eligible 1.0
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- data/.gitignore +17 -0
- data/CONTRIBUTORS +1 -0
- data/Gemfile +4 -0
- data/LICENSE +22 -0
- data/README.md +126 -0
- data/Rakefile +4 -0
- data/eligible.gemspec +28 -0
- data/lib/eligible.rb +215 -0
- data/lib/eligible/api_resource.rb +14 -0
- data/lib/eligible/claim.rb +12 -0
- data/lib/eligible/demographic.rb +40 -0
- data/lib/eligible/eligible_object.rb +121 -0
- data/lib/eligible/errors/api_connection_error.rb +4 -0
- data/lib/eligible/errors/api_error.rb +4 -0
- data/lib/eligible/errors/authentication_error.rb +4 -0
- data/lib/eligible/errors/eligible_error.rb +20 -0
- data/lib/eligible/json.rb +21 -0
- data/lib/eligible/plan.rb +42 -0
- data/lib/eligible/service.rb +39 -0
- data/lib/eligible/util.rb +99 -0
- data/lib/eligible/version.rb +3 -0
- data/test/test_eligible.rb +279 -0
- data/test/test_helper.rb +67 -0
- metadata +141 -0
data/test/test_helper.rb
ADDED
@@ -0,0 +1,67 @@
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1
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$LOAD_PATH.unshift File.expand_path('../../lib', __FILE__)
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require 'eligible'
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module Eligible
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@mock_rest_client = nil
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def self.mock_rest_client=(mock_client)
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@mock_rest_client = mock_client
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end
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def self.execute_request(opts)
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get_params = (opts[:headers] || {})[:params]
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post_params = opts[:payload]
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case opts[:method]
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when :get then @mock_rest_client.get opts[:url], get_params, post_params
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when :post then @mock_rest_client.post opts[:url], get_params, post_params
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when :delete then @mock_rest_client.delete opts[:url], get_params, post_params
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end
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end
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end
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def test_response(body, code=200)
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# When an exception is raised, restclient clobbers method_missing. Hence we
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# can't just use the stubs interface.
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body = MultiJson.dump(body) if !(body.kind_of? String)
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m = mock
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m.instance_variable_set('@eligible_values', { :body => body, :code => code })
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def m.body; @eligible_values[:body]; end
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def m.code; @eligible_values[:code]; end
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m
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end
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33
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def test_invalid_api_key_error
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{ "error" => [ { "message" => "Could not authenticate you. Please re-try with a valid API key.", "code" => 1 }] }
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end
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36
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def test_plan_missing_params
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{"timestamp"=>"2013-02-01T13:25:58", "eligible_id"=>"A4F4E1D6-7DC3-4B20-87CE-B59F48811290", "mapping_version"=>"plan/all$Revision:6$$Date:13-01-110:18$", "error"=>{"response_code"=>"Y", "response_description"=>"Yes", "agency_qualifier_code"=>"", "agency_qualifier_description"=>"", "reject_reason_code"=>"41", "reject_reason_description"=>"Authorization/AccessRestrictions", "follow-up_action_code"=>"C", "follow-up_action_description"=>"PleaseCorrectandResubmit"}}
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end
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40
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41
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def test_plan
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42
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{"timestamp"=>"2013-01-14T20:39:57", "eligible_id"=>"B97BC91A-3E84-40A9-AA5C-D416CAE5CDB1", "mapping_version"=>"plan/all$Revision:6$$Date:13-01-110:18$", "primary_insurance"=>{"name"=>"Aetna", "id"=>"00002", "group_name"=>"TOWERGROUPCOMPANIES", "plan_begins"=>"2010-01-01", "plan_ends"=>"", "comments"=>["AetnaChoicePOSII"]}, "type"=>"30", "coverage_status"=>"1", "precertification_needed"=>"", "exclusions"=>"", "deductible_in_network"=>{"individual"=>{"base_period"=>"500", "remaining"=>"500", "comments"=>["MedDent", "MedDent"]}, "family"=>{"base_period"=>"1000", "remaining"=>"1000", "comments"=>["MedDent", "MedDent"]}}, "deductible_out_network"=>{"individual"=>{"base_period"=>"1250", "remaining"=>"1250", "comments"=>["MedDent", "MedDent"]}, "family"=>{"base_period"=>"3750", "remaining"=>"3750", "comments"=>["MedDent", "MedDent"]}}, "stop_loss_in_network"=>{"individual"=>{"base_period"=>"", "remaining"=>"2000", "comments"=>[]}, "family"=>{"base_period"=>"", "remaining"=>"4000", "comments"=>[]}}, "stop_loss_out_network"=>{"individual"=>{"base_period"=>"", "remaining"=>"3000", "comments"=>[]}, "family"=>{"base_period"=>"", "remaining"=>"6000", "comments"=>[]}}, "balance"=>"", "comments"=>[], "additional_insurance"=>{"comments"=>[]}}
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43
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end
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45
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def test_service_missing_params
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46
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{"timestamp"=>"2013-02-04T17:23:12", "eligible_id"=>"7EEA40A7-58C5-4EBC-A450-10C37CA2D252", "mapping_version"=>"service/all$Revision:4$$Date:12-12-280:13$", "error"=>{"response_code"=>"Y", "response_description"=>"Yes", "agency_qualifier_code"=>"", "agency_qualifier_description"=>"", "reject_reason_code"=>"41", "reject_reason_description"=>"Authorization/AccessRestrictions", "follow-up_action_code"=>"C", "follow-up_action_description"=>"PleaseCorrectandResubmit"}}
