthcare documentation here](https://developers.changehealthcare.com/eligibilityandclaims/docs/professional-claims-v3-getting-started)
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* ClaimInformation
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* Provider
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* ServiceLine
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* Submission
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* SubmissionData
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* Submitter
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* Subscriber
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### Changed
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* Using new Change Healthcare url. From apis to apigw. For more info see [change log here](https://developers.changehealthcare.com/eligibilityandclaims/docs/change-logrelease-notes-1)
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* PARSE_DATE moved from ChangeHealth::Models::EligibilityData to ChangeHealth::Models
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* Moved Error class into its own file
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#### Namespace
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Many classes moved namespaces to be more consistent across the many endpoints in Change Healthcare
|
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| Previous | Current |
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|-|-|
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|ChangeHealth::Models::Eligibility | ChangeHealth::Request::Eligibility |
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| ChangeHealth::Models::Encounter | ChangeHealth::Models::Eligibility::Encounter|
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| ChangeHealth::Models::Provider | ChangeHealth::Models::Eligibility::Provider|
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| ChangeHealth::Models::Subscriber | ChangeHealth::Models::Eligibility::Subscriber|
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| ChangeHealth::Models::EligibilityBenefit | ChangeHealth::Response::EligibilityBenefit|
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| ChangeHealth::Models::EligibilityBenefits | ChangeHealth::Response::EligibilityBenefits|
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| ChangeHealth::Models::EligibilityData | ChangeHealth::Response::EligibilityData|
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### Fixed
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* Eligibility#add_dependent actually works
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## [1.0.3] - [2021-04-26]
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### Added
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- Model::Error#represents_down? - adds ability to distinguish error representing down state
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- Model::Error#retryable? - retryable when down
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- EligibilityData#recommend_retry? - recommend retry when down
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## [1.0.2] - [2021-04-06]
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### Added
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- EligibilityData#recommend_retry? - fix a bug in the search statement
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## [1.0.1] - [2021-03-24]
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### Added
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- EligibilityData#plan_status - adds ability to select instead of find
|
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- EligibilityData#inactive? active? - use new plan_status select
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## [1.0.0] - [2021-03-17]
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### Added
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- Model::Error - help with error codes
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@@ -117,6 +163,11 @@ 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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[Unreleased]: https://github.com/WeInfuse/change_health/compare/v1.0.3...HEAD
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[1.0.3]: https://github.com/WeInfuse/change_health/compare/v1.0.2...v1.0.3
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[1.0.2]: https://github.com/WeInfuse/change_health/compare/v1.0.1...v1.0.2
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[1.0.1]: https://github.com/WeInfuse/change_health/compare/v1.0.0...v1.0.1
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[1.0.0]: https://github.com/WeInfuse/change_health/compare/v0.15.0...v1.0.0
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[0.15.0]: https://github.com/WeInfuse/change_health/compare/v0.14.0...v0.15.0
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[0.14.0]: https://github.com/WeInfuse/change_health/compare/v0.13.0...v0.14.0
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[0.13.0]: https://github.com/WeInfuse/change_health/compare/v0.12.0...v0.13.0
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data/README.md
CHANGED
@@ -26,24 +26,25 @@ Or install it yourself as:
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Make sure you're [configured](#configuration)!
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### Eligibility
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[Change Healthcare Eligibility Guide](https://developers.changehealthcare.com/eligibilityandclaims/docs)
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```ruby
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-
ChangeHealth::
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ChangeHealth::Request::Eligibility.ping # Test your connection
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-
encounter = ChangeHealth::Models::Encounter.new(date_of_service: Date.current, service_type_codes: ['98'])
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provider = ChangeHealth::Models::Provider.new(npi: '0123456789', last_name: 'Bobson', first_name: 'Bob')
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subscriber = ChangeHealth::Models::Subscriber.new(member_id: '0000000000', first_name: 'johnOne', last_name: 'doeOne', date_of_birth: '18800102')
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encounter = ChangeHealth::Models::Eligibility::Encounter.new(date_of_service: Date.current, service_type_codes: ['98'])
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provider = ChangeHealth::Models::Eligibility::Provider.new(npi: '0123456789', last_name: 'Bobson', first_name: 'Bob')
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subscriber = ChangeHealth::Models::Eligibility::Subscriber.new(member_id: '0000000000', first_name: 'johnOne', last_name: 'doeOne', date_of_birth: '18800102')
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35
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|
36
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-
edata = ChangeHealth::
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+
edata = ChangeHealth::Request::Eligibility.new(tradingPartnerServiceId: '000050', provider: provider, subscriber: subscriber, encounter: encounter).query
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edata.raw # Raw Hash of JSON response
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```
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-
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#### Benefit(s) objects
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Benefits extends Array and provides a query-like interface.
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Benefit extends Hash and provides helpers for single-benefit.
