eddy 0.1.0

This diff represents the content of publicly available package versions that have been released to one of the supported registries. The information contained in this diff is provided for informational purposes only and reflects changes between package versions as they appear in their respective public registries.
Files changed (1154) hide show
  1. checksums.yaml +7 -0
  2. data/.gitignore +10 -0
  3. data/.rubocop.yml +159 -0
  4. data/.solargraph.yml +14 -0
  5. data/.travis.yml +7 -0
  6. data/.yardopts +2 -0
  7. data/CHANGELOG.md +1 -0
  8. data/Gemfile +3 -0
  9. data/Gemfile.lock +63 -0
  10. data/LICENSE.txt +21 -0
  11. data/README.md +49 -0
  12. data/Rakefile +21 -0
  13. data/bin/console +7 -0
  14. data/bin/docs +2 -0
  15. data/bin/setup +8 -0
  16. data/data/004010/code-lists/1002.tsv +4 -0
  17. data/data/004010/code-lists/1004.tsv +207 -0
  18. data/data/004010/code-lists/1005.tsv +62 -0
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data/data/004010/code-lists/1364.tsv ADDED
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1
+ id definition
2
+ A Case Turned Over to a Consultant
3
+ B Pre-Admission Testing
4
+ C X-ray or Lab Procedure Related to a Covered Surgery
5
+ D Provider/Supplier determined the service is not covered, but the patient is requesting a formal review by the payor
6
+ E Beneficiary was notified that the item might not be considered medically necessary and has agreed in writing to pay for the item; A signed waiver is on file with the provider
7
+ F Beneficiary was notified that the item might not be considered medically necessary and has not agreed to pay for the item; No signed waiver is on file with the provider
8
+ L Reserved for Local Assignment
9
+ N Reserved for National Assignment
data/data/004010/code-lists/1365.tsv ADDED
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+ id definition
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+ 1 Medical Care
3
+ 2 Surgical
4
+ 3 Consultation
5
+ 4 Diagnostic X-Ray
6
+ 5 Diagnostic Lab
7
+ 6 Radiation Therapy
8
+ 7 Anesthesia
9
+ 8 Surgical Assistance
10
+ 9 Other Medical
11
+ 10 Blood Charges
12
+ 11 Used Durable Medical Equipment
13
+ 12 Durable Medical Equipment Purchase
14
+ 13 Ambulatory Service Center Facility
15
+ 14 Renal Supplies in the Home
16
+ 15 Alternate Method Dialysis
17
+ 16 Chronic Renal Disease (CRD) Equipment
18
+ 17 Pre-Admission Testing
19
+ 18 Durable Medical Equipment Rental
20
+ 19 Pneumonia Vaccine
21
+ 20 Second Surgical Opinion
22
+ 21 Third Surgical Opinion
23
+ 22 Social Work
24
+ 23 Diagnostic Dental
25
+ 24 Periodontics
26
+ 25 Restorative
27
+ 26 Endodontics
28
+ 27 Maxillofacial Prosthetics
29
+ 28 Adjunctive Dental Services
30
+ 30 Health Benefit Plan Coverage
31
+ 31 Benefit Disclaimer
32
+ 32 Plan Waiting Period
33
+ 33 Chiropractic
34
+ 34 Chiropractic Office Visits
35
+ 35 Dental Care
36
+ 36 Dental Crowns
37
+ 37 Dental Accident
38
+ 38 Orthodontics
39
+ 39 Prosthodontics
40
+ 40 Oral Surgery
41
+ 41 Routine (Preventive) Dental
42
+ 42 Home Health Care
43
+ 43 Home Health Prescriptions
44
+ 44 Home Health Visits
45
+ 45 Hospice
46
+ 46 Respite Care
47
+ 47 Hospital
48
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49
