change_health 3.0.0 → 3.1.0

checksums.yaml

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

@@ -4,6 +4,15 @@ 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).
 
+## [3.1.0] - 2021-12-21
+### Added
+#### Claim Submission
+* ServiceLine - drugIdentification & renderingProvider
+* Subscriber - groupNumber
+* Address model w/ postalCode that is formatted to remove dashes, '-'
+  * Note: Using a plain hash for address still works
+* Auto formatting of postal code fields
+
 ## [3.0.0] - 2021-12-08
 ### Added
 * Report277Claim - specific to claims from 277 reports
@@ -216,6 +225,7 @@ Added the ability to hit professional claim submission API. For more details, se
 - Authentication
 - Configuration
 
+[3.1.0]: https://github.com/WeInfuse/change_health/compare/v3.0.0...v3.1.0
 [3.0.0]: https://github.com/WeInfuse/change_health/compare/v2.3.0...v3.0.0
 [2.3.0]: https://github.com/WeInfuse/change_health/compare/v2.2.1...v2.3.0
 [2.2.1]: https://github.com/WeInfuse/change_health/compare/v2.2.0...v2.2.1

data/README.md

@@ -109,12 +109,13 @@ claim_submitter = ChangeHealth::Models::Claim::Submitter.new(
 )
 
 receiver = { organizationName: "EXTRA HEALTHY INSURANCE"}
-address = {
-  "address1": "123 address1",
-  "city": "city1",
-  "state": "wa",
-  "postalCode": "981010000"
-}
+address = ChangeHealth::Models::Claim::Address.new(
+  address1: "123 address1",
+  city: "city1",
+  state: "wa",
+  postalCode: "98101-0000"
+)
+
 subscriber = ChangeHealth::Models::Claim::Subscriber.new(
   member_id: "0000000001",
   payment_responsibility_level_code: "P",
@@ -126,45 +127,45 @@ subscriber = ChangeHealth::Models::Claim::Subscriber.new(
 )
 provider = ChangeHealth::Models::Claim::Provider.new(
   address: address,
- employer_id: "000000000",
- first_name: "johnone",
- last_name: "doetwo",
- npi: "1760854442",
- provider_type: "BillingProvider"
+  employer_id: "000000000",
+  first_name: "johnone",
+  last_name: "doetwo",
+  npi: "1760854442",
+  provider_type: "BillingProvider"
 )
 
 health_care_code_information1 = {
-  "diagnosisTypeCode": "ABK",
-  "diagnosisCode": "S93401A"
+  diagnosisTypeCode: "ABK",
+  diagnosisCode: "S93401A"
 }
 health_care_code_information2 = {
-  "diagnosisTypeCode": "ABF",
-  "diagnosisCode": "S72044G"
+  diagnosisTypeCode: "ABF",
+  diagnosisCode: "S72044G"
 
 }
 service_line1 = ChangeHealth::Models::Claim::ServiceLine.new(
   service_date: "2018-05-14",
   professional_service: {
-    "procedureIdentifier": "HC",
-    "lineItemChargeAmount": "25",
-    "procedureCode": "E0570",
-    "measurementUnit": "UN",
-    "serviceUnitCount": "1",
-    "compositeDiagnosisCodePointers": {
-      "diagnosisCodePointers": ["1","2"]
+    procedureIdentifier: "HC",
+    lineItemChargeAmount: "25",
+    procedureCode: "E0570",
+    measurementUnit: "UN",
+    serviceUnitCount: "1",
+    compositeDiagnosisCodePointers: {
+      diagnosisCodePointers: ["1","2"]
     }
   }
 )
 service_line2 = ChangeHealth::Models::Claim::ServiceLine.new(
   service_date: "20180514",
   professional_service: {
-    "procedureIdentifier": "HC",
-    "lineItemChargeAmount": "3.75",
-    "procedureCode": "A7003",
-    "measurementUnit": "UN",
-    "serviceUnitCount": "1",
-    "compositeDiagnosisCodePointers": {
-      "diagnosisCodePointers": ["1"]
+    procedureIdentifier: "HC",
+    lineItemChargeAmount: "3.75",
+    procedureCode: "A7003",
+    measurementUnit: "UN",
+    serviceUnitCount: "1",
+    compositeDiagnosisCodePointers: {
+      diagnosisCodePointers: ["1"]
     }
   }
 )

