eligible 2.0

data/test/test_eligible.rb

@@ -0,0 +1,344 @@
+require File.expand_path('../test_helper', __FILE__)
+require 'test/unit'
+require 'shoulda'
+require 'mocha'
+require 'rest-client'
+
+class TestEligible < Test::Unit::TestCase
+  include Mocha
+
+  context "Version" do
+    should "have a version number" do
+      assert_not_nil Eligible::VERSION
+    end
+  end
+
+  context "General API" do
+    setup do
+      Eligible.api_key = "TEST"
+      @mock = mock
+      Eligible.mock_rest_client = @mock
+    end
+
+    teardown do
+      Eligible.mock_rest_client = nil
+      Eligible.api_key = nil
+    end
+
+    should "not specifying api credentials should raise an exception" do
+      Eligible.api_key = nil
+      assert_raises Eligible::AuthenticationError do
+        Eligible::Plan.get({})
+      end
+    end
+
+    should "specifying invalid api credentials should raise an exception" do
+      Eligible.api_key = "invalid"
+      response = test_response(test_invalid_api_key_error, 401)
+      assert_raises Eligible::AuthenticationError do
+        @mock.expects(:get).once.raises(RestClient::ExceptionWithResponse.new(response, 401))
+        Eligible::Plan.get({})
+      end
+    end
+  end
+
+  context "Plan" do
+    setup do
+      Eligible.api_key = "TEST"
+      @mock = mock
+      Eligible.mock_rest_client = @mock
+    end
+
+    teardown do
+      Eligible.mock_rest_client = nil
+      Eligible.api_key = nil
+    end
+
+    should "return an error if no params are supplied" do
+      params = {}
+      response = test_response(test_plan_missing_params)
+      @mock.expects(:get).returns(response)
+      plan = Eligible::Plan.get(params)
+      assert_not_nil plan.error
+    end
+
+    should "return plan information if valid params are supplied" do
+      params = {
+        :payer_name => "Aetna",
+        :payer_id   => "000001",
+        :provider_last_name => "Last",
+        :provider_first_name => "First",
+        :provider_npi => "1028384219",
+        :member_id => "W120923801",
+        :member_last_name => "Austen",
+        :member_first_name => "Jane",
+        :member_dob => "1955-12-14"
+      }
+      response = test_response(test_plan)
+      @mock.expects(:get).returns(response)
+      plan = Eligible::Plan.get(params)
+      assert_nil plan.error
+      assert_not_nil plan.all
+    end
+
+    should "return the right subsets of the data when requested" do
+      params = {
+        :payer_name => "Aetna",
+        :payer_id   => "000001",
+        :provider_last_name => "Last",
+        :provider_first_name => "First",
+        :provider_npi => "1028384219",
+        :member_id => "W120923801",
+        :member_last_name => "Austen",
+        :member_first_name => "Jane",
+        :member_dob => "1955-12-14"
+      }
+      response = test_response(test_plan)
+      @mock.expects(:get).returns(response)
+      plan = Eligible::Plan.get(params)
+
+      assert_not_nil  plan.all[:primary_insurance]
+      assert_not_nil  plan.status[:coverage_status]
+      assert_nil      plan.status[:deductible_in_network]
+      assert_not_nil  plan.deductible[:deductible_in_network]
+      assert_nil      plan.deductible[:balance]
+      assert_not_nil  plan.dates[:primary_insurance][:plan_begins]
+      assert_nil      plan.dates[:deductible_in_network]
+      assert_not_nil  plan.balance[:balance]
+      assert_nil      plan.balance[:deductible_in_network]
+      assert_not_nil  plan.stop_loss[:stop_loss_in_network]
+      assert_nil      plan.stop_loss[:deductible_in_network]
+    end
+  end
+
+  context "Service" do
+    setup do
+      Eligible.api_key = "TEST"
+      @mock = mock
+      Eligible.mock_rest_client = @mock
+    end
+
+    teardown do
+      Eligible.mock_rest_client = nil
+      Eligible.api_key = nil
+    end
+
+    should "return an error if no params are supplied" do
+      params = {}
+      response = test_response(test_service_missing_params)
+      @mock.expects(:get).returns(response)
+      service = Eligible::Service.get(params)
+      assert_not_nil service.error
+    end
+
+    should "return eligibility information if valid params are supplied" do
+      params = {
+        :payer_name => "Aetna",
+        :payer_id   => "000001",
+        :provider_last_name => "Last",
+        :provider_first_name => "First",
+        :provider_npi => "1028384219",
+        :member_id => "W120923801",
+        :member_last_name => "Austen",
+        :member_first_name => "Jane",
+        :member_dob => "1955-12-14"
