change_health 5.12.0 → 5.13.0
Sign up to get free protection for your applications and to get access to all the features.
- checksums.yaml +4 -4
- data/CHANGELOG.md +14 -0
- data/lib/change_health/response/claim/report/report_277_data.rb +4 -2
- data/lib/change_health/response/claim/report/report_835_data.rb +8 -5
- data/lib/change_health/response/claim/report/report_835_payment.rb +12 -11
- data/lib/change_health/response/claim/report/report_claim.rb +11 -10
- data/lib/change_health/response/claim/report/report_data.rb +6 -1
- data/lib/change_health/version.rb +1 -1
- metadata +2 -2
checksums.yaml
CHANGED
@@ -1,7 +1,7 @@
|
|
1
1
|
---
|
2
2
|
SHA256:
|
3
|
-
metadata.gz:
|
4
|
-
data.tar.gz:
|
3
|
+
metadata.gz: a2afd60953fdaab441ccf82bcecc024147a7065df20501b41d0cfe223b658682
|
4
|
+
data.tar.gz: fdbcef78612c5a0eb1f88ecd131e6eb158741f09af327483d9c2ab569586de01
|
5
5
|
SHA512:
|
6
|
-
metadata.gz:
|
7
|
-
data.tar.gz:
|
6
|
+
metadata.gz: 56f2e448c14a68c7e9b3389ac6cd2768f0e627c3a436a243cb0838e6005173b57b92024987cfd654204238c48e5729e2c731bd46822361e0b14c316bb4efcc96
|
7
|
+
data.tar.gz: cf7a26b79c1b36b9656329c4420a9c494c384423ffa6e3d40db5defe8fe80d9ec2165fa58f6b275c32db0f0936acef2f34a71802cdb062cc5ffc259050bf363a
|
data/CHANGELOG.md
CHANGED
@@ -5,6 +5,18 @@ All notable changes to this project will be documented in this file.
|
|
5
5
|
The format is based on [Keep a Changelog](http://keepachangelog.com/en/1.0.0/)
|
6
6
|
and this project adheres to [Semantic Versioning](http://semver.org/spec/v2.0.0.html).
|
7
7
|
|
8
|
+
# [5.13.0] - 2024-05-13
|
9
|
+
|
10
|
+
### Added
|
11
|
+
|
12
|
+
* Grab "id" per transaction for ChangeHealth::Response::Claim::Report835Claim, ChangeHealth::Response::Claim::Report835Payment, and ChangeHealth::Response::Claim::Report277Claim
|
13
|
+
|
14
|
+
# [5.12.1] - 2024-05-10
|
15
|
+
|
16
|
+
### Fixed
|
17
|
+
|
18
|
+
* For ChangeHealth::Response::Claim::ReportData, if multiple json values can be used to find a value, it will now use other json values if the first choice is empty but not nil like `""`
|
19
|
+
|
8
20
|
# [5.12.0] - 2024-04-26
|
9
21
|
|
10
22
|
### Added
|
@@ -656,6 +668,8 @@ Added the ability to hit professional claim submission API. For more details, se
|
|
656
668
|
* Authentication
|
657
669
|
* Configuration
|
658
670
|
|
671
|
+
[5.13.0]: https://github.com/WeInfuse/change_health/compare/v5.12.1...v5.13.0
|
672
|
+
[5.12.1]: https://github.com/WeInfuse/change_health/compare/v5.12.0...v5.12.1
|
659
673
|
[5.12.0]: https://github.com/WeInfuse/change_health/compare/v5.11.0...v5.12.0
|
660
674
|
[5.11.0]: https://github.com/WeInfuse/change_health/compare/v5.10.0...v5.11.0
|
661
675
|
[5.10.0]: https://github.com/WeInfuse/change_health/compare/v5.9.0...v5.10.0
|
@@ -20,6 +20,7 @@ module ChangeHealth
|
|
20
20
|
report_claims = []
|
21
21
|
|
22
22
|
transactions&.each do |transaction|
|
23
|
+
id = transaction.dig('id')
|
23
24
|
report_creation_date = ChangeHealth::Models::PARSE_DATE.call(transaction['transactionSetCreationDate'])
|
24
25
|
transaction['payers']&.each do |payer|
|
25
26
|
payer_identification = payer['payerIdentification']