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-
```
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+
```ruby
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edata.benefits # Returns Benefits querying object (extends Array)
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edata.benefits.individual # Only benefits matching the 'IND' identifier
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@@ -57,7 +58,7 @@ edata.benefits.where(name: 'Co-Payment', code: 'B', benefitAmount: '30) # Generi
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edata.benefits.find_by(name: 'Co-Payment', code: 'B', benefitAmount: '30) # Generic 'find_by' api returns first object found
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```
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-
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+
#### Response
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Response is EligibilityData object
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@@ -77,16 +78,115 @@ true
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### Trading Partners
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```ruby
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-
|
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-
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-
|
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# Query trading partners using a wildcard search
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# Returns Array of ChangeHealth::Models::TradingPartner Objects
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trading_partners = ChangeHealth::Request::TradingPartner.query("Aetna")
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trading_partners.first.name
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"Aetna"
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-
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-
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trading_partners.first.service_id
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"ABC123"
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```
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-
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-
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+
### Claim Submission
|
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[Change Healthcare Claim Submission Guide](https://developers.changehealthcare.com/eligibilityandclaims/docs/professional-claims-v3-getting-started)
|
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+
```ruby
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ChangeHealth::Request::Claim::Submission.ping # Test your connection
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|
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contact_information = { name: "SUBMITTER CONTACT INFO", phoneNumber: "123456789"}
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claim_submitter = ChangeHealth::Models::Claim::Submitter.new(
|
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organization_name: "REGIONAL PPO NETWORK",
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contact_information: contact_information
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)
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|
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receiver = { organizationName: "EXTRA HEALTHY INSURANCE"}
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address = {
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"address1": "123 address1",
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"city": "city1",
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"state": "wa",
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"postalCode": "981010000"
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}
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subscriber = ChangeHealth::Models::Claim::Subscriber.new(
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member_id: "0000000001",
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payment_responsibility_level_code: "P",
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first_name: "johnone",
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last_name: "doetwo",
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gender: "M",
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date_of_birth: "02/01/1980",
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address: address
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)
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provider = ChangeHealth::Models::Claim::Provider.new(
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address: address,
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employer_id: "000000000",
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first_name: "johnone",
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last_name: "doetwo",
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npi: "1760854442",
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provider_type: "BillingProvider"
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)
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health_care_code_information1 = {
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"diagnosisTypeCode": "ABK",
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"diagnosisCode": "S93401A"
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}
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health_care_code_information2 = {
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"diagnosisTypeCode": "ABF",
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"diagnosisCode": "S72044G"
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}
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service_line1 = ChangeHealth::Models::Claim::ServiceLine.new(
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service_date: "2018-05-14",
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professional_service: {
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"procedureIdentifier": "HC",
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"lineItemChargeAmount": "25",
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"procedureCode": "E0570",
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"measurementUnit": "UN",
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"serviceUnitCount": "1",
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"compositeDiagnosisCodePointers": {
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"diagnosisCodePointers": ["1","2"]
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}
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}
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)
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service_line2 = ChangeHealth::Models::Claim::ServiceLine.new(
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service_date: "20180514",
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professional_service: {
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"procedureIdentifier": "HC",
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"lineItemChargeAmount": "3.75",
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"procedureCode": "A7003",
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"measurementUnit": "UN",
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"serviceUnitCount": "1",
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"compositeDiagnosisCodePointers": {
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"diagnosisCodePointers": ["1"]
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}
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}
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)
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claim_information = ChangeHealth::Models::Claim::ClaimInformation.new(
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benefits_assignment_certification_indicator: "Y",
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claim_charge_amount: "28.75",
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claim_filing_code: "CI",
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claim_frequency_code: "1",
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patient_control_number: "12345",
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place_of_service_code: "11",
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plan_participation_code: "A",
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release_information_code: "Y",
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signature_indicator: "Y",
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health_care_code_information: [health_care_code_information1, health_care_code_information2],
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service_lines: [service_line1, service_line2]
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)
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claim_submission = ChangeHealth::Request::Claim::Submission.new(
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trading_partner_service_id: "9496",
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submitter: claim_submitter,
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receiver: receiver,
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subscriber: subscriber,
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providers: [provider],
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claim_information: claim_information
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)
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claim_submission_data = claim_submission.submission
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```
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### Configuration
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```ruby
|
@@ -1,6 +1,6 @@
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1
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module ChangeHealth
|
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class Connection
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-
URI_BUILDER = ->(host) { "https://#{host}
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+
URI_BUILDER = ->(host) { "https://#{host}apigw.changehealthcare.com/".freeze }
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4
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5
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QA_ENDPOINT = URI_BUILDER.call('sandbox.')
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PROD_ENDPOINT = URI_BUILDER.call('')
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@@ -0,0 +1,31 @@
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module ChangeHealth
|
2
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module Models
