eligible 2.1 → 2.2
Sign up to get free protection for your applications and to get access to all the features.
- checksums.yaml +7 -0
- data/.gitignore +1 -0
- data/README.md +92 -157
- data/lib/eligible.rb +15 -3
- data/lib/eligible/claim.rb +1 -1
- data/lib/eligible/enrollment.rb +8 -0
- data/lib/eligible/errors/invalid_request_error.rb +4 -0
- data/lib/eligible/version.rb +1 -1
- data/lib/eligible/x12.rb +19 -0
- data/test/test_eligible.rb +34 -34
- metadata +53 -32
checksums.yaml
ADDED
@@ -0,0 +1,7 @@
|
|
1
|
+
---
|
2
|
+
SHA1:
|
3
|
+
metadata.gz: a4997734c6c3bc08f26486f24b423abf9aa42cda
|
4
|
+
data.tar.gz: dec4c20fa5afade770a8bf15ccc001f0407d7737
|
5
|
+
SHA512:
|
6
|
+
metadata.gz: d956ab6db3fa44141f7a829974158d282cbf1a3f0d1d5e2517f575dc9d27a9d9f9339f2cf4ad1b8465cf98f5a1011bc27d07a664c3608f5456706ebf1b9b15ea
|
7
|
+
data.tar.gz: 6cf83993819f65db71fadf831ebe4f4aa900e75bd40b3db8038089b717b961f270f2b730d4e73a7a8356f8d20aa0560550ed51725345e22aee84b6cf8c89486c
|
data/.gitignore
CHANGED
data/README.md
CHANGED
@@ -20,34 +20,18 @@ Or install it yourself with:
|
|
20
20
|
|
21
21
|
### Setup
|
22
22
|
require 'eligible'
|
23
|
-
Eligible.api_key = YOUR_KEY
|
24
|
-
|
23
|
+
Eligible.api_key = 'YOUR_KEY'
|
24
|
+
### Test
|
25
|
+
```ruby
|
26
|
+
Eligible.test = true
|
27
|
+
```
|
28
|
+
Include `{ :test => "true" }` in the params for sandbox access.
|
25
29
|
### Format
|
26
30
|
|
27
31
|
Include `{ :format => "X12" }` in the params hash to get back the raw X12 response.
|
28
32
|
|
29
|
-
### Retrieve Plan object and query it
|
30
33
|
|
31
|
-
|
32
|
-
params = {
|
33
|
-
:payer_name => "Aetna",
|
34
|
-
:payer_id => "000001",
|
35
|
-
:provider_last_name => "Last",
|
36
|
-
:provider_first_name => "First",
|
37
|
-
:provider_npi => "12345678",
|
38
|
-
:member_id => "12345678",
|
39
|
-
:member_last_name => "Austen",
|
40
|
-
:member_first_name => "Jane",
|
41
|
-
:member_dob => "1955-12-14"
|
42
|
-
}
|
43
|
-
|
44
|
-
plan = Eligible::Plan.get(params)
|
45
|
-
plan.all # returns all fields on the plan, per the plan/all endpoint
|
46
|
-
plan.status # returns status fields on the plan, per the plan/status endpoint
|
47
|
-
## Etc.: plan.deductible, plan.dates, plan.balance, plan.stop_loss
|
48
|
-
```
|
49
|
-
|
50
|
-
### Retrieve Service object and query it
|
34
|
+
### Retrieve Demographic object and query it
|
51
35
|
|
52
36
|
```ruby
|
53
37
|
params = {
|
@@ -62,21 +46,17 @@ params = {
|
|
62
46
|
:member_dob => "1955-12-14"
|
63
47
|
}
|
64
48
|
|
65
|
-
|
66
|
-
|
67
|
-
service.visits # returns the visits for the service, per service/visits
|
68
|
-
## Etc.: service.copayment, service.coinsurance, service.deductible
|
69
|
-
|
70
|
-
## The endpoints 'general' and 'list' have a slightly different syntax than the others:
|
71
|
-
json = Eligible::Service.general(params)
|
72
|
-
json = Eligible::Service.list(params)
|
49
|
+
demographic = Eligible::Demographic.get(params)
|
50
|
+
demographic.all # returns all fields for the demographic, per demographic/all
|
73
51
|
```
|
74
52
|
|
75
|
-
|
53
|
+
|
54
|
+
### Retrieve Coverage object
|
76
55
|
|
77
56
|
```ruby
|
78
57
|
params = {
|
79
|
-
:
|
58
|
+
:service_type => "33",
|
59
|
+
:network => "OUT",
|
80
60
|
:payer_id => "000001",
|
81
61
|
:provider_last_name => "Last",
|
82
62
|
:provider_first_name => "First",
|
@@ -87,51 +67,16 @@ params = {
|
|
87
67
|
:member_dob => "1955-12-14"
|
88
68
|
}
|
89
69
|
|
90
|
-
|
91
|
-
|
92
|
-
demographic.zip # returns the patient's zip code, per demographic/zip
|
93
|
-
## Etc.: demographic.employer, demographic.address, demographic.dob
|
70
|
+
coverage = Eligible::Coverage.get(params)
|
71
|
+
coverage.all # returns all coverage info for the request
|
94
72
|
```
|
95
73
|
|
96
|
-
### Retrieve Claim object
|
97
|
-
|
98
|
-
```ruby