+ 49 Hospital - Room and Board
50
+ 50 Hospital - Outpatient
51
+ 51 Hospital - Emergency Accident
52
+ 52 Hospital - Emergency Medical
53
+ 53 Hospital - Ambulatory Surgical
54
+ 54 Long Term Care
55
+ 55 Major Medical
56
+ 56 Medically Related Transportation
57
+ 57 Air Transportation
58
+ 58 Cabulance
59
+ 59 Licensed Ambulance
60
+ 60 General Benefits
61
+ 61 In-vitro Fertilization
62
+ 62 MRI/CAT Scan
63
+ 63 Donor Procedures
64
+ 64 Acupuncture
65
+ 65 Newborn Care
66
+ 66 Pathology
67
+ 67 Smoking Cessation
68
+ 68 Well Baby Care
69
+ 69 Maternity
70
+ 70 Transplants
71
+ 71 Audiology Exam
72
+ 72 Inhalation Therapy
73
+ 73 Diagnostic Medical
74
+ 74 Private Duty Nursing
75
+ 75 Prosthetic Device
76
+ 76 Dialysis
77
+ 77 Otological Exam
78
+ 78 Chemotherapy
79
+ 79 Allergy Testing
80
+ 80 Immunizations
81
+ 81 Routine Physical
82
+ 82 Family Planning
83
+ 83 Infertility
84
+ 84 Abortion
85
+ 85 AIDS
86
+ 86 Emergency Services
87
+ 87 Cancer
88
+ 88 Pharmacy
89
+ 89 Free Standing Prescription Drug
90
+ 90 Mail Order Prescription Drug
91
+ 91 Brand Name Prescription Drug
92
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+ 93 Podiatry
94
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+ 95 Podiatry - Nursing Home Visits
96
+ 96 Professional (Physician)
97
+ 97 Anesthesiologist
98
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99
+ 99 Professional (Physician) Visit - Inpatient
100
+ A0 Professional (Physician) Visit - Outpatient
101
+ A1 Professional (Physician) Visit - Nursing Home
102
+ A2 Professional (Physician) Visit - Skilled Nursing Facility
103
+ A3 Professional (Physician) Visit - Home
104
+ A4 Psychiatric
105
+ A5 Psychiatric - Room and Board
106
+ A6 Psychotherapy
107
+ A7 Psychiatric - Inpatient
108
+ A8 Psychiatric - Outpatient
109
+ A9 Rehabilitation
110
+ AA Rehabilitation - Room and Board
111
+ AB Rehabilitation - Inpatient
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+ AC Rehabilitation - Outpatient
113
+ AD Occupational Therapy
114
+ AE Physical Medicine
115
+ AF Speech Therapy
116
+ AG Skilled Nursing Care
117
+ AH Skilled Nursing Care - Room and Board
118
+ AI Substance Abuse
119
+ AJ Alcoholism
120
+ AK Drug Addiction
121
+ AL Vision (Optometry)
122
+ AM Frames
123
+ AN Routine Exam
124
+ AO Lenses
125
+ AQ Nonmedically Necessary Physical
126
+ AR Experimental Drug Therapy
127
+ BA Independent Medical Evaluation
128
+ BB Partial Hospitalization (Psychiatric)
129
+ BC Day Care (Psychiatric)
130
+ BD Cognitive Therapy
131
+ BE Massage Therapy
132
+ BF Pulmonary Rehabilitation
133
+ BG Cardiac Rehabilitation
134
+ BH Pediatric
135
+ BI Nursery
136
+ BJ Skin
137
+ BK Orthopedic
138
+ BL Cardiac
139
+ BM Lymphatic
140
+ BN Gastrointestinal
141
+ BP Endocrine
142
+ BQ Neurology
143
+ BR Eye
144
+ BS Invasive Procedures
data/data/004010/code-lists/1366.tsv ADDED
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+ id definition
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+ 01 Early & Periodic Screening, Diagnosis, and Treatment (EPSDT) or Child Health Assessment Program (CHAP)
3
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4
+ 03 Special Federal Funding
5
+ 04 Family Planning
6
+ 05 Disability
