change_health 0.3.0 → 0.4.0

checksums.yaml

@@ -1,7 +1,7 @@
 ---
 SHA256:
-  metadata.gz: 885bb7a5c9be915a2c51cc63d4b45a5eb013cc3a17f78571d0570eda35e905a6
-  data.tar.gz: b6b749cf7b8163c5a1dfd2e5342346bb5b8f3f80dc464c55c288cfcf394dc881
+  metadata.gz: b0b56067f1d8d9ab3e54a1918670934f56817700335fe0f5ba91ddd20909532a
+  data.tar.gz: 21f21c91f3e6cd84b3bad13f76f149f809a52b0cb3e9ff548e92617aa5fb28b0
 SHA512:
-  metadata.gz: d58a5992be29a372fc36fb718339f8bb54110337e90aaf908ecff6ad33ace0cdb97c140b7e3d313f6f2acfd668887248df0a93da054a1bb566cc7715accd1fd2
-  data.tar.gz: 14640d35e70012d1cb9ee8d5e7030d037e7fdae646b93be1cdf4a0610f701c7cbceaf5884aadc5f1ef4693ca2aff4802b5334a7c921ced6b12b568689c5ee96d
+  metadata.gz: 3720601af15b1053cb84df0eac6616dd594e02a62527f80e1650b4229ba26696fb5a34fd8b3f594d6b90e35350dc41c4924513b954386fceacd387f7020ce1f6
+  data.tar.gz: 0f687ea7cdd9a6b9d06ea5fd9f8543626ffc74e7d934e142711f6004cb68f94f5362ef51058be83129ee528df66d23927e0501b4880c33b74afde930aee7a31c

data/CHANGELOG.md

@@ -4,8 +4,12 @@ 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).
 
-## [0.4.0] - [UNRELEASED]
+## [0.4.0] - [2020-03-10]
 ### Added
+- EligibilityBenefit(s) Deductible information
+- EligibilityBenefit(s) Employee information
+- EligibilityData plan date information
+- EligibilityData eligibility, plan and service date helpers on date info
 
 ## [0.3.0] - [2020-03-09]
 ### Added
@@ -29,7 +33,7 @@ and this project adheres to [Semantic Versioning](http://semver.org/spec/v2.0.0.
 - Authentication
 - Configuration
 
-[0.4.0]: https://github.com/WeInfuse/change_health/compare/v0.3.0...HEAD
+[0.4.0]: https://github.com/WeInfuse/change_health/compare/v0.3.0...v0.4.0
 [0.3.0]: https://github.com/WeInfuse/change_health/compare/v0.2.0...v0.3.0
 [0.2.0]: https://github.com/WeInfuse/change_health/compare/v0.1.0...v0.2.0
 [0.1.0]: https://github.com/WeInfuse/change_health/compare/v0.1.0