|
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module Claim
|
4
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class ClaimInformation < Hashie::Trash
|
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property :benefitsAssignmentCertificationIndicator, from: :benefits_assignment_certification_indicator, required: false
|
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property :claimChargeAmount, from: :claim_charge_amount, required: false
|
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property :claimFilingCode, from: :claim_filing_code, required: false
|
8
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+
property :claimFrequencyCode, from: :claim_frequency_code, required: false
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property :claimSupplementalInformation, from: :claim_supplemental_information, required: false
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property :healthCareCodeInformation, from: :health_care_code_information, required: false
|
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property :patientControlNumber, from: :patient_control_number, required: false
|
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property :placeOfServiceCode, from: :place_of_service_code, required: false
|
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property :planParticipationCode, from: :plan_participation_code, required: false
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property :releaseInformationCode, from: :release_information_code, required: false
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+
property :serviceFacilityLocation, from: :service_facility_location, required: false
|
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property :serviceLines, from: :service_lines, required: false
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property :signatureIndicator, from: :signature_indicator, required: false
|
18
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+
|
19
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+
def add_service_line(service_line)
|
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+
self[:serviceLines] ||= []
|
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+
self[:serviceLines] << service_line
|
22
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+
end
|
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+
|
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+
def add_health_care_code_information(health_care_code_information)
|
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+
self[:healthCareCodeInformation] ||= []
|
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+
self[:healthCareCodeInformation] << health_care_code_information
|
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+
end
|
28
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+
end
|
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end
|
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end
|
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end
|
@@ -0,0 +1,17 @@
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1
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module ChangeHealth
|
2
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module Models
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module Claim
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class Provider < Hashie::Trash
|
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property :address, required: false
|
6
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+
property :contactInformation, from: :contact_information, required: false
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7
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+
property :employerId, from: :employer_id, required: false # or ssn
|
8
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+
property :firstName, from: :first_name, required: false
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9
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+
property :lastName, from: :last_name, required: false
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10
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+
property :organizationName, from: :organization_name, required: false
|
11
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+
property :npi, required: false
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12
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+
property :providerType, from: :provider_type, required: false
|
13
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property :ssn, required: false # or employer id
|
14
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+
end
|
15
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+
end
|
16
|
+
end
|
17
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+
end
|
@@ -0,0 +1,11 @@
|
|
1
|
+
module ChangeHealth
|
2
|
+
module Models
|
3
|
+
module Claim
|
4
|
+
class Submitter < Hashie::Trash
|
5
|
+
property :organizationName, from: :organization_name, required: false
|
6
|
+
# contact information has a name & phone number inside
|
7
|
+
property :contactInformation, from: :contact_information, required: false
|
8
|
+
end
|
9
|
+
end
|
10
|
+
end
|
11
|
+
end
|
@@ -0,0 +1,15 @@
|
|
1
|
+
module ChangeHealth
|
2
|
+
module Models
|
3
|
+
module Claim
|
4
|
+
class Subscriber < Model
|
5
|
+
property :address, required: false
|
6
|
+
property :dateOfBirth, from: :date_of_birth, required: false
|
7
|
+
property :firstName, from: :first_name, required: false
|
8
|
+
property :gender, required: false
|
9
|
+
property :lastName, from: :last_name, required: false
|
10
|
+
property :memberId, from: :member_id, required: false
|
11
|
+
property :paymentResponsibilityLevelCode, from: :payment_responsibility_level_code, required: false
|
12
|
+
end
|
13
|
+
end
|
14
|
+
end
|
15
|
+
end
|
@@ -0,0 +1,22 @@
|
|
1
|
+
module ChangeHealth
|
2
|
+
module Models
|
3
|
+
module Eligibility
|
4
|
+
class Encounter < Model
|
5
|
+
property :beginningDateOfService, from: :beginning_date_of_service, required: false
|
6
|
+
property :dateOfService, from: :date_of_service, required: false
|
7
|
+
property :dateRange, from: :date_range, required: false, default: false
|
8
|
+
property :endDateOfService, from: :end_date_of_service, required: false
|
9
|
+
property :serviceTypeCodes, from: :service_type_codes, required: false
|
10
|
+
|
11
|
+
alias_method :dateRange?, :dateRange
|
12
|
+
alias_method :date_range?, :dateRange
|
13
|
+
alias_method :service_type_codes, :serviceTypeCodes
|
14
|
+
|
15
|
+
def add_service_type_code(code)
|
16
|
+
self[:serviceTypeCodes] ||= []
|
17
|
+
self[:serviceTypeCodes] << code
|
18
|
+
end
|
19
|
+
end
|
20
|
+
end
|
21
|
+
end
|
22
|
+
end
|
@@ -0,0 +1,23 @@
|
|
1
|
+
module ChangeHealth
|
2
|
+
module Models
|
3
|
+
module Eligibility
|
4
|
+
class Provider < Hashie::Trash
|
5
|
+
property :firstName, from: :first_name, required: false
|
6
|
+
property :lastName, from: :last_name, required: false
|
7
|
+
property :name, default: true, required: false
|
8
|
+
property :npi, required: false
|
9
|
+
property :organizationName, from: :organization_name, required: false
|
10
|
+
property :payorId, from: :payer_id, required: false
|
11
|
+
property :person, default: true, required: false
|
12
|
+
property :providerCode, from: :provider_code, required: false
|
13
|
+
property :providerName, from: :provider_name, required: false
|
14
|
+
property :providerType, from: :provider_type, required: false
|
15
|
+
property :referenceIdentification, from: :reference_identification, required: false
|
16
|
+
property :serviceProviderNumber, from: :service_provider_number, required: false
|
17
|
+
property :taxId, from: :tax_id, required: false
|
18
|
+
|
19
|
+
alias_method :name?, :name
|
20
|
+
end
|
21
|
+
end
|
22
|
+
end
|
23
|
+
end
|
@@ -0,0 +1,31 @@
|
|
1
|
+
module ChangeHealth
|
2
|
+
module Models
|
3
|
+
module Eligibility
|
4
|
+
class Subscriber < Model
|
5
|
+
property :additionalIdentification, required: false
|
6
|
+
property :address, required: false
|
7
|
+
property :birthSequenceNumber, from: :birth_sequence_number, required: false
|
8
|
+
property :caseNumber, from: :case_number, required: false
|
9
|
+
property :dateOfBirth, from: :date_of_birth, required: false
|
10
|
+
property :firstName, from: :first_name, required: false
|
11
|
+
property :gender, required: false
|
12
|
+
property :groupNumber, from: :group_number, required: false
|
13
|
+
property :healthCareCodeInformation, from: :health_care_code_information, required: false
|
14
|
+
property :idCard, from: :id_card, required: false
|
15
|
+
property :idCardIssueDate, from: :id_card_issued_date, required: false
|
16
|
+
property :lastName, from: :last_name, required: false
|
17
|
+
property :medicaidRecipientIdentificationNumber, from: :medicaid_recipient_identification_number, required: false
|
18
|
+
property :memberId, from: :member_id, required: false
|
19
|
+
property :providerCode, from: :provider_code, required: false
|
20
|
+
property :providerIdentifier, from: :provider_identification, required: false
|
21
|
+
property :referenceIdentificationQualifier, from: :reference_identification_qualifier, required: false
|
22
|
+
property :ssn, required: false
|
23
|
+
|
24
|
+
def add_health_care_code_information(value)
|
25
|
+
self[:healthCareCodeInformation] ||= []
|
26
|
+
self[:healthCareCodeInformation] << value
|
27
|
+
end
|
28
|
+
end
|
29
|
+
end
|
30
|
+
end
|
31
|
+
end
|
@@ -0,0 +1,56 @@
|
|
1
|
+
module ChangeHealth
|
2
|
+
module Models
|
3
|
+
class Error
|
4
|
+
attr_reader :data
|
5
|
+
|
6
|
+
SIMPLE_RETRY_CODES = %w[
|
7
|
+
42
|
8
|
+
80
|
9
|
+
].freeze
|
10
|
+
|
11
|
+
NO_RESUBMIT_MESSAGES = [
|
12
|
+
'resubmission not allowed',
|
13
|
+
'do not resubmit'
|
14
|
+
].freeze
|
15
|
+
|
16
|
+
DOWN_FIELD = 'Http Header'.freeze
|
17
|
+
|
18
|
+
DOWN_MESSAGE = 'Please review http headers for this API, please contact support if you are unsure how to resolve.'.freeze
|
19
|
+
|
20
|
+
def initialize(data)
|
21
|
+
@data = data
|
22
|
+
end
|
23
|
+
|
24
|
+
def message
|
25
|
+
field_message || code_message
|
26
|
+
end
|
27
|
+
|
28
|
+
def field_message
|
29
|
+
"#{field}: #{description}" if field?
|
30
|
+
end
|
31
|
+
|
32
|
+
def code_message
|
33
|
+
"#{code}: #{description}" if code?
|
34
|
+
end
|
35
|
+
|
36
|
+
def represents_down?
|
37
|
+
field == DOWN_FIELD && description == DOWN_MESSAGE
|
38
|
+
end
|
39
|
+
|
40
|
+
def retryable?
|
41
|
+
represents_down? ||
|
42
|
+
(code? && SIMPLE_RETRY_CODES.include?(code) && followupAction? && NO_RESUBMIT_MESSAGES.none? {|msg| followupAction.downcase.include?(msg) })
|
43
|
+
end
|
44
|
+
|
45
|
+
%w[field description code followupAction location].each do |method_name|
|
46
|
+
define_method("#{method_name}?") do
|
47
|
+
false == send(method_name).nil?
