change_health 3.4.0 → 3.5.0
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- checksums.yaml +4 -4
- data/CHANGELOG.md +167 -66
- data/lib/change_health/response/claim/report/report_835_claim.rb +1 -0
- data/lib/change_health/response/claim/report/report_835_data.rb +5 -0
- data/lib/change_health/response/claim/report/report_835_service_line.rb +39 -0
- data/lib/change_health/version.rb +1 -1
- metadata +2 -2
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: fcaa925e21cc617765587cded7d5b3b10a5414985d2b7b1431a9369d3de30186
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data.tar.gz: 88394eb43d292d92b8e0325aa1c04aaff22b15f4cea07cd99347997143abfcba
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SHA512:
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metadata.gz:
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data.tar.gz:
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metadata.gz: 0452600c73933b53d845d322baa38ae112fbbe7b94c39f37575a8603e15101dcc69c6891e3bcd0f282e0b03276f462b2401f3681759dfb82c2382b3b2a2ddd80
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data.tar.gz: bc6bb4935cb05e37e20d596de4d9ce158146659026435a46e15e7b4f7bf5c9ea91d1036ee41ae8f5576f77c96e2b1a29d7fefb8e480aec1cb535c3a641fbb426
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data/CHANGELOG.md
CHANGED
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# Changelog
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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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# [3.5.0] - 2022-04-08
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### Added
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11
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* Report835Claim - added payer_identifier property
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* Report835ServiceLine - Dynamically creates line_adjustments for remark codes and adjustments that are needed for secondary claims
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15
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# [3.4.0] - 2022-03-23
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### Added
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* Report835Claim - check_or_eft_trace_number & check_issue_or_eft_effective_date
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20
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# [3.3.0] - 2022-02-11
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### Added
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23
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* Report277Claim - 'message' from informationClaimStatuses, clearinghouse_trace_number, patient_account_number, referenced_transaction_trace_number, trading_partner_claim_number
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* Report835Claim - patient_control_number
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* ReportClaim - report_name, patient_member_id
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## [3.2.0] - 2021-12-23
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### Added
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* Report835HealthCareCheckRemarkCode
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* Report835Claim - added claim_payment_remark_codes
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## [3.1.0] - 2021-12-21
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### Added
|
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#### Claim Submission
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* ServiceLine - drugIdentification & renderingProvider
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* Subscriber - groupNumber
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* Address model w/ postalCode that is formatted to remove dashes, '-'
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@@ -29,21 +45,26 @@ and this project adheres to [Semantic Versioning](http://semver.org/spec/v2.0.0.
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* Auto formatting of postal code fields
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## [3.0.0] - 2021-12-08
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|
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### Added
|
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* Report277Claim - specific to claims from 277 reports
|
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* Report835Claim - specific to claims from 835 reports
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* Report835ServiceAdjustment & Report835ServiceLine - helper classes for readability of claims from 835 reports
|
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### Changed
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+
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* ReportClaim - removed 277 report unique fields
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#### Namespace
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| Previous | Current |
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|-|-|
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| ChangeHealth::Models::Error | ChangeHealth::Response::Error |
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| ChangeHealth::Response::Claim::ReportInfoClaimStatus | ChangeHealth::Response::Claim::Report277InfoClaimStatus|
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#### Methods
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| Previous | Current |
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|-|-|
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| Report277Data#payer_org_name | Report277Data#payer_name |
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| ReportClaim#subscriber_last_name | ReportClaim#patient_last_name |
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| ReportClaim#transaction_set_creation_date | ReportClaim#report_creation_date |
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-
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## [2.3.0] - 2021-11-18
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### Added
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* Report277Data & Report835Data - Specific classes for 277 & 835 reports
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* ReportClaim & ReportInfoClaimStatus - only works for json 277 reports
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### Fixed
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+
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* Headers can now be nil for requests
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|
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## [2.2.1] - 2021-11-15
|
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+
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### Added
|
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+
|
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94
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Custom Headers for Reports API and Professional Claims API
|
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* Report
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* Submission
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## [2.2.0] - 2021-11-04
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### Added
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Ability to hit [Claim Responses and Reports](https://developers.changehealthcare.com/eligibilityandclaims/docs/claims-responses-and-reports-getting-started)
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* Report
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* ReportListData
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* ReportData
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109
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## [2.1.0] - 2021-10-12
|
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|
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### Changed
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Model#to_h enhanced to change empty values AKA "" to nil. Reason: If a field is empty, Change Healthcare responds with an error - `Invalid value. Item must not be blank value.`. If the empty field is optional, Change Healthcare will accept the field as nil without error. If the empty field is required, Change Healthcare will return an error if the value is empty or nil.
