change_health 3.1.0 → 3.2.0
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- checksums.yaml +4 -4
- data/CHANGELOG.md +6 -0
- data/lib/change_health/response/claim/report/report_835_claim.rb +1 -0
- data/lib/change_health/response/claim/report/report_835_data.rb +27 -9
- data/lib/change_health/response/claim/report/report_835_health_care_check_remark_code.rb +11 -0
- data/lib/change_health/response/claim/report/report_835_service_line.rb +1 -0
- data/lib/change_health/version.rb +1 -1
- data/lib/change_health.rb +1 -0
- metadata +3 -2
checksums.yaml
CHANGED
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@@ -1,7 +1,7 @@
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---
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SHA256:
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metadata.gz:
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data.tar.gz:
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3
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metadata.gz: cb52acfb64f03d05c292cb41915ab6d686fae764d965e6df7df5533ad4c0e2e1
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data.tar.gz: a3414ee7fe0a45c0aaf2432b83c6166ae2a07ba31a9105afee422c2189a3552c
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SHA512:
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metadata.gz:
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data.tar.gz:
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metadata.gz: 4c82b12a74d6980409e7adcb968e4defee05679be768f61e294cacbdf03bdc3c2a4f9fa579d0b6b1086c135ef70ec16ebea3e3a5d77815bf5b8d5f39e755b315
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7
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data.tar.gz: 3a092daca4789cd9972ebfb37e0337d17a43abdb8f4d05672935190a606f0c75a1450aa4f8934aeba0a5d0b2f054bb58824a6215b945aed2ab0a5a831d001db8
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data/CHANGELOG.md
CHANGED
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@@ -4,6 +4,11 @@ All notable changes to this project will be documented in this file.
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4
4
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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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+
## [3.2.0] - 2021-12-23
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8
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### Added
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9
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* Report835HealthCareCheckRemarkCode
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10
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* Report835Claim - added claim_payment_remark_codes
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11
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+
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7
12
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## [3.1.0] - 2021-12-21
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8
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### Added
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#### Claim Submission
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@@ -225,6 +230,7 @@ Added the ability to hit professional claim submission API. For more details, se
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225
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- Authentication
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- Configuration
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+
[3.2.0]: https://github.com/WeInfuse/change_health/compare/v3.1.0...v3.2.0
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[3.1.0]: https://github.com/WeInfuse/change_health/compare/v3.0.0...v3.1.0
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[3.0.0]: https://github.com/WeInfuse/change_health/compare/v2.3.0...v3.0.0
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[2.3.0]: https://github.com/WeInfuse/change_health/compare/v2.2.1...v2.3.0
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@@ -2,6 +2,7 @@ module ChangeHealth
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2
2
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module Response
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module Claim
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class Report835Claim < ReportClaim
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+
property :claim_payment_remark_codes, required: false
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property :payer_claim_control_number, required: false
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property :payment_method_code, required: false
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property :service_lines, required: false
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@@ -43,6 +43,15 @@ module ChangeHealth
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total_charge_amount = payment_info.dig('claimPaymentInfo', 'totalClaimChargeAmount')
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payer_claim_control_number = payment_info.dig('claimPaymentInfo', 'payerClaimControlNumber')
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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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claim_payment_remark_codes_index += 1
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end
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+
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service_date_begin = nil
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service_date_end = nil
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service_lines = []
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@@ -51,9 +60,7 @@ module ChangeHealth
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if service_date_begin.nil? || service_line_date < service_date_begin
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service_date_begin = service_line_date
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end
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-
if service_date_end.nil? || service_date_end < service_line_date
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-
service_date_end = service_line_date
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-
end
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service_date_end = service_line_date if service_date_end.nil? || service_date_end < service_line_date
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adjudicated_procedure_code = service_line.dig('servicePaymentInformation', 'adjudicatedProcedureCode')
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allowed_actual = service_line.dig('serviceSupplementalAmounts', 'allowedActual')
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@@ -64,12 +71,12 @@ module ChangeHealth
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service_adjustments = []
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service_line['serviceAdjustments']&.each do |service_adjustment|
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adjustments = {}
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-
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-
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-
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-
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-
adjustment_amount = service_adjustment["adjustmentAmount#{index}"]
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service_adjustment_index = 1
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while service_adjustment["adjustmentReasonCode#{service_adjustment_index}"]
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adjustment_reason = service_adjustment["adjustmentReasonCode#{service_adjustment_index}"]
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adjustment_amount = service_adjustment["adjustmentAmount#{service_adjustment_index}"]
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adjustments[adjustment_reason] = adjustment_amount
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service_adjustment_index += 1
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end