|
48
|
+
end
|
49
|
+
|
50
|
+
define_method("#{method_name}") do
|
51
|
+
@data[method_name]
|
52
|
+
end
|
53
|
+
end
|
54
|
+
end
|
55
|
+
end
|
56
|
+
end
|
@@ -12,6 +12,17 @@ module ChangeHealth
|
|
12
12
|
d
|
13
13
|
}
|
14
14
|
|
15
|
+
PARSE_DATE = ->(d) {
|
16
|
+
begin
|
17
|
+
d = Date.strptime(d, ChangeHealth::Models::DATE_FORMAT)
|
18
|
+
rescue
|
19
|
+
end
|
20
|
+
|
21
|
+
d
|
22
|
+
}
|
23
|
+
|
24
|
+
CONTROL_NUMBER = ->() { '%09d' % rand(1_000_000_000) }
|
25
|
+
|
15
26
|
class Model < Hashie::Trash
|
16
27
|
def to_h
|
17
28
|
result = super.to_h
|
File without changes
|
@@ -1,10 +1,10 @@
|
|
1
1
|
module ChangeHealth
|
2
|
-
module
|
2
|
+
module Request
|
3
3
|
class Eligibility < Hashie::Trash
|
4
4
|
ENDPOINT = '/medicalnetwork/eligibility/v3'.freeze
|
5
5
|
HEALTH_CHECK_ENDPOINT = ENDPOINT + '/healthcheck'.freeze
|
6
6
|
|
7
|
-
property :controlNumber, from: :control_number, required: true, default:
|
7
|
+
property :controlNumber, from: :control_number, required: true, default: ChangeHealth::Models::CONTROL_NUMBER
|
8
8
|
property :dependents, required: false
|
9
9
|
property :encounter, required: false
|
10
10
|
property :informationReceiverName, from: :information_receiver_name, required: false
|
@@ -20,12 +20,12 @@ module ChangeHealth
|
|
20
20
|
alias_method :partner_id?, :partnerId
|
21
21
|
|
22
22
|
def add_dependent(dependent)
|
23
|
-
self[:
|
24
|
-
self[:
|
23
|
+
self[:dependents] ||= []
|
24
|
+
self[:dependents] << dependent
|
25
25
|
end
|
26
26
|
|
27
27
|
def query
|
28
|
-
ChangeHealth::
|
28
|
+
ChangeHealth::Response::EligibilityData.new(response: ChangeHealth::Connection.new.request(endpoint: ENDPOINT, body: self.to_h))
|
29
29
|
end
|
30
30
|
|
31
31
|
def self.health_check
|
@@ -0,0 +1,38 @@
|
|
1
|
+
module ChangeHealth
|
2
|
+
module Request
|
3
|
+
module Claim
|
4
|
+
class Submission < Hashie::Trash
|
5
|
+
ENDPOINT = '/medicalnetwork/professionalclaims/v3'.freeze
|
6
|
+
HEALTH_CHECK_ENDPOINT = ENDPOINT + '/healthcheck'.freeze
|
7
|
+
SUBMISSION_ENDPOINT = ENDPOINT + '/submission'.freeze
|
8
|
+
|
9
|
+
property :claimInformation, from: :claim_information, required: false
|
10
|
+
property :controlNumber, from: :control_number, required: true, default: ChangeHealth::Models::CONTROL_NUMBER
|
11
|
+
property :providers, required: false
|
12
|
+
property :receiver, required: false
|
13
|
+
property :submitter, required: false
|
14
|
+
property :subscriber, required: false
|
15
|
+
# Need one or the other, trading partner id or trading partner service id
|
16
|
+
property :tradingPartnerId, from: :trading_partner_id, required: false
|
17
|
+
property :tradingPartnerServiceId, from: :trading_partner_service_id, required: false
|
18
|
+
|
19
|
+
def add_provider(provider)
|
20
|
+
self[:providers] ||= []
|
21
|
+
self[:providers] << provider
|
22
|
+
end
|
23
|
+
|
24
|
+
def submission
|
25
|
+
ChangeHealth::Response::Claim::SubmissionData.new(response: ChangeHealth::Connection.new.request(endpoint: SUBMISSION_ENDPOINT, body: self.to_h))
|
26
|
+
end
|
27
|
+
|
28
|
+
def self.health_check
|
29
|
+
ChangeHealth::Connection.new.request(endpoint: HEALTH_CHECK_ENDPOINT, verb: :get)
|
30
|
+
end
|
31
|
+
|
32
|
+
def self.ping
|
33
|
+
self.health_check
|
34
|
+
end
|
35
|
+
end
|
36
|
+
end
|
37
|
+
end
|
38
|
+
end
|
@@ -0,0 +1,23 @@
|
|
1
|
+
module ChangeHealth
|
2
|
+
module Response
|
3
|
+
module Claim
|
4
|
+
class SubmissionData < ChangeHealth::Response::ResponseData
|
5
|
+
|
6
|
+
%w(controlNumber status tradingPartnerId tradingPartnerServiceId).each do |v|
|
7
|
+
define_method(v) do
|
8
|
+
@raw.dig(v)
|
9
|
+
end
|
10
|
+
end
|
11
|
+
|
12
|
+
alias_method :control_number, :controlNumber
|
13
|
+
alias_method :trading_partner_id, :tradingPartnerId
|
14
|
+
alias_method :trading_partner_service_id, :tradingPartnerServiceId
|
15
|
+
|
16
|
+
def trading_partner?(name)
|
17
|
+
self.trading_partner_id == name || trading_partner_service_id == name
|
18
|
+
end
|
19
|
+
|
20
|
+
end
|
21
|
+
end
|
22
|
+
end
|
23
|
+
end
|
@@ -1,5 +1,5 @@
|
|
1
1
|
module ChangeHealth
|
2
|
-
module
|
2
|
+
module Response
|
3
3
|
class EligibilityBenefit < Hash
|
4
4
|
include Hashie::Extensions::MergeInitializer
|
5
5
|
include Hashie::Extensions::IndifferentAccess
|
@@ -54,7 +54,7 @@ module ChangeHealth
|
|
54
54
|
coverageLevelCode: COVERAGES,
|
55
55
|
code: CODES
|
56
56
|
}
|
57
|
-
|
57
|
+
|
58
58
|
HELPERS.each do |key, types|
|
59
59
|
types.each do |method, value|
|
60
60
|
define_method("#{method}?") do
|
@@ -99,13 +99,13 @@ module ChangeHealth
|
|
99
99
|
self.coinsurance? ? self.benefitPercent : self.benefitAmount
|
100
100
|
end
|
101
101
|
|
102
|
-
def services
|
102
|
+
def services
|
103
103
|
self['serviceTypeCodes']&.each_with_index&.map {|stc, i| [stc, self['serviceTypes']&.at(i)]} || []
|
104
104
|
end
|
105
105
|
|
106
106
|
%w(eligibilityBegin eligibilityEnd planBegin planEnd service).each do |f|
|
107
107
|