+      }
+      response = test_response(test_service)
+      @mock.expects(:get).returns(response)
+      service = Eligible::Service.get(params)
+      assert_nil service.error
+      assert_not_nil service.all
+    end
+
+    should "return the right subsets of the data when requested" do
+      params = {
+        :payer_name => "Aetna",
+        :payer_id   => "000001",
+        :provider_last_name => "Last",
+        :provider_first_name => "First",
+        :provider_npi => "1028384219",
+        :member_id => "W120923801",
+        :member_last_name => "Austen",
+        :member_first_name => "Jane",
+        :member_dob => "1955-12-14"
+      }
+      response = test_response(test_service)
+      @mock.expects(:get).returns(response)
+      service = Eligible::Service.get(params)
+
+      assert_not_nil  service.all[:service_begins]
+      assert_not_nil  service.visits[:visits_in_network]
+      assert_nil      service.visits[:copayment_in_network]
+      assert_not_nil  service.copayment[:copayment_in_network]
+      assert_nil      service.copayment[:visits_in_network]
+      assert_not_nil  service.coinsurance[:coinsurance_in_network]
+      assert_nil      service.coinsurance[:visits_in_network]
+      assert_not_nil  service.deductible[:deductible_in_network]
+      assert_nil      service.deductible[:visits_in_network]
+    end
+  end
+
+  context "Demographic" do
+    setup do
+      Eligible.api_key = "TEST"
+      @mock = mock
+      Eligible.mock_rest_client = @mock
+    end
+
+    teardown do
+      Eligible.mock_rest_client = nil
+      Eligible.api_key = nil
+    end
+
+    should "return an error if no params are supplied" do
+      params = {}
+      response = test_response(test_demographic_missing_params)
+      @mock.expects(:get).returns(response)
+      demographic = Eligible::Demographic.get(params)
+      assert_not_nil demographic.error
+    end
+
+    should "return demographic information if valid params are supplied" do
+      params = {
+        :payer_name => "Aetna",
+        :payer_id   => "000001",
+        :provider_last_name => "Last",
+        :provider_first_name => "First",
+        :provider_npi => "1028384219",
+        :member_id => "W120923801",
+        :member_last_name => "Austen",
+        :member_first_name => "Jane",
+        :member_dob => "1955-12-14"
+      }
+      response = test_response(test_demographic)
+      @mock.expects(:get).returns(response)
+      demographic = Eligible::Demographic.get(params)
+      assert_nil demographic.error
+      assert_not_nil demographic.all
+    end
+
+    should "return the right subsets of the data when requested" do
+      params = {
+        :payer_name => "Aetna",
+        :payer_id   => "000001",
+        :provider_last_name => "Last",
+        :provider_first_name => "First",
+        :provider_npi => "1028384219",
+        :member_id => "W120923801",
+        :member_last_name => "Austen",
+        :member_first_name => "Jane",
+        :member_dob => "1955-12-14"
+      }
+      response = test_response(test_demographic)
+      @mock.expects(:get).returns(response)
+      demographic = Eligible::Demographic.get(params)
+
+      assert_not_nil  demographic.all[:timestamp]
+      assert_not_nil  demographic.zip[:zip]
+      assert_nil      demographic.zip[:group_id]
+      assert_not_nil  demographic.employer[:group_id]
+      assert_nil      demographic.employer[:zip]
+      assert_not_nil  demographic.address[:address]
+      assert_nil      demographic.address[:group_id]
+      assert_not_nil  demographic.dob[:dob]
+      assert_nil      demographic.dob[:address]
+    end
+  end
+
+  context "Claim" do
+    setup do
+      Eligible.api_key = "TEST"
+      @mock = mock
+      Eligible.mock_rest_client = @mock
+    end
+
+    teardown do
+      Eligible.mock_rest_client = nil
+      Eligible.api_key = nil
+    end
+
+    should "return an error if no params are supplied" do
+      params = {}
+      response = test_response(test_claim_missing_params)
+      @mock.expects(:get).returns(response)
+      claim = Eligible::Claim.get(params)
+      assert claim["success"] == "false"
+    end
+
+    should "post a claim" do