data/lib/change_health/models/eligibility_benefit.rb

@@ -1,5 +1,81 @@
 module ChangeHealth
   module Models
+    class EligibilityBenefit < Hash
+      include Hashie::Extensions::MergeInitializer
+      include Hashie::Extensions::IndifferentAccess
+
+      OUT_OF_POCKET = 'G'
+      COPAYMENT     = 'B'
+      COINSURANCE   = 'A'
+      NON_COVERED   = 'I'
+      DEDUCTIBLE    = 'C'
+
+      INDIVIDUAL    = 'IND'
+      CHILD         = 'CHD'
+      EMPLOYEE      = 'EMP'
+
+      VISIT         = '27'
+      YEAR          = '23'
+      REMAINING     = '29'
+
+      CODES = {
+        out_of_pocket: OUT_OF_POCKET,
+        copayment: COPAYMENT,
+        coinsurance: COINSURANCE,
+        non_covered: NON_COVERED,
+        deductible: DEDUCTIBLE
+      }
+      COVERAGES = {
+        individual: INDIVIDUAL,
+        child: CHILD,
+        employee: EMPLOYEE
+      }
+      TIMEFRAMES = {
+        visit: VISIT,
+        year: YEAR,
+        remaining: REMAINING
+      }
+      HELPERS = {
+        timeQualifierCode: TIMEFRAMES,
+        coverageLevelCode: COVERAGES,
+        code: CODES
+      }
+        
+      HELPERS.each do |key, types|
+        types.each do |method, value|
+          define_method("#{method}?") do
+            value == self[key]
+          end
+        end
+      end
+
+      %w(benefitAmount benefitPercent).each do |amount_method|
+        define_method("#{amount_method}") do
+          format_amount(amount_method)
+        end
+      end
+
+      def in_plan_network?
+        return 'Y' == self[:inPlanNetworkIndicatorCode]
+      end
+      alias_method :in_plan?, :in_plan_network?
+      alias_method :in_network?, :in_plan_network?
+
+      def amount
+        self.coinsurance? ? self.benefitPercent : self.benefitAmount
+      end
+
+      def services 
+        self['serviceTypeCodes']&.each_with_index&.map {|stc, i| [stc, self['serviceTypes']&.at(i)]} || []
+      end
+
+      private
+      def format_amount(key)
+        amt = self[key]
+        amt = amt.to_f unless amt.nil?
+      end
+    end
+
     class EligibilityBenefits < Array
       def initialize(benefits)
         super(benefits.map {|benefit| ChangeHealth::Models::EligibilityBenefit.new(benefit) })
@@ -13,23 +89,15 @@ module ChangeHealth
         self.find {|benefit| kwargs.all? {|k,v| benefit[k].is_a?(Array) ? benefit[k].include?(v) : v == benefit[k] } }
       end
 
-      def individual
-        self.where(coverageLevelCode: ChangeHealth::Models::EligibilityBenefit::INDIVIDUAL)
-      end
-
       def in_network
         self.where(inPlanNetworkIndicatorCode: 'Y')
       end
 
-      %w(visit year remaining).each do |method|
-        define_method("#{method}s") do
-          self.where(timeQualifierCode: Object.const_get("ChangeHealth::Models::EligibilityBenefit::#{method.upcase}"))
-        end
-      end
-
-      %w(out_of_pocket copayment coinsurance).each do |method|
-        define_method("#{method}s") do
-          self.where(code: Object.const_get("ChangeHealth::Models::EligibilityBenefit::#{method.upcase}"))
+      ChangeHealth::Models::EligibilityBenefit::HELPERS.each do |key, types|
+        types.each do |method, value|
+          define_method("#{method}s") do
+            self.where(key => value)
+          end
         end
       end
 
@@ -49,11 +117,22 @@ module ChangeHealth
         self.individual.out_of_pockets.years.where(kwargs).first
       end
 
+      def individual_deductible_remaining(**kwargs)
+        self.individual.deductibles.remainings.where(kwargs).first
+      end
+
+      def individual_deductible_total(**kwargs)
+        self.individual.deductibles.years.where(kwargs).first
+      end
+
       alias_method :oops, :out_of_pockets
       alias_method :copays, :copayments
       alias_method :individual_copay_visit, :individual_copayment_visit
       alias_method :individual_oop_remaining, :individual_out_of_pocket_remaining
       alias_method :individual_oop_total, :individual_out_of_pocket_total
+      alias_method :individual, :individuals
+      alias_method :employee, :employees
+      alias_method :child, :childs
 
