change_health 5.12.1 → 5.13.1

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data/CHANGELOG.md CHANGED
@@ -5,6 +5,21 @@ All notable changes to this project will be documented in this file.
5
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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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7
 
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+ # [5.13.1] - 2024-05-15
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+
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+ ### Fixed
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+
12
+ * For ChangeHealth::Response::Claim::Report835Data, the following lists of values will now ignore empty "" in the json
13
+ - claim_payment_remark_codes
14
+ - claim_adjustments
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+ - service_adjustments
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+
17
+ # [5.13.0] - 2024-05-13
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+
19
+ ### Added
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+
21
+ * Grab "id" per transaction for ChangeHealth::Response::Claim::Report835Claim, ChangeHealth::Response::Claim::Report835Payment, and ChangeHealth::Response::Claim::Report277Claim
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+
8
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  # [5.12.1] - 2024-05-10
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10
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  ### Fixed
@@ -662,6 +677,8 @@ Added the ability to hit professional claim submission API. For more details, se
662
677
  * Authentication
663
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  * Configuration
664
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+ [5.13.1]: https://github.com/WeInfuse/change_health/compare/v5.13.0...v5.13.1
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+ [5.13.0]: https://github.com/WeInfuse/change_health/compare/v5.12.1...v5.13.0
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  [5.12.1]: https://github.com/WeInfuse/change_health/compare/v5.12.0...v5.12.1
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  [5.12.0]: https://github.com/WeInfuse/change_health/compare/v5.11.0...v5.12.0
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  [5.11.0]: https://github.com/WeInfuse/change_health/compare/v5.10.0...v5.11.0
@@ -20,6 +20,7 @@ module ChangeHealth
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  report_claims = []
21
21
 
22
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  transactions&.each do |transaction|
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+ id = transaction.dig('id')
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  report_creation_date = ChangeHealth::Models::PARSE_DATE.call(transaction['transactionSetCreationDate'])
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  transaction['payers']&.each do |payer|
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  payer_identification = payer['payerIdentification']
@@ -67,6 +68,7 @@ module ChangeHealth
67
68
  end
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  report_claims << Report277Claim.new(
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  clearinghouse_trace_number: clearinghouse_trace_number,
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+ id: id,
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  info_claim_statuses: info_claim_statuses,
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  patient_account_number: patient_account_number,
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  patient_first_name: patient_first_name,
@@ -28,6 +28,7 @@ module ChangeHealth
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  report_payments = []
29
29
 
30
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  transactions&.each do |transaction|
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+ id = transaction.dig('id')
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  check_or_eft_trace_number = transaction.dig('paymentAndRemitReassociationDetails', 'checkOrEFTTraceNumber')
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  check_issue_or_eft_effective_date =
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  ChangeHealth::Models::PARSE_DATE.call(
@@ -73,10 +74,16 @@ module ChangeHealth
73
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74
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  claim_payment_remark_codes = []
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  claim_payment_remark_codes_index = 1
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- while payment_info.dig('outpatientAdjudication',
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- "claimPaymentRemarkCode#{claim_payment_remark_codes_index}")
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- claim_payment_remark_codes << payment_info.dig('outpatientAdjudication',
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- "claimPaymentRemarkCode#{claim_payment_remark_codes_index}")
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+
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+ loop do
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+ current_claim_payment_remark_code = payment_info
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+ .dig(
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+ 'outpatientAdjudication',
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+ "claimPaymentRemarkCode#{claim_payment_remark_codes_index}"
83
+ )
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+ break unless presence(current_claim_payment_remark_code)
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+
86
+ claim_payment_remark_codes << current_claim_payment_remark_code
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87
  claim_payment_remark_codes_index += 1
81
88
  end
82
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@@ -131,6 +138,7 @@ module ChangeHealth
131
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  claim_payment_amount: claim_payment_amount,
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  claim_payment_remark_codes: claim_payment_remark_codes,
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  claim_status_code: claim_status_code,
141
+ id: id,
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  patient_control_number: patient_control_number,
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  patient_first_name: patient_first_name,
136
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  patient_last_name: patient_last_name,
@@ -152,6 +160,7 @@ module ChangeHealth
152
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  check_issue_or_eft_effective_date: check_issue_or_eft_effective_date,
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  check_or_eft_trace_number: check_or_eft_trace_number,
154
162
  claims: claims,
163
+ id: id,
155
164
  payer_identifier: payer_identifier,
156
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  payer_name: payer_name,
157
166
  payer_address: payer_address,
@@ -171,12 +180,14 @@ module ChangeHealth
171
180
  def adjustments(list)
172
181
  list&.map do |adjustment|
173
182
  adjustments = {}
174
- service_adjustment_index = 1
175
- while adjustment["adjustmentReasonCode#{service_adjustment_index}"]
176
- adjustment_reason = adjustment["adjustmentReasonCode#{service_adjustment_index}"]
177
- adjustment_amount = adjustment["adjustmentAmount#{service_adjustment_index}"]
178
- adjustments[adjustment_reason] = adjustment_amount
179
- service_adjustment_index += 1
183
+ adjustment_index = 1
184
+ loop do
185
+ current_adjustment_reason = adjustment["adjustmentReasonCode#{adjustment_index}"]
186
+ break unless presence(current_adjustment_reason)
187
+
188
+ adjustment_amount = adjustment["adjustmentAmount#{adjustment_index}"]
189
+ adjustments[current_adjustment_reason] = adjustment_amount
190
+ adjustment_index += 1
180
191
  end
181
192
 
182
193
  claim_adjustment_group_code = adjustment['claimAdjustmentGroupCode']
@@ -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, required: false
6
- property :check_or_eft_trace_number, required: false
7
- property :claims, required: false
8
- property :payer_identifier, required: false
9
- property :payer_name, required: false
10
- property :payment_method_code, required: false
11
- property :payer_address, required: false
12
- property :provider_adjustments, required: false
13
- property :report_creation_date, required: false
14
- property :report_name, required: false
15
- property :total_actual_provider_payment_amount, required: false
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 :patient_first_name, required: false
6
- property :patient_last_name, required: false
7
- property :patient_member_id, required: false
8
- property :payer_identification, required: false
9
- property :payer_name, required: false
10
- property :report_creation_date, required: false
11
- property :report_name, required: false
12
- property :service_date_begin, required: false
13
- property :service_date_end, required: false
14
- property :service_provider_npi, required: false
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
@@ -1,3 +1,3 @@
1
1
  module ChangeHealth
2
- VERSION = '5.12.1'.freeze
2
+ VERSION = '5.13.1'.freeze
3
3
  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: 5.12.1
4
+ version: 5.13.1
5
5
  platform: ruby
6
6
  authors:
7
7
  - Mike Crockett
8
8
  autorequire:
9
9
  bindir: exe
10
10
  cert_chain: []
11
- date: 2024-05-10 00:00:00.000000000 Z
11
+ date: 2024-05-15 00:00:00.000000000 Z
12
12
  dependencies:
13
13
  - !ruby/object:Gem::Dependency
14
14
  name: httparty