change_healthcare-eligibility 0.1.0

checksums.yaml

@@ -0,0 +1,7 @@
+---
+SHA256:
+  metadata.gz: fac67a6f8b4547d2caa3e8fb3051cec06438e2f2fc49c89fac7f7fe6a1545485
+  data.tar.gz: eb8a8993bc6b5720fb715f694a7313154dde4e64fdf53db7900669e15ab8771a
+SHA512:
+  metadata.gz: 3b9dc680ae542fe4bade68012979482889d0daf7b7760d3f3d6f7b19a4304a35e6389d911a43dae35307de407f86999825f29a378bddf8cda7225e60d6c777c6
+  data.tar.gz: 712e2964ea04669f80fc7d35a6929f86432a23dc4508c8f745ec995865dea3bdfc9d02d420ba21852ec10fa428af44a5741638d74d6187dc1710397c5a6dd253

data/.gitignore

@@ -0,0 +1,11 @@
+/.bundle/
+/.yardoc
+/_yardoc/
+/coverage/
+/doc/
+/pkg/
+/spec/reports/
+/tmp/
+
+# rspec failure tracking
+.rspec_status

data/.rspec

@@ -0,0 +1,3 @@
+--format documentation
+--color
+--require spec_helper

data/.rubocop.yml

@@ -0,0 +1,130 @@
+require: rubocop-rspec
+
+AllCops:
+  TargetRubyVersion: 2.6.0
+  Exclude:
+    - 'bin/bundle'
+    - 'example/bin/bundle'
+    - 'vendor/bundle/**/*'
+    - 'lib/change_healthcare/eligibility/swagger_client/**/*.rb'
+
+Layout/LineLength:
+  Max: 160
+
+RSpec/NamedSubject:
+  Enabled: false
+
+RSpec/DescribeClass:
+  Enabled: false
+
+Metrics/BlockLength:
+  Exclude:
+    - 'spec/**/*.rb'
+    - 'sober_swag.gemspec'
+    - 'example/spec/**/*.rb'
+
+RSpec/ImplicitBlockExpectation:
+  Enabled: false
+
+RSpec/ImplicitExpect:
+  EnforcedStyle: should
+
+RSpec/LeadingSubject:
+  Enabled: false
+
+Style/MultilineBlockChain:
+  Enabled: false
+
+Metrics/AbcSize:
+  Enabled: false
+
+Style/Documentation:
+  Exclude:
+    - 'example/db/migrate/**/*'
+
+Metrics/PerceivedComplexity:
+  Enabled: false
+
+Layout/EmptyLinesAroundAttributeAccessor:
+  Enabled: true
+
+Layout/SpaceAroundMethodCallOperator:
+  Enabled: true
+
+Lint/DeprecatedOpenSSLConstant:
+  Enabled: true
+
+Lint/DuplicateElsifCondition:
+  Enabled: true
+
+Lint/MixedRegexpCaptureTypes:
+  Enabled: true
+
+Lint/RaiseException:
+  Enabled: true
+
+Lint/StructNewOverride:
+  Enabled: true
+
+Style/AccessorGrouping:
+  Enabled: true
+
+Style/ArrayCoercion:
+  Enabled: true
+
+Style/BisectedAttrAccessor:
+  Enabled: true
+
+Style/CaseLikeIf:
+  Enabled: true
+
+Style/ExponentialNotation:
+  Enabled: true
+
+Style/HashAsLastArrayItem:
+  Enabled: true
+
+Style/HashEachMethods:
+  Enabled: true
+
+Style/HashLikeCase:
+  Enabled: true
+
+Style/HashTransformKeys:
+  Enabled: true
+
+Style/HashTransformValues:
+  Enabled: true
+
+Style/RedundantAssignment:
+  Enabled: true
+
+Style/RedundantFetchBlock:
+  Enabled: true
+
+Style/RedundantFileExtensionInRequire:
+  Enabled: true
+
+Style/RedundantRegexpCharacterClass:
+  Enabled: true
+
+Style/RedundantRegexpEscape:
+  Enabled: true
+
+Style/SlicingWithRange:
+  Enabled: true
+
+RSpec/NestedGroups:
+  Max: 5
+
+RSpec/ImplicitSubject:
+  Enabled: false
+
+RSpec/ExampleLength:
+  Max: 10
+
+Style/FrozenStringLiteralComment:
+  Enabled: false
+
+Style/BlockDelimiters:
+  EnforcedStyle: braces_for_chaining