define_method(f) do
|
108
|
-
return ChangeHealth::Models::
|
108
|
+
return ChangeHealth::Models::PARSE_DATE.call(self.date_info&.dig(f))
|
109
109
|
end
|
110
110
|
end
|
111
111
|
alias_method :eligibility_begin_date, :eligibilityBegin
|
@@ -120,11 +120,11 @@ module ChangeHealth
|
|
120
120
|
end
|
121
121
|
|
122
122
|
def plan_date_range_start
|
123
|
-
ChangeHealth::Models::
|
123
|
+
ChangeHealth::Models::PARSE_DATE.call(self.plan_date_range[0])
|
124
124
|
end
|
125
125
|
|
126
126
|
def plan_date_range_end
|
127
|
-
ChangeHealth::Models::
|
127
|
+
ChangeHealth::Models::PARSE_DATE.call(self.plan_date_range[1])
|
128
128
|
end
|
129
129
|
|
130
130
|
private
|
@@ -1,8 +1,8 @@
|
|
1
1
|
module ChangeHealth
|
2
|
-
module
|
2
|
+
module Response
|
3
3
|
class EligibilityBenefits < Array
|
4
4
|
def initialize(benefits)
|
5
|
-
super(benefits.map {|benefit| ChangeHealth::
|
5
|
+
super(benefits.map {|benefit| ChangeHealth::Response::EligibilityBenefit.new(benefit) })
|
6
6
|
end
|
7
7
|
|
8
8
|
def where(**kwargs)
|
@@ -25,7 +25,7 @@ module ChangeHealth
|
|
25
25
|
self.where(inPlanNetworkIndicatorCode: 'Y')
|
26
26
|
end
|
27
27
|
|
28
|
-
ChangeHealth::
|
28
|
+
ChangeHealth::Response::EligibilityBenefit::HELPERS.each do |key, types|
|
29
29
|
types.each do |method, value|
|
30
30
|
define_method("#{method}s") do
|
31
31
|
self.where(key => value)
|
@@ -0,0 +1,94 @@
|
|
1
|
+
module ChangeHealth
|
2
|
+
module Response
|
3
|
+
class EligibilityData < ChangeHealth::Response::ResponseData
|
4
|
+
|
5
|
+
ACTIVE = '1'
|
6
|
+
INACTIVE = '6'
|
7
|
+
|
8
|
+
def active?(service_code: '30')
|
9
|
+
plan_status(service_code: service_code, single: false).any? {|status| ACTIVE == status['statusCode'] }
|
10
|
+
end
|
11
|
+
|
12
|
+
def inactive?(service_code: '30')
|
13
|
+
plan_status(service_code: service_code, single: false).any? {|status| INACTIVE == status['statusCode'] }
|
14
|
+
end
|
15
|
+
|
16
|
+
def dependents?
|
17
|
+
true == self.dependents&.any?
|
18
|
+
end
|
19
|
+
|
20
|
+
%w(planStatus benefitsInformation controlNumber planDateInformation dependents).each do |v|
|
21
|
+
define_method(v) do
|
22
|
+
@raw.dig(v)
|
23
|
+
end
|
24
|
+
end
|
25
|
+
|
26
|
+
%w(eligibilityBegin planBegin service).each do |f|
|
27
|
+
define_method(f) do
|
28
|
+
return ChangeHealth::Models::PARSE_DATE.call(self.date_info&.dig(f))
|
29
|
+
end
|
30
|
+
end
|
31
|
+
alias_method :eligibility_begin_date, :eligibilityBegin
|
32
|
+
alias_method :plan_begin_date, :planBegin
|
33
|
+
alias_method :service_date, :service
|
34
|
+
|
35
|
+
def plan_date_range
|
36
|
+
pd = self.date_info&.dig('plan') || ''
|
37
|
+
pd.split('-')
|
38
|
+
end
|
39
|
+
|
40
|
+
def plan_date_range_start
|
41
|
+
ChangeHealth::Models::PARSE_DATE.call(self.plan_date_range[0])
|
42
|
+
end
|
43
|
+
|
44
|
+
def plan_date_range_end
|
45
|
+
ChangeHealth::Models::PARSE_DATE.call(self.plan_date_range[1])
|
46
|
+
end
|
47
|
+
|
48
|
+
def plan_status(service_code: , single: true)
|
49
|
+
if true == single
|
50
|
+
self.planStatus&.find {|plan| plan.dig('serviceTypeCodes')&.include?(service_code) } || {}
|
51
|
+
else
|
52
|
+
self.planStatus&.select {|plan| plan.dig('serviceTypeCodes')&.include?(service_code) } || []
|
53
|
+
end
|
54
|
+
end
|
55
|
+
|
56
|
+
def benefits
|
57
|
+
kname = "ChangeHealth::Response::EligibilityBenefits#{self.trading_partner_id&.upcase}"
|
58
|
+
klazz = Object.const_get(kname) if Module.const_defined?(kname)
|
59
|
+
klazz ||= ChangeHealth::Response::EligibilityBenefits
|
60
|
+
|
61
|
+
if klazz.respond_to?(:factory)
|
62
|
+
klazz = klazz.factory(self)
|
63
|
+
end
|
64
|
+
|
65
|
+
klazz.new(self.benefitsInformation || [])
|
66
|
+
end
|
67
|
+
|
68
|
+
def medicare?(**kwargs)
|
69
|
+
false == benefits.empty? && benefits.where(kwargs).all? {|b| b.medicare? }
|
70
|
+
end
|
71
|
+
|
72
|
+
def plan?(name)
|
73
|
+
self.plan_names.any? {|pname| name == pname }
|
74
|
+
end
|
75
|
+
|
76
|
+
def plan_names
|
77
|
+
self.planStatus&.map {|plan_status| plan_status['planDetails'] }&.compact || []
|
78
|
+
end
|
79
|
+
|
80
|
+
def trading_partner?(name)
|
81
|
+
self.trading_partner_id == name
|
82
|
+
end
|
83
|
+
|
84
|
+
def trading_partner_id
|
85
|
+
@raw['tradingPartnerServiceId']
|
86
|
+
end
|
87
|
+
|
88
|
+
alias_method :control_number, :controlNumber
|
89
|
+
alias_method :benefits_information, :benefitsInformation
|
90
|
+
alias_method :plan_statuses, :planStatus
|
91
|
+
alias_method :date_info, :planDateInformation
|
92
|
+
end
|
93
|
+
end
|
94
|
+
end
|
@@ -0,0 +1,41 @@
|
|
1
|
+
module ChangeHealth
|
2
|
+
module Response
|
3
|
+
class ResponseData
|
4
|
+
attr_reader :response, :raw
|
5
|
+
|
6
|
+
def initialize(data: nil, response: nil)
|
7
|
+
@response = response
|
8
|
+
@raw = data
|
9
|
+
|
10
|
+
begin
|
11
|
+
@raw ||= response&.parsed_response
|
12
|
+
rescue JSON::ParserError
|
13
|
+
end
|
14
|
+
|
15
|
+
@raw ||= {}
|
16
|
+
end
|
17
|
+
|
18
|
+
def errors?
