change_health 4.7.0 → 4.8.0
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checksums.yaml
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metadata.gz:
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data.tar.gz: 13086f7b6ab80de52d92d195cc15c2584140fc7e4856c76bbb6e2a09f8e02594
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data.tar.gz: 6db58f0baa3ee206361cffa27e1d9dd3f3c1a82554d24d96a8c302d935fb46408b7405ccd9d6f57c33e453ebe9a83ed29c8b170b38746ade32ceb36b13916e71
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data/CHANGELOG.md
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@@ -5,6 +5,12 @@ 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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# [4.8.0] - 2022-11-09
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### Added
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* Report835Data - extract `claim_adjustments` for Report835Claim
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# [4.7.0] - 2022-09-15
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### Added
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@@ -436,6 +442,7 @@ Added the ability to hit professional claim submission API. For more details, se
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* Authentication
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* Configuration
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[4.8.0]: https://github.com/WeInfuse/change_health/compare/v4.7.0...v4.8.0
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[4.7.0]: https://github.com/WeInfuse/change_health/compare/v4.6.0...v4.7.0
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[4.6.0]: https://github.com/WeInfuse/change_health/compare/v4.5.0...v4.6.0
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[4.5.0]: https://github.com/WeInfuse/change_health/compare/v4.4.0...v4.5.0
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@@ -2,6 +2,7 @@ module ChangeHealth
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module Response
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module Claim
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class Report835Claim < ReportClaim
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property :claim_adjustments, required: false
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property :claim_payment_remark_codes, required: false
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property :claim_status_code, required: false
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property :patient_control_number, required: false
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@@ -79,6 +79,8 @@ module ChangeHealth
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claim_payment_remark_codes_index += 1
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end
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claim_adjustments = adjustments(payment_info['claimAdjustments'])
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service_date_begin = nil
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service_date_end = nil
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service_lines = payment_info['serviceLines']&.map do |service_line|
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@@ -98,23 +100,7 @@ module ChangeHealth
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line_item_provider_payment_amount = service_line.dig('servicePaymentInformation',
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'lineItemProviderPaymentAmount')
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service_adjustments = service_line['serviceAdjustments']
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adjustments = {}
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service_adjustment_index = 1
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while service_adjustment["adjustmentReasonCode#{service_adjustment_index}"]
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adjustment_reason = service_adjustment["adjustmentReasonCode#{service_adjustment_index}"]
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adjustment_amount = service_adjustment["adjustmentAmount#{service_adjustment_index}"]
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adjustments[adjustment_reason] = adjustment_amount
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service_adjustment_index += 1
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end
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-
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claim_adjustment_group_code = service_adjustment['claimAdjustmentGroupCode']
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-
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Report835ServiceAdjustment.new(
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adjustments: adjustments,
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claim_adjustment_group_code: claim_adjustment_group_code
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)
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end
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service_adjustments = adjustments(service_line['serviceAdjustments'])
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health_care_check_remark_codes = service_line['healthCareCheckRemarkCodes']&.map do |health_care_check_remark_code|
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Report835HealthCareCheckRemarkCode.new(
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end
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Report835Claim.new(
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claim_adjustments: claim_adjustments,
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claim_payment_remark_codes: claim_payment_remark_codes,
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claim_status_code: claim_status_code,
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patient_control_number: patient_control_number,
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@@ -176,6 +163,28 @@ module ChangeHealth
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report_payments
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end
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private
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def adjustments(list)
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list&.map do |adjustment|
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adjustments = {}
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service_adjustment_index = 1
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while adjustment["adjustmentReasonCode#{service_adjustment_index}"]
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adjustment_reason = adjustment["adjustmentReasonCode#{service_adjustment_index}"]
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adjustment_amount = adjustment["adjustmentAmount#{service_adjustment_index}"]
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adjustments[adjustment_reason] = adjustment_amount
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service_adjustment_index += 1
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end
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claim_adjustment_group_code = adjustment['claimAdjustmentGroupCode']
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Report835ServiceAdjustment.new(
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adjustments: adjustments,
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claim_adjustment_group_code: claim_adjustment_group_code
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)
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end
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end
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end
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end
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end
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metadata
CHANGED
@@ -1,14 +1,14 @@
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--- !ruby/object:Gem::Specification
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name: change_health
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version: !ruby/object:Gem::Version
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version: 4.
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version: 4.8.0
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platform: ruby
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authors:
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- Mike Crockett
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autorequire:
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bindir: exe
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cert_chain: []
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-
date: 2022-
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date: 2022-11-10 00:00:00.000000000 Z
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dependencies:
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- !ruby/object:Gem::Dependency
|
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name: httparty
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