data/lib/change_health/models/claim/submission/address.rb

@@ -0,0 +1,13 @@
+module ChangeHealth
+  module Models
+    module Claim
+      class Address < Model
+        property :address1, required: false
+        property :address2, required: false
+        property :city, required: false
+        property :postalCode, from: :postal_code, required: false
+        property :state, required: false
+      end
+    end
+  end
+end

data/lib/change_health/models/claim/submission/drug_identification.rb

@@ -0,0 +1,12 @@
+module ChangeHealth
+  module Models
+    module Claim
+      class DrugIdentification < Model
+        property :measurementUnitCode, from: :measurement_unit_code, required: false
+        property :nationalDrugCode, from: :national_drug_code, required: false
+        property :nationalDrugUnitCount, from: :national_drug_unit_count, required: false
+        property :serviceIdQualifier, from: :service_id_qualifier, required: false
+      end
+    end
+  end
+end

data/lib/change_health/models/claim/submission/service_line.rb

@@ -2,10 +2,10 @@ module ChangeHealth
   module Models
     module Claim
       class ServiceLine < Model
-
+        property :drugIdentification, from: :drug_identification, required: false
         property :serviceDate, from: :service_date, required: false
         property :professionalService, from: :professional_service, required: false
-
+        property :renderingProvider, from: :rendering_provider, required: false
       end
     end
   end

data/lib/change_health/models/claim/submission/subscriber.rb

@@ -6,6 +6,7 @@ module ChangeHealth
         property :dateOfBirth, from: :date_of_birth, required: false
         property :firstName, from: :first_name, required: false
         property :gender, required: false
+        property :groupNumber, from: :group_number, required: false
         property :lastName, from: :last_name, required: false
         property :memberId, from: :member_id, required: false
         property :paymentResponsibilityLevelCode, from: :payment_responsibility_level_code, required: false

data/lib/change_health/models/model.rb

@@ -1,7 +1,7 @@
 module ChangeHealth
   module Models
     DATE_FORMAT = '%Y%m%d'
-    DATE_FORMATTER = ->(d) {
+    DATE_FORMATTER = lambda { |d|
       begin
         d = Date.parse(d) if d.is_a?(String)
       rescue ArgumentError
@@ -12,37 +12,65 @@ module ChangeHealth
       d
     }
 
-    PARSE_DATE = ->(d) {
+    PARSE_DATE = lambda { |d|
       begin
         d = Date.strptime(d, ChangeHealth::Models::DATE_FORMAT)
-      rescue
+      rescue StandardError
       end
 
       d
     }
 
-    CONTROL_NUMBER = ->() { '%09d' % rand(1_000_000_000) }
+    POSTAL_CODE_FORMATTER = lambda { |postal_code|
+      begin
+        formatted_postal_code = postal_code&.to_s&.tr('-', '')
+      rescue StandardError
+      end
+      formatted_postal_code || postal_code
+    }
+
+    CONTROL_NUMBER = -> { '%09d' % rand(1_000_000_000) }
 
     class Model < Hashie::Trash
       def to_h
-        result = super.to_h
+        self.class.hashify(self)
+      end
+
+      def self.hashify(model)
+        model.map do |key, value|
+          formatted_value = case value
+                            when Hash
+                              hashify(model[key])
+                            when Array
+                              value.map do |element|
+                                if element.is_a?(Hash)
+                                  hashify(element)
+                                else # if it's an array of arrays, can't handle it
+                                  format_value(key, element)
+                                end
+                              end
+                            else
+                              format_value(key, value)
+                            end
+          [key, formatted_value]
+        end.to_h
+      end
+
+      def self.format_value(key, value)
+        return nil if value == ''
 
-        self.each_pair do |key, value|
-          if key.to_s.downcase.include?('date')
-            result[key] = ChangeHealth::Models::DATE_FORMATTER.call(result[key])
-          end
-          result[key] = nil if value == ""
-        end
+        return ChangeHealth::Models::DATE_FORMATTER.call(value) if key.to_s.downcase.include?('date')
+        return ChangeHealth::Models::POSTAL_CODE_FORMATTER.call(value) if key.to_s.downcase.include?('postalcode')
 
-        result
+        value
       end
 
-      def as_json(args = {})
-        self.to_h
+      def as_json(_args = {})
+        to_h
       end
 
