era_835_parser 0.0.1
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- checksums.yaml +7 -0
- data/.gitignore +16 -0
- data/.rspec +1 -0
- data/.travis.yml +0 -0
- data/CODE_OF_CONDUCT.md +22 -0
- data/Gemfile +7 -0
- data/LICENSE.txt +23 -0
- data/README.md +108 -0
- data/Rakefile +5 -0
- data/era_835_parser.gemspec +24 -0
- data/lib/era_835_parser.rb +3 -0
- data/lib/era_835_parser/parser.rb +237 -0
- data/lib/era_835_parser/version.rb +3 -0
- data/spec/era_835_parser_spec.rb +633 -0
- data/spec/spec_helper.rb +3 -0
- data/spec/test_era.txt +95 -0
- metadata +108 -0
checksums.yaml
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---
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SHA256:
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metadata.gz: 24ced3bdbddf24e71641f9b339c2892c68a5f15333a0b3f3ed0fd81fc2ede024
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data.tar.gz: 67e81a3c9890bd5bda989b31250d68afb9e8d37748569528d04c56f0f64e1f4b
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SHA512:
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metadata.gz: e5e36bbad1c296bb6f31790bc4ccf58d7a4455377cf22d3908b2bb23c069a5f76fd9e0c1e1b07e9837b22da564c302c40123e5ebcd74109e4a8a2113b082c064
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data.tar.gz: 581d746f8f3cbf3beb1826a7cc7611b0709e51e8e28ee217e6c71efc932e8cbd3790ab537a385230c1a70d0d23c173aa5a77177aee2ca6fe8cdc8664672b9dcb
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data/.gitignore
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data/.rspec
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--color
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data/.travis.yml
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File without changes
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data/CODE_OF_CONDUCT.md
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# Contributor Code of Conduct
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As contributors and maintainers of this project, and in the interest of fostering an open and welcoming community, we pledge to respect all people who contribute through reporting issues, posting feature requests, updating documentation, submitting pull requests or patches, and other activities.
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We are committed to making participation in this project a harassment-free experience for everyone, regardless of level of experience, gender, gender identity and expression, sexual orientation, disability, personal appearance, body size, race, ethnicity, age, religion, or nationality.
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Examples of unacceptable behavior by participants include:
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* The use of sexualized language or imagery
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* Personal attacks
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* Trolling or insulting/derogatory comments
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* Public or private harassment
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* Publishing other's private information, such as physical or electronic addresses, without explicit permission
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* Other unethical or unprofessional conduct
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Project maintainers have the right and responsibility to remove, edit, or reject comments, commits, code, wiki edits, issues, and other contributions that are not aligned to this Code of Conduct. By adopting this Code of Conduct, project maintainers commit themselves to fairly and consistently applying these principles to every aspect of managing this project. Project maintainers who do not follow or enforce the Code of Conduct may be permanently removed from the project team.
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This code of conduct applies both within project spaces and in public spaces when an individual is representing the project or its community.
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Instances of abusive, harassing, or otherwise unacceptable behavior may be reported by opening an issue or contacting one or more of the project maintainers.
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This Code of Conduct is adapted from the Contributor Covenant, version 1.2.0, available from http://contributor-covenant.org/version/1/2/0/
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data/Gemfile
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data/LICENSE.txt
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The MIT License (MIT)
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Copyright (c) 2019 Kevin S. Dias
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Permission is hereby granted, free of charge, to any person obtaining
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a copy of this software and associated documentation files (the
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"Software"), to deal in the Software without restriction, including
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without limitation the rights to use, copy, modify, merge, publish,
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distribute, sublicense, and/or sell copies of the Software, and to
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permit persons to whom the Software is furnished to do so, subject to
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the following conditions:
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The above copyright notice and this permission notice shall be
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included in all copies or substantial portions of the Software.
