change_health 4.7.0 → 4.9.0

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

@@ -5,6 +5,18 @@ All notable changes to this project will be documented in this file.
 The format is based on [Keep a Changelog](http://keepachangelog.com/en/1.0.0/)
 and this project adheres to [Semantic Versioning](http://semver.org/spec/v2.0.0.html).
 
+# [4.9.0] - 2022-11-11
+
+### Added
+
+* Report835Data - extract `claim_payment_amount` for Report835Claim
+
+# [4.8.0] - 2022-11-09
+
+### Added
+
+* Report835Data - extract `claim_adjustments` for Report835Claim
+
 # [4.7.0] - 2022-09-15
 
 ### Added
@@ -436,6 +448,8 @@ Added the ability to hit professional claim submission API. For more details, se
 * Authentication
 * Configuration
 
+[4.8.0]: https://github.com/WeInfuse/change_health/compare/v4.8.0...v4.9.0
+[4.8.0]: https://github.com/WeInfuse/change_health/compare/v4.7.0...v4.8.0
 [4.7.0]: https://github.com/WeInfuse/change_health/compare/v4.6.0...v4.7.0
 [4.6.0]: https://github.com/WeInfuse/change_health/compare/v4.5.0...v4.6.0
 [4.5.0]: https://github.com/WeInfuse/change_health/compare/v4.4.0...v4.5.0

data/lib/change_health/response/claim/report/report_835_claim.rb

@@ -2,6 +2,8 @@ module ChangeHealth
   module Response
     module Claim
       class Report835Claim < ReportClaim
+        property :claim_adjustments, required: false
+        property :claim_payment_amount, required: false
         property :claim_payment_remark_codes, required: false
         property :claim_status_code, required: false
         property :patient_control_number, required: false

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

@@ -56,6 +56,7 @@ module ChangeHealth
               transaction.dig('financialInformation', 'totalActualProviderPaymentAmount')
             claims = transaction['detailInfo']&.flat_map do |detail_info|
               detail_info['paymentInfo']&.map do |payment_info|
+                claim_payment_amount = payment_info.dig('claimPaymentInfo', 'claimPaymentAmount')
                 claim_status_code = payment_info.dig('claimPaymentInfo', 'claimStatusCode')
                 patient_control_number = payment_info.dig('claimPaymentInfo', 'patientControlNumber')
                 patient_first_name = payment_info.dig('patientName', 'firstName')
@@ -79,6 +80,8 @@ module ChangeHealth
                   claim_payment_remark_codes_index += 1
                 end
 
+                claim_adjustments = adjustments(payment_info['claimAdjustments'])
+
                 service_date_begin = nil
                 service_date_end = nil
                 service_lines = payment_info['serviceLines']&.map do |service_line|
@@ -98,23 +101,7 @@ module ChangeHealth
                   line_item_provider_payment_amount = service_line.dig('servicePaymentInformation',
                                                                        'lineItemProviderPaymentAmount')
 
-                  service_adjustments = service_line['serviceAdjustments']&.map do |service_adjustment|
-                    adjustments = {}
-                    service_adjustment_index = 1
-                    while service_adjustment["adjustmentReasonCode#{service_adjustment_index}"]
-                      adjustment_reason = service_adjustment["adjustmentReasonCode#{service_adjustment_index}"]
-                      adjustment_amount = service_adjustment["adjustmentAmount#{service_adjustment_index}"]
-                      adjustments[adjustment_reason] = adjustment_amount
-                      service_adjustment_index += 1
-                    end
-
-                    claim_adjustment_group_code = service_adjustment['claimAdjustmentGroupCode']
-
-                    Report835ServiceAdjustment.new(
-                      adjustments: adjustments,
-                      claim_adjustment_group_code: claim_adjustment_group_code
-                    )
-                  end
+                  service_adjustments = adjustments(service_line['serviceAdjustments'])
 
                   health_care_check_remark_codes = service_line['healthCareCheckRemarkCodes']&.map do |health_care_check_remark_code|
                     Report835HealthCareCheckRemarkCode.new(
@@ -140,6 +127,8 @@ module ChangeHealth
                 end
 
                 Report835Claim.new(
+                  claim_adjustments: claim_adjustments,
+                  claim_payment_amount: claim_payment_amount,
                   claim_payment_remark_codes: claim_payment_remark_codes,
                   claim_status_code: claim_status_code,
                   patient_control_number: patient_control_number,
@@ -176,6 +165,28 @@ module ChangeHealth
 
           report_payments
         end
+
+        private
+
+        def adjustments(list)
+          list&.map do |adjustment|
+            adjustments = {}
+            service_adjustment_index = 1
+            while adjustment["adjustmentReasonCode#{service_adjustment_index}"]
+              adjustment_reason = adjustment["adjustmentReasonCode#{service_adjustment_index}"]
+              adjustment_amount = adjustment["adjustmentAmount#{service_adjustment_index}"]
+              adjustments[adjustment_reason] = adjustment_amount
+              service_adjustment_index += 1
+            end
+
+            claim_adjustment_group_code = adjustment['claimAdjustmentGroupCode']
+
+            Report835ServiceAdjustment.new(
+              adjustments: adjustments,
+              claim_adjustment_group_code: claim_adjustment_group_code
+            )
+          end
+        end
       end
     end
   end

data/lib/change_health/version.rb

@@ -1,3 +1,3 @@
 module ChangeHealth
-  VERSION = '4.7.0'.freeze
+  VERSION = '4.9.0'.freeze
 end

metadata

@@ -1,14 +1,14 @@
 --- !ruby/object:Gem::Specification
 name: change_health
 version: !ruby/object:Gem::Version
-  version: 4.7.0
+  version: 4.9.0
 platform: ruby
 authors:
 - Mike Crockett
 autorequire: 
 bindir: exe
 cert_chain: []
-date: 2022-09-15 00:00:00.000000000 Z
+date: 2022-11-11 00:00:00.000000000 Z
 dependencies:
 - !ruby/object:Gem::Dependency
   name: httparty