+      params = {"api_key"=>"asdfsdfsd21132ddsfsdfd", "billing_provider"=>{"taxonomy_code"=>"332B00000X", "practice_name"=>"Jane Austen Practice", "npi"=>"1922222222", "address"=>{"street_line_1"=>"419 Fulton", "street_line_2"=>"", "city"=>"San Francisco", "state"=>"CA", "zip"=>"94102"}, "tin"=>"43291023", "insurance_provider_id"=>"129873210"}, "pay_to_provider"=>{"address"=>{"street_line_1"=>"", "street_line_2"=>"", "city"=>"", "state"=>"", "zip"=>""}}, "subscriber"=>{"last_name"=>"Franklin", "first_name"=>"Benjamin", "member_id"=>"W2832032427", "group_id"=>"455716", "group_name"=>"none", "dob"=>"1734-05-04", "gender"=>"M", "address"=>{"street_line_1"=>"435 Sugar Lane", "street_line_2"=>"", "city"=>"Sweet", "state"=>"OH", "zip"=>"436233127"}}, "payer"=>{"name"=>"AETNA", "id"=>"60054", "address"=>{"street_line_1"=>"Po Box 981106", "street_line_2"=>"", "city"=>"El Paso", "state"=>"TX", "zip"=>"799981222"}}, "dependent"=>{"relationship"=>"", "last_name"=>"", "first_name"=>"", "dob"=>"", "gender"=>"", "address"=>{"street_line_1"=>"", "street_line_2"=>"", "city"=>"", "state"=>"", "zip"=>""}}, "claim"=>{"total_charge_amount"=>"275", "claim_frequency"=>"1", "patient_signature_on_file"=>"Y", "provider_plan_participation"=>"A", "direct_payment_authorized"=>"Y", "release_of_information"=>"I", "service_lines"=>[{"line_number"=>"1", "service_start"=>"2013-03-07", "service_end"=>"2013-03-07", "authorization_code"=>"", "place_of_service"=>"11", "charge_amount"=>"275", "product_service"=>"99213", "qualifier"=>"HC", "description"=>"", "modifier_1"=>"", "diagnosis_1"=>"32723"}]}}
+      response = test_response(test_post_claim)
+    end
+  end
+
+  context "Coverage" do 
+    setup do
+      Eligible.api_key = "TEST"
+      @mock = mock
+      Eligible.mock_rest_client = @mock
+    end
+
+    teardown do
+      Eligible.mock_rest_client = nil
+      Eligible.api_key = nil
+    end
+
+    should "return an error if no params are supplied" do
+      params = {}
+      response = test_response(test_coverage_missing_params)
+      @mock.expects(:get).returns(response)
+      coverage = Eligible::Coverage.get(params)
+      assert_not_nil coverage.error
+    end
+
+    should "return coverage information if valid params are supplied" do
+      params = {
+        :payer_name => "Aetna",
+        :payer_id   => "000001",
+        :provider_last_name => "Last",
+        :provider_first_name => "First",
+        :provider_npi => "1028384219",
+        :member_id => "W120923801",
+        :member_last_name => "Austen",
+        :member_first_name => "Jane",
+        :member_dob => "1955-12-14"
+      }
+      response = test_response(test_coverage)
+      @mock.expects(:get).returns(response)
+      coverage = Eligible::Coverage.get(params)
+
+      assert_not_nil coverage.all[:eligible_id]
+    end
+  end
+
+  context "Enrollment" do 
+    setup do
+      Eligible.api_key = "TEST"
+      @mock = mock
+      Eligible.mock_rest_client = @mock
+    end
+
+    teardown do
+      Eligible.mock_rest_client = nil
+      Eligible.api_key = nil
+    end
+
+    should "post an enrollment request" do
+      params = {"service_provider_list"=>[{"facility_name"=>"Quality", "provider_name"=>"Jane Austen", "tax_id"=>"12345678", "address"=>"125 Snow Shoe Road", "city"=>"Sacramento", "state"=>"CA", "zip"=>"94107", "ptan"=>"54321", "npi"=>"987654321"}, {"facility_name"=>"Aetna", "provider_name"=>"Jack Austen", "tax_id"=>"12345678", "address"=>"985 Snow Shoe Road", "city"=>"Menlo Park", "state"=>"CA", "zip"=>"94107", "ptan"=>"54321", "npi"=>"987654321"}], "payer_ids"=>["00431", "00282"]}
+      response = test_response(test_post_enrollment)
+
+      @mock.expects(:post).returns(response)
+      enrollment = Eligible::Enrollment.post(params)
+
+      assert_not_nil enrollment.all[:enrollment_request]
+    end
+
+    should "get the status of an enrollment request" do
+      params = { "NPI" => "1028384219" }
+      response = test_response(test_get_enrollment)
+      @mock.expects(:get).returns(response)
+      enrollment = Eligible::Enrollment.get(params)
+      assert_not_nil enrollment.all[:enrollments]
+    end
+  end
+end

data/test/test_helper.rb

@@ -0,0 +1,87 @@
+$LOAD_PATH.unshift File.expand_path('../../lib', __FILE__)
+require 'eligible'
+
+module Eligible
+  @mock_rest_client = nil
+
+  def self.mock_rest_client=(mock_client)
+    @mock_rest_client = mock_client
+  end
+
+  def self.execute_request(opts)
+    get_params = (opts[:headers] || {})[:params]
+    post_params = opts[:payload]
+    case opts[:method]
+    when :get then @mock_rest_client.get opts[:url], get_params, post_params
+    when :post then @mock_rest_client.post opts[:url], get_params, post_params
+    when :delete then @mock_rest_client.delete opts[:url], get_params, post_params
+    end
+  end
+end
+
+def test_response(body, code=200)