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THE SOFTWARE IS PROVIDED "AS IS", WITHOUT WARRANTY OF ANY KIND,
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EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO THE WARRANTIES OF
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MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE AND
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NONINFRINGEMENT. IN NO EVENT SHALL THE AUTHORS OR COPYRIGHT HOLDERS BE
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LIABLE FOR ANY CLAIM, DAMAGES OR OTHER LIABILITY, WHETHER IN AN ACTION
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OF CONTRACT, TORT OR OTHERWISE, ARISING FROM, OUT OF OR IN CONNECTION
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WITH THE SOFTWARE OR THE USE OR OTHER DEALINGS IN THE SOFTWARE.
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data/README.md
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# Electronic Remittance Advice (ERA) 835 parser
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[![Gem Version](https://badge.fury.io/rb/era_835_parser.svg)](http://badge.fury.io/rb/era_835_parser) [![Code Climate](https://codeclimate.com/github/diasks2/era_835_parser/badges/gpa.svg)](https://codeclimate.com/github/diasks2/era_835_parser) [![Build Status](https://travis-ci.org/diasks2/era_835_parser.png)](https://travis-ci.org/diasks2/era_835_parser) [![Test Coverage](https://codeclimate.com/github/diasks2/era_835_parser/badges/coverage.svg)](https://codeclimate.com/github/diasks2/era_835_parser) [![License](https://img.shields.io/badge/license-MIT-brightgreen.svg?style=flat)](https://github.com/diasks2/era_835_parser/blob/master/LICENSE.txt)
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This is a gem to parse ERAs, the electronic equivalent of a paper Explanation of Benefits (EOB). An electronic remittance advice (ERA) is an electronic data interchange (EDI) version of a medical insurance payment explanation. It provides details about providers' claims payment, and if the claims are denied, it would then contain the required explanations.
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## Install
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**Ruby**
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```
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gem install era_835_parser
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```
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**Ruby on Rails**
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Add this line to your application’s Gemfile:
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```ruby
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gem 'era_835_parser'
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```
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## Usage
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```ruby
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era = Era835Parser::Parser.new(file_path: '/Desktop/era.txt').parse
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# The output is grouped by check number with each claim grouped under its respective check
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era[:checks].each do |check_number, check|
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puts check[:check_number] # Check number
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puts check[:amount] # Check amount
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puts check[:number_of_claims] # Number of claims this check covers (integer)
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puts check[:npi_tax_id] # NPI or Tax ID of payee
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puts check[:payee] # Check payee
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puts check[:date] # Check date (string mm/dd/yyyy)
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check[:eras].each do |era_counter, era|
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puts era[:patient_id] # Patient ID
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puts era[:patient_name] # Patient name
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puts era[:patient_last_name] # Patient last name (titlized)
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puts era[:patient_first_name] # Patient first name (titlized)
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puts era[:charge_amount] # Total charge amount (integer)
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puts era[:payment_amount] # Total payment amount (integer)
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puts era[:account_number] # Account number
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puts era[:status] # Status
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puts era[:payer_name] # Payer name
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puts era[:payer_address] # Payer address
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puts era[:payer_city] # Payer city
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puts era[:payer_state] # Payer state
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puts era[:payer_zip_code] # Payer zip code
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puts era[:payer_tax_id] # Payer tax id
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puts era[:payer_claim_control_number] # Payer claim control number
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puts era[:claim_statement_period_start] # Claim statement period start
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puts era[:claim_statement_period_end] # Claim statement period end
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era[:line_items].each do |line_item_counter, line_item|
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puts line_item[:service_date] # Date of service (string mm/dd/yyyy)
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puts line_item[:cpt_code] # CPT code
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puts line_item[:charge_amount] # Charge amount (integer)
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puts line_item[:payment_amount] # Payment amount (integer)
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puts line_item[:total_adjustment_amount] # Total adjustment amount (integer)
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puts line_item[:remarks] # Remarks
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line_item[:adjustment_groups].each do |adjustment_group_counter, adjustment_group|
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puts adjustment_group[:adjustment_group] # Adjustment group
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puts adjustment_group[:adjustment_amount] # Adjustment amount (integer)
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puts adjustment_group[:translated_reason_code] # Translated reason code
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end
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end
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end
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end
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# View any adjustments
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era[:adjustments].each do |adjustment|
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puts adjustment[:adjustment_date] # Adjustment date (string mm/dd/yyyy)
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puts adjustment[:provider_id] # Provider ID
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puts adjustment[:reference_id] # Reference ID
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puts adjustment[:adjustment_amount] # Adjustment amount (integer)
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puts adjustment[:reason] # reason
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end
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```
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## Contributing
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1. Fork it ( https://github.com/diasks2/era_835_parser/fork )
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2. Create your feature branch (`git checkout -b my-new-feature`)
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3. Commit your changes (`git commit -am 'Add some feature'`)
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4. Push to the branch (`git push origin my-new-feature`)
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5. Create a new Pull Request
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## License
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The MIT License (MIT)
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Copyright (c) 2019 Kevin S. Dias
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Permission is hereby granted, free of charge, to any person obtaining a copy
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of this software and associated documentation files (the "Software"), to deal
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in the Software without restriction, including without limitation the rights
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to use, copy, modify, merge, publish, distribute, sublicense, and/or sell
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copies of the Software, and to permit persons to whom the Software is
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furnished to do so, subject to the following conditions:
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The above copyright notice and this permission notice shall be included in
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all copies or substantial portions of the Software.
