era_835_parser 0.0.1

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Files changed (17) hide show
  1. checksums.yaml +7 -0
  2. data/.gitignore +16 -0
  3. data/.rspec +1 -0
  4. data/.travis.yml +0 -0
  5. data/CODE_OF_CONDUCT.md +22 -0
  6. data/Gemfile +7 -0
  7. data/LICENSE.txt +23 -0
  8. data/README.md +108 -0
  9. data/Rakefile +5 -0
  10. data/era_835_parser.gemspec +24 -0
  11. data/lib/era_835_parser.rb +3 -0
  12. data/lib/era_835_parser/parser.rb +237 -0
  13. data/lib/era_835_parser/version.rb +3 -0
  14. data/spec/era_835_parser_spec.rb +633 -0
  15. data/spec/spec_helper.rb +3 -0
  16. data/spec/test_era.txt +95 -0
  17. metadata +108 -0
data/lib/era_835_parser/version.rb ADDED
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+ module Era835Parser
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+ VERSION = "0.0.1"
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+ end
data/spec/era_835_parser_spec.rb ADDED
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+ require 'spec_helper'
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+
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+ RSpec.describe Era835Parser::Parser do
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+
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+ describe '#parse' do
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+ before :all do
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+ @era = Era835Parser::Parser.new(file_path: "../era_835_parser/spec/test_era.txt").parse
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+ end
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+
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+ # context 'Aggregate totals' do
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+ # it 'returns the correct number of checks' do
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+ # expect(@era[:checks].count).to eq(3)
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+ # end
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+ # it 'returns the correct number of adjustments' do
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+ # expect(@era[:adjustments].count).to eq(3)
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+ # end
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+
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+ # it 'returns the correct number of line items' do
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+ # expect(@era[:checks]['201812215555555555'][:eras][0][:line_items].count).to eq(1)
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+ # end
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+ # it 'returns the correct number of line items' do
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+ # expect(@era[:checks]['201812215555555556'][:eras][0][:line_items].count).to eq(2)
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+ # end
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+ # it 'returns the correct number of line items' do
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+ # expect(@era[:checks]['201812215555555556'][:eras][1][:line_items].count).to eq(1)
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+ # end
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+ # it 'returns the correct number of line items' do
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+ # expect(@era[:checks]['201812215555555557'][:eras][0][:line_items].count).to eq(1)
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+ # end
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+ # it 'returns the correct number of line items' do
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+ # expect(@era[:checks]['201812215555555557'][:eras][1][:line_items].count).to eq(1)
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+ # end
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+
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+ # it 'returns the correct number of adjustment groups' do
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+ # expect(@era[:checks]['201812215555555555'][:eras][0][:line_items][0][:adjustment_groups].count).to eq(1)
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+ # end
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+ # it 'returns the correct number of adjustment groups' do
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+ # expect(@era[:checks]['201812215555555556'][:eras][0][:line_items][0][:adjustment_groups].count).to eq(1)
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+ # end
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+ # it 'returns the correct number of adjustment groups' do
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+ # expect(@era[:checks]['201812215555555556'][:eras][0][:line_items][1][:adjustment_groups].count).to eq(1)
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+ # end
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+ # it 'returns the correct number of adjustment groups' do
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+ # expect(@era[:checks]['201812215555555556'][:eras][1][:line_items][0][:adjustment_groups].count).to eq(0)
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+ # end
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+ # it 'returns the correct number of adjustment groups' do
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+ # expect(@era[:checks]['201812215555555557'][:eras][0][:line_items][0][:adjustment_groups].count).to eq(1)
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+ # end
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+ # it 'returns the correct number of adjustment groups' do
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+ # expect(@era[:checks]['201812215555555557'][:eras][1][:line_items][0][:adjustment_groups].count).to eq(2)
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+ # end
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+ # end
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+
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+ context 'Check #201812215555555555' do
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+ it 'returns the check number' do
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+ expect(@era[:checks]['201812215555555555'][:check_number]).to eq('201812215555555555')
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+ end
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+ it 'returns the amount' do
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+ expect(@era[:checks]['201812215555555555'][:amount]).to eq(4880)
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+ end
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+ it 'returns the number of claims' do
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+ expect(@era[:checks]['201812215555555555'][:number_of_claims]).to eq(1)
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+ end
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+ it 'returns the NPI or Tax ID' do
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+ expect(@era[:checks]['201812215555555555'][:npi_tax_id]).to eq('1212121212')
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+ end
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+ it 'returns the payee' do
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+ expect(@era[:checks]['201812215555555555'][:payee]).to eq('ABC COMPANY LLC')
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+ end
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+ it 'returns the date' do
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+ expect(@era[:checks]['201812215555555555'][:date]).to eq('12/21/2018')
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+ end
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+
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+ context 'ERA #0' do
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+ it 'returns the Patient ID' do