+  # When an exception is raised, restclient clobbers method_missing.  Hence we
+  # can't just use the stubs interface.
+  body = MultiJson.dump(body) if !(body.kind_of? String)
+  m = mock
+  m.instance_variable_set('@eligible_values', { :body => body, :code => code })
+  def m.body; @eligible_values[:body]; end
+  def m.code; @eligible_values[:code]; end
+  m
+end  
+
+def test_invalid_api_key_error
+  { "error" => [ { "message" => "Could not authenticate you. Please re-try with a valid API key.", "code" => 1 }] }
+end
+
+def test_plan_missing_params
+  {"timestamp"=>"2013-02-01T13:25:58", "eligible_id"=>"A4F4E1D6-7DC3-4B20-87CE-B59F48811290", "mapping_version"=>"plan/all$Revision:6$$Date:13-01-110:18$", "error"=>{"response_code"=>"Y", "response_description"=>"Yes", "agency_qualifier_code"=>"", "agency_qualifier_description"=>"", "reject_reason_code"=>"41", "reject_reason_description"=>"Authorization/AccessRestrictions", "follow-up_action_code"=>"C", "follow-up_action_description"=>"PleaseCorrectandResubmit"}}
+end
+
+def test_plan
+  {"timestamp"=>"2013-01-14T20:39:57", "eligible_id"=>"B97BC91A-3E84-40A9-AA5C-D416CAE5CDB1", "mapping_version"=>"plan/all$Revision:6$$Date:13-01-110:18$", "primary_insurance"=>{"name"=>"Aetna", "id"=>"00002", "group_name"=>"TOWERGROUPCOMPANIES", "plan_begins"=>"2010-01-01", "plan_ends"=>"", "comments"=>["AetnaChoicePOSII"]}, "type"=>"30", "coverage_status"=>"1", "precertification_needed"=>"", "exclusions"=>"", "deductible_in_network"=>{"individual"=>{"base_period"=>"500", "remaining"=>"500", "comments"=>["MedDent", "MedDent"]}, "family"=>{"base_period"=>"1000", "remaining"=>"1000", "comments"=>["MedDent", "MedDent"]}}, "deductible_out_network"=>{"individual"=>{"base_period"=>"1250", "remaining"=>"1250", "comments"=>["MedDent", "MedDent"]}, "family"=>{"base_period"=>"3750", "remaining"=>"3750", "comments"=>["MedDent", "MedDent"]}}, "stop_loss_in_network"=>{"individual"=>{"base_period"=>"", "remaining"=>"2000", "comments"=>[]}, "family"=>{"base_period"=>"", "remaining"=>"4000", "comments"=>[]}}, "stop_loss_out_network"=>{"individual"=>{"base_period"=>"", "remaining"=>"3000", "comments"=>[]}, "family"=>{"base_period"=>"", "remaining"=>"6000", "comments"=>[]}}, "balance"=>"", "comments"=>[], "additional_insurance"=>{"comments"=>[]}}
+end
+
+def test_service_missing_params
+  {"timestamp"=>"2013-02-04T17:23:12", "eligible_id"=>"7EEA40A7-58C5-4EBC-A450-10C37CA2D252", "mapping_version"=>"service/all$Revision:4$$Date:12-12-280:13$", "error"=>{"response_code"=>"Y", "response_description"=>"Yes", "agency_qualifier_code"=>"", "agency_qualifier_description"=>"", "reject_reason_code"=>"41", "reject_reason_description"=>"Authorization/AccessRestrictions", "follow-up_action_code"=>"C", "follow-up_action_description"=>"PleaseCorrectandResubmit"}}
+end
+
+def test_service
+  {"timestamp"=>"2013-02-01T15:28:16", "eligible_id"=>"FD8994B1-F977-459A-81AC-D182EA8FE66D", "mapping_version"=>"service/all$Revision:4$$Date:12-12-280:13$", "type"=>"33", "coverage_status"=>"1", "service_begins"=>"", "service_ends"=>"", "not_covered"=>[], "comments"=>["AetnaChoicePOSII"], "precertification_needed"=>"", "visits_in_network"=>{"individual"=>{"total"=>"", "remaining"=>"", "comments"=>[]}, "family"=>{"total"=>"", "remaining"=>"", "comments"=>[]}}, "visits_out_network"=>{"individual"=>{"total"=>"", "remaining"=>"", "comments"=>[]}, "family"=>{"total"=>"", "remaining"=>"", "comments"=>[]}}, "copayment_in_network"=>{"individual"=>{"amount"=>"", "comments"=>[]}, "family"=>{"amount"=>"35", "comments"=>["OFFCHIROVISI", "COPAYNOTINCLUDEDINOOP", "MANPULATNCHRO"]}}, "copayment_out_network"=>{"individual"=>{"amount"=>"", "comments"=>[]}, "family"=>{"amount"=>"0", "comments"=>["MANPULATNCHRO"]}}, "coinsurance_in_network"=>{"individual"=>{"percent"=>"", "comments"=>[]}, "family"=>{"percent"=>"0", "comments"=>["OFFCHIROVISI", "MANPULATNCHRO"]}}, "coinsurance_out_network"=>{"individual"=>{"percent"=>"", "comments"=>[]}, "family"=>{"percent"=>"30", "comments"=>["CHIROVSTEVAL", "COINSAPPLIESTOOUTOFPOCKET", "MANPULATNCHRO"]}}, "deductible_in_network"=>{"individual"=>{"base_period"=>"", "remaining"=>"", "comments"=>[]}, "family"=>{"base_period"=>"", "remaining"=>"", "comments"=>[]}}, "deductible_out_network"=>{"individual"=>{"base_period"=>"", "remaining"=>"", "comments"=>[]}, "family"=>{"base_period"=>"", "remaining"=>"", "comments"=>[]}}, "additional_insurance"=>{"comments"=>[]}}
+end
+
+def test_demographic_missing_params