|
19
|
+
self.errors.is_a?(Array) && false == self.errors.empty?
|
20
|
+
end
|
21
|
+
|
22
|
+
def errors
|
23
|
+
errors = @raw.dig('errors') || []
|
24
|
+
|
25
|
+
errors.flatten.map {|error| ChangeHealth::Models::Error.new(error) }
|
26
|
+
end
|
27
|
+
|
28
|
+
def recommend_retry?
|
29
|
+
return false unless errors?
|
30
|
+
|
31
|
+
return true if errors.any?(&:represents_down?)
|
32
|
+
|
33
|
+
error_codes = errors.select(&:code?)
|
34
|
+
|
35
|
+
return false if error_codes.empty?
|
36
|
+
|
37
|
+
return error_codes.all?(&:retryable?)
|
38
|
+
end
|
39
|
+
end
|
40
|
+
end
|
41
|
+
end
|
data/lib/change_health/response/{trading_partner_data.rb → trading_partner/trading_partner_data.rb}
RENAMED
File without changes
|
File without changes
|
data/lib/change_health.rb
CHANGED
@@ -1,22 +1,31 @@
|
|
1
1
|
require 'httparty'
|
2
2
|
require 'hashie'
|
3
3
|
require 'change_health/version'
|
4
|
+
require 'change_health/authentication'
|
4
5
|
require 'change_health/change_health_exception'
|
5
6
|
require 'change_health/connection'
|
6
|
-
require 'change_health/authentication'
|
7
7
|
require 'change_health/extensions'
|
8
|
+
require 'change_health/models/error'
|
8
9
|
require 'change_health/models/model'
|
9
|
-
require 'change_health/models/
|
10
|
-
require 'change_health/models/
|
11
|
-
require 'change_health/models/
|
12
|
-
require 'change_health/models/
|
13
|
-
require 'change_health/models/
|
10
|
+
require 'change_health/models/claim/submission/claim_information'
|
11
|
+
require 'change_health/models/claim/submission/provider'
|
12
|
+
require 'change_health/models/claim/submission/service_line'
|
13
|
+
require 'change_health/models/claim/submission/submitter'
|
14
|
+
require 'change_health/models/claim/submission/subscriber'
|
15
|
+
require 'change_health/models/eligibility/encounter'
|
16
|
+
require 'change_health/models/eligibility/provider'
|
17
|
+
require 'change_health/models/eligibility/subscriber'
|
18
|
+
require 'change_health/models/trading_partner/trading_partner'
|
19
|
+
require 'change_health/request/eligibility'
|
20
|
+
require 'change_health/request/submission'
|
14
21
|
require 'change_health/request/trading_partner'
|
15
|
-
require 'change_health/response/
|
16
|
-
require 'change_health/response/
|
17
|
-
require 'change_health/
|
18
|
-
require 'change_health/
|
19
|
-
require 'change_health/
|
22
|
+
require 'change_health/response/response_data'
|
23
|
+
require 'change_health/response/claim/submission/submission_data'
|
24
|
+
require 'change_health/response/eligibility/eligibility_benefit'
|
25
|
+
require 'change_health/response/eligibility/eligibility_benefits'
|
26
|
+
require 'change_health/response/eligibility/eligibility_data'
|
27
|
+
require 'change_health/response/trading_partner/trading_partner_data'
|
28
|
+
require 'change_health/response/trading_partner/trading_partners_data'
|
20
29
|
|
21
30
|
module ChangeHealth
|
22
31
|
class Configuration
|
metadata
CHANGED
@@ -1,14 +1,14 @@
|
|
1
1
|
--- !ruby/object:Gem::Specification
|
2
2
|
name: change_health
|
3
3
|
version: !ruby/object:Gem::Version
|
4
|
-
version:
|
4
|
+
version: 2.0.0
|
5
5
|
platform: ruby
|
6
6
|
authors:
|
7
7
|
- Mike Crockett
|
8
8
|
autorequire:
|
9
9
|
bindir: exe
|
10
10
|
cert_chain: []
|
11
|
-
date: 2021-
|
11
|
+
date: 2021-10-11 00:00:00.000000000 Z
|
12
12
|
dependencies:
|
13
13
|
- !ruby/object:Gem::Dependency
|
14
14
|
name: httparty
|
@@ -147,18 +147,27 @@ files:
|
|
147
147
|
- lib/change_health/change_health_exception.rb
|
148
148
|
- lib/change_health/connection.rb
|
149
149
|
- lib/change_health/extensions.rb
|
150
|
-
- lib/change_health/models/
|
151
|
-
- lib/change_health/models/
|
152
|
-
- lib/change_health/models/
|
153
|
-
- lib/change_health/models/
|
154
|
-
- lib/change_health/models/
|
150
|
+
- lib/change_health/models/claim/submission/claim_information.rb
|
151
|
+
- lib/change_health/models/claim/submission/provider.rb
|
152
|
+
- lib/change_health/models/claim/submission/service_line.rb
|
153
|
+
- lib/change_health/models/claim/submission/submitter.rb
|
154
|
+
- lib/change_health/models/claim/submission/subscriber.rb
|
155
|
+
- lib/change_health/models/eligibility/encounter.rb
|
156
|
+
- lib/change_health/models/eligibility/provider.rb
|
157
|
+
- lib/change_health/models/eligibility/subscriber.rb
|
158
|
+
- lib/change_health/models/error.rb
|
155
159
|
- lib/change_health/models/model.rb
|
156
|
-
- lib/change_health/models/
|
157
|
-
- lib/change_health/
|
158
|
-
- lib/change_health/
|
160
|
+
- lib/change_health/models/trading_partner/trading_partner.rb
|
161
|
+
- lib/change_health/request/eligibility.rb
|
162
|
+
- lib/change_health/request/submission.rb
|
159
163
|
- lib/change_health/request/trading_partner.rb
|
160
|
-
- lib/change_health/response/
|
161
|
-
- lib/change_health/response/
|
164
|
+
- lib/change_health/response/claim/submission/submission_data.rb
|
165
|
+
- lib/change_health/response/eligibility/eligibility_benefit.rb
|
166
|
+
- lib/change_health/response/eligibility/eligibility_benefits.rb
|
167
|
+
- lib/change_health/response/eligibility/eligibility_data.rb
|
168
|
+
- lib/change_health/response/response_data.rb
|
169
|
+
- lib/change_health/response/trading_partner/trading_partner_data.rb
|
170
|
+
- lib/change_health/response/trading_partner/trading_partners_data.rb
|
162
171
|
- lib/change_health/version.rb
|
163
172
|
homepage: https://github.com/WeInfuse/change_health
|
164
173
|
licenses:
|
@@ -180,7 +189,7 @@ required_rubygems_version: !ruby/object:Gem::Requirement
|
|
180
189
|
- !ruby/object:Gem::Version
|
181
190
|
version: '0'
|
182
191
|
requirements: []
|
183
|
-
rubygems_version: 3.1.