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+ expect(@era[:checks]['201812215555555555'][:eras][0][:patient_id]).to eq('M11111110')
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+ end
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+ it 'returns the Patient name' do
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+ expect(@era[:checks]['201812215555555555'][:eras][0][:patient_name]).to eq('DOE JR,DAVIS')
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+ end
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+ it 'returns the Patient last name (titlized)' do
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+ expect(@era[:checks]['201812215555555555'][:eras][0][:patient_last_name]).to eq('Doe Jr')
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+ end
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+ it 'returns the Patient first name (titlized)' do
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+ expect(@era[:checks]['201812215555555555'][:eras][0][:patient_first_name]).to eq('Davis')
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+ end
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+ it 'returns the Total charge amount (integer)' do
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+ expect(@era[:checks]['201812215555555555'][:eras][0][:charge_amount]).to eq(6500)
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+ end
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+ it 'returns the Total payment amount (integer)' do
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+ expect(@era[:checks]['201812215555555555'][:eras][0][:payment_amount]).to eq(4880)
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+ end
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+ it 'returns the Account number' do
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+ expect(@era[:checks]['201812215555555555'][:eras][0][:account_number]).to eq('1112')
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+ end
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+ it 'returns the Status' do
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+ expect(@era[:checks]['201812215555555555'][:eras][0][:status]).to eq('PROCESSED AS PRIMARY')
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+ end
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+ it 'returns the Payer name' do
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+ expect(@era[:checks]['201812215555555555'][:eras][0][:payer_name]).to eq('ABC HEALTHCARE EAST')
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+ end
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+ it 'returns the Payer address' do
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+ expect(@era[:checks]['201812215555555555'][:eras][0][:payer_address]).to eq('ONE CIRCLE RD')
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+ end
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+ it 'returns the Payer city' do
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+ expect(@era[:checks]['201812215555555555'][:eras][0][:payer_city]).to eq('SOMEWHERE')
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+ end
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+ it 'returns the Payer state' do
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+ expect(@era[:checks]['201812215555555555'][:eras][0][:payer_state]).to eq('GA')
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+ end
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+ it 'returns the Payer zip code' do
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+ expect(@era[:checks]['201812215555555555'][:eras][0][:payer_zip_code]).to eq('11111')
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+ end
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+ it 'returns the Payer tax id' do
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+ expect(@era[:checks]['201812215555555555'][:eras][0][:payer_tax_id]).to eq('11-1111110')
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+ end
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+ it 'returns the Payer claim control number' do
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+ expect(@era[:checks]['201812215555555555'][:eras][0][:payer_claim_control_number]).to eq('111111111000')
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+ end
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+ it 'returns the Claim statement period start' do
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+ expect(@era[:checks]['201812215555555555'][:eras][0][:claim_statement_period_start]).to eq(nil)
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+ end
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+ it 'returns the Claim statement period end' do
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+ expect(@era[:checks]['201812215555555555'][:eras][0][:claim_statement_period_end]).to eq(nil)
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+ end
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+
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+ context 'Line item #0' do
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+ it 'returns the Date of service (string mm/dd/yyyy)' do
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+ expect(@era[:checks]['201812215555555555'][:eras][0][:line_items][0][:service_date]).to eq('10/25/2018')
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+ end
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+ it 'returns the CPT code' do
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+ expect(@era[:checks]['201812215555555555'][:eras][0][:line_items][0][:cpt_code]).to eq('92507')
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+ end
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+ it 'returns the Charge amount (integer)' do
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+ expect(@era[:checks]['201812215555555555'][:eras][0][:line_items][0][:charge_amount]).to eq(6500)
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+ end
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+ it 'returns the Payment amount (integer)' do
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+ expect(@era[:checks]['201812215555555555'][:eras][0][:line_items][0][:payment_amount]).to eq(4880)
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+ end
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+ it 'returns the Total adjustment amount (integer)' do
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+ expect(@era[:checks]['201812215555555555'][:eras][0][:line_items][0][:total_adjustment_amount]).to eq(1620)
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+ end
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+ it 'returns the Remarks' do
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+ expect(@era[:checks]['201812215555555555'][:eras][0][:line_items][0][:remarks]).to eq('NO REMARKS')
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+ end
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+ context 'Adjustment group #0' do
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+ it 'returns the Adjustment group' do
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+ expect(@era[:checks]['201812215555555555'][:eras][0][:line_items][0][:adjustment_groups][0][:adjustment_group]).to eq('CONTRACTUAL OBLIGATIONS')
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+ end
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+ it 'returns the Adjustment amount (integer)' do
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+ expect(@era[:checks]['201812215555555555'][:eras][0][:line_items][0][:adjustment_groups][0][:adjustment_amount]).to eq(1620)
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+ end
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+ it 'returns the Translated reason code' do
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+ expect(@era[:checks]['201812215555555555'][:eras][0][:line_items][0][:adjustment_groups][0][:translated_reason_code]).to eq('CHARGES EXCEED YOUR CONTRACTED/LEGISLATED FEE ARRANGEMENT.')