+  {"timestamp"=>"2013-02-05T13:21:38", "eligible_id"=>"AE9F5EB3-B4BF-4B2E-92C5-6307CE91DB81", "mapping_version"=>"demographic/dob$Revision:1$$Date:12-12-2619:01$", "error"=>{"response_code"=>"Y", "response_description"=>"Yes", "agency_qualifier_code"=>"", "agency_qualifier_description"=>"", "reject_reason_code"=>"41", "reject_reason_description"=>"Authorization/AccessRestrictions", "follow-up_action_code"=>"C", "follow-up_action_description"=>"PleaseCorrectandResubmit"}}
+end
+
+def test_demographic
+  {"timestamp"=>"2013-02-05T13:14:36", "eligible_id"=>"DCE2FFB3-179A-4825-ADA6-B8108FB5FB90", "mapping_version"=>"demographic/all$Revision:4$$Date:12-12-2622:25$", "last_name"=>"AUSTEN", "first_name"=>"JANE", "member_id"=>"R112114321", "group_id"=>"060801203300001", "group_name"=>"TOWERGROUPCOMPANIES", "dob"=>"1955-12-14", "gender"=>"M", "address"=>{"street_line_1"=>"123SOUTH7THSTREET", "street_line_2"=>"", "city"=>"CHICAGO", "state"=>"CA", "zip"=>"89701"}}
+end
+
+def test_claim_missing_params
+  {"success"=>"false", "created_at"=>"2013-06-03T23:53:39Z", "error"=>{"type"=>"scrub", "message"=>"you forgot to include gender"}} 
+end
+
+def test_post_claim
+  {"timestamp"=>"2012-12-30T22:41:10", "eligible_id"=>"DCE2FFB3-179A-4825-ADA6-B8108FB5FB90", "mapping_version"=>"claim/status$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"}
+end
+
+def test_coverage_missing_params
+  {"created_at"=>"2013-06-11T12:21:47Z", "eligible_id"=>"57c320d8-2e14-68ed-73d0-41c3b23c0f43", "error"=>{"response_code"=>"Y", "response_description"=>"Yes", "agency_qualifier_code"=>"", "agency_qualifier_description"=>"", "reject_reason_code"=>"41", "reject_reason_description"=>"Authorization/Access Restrictions", "follow-up_action_code"=>"C", "follow-up_action_description"=>"Please Correct and Resubmit", "details"=>""}}  
+end
+
+def test_coverage
+  {"created_at"=>"2013-05-09T22:42:40Z", "eligible_id"=>"3233a9a1-a286-2896-ba3d-9f171303428b", "demographics"=>{"subscriber"=>{"last_name"=>"FRANKLIN", "first_name"=>"BENJAMIN", "member_id"=>"TYA445554301", "group_id"=>"3207524", "group_name"=>"FOUNDING FATHERS", "dob"=>"1701-10-17", "gender"=>"M", "address"=>{"street_line_1"=>"2 FRANKLIN STREET", "street_line_2"=>"", "city"=>"SAN FRANCISCO", "state"=>"CA", "zip"=>"94102"}}, "dependent"=>{"last_name"=>"FRANKLIN", "first_name"=>"IDA", "member_id"=>"ZZZ445554301", "group_id"=>"3207524", "group_name"=>"FOUNDING FATHERS", "dob"=>"1701-12-12", "gender"=>"F", "address"=>{"street_line_1"=>"2 FRANKLIN STREET", "street_line_2"=>"", "city"=>"SAN FRANCISCO", "state"=>"CA", "zip"=>"94102"}}}, "primary_insurance"=>{"name"=>"CIGNA", "id"=>"00001", "contacts"=>[{"contact_type"=>"url", "contact_value"=>"cignaforhcp.cigna.com"}], "service_providers"=>{"physicians"=>[{"insurance_type"=>"HN", "insurance_type_label"=>"Health Maintenance Organization (HMO)", "primary_care"=>"true", "restricted"=>"TRUE", "contact_details"=>[{"last_name"=>"JEFFERSON", "first_name"=>"THOMAS", "indentification_type"=>"Centers for Medicare and Medicaid Services National Provider Identifier", "identification_code"=>"2222222222", "contacts"=>[], "address"=>{"street_line_1"=>"PO BOX 2222222", "street_line_2"=>"", "city"=>"SAN FRANCISCO", "state"=>"CA", "zip"=>"94105"}}], "dates"=>[{"date_type"=>"eligibility", "date_value"=>"2010-01-01"}], "comments"=>["HRA BALANCE"]}]}}, "plan"=>{"type"=>"30", "coverage_status"=>"1", "coverage_status_label"=>"ACTIVE COVERAGE", "coverage_basis"=>[], "plan_number"=>"43", "plan_name"=>"TRADITIONAL BLUE PPO 813 $15/ $15 COPAY", "group_name"=>"FOUNDING FATHERS", "dates"=>[{"date_type"=>"plan_begin", "date_value"=>"2010-01-01"}, {"date_type"=>"service", "date_value"=>"2013-05-24"}, {"date_type"=>"eligibility_begin", "date_value"=>"2007-02-01"}], "exclusions"=>{"noncovered"=>[{"type"=>"BZ", "type_label"=>"Physician Visit - Well", "time_period"=>"32", "time_period_label"=>"lifetime", "level"=>"INDIVIDUAL", "network"=>"OUT", "pos"=>"", "pos_label"=>"", "authorization_required"=>"", "dates"=>[], "contact_details"=>[], "comments"=>[]}], "pre_exisiting_condition"=>{"waiting_period"=>[]}}, "financials"=>{"deductible"=>{"remainings"=>{"in_network"=>[{"amount"=>"0", "level"=>"FAMILY", "insurance_type"=>"", "insurance_type_label"=>"", "pos"=>"", "pos_label"=>"", "authorization_required"=>"", "contact_details"=>[], "dates"=>[], "comments"=>[]}, {"amount"=>"0", "level"=>"INDIVIDUAL", "insurance_type"=>"", "insurance_type_label"=>"", "pos"=>"", "pos_label"=>"", "authorization_required"=>"", "contact_details"=>[], "dates"=>[], "comments"=>[]}], "out_network