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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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@@ -94,11 +131,15 @@ Added the ability to hit professional claim submission API. For more details, se
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* SubmissionData
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* Submitter
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* Subscriber
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### Changed
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-
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-
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-
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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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@@ -109,136 +150,196 @@ Added the ability to hit professional claim submission API. For more details, se
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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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-
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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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-
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-
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-
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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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-
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+
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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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-
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-
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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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-
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-
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-
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* Model::Error - help with error codes
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* EligibilityData#recommend_retry? - if it looks like you can retry the exact same request
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* EligibilityData#inactive? - looks for plan status 6
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## [0.15.0] - 2020-06-12
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### Added
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-
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* Extensions - InNetworkMissing for plans that don't provide in network indicators.
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### Fixed
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-
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* Bug where active codes with no service codes cause exception.
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## [0.14.0] - 2020-05-07
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### Added
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-
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* Extensions - mixins for common overrides
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## [0.13.0] - 2020-05-05
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### Changed
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-
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-
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-
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* Removed `alias_method` for `where` helpers so you can override a single method
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* Added type Year to Date type 24
|
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* Added type Day type 7
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## [0.12.0] - 2020-04-30
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### Added
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-
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-
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* EligibilityData#errors
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* EligibilityData#errors?
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## [0.11.0] - 2020-04-24
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### Added
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-
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-
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* EligibilityData#medicare?
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* EligibilityData#plan\_id
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* EligibilityData#plan?
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* EligibilityBenefits#where\_not
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* EligibilityBenefits#+
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* EligibilityBenefit#additional\_info
|
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* EligibilityBenefit#descriptions
|
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### Changed
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-
|
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-
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-
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+
|
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* EligibilityData initialize now checks for sub-classes of EligibilityBenefits with trading partner
|
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+
|
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* EligibilityData initialize now checks for sub-classes of EligibilityBenefits with trading partner responds to `factory` to choose sub-class
|
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* EligibilityBenefits initializes `self.class` type in case it's a subclass
|
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## [0.10.0] - 2020-04-09
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### Added
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-
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-
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-
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-
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-
|
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+
|
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* Add Trading Partner API querying capability
|
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+
|
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* Request::TradingPartner
|
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* Response::TradingPartnerData
|
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* Response::TradingPartnersData
|
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* Models::TradingPartner
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254
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## [0.9.0] - 2020-04-08
|
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### Added
|
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-
|
184
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-
|
257
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+
|
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+
* Added EligibilityBenefit#medicare?
|
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+
|
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* Added EligibilityData#medicare?
|
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|
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### Changed
|
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-
|
188
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-
|
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|
+
|
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+
* EligibilityBenefit(s)#individual returns true for medicare in benefit and queries that look for 'IND'
|
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+
|
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* EligibilityBenefit(s)#in\_network returns true for medicare in benefit and queries that look for 'Y'
|
189
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|
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## [0.8.0] - 2020-04-04
|
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+
|
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### Changed
|
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-
|
271
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+
|
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* Attempt to serialize all properties with 'date' in the name to ChangeHealth date format
|
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|
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## [0.7.0] - 2020-04-03
|
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|
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### Changed