data/.ruby-version

@@ -0,0 +1 @@
+2.6.5

data/.travis.yml

@@ -0,0 +1,7 @@
+---
+sudo: false
+language: ruby
+cache: bundler
+rvm:
+  - 2.5.3
+before_install: gem install bundler -v 2.0.2

data/Gemfile

@@ -0,0 +1,4 @@
+source 'https://rubygems.org'
+
+# Specify your gem's dependencies in change_healthcare-eligibility.gemspec
+gemspec

data/Gemfile.lock

@@ -0,0 +1,59 @@
+PATH
+  remote: .
+  specs:
+    change_healthcare-eligibility (0.1.0)
+      addressable (~> 2.4.0)
+      typhoeus (~> 1.4.0)
+
+GEM
+  remote: https://rubygems.org/
+  specs:
+    addressable (2.4.0)
+    byebug (11.1.3)
+    coderay (1.1.3)
+    diff-lcs (1.4.4)
+    docile (1.3.2)
+    ethon (0.12.0)
+      ffi (>= 1.3.0)
+    ffi (1.13.1)
+    method_source (1.0.0)
+    pry (0.13.1)
+      coderay (~> 1.1)
+      method_source (~> 1.0)
+    rake (10.5.0)
+    rspec (3.9.0)
+      rspec-core (~> 3.9.0)
+      rspec-expectations (~> 3.9.0)
+      rspec-mocks (~> 3.9.0)
+    rspec-core (3.9.2)
+      rspec-support (~> 3.9.3)
+    rspec-expectations (3.9.2)
+      diff-lcs (>= 1.2.0, < 2.0)
+      rspec-support (~> 3.9.0)
+    rspec-mocks (3.9.1)
+      diff-lcs (>= 1.2.0, < 2.0)
+      rspec-support (~> 3.9.0)
+    rspec-support (3.9.3)
+    simplecov (0.20.0)
+      docile (~> 1.1)
+      simplecov-html (~> 0.11)
+      simplecov_json_formatter (~> 0.1)
+    simplecov-html (0.12.3)
+    simplecov_json_formatter (0.1.2)
+    typhoeus (1.4.0)
+      ethon (>= 0.9.0)
+
+PLATFORMS
+  ruby
+
+DEPENDENCIES
+  bundler (~> 2.0)
+  byebug
+  change_healthcare-eligibility!
+  pry
+  rake (~> 10.0)
+  rspec (~> 3.0)
+  simplecov
+
+BUNDLED WITH
+   2.1.4

data/LICENSE.txt

@@ -0,0 +1,21 @@
+The MIT License (MIT)
+
+Copyright (c) 2020 Sondermind, INC
+
+Permission is hereby granted, free of charge, to any person obtaining a copy
+of this software and associated documentation files (the "Software"), to deal
+in the Software without restriction, including without limitation the rights
+to use, copy, modify, merge, publish, distribute, sublicense, and/or sell
+copies of the Software, and to permit persons to whom the Software is
+furnished to do so, subject to the following conditions:
+
+The above copyright notice and this permission notice shall be included in
+all copies or substantial portions of the Software.
+
+THE SOFTWARE IS PROVIDED "AS IS", WITHOUT WARRANTY OF ANY KIND, EXPRESS OR
+IMPLIED, INCLUDING BUT NOT LIMITED TO THE WARRANTIES OF MERCHANTABILITY,
+FITNESS FOR A PARTICULAR PURPOSE AND NONINFRINGEMENT. IN NO EVENT SHALL THE
+AUTHORS OR COPYRIGHT HOLDERS BE LIABLE FOR ANY CLAIM, DAMAGES OR OTHER
+LIABILITY, WHETHER IN AN ACTION OF CONTRACT, TORT OR OTHERWISE, ARISING FROM,
+OUT OF OR IN CONNECTION WITH THE SOFTWARE OR THE USE OR OTHER DEALINGS IN
+THE SOFTWARE.