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THE SOFTWARE IS PROVIDED "AS IS", WITHOUT WARRANTY OF ANY KIND, EXPRESS OR
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IMPLIED, INCLUDING BUT NOT LIMITED TO THE WARRANTIES OF MERCHANTABILITY,
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FITNESS FOR A PARTICULAR PURPOSE AND NONINFRINGEMENT. IN NO EVENT SHALL THE
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AUTHORS OR COPYRIGHT HOLDERS BE LIABLE FOR ANY CLAIM, DAMAGES OR OTHER
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LIABILITY, WHETHER IN AN ACTION OF CONTRACT, TORT OR OTHERWISE, ARISING FROM,
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OUT OF OR IN CONNECTION WITH THE SOFTWARE OR THE USE OR OTHER DEALINGS IN
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THE SOFTWARE.
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data/Rakefile
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# coding: utf-8
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lib = File.expand_path('../lib', __FILE__)
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$LOAD_PATH.unshift(lib) unless $LOAD_PATH.include?(lib)
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require 'era_835_parser/version'
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Gem::Specification.new do |spec|
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spec.name = "era_835_parser"
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spec.version = Era835Parser::VERSION
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spec.authors = ["Kevin S. Dias"]
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spec.email = ["diasks2@gmail.com"]
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spec.summary = %q{Electronic Remittance Advice (ERA) 835 parser}
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spec.description = %q{This is a gem to parse ERAs, the electronic equivalent of a paper Explanation of Benefits (EOB). An electronic remittance advice (ERA) is an electronic data interchange (EDI) version of a medical insurance payment explanation. It provides details about providers' claims payment, and if the claims are denied, it would then contain the required explanations.}
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spec.homepage = "https://github.com/diasks2/era_835_parser"
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spec.license = "MIT"
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spec.files = `git ls-files -z`.split("\x0")
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spec.executables = spec.files.grep(%r{^bin/}) { |f| File.basename(f) }
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spec.test_files = spec.files.grep(%r{^(test|spec|features)/})
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spec.require_paths = ["lib"]
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spec.add_development_dependency "bundler", "~> 1.7"
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spec.add_development_dependency "rake", "~> 10.0"
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spec.add_development_dependency "rspec"
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end
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require 'open-uri'
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# Era835Parser::Parser.new(file_path: "../era_835_parser/spec/test_era.txt").parse
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module Era835Parser
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class Parser
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attr_reader :file_path
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def initialize(file_path:)
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@file_path = file_path
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end
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def parse
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# hash initialization
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era = Hash.new
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checks = Hash.new
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line_items = Hash.new
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adjustment_groups = Hash.new
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adjustments = Hash.new
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individual_era = Hash.new
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individual_line_item = Hash.new
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check_number = ''
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# counters
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adjustment_counter = 0
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# trigger variables
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adjustments_start = false
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checks_start = false
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eras_start = false
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next_line_check_number = false
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next_line_address = false
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next_line_city = false
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next_line_tax_id = false
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next_line_payer_claim_control = false
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next_line_claim_statement_period = false
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next_line_line_item = false
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next_line_adjustment_group = false
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open(file_path).readlines.each do |line|
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if line !~ /={10,}/i && adjustments_start == true
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adjustment = Hash.new
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adjustment[:adjustment_date] = /\d+\/\d+\/\d+/.match(line)[0].strip if !/\d+\/\d+\/\d+/.match(line).nil?