|
99
|
-
params = {
|
100
|
-
:payer_name => "Aetna",
|
101
|
-
:payer_id => "000001",
|
102
|
-
:information_receiver_organization_name => "Organization",
|
103
|
-
:information_receiver_last_name => "Last",
|
104
|
-
:information_receiver_first_name => "First",
|
105
|
-
:information_receiver_etin => "12345678",
|
106
|
-
:provider_organization_name => "Marshall Group",
|
107
|
-
:provider_last_name => "Last",
|
108
|
-
:provider_first_name => "First",
|
109
|
-
:provider_npi => "12345678",
|
110
|
-
:provider_tax_id => "12345678",
|
111
|
-
:member_id => "12345678",
|
112
|
-
:member_last_name => "Last",
|
113
|
-
:member_first_name => "First",
|
114
|
-
:member_dob => "1955-12-14",
|
115
|
-
:dependent_last_name => "Last",
|
116
|
-
:dependent_first_name => "First",
|
117
|
-
:dependent_dob => "1975-12-14",
|
118
|
-
:dependent_gender => "M",
|
119
|
-
:trace_number => "12345",
|
120
|
-
:claim_control_number => "67890",
|
121
|
-
:claim_charge_amount => "45.00",
|
122
|
-
:claim_start_date => "2013-01-05",
|
123
|
-
:claim_end_date => "2013-01-05"
|
124
|
-
}
|
125
|
-
|
126
|
-
claim = Eligible::Claim.get(params)
|
127
|
-
claim.status # Returns in real time the status (paid, not paid, rejected, denied, etc) of claim specified.
|
128
|
-
```
|
129
74
|
|
130
75
|
### Post Enrollment object
|
131
76
|
|
132
77
|
```ruby
|
133
78
|
params = {
|
134
|
-
"
|
79
|
+
"service_provider_list" => [
|
135
80
|
{
|
136
81
|
"facility_name" => "Quality",
|
137
82
|
"provider_name" => "Jane Austen",
|
@@ -170,129 +115,118 @@ Eligible::Enrollment.post(params)
|
|
170
115
|
params = { "enrollment_request_id" => "123" }
|
171
116
|
|
172
117
|
enrollment = Eligible::Enrollment.get(params)
|
173
|
-
enrollment.status # returns the status of the request to enroll the provider(s)
|
174
|
-
```
|
175
|
-
|
176
|
-
### Retrieve Coverage object
|
177
|
-
|
178
|
-
```ruby
|
179
|
-
params = {
|
180
|
-
:service_type => "33",
|
181
|
-
:network => "OUT",
|
182
|
-
:payer_id => "000001",
|
183
|
-
:provider_last_name => "Last",
|
184
|
-
:provider_first_name => "First",
|
185
|
-
:provider_npi => "12345678",
|
186
|
-
:member_id => "12345678",
|
187
|
-
:member_last_name => "Austen",
|
188
|
-
:member_first_name => "Jane",
|
189
|
-
:member_dob => "1955-12-14"
|
190
|
-
}
|
191
118
|
|
192
|
-
|
193
|
-
coverage.all # returns all coverage info for the request
|
119
|
+
enrollment.enrollment_npis # returns a list of enroll the provider(s)
|
194
120
|
```
|
195
121
|
|
196
122
|
### Post Claim object
|
197
123
|
|
198
124
|
```ruby
|
199
125
|
params = {
|
200
|
-
"
|
201
|
-
|
202
|
-
"
|
203
|
-
|
204
|
-
|
205
|
-
"
|
206
|
-
|
207
|
-
|
208
|
-
|
209
|
-
"
|
210
|
-
"
|
126
|
+
"receiver" => {
|
127
|
+
"name" => "AETNA",
|
128
|
+
"id" => "60054"
|
129
|
+
},
|
130
|
+
"billing_provider" => {
|
131
|
+
"taxonomy_code" => "332B00000X",
|
132
|
+
"practice_name" => "Jane Austen Practice",
|
133
|
+
"npi" => "1922222222",
|
134
|
+
"address" => {
|
135
|
+
"street_line_1" => "419 Fulton",
|
136
|
+
"street_line_2" => "",
|
137
|
+
"city" => "San Francisco",
|
138
|
+
"state" => "CA",
|
139
|
+
"zip" => "94102"
|
211
140
|
},
|
212
|
-
"tin"
|
141
|
+
"tin" => "43291023"
|
213
142
|
},
|
214
|
-
"subscriber"
|
215
|
-
"last_name"
|
216
|
-
"first_name"
|
217
|
-
"member_id"
|
218
|
-
"group_id"
|
219
|
-
"group_name"
|
220
|
-
"dob"
|
221
|
-
"gender"
|
222
|
-
"address"
|
223
|
-
"street_line_1"
|
224
|
-
"street_line_2"
|
225
|
-
"city"
|
226
|
-
"state"
|
227
|
-
"zip"
|
143
|
+
"subscriber" => {
|
144
|
+
"last_name" => "Franklin",
|
145
|
+
"first_name" => "Benjamin",
|
146
|
+
"member_id" => "12312312",
|
147
|
+
"group_id" => "455716",
|
148
|
+
"group_name" => "",
|
149
|
+
"dob" => "1734-05-04",
|
150
|
+
"gender" => "M",
|
151
|
+
"address" => {
|
152