|
@@ -44,8 +45,8 @@ module ChangeHealth
|
|
44
45
|
referenced_transaction_trace_number = claim_status['referencedTransactionTraceNumber']
|
45
46
|
trading_partner_claim_number = claim_status['tradingPartnerClaimNumber']
|
46
47
|
|
47
|
-
service_date_begin = ChangeHealth::Models::PARSE_DATE.call(claim_status['claimServiceBeginDate'] || claim_status['claimServiceDate'])
|
48
|
-
service_date_end = ChangeHealth::Models::PARSE_DATE.call(claim_status['claimServiceEndDate'] || claim_status['claimServiceDate'])
|
48
|
+
service_date_begin = ChangeHealth::Models::PARSE_DATE.call(presence(claim_status['claimServiceBeginDate']) || presence(claim_status['claimServiceDate']))
|
49
|
+
service_date_end = ChangeHealth::Models::PARSE_DATE.call(presence(claim_status['claimServiceEndDate']) || presence(claim_status['claimServiceDate']))
|
49
50
|
|
50
51
|
info_claim_statuses = []
|
51
52
|
claim_status['informationClaimStatuses']&.each do |info_claim_status|
|
@@ -67,6 +68,7 @@ module ChangeHealth
|
|
67
68
|
end
|
68
69
|
report_claims << Report277Claim.new(
|
69
70
|
clearinghouse_trace_number: clearinghouse_trace_number,
|
71
|
+
id: id,
|
70
72
|
info_claim_statuses: info_claim_statuses,
|
71
73
|
patient_account_number: patient_account_number,
|
72
74
|
patient_first_name: patient_first_name,
|
@@ -28,6 +28,7 @@ module ChangeHealth
|
|
28
28
|
report_payments = []
|
29
29
|
|
30
30
|
transactions&.each do |transaction|
|
31
|
+
id = transaction.dig('id')
|
31
32
|
check_or_eft_trace_number = transaction.dig('paymentAndRemitReassociationDetails', 'checkOrEFTTraceNumber')
|
32
33
|
check_issue_or_eft_effective_date =
|
33
34
|
ChangeHealth::Models::PARSE_DATE.call(
|
@@ -62,13 +63,13 @@ module ChangeHealth
|
|
62
63
|
patient_first_name = payment_info.dig('patientName', 'firstName')
|
63
64
|
patient_last_name = payment_info.dig('patientName', 'lastName')
|
64
65
|
patient_member_id =
|
65
|
-
payment_info.dig('patientName', 'memberId') ||
|
66
|
-
payment_info.dig('subscriber', 'memberId')
|
66
|
+
presence(payment_info.dig('patientName', 'memberId')) ||
|
67
|
+
presence(payment_info.dig('subscriber', 'memberId'))
|
67
68
|
payer_claim_control_number = payment_info.dig('claimPaymentInfo', 'payerClaimControlNumber')
|
68
69
|
service_provider_npi =
|
69
|
-
payment_info.dig('renderingProvider', 'npi') ||
|
70
|
-
detail_info.dig('providerSummaryInformation', 'providerIdentifier') ||
|
71
|
-
transaction.dig('payee', 'npi')
|
70
|
+
presence(payment_info.dig('renderingProvider', 'npi')) ||
|
71
|
+
presence(detail_info.dig('providerSummaryInformation', 'providerIdentifier')) ||
|
72
|
+
presence(transaction.dig('payee', 'npi'))
|
72
73
|
total_charge_amount = payment_info.dig('claimPaymentInfo', 'totalClaimChargeAmount')
|
73
74
|
|
74
75
|
claim_payment_remark_codes = []
|
@@ -131,6 +132,7 @@ module ChangeHealth
|
|
131
132
|
claim_payment_amount: claim_payment_amount,
|
132
133
|
claim_payment_remark_codes: claim_payment_remark_codes,
|
133
134
|
claim_status_code: claim_status_code,
|
135
|
+
id: id,
|
134
136
|
patient_control_number: patient_control_number,
|
135
137
|