"=>[]}, "totals"=>{"in_network"=>[{"amount"=>"0", "time_period"=>"24", "time_period_label"=>"year_to_date", "level"=>"INDIVIDUAL", "insurance_type"=>"", "insurance_type_label"=>"", "pos"=>"", "pos_label"=>"", "authorization_required"=>"", "contact_details"=>[], "dates"=>[], "comments"=>[]}, {"amount"=>"0", "time_period"=>"23", "time_period_label"=>"calendar_year", "level"=>"INDIVIDUAL", "insurance_type"=>"", "insurance_type_label"=>"", "pos"=>"", "pos_label"=>"", "authorization_required"=>"", "contact_details"=>[], "dates"=>[], "comments"=>[]}, {"amount"=>"0", "time_period"=>"24", "time_period_label"=>"year_to_date", "level"=>"FAMILY", "insurance_type"=>"", "insurance_type_label"=>"", "pos"=>"", "pos_label"=>"", "authorization_required"=>"", "contact_details"=>[], "dates"=>[], "comments"=>[]}, {"amount"=>"0", "time_period"=>"23", "time_period_label"=>"calendar_year", "level"=>"FAMILY", "insurance_type"=>"", "insurance_type_label"=>"", "pos"=>"", "pos_label"=>"", "authorization_required"=>"", "contact_details"=>[], "dates"=>[], "comments"=>[]}], "out_network"=>[]}}, "stop_loss"=>{"remainings"=>{"in_network"=>[{"amount"=>"6490", "level"=>"INDIVIDUAL", "insurance_type"=>"HN", "insurance_type_label"=>"Health Maintenance Organization (HMO) - Medicare Risk", "pos"=>"", "pos_label"=>"", "authorization_required"=>"", "contact_details"=>[], "dates"=>[], "comments"=>[]}, {"amount"=>"0", "level"=>"FAMILY", "insurance_type"=>"HN", "insurance_type_label"=>"Health Maintenance Organization (HMO) - Medicare Risk", "pos"=>"", "pos_label"=>"", "authorization_required"=>"", "contact_details"=>[], "dates"=>[], "comments"=>[]}], "out_network"=>[]}, "totals"=>{"in_network"=>[{"amount"=>"210", "time_period"=>"24", "time_period_label"=>"year_to_date", "level"=>"INDIVIDUAL", "insurance_type"=>"HN", "insurance_type_label"=>"Health Maintenance Organization (HMO) - Medicare Risk", "pos"=>"", "pos_label"=>"", "authorization_required"=>"", "contact_details"=>[], "dates"=>[], "comments"=>[]}, {"amount"=>"210", "time_period"=>"24", "time_period_label"=>"year_to_date", "level"=>"FAMILY", "insurance_type"=>"HN", "insurance_type_label"=>"Health Maintenance Organization (HMO) - Medicare Risk", "pos"=>"", "pos_label"=>"", "authorization_required"=>"", "contact_details"=>[], "dates"=>[], "comments"=>[]}, {"amount"=>"0", "time_period"=>"23", "time_period_label"=>"calendar_year", "level"=>"FAMILY", "insurance_type"=>"HN", "insurance_type_label"=>"Health Maintenance Organization (HMO) - Medicare Risk", "pos"=>"", "pos_label"=>"", "authorization_required"=>"", "contact_details"=>[], "dates"=>[], "comments"=>[]}, {"amount"=>"6700", "time_period"=>"23", "time_period_label"=>"calendar_year", "level"=>"INDIVIDUAL", "insurance_type"=>"HN", "insurance_type_label"=>"Health Maintenance Organization (HMO) - Medicare Risk", "pos"=>"", "pos_label"=>"", "authorization_required"=>"", "contact_details"=>[], "dates"=>[], "comments"=>[]}], "out_network"=>[]}}, "spending_account"=>{"remaining"=>[]}, "coinsurance"=>{"percents"=>{"in_network"=>[], "out_network"=>[]}}, "copayment"=>{"amounts"=>{"in_network"=>[{"amount"=>"20", "time_period"=>"", "time_period_label"=>"", "level"=>"INDIVIDUAL", "insurance_type"=>"", "insurance_type_label"=>"", "pos"=>"", "pos_label"=>"", "authorization_required"=>"", "dates"=>[], "contact_details"=>[], "comments"=>[]}], "out_network"=>[{"amount"=>"40", "time_period"=>"", "time_period_label"=>"", "level"=>"INDIVIDUAL", "insurance_type"=>"", "insurance_type_label"=>"", "pos"=>"", "pos_label"=>"", "authorization_required"=>"", "dates"=>[], "contact_details"=>[], "comments"=>[]}]}}, "cost_containment"=>{"remainings"=>{"in_network"=>[], "out_network"=>[]}, "totals"=>{"in_network"=>[], "out_network"=>[]}}, "spend_down"=>{"remainings"=>{"in_network"=>[], "out_network"=>[]}, "totals"=>{"in_network"=>[], "out_network"=>[]}}, "limitations"=>{"amounts"=>[]}, "disclaimer"=>[], "other_sources"=>{"amounts"=>[]}}, "benefit_details"=>{"benefit_type_label"=>{"amounts"=>[]}, "managed_care"=>{"amounts"=>[]}, "unlimited"=>{"amounts"=>[]}}, "additional_insurance_policies"=>[{"insurance_type"=>"47", "insurance_type_label"=>"Medicare Secondary, Other Liability Insurance is Primary", "coverage_description"=>"", "reference"=>[{"reference_code"=>"IG", "reference_label"=>"Insurance Policy Number", "reference_number"=>"1232004008"}], "contact_details"=>[{"last_name"=>"CLAIMS MANAGEMENT INC", "first_name"=>"", "indentification_type"=>"", "identification_code"=>"", "contacts"=>[], "address"=>{"street_line_1"=>"PO BOX 2210", "street_line_2"=>"ATTN JANE AUSTEN", "city"=>"SAN FRANCISCO", "state"=>"CA", "zip"=>"941052312"}}], "dates"=>[{"date_type"=>"coordination_of_benefits", "date_value"=>"2005-02-12"}], "comments"=>[]}]}, "services"=>[{"type"=>"96", "type_label"=>"Physician Professional", "coverage_status"=>"11", "coverage_status_label"=>"generic inquiry provided no information for this service type. Retry by including service_type_code=96 for an explicit inquiry for this service type."