|
+
"street_line_1" => "435 Sugar Lane",
|
153
|
+
"street_line_2" => "",
|
154
|
+
"city" => "Sweet",
|
155
|
+
"state" => "OH",
|
156
|
+
"zip" => "436233127"
|
228
157
|
}
|
229
158
|
},
|
230
|
-
"payer"
|
231
|
-
"name"
|
232
|
-
"id"
|
233
|
-
"address"
|
234
|
-
"street_line_1"
|
235
|
-
"street_line_2"
|
236
|
-
"city"
|
237
|
-
"state"
|
238
|
-
"zip"
|
159
|
+
"payer" => {
|
160
|
+
"name" => "AETNA",
|
161
|
+
"id" => "60054",
|
162
|
+
"address" => {
|
163
|
+
"street_line_1" => "Po Box 981106",
|
164
|
+
"street_line_2" => "",
|
165
|
+
"city" => "El Paso",
|
166
|
+
"state" => "TX",
|
167
|
+
"zip" => "799981222"
|
239
168
|
}
|
240
169
|
},
|
241
|
-
"claim"
|
242
|
-
"total_charge_amount"
|
243
|
-
"claim_frequency"
|
244
|
-
"patient_signature_on_file"
|
245
|
-
"provider_plan_participation"
|
246
|
-
"direct_payment_authorized"
|
247
|
-
"release_of_information"
|
248
|
-
"service_lines"
|
170
|
+
"claim" => {
|
171
|
+
"total_charge_amount" => "275",
|
172
|
+
"claim_frequency" => "1",
|
173
|
+
"patient_signature_on_file" => "Y",
|
174
|
+
"provider_plan_participation" => "A",
|
175
|
+
"direct_payment_authorized" => "Y",
|
176
|
+
"release_of_information" => "I",
|
177
|
+
"service_lines" => [
|
249
178
|
{
|
250
|
-
"line_number"
|
251
|
-
"service_start"
|
252
|
-
"service_end"
|
253
|
-
"place_of_service"
|
254
|
-
"charge_amount"
|
255
|
-
"product_service"
|
256
|
-
"qualifier"
|
257
|
-
"diagnosis_1"
|
179
|
+
"line_number" => "1",
|
180
|
+
"service_start" => "2013-03-07",
|
181
|
+
"service_end" => "2013-03-07",
|
182
|
+
"place_of_service" => "11",
|
183
|
+
"charge_amount" => "275",
|
184
|
+
"product_service" => "99213",
|
185
|
+
"qualifier" => "HC",
|
186
|
+
"diagnosis_1" => "32723"
|
258
187
|
}
|
259
188
|
]
|
260
189
|
}
|
261
190
|
}
|
262
191
|
|
263
|
-
|
264
192
|
Eligible::Claim.post(params)
|
265
193
|
```
|
266
194
|
|
267
195
|
### Retrieve all Claim objects/acknowledgments
|
268
196
|
|
269
197
|
```ruby
|
270
|
-
claims = Eligible::Claim.all # returns
|
198
|
+
claims = Eligible::Claim.all # returns acknowlegdement information for all claims that have been submitted with the API key
|
271
199
|
```
|
272
200
|
|
273
|
-
### Retrieve
|
201
|
+
### Retrieve individual Claim object/acknowledgment
|
274
202
|
|
275
|
-
|
203
|
+
```ruby
|
204
|
+
params = {
|
276
205
|
:reference_id => "12345"
|
277
206
|
}
|
278
207
|
|
279
|
-
|
208
|
+
claim = Eligible::Claim.get(params) # returns acknoweldement information on an individual claim identified by its reference_id
|
209
|
+
```
|
280
210
|
|
281
|
-
### Retrieve
|
211
|
+
### Retrieve Payment status
|
282
212
|
|
283
|
-
|
284
|
-
|
213
|
+
```ruby
|
214
|
+
params = { :reference_id => "89898989" }
|
285
215
|
|
286
|
-
|
216
|
+
Eligible::Payment.get(params) # returns status information on an individual payment identified by its reference_id
|
217
|
+
```
|
218
|
+
|
219
|
+
|
220
|
+
|
221
|
+
### X12 post
|
287
222
|
|
288
223
|
```ruby
|
289
|
-
|
290
|
-
:response_id => "12345"
|
291
|
-
}
|
224
|
+
param = "ISA*00* *00* *ZZ*SENDERID *ZZ*ELIGIB *130610*0409*^*00501*100000001*0*T*:~GS*HS*SENDERID*ELIGIB*20130610*0409*1*X*005010X279A1~ST*270*0001*005010X279A1~BHT*0022*13*137083739083716126837*20130610*0409~HL*1**20*1~NM1*PR*2*UnitedHealthCare*****PI*112~HL*2*1*21*1~NM1*1P*1*AUSTEN*JANE****XX*1222494919~HL*3*2*22*0~TRN*1*1*1453915417~NM1*IL*1*FRANKLIN*BENJAMIN****MI*23412342~DMG*D8*17371207~DTP*291*D8*20130610~EQ*30~SE*13*0001~GE*1*1~IEA*1*100000001~"
|
292
225
|
|
293
|
-
|
226
|
+
Eligible::X12.post param # <Net::HTTPOK 200 OK readbody=true>
|
294
227
|
```
|
295
228
|
|
229
|
+
|
296
230
|
## Tests
|
297
231
|
|
298
232
|
You can run tests with
|
@@ -313,7 +247,8 @@ If you do send a pull request, please add passing tests for the new feature/fix.