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end
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48
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49
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def test_service
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50
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{"timestamp"=>"2013-02-01T15:28:16", "eligible_id"=>"FD8994B1-F977-459A-81AC-D182EA8FE66D", "mapping_version"=>"service/all$Revision:4$$Date:12-12-280:13$", "type"=>"33", "coverage_status"=>"1", "service_begins"=>"", "service_ends"=>"", "not_covered"=>[], "comments"=>["AetnaChoicePOSII"], "precertification_needed"=>"", "visits_in_network"=>{"individual"=>{"total"=>"", "remaining"=>"", "comments"=>[]}, "family"=>{"total"=>"", "remaining"=>"", "comments"=>[]}}, "visits_out_network"=>{"individual"=>{"total"=>"", "remaining"=>"", "comments"=>[]}, "family"=>{"total"=>"", "remaining"=>"", "comments"=>[]}}, "copayment_in_network"=>{"individual"=>{"amount"=>"", "comments"=>[]}, "family"=>{"amount"=>"35", "comments"=>["OFFCHIROVISI", "COPAYNOTINCLUDEDINOOP", "MANPULATNCHRO"]}}, "copayment_out_network"=>{"individual"=>{"amount"=>"", "comments"=>[]}, "family"=>{"amount"=>"0", "comments"=>["MANPULATNCHRO"]}}, "coinsurance_in_network"=>{"individual"=>{"percent"=>"", "comments"=>[]}, "family"=>{"percent"=>"0", "comments"=>["OFFCHIROVISI", "MANPULATNCHRO"]}}, "coinsurance_out_network"=>{"individual"=>{"percent"=>"", "comments"=>[]}, "family"=>{"percent"=>"30", "comments"=>["CHIROVSTEVAL", "COINSAPPLIESTOOUTOFPOCKET", "MANPULATNCHRO"]}}, "deductible_in_network"=>{"individual"=>{"base_period"=>"", "remaining"=>"", "comments"=>[]}, "family"=>{"base_period"=>"", "remaining"=>"", "comments"=>[]}}, "deductible_out_network"=>{"individual"=>{"base_period"=>"", "remaining"=>"", "comments"=>[]}, "family"=>{"base_period"=>"", "remaining"=>"", "comments"=>[]}}, "additional_insurance"=>{"comments"=>[]}}
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51
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end
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52
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53
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def test_demographic_missing_params
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54
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{"timestamp"=>"2013-02-05T13:21:38", "eligible_id"=>"AE9F5EB3-B4BF-4B2E-92C5-6307CE91DB81", "mapping_version"=>"demographic/dob$Revision:1$$Date:12-12-2619:01$", "error"=>{"response_code"=>"Y", "response_description"=>"Yes", "agency_qualifier_code"=>"", "agency_qualifier_description"=>"", "reject_reason_code"=>"41", "reject_reason_description"=>"Authorization/AccessRestrictions", "follow-up_action_code"=>"C", "follow-up_action_description"=>"PleaseCorrectandResubmit"}}
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end
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56
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def test_demographic
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{"timestamp"=>"2013-02-05T13:14:36", "eligible_id"=>"DCE2FFB3-179A-4825-ADA6-B8108FB5FB90", "mapping_version"=>"demographic/all$Revision:4$$Date:12-12-2622:25$", "last_name"=>"AUSTEN", "first_name"=>"JANE", "member_id"=>"R112114321", "group_id"=>"060801203300001", "group_name"=>"TOWERGROUPCOMPANIES", "dob"=>"1955-12-14", "gender"=>"M", "address"=>{"street_line_1"=>"123SOUTH7THSTREET", "street_line_2"=>"", "city"=>"CHICAGO", "state"=>"CA", "zip"=>"89701"}}
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end
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def test_claim_missing_params
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{"timestamp"=>"2013-02-05T13:21:38", "eligible_id"=>"AE9F5EB3-B4BF-4B2E-92C5-6307CE91DB81", "mapping_version"=>"claim/status$Revision:1$$Date:12-12-2619:01$", "error"=>{"response_code"=>"Y", "response_description"=>"Yes", "agency_qualifier_code"=>"", "agency_qualifier_description"=>"", "reject_reason_code"=>"41", "reject_reason_description"=>"Authorization/AccessRestrictions", "follow-up_action_code"=>"C", "follow-up_action_description"=>"PleaseCorrectandResubmit"}}
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end
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def test_claim
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{"timestamp"=>"2012-12-30T22:41:10", "eligible_id"=>"DCE2FFB3-179A-4825-ADA6-B8108FB5FB90", "mapping_version"=>"claim/status$Revision:1$$Date:12-12-3022:10$", "referenced_transaction_trace_number"=>"970779644", "claim_status_category_code"=>"F0", "claim_status_category_description"=>"Finalized-Theclaim/encounterhascompletedtheadjudicationcycleandnomoreactionwillbetaken.", "claim_status_code"=>"1", "claim_status_description"=>"Formoredetailedinformation,seeremittanceadvice.", "status_information_effective_date"=>"2007-03-13", "total_claim_charge_amount"=>"172", "claim_payment_amount"=>"126.9", "adjudication_finalized_date"=>"2007-03-18", "remittance_date"=>"2007-03-19", "remittance_trace_number"=>"458787", "payer_claim_control_number"=>"4121476181852", "claim_service_begin_date"=>"2007-02-23", "claim_service_end_date"=>"2007-02-28"}
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end
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metadata
ADDED
@@ -0,0 +1,141 @@
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--- !ruby/object:Gem::Specification
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name: eligible
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version: !ruby/object:Gem::Version
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version: '1.0'
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prerelease:
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platform: ruby
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authors:
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- Andy Brett
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autorequire:
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bindir: bin
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cert_chain: []
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date: 2013-02-07 00:00:00.000000000 Z
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dependencies:
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- !ruby/object:Gem::Dependency
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name: mocha
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requirement: &70130122371040 !ruby/object:Gem::Requirement
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none: false
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requirements:
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- - ! '>='
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- !ruby/object:Gem::Version