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adjustment[:provider_id] = /\d+\/\d+\/\d+\s+\d+\s+[^\s]+/.match(line)[0].split(" ")[1].strip if !/\d+\/\d+\/\d+\s+\d+\s+[^\s]+/.match(line).nil?
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adjustment[:reference_id] = /\d+\/\d+\/\d+\s+\d+\s+[^\s]+/.match(line)[0].split(" ")[2].strip if !/\d+\/\d+\/\d+\s+\d+\s+[^\s]+/.match(line).nil?
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adjustment[:adjustment_amount] = (/\d+\/\d+\/\d+\s+\d+\s+[^\s]+\s+[\-\d\.]+/.match(line)[0].split(" ")[3].strip.to_f * 100).to_i if !/\d+\/\d+\/\d+\s+\d+\s+[^\s]+\s+[\-\d\.]+/.match(line).nil?
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adjustment[:reason] = line.gsub(/\d+\/\d+\/\d+\s+\d+\s+[^\s]+\s+[\-\d\.]+/, "").strip
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adjustments[adjustment_counter] = adjustment
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adjustment_counter += 1
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end
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if line !~ /={10,}/i && checks_start == true && line !~ /^\s+$/ && line !~ /-{10,}/i
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check = Hash.new
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check[:check_number] = /^[^\s]+(?=\s)/.match(line)[0] if !/^[^\s]+(?=\s)/.match(line).nil?
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check[:amount] = (/^[^\s]+\s+\d+\.\d+(?=\s)/.match(line)[0].split(" ")[1].strip.to_f * 100).to_i if !/^[^\s]+\s+\d+\.\d+(?=\s)/.match(line).nil?
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check[:number_of_claims] = /^[^\s]+\s+\d+\.\d+\s+\d+(?=\s)/.match(line)[0].split(" ")[2].strip.to_i if !/^[^\s]+\s+\d+\.\d+\s+\d+(?=\s)/.match(line).nil?
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check[:npi_tax_id] = /^[^\s]+\s+\d+\.\d+\s+\d+\s+[^\s]+/.match(line)[0].split(" ")[3].strip if !/^[^\s]+\s+\d+\.\d+\s+\d+\s+[^\s]+/.match(line).nil?
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check[:date] = /\d+\/\d+\/\d+/.match(line)[0] if !/\d+\/\d+\/\d+/.match(line).nil?
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check[:payee] = line.gsub(check[:check_number].to_s, "").gsub(check[:npi_tax_id].to_s, "").gsub(check[:amount].to_s, "").gsub(/\d/, "").gsub(/\./, "").gsub(/\//, "").strip
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checks[check[:check_number]] = check
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end
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if next_line_line_item
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individual_line_item = Hash.new
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adjustment_groups = Hash.new
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end
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if line.include?("Line Item:") || line =~ /-{10,}/i || line =~ /^\s+$/
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next_line_adjustment_group = false
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end
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if next_line_adjustment_group &&
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individual_adjustment_group_item = Hash.new
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individual_adjustment_group_item[:adjustment_group] = /.+\s+\-?\d+\.\d+/.match(line)[0].strip.split(/\s+\-?\d+/)[0].strip if !/.+\s+\-?\d+\.\d+/.match(line).nil?
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individual_adjustment_group_item[:adjustment_amount] = (/\-?\d+\.\d+/.match(line)[0].strip.to_f * 100).to_i if !/\-?\d+\.\d+/.match(line).nil?
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individual_adjustment_group_item[:translated_reason_code] = /\-?\d+\.\d+\s+.+/.match(line)[0].strip.split(/(?:\d)\s/)[1].strip if !/\-?\d+\.\d+\s+.+/.match(line).nil?