}, {"type"=>"98", "type_label"=>"Professional Physician Visit - Office", "coverage_status"=>"1", "coverage_status_label"=>"active coverage", "authorization_required"=>"", "noncovered"=>[], "facility"=>{"amounts"=>[{"amount"=>"", "time_period"=>"26", "time_period_label"=>"EPISODE", "level"=>"INDIVIDUAL", "network"=>"Y", "insurance_type"=>"MA", "insurance_type_label"=>"MEDICARE PART A", "pos"=>"", "pos_label"=>"", "authorization_required"=>"", "contact_details"=>[], "dates"=>[{"date_type"=>"benefit_begin", "date_value"=>"2013-05-20"}], "comments"=>["Revocation Code - 0"]}]}, "benefit_details"=>{"benefit_type_label"=>{"amounts"=>[]}, "managed_care"=>{"amounts"=>[]}, "unlimited"=>{"amounts"=>[]}}, "financials"=>{"deductible"=>{}, "stop_loss"=>{}, "spending_account"=>{}, "coinsurance"=>{}, "copayment"=>{}, "cost_containment"=>{}, "spend_down"=>{}, "limitations"=>{}, "other_sources"=>{}}, "visits"=>{"amounts"=>{"in_network"=>[{"amount"=>"20", "time_period"=>"", "time_period_label"=>"", "level"=>"INDIVIDUAL", "insurance_type"=>"", "insurance_type_label"=>"", "pos"=>"", "pos_label"=>"", "authorization_required"=>"", "dates"=>[], "contact_details"=>[], "comments"=>[]}], "out_network"=>[{"amount"=>"40", "time_period"=>"", "time_period_label"=>"", "level"=>"INDIVIDUAL", "insurance_type"=>"", "insurance_type_label"=>"", "pos"=>"", "pos_label"=>"", "authorization_required"=>"", "dates"=>[], "contact_details"=>[], "comments"=>[]}]}}, "additional_insurance_policies"=>[{"insurance_type"=>"47", "insurance_type_label"=>"Medicare Secondary, Other Liability Insurance is Primary", "coverage_description"=>"", "reference"=>[{"reference_code"=>"IG", "reference_label"=>"Insurance Policy Number", "reference_number"=>"1232004008"}], "contact_details"=>[{"last_name"=>"CLAIMS MANAGEMENT INC", "first_name"=>"", "indentification_type"=>"", "identification_code"=>"", "contacts"=>[], "address"=>{"street_line_1"=>"PO BOX 2210", "street_line_2"=>"ATTN JANE AUSTEN", "city"=>"SAN FRANCISCO", "state"=>"CA", "zip"=>"941052312"}}], "dates"=>[{"date_type"=>"coordination_of_benefits", "date_value"=>"2005-02-12"}], "comments"=>[]}]}]} 
+end
+
+def test_enrollment_missing_params
+  {"error" =>"Expeting enrollment_request_id or npis"}
+end
+
+def test_get_enrollment
+  [{"enrollment_npi"=>{"address"=>"985 Snow Shoe Road", "city"=>"Sacramento", "created_at"=>"2013-04-24T21:47:31+00:00", "facility_name"=>"Quality", "npi"=>"987654321", "provider_name"=>"Jack Austen", "ptan"=>"54321", "state"=>"CA", "status"=>"rejected", "tax_id"=>"12345678", "updated_at"=>"2013-04-28T17:10:00+00:00", "zip"=>"94107", "enrollment_insurance_company"=>{"name"=>"Medicare", "payer_id"=>"00431"}}}, {"enrollment_npi"=>{"address"=>"985 Snow Shoe Road", "city"=>"Sacramento", "created_at"=>"2013-04-24T21:47:31+00:00", "facility_name"=>"Quality", "npi"=>"987654321", "provider_name"=>"Jack Austen", "ptan"=>"54321", "state"=>"CA", "status"=>"accepted", "tax_id"=>"12345678", "updated_at"=>"2013-04-28T22:51:43+00:00", "zip"=>"94107", "enrollment_insurance_company"=>{"name"=>"Kaiser North", "payer_id"=>"00282"}}}]
+end
+
+def test_post_enrollment
+  {"enrollment_request"=>{"created_at"=>"2013-04-14T07:29:09-07:00", "id"=>5, "status"=>"pending", "updated_at"=>"2013-04-14T07:29:09-07:00", "enrollment_npis"=>[{"address"=>"125 Snow Shoe Road", "city"=>"Sacramento", "created_at"=>"2013-04-14T07:29:09-07:00", "facility_name"=>"Quality", "npi"=>"987654321", "provider_name"=>"Jane Austen", "ptan"=>"54321", "state"=>"CA", "status"=>"submitted", "tax_id"=>"12345678", "updated_at"=>"2013-04-14T07:29:09-07:00", "zip"=>"94107", "enrollment_insurance_company"=>{"name"=>"Medicare", "payer_id"=>"00431"}}, {"address"=>"125 Snow Shoe Road", "city"=>"Sacramento", "created_at"=>"2013-04-14T07:29:09-07:00", "facility_name"=>"Quality", "npi"=>"987654321", "provider_name"=>"Jane Austen", "ptan"=>"54321", "state"=>"CA", "status"=>"submitted", "tax_id"=>"12345678", "updated_at"=>"2013-04-14T07:29:09-07:00", "zip"=>"94107", "enrollment_insurance_company"=>{"name"=>"Medicare", "payer_id"=>"00431"}}, {"address"=>"125 