       private
       def benefit_matches?(benefit, k, v)
@@ -72,66 +151,5 @@ module ChangeHealth
         end
       end
     end
-
-    class EligibilityBenefit < Hash
-      include Hashie::Extensions::MergeInitializer
-      include Hashie::Extensions::IndifferentAccess
-
-      OUT_OF_POCKET = 'G'
-      COPAYMENT     = 'B'
-      COINSURANCE   = 'A'
-      NON_COVERED   = 'I'
-
-      INDIVIDUAL    = 'IND'
-      CHILD         = 'CHD'
-
-      VISIT         = '27'
-      YEAR          = '23'
-      REMAINING     = '29'
-
-      %w(individual child).each do |coverage_level|
-        define_method("#{coverage_level}?") do
-          Object.const_get("ChangeHealth::Models::EligibilityBenefit::#{coverage_level.upcase}") == self['coverageLevelCode']
-        end
-      end
-
-      %w(visit year remaining).each do |time_qualifier|
-        define_method("#{time_qualifier}?") do
-          Object.const_get("ChangeHealth::Models::EligibilityBenefit::#{time_qualifier.upcase}") == self['timeQualifier']
-        end
-      end
-
-      %w(out_of_pocket copayment coinsurance non_covered).each do |type|
-        define_method("#{type}?") do
-          Object.const_get("ChangeHealth::Models::EligibilityBenefit::#{type.upcase}") == self['code']
-        end
-      end
-
-      %w(benefitAmount benefitPercent).each do |amount_method|
-        define_method("#{amount_method}") do
-          format_amount(amount_method)
-        end
-      end
-
-      def in_plan_network?
-        return 'Y' == self[:inPlanNetworkIndicatorCode]
-      end
-      alias_method :in_plan?, :in_plan_network?
-      alias_method :in_network?, :in_plan_network?
-
-      def amount
-        self.coinsurance? ? self.benefitPercent : self.benefitAmount
-      end
-
-      def services 
-        self['serviceTypeCodes']&.each_with_index&.map {|stc, i| [stc, self['serviceTypes']&.at(i)]} || []
-      end
-
-      private
-      def format_amount(key)
-        amt = self[key]
-        amt = amt.to_f unless amt.nil?
-      end
-    end
   end
 end

data/lib/change_health/models/eligibility_data.rb

@@ -19,12 +19,25 @@ module ChangeHealth
         return '1' == plan_status(service_code: service_code).dig('statusCode')
       end
 
-      %w(planStatus benefitsInformation controlNumber).each do |v|
+      %w(planStatus benefitsInformation controlNumber planDateInformation).each do |v|
         define_method(v) do
           @raw.dig(v)
         end
       end
 
+      %w(eligibilityBegin planBegin service).each do |f|
+        define_method(f) do
+          d = self.date_info&.dig(f)
+
+          begin
+            d = Date.strptime(d, ChangeHealth::Models::DATE_FORMAT)
+          rescue
+          end
+
+          return d
+        end
+      end
+
       def plan_status(service_code: )
         self.planStatus&.find {|plan| plan.dig('serviceTypeCodes').include?(service_code) } || {}
       end
@@ -36,6 +49,10 @@ module ChangeHealth
       alias_method :control_number, :controlNumber
       alias_method :benefits_information, :benefitsInformation
       alias_method :plan_statuses, :planStatus
+      alias_method :date_info, :planDateInformation
+      alias_method :eligibility_begin_date, :eligibilityBegin
+      alias_method :plan_begin_date, :planBegin
+      alias_method :service_date, :service
     end
   end
 end

data/lib/change_health/version.rb

@@ -1,3 +1,3 @@
 module ChangeHealth
-  VERSION = '0.3.0'.freeze
+  VERSION = '0.4.0'.freeze
 end

metadata

@@ -1,14 +1,14 @@
 --- !ruby/object:Gem::Specification
 name: change_health
 version: !ruby/object:Gem::Version
-  version: 0.3.0
+  version: 0.4.0
 platform: ruby
 authors:
 - Mike Crockett
 autorequire: 
 bindir: exe
 cert_chain: []
-date: 2020-03-09 00:00:00.000000000 Z
+date: 2020-03-10 00:00:00.000000000 Z
 dependencies:
 - !ruby/object:Gem::Dependency
   name: httparty