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if adjustment_groups.nil?
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adjustment_groups[0] = individual_adjustment_group_item
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else
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adjustment_groups[adjustment_groups.count] = individual_adjustment_group_item
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end
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individual_line_item[:adjustment_groups] = adjustment_groups
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end
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84
|
+
if line.include?("Adjustment Group")
|
85
|
+
next_line_adjustment_group = true
|
86
|
+
end
|
87
|
+
|
88
|
+
if next_line_line_item
|
89
|
+
individual_line_item[:service_date] = /\d+\/\d+\/\d+/.match(line)[0].strip if !/\d+\/\d+\/\d+/.match(line).nil?
|
90
|
+
individual_line_item[:cpt_code] = /\d+\/\d+\/\d+\s\d+/.match(line)[0].strip.split(" ")[1] if !/\d+\/\d+\/\d+\s\d+/.match(line).nil?
|
91
|
+
individual_line_item[:charge_amount] = (/\d+\/\d+\/\d+\s\d+\s+\-?\d+\.\d+/.match(line)[0].strip.split(" ")[2].to_f * 100).to_i if !/\d+\/\d+\/\d+\s\d+\s+\-?\d+\.\d+/.match(line).nil?
|
92
|
+
individual_line_item[:payment_amount] = (/\d+\/\d+\/\d+\s\d+\s+\-?\d+\.\d+\s+\-?\d+\.\d+/.match(line)[0].strip.split(" ")[3].to_f * 100).to_i if !/\d+\/\d+\/\d+\s\d+\s+\-?\d+\.\d+\s+\-?\d+\.\d+/.match(line).nil?
|
93
|
+
individual_line_item[:total_adjustment_amount] = (/\d+\/\d+\/\d+\s\d+\s+\-?\d+\.\d+\s+\-?\d+\.\d+\s+\-?\d+\.\d+/.match(line)[0].strip.split(" ")[4].to_f * 100).to_i if !/\d+\/\d+\/\d+\s\d+\s+\-?\d+\.\d+\s+\-?\d+\.\d+\s+\-?\d+\.\d+/.match(line).nil?
|
94
|
+
individual_line_item[:remarks] = line.gsub(/\d+\/\d+\/\d+\s\d+\s+\-?\d+\.\d+\s+\-?\d+\.\d+\s+\-?\d+\.\d+/, "").strip if !/\d+\/\d+\/\d+\s\d+\s+\-?\d+\.\d+\s+\-?\d+\.\d+\s+\-?\d+\.\d+/.match(line).nil?
|
95
|
+
if line_items.nil?
|
96
|
+
line_items[0] = individual_line_item
|
97
|
+
else
|
98
|
+
line_items[line_items.count] = individual_line_item
|
99
|
+
end
|
100
|
+
next_line_line_item = false
|
101
|
+
end
|
102
|
+
|
103
|
+
if line.include?("Line Item:")
|
104
|
+
next_line_line_item = true
|
105
|
+
end
|
106
|
+
|
107
|
+
if next_line_claim_statement_period && line.include?("Claim Statement Period")
|
108
|
+
individual_era[:claim_statement_period_start] = line.gsub("Claim Statement Period:", "").strip.split("-")[0].strip
|
109
|
+
individual_era[:claim_statement_period_end] = line.gsub("Claim Statement Period:", "").strip.split("-")[1].strip
|
110
|
+
next_line_claim_statement_period = false
|
111
|
+
elsif next_line_claim_statement_period
|
112
|
+
next_line_claim_statement_period = false
|
113
|
+
end
|
114
|
+
|
115
|
+
if next_line_payer_claim_control && line.include?("Payer Claim Control Number")
|
116
|
+
individual_era[:payer_claim_control_number] = line.gsub("Payer Claim Control Number:", "").strip
|
117
|
+
next_line_payer_claim_control = false
|
118
|
+