|
|
313
247
|
6. Create new Pull Request
|
314
248
|
|
315
249
|
## Changelog
|
316
|
-
|
250
|
+
#### 2.2
|
251
|
+
- New endpoint for x12 POST
|
317
252
|
#### 2.1
|
318
253
|
|
319
254
|
- New endpoint for payment status
|
@@ -329,4 +264,4 @@ If you do send a pull request, please add passing tests for the new feature/fix.
|
|
329
264
|
|
330
265
|
#### 1.0
|
331
266
|
|
332
|
-
- Initial release
|
267
|
+
- Initial release
|
data/lib/eligible.rb
CHANGED
@@ -20,15 +20,18 @@ require 'eligible/claim'
|
|
20
20
|
require 'eligible/enrollment'
|
21
21
|
require 'eligible/coverage'
|
22
22
|
require 'eligible/payment'
|
23
|
+
require 'eligible/x12'
|
23
24
|
|
24
25
|
# Errors
|
25
26
|
require 'eligible/errors/eligible_error'
|
26
27
|
require 'eligible/errors/api_connection_error'
|
27
28
|
require 'eligible/errors/authentication_error'
|
28
29
|
require 'eligible/errors/api_error'
|
30
|
+
require 'eligible/errors/invalid_request_error'
|
29
31
|
|
30
32
|
module Eligible
|
31
33
|
@@api_key = nil
|
34
|
+
@@test = false
|
32
35
|
@@api_base = "https://gds.eligibleapi.com/v1.1"
|
33
36
|
@@api_version = 1.1
|
34
37
|
|
@@ -44,6 +47,15 @@ module Eligible
|
|
44
47
|
@@api_key = api_key
|
45
48
|
end
|
46
49
|
|
50
|
+
|
51
|
+
def self.test
|
52
|
+
@@test? 'true':'false'
|
53
|
+
end
|
54
|
+
|
55
|
+
def self.test=(is_test)
|
56
|
+
@@test = is_test
|
57
|
+
end
|
58
|
+
|
47
59
|
def self.api_version=(version)
|
48
60
|
@@api_version = version
|
49
61
|
end
|
@@ -95,11 +107,11 @@ module Eligible
|
|
95
107
|
query_string = Util.flatten_params(params).collect{|key, value| "#{key}=#{Util.url_encode(value)}"}.join('&')
|
96
108
|
url += "&#{query_string}"
|
97
109
|
end
|
110
|
+
url +="&test=#{self.test}"
|
98
111
|
payload = nil
|
99
112
|
else
|
100
|
-
payload = params.merge!({
|
113
|
+
payload = params.merge!({'api_key' => api_key ,'test' => self.test }).to_json #Util.flatten_params(params).collect{|(key, value)| "#{key}=#{Util.url_encode(value)}"}.join('&')
|
101
114
|
end
|
102
|
-
|
103
115
|
begin
|
104
116
|
headers = { :x_eligible_client_user_agent => Eligible::JSON.dump(ua) }.merge(headers)
|
105
117
|
rescue => e
|
@@ -190,7 +202,7 @@ module Eligible
|
|
190
202
|
end
|
191
203
|
|
192
204
|
def self.invalid_request_error(error, rcode, rbody, error_obj)
|
193
|
-
InvalidRequestError.new(error
|
205
|
+
InvalidRequestError.new(error, rcode, rbody, error_obj)
|
194
206
|
end
|
195
207
|
|
196
208
|
def self.authentication_error(error, rcode, rbody, error_obj)
|
data/lib/eligible/claim.rb
CHANGED
@@ -6,7 +6,7 @@ module Eligible
|
|
6
6
|
end
|
7
7
|
|
8
8
|
def self.post(params, api_key=nil)
|
9
|
-
response, api_key = Eligible.request(:
|
9
|
+
response, api_key = Eligible.request(:post, "/claims.json", api_key, params)
|
10
10
|
Util.convert_to_eligible_object(response, api_key)
|
11
11
|
end
|
12
12
|
|
data/lib/eligible/enrollment.rb
CHANGED
data/lib/eligible/version.rb
CHANGED
data/lib/eligible/x12.rb
ADDED
@@ -0,0 +1,19 @@
|
|
1
|
+
module Eligible
|
2
|
+
class X12 < APIResource
|
3
|
+
|
4
|
+
def self.post(params, api_key=nil)
|
5
|
+
require 'net/http'
|
6
|
+
require 'net/https'
|
7
|
+
require 'uri'
|
8
|
+
uri = URI.parse("https://gds.eligibleapi.com")
|
9
|
+
|
10
|
+
post_args = "x12=#{params}&api_key=#{Eligible.api_key}&test=#{Eligible.test}"
|
11
|
+
http = Net::HTTP.new(uri.host, uri.port)
|
12
|
+
http.use_ssl = true
|
13
|
+
http.verify_mode = OpenSSL::SSL::VERIFY_NONE
|
14
|
+