-      def to_json
-        self.to_h.to_json
+      def to_json(*_args)
+        to_h.to_json
       end
     end
   end

data/lib/change_health/request/submission.rb

@@ -2,7 +2,6 @@ module ChangeHealth
   module Request
     module Claim
       class Submission < Hashie::Trash
-        
         ENDPOINT = '/medicalnetwork/professionalclaims/v3'.freeze
         HEALTH_CHECK_ENDPOINT = ENDPOINT + '/healthcheck'.freeze
         SUBMISSION_ENDPOINT = ENDPOINT + '/submission'.freeze
@@ -25,11 +24,15 @@ module ChangeHealth
         end
 
         def submission
-          ChangeHealth::Response::Claim::SubmissionData.new(response: ChangeHealth::Connection.new.request(endpoint: SUBMISSION_ENDPOINT, body: self.to_h, headers: professional_headers))
+          ChangeHealth::Response::Claim::SubmissionData.new(response: ChangeHealth::Connection.new.request(
+            endpoint: SUBMISSION_ENDPOINT, body: to_h, headers: professional_headers
+          ))
         end
 
         def validation
-          ChangeHealth::Response::Claim::SubmissionData.new(response: ChangeHealth::Connection.new.request(endpoint: VALIDATION_ENDPOINT, body: self.to_h, headers: professional_headers))
+          ChangeHealth::Response::Claim::SubmissionData.new(response: ChangeHealth::Connection.new.request(
+            endpoint: VALIDATION_ENDPOINT, body: to_h, headers: professional_headers
+          ))
         end
 
         def self.health_check
@@ -37,19 +40,17 @@ module ChangeHealth
         end
 
         def self.ping
-          self.health_check
+          health_check
         end
 
         def professional_headers
           if self[:headers]
             extra_headers = {}
-            extra_headers["X-CHC-ClaimSubmission-SubmitterId"] = self[:headers][:submitter_id]
-            extra_headers["X-CHC-ClaimSubmission-BillerId"] = self[:headers][:biller_id]
-            extra_headers["X-CHC-ClaimSubmission-Username"] = self[:headers][:username]
-            extra_headers["X-CHC-ClaimSubmission-Pwd"] = self[:headers][:password]
+            extra_headers['X-CHC-ClaimSubmission-SubmitterId'] = self[:headers][:submitter_id]
+            extra_headers['X-CHC-ClaimSubmission-BillerId'] = self[:headers][:biller_id]
+            extra_headers['X-CHC-ClaimSubmission-Username'] = self[:headers][:username]
+            extra_headers['X-CHC-ClaimSubmission-Pwd'] = self[:headers][:password]
             extra_headers
-          else
-            nil
           end
         end
       end

data/lib/change_health/version.rb

@@ -1,3 +1,3 @@
 module ChangeHealth
-  VERSION = '3.0.0'.freeze
+  VERSION = '3.1.0'.freeze
 end

data/lib/change_health.rb

@@ -6,7 +6,9 @@ require 'change_health/change_health_exception'
 require 'change_health/connection'
 require 'change_health/extensions'
 require 'change_health/models/model'
+require 'change_health/models/claim/submission/address'
 require 'change_health/models/claim/submission/claim_information'
+require 'change_health/models/claim/submission/drug_identification'
 require 'change_health/models/claim/submission/provider'
 require 'change_health/models/claim/submission/service_line'
 require 'change_health/models/claim/submission/submitter'

metadata

@@ -1,14 +1,14 @@
 --- !ruby/object:Gem::Specification
 name: change_health
 version: !ruby/object:Gem::Version
-  version: 3.0.0
+  version: 3.1.0
 platform: ruby
 authors:
 - Mike Crockett
 autorequire: 
 bindir: exe
 cert_chain: []
-date: 2021-12-09 00:00:00.000000000 Z
+date: 2021-12-21 00:00:00.000000000 Z
 dependencies:
 - !ruby/object:Gem::Dependency
   name: httparty
@@ -147,7 +147,9 @@ files:
 - lib/change_health/change_health_exception.rb
 - lib/change_health/connection.rb
 - lib/change_health/extensions.rb
+- lib/change_health/models/claim/submission/address.rb
 - lib/change_health/models/claim/submission/claim_information.rb
+- lib/change_health/models/claim/submission/drug_identification.rb
 - lib/change_health/models/claim/submission/provider.rb
 - lib/change_health/models/claim/submission/service_line.rb
 - lib/change_health/models/claim/submission/submitter.rb