next_line_claim_statement_period = true
|
119
|
+
elsif next_line_payer_claim_control
|
120
|
+
next_line_payer_claim_control = false
|
121
|
+
next_line_claim_statement_period = true
|
122
|
+
end
|
123
|
+
|
124
|
+
if next_line_tax_id && line.include?("Tax ID")
|
125
|
+
individual_era[:payer_tax_id] = line.gsub("Tax ID:", "").strip
|
126
|
+
next_line_tax_id = false
|
127
|
+
next_line_payer_claim_control = true
|
128
|
+
elsif next_line_tax_id
|
129
|
+
next_line_tax_id = false
|
130
|
+
next_line_payer_claim_control = true
|
131
|
+
end
|
132
|
+
|
133
|
+
if next_line_city
|
134
|
+
individual_era[:payer_city] = line.strip.split(",")[0].strip
|
135
|
+
individual_era[:payer_state] = line.strip.split(",")[1].split(" ")[0].strip
|
136
|
+
individual_era[:payer_zip_code] = line.strip.split(",")[1].split(" ")[1].strip
|
137
|
+
next_line_city = false
|
138
|
+
next_line_tax_id = true
|
139
|
+
end
|
140
|
+
|
141
|
+
if next_line_address
|
142
|
+
individual_era[:payer_address] = line.strip
|
143
|
+
next_line_address = false
|
144
|
+
next_line_city = true
|
145
|
+
end
|
146
|
+
|
147
|
+
if next_line_check_number
|
148
|
+
check_number = /^[^\s]+(?=\s)/.match(line)[0].strip if !/^[^\s]+(?=\s)/.match(line).nil?
|
149
|
+
next_line_check_number = false
|
150
|
+
individual_era[:patient_id] = /^[^\s]+(?=\s)\s+[^\s]+/.match(line)[0].strip.split(" ")[1] if !/^[^\s]+(?=\s)\s+[^\s]+/.match(line).nil?
|
151
|
+
individual_era[:patient_name] = /\s\D*,\D*\s/.match(line)[0].strip if !/\s\D*,\D*\s/.match(line).nil?
|
152
|
+
individual_era[:patient_last_name] = individual_era[:patient_name].split(",")[0].downcase.split(" ").map { |word| word.capitalize }.join(" ")
|
153
|
+
individual_era[:patient_first_name] = individual_era[:patient_name].split(",")[1].downcase.split(" ").map { |word| word.capitalize }.join(" ")
|
154
|
+
individual_era[:charge_amount] = (/,\D+\d+\.\d+\s/.match(line)[0].gsub(/[a-zA-Z,]/, "").strip.to_f * 100).to_i if !/,\D+\d+\.\d+\s/.match(line).nil?
|
155
|
+
individual_era[:payment_amount] = (/\.\d+\s+\-?\d+\.\d+\s/.match(line)[0].strip.split(" ")[1].strip.to_f * 100).to_i if !/\.\d+\s+\-?\d+\.\d+\s/.match(line).nil?
|
156
|
+
individual_era[:account_number] = /\.\d+\s+\-?\d+\.\d+\s+[A-Z\d]+\s/.match(line)[0].strip.split(" ")[2] if !/\.\d+\s+\-?\d+\.\d+\s+[A-Z\d]+\s/.match(line).nil?
|
157
|
+
if !/PROCESSED AS PRIMARY\s+.+$/.match(line).nil? && !/^[^\s]+(?=\s)/.match(line).nil?
|
158
|
+
individual_era[:status] = "PROCESSED AS PRIMARY"
|
159
|
+
individual_era[:payer_name] = /PROCESSED AS PRIMARY\s+.+$/.match(line)[0].gsub("PROCESSED AS PRIMARY", "").strip
|
160
|
+
elsif !/PROCESSED AS PRIMARY,\sFWDED\s+.+$/.match(line).nil? && !/^[^\s]+(?=\s)/.match(line).nil?
|
161
|
+
individual_era[:status] = "PROCESSED AS PRIMARY, FWDED"
|
162
|
+
individual_era[:payer_name] = /PROCESSED AS PRIMARY,\sFWDED\s+.+$/.match(line)[0].gsub("PROCESSED AS PRIMARY, FWDED", "").strip
|
163
|
+
elsif !/PROCESSED AS SECONDARY\s+.+$/.match(line).nil? && !/^[^\s]+(?=\s)/.match(line).nil?