path = "/v1.1/x12"
|
15
|
+
response = http.post(path, post_args)
|
16
|
+
Util.convert_to_eligible_object(response, Eligible.api_key)
|
17
|
+
end
|
18
|
+
end
|
19
|
+
end
|
data/test/test_eligible.rb
CHANGED
@@ -7,15 +7,15 @@ require 'rest-client'
|
|
7
7
|
class TestEligible < Test::Unit::TestCase
|
8
8
|
include Mocha
|
9
9
|
|
10
|
-
context
|
11
|
-
should
|
10
|
+
context 'Version' do
|
11
|
+
should 'have a version number' do
|
12
12
|
assert_not_nil Eligible::VERSION
|
13
13
|
end
|
14
14
|
end
|
15
15
|
|
16
|
-
context "General API" do
|
16
|
+
context' "General API"' do
|
17
17
|
setup do
|
18
|
-
Eligible.api_key =
|
18
|
+
Eligible.api_key = 'TEST'
|
19
19
|
@mock = mock
|
20
20
|
Eligible.mock_rest_client = @mock
|
21
21
|
end
|
@@ -25,15 +25,15 @@ class TestEligible < Test::Unit::TestCase
|
|
25
25
|
Eligible.api_key = nil
|
26
26
|
end
|
27
27
|
|
28
|
-
should
|
28
|
+
should 'not specifying api credentials should raise an exception' do
|
29
29
|
Eligible.api_key = nil
|
30
30
|
assert_raises Eligible::AuthenticationError do
|
31
31
|
Eligible::Plan.get({})
|
32
32
|
end
|
33
33
|
end
|
34
34
|
|
35
|
-
should
|
36
|
-
Eligible.api_key =
|
35
|
+
should 'specifying invalid api credentials should raise an exception' do
|
36
|
+
Eligible.api_key = 'invalid'
|
37
37
|
response = test_response(test_invalid_api_key_error, 401)
|
38
38
|
assert_raises Eligible::AuthenticationError do
|
39
39
|
@mock.expects(:get).once.raises(RestClient::ExceptionWithResponse.new(response, 401))
|
@@ -42,9 +42,9 @@ class TestEligible < Test::Unit::TestCase
|
|
42
42
|
end
|
43
43
|
end
|
44
44
|
|
45
|
-
context
|
45
|
+
context 'Plan' do
|
46
46
|
setup do
|
47
|
-
Eligible.api_key =
|
47
|
+
Eligible.api_key = 'TEST'
|
48
48
|
@mock = mock
|
49
49
|
Eligible.mock_rest_client = @mock
|
50
50
|
end
|
@@ -54,7 +54,7 @@ class TestEligible < Test::Unit::TestCase
|
|
54
54
|
Eligible.api_key = nil
|
55
55
|
end
|
56
56
|
|
57
|
-
should
|
57
|
+
should 'return an error if no params are supplied' do
|
58
58
|
params = {}
|
59
59
|
response = test_response(test_plan_missing_params)
|
60
60
|
@mock.expects(:get).returns(response)
|
@@ -62,7 +62,7 @@ class TestEligible < Test::Unit::TestCase
|
|
62
62
|
assert_not_nil plan.error
|
63
63
|
end
|
64
64
|
|
65
|
-
should
|
65
|
+
should 'return plan information if valid params are supplied' do
|
66
66
|
params = {
|
67
67
|
:payer_name => "Aetna",
|
68
68
|
:payer_id => "000001",
|
@@ -81,7 +81,7 @@ class TestEligible < Test::Unit::TestCase
|
|
81
81
|
assert_not_nil plan.all
|
82
82
|
end
|
83
83
|
|
84
|
-
should
|
84
|
+
should 'return the right subsets of the data when requested' do
|
85
85
|
params = {
|
86
86
|
:payer_name => "Aetna",
|
87
87
|
:payer_id => "000001",
|
@@ -111,9 +111,9 @@ class TestEligible < Test::Unit::TestCase
|
|
111
111
|
end
|
112
112
|
end
|
113
113
|
|
114
|
-
context
|
114
|
+
context 'Service' do
|
115
115
|
setup do
|
116
|
-
Eligible.api_key =
|
116
|
+
Eligible.api_key = 'TEST'
|
117
117
|
@mock = mock
|
118
118
|
Eligible.mock_rest_client = @mock
|
119
119
|
end
|
@@ -123,7 +123,7 @@ class TestEligible < Test::Unit::TestCase
|
|
123
123
|
Eligible.api_key = nil
|
124
124
|
end
|
125
125
|
|
126
|
-
should
|
126
|
+
should 'return an error if no params are supplied' do
|
127
127
|
params = {}
|
128
128
|
response = test_response(test_service_missing_params)
|
129
129
|
@mock.expects(:get).returns(response)
|
@@ -131,7 +131,7 @@ class TestEligible < Test::Unit::TestCase