7
+ 06 Pneumococcal Pneumonia Vaccine (PPV) or Medicare 100% Payment
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+ 07 Induced Abortion - Danger to Life
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+ 08 Induced Abortion - Rape or Incest
10
+ 09 Second Opinion or Surgery
11
+ 10 Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) External Partnership Program
data/data/004010/code-lists/1367.tsv ADDED
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+ C3 Cervical 3
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+ C4 Cervical 4
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+ C5 Cervical 5
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+ C6 Cervical 6
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+ CO Coccyx
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+ IL Ilium
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+ L2 Lumbar 2
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+ L3 Lumbar 3
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+ L4 Lumbar 4
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+ L5 Lumbar 5
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+ OC Occiput
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+ T4 Thoracic 4
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+ T7 Thoracic 7
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data/data/004010/code-lists/1368.tsv ADDED
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+ E To Be Extracted
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+ I Impacted
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+ M Missing
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+ X Extracted
data/data/004010/code-lists/1369.tsv ADDED
@@ -0,0 +1,8 @@
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+ B Buccal
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+ D Distal
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+ F Facial
5
+ I Incisal
6
+ L Lingual
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+ M Mesial
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+ O Occlusal
data/data/004010/code-lists/1370.tsv ADDED
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+ id definition
2
+ 0 Not Specified
3
+ 1 Not Unit Dose
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+ 2 Manufacturer Unit Dose
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+ 3 Pharmacy Unit Dose
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+ 4 Treated Group
7
+ 5 Untreated Control Group
8
+ 6 Vehicle Control Group
9
+ 7 Positive Control Group
10
+ 8 Optional Control Group
11
+ Z Mutually Defined
data/data/004010/code-lists/1373.tsv ADDED
@@ -0,0 +1,13 @@
1
+ id definition
2
+ BM Bellows Meter
3
+ BO Based on 120 Days List to Contract
4
+ DM Displacement Meter
5
+ FT Flange Tap
6
+ MA Measured Over Six Months
7
+ MM Mercury Meter
8
+ OM Orifice Meter
9
+ PT Pipe Tap
10
+ TM Turbine Meter
11
+ VA Valued at 90 Day Marketing Time Method
12
+ VB Valued at 120 Day Marketing Time Method
13
+ VC Valued at 180 Day Marketing Time Method
data/data/004010/code-lists/1374.tsv ADDED
@@ -0,0 +1,4 @@
1
+ id definition
2
+ 1 Percent Adjustment to Payment Amount
3
+ 2 Percent Adjustment to Payment Rate
4
+ 3 Dollar Amount to Payment Amount
