change_health 3.3.0 → 3.4.0
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checksums.yaml
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data.tar.gz: dac851fb3820730a9856fe714e6ab0f923db17a00cc76f4886053fc5c50492fae0cc54d4cd38d4cefed0add480dfd3af70abc0e4d7c2006d36147c92fd03dd4b
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data/CHANGELOG.md
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@@ -4,6 +4,10 @@ All notable changes to this project will be documented in this file.
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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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# [3.4.0] - 2022-03-23
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### Added
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* Report835Claim - check_or_eft_trace_number & check_issue_or_eft_effective_date
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# [3.3.0] - 2022-02-11
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### Added
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* Report277Claim - 'message' from informationClaimStatuses, clearinghouse_trace_number, patient_account_number, referenced_transaction_trace_number, trading_partner_claim_number
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@@ -236,6 +240,7 @@ Added the ability to hit professional claim submission API. For more details, se
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- Authentication
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- Configuration
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[3.4.0]: https://github.com/WeInfuse/change_health/compare/v3.3.0...v3.4.0
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[3.3.0]: https://github.com/WeInfuse/change_health/compare/v3.2.0...v3.3.0
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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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@@ -2,6 +2,8 @@ module ChangeHealth
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module Response
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module Claim
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class Report835Claim < ReportClaim
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property :check_issue_or_eft_effective_date, required: false
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property :check_or_eft_trace_number, required: false
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property :claim_payment_remark_codes, required: false
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property :patient_control_number, required: false
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property :payer_claim_control_number, required: false
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@@ -7,6 +7,18 @@ module ChangeHealth
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@raw['transactions']
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end
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def check_or_eft_trace_number
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transactions&.first&.dig('paymentAndRemitReassociationDetails', 'checkOrEFTTraceNumber')
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end
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def check_issue_or_eft_effective_date
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ChangeHealth::Models::PARSE_DATE.call(transactions&.first&.dig('financialInformation', 'checkIssueOrEFTEffectiveDate'))
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end
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def payer_identification
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transactions&.first&.dig('payer', 'payerIdentificationNumber')
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end
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# Only one payer per report
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def payer_name
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transactions&.first&.dig('payer')&.dig('name')
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@@ -28,13 +40,6 @@ module ChangeHealth
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report_claims = []
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transactions&.each do |transaction|
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payment_method_code = transaction.dig('financialInformation', 'paymentMethodCode')
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payer_name = transaction.dig('payer', 'name')
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payer_identification = transaction.dig('payer', 'payerIdentificationNumber')
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report_creation_date = ChangeHealth::Models::PARSE_DATE.call(transaction['productionDate'])
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total_actual_provider_payment_amount = transaction.dig('financialInformation',
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'totalActualProviderPaymentAmount')
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-
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transaction['detailInfo']&.each do |detail_info|
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detail_info['paymentInfo']&.each do |payment_info|
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patient_control_number = payment_info.dig('claimPaymentInfo', 'patientControlNumber')
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@@ -56,8 +61,7 @@ module ChangeHealth
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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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payment_info['serviceLines']&.each do |service_line|
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service_lines = payment_info['serviceLines']&.map do |service_line|
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service_line_date = ChangeHealth::Models::PARSE_DATE.call(service_line['serviceDate'])
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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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line_item_provider_payment_amount = service_line.dig('servicePaymentInformation',
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'lineItemProviderPaymentAmount')
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service_adjustments = []
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service_line['serviceAdjustments']&.each do |service_adjustment|
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service_adjustments = service_line['serviceAdjustments']&.map do |service_adjustment|
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adjustments = {}
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service_adjustment_index = 1
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while service_adjustment["adjustmentReasonCode#{service_adjustment_index}"]
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@@ -83,22 +86,21 @@ module ChangeHealth
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claim_adjustment_group_code = service_adjustment['claimAdjustmentGroupCode']
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-
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Report835ServiceAdjustment.new(
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adjustments: adjustments,
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claim_adjustment_group_code: claim_adjustment_group_code
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)
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end
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health_care_check_remark_codes = []
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-
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health_care_check_remark_codes << Report835HealthCareCheckRemarkCode.new(
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health_care_check_remark_codes = service_line['healthCareCheckRemarkCodes']&.map do |health_care_check_remark_code|
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Report835HealthCareCheckRemarkCode.new(
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code_list_qualifier_code: health_care_check_remark_code['codeListQualifierCode'],
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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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-
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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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@@ -109,6 +111,8 @@ module ChangeHealth
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end
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report_claims << Report835Claim.new(
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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,
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claim_payment_remark_codes: claim_payment_remark_codes,
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patient_control_number: patient_control_number,
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patient_first_name: patient_first_name,
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metadata
CHANGED
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@@ -1,14 +1,14 @@
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1
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--- !ruby/object:Gem::Specification
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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: 3.4.0
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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: 2022-
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date: 2022-03-23 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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