|
|
131
131
|
assert_not_nil service.error
|
132
132
|
end
|
133
133
|
|
134
|
-
should
|
134
|
+
should 'return eligibility information if valid params are supplied' do
|
135
135
|
params = {
|
136
136
|
:payer_name => "Aetna",
|
137
137
|
:payer_id => "000001",
|
@@ -150,7 +150,7 @@ class TestEligible < Test::Unit::TestCase
|
|
150
150
|
assert_not_nil service.all
|
151
151
|
end
|
152
152
|
|
153
|
-
should
|
153
|
+
should 'return the right subsets of the data when requested' do
|
154
154
|
params = {
|
155
155
|
:payer_name => "Aetna",
|
156
156
|
:payer_id => "000001",
|
@@ -178,9 +178,9 @@ class TestEligible < Test::Unit::TestCase
|
|
178
178
|
end
|
179
179
|
end
|
180
180
|
|
181
|
-
context
|
181
|
+
context 'Demographic' do
|
182
182
|
setup do
|
183
|
-
Eligible.api_key =
|
183
|
+
Eligible.api_key = 'TEST'
|
184
184
|
@mock = mock
|
185
185
|
Eligible.mock_rest_client = @mock
|
186
186
|
end
|
@@ -190,7 +190,7 @@ class TestEligible < Test::Unit::TestCase
|
|
190
190
|
Eligible.api_key = nil
|
191
191
|
end
|
192
192
|
|
193
|
-
should
|
193
|
+
should 'return an error if no params are supplied' do
|
194
194
|
params = {}
|
195
195
|
response = test_response(test_demographic_missing_params)
|
196
196
|
@mock.expects(:get).returns(response)
|
@@ -198,7 +198,7 @@ class TestEligible < Test::Unit::TestCase
|
|
198
198
|
assert_not_nil demographic.error
|
199
199
|
end
|
200
200
|
|
201
|
-
should
|
201
|
+
should 'return demographic information if valid params are supplied' do
|
202
202
|
params = {
|
203
203
|
:payer_name => "Aetna",
|
204
204
|
:payer_id => "000001",
|
@@ -217,7 +217,7 @@ class TestEligible < Test::Unit::TestCase
|
|
217
217
|
assert_not_nil demographic.all
|
218
218
|
end
|
219
219
|
|
220
|
-
should
|
220
|
+
should 'return the right subsets of the data when requested' do
|
221
221
|
params = {
|
222
222
|
:payer_name => "Aetna",
|
223
223
|
:payer_id => "000001",
|
@@ -245,9 +245,9 @@ class TestEligible < Test::Unit::TestCase
|
|
245
245
|
end
|
246
246
|
end
|
247
247
|
|
248
|
-
context
|
248
|
+
context 'Claim' do
|
249
249
|
setup do
|
250
|
-
Eligible.api_key =
|
250
|
+
Eligible.api_key = 'TEST'
|
251
251
|
@mock = mock
|
252
252
|
Eligible.mock_rest_client = @mock
|
253
253
|
end
|
@@ -257,7 +257,7 @@ class TestEligible < Test::Unit::TestCase
|
|
257
257
|
Eligible.api_key = nil
|
258
258
|
end
|
259
259
|
|
260
|
-
should
|
260
|
+
should 'return an error if no params are supplied' do
|
261
261
|
params = {}
|
262
262
|
response = test_response(test_claim_missing_params)
|
263
263
|
@mock.expects(:get).returns(response)
|
@@ -265,15 +265,15 @@ class TestEligible < Test::Unit::TestCase
|
|
265
265
|
assert claim["success"] == "false"
|
266
266
|
end
|
267
267
|
|
268
|
-
should
|
268
|
+
should 'post a claim' do
|
269
269
|
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"}]}}
|
270
270
|
response = test_response(test_post_claim)
|
271
271
|
end
|
272
272
|
end
|
273
273
|
|
274
|
-
context
|
274
|
+
context 'Coverage' do
|
275
275
|
setup do
|
276
|
-
Eligible.api_key =
|
276
|
+
Eligible.api_key = 'TEST'
|
277
277
|
@mock = mock
|
278
278
|
Eligible.mock_rest_client = @mock
|
279
279
|
end
|
@@ -283,7 +283,7 @@ class TestEligible < Test::Unit::TestCase
|
|
283
283
|
Eligible.api_key = nil
|
284
284
|
end
|
285
285
|
|
286
|
-
should
|
286
|
+
should 'return an error if no params are supplied' do
|
287
287
|
params = {}
|
288
288
|