data/README.md

@@ -0,0 +1,64 @@
+# ChangeHealthcare::Eligibility
+
+This Ruby Gem provides the automatically generated swagger code for the [Change Healthcare Eligibility API](https://developers.changehealthcare.com/api/Eligibility/v3).
+It also provides a wrapper that makes making requests a bit easier by caching and re-fetching authorization information.
+
+## Installation
+
+Add this line to your application's Gemfile:
+
+```ruby
+gem 'change_healthcare-eligibility'
+```
+
+And then execute:
+
+    $ bundle
+
+Or install it yourself as:
+
+    $ gem install change_healthcare-eligibility
+
+## Usage
+
+The automatically generated API is located under the namespace `ChangeHealthcare::Eligibility::SwaggerClient`.
+Most people should access it via the `ChangeHealthcare::Eligibility::Wrapper` class, which provides swagger caching.
+
+That is used as so:
+
+```ruby
+wrapper = ChangeHealthcare::Eligibility::Wrapper.new(client_id: ENV['CH_CLIENT_ID'], client_secret: ENV['CH_CLIENT_SECRET'])
+request = ChangeHealthcare::Eligibility::SwaggerClient::MedicalEligibility.new
+request.control_number = some_control_number
+request.subscriber = some_subscriber
+end
+
+response = wrapper.eligibility(request) # => ChangeHealthcare::Eligibility::SwaggerClient::Response
+
+response.benefits_information.any? { |bi| bi.name == 'Deductible' }
+```
+
+You can also make a request using `tap`, which you might subjectively find nicer:
+
+```ruby
+request = ChangeHealthcare::Eligibility::SwaggerClient::MedicalEligibility.new.tap do |e|
+  e.control_number = some_control_number
+  e.subscriber = some_subscriber
+end
+```
+
+Both of these have the same effect: you're just mutating attributes on a `request` object.
+
+## Development
+
+After checking out the repo, run `bin/setup` to install dependencies. Then, run `rake spec` to run the tests. You can also run `bin/console` for an interactive prompt that will allow you to experiment.
+
+To install this gem onto your local machine, run `bundle exec rake install`. To release a new version, update the version number in `version.rb`, and then run `bundle exec rake release`, which will create a git tag for the version, push git commits and tags, and push the `.gem` file to [rubygems.org](https://rubygems.org).
+
+## Contributing
+
+Bug reports and pull requests are welcome on GitHub at https://github.com/SonderMindOrg/change_healthcare-eligibility.
+
+## License
+
+The gem is available as open source under the terms of the [MIT License](https://opensource.org/licenses/MIT).

data/Rakefile

@@ -0,0 +1,6 @@
+require 'bundler/gem_tasks'
+require 'rspec/core/rake_task'
+
+RSpec::Core::RakeTask.new(:spec)
+
+task default: :spec

data/bin/console

@@ -0,0 +1,11 @@
+#!/usr/bin/env ruby
+
+require 'bundler/setup'
+require 'change_healthcare/eligibility'
+
+# You can add fixtures and/or initialization code here to make experimenting
+# with your gem easier. You can also use a different console, if you like.
+
+# (If you use this, don't forget to add pry to your Gemfile!)
+require 'pry'
+Pry.start

data/bin/rspec

@@ -0,0 +1,29 @@
+#!/usr/bin/env ruby
+# frozen_string_literal: true
+
+#
+# This file was generated by Bundler.
+#
+# The application 'rspec' is installed as part of a gem, and
+# this file is here to facilitate running it.
+#
+
+require 'pathname'
+ENV['BUNDLE_GEMFILE'] ||= File.expand_path('../../Gemfile',
+                                           Pathname.new(__FILE__).realpath)
+
+bundle_binstub = File.expand_path('bundle', __dir__)
+
+if File.file?(bundle_binstub)
+  if File.read(bundle_binstub, 300) =~ /This file was generated by Bundler/
+    load(bundle_binstub)
+  else
+    abort("Your `bin/bundle` was not generated by Bundler, so this binstub cannot run.
+Replace `bin/bundle` by running `bundle binstubs bundler --force`, then run this command again.")
+  end
+end
+
+require 'rubygems'
+require 'bundler/setup'
+
+load Gem.bin_path('rspec-core', 'rspec')

data/bin/setup

@@ -0,0 +1,8 @@
+#!/usr/bin/env bash
+set -euo pipefail
+IFS=$'\n\t'
+set -vx
+
+bundle install
+
+# Do any other automated setup that you need to do here