|
192
|
+
rubygems_version: 3.1.6
|
184
193
|
signing_key:
|
185
194
|
specification_version: 4
|
186
195
|
summary: Ruby wrapper for the ChangeHealth API
|
@@ -1,176 +0,0 @@
|
|
1
|
-
module ChangeHealth
|
2
|
-
module Models
|
3
|
-
class Error
|
4
|
-
attr_reader :data
|
5
|
-
|
6
|
-
SIMPLE_RETRY_CODES = %w[
|
7
|
-
42
|
8
|
-
80
|
9
|
-
].freeze
|
10
|
-
|
11
|
-
NO_RESUBMIT_MESSAGES = %w[
|
12
|
-
resubmission not allowed
|
13
|
-
do not resubmit
|
14
|
-
].freeze
|
15
|
-
|
16
|
-
def initialize(data)
|
17
|
-
@data = data
|
18
|
-
end
|
19
|
-
|
20
|
-
def message
|
21
|
-
field_message || code_message
|
22
|
-
end
|
23
|
-
|
24
|
-
def field_message
|
25
|
-
"#{field}: #{description}" if field?
|
26
|
-
end
|
27
|
-
|
28
|
-
def code_message
|
29
|
-
"#{code}: #{description}" if code?
|
30
|
-
end
|
31
|
-
|
32
|
-
def retryable?
|
33
|
-
code? && SIMPLE_RETRY_CODES.include?(code) && followupAction? && NO_RESUBMIT_MESSAGES.none? {|msg| followupAction.downcase.include?(msg) }
|
34
|
-
end
|
35
|
-
|
36
|
-
%w[field description code followupAction location].each do |method_name|
|
37
|
-
define_method("#{method_name}?") do
|
38
|
-
false == send(method_name).nil?
|
39
|
-
end
|
40
|
-
|
41
|
-
define_method("#{method_name}") do
|
42
|
-
@data[method_name]
|
43
|
-
end
|
44
|
-
end
|
45
|
-
end
|
46
|
-
|
47
|
-
class EligibilityData
|
48
|
-
attr_reader :response, :raw
|
49
|
-
|
50
|
-
ACTIVE = '1'
|
51
|
-
INACTIVE = '6'
|
52
|
-
|
53
|
-
PARSE_DATE = ->(d) {
|
54
|
-
begin
|
55
|
-
d = Date.strptime(d, ChangeHealth::Models::DATE_FORMAT)
|
56
|
-
rescue
|
57
|
-
end
|
58
|
-
|
59
|
-
d
|
60
|
-
}
|
61
|
-
|
62
|
-
def initialize(data: nil, response: nil)
|
63
|
-
@response = response
|
64
|
-
@raw = data
|
65
|
-
|
66
|
-
begin
|
67
|
-
@raw ||= response&.parsed_response
|
68
|
-
rescue JSON::ParserError
|
69
|
-
end
|
70
|
-
|
71
|
-
@raw ||= {}
|
72
|
-
end
|
73
|
-
|
74
|
-
def active?(service_code: '30')
|
75
|
-
return ACTIVE == plan_status(service_code: service_code).dig('statusCode')
|
76
|
-
end
|
77
|
-
|
78
|
-
def inactive?(service_code: '30')
|
79
|
-
return INACTIVE == plan_status(service_code: service_code).dig('statusCode')
|
80
|
-
end
|
81
|
-
|
82
|
-
def errors?
|
83
|
-
self.errors.is_a?(Array) && false == self.errors.empty?
|
84
|
-
end
|
85
|
-
|
86
|
-
def errors
|
87
|
-
errors = @raw.dig('errors') || []
|
88
|
-
|
89
|
-
errors.flatten.map {|error| ChangeHealth::Models::Error.new(error) }
|
90
|
-
end
|
91
|
-
|
92
|
-
def recommend_retry?
|
93
|
-
return false if errors.empty?
|
94
|
-
|
95
|
-
error_codes = errors.select(&:code?)
|
96
|
-
|
97
|
-
return false if error_codes.empty?
|
98
|
-
|
99
|
-
return error_codes.all?(&:retryable?)
|
100
|
-
end
|
101
|
-
|
102
|
-
def dependents?
|
103
|
-
true == self.dependents&.any?