data/data/004010/code-lists/1376.tsv ADDED
@@ -0,0 +1,22 @@
1
+ id definition
2
+ 01 No Special Accounting Action
3
+ 02 Action Code Reset
4
+ 03 Relief Provisions
5
+ 04 Bankruptcy or Litigation
6
+ 05 Referred for Deed in Lieu of Foreclosure
7
+ 06 Referred for Foreclosure
8
+ 07 Loan Inactive for Accounting
9
+ 08 Loan Reinstated for Accounting
10
+ 09 Payoff
11
+ 10 Payoff - Repurchased
12
+ 1A Payoff - Alternative Conversion Adjustable Rate Mortgage to Fixed Rate Mortgage
13
+ 1B Real Estate Owned Property
14
+ 1C Third-party Foreclosure Sale
15
+ 1D Federal Housing Administration or Veterans Administration/Real Estate Owned or Conveyance
16
+ 1E Short Payoff
17
+ 1F Principal Balance Correction
18
+ 1G Delinquency
19
+ 1H Third Party Sale, Pre-Foreclosure Sale and Short Payoff
20
+ 1J Payoff - Prepaid
21
+ 1K Payoff - Matured
22
+ IL Substitution
data/data/004010/code-lists/1378.tsv ADDED
@@ -0,0 +1,10 @@
1
+ id definition
2
+ W1 Revenue Waybill
3
+ W2 AAR Rule 11 Shipment
4
+ W3 Origin Junction Settlement
5
+ W4 Destination Junction Settlement
6
+ W5 Diversion
7
+ W6 Error Move
8
+ W7 Referenced Universal Railroad Revenue Waybill Identification Number (URRWIN)
9
+ W8 Split Shipment First Bill
10
+ W9 Split Shipment Subordinate Bill
data/data/004010/code-lists/1379.tsv ADDED
@@ -0,0 +1,23 @@
1
+ id definition
2
+ 0 Match on Loan
3
+ 1 Social Security Number Does Not Match
4
+ 2 Loan ID Does Not Match
5
+ 3 Loan Program Does Not Match
6
+ 4 Borrower Name Does Not Match
7
+ 5 First Disbursement Date Does Not Match
8
+ 6 Guaranteed Amount Does Not Match
9
+ 7 Guarantee Date Does Not Match
10
+ 8 Outstanding Loan Balance Does Not Match
11
+ 9 Interest Rate Does Not Match
12
+ 10 Interest Schedule Does Not Match
13
+ 11 Grace Period Does Not Match
14
+ 12 Less-Than-Half Time Date Does Not Match
15
+ 13 Repayment Begin Date Does Not Match
16
+ 14 Borrower Status Does Not Match
17
+ 15 Borrower Status Date Does Not Match
18
+ 16 Servicer/Lender Department of Education (DOE) Number Does Not Match
19
+ 17 Seller Department of Education (DOE) Number Does Not Match
20
+ 18 Servicing Transfer Date Does Not Match
21
+ 19 Purchase Date Does Not Match
22
+ 20 Guarantee Fee Not Paid
23
+ 21 Birthdate Does Not Match
data/data/004010/code-lists/1382.tsv ADDED
@@ -0,0 +1,6 @@
1
+ id definition
2
+ A Nasal Cannula
3
+ B Oxygen Conserving Device
4
+ C Oxygen Conserving Device with Oxygen Pulse System
5
+ D Oxygen Conserving Device with Reservoir System
6
+ E Transtracheal Catheter
data/data/004010/code-lists/1383.tsv ADDED
@@ -0,0 +1,19 @@
1
+ id definition
2
+ 00 Original
3
+ 01 Cancellation
4
+ 02 Corrected and Verified Original Claim
5
+ 03 Corrected and Verified Final Claim
6
+ 05 Replace
7
+ 07 Duplicate
8
+ 08 Pre-Determination
9
+ 09 Encounter
10
+ 15 Resubmission
11
+ 16 Proposed
12
+ 17 Cancel to be Reissued
13
+ 18 Reissue
14
+ 20 Final Transmission
15
+ 22 Information Copy
16
+ 27 Verify
17
+ 28 Late Charges
18
+ 29 Adjustment
19
+ PB Predetermination of Dental Benefits
data/data/004010/code-lists/1384.tsv ADDED
@@ -0,0 +1,16 @@
1
+ id definition
2
+ A Acute Care Facility
3
+ B Boarding Home
4
+ C Hospice
5
+ D Intermediate Care Facility
6
+ E Long-term or Extended Care Facility