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version: '0'
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type: :development
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prerelease: false
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version_requirements: *70130122371040
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- !ruby/object:Gem::Dependency
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name: shoulda
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requirement: &70130122370000 !ruby/object:Gem::Requirement
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none: false
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requirements:
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- - ! '>='
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31
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- !ruby/object:Gem::Version
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version: '0'
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type: :development
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prerelease: false
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version_requirements: *70130122370000
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36
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- !ruby/object:Gem::Dependency
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name: test-unit
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requirement: &70130122368580 !ruby/object:Gem::Requirement
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none: false
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requirements:
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41
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- - ! '>='
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42
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- !ruby/object:Gem::Version
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version: '0'
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type: :development
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45
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prerelease: false
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version_requirements: *70130122368580
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- !ruby/object:Gem::Dependency
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name: rake
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requirement: &70130122367240 !ruby/object:Gem::Requirement
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none: false
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requirements:
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- - ! '>='
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- !ruby/object:Gem::Version
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version: '0'
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type: :development
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56
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prerelease: false
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57
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version_requirements: *70130122367240
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58
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- !ruby/object:Gem::Dependency
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59
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name: rest-client
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60
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requirement: &70130122450000 !ruby/object:Gem::Requirement
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61
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none: false
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62
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requirements:
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63
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- - ~>
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64
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- !ruby/object:Gem::Version
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65
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version: '1.4'
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66
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type: :runtime
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67
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prerelease: false
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68
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version_requirements: *70130122450000
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69
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- !ruby/object:Gem::Dependency
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70
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name: multi_json
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71
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requirement: &70130122473580 !ruby/object:Gem::Requirement
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72
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none: false
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73
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requirements:
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74
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- - ! '>='
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75
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- !ruby/object:Gem::Version
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76
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version: 1.0.4
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77
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- - <
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78
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- !ruby/object:Gem::Version
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79
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version: '2'
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type: :runtime
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81
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prerelease: false
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82
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version_requirements: *70130122473580
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description: Eligible is a developer-friendly way to process health care eligibility
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84
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checks. Learn more at https://eligibleapi.com
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85
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email:
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- andy@andybrett.com
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87
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executables: []
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88
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extensions: []
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89
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extra_rdoc_files: []
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90
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files:
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91
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- .gitignore
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92
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- CONTRIBUTORS
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93
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- Gemfile
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94
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- LICENSE
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95
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- README.md
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96
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- Rakefile
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97
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- eligible.gemspec
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98
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- lib/eligible.rb
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99
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- lib/eligible/api_resource.rb
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100
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- lib/eligible/claim.rb
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101
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- lib/eligible/demographic.rb
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102
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- lib/eligible/eligible_object.rb
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103
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- lib/eligible/errors/api_connection_error.rb
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104
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- lib/eligible/errors/api_error.rb
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105
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- lib/eligible/errors/authentication_error.rb
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106
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- lib/eligible/errors/eligible_error.rb
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107
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- lib/eligible/json.rb
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108
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- lib/eligible/plan.rb
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109
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- lib/eligible/service.rb
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110
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- lib/eligible/util.rb
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111
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- lib/eligible/version.rb
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112
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- test/test_eligible.rb
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113
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- test/test_helper.rb
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114
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homepage: https://eligibleapi.com/
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115
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licenses:
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116
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- MIT
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117
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post_install_message:
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118
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rdoc_options: []
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119
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require_paths:
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120
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- lib
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121
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required_ruby_version: !ruby/object:Gem::Requirement
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122
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none: false
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123
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requirements:
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124
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- - ! '>='
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125
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- !ruby/object:Gem::Version
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126
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version: '0'
|
127
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required_rubygems_version: !ruby/object:Gem::Requirement
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128
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none: false
|
129
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requirements:
|
130
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- - ! '>='
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131
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- !ruby/object:Gem::Version
|
132
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version: '0'
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133
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requirements: []
|
134
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rubyforge_project:
|
135
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rubygems_version: 1.8.13
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136
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signing_key:
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137
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specification_version: 3
|
138
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summary: Ruby wrapper for the Eligible API
|
139
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test_files:
|
140
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- test/test_eligible.rb
|
141
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- test/test_helper.rb
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