|
104
|
-
end
|
105
|
-
|
106
|
-
%w(planStatus benefitsInformation controlNumber planDateInformation dependents).each do |v|
|
107
|
-
define_method(v) do
|
108
|
-
@raw.dig(v)
|
109
|
-
end
|
110
|
-
end
|
111
|
-
|
112
|
-
%w(eligibilityBegin planBegin service).each do |f|
|
113
|
-
define_method(f) do
|
114
|
-
return PARSE_DATE.call(self.date_info&.dig(f))
|
115
|
-
end
|
116
|
-
end
|
117
|
-
alias_method :eligibility_begin_date, :eligibilityBegin
|
118
|
-
alias_method :plan_begin_date, :planBegin
|
119
|
-
alias_method :service_date, :service
|
120
|
-
|
121
|
-
def plan_date_range
|
122
|
-
pd = self.date_info&.dig('plan') || ''
|
123
|
-
pd.split('-')
|
124
|
-
end
|
125
|
-
|
126
|
-
def plan_date_range_start
|
127
|
-
ChangeHealth::Models::EligibilityData::PARSE_DATE.call(self.plan_date_range[0])
|
128
|
-
end
|
129
|
-
|
130
|
-
def plan_date_range_end
|
131
|
-
ChangeHealth::Models::EligibilityData::PARSE_DATE.call(self.plan_date_range[1])
|
132
|
-
end
|
133
|
-
|
134
|
-
def plan_status(service_code: )
|
135
|
-
self.planStatus&.find {|plan| plan.dig('serviceTypeCodes')&.include?(service_code) } || {}
|
136
|
-
end
|
137
|
-
|
138
|
-
def benefits
|
139
|
-
kname = "ChangeHealth::Models::EligibilityBenefits#{self.trading_partner_id&.upcase}"
|
140
|
-
klazz = Object.const_get(kname) if Module.const_defined?(kname)
|
141
|
-
klazz ||= ChangeHealth::Models::EligibilityBenefits
|
142
|
-
|
143
|
-
if klazz.respond_to?(:factory)
|
144
|
-
klazz = klazz.factory(self)
|
145
|
-
end
|
146
|
-
|
147
|
-
klazz.new(self.benefitsInformation || [])
|
148
|
-
end
|
149
|
-
|
150
|
-
def medicare?(**kwargs)
|
151
|
-
false == benefits.empty? && benefits.where(kwargs).all? {|b| b.medicare? }
|
152
|
-
end
|
153
|
-
|
154
|
-
def plan?(name)
|
155
|
-
self.plan_names.any? {|pname| name == pname }
|
156
|
-
end
|
157
|
-
|
158
|
-
def plan_names
|
159
|
-
self.planStatus&.map {|plan_status| plan_status['planDetails'] }&.compact || []
|
160
|
-
end
|
161
|
-
|
162
|
-
def trading_partner?(name)
|
163
|
-
self.trading_partner_id == name
|
164
|
-
end
|
165
|
-
|
166
|
-
def trading_partner_id
|
167
|
-
@raw['tradingPartnerServiceId']
|
168
|
-
end
|
169
|
-
|
170
|
-
alias_method :control_number, :controlNumber
|
171
|
-
alias_method :benefits_information, :benefitsInformation
|
172
|
-
alias_method :plan_statuses, :planStatus
|
173
|
-
alias_method :date_info, :planDateInformation
|
174
|
-
end
|
175
|
-
end
|
176
|
-
end
|
@@ -1,20 +0,0 @@
|
|
1
|
-
module ChangeHealth
|
2
|
-
module Models
|
3
|
-
class Encounter < Model
|
4
|
-
property :beginningDateOfService, from: :beginning_date_of_service, required: false
|
5
|
-
property :dateOfService, from: :date_of_service, required: false
|
6
|
-
property :dateRange, from: :date_range, required: false, default: false
|
7
|
-
property :endDateOfService, from: :end_date_of_service, required: false
|
8
|
-
property :serviceTypeCodes, from: :service_type_codes, required: false
|
9
|
-
|
10
|
-
alias_method :dateRange?, :dateRange
|
11
|
-
alias_method :date_range?, :dateRange
|
12
|
-
alias_method :service_type_codes, :serviceTypeCodes
|
13
|
-
|
14
|
-
def add_service_type_code(code)
|
15
|
-
self[:serviceTypeCodes] ||= []
|
16
|
-
self[:serviceTypeCodes] << code
|
17
|
-
end
|
18
|
-
end
|
19
|
-
end
|
20
|
-
end
|
@@ -1,21 +0,0 @@
|
|
1
|
-
module ChangeHealth
|
2
|
-
module Models
|
3
|
-
class Provider < Hashie::Trash
|
4
|
-
property :firstName, from: :first_name, required: false
|
5
|
-
property :lastName, from: :last_name, required: false
|
6
|
-
property :name, default: true, required: false
|
7
|
-
property :npi, required: false
|
8
|
-
property :organizationName, from: :organization_name, required: false
|
9
|
-
property :payorId, from: :payer_id, required: false
|
10
|
-
property :person, default: true, required: false
|
11
|
-
property :providerCode, from: :provider_code, required: false
|
12
|
-
property :providerName, from: :provider_name, required: false
|
13
|
-
property :providerType, from: :provider_type, required: false
|
14
|
-
property :referenceIdentification, from: :reference_identification, required: false
|
15
|
-
property :serviceProviderNumber, from: :service_provider_number, required: false
|
16
|
-
property :taxId, from: :tax_id, required: false
|
17
|
-
|
18
|
-
alias_method :name?, :name
|
19
|
-
end
|
20
|
-
end
|
21
|
-
end
|
@@ -1,29 +0,0 @@
|
|
1
|
-
module ChangeHealth
|
2
|
-
module Models
|
3
|
-
class Subscriber < Model
|
4
|
-
property :additionalIdentification, required: false
|
5
|
-
property :address, required: false
|
6
|
-
property :birthSequenceNumber, from: :birth_sequence_number, required: false
|
7
|
-
property :caseNumber, from: :case_number, required: false
|
8
|
-
property :dateOfBirth, from: :date_of_birth, required: false
|
9
|
-
property :firstName, from: :first_name, required: false
|
10
|
-
property :gender, required: false
|
11
|
-
property :groupNumber, from: :group_number, required: false
|
12
|
-
property :healthCareCodeInformation, from: :health_care_code_information, required: false
|
13
|
-
property :idCard, from: :id_card, required: false
|
14
|
-
property :idCardIssueDate, from: :id_card_issued_date, required: false
|
15
|
-
property :lastName, from: :last_name, required: false
|
16
|
-
property :medicaidRecipientIdentificationNumber, from: :medicaid_recipient_identification_number, required: false
|
17
|
-
property :memberId, from: :member_id, required: false
|
18
|
-
property :providerCode, from: :provider_code, required: false
|
19
|
-
property :providerIdentifier, from: :provider_identification, required: false
|
20
|
-
property :referenceIdentificationQualifier, from: :reference_identification_qualifier, required: false
|
21
|
-
property :ssn, required: false
|
22
|
-
|
23
|
-
def add_health_care_code_information(value)
|
24
|
-
self[:healthCareCodeInformation] ||= []
|
25
|
-
self[:healthCareCodeInformation] << value
|
26
|
-
end
|
27
|
-
end
|
28
|
-
end
|
29
|
-
end
|