7
+ F Not Specified
8
+ G Nursing Home
9
+ H Sub-acute Care Facility
10
+ L Other Location
11
+ M Rehabilitation Facility
12
+ O Outpatient Facility
13
+ P Private Home
14
+ R Residential Treatment Facility
15
+ S Skilled Nursing Home
16
+ T Rest Home
data/data/004010/code-lists/1387.tsv ADDED
@@ -0,0 +1,35 @@
1
+ id definition
2
+ 1 Reserve Requirement Rate - Demand Deposit Account (DDA)
3
+ 2 Analysis Earnings Credit Interest Rate Not Yet Net of Reserves
4
+ 3 Book/Ledger Balance Overdraft Interest Rate
5
+ 4 Collected Balance Overdraft Interest Rate
6
+ 5 Deficiency Balance Interest Rate
7
+ 6 Treasury Tax and Loan (TT & L)
8
+ 7 Federal Deposit Insurance Corporation (FDIC)
9
+ 8 Overdraft Reserve Requirement Recover
10
+ 9 Federal Funds
11
+ 10 Prime
12
+ 11 Mutually Defined
13
+ 12 Reserve Requirement Rate - Non-Demand Deposit Account (Non-DDA)
14
+ 13 Money Market (MMA)
15
+ 14 Negotiable Order of Withdrawal Reserve (NOW)
16
+ 15 Certificate of Deposit (CD)
17
+ 2A Analysis Earnings Credit Interest Rate Net of Reserves
18
+ BA Base
19
+ CF Current Factor
20
+ CM Commission
21
+ CR Coupon Rate
22
+ CX Currency Exchange
23
+ DA Demand Deposit Account Interest
24
+ DI Deficiency Interest Rate
25
+ DR Discount
26
+ DS Deficiency Surcharge Rate
27
+ IR Interest
28
+ NB Book/Ledger Balance Net Overdraft Interest Rate
29
+ NC Collected Balance Net Overdraft Interest Rate
30
+ PB Principal Balance Factor
31
+ PF Principal and Interest Factor
32
+ RR Rebate
33
+ SR Security
34
+ ST Standby (Letter of Credit)
35
+ UF Uncollected Funds Usage Interest Rate
data/data/004010/code-lists/139.tsv ADDED
@@ -0,0 +1,14 @@
1
+ id definition
2
+ CH Cash
3
+ DD Date Draft
4
+ GA Guarantor
5
+ IF Interim Funding
6
+ LC Letter of Credit
7
+ MB Mortgage Backed Security
8
+ NC No Charge
9
+ OA Open Account
10
+ SA Stratification
11
+ SB Standard Delivery
12
+ SD Sight Draft
13
+ ST Stock Transfer
14
+ ZZ Mutually Defined
data/data/004010/code-lists/1390.tsv ADDED
@@ -0,0 +1,36 @@
1
+ id definition
2
+ 1 Active Coverage
3
+ 2 Active - Full Risk Capitation
4
+ 3 Active - Services Capitated
5
+ 4 Active - Services Capitated to Primary Care Physician
6
+ 5 Active - Pending Investigation
7
+ 6 Inactive
8
+ 7 Inactive - Pending Eligibility Update
9
+ 8 Inactive - Pending Investigation
10
+ A Co-Insurance
11
+ B Co-Payment
12
+ C Deductible
13
+ D Benefit Description
14
+ E Exclusions
15
+ F Limitations
16
+ G Out of Pocket (Stop Loss)
17
+ H Unlimited
18
+ I Non-Covered
19
+ J Cost Containment
20
+ K Reserve
21
+ L Primary Care Provider
22
+ M Pre-existing Condition
23
+ N Services Restricted to Following Provider
24
+ O Not Deemed a Medical Necessity
25
+ P Benefit Disclaimer
26
+ Q Second Surgical Opinion Required
27
+ R Other or Additional Payor
28
+ S Prior Year(s) History
29
+ T Card(s) Reported Lost/Stolen
30
+ U Contact Following Entity for Eligibility or Benefit Information
31
+ V Cannot Process
32
+ W Other Source of Data
33
+ X Health Care Facility
34
+ Y Spend Down
35
+ CB Coverage Basis
36
+ MC Managed Care Coordinator
data/data/004010/code-lists/1393.tsv ADDED
@@ -0,0 +1,5 @@
1
+ id definition
2
+ MI Miscellaneous
3
+ NE Newspaper
4
+ RD Radio
5
+ TV Television