response = test_response(test_coverage_missing_params)
|
289
289
|
@mock.expects(:get).returns(response)
|
@@ -291,7 +291,7 @@ class TestEligible < Test::Unit::TestCase
|
|
291
291
|
assert_not_nil coverage.error
|
292
292
|
end
|
293
293
|
|
294
|
-
should
|
294
|
+
should 'return coverage information if valid params are supplied' do
|
295
295
|
params = {
|
296
296
|
:payer_name => "Aetna",
|
297
297
|
:payer_id => "000001",
|
@@ -311,9 +311,9 @@ class TestEligible < Test::Unit::TestCase
|
|
311
311
|
end
|
312
312
|
end
|
313
313
|
|
314
|
-
context
|
314
|
+
context 'Enrollment' do
|
315
315
|
setup do
|
316
|
-
Eligible.api_key =
|
316
|
+
Eligible.api_key = 'TEST'
|
317
317
|
@mock = mock
|
318
318
|
Eligible.mock_rest_client = @mock
|
319
319
|
end
|
@@ -323,7 +323,7 @@ class TestEligible < Test::Unit::TestCase
|
|
323
323
|
Eligible.api_key = nil
|
324
324
|
end
|
325
325
|
|
326
|
-
should
|
326
|
+
should 'post an enrollment request' do
|
327
327
|
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"]}
|
328
328
|
response = test_response(test_post_enrollment)
|
329
329
|
|
@@ -333,7 +333,7 @@ class TestEligible < Test::Unit::TestCase
|
|
333
333
|
assert_not_nil enrollment.all[:enrollment_request]
|
334
334
|
end
|
335
335
|
|
336
|
-
should
|
336
|
+
should 'get the status of an enrollment request' do
|
337
337
|
params = { "NPI" => "1028384219" }
|
338
338
|
response = test_response(test_get_enrollment)
|
339
339
|
@mock.expects(:get).returns(response)
|
metadata
CHANGED
@@ -1,77 +1,90 @@
|
|
1
1
|
--- !ruby/object:Gem::Specification
|
2
2
|
name: eligible
|
3
3
|
version: !ruby/object:Gem::Version
|
4
|
-
version: '2.
|
5
|
-
prerelease:
|
4
|
+
version: '2.2'
|
6
5
|
platform: ruby
|
7
6
|
authors:
|
8
7
|
- Andy Brett
|
9
8
|
autorequire:
|
10
9
|
bindir: bin
|
11
10
|
cert_chain: []
|
12
|
-
date: 2013-
|
11
|
+
date: 2013-08-13 00:00:00.000000000 Z
|
13
12
|
dependencies:
|
14
13
|
- !ruby/object:Gem::Dependency
|
15
14
|
name: mocha
|
16
|
-
requirement:
|
17
|
-
none: false
|
15
|
+
requirement: !ruby/object:Gem::Requirement
|
18
16
|
requirements:
|
19
|
-
- -
|
17
|
+
- - '>='
|
20
18
|
- !ruby/object:Gem::Version
|
21
19
|
version: '0'
|
22
20
|
type: :development
|
23
21
|
prerelease: false
|
24
|
-
version_requirements:
|
22
|
+
version_requirements: !ruby/object:Gem::Requirement
|
23
|
+
requirements:
|
24
|
+
- - '>='
|
25
|
+
- !ruby/object:Gem::Version
|
26
|
+
version: '0'
|
25
27
|
- !ruby/object:Gem::Dependency
|
26
28
|
name: shoulda
|
27
|
-
requirement:
|
28
|
-
none: false
|
29
|
+
requirement: !ruby/object:Gem::Requirement
|
29
30
|
requirements:
|
30
|
-
- -
|
31
|
+
- - '>='
|
31
32
|
- !ruby/object:Gem::Version
|
32
33
|
version: '0'
|
33
34
|
type: :development
|
34
35
|
prerelease: false
|
35
|
-
version_requirements:
|
36
|
+
version_requirements: !ruby/object:Gem::Requirement
|
37
|
+
requirements:
|
38
|
+
- - '>='
|
39
|
+
- !ruby/object:Gem::Version
|
40
|
+
version: '0'
|
36
41
|
- !ruby/object:Gem::Dependency
|
37
42
|
name: test-unit
|
38
|
-
requirement:
|
39
|
-
none: false
|
43
|
+
requirement: !ruby/object:Gem::Requirement
|
40
44
|
requirements:
|
41
|
-
- -
|
45
|
+
- - '>='
|
42
46
|
- !ruby/object:Gem::Version
|
43
47
|
version: '0'
|
44
48
|
type: :development
|
45
49
|
prerelease: false
|
46
|
-
version_requirements:
|
50
|
+
version_requirements: !ruby/object:Gem::Requirement
|
51
|
+
requirements:
|
52
|
+
- - '>='
|
53
|
+
- !ruby/object:Gem::Version
|
54
|
+