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+ end
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+ end
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+ end
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+ end
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+ end
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+
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+ context 'Check #201812215555555556' do
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+ it 'returns the check number' do
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+ expect(@era[:checks]['201812215555555556'][:check_number]).to eq('201812215555555556')
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+ end
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+ it 'returns the amount' do
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+ expect(@era[:checks]['201812215555555556'][:amount]).to eq(5120)
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+ end
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+ it 'returns the number of claims' do
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+ expect(@era[:checks]['201812215555555556'][:number_of_claims]).to eq(2)
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+ end
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+ it 'returns the NPI or Tax ID' do
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+ expect(@era[:checks]['201812215555555556'][:npi_tax_id]).to eq('1212121213')
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+ end
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+ it 'returns the payee' do
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+ expect(@era[:checks]['201812215555555556'][:payee]).to eq('ABC COMPANY')
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+ end
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+ it 'returns the date' do
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+ expect(@era[:checks]['201812215555555556'][:date]).to eq('12/22/2018')
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+ end
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+
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+ context 'ERA #0' do
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+ it 'returns the Patient ID' do
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+ expect(@era[:checks]['201812215555555556'][:eras][0][:patient_id]).to eq('ZECM11111111')
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+ end
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+ it 'returns the Patient name' do
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+ expect(@era[:checks]['201812215555555556'][:eras][0][:patient_name]).to eq('DOE,JANE')
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+ end
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+ it 'returns the Patient last name (titlized)' do
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+ expect(@era[:checks]['201812215555555556'][:eras][0][:patient_last_name]).to eq('Doe')
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+ end
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+ it 'returns the Patient first name (titlized)' do
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+ expect(@era[:checks]['201812215555555556'][:eras][0][:patient_first_name]).to eq('Jane')
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+ end
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+ it 'returns the Total charge amount (integer)' do
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+ expect(@era[:checks]['201812215555555556'][:eras][0][:charge_amount]).to eq(-6500)
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+ end
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+ it 'returns the Total payment amount (integer)' do
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+ expect(@era[:checks]['201812215555555556'][:eras][0][:payment_amount]).to eq(-4880)
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+ end
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+ it 'returns the Account number' do
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+ expect(@era[:checks]['201812215555555556'][:eras][0][:account_number]).to eq('L111')
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+ end
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+ it 'returns the Status' do
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+ expect(@era[:checks]['201812215555555556'][:eras][0][:status]).to eq('OTHER')
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+ end
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+ it 'returns the Payer name' do
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+ expect(@era[:checks]['201812215555555556'][:eras][0][:payer_name]).to eq('ABC HEALTHCARE WEST')
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+ end
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+ it 'returns the Payer address' do
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+ expect(@era[:checks]['201812215555555556'][:eras][0][:payer_address]).to eq('50 EAST RD')
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+ end
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+ it 'returns the Payer city' do
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+ expect(@era[:checks]['201812215555555556'][:eras][0][:payer_city]).to eq('ANYWHERE')
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+ end
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+ it 'returns the Payer state' do
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+ expect(@era[:checks]['201812215555555556'][:eras][0][:payer_state]).to eq('TN')
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+ end
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+ it 'returns the Payer zip code' do
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+ expect(@era[:checks]['201812215555555556'][:eras][0][:payer_zip_code]).to eq('00002-1111')
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+ end
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+ it 'returns the Payer tax id' do
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+ expect(@era[:checks]['201812215555555556'][:eras][0][:payer_tax_id]).to eq('11-1111111')
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+ end
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+ it 'returns the Payer claim control number' do