data/change_healthcare-eligibility.gemspec

@@ -0,0 +1,44 @@
+lib = File.expand_path('lib', __dir__)
+$LOAD_PATH.unshift(lib) unless $LOAD_PATH.include?(lib)
+require 'change_healthcare/eligibility/version'
+
+Gem::Specification.new do |spec|
+  spec.name          = 'change_healthcare-eligibility'
+  spec.version       = ChangeHealthcare::Eligibility::VERSION
+  spec.authors       = ['Anthony Super']
+  spec.email         = ['asuper@sondermind.com']
+
+  spec.required_ruby_version = '>= 2.6.0'
+
+  spec.summary       = "Unofficial gem for interacting with Change Healthcare's Eligibility API"
+  spec.description   = 'Verify benefits in real-time!'
+  spec.homepage      = 'https://github.com/SonderMindOrg/change_healthcare-eligibility'
+  spec.license       = 'MIT'
+
+  # spec.metadata["allowed_push_host"] = "TODO: Set to 'http://mygemserver.com'"
+
+  spec.metadata['homepage_uri'] = spec.homepage
+  spec.metadata['source_code_uri'] = 'https://github.com/SonderMindOrg/change_healthcare-eligibility'
+  # spec.metadata["changelog_uri"] = "TODO: Put your gem's CHANGELOG.md URL here."
+
+  # Specify which files should be added to the gem when it is released.
+  # The `git ls-files -z` loads the files in the RubyGem that have been added into git.
+  spec.files = Dir.chdir(File.expand_path(__dir__)) do
+    `git ls-files -z`.split("\x0").reject { |f| f.match(%r{^(test|spec|features)/}) }
+  end
+  spec.bindir        = 'exe'
+  spec.executables   = spec.files.grep(%r{^exe/}) { |f| File.basename(f) }
+  spec.require_paths = ['lib']
+
+  # needed for autogen swagged client
+  spec.add_dependency 'addressable', '~> 2.4.0'
+  spec.add_dependency 'typhoeus', '~> 1.4.0'
+
+  spec.add_development_dependency 'bundler', '~> 2.0'
+  spec.add_development_dependency 'rake', '~> 10.0'
+  spec.add_development_dependency 'rspec', '~> 3.0'
+  spec.add_development_dependency 'simplecov'
+
+  spec.add_development_dependency 'byebug'
+  spec.add_development_dependency 'pry'
+end

data/lib/change_healthcare/eligibility.rb

@@ -0,0 +1,13 @@
+require 'change_healthcare/eligibility/version'
+
+module ChangeHealthcare
+  ##
+  # Namespace for eligibility-related data + functions
+  module Eligibility
+    class Error < StandardError; end
+  end
+end
+
+require 'change_healthcare/eligibility/swagger_client'
+require 'change_healthcare/eligibility/wrapper'
+require 'change_healthcare/eligibility/inspector'

data/lib/change_healthcare/eligibility/inspector.rb

@@ -0,0 +1,82 @@
+module ChangeHealthcare
+  module Eligibility
+    ##
+    # Provides basic inspection capabilities for a benefits information response.
+    class Inspector
+      ##
+      # Set up an inspector for a response.
+      #
+      # @param response [ChangeHealthcare::Eligibility::SwaggerClient::Response]
+      def initialize(response)
+        @response = response
+      end
+
+      ##
+      # Does this document certify we have coverage for a service type matching the given matcher?
+      # `#===` on this matcher should take a string and return a boolean value.
+      #
+      # We use `#===` as there's a lot of service type codes, and you might want to use a `Proc`,
+      # a `Set`, or a `Regexp` to do your matching.
+      #
+      # @param matcher [#===] matcher to match against, using `#===`
+      # @return [true,false]
+      def active_coverage?(matcher)
+        active_coverage_information.any? do |coverage|
+          (coverage.service_types || []).any? { |type| matcher === type } # rubocop:disable Style/CaseEquality
+        end
+      end
+
+      ##
+      # All benefits information records that describe a deductible.
+      #
+      # @return [Array<ChangeHealthcare::Eligibility::SwaggerClient::BenefitsInformation>]
+      def deductible_records
+        benefits_information.select do |bv|
+          bv.name == 'Deductible'
+        end
+      end
+
+      ##
+      # All BV records for co-insurance.
+      #
+      # @return [Array<ChangeHealthcare::Eligibility::SwaggerClient::BenefitsInformation>]
+      def coinsurance_records
+        benefits_information.select do |bv|
+          bv.name = 'Co-Insurance'
+        end
+      end
+
+      ##
+      # All BV records for co-payment.
+      #
+      # @return [Array<ChangeHealthcare::Eligibility::SwaggerClient::BenefitsInformation>]
+      def copayment_records
+        benefits_information.select do |bv|
+          bv.name = 'Co-Payment'
+        end
+      end
+
+      ##
+      # Benefits Information for active coverage
+      #
+      # @return [Array<ChangeHealthcare::Eligibility::SwaggerClient::BenefitsInformation>]
+      def active_coverage_information
+        benefits_information.select do |bv|
+          bv.name == 'Active Coverage'
+        end
+      end
+
+      ##
+      # A list of all benefits information.
+      #
+      # @return [Array<ChangeHealthcare::Eligibility::SwaggerClient::BenefitsInformation>]
+      def benefits_information
+        response.benefits_information || []
+      end
+
+      ##
+      # @return [ChangeHealthcare::Eligibility::SwaggerClient::Response]
+      attr_reader :response
+    end
+  end
+end