change_health 5.13.1 → 5.13.3

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data/CHANGELOG.md

@@ -5,6 +5,21 @@ 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).
 
+# [5.13.3] - 2024-05-20
+
+### Fixed
+
+* Grab "id" per claim for ChangeHealth::Response::Claim::Report835Claim INSTEAD of per transaction. B/c each transaction is a payment, not a claim
+
+# [5.13.2] - 2024-05-16
+
+### Fixed
+
+* For ChangeHealth::Response::Claim::Report835Data, the following lists of values will now ignore empty "" in the json, even if the WHOLE field is empty
+- claim_payment_remark_codes
+- claim_adjustments
+- service_adjustments
+
 # [5.13.1] - 2024-05-15
 
 ### Fixed
@@ -677,6 +692,8 @@ Added the ability to hit professional claim submission API. For more details, se
 * Authentication
 * Configuration
 
+[5.13.3]: https://github.com/WeInfuse/change_health/compare/v5.13.2...v5.13.3
+[5.13.2]: https://github.com/WeInfuse/change_health/compare/v5.13.1...v5.13.2
 [5.13.1]: https://github.com/WeInfuse/change_health/compare/v5.13.0...v5.13.1
 [5.13.0]: https://github.com/WeInfuse/change_health/compare/v5.12.1...v5.13.0
 [5.12.1]: https://github.com/WeInfuse/change_health/compare/v5.12.0...v5.12.1

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

@@ -28,7 +28,7 @@ module ChangeHealth
           report_payments = []
 
           transactions&.each do |transaction|
-            id = transaction.dig('id')
+            payment_id = transaction.dig('id')
             check_or_eft_trace_number = transaction.dig('paymentAndRemitReassociationDetails', 'checkOrEFTTraceNumber')
             check_issue_or_eft_effective_date =
               ChangeHealth::Models::PARSE_DATE.call(
@@ -56,6 +56,7 @@ module ChangeHealth
             total_actual_provider_payment_amount =
               transaction.dig('financialInformation', 'totalActualProviderPaymentAmount')
             claims = transaction['detailInfo']&.flat_map do |detail_info|
+              claim_id = detail_info.dig('id')
               detail_info['paymentInfo']&.map do |payment_info|
                 claim_payment_amount = payment_info.dig('claimPaymentInfo', 'claimPaymentAmount')
                 claim_status_code = payment_info.dig('claimPaymentInfo', 'claimStatusCode')
@@ -110,13 +111,16 @@ module ChangeHealth
 
                   service_adjustments = adjustments(service_line['serviceAdjustments'])
 
-                  health_care_check_remark_codes = service_line['healthCareCheckRemarkCodes']&.map do |health_care_check_remark_code|
+                  health_care_check_remark_codes = presence(service_line['healthCareCheckRemarkCodes']&.filter_map do |health_care_check_remark_code|
+                    remark_code = health_care_check_remark_code['remarkCode']
+                    next unless presence(remark_code)
+
                     Report835HealthCareCheckRemarkCode.new(
                       code_list_qualifier_code: health_care_check_remark_code['codeListQualifierCode'],
                       code_list_qualifier_code_value: health_care_check_remark_code['codeListQualifierCodeValue'],
-                      remark_code: health_care_check_remark_code['remarkCode']
+                      remark_code: remark_code
                     )
-                  end
+                  end)
 
                   Report835ServiceLine.new(
                     adjudicated_procedure_code: adjudicated_procedure_code,
@@ -138,7 +142,7 @@ module ChangeHealth
                   claim_payment_amount: claim_payment_amount,
                   claim_payment_remark_codes: claim_payment_remark_codes,
                   claim_status_code: claim_status_code,
-                  id: id,
+                  id: claim_id,
                   patient_control_number: patient_control_number,
                   patient_first_name: patient_first_name,
                   patient_last_name: patient_last_name,
@@ -160,7 +164,7 @@ module ChangeHealth
               check_issue_or_eft_effective_date: check_issue_or_eft_effective_date,
               check_or_eft_trace_number: check_or_eft_trace_number,
               claims: claims,
-              id: id,
+              id: payment_id,
               payer_identifier: payer_identifier,
               payer_name: payer_name,
               payer_address: payer_address,
@@ -178,7 +182,7 @@ module ChangeHealth
         private
 
         def adjustments(list)
-          list&.map do |adjustment|
+          presence(list&.filter_map do |adjustment|
             adjustments = {}
             adjustment_index = 1
             loop do
@@ -192,11 +196,13 @@ module ChangeHealth
 
             claim_adjustment_group_code = adjustment['claimAdjustmentGroupCode']
 
-            Report835ServiceAdjustment.new(
-              adjustments: adjustments,
-              claim_adjustment_group_code: claim_adjustment_group_code
-            )
-          end
+            if presence(adjustments)
+              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 = '5.13.1'.freeze
+  VERSION = '5.13.3'.freeze
 end

metadata

@@ -1,14 +1,14 @@
 --- !ruby/object:Gem::Specification
 name: change_health
 version: !ruby/object:Gem::Version
-  version: 5.13.1
+  version: 5.13.3
 platform: ruby
 authors:
 - Mike Crockett
 autorequire: 
 bindir: exe
 cert_chain: []
-date: 2024-05-15 00:00:00.000000000 Z
+date: 2024-05-20 00:00:00.000000000 Z
 dependencies:
 - !ruby/object:Gem::Dependency
   name: httparty