patient_first_name: patient_first_name,
|
136
138
|
patient_last_name: patient_last_name,
|
@@ -152,6 +154,7 @@ module ChangeHealth
|
|
152
154
|
check_issue_or_eft_effective_date: check_issue_or_eft_effective_date,
|
153
155
|
check_or_eft_trace_number: check_or_eft_trace_number,
|
154
156
|
claims: claims,
|
157
|
+
id: id,
|
155
158
|
payer_identifier: payer_identifier,
|
156
159
|
payer_name: payer_name,
|
157
160
|
payer_address: payer_address,
|
@@ -2,17 +2,18 @@ module ChangeHealth
|
|
2
2
|
module Response
|
3
3
|
module Claim
|
4
4
|
class Report835Payment < Hashie::Trash
|
5
|
-
property :check_issue_or_eft_effective_date
|
6
|
-
property :check_or_eft_trace_number
|
7
|
-
property :claims
|
8
|
-
property :
|
9
|
-
property :
|
10
|
-
property :
|
11
|
-
property :
|
12
|
-
property :
|
13
|
-
property :
|
14
|
-
property :
|
15
|
-
property :
|
5
|
+
property :check_issue_or_eft_effective_date
|
6
|
+
property :check_or_eft_trace_number
|
7
|
+
property :claims
|
8
|
+
property :id
|
9
|
+
property :payer_identifier
|
10
|
+
property :payer_name
|
11
|
+
property :payment_method_code
|
12
|
+
property :payer_address
|
13
|
+
property :provider_adjustments
|
14
|
+
property :report_creation_date
|
15
|
+
property :report_name
|
16
|
+
property :total_actual_provider_payment_amount
|
16
17
|
end
|
17
18
|
end
|
18
19
|
end
|
@@ -2,16 +2,17 @@ module ChangeHealth
|
|
2
2
|
module Response
|
3
3
|
module Claim
|
4
4
|
class ReportClaim < Hashie::Trash
|
5
|
-
property :
|
6
|
-
property :
|
7
|
-
property :
|
8
|
-
property :
|
9
|
-
property :
|
10
|
-
property :
|
11
|
-
property :
|
12
|
-
property :
|
13
|
-
property :
|
14
|
-
property :
|
5
|
+
property :id
|
6
|
+
property :patient_first_name
|
7
|
+
property :patient_last_name
|
8
|
+
property :patient_member_id
|
9
|
+
property :payer_identification
|
10
|
+
property :payer_name
|
11
|
+
property :report_creation_date
|
12
|
+
property :report_name
|
13
|
+
property :service_date_begin
|
14
|
+
property :service_date_end
|
15
|
+
property :service_provider_npi
|
15
16
|
end
|
16
17
|
end
|
17
18
|
end
|
@@ -3,7 +3,7 @@ module ChangeHealth
|
|
3
3
|
module Claim
|
4
4
|
class ReportData < ChangeHealth::Response::ResponseData
|
5
5
|
attr_reader :report_name, :json
|
6
|
-
|
6
|
+
alias json? json
|
7
7
|
|
8
8
|
def initialize(report_name, json, data: nil, response: nil)
|
9
9
|
super(data: data, response: response)
|
@@ -39,6 +39,11 @@ module ChangeHealth
|
|
39
39
|
def self.is_835?(report_name)
|
40
40
|
report_name.start_with?('R5')
|
41
41
|
end
|
42
|
+
|
43
|
+
# Ripped from rails Object#presence method
|
44
|
+
def presence(obj)
|
45
|
+
obj unless obj.respond_to?(:empty?) ? !!obj.empty? : !obj
|
46
|
+
end
|
42
47
|
end
|
43
48
|
end
|
44
49
|
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: 5.
|
4
|
+
version: 5.13.0
|
5
5
|
platform: ruby
|
6
6
|
authors:
|
7
7
|
- Mike Crockett
|
8
8
|
autorequire:
|
9
9
|
bindir: exe
|
10
10
|
cert_chain: []
|
11
|
-
date: 2024-
|
11
|
+
date: 2024-05-14 00:00:00.000000000 Z
|
12
12
|
dependencies:
|
13
13
|
- !ruby/object:Gem::Dependency
|
14
14
|
name: httparty
|