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-
|
277
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+
|
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* Fixed bug in serializing date on subscriber and encounter
|
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|
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## [0.6.0] - 2020-04-02
|
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+
|
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### Changed
|
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|
-
|
201
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-
|
283
|
+
|
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* Added Indifferent Access to hashes
|
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+
|
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* Fixed bug with Authentication endpoint
|
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|
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## [0.5.0] - 2020-03-11
|
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### Added
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-
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-
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-
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-
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-
|
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-
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+
|
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* EligibilityBenefit Deductible information
|
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+
|
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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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|
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### Changed
|
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-
|
301
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+
|
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+
* Broke EligibilityBenefit and EligibilityBenefits into separate files
|
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|
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## [0.4.0] - 2020-03-10
|
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+
|
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### Added
|
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-
|
218
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-
|
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-
|
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+
|
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* EligibilityBenefit(s) Employee information
|
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+
|
310
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* EligibilityData plan date information
|
311
|
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* EligibilityData eligibility, plan and service date helpers on date info
|
220
312
|
|
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## [0.3.0] - 2020-03-09
|
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+
|
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### Added
|
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-
|
316
|
+
|
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|
+
* Production endpoint
|
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|
|
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## [0.0.2] - 2020-03-09
|
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|
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### Added
|
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-
|
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-
|
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-
|
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+
|
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* EligibilityData
|
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|
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* EligibilityBenefit
|
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* EligibilityBenefits
|
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|
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### Changed
|
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-
|
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|
+
|
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|
+
* Eligibility.query returns EligibilityData object
|
233
331
|
|
234
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|
## [0.0.1] - 2020-03-04
|
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+
|
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|
### Added
|
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-
|
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-
|
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-
|
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-
|
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-
|
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-
|
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+
|
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* Provider
|
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+
|
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* Subscriber
|
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* Encounter
|
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* Eligibility
|
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* Authentication
|
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* Configuration
|
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|
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344
|
[3.4.0]: https://github.com/WeInfuse/change_health/compare/v3.3.0...v3.4.0
|
244
345
|
[3.3.0]: https://github.com/WeInfuse/change_health/compare/v3.2.0...v3.3.0
|
@@ -7,6 +7,7 @@ module ChangeHealth
|
|
7
7
|
property :claim_payment_remark_codes, required: false
|
8
8
|
property :patient_control_number, required: false
|
9
9
|
property :payer_claim_control_number, required: false
|
10
|
+
property :payer_identifier, required: false
|
10
11
|
property :payment_method_code, required: false
|
11
12
|
property :service_lines, required: false
|
12
13
|
property :total_actual_provider_payment_amount, required: false
|
@@ -24,6 +24,10 @@ module ChangeHealth
|
|
24
24
|
transactions&.first&.dig('payer')&.dig('name')
|
25
25
|
end
|
26
26
|
|
27
|
+
def payer_identifier
|
28
|
+
ChangeHealth::Models::PARSE_DATE.call(transactions&.first&.dig('financialInformation', 'payerIdentifier'))
|
29
|
+
end
|
30
|
+
|
27
31
|
def payment_method_code
|
28
32
|
transactions&.first&.dig('financialInformation', 'paymentMethodCode')
|
29
33
|
end
|
@@ -120,6 +124,7 @@ module ChangeHealth
|
|
120
124
|
patient_member_id: patient_member_id,
|
121
125
|
payer_claim_control_number: payer_claim_control_number,
|
122
126
|
payer_identification: payer_identification,
|
127
|
+
payer_identifier: payer_identifier,
|
123
128
|
payer_name: payer_name,
|
124
129
|
payment_method_code: payment_method_code,
|
125
130
|
report_creation_date: report_creation_date,
|
@@ -8,6 +8,45 @@ module ChangeHealth
|
|
8
8
|
property :line_item_charge_amount, required: false
|
9
9
|
property :line_item_provider_payment_amount, required: false
|
10
10
|
property :service_adjustments, required: false
|
11
|
+
|
12
|
+
def create_group_adjustments(service_adjustments)
|
13
|
+
adjustment_array = service_adjustments[:adjustments].map do |key, value|
|
14
|
+
{
|
15
|
+
adjustmentReasonCode: key,
|
16
|
+
adjustmentAmount: value
|
17
|
+
}
|
18
|
+
end
|
19
|
+
{
|
20
|
+
adjustmentDetails: adjustment_array,
|
21
|
+
adjustmentGroupCode: service_adjustments[:claim_adjustment_group_code]
|
22
|
+
}
|
23
|
+
end
|
24
|
+
|
25
|
+
def create_remark_code_adjustments(remark_codes_array)
|
26
|
+
adjustment_array = remark_codes_array.map do |_key, value|
|
27
|
+
{
|
28
|
+
adjustmentReasonCode: value,
|
29
|
+
adjustmentAmount: ""
|
30
|
+
}
|
31
|
+
end
|
32
|
+
{
|
33
|
+
adjustmentDetails: adjustment_array,
|
34
|
+
adjustmentGroupCode: ""
|
35
|
+
}
|
36
|
+
end
|
37
|
+
|
38
|
+
def create_adjustment_detail_array
|
39
|
+
all_service_adjustments = self.service_adjustments
|
40
|
+
adjustment_details = all_service_adjustments.map do |service_adjustments|
|
41
|
+
create_group_adjustments(service_adjustments)
|
42
|
+
end
|
43
|
+
|
44
|
+
health_care_check_remark_codes = self[:health_care_check_remark_codes]
|
45
|
+
health_care_check_remark_codes.each do |remark_codes|
|
46
|
+
adjustment_details << create_remark_code_adjustments(remark_codes)
|
47
|
+
end
|
48
|
+
adjustment_details
|
49
|
+
end
|
11
50
|
end
|
12
51
|
end
|
13
52
|
end
|
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: 3.
|
4
|
+
version: 3.5.0
|
5
5
|
platform: ruby
|
6
6
|
authors:
|
7
7
|
- Mike Crockett
|
8
8
|
autorequire:
|
9
9
|
bindir: exe
|
10
10
|
cert_chain: []
|
11
|
-
date: 2022-
|
11
|
+
date: 2022-04-08 00:00:00.000000000 Z
|
12
12
|
dependencies:
|
13
13
|
- !ruby/object:Gem::Dependency
|
14
14
|
name: httparty
|