Snow Shoe Road", "city"=>"Sacramento", "created_at"=>"2013-04-14T07:29:09-07:00", "facility_name"=>"Quality", "npi"=>"987654321", "provider_name"=>"Jane Austen", "ptan"=>"54321", "state"=>"CA", "status"=>"submitted", "tax_id"=>"12345678", "updated_at"=>"2013-04-14T07:29:09-07:00", "zip"=>"94107", "enrollment_insurance_company"=>{"name"=>"Kaiser Nort", "payer_id"=>"00282"}}, {"address"=>"125 Snow Shoe Road", "city"=>"Sacramento", "created_at"=>"2013-04-14T07:29:09-07:00", "facility_name"=>"Quality", "npi"=>"987654321", "provider_name"=>"Jane Austen", "ptan"=>"54321", "state"=>"CA", "status"=>"submitted", "tax_id"=>"12345678", "updated_at"=>"2013-04-14T07:29:09-07:00", "zip"=>"94107", "enrollment_insurance_company"=>{"name"=>"Kaiser Nort", "payer_id"=>"00282"}}]}} 
+end

metadata

@@ -0,0 +1,144 @@
+--- !ruby/object:Gem::Specification
+name: eligible
+version: !ruby/object:Gem::Version
+  version: '2.0'
+  prerelease: 
+platform: ruby
+authors:
+- Andy Brett
+autorequire: 
+bindir: bin
+cert_chain: []
+date: 2013-06-13 00:00:00.000000000 Z
+dependencies:
+- !ruby/object:Gem::Dependency
+  name: mocha
+  requirement: &70203756283980 !ruby/object:Gem::Requirement
+    none: false
+    requirements:
+    - - ! '>='
+      - !ruby/object:Gem::Version
+        version: '0'
+  type: :development
+  prerelease: false
+  version_requirements: *70203756283980
+- !ruby/object:Gem::Dependency
+  name: shoulda
+  requirement: &70203756283560 !ruby/object:Gem::Requirement
+    none: false
+    requirements:
+    - - ! '>='
+      - !ruby/object:Gem::Version
+        version: '0'
+  type: :development
+  prerelease: false
+  version_requirements: *70203756283560
+- !ruby/object:Gem::Dependency
+  name: test-unit
+  requirement: &70203756283140 !ruby/object:Gem::Requirement
+    none: false
+    requirements:
+    - - ! '>='
+      - !ruby/object:Gem::Version
+        version: '0'
+  type: :development
+  prerelease: false
+  version_requirements: *70203756283140
+- !ruby/object:Gem::Dependency
+  name: rake
+  requirement: &70203756282720 !ruby/object:Gem::Requirement
+    none: false
+    requirements:
+    - - ! '>='
+      - !ruby/object:Gem::Version
+        version: '0'
+  type: :development
+  prerelease: false
+  version_requirements: *70203756282720
+- !ruby/object:Gem::Dependency
+  name: rest-client
+  requirement: &70203756282220 !ruby/object:Gem::Requirement
+    none: false
+    requirements:
+    - - ~>
+      - !ruby/object:Gem::Version
+        version: '1.4'
+  type: :runtime
+  prerelease: false
+  version_requirements: *70203756282220
+- !ruby/object:Gem::Dependency
+  name: multi_json
+  requirement: &70203756281700 !ruby/object:Gem::Requirement
+    none: false
+    requirements:
+    - - ! '>='
+      - !ruby/object:Gem::Version
+        version: 1.0.4
+    - - <
+      - !ruby/object:Gem::Version
+        version: '2'
+  type: :runtime
+  prerelease: false
+  version_requirements: *70203756281700
+description: Eligible is a developer-friendly way to process health care eligibility
+  checks. Learn more at https://eligibleapi.com
+email:
+- andy@andybrett.com
+executables: []
+extensions: []
+extra_rdoc_files: []
+files:
+- .gitignore
+- CONTRIBUTORS
+- Gemfile
+- LICENSE
+- README.md
+- Rakefile
+- eligible.gemspec
+- lib/eligible.rb
+- lib/eligible/api_resource.rb
+- lib/eligible/claim.rb
+- lib/eligible/coverage.rb
+- lib/eligible/demographic.rb
+- lib/eligible/eligible_object.rb
+- lib/eligible/enrollment.rb
+- lib/eligible/errors/api_connection_error.rb
+- lib/eligible/errors/api_error.rb
+- lib/eligible/errors/authentication_error.rb
+- lib/eligible/errors/eligible_error.rb
+- lib/eligible/json.rb
+- lib/eligible/plan.rb
+- lib/eligible/service.rb
+- lib/eligible/util.rb
+- lib/eligible/version.rb
+- lib/eligible/webhook.rb
+- test/test_eligible.rb
+- test/test_helper.rb
+homepage: https://eligibleapi.com/
+licenses:
+- MIT
+post_install_message: 
+rdoc_options: []
+require_paths:
+- lib
+required_ruby_version: !ruby/object:Gem::Requirement
+  none: false
+  requirements:
+  - - ! '>='
+    - !ruby/object:Gem::Version
+      version: '0'
+required_rubygems_version: !ruby/object:Gem::Requirement
+  none: false
+  requirements:
+  - - ! '>='
+    - !ruby/object:Gem::Version
+      version: '0'
+requirements: []
+rubyforge_project: 
+rubygems_version: 1.8.13
+signing_key: 
+specification_version: 3
+summary: Ruby wrapper for the Eligible API
+test_files:
+- test/test_eligible.rb
+- test/test_helper.rb