version: '0'
|
47
55
|
- !ruby/object:Gem::Dependency
|
48
56
|
name: rake
|
49
|
-
requirement:
|
50
|
-
none: false
|
57
|
+
requirement: !ruby/object:Gem::Requirement
|
51
58
|
requirements:
|
52
|
-
- -
|
59
|
+
- - '>='
|
53
60
|
- !ruby/object:Gem::Version
|
54
61
|
version: '0'
|
55
62
|
type: :development
|
56
63
|
prerelease: false
|
57
|
-
version_requirements:
|
64
|
+
version_requirements: !ruby/object:Gem::Requirement
|
65
|
+
requirements:
|
66
|
+
- - '>='
|
67
|
+
- !ruby/object:Gem::Version
|
68
|
+
version: '0'
|
58
69
|
- !ruby/object:Gem::Dependency
|
59
70
|
name: rest-client
|
60
|
-
requirement:
|
61
|
-
none: false
|
71
|
+
requirement: !ruby/object:Gem::Requirement
|
62
72
|
requirements:
|
63
73
|
- - ~>
|
64
74
|
- !ruby/object:Gem::Version
|
65
75
|
version: '1.4'
|
66
76
|
type: :runtime
|
67
77
|
prerelease: false
|
68
|
-
version_requirements:
|
78
|
+
version_requirements: !ruby/object:Gem::Requirement
|
79
|
+
requirements:
|
80
|
+
- - ~>
|
81
|
+
- !ruby/object:Gem::Version
|
82
|
+
version: '1.4'
|
69
83
|
- !ruby/object:Gem::Dependency
|
70
84
|
name: multi_json
|
71
|
-
requirement:
|
72
|
-
none: false
|
85
|
+
requirement: !ruby/object:Gem::Requirement
|
73
86
|
requirements:
|
74
|
-
- -
|
87
|
+
- - '>='
|
75
88
|
- !ruby/object:Gem::Version
|
76
89
|
version: 1.0.4
|
77
90
|
- - <
|
@@ -79,7 +92,14 @@ dependencies:
|
|
79
92
|
version: '2'
|
80
93
|
type: :runtime
|
81
94
|
prerelease: false
|
82
|
-
version_requirements:
|
95
|
+
version_requirements: !ruby/object:Gem::Requirement
|
96
|
+
requirements:
|
97
|
+
- - '>='
|
98
|
+
- !ruby/object:Gem::Version
|
99
|
+
version: 1.0.4
|
100
|
+
- - <
|
101
|
+
- !ruby/object:Gem::Version
|
102
|
+
version: '2'
|
83
103
|
description: Eligible is a developer-friendly way to process health care eligibility
|
84
104
|
checks. Learn more at https://eligibleapi.com
|
85
105
|
email:
|
@@ -106,6 +126,7 @@ files:
|
|
106
126
|
- lib/eligible/errors/api_error.rb
|
107
127
|
- lib/eligible/errors/authentication_error.rb
|
108
128
|
- lib/eligible/errors/eligible_error.rb
|
129
|
+
- lib/eligible/errors/invalid_request_error.rb
|
109
130
|
- lib/eligible/json.rb
|
110
131
|
- lib/eligible/payment.rb
|
111
132
|
- lib/eligible/plan.rb
|
@@ -113,32 +134,32 @@ files:
|
|
113
134
|
- lib/eligible/util.rb
|
114
135
|
- lib/eligible/version.rb
|
115
136
|
- lib/eligible/webhook.rb
|
137
|
+
- lib/eligible/x12.rb
|
116
138
|
- test/test_eligible.rb
|
117
139
|
- test/test_helper.rb
|
118
140
|
homepage: https://eligibleapi.com/
|
119
141
|
licenses:
|
120
142
|
- MIT
|
143
|
+
metadata: {}
|
121
144
|
post_install_message:
|
122
145
|
rdoc_options: []
|
123
146
|
require_paths:
|
124
147
|
- lib
|
125
148
|
required_ruby_version: !ruby/object:Gem::Requirement
|
126
|
-
none: false
|
127
149
|
requirements:
|
128
|
-
- -
|
150
|
+
- - '>='
|
129
151
|
- !ruby/object:Gem::Version
|
130
152
|
version: '0'
|
131
153
|
required_rubygems_version: !ruby/object:Gem::Requirement
|
132
|
-
none: false
|
133
154
|
requirements:
|
134
|
-
- -
|
155
|
+
- - '>='
|
135
156
|
- !ruby/object:Gem::Version
|
136
157
|
version: '0'
|
137
158
|
requirements: []
|
138
159
|
rubyforge_project:
|
139
|
-
rubygems_version:
|
160
|
+
rubygems_version: 2.0.3
|
140
161
|
signing_key:
|
141
|
-
specification_version:
|
162
|
+
specification_version: 4
|
142
163
|
summary: Ruby wrapper for the Eligible API
|
143
164
|
test_files:
|
144
165
|
- test/test_eligible.rb
|