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claim_adjustment_group_code = service_adjustment['claimAdjustmentGroupCode']
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@@ -80,16 +87,27 @@ module ChangeHealth
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)
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end
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health_care_check_remark_codes = []
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service_line['healthCareCheckRemarkCodes']&.each do |health_care_check_remark_code|
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health_care_check_remark_codes << Report835HealthCareCheckRemarkCode.new(
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code_list_qualifier_code: health_care_check_remark_code['codeListQualifierCode'],
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94
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code_list_qualifier_code_value: health_care_check_remark_code['codeListQualifierCodeValue'],
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remark_code: health_care_check_remark_code['remarkCode']
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)
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end
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service_lines << Report835ServiceLine.new(
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adjudicated_procedure_code: adjudicated_procedure_code,
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allowed_actual: allowed_actual,
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line_item_charge_amount: line_item_charge_amount,
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line_item_provider_payment_amount: line_item_provider_payment_amount,
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-
service_adjustments: service_adjustments
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service_adjustments: service_adjustments,
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health_care_check_remark_codes: health_care_check_remark_codes
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)
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end
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report_claims << Report835Claim.new(
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claim_payment_remark_codes: claim_payment_remark_codes,
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patient_first_name: patient_first_name,
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patient_last_name: patient_last_name,
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payer_claim_control_number: payer_claim_control_number,
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@@ -0,0 +1,11 @@
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1
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module ChangeHealth
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module Response
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module Claim
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class Report835HealthCareCheckRemarkCode < Hashie::Trash
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5
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property :code_list_qualifier_code, required: false
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property :code_list_qualifier_code_value, required: false
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property :remark_code, required: false
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end
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end
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end
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end
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@@ -4,6 +4,7 @@ module ChangeHealth
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class Report835ServiceLine < Hashie::Trash
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property :adjudicated_procedure_code, required: false
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property :allowed_actual, required: false
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property :health_care_check_remark_codes, required: false
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property :line_item_charge_amount, required: false
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property :line_item_provider_payment_amount, required: false
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property :service_adjustments, required: false
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data/lib/change_health.rb
CHANGED
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@@ -32,6 +32,7 @@ require 'change_health/response/claim/report/report_claim'
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32
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require 'change_health/response/claim/report/report_277_claim'
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require 'change_health/response/claim/report/report_277_info_claim_status'
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require 'change_health/response/claim/report/report_835_claim'
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require 'change_health/response/claim/report/report_835_health_care_check_remark_code'
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require 'change_health/response/claim/report/report_835_service_adjustment'
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require 'change_health/response/claim/report/report_835_service_line'
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require 'change_health/response/eligibility/eligibility_benefit'
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metadata
CHANGED
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@@ -1,14 +1,14 @@
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1
1
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--- !ruby/object:Gem::Specification
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2
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name: change_health
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version: !ruby/object:Gem::Version
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4
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-
version: 3.
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version: 3.2.0
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platform: ruby
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authors:
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- Mike Crockett
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autorequire:
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bindir: exe
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cert_chain: []
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-
date: 2021-12-
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+
date: 2021-12-28 00:00:00.000000000 Z
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dependencies:
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- !ruby/object:Gem::Dependency
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name: httparty
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@@ -168,6 +168,7 @@ files:
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168
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- lib/change_health/response/claim/report/report_277_info_claim_status.rb
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169
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- lib/change_health/response/claim/report/report_835_claim.rb
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- lib/change_health/response/claim/report/report_835_data.rb
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171
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+
- lib/change_health/response/claim/report/report_835_health_care_check_remark_code.rb
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- lib/change_health/response/claim/report/report_835_service_adjustment.rb
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- lib/change_health/response/claim/report/report_835_service_line.rb
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- lib/change_health/response/claim/report/report_claim.rb
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