change_health 4.0.0 → 4.2.1

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data/CHANGELOG.md

@@ -5,10 +5,30 @@ 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).
 
+# [4.2.1] - 2022-07-08
+
+### Added
+
+* Added `taxonomyCode` property on `ChangeHealth::Models::Claim` so it will serialize properly into JSON
+
+# [4.2.0] - 2022-06-23
+
+### Added
+
+* Dependent for Claim Submission
+
+# [4.1.0] - 2022-06-17
+
+### Added
+
+Report835Claim - Add another way to get `service_provider_npi`
+
 # [4.0.0] - 2022-05-26
 
 ### Changed
+
 The assumption that only one payment would be in a report835 was wrong. Corrected that by adding in a model to hold the payment information - Report835Payment. Removed payment related info from Report835Data and Report835Claim. See README for usage
+
 * check_issue_or_eft_effective_date
 * check_or_eft_trace_number
 * payer_identifier
@@ -42,6 +62,7 @@ The assumption that only one payment would be in a report835 was wrong. Correcte
 # [3.4.0] - 2022-03-23
 
 ### Added
+
 * Report835Claim - check_or_eft_trace_number & check_issue_or_eft_effective_date
 
 # [3.3.0] - 2022-02-11
@@ -368,6 +389,9 @@ Added the ability to hit professional claim submission API. For more details, se
 * Authentication
 * Configuration
 
+[4.2.1]: https://github.com/WeInfuse/change_health/compare/v4.2.0...v4.2.1
+[4.2.0]: https://github.com/WeInfuse/change_health/compare/v4.1.0...v4.2.0
+[4.1.0]: https://github.com/WeInfuse/change_health/compare/v4.0.0...v4.1.0
 [4.0.0]: https://github.com/WeInfuse/change_health/compare/v3.5.4...v4.0.0
 [3.5.4]: https://github.com/WeInfuse/change_health/compare/v3.5.3...v3.5.4
 [3.5.3]: https://github.com/WeInfuse/change_health/compare/v3.5.2...v3.5.3

data/README.md

@@ -113,7 +113,7 @@ address = ChangeHealth::Models::Claim::Address.new(
   address1: "123 address1",
   city: "city1",
   state: "wa",
-  postalCode: "98101-0000"
+  postalCode: "981010000"
 )
 
 subscriber = ChangeHealth::Models::Claim::Subscriber.new(
@@ -125,6 +125,17 @@ subscriber = ChangeHealth::Models::Claim::Subscriber.new(
   date_of_birth: "02/01/1980",
   address: address
 )
+
+dependent = ChangeHealth::Models::Claim::Dependent.new(
+  address: address,
+  date_of_birth: "02/01/1980",
+  first_name: "johnone",
+  gender: "M",
+  last_name: "doetwo",
+  member_id: "0000000001",
+  relationship_to_subscriber_code: "01"
+)
+
 provider = ChangeHealth::Models::Claim::Provider.new(
   address: address,
   employer_id: "000000000",
@@ -191,13 +202,14 @@ professional_headers = {
 }
 
 claim_submission = ChangeHealth::Request::Claim::Submission.new(
-  trading_partner_service_id: "9496",
-  submitter: claim_submitter,
+  claim_information: claim_information,
+  dependent: dependent,
+  headers: professional_headers,
+  providers: [provider],
   receiver: receiver,
+  submitter: claim_submitter,
   subscriber: subscriber,
-  providers: [provider],
-  claim_information: claim_information,
-  headers: professional_headers
+  trading_partner_service_id: "9496"
 )
 
 claim_submission_data = claim_submission.submission

data/lib/change_health/models/claim/submission/dependent.rb

@@ -0,0 +1,15 @@
+module ChangeHealth
+  module Models
+    module Claim
+      class Dependent < Model
+        property :address, required: false
+        property :dateOfBirth, from: :date_of_birth, required: false
+        property :firstName, from: :first_name, required: false
+        property :gender, required: false
+        property :lastName, from: :last_name, required: false
+        property :memberId, from: :member_id, required: false
+        property :relationshipToSubscriberCode, from: :relationship_to_subscriber_code, required: false
+      end
+    end
+  end
+end

data/lib/change_health/models/claim/submission/provider.rb

@@ -10,6 +10,7 @@ module ChangeHealth
         property :organizationName, from: :organization_name, required: false
         property :npi, required: false
         property :providerType, from: :provider_type, required: false
+        property :taxonomyCode, from: :taxonomy_code, required: false
         property :ssn, required: false # or employer id
       end
     end

data/lib/change_health/request/submission.rb

@@ -9,6 +9,7 @@ module ChangeHealth
 
         property :claimInformation, from: :claim_information, required: false
         property :controlNumber, from: :control_number, required: true, default: ChangeHealth::Models::CONTROL_NUMBER
+        property :dependent, required: false
         property :providers, required: false
         property :receiver, required: false
         property :submitter, required: false

data/lib/change_health/response/claim/report/report_835_data.rb

@@ -49,7 +49,8 @@ module ChangeHealth
                 payer_claim_control_number = payment_info.dig('claimPaymentInfo', 'payerClaimControlNumber')
                 service_provider_npi =
                   payment_info.dig('renderingProvider', 'npi') ||
-                  detail_info.dig('providerSummaryInformation', 'providerIdentifier')
+                  detail_info.dig('providerSummaryInformation', 'providerIdentifier') ||
+                  transaction.dig('payee', 'npi')
                 total_charge_amount = payment_info.dig('claimPaymentInfo', 'totalClaimChargeAmount')
 
                 claim_payment_remark_codes = []

data/lib/change_health/version.rb

@@ -1,3 +1,3 @@
 module ChangeHealth
-  VERSION = '4.0.0'.freeze
+  VERSION = '4.2.1'.freeze
 end

data/lib/change_health.rb

@@ -8,6 +8,7 @@ require 'change_health/extensions'
 require 'change_health/models/model'
 require 'change_health/models/claim/submission/address'
 require 'change_health/models/claim/submission/claim_information'
+require 'change_health/models/claim/submission/dependent'
 require 'change_health/models/claim/submission/drug_identification'
 require 'change_health/models/claim/submission/provider'
 require 'change_health/models/claim/submission/service_line'

metadata

@@ -1,14 +1,14 @@
 --- !ruby/object:Gem::Specification
 name: change_health
 version: !ruby/object:Gem::Version
-  version: 4.0.0
+  version: 4.2.1
 platform: ruby
 authors:
 - Mike Crockett
 autorequire: 
 bindir: exe
 cert_chain: []
-date: 2022-05-26 00:00:00.000000000 Z
+date: 2022-07-08 00:00:00.000000000 Z
 dependencies:
 - !ruby/object:Gem::Dependency
   name: httparty
@@ -149,6 +149,7 @@ files:
 - lib/change_health/extensions.rb
 - lib/change_health/models/claim/submission/address.rb
 - lib/change_health/models/claim/submission/claim_information.rb
+- lib/change_health/models/claim/submission/dependent.rb
 - lib/change_health/models/claim/submission/drug_identification.rb
 - lib/change_health/models/claim/submission/provider.rb
 - lib/change_health/models/claim/submission/service_line.rb