|
164
|
+
individual_era[:status] = "PROCESSED AS SECONDARY"
|
165
|
+
individual_era[:payer_name] = /PROCESSED AS SECONDARY\s+.+$/.match(line)[0].gsub("PROCESSED AS SECONDARY", "").strip
|
166
|
+
elsif !/DENIED\s+.+$/.match(line).nil? && !/^[^\s]+(?=\s)/.match(line).nil?
|
167
|
+
individual_era[:status] = "DENIED"
|
168
|
+
individual_era[:payer_name] = /DENIED\s+.+$/.match(line)[0].gsub("DENIED", "").strip
|
169
|
+
elsif !/OTHER\s+.+$/.match(line).nil? && !/^[^\s]+(?=\s)/.match(line).nil?
|
170
|
+
individual_era[:status] = "OTHER"
|
171
|
+
individual_era[:payer_name] = /OTHER\s+.+$/.match(line)[0].gsub("OTHER", "").strip
|
172
|
+
end
|
173
|
+
next_line_address = true
|
174
|
+
end
|
175
|
+
|
176
|
+
if line.include?("Check#") && line.include?("Patient ID")
|
177
|
+
next_line_check_number = true
|
178
|
+
individual_era = Hash.new
|
179
|
+
line_items = Hash.new
|
180
|
+
end
|
181
|
+
|
182
|
+
if eras_start == true && !line.include?("Check#")
|
183
|
+
if line =~ /-{10,}/i
|
184
|
+
if era[:checks][check_number][:eras].nil?
|
185
|
+
era_counter = 0
|
186
|
+
eras = Hash.new
|
187
|
+
individual_era[:line_items] = line_items
|
188
|
+
eras[era_counter] = individual_era
|
189
|
+
era[:checks][check_number][:eras] = eras
|
190
|
+
else
|
191
|
+
era_counter = era[:checks][check_number][:eras].count
|
192
|
+
eras = Hash.new
|
193
|
+
individual_era[:line_items] = line_items
|
194
|
+
eras[era_counter] = individual_era
|
195
|
+
era[:checks][check_number][:eras] = era[:checks][check_number][:eras].merge(eras)
|
196
|
+
end
|
197
|
+
end
|
198
|
+
end
|
199
|
+
|
200
|
+
if line.include?("Adjustment Date")
|
201
|
+
adjustments_start = true
|
202
|
+
end
|
203
|
+
|
204
|
+
if line.include?("Check#") && line.include?("# Claims")
|
205
|
+
checks_start = true
|
206
|
+
end
|
207
|
+
|
208
|
+
if line =~ /={10,}/i && adjustments_start == true && adjustments != {}
|
209
|
+
adjustments_start = false
|
210
|
+
end
|
211
|
+
|
212
|
+
if line =~ /-{10,}/i && checks_start == true && checks != {}
|
213
|
+
checks_start = false
|
214
|
+
era[:adjustments] = adjustments
|
215
|
+
era[:checks] = checks
|
216
|
+
eras_start = true
|
217
|
+
end
|
218
|
+
end
|
219
|
+
|
220
|
+
if era[:checks][check_number][:eras].nil?
|
221
|
+
era_counter = 0
|
222
|
+
eras = Hash.new
|
223
|
+
individual_era[:line_items] = line_items
|
224
|
+
eras[era_counter] = individual_era
|
225
|
+
era[:checks][check_number][:eras] = eras
|
226
|
+
else
|
227
|
+
era_counter = era[:checks][check_number][:eras].count
|
228
|
+
eras = Hash.new
|
229
|
+
individual_era[:line_items] = line_items
|
230
|
+
eras[era_counter] = individual_era
|
231
|
+
era[:checks][check_number][:eras] = era[:checks][check_number][:eras].merge(eras)
|
232
|
+
end
|
233
|
+
|
234
|
+
return era
|
235
|
+
end
|
236
|
+
end
|
237
|
+
end
|