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+ expect(@era[:checks]['201812215555555556'][:eras][0][:payer_claim_control_number]).to eq('BTBBB1111100')
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+ end
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+ it 'returns the Claim statement period start' do
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+ expect(@era[:checks]['201812215555555556'][:eras][0][:claim_statement_period_start]).to eq(nil)
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+ end
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+ it 'returns the Claim statement period end' do
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+ expect(@era[:checks]['201812215555555556'][:eras][0][:claim_statement_period_end]).to eq(nil)
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+ end
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+
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+ context 'Line item #0' do
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+ it 'returns the Date of service (string mm/dd/yyyy)' do
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+ expect(@era[:checks]['201812215555555556'][:eras][0][:line_items][0][:service_date]).to eq('10/27/2017')
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+ end
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+ it 'returns the CPT code' do
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+ expect(@era[:checks]['201812215555555556'][:eras][0][:line_items][0][:cpt_code]).to eq('92507')
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+ end
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+ it 'returns the Charge amount (integer)' do
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+ expect(@era[:checks]['201812215555555556'][:eras][0][:line_items][0][:charge_amount]).to eq(-6500)
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+ end
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+ it 'returns the Payment amount (integer)' do
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+ expect(@era[:checks]['201812215555555556'][:eras][0][:line_items][0][:payment_amount]).to eq(-4880)
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+ end
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+ it 'returns the Total adjustment amount (integer)' do
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+ expect(@era[:checks]['201812215555555556'][:eras][0][:line_items][0][:total_adjustment_amount]).to eq(-1620)
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+ end
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+ it 'returns the Remarks' do
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+ expect(@era[:checks]['201812215555555556'][:eras][0][:line_items][0][:remarks]).to eq('NO REMARKS')
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+ end
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+ context 'Adjustment group #0' do
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+ it 'returns the Adjustment group' do
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+ expect(@era[:checks]['201812215555555556'][:eras][0][:line_items][0][:adjustment_groups][0][:adjustment_group]).to eq('OTHER ADJUSTMENTS')
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+ end
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+ it 'returns the Adjustment amount (integer)' do
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+ expect(@era[:checks]['201812215555555556'][:eras][0][:line_items][0][:adjustment_groups][0][:adjustment_amount]).to eq(-1620)
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+ end
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+ it 'returns the Translated reason code' do
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+ expect(@era[:checks]['201812215555555556'][:eras][0][:line_items][0][:adjustment_groups][0][:translated_reason_code]).to eq('CHARGES EXCEED YOUR CONTRACTED/LEGISLATED FEE ARRANGEMENT.')
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+ end
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+ end
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+ end
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+
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+ context 'Line item #1' do
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+ it 'returns the Date of service (string mm/dd/yyyy)' do
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+ expect(@era[:checks]['201812215555555556'][:eras][0][:line_items][1][:service_date]).to eq('11/09/2017')
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+ end
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+ it 'returns the CPT code' do
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+ expect(@era[:checks]['201812215555555556'][:eras][0][:line_items][1][:cpt_code]).to eq('92507')
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+ end
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+ it 'returns the Charge amount (integer)' do
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+ expect(@era[:checks]['201812215555555556'][:eras][0][:line_items][1][:charge_amount]).to eq(-500)
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+ end
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+ it 'returns the Payment amount (integer)' do
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+ expect(@era[:checks]['201812215555555556'][:eras][0][:line_items][1][:payment_amount]).to eq(0)
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+ end
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+ it 'returns the Total adjustment amount (integer)' do
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+ expect(@era[:checks]['201812215555555556'][:eras][0][:line_items][1][:total_adjustment_amount]).to eq(-500)
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+ end
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+ it 'returns the Remarks' do
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+ expect(@era[:checks]['201812215555555556'][:eras][0][:line_items][1][:remarks]).to eq('NO REMARKS')
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+ end
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+ context 'Adjustment group #0' do
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+ it 'returns the Adjustment group' do
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+ expect(@era[:checks]['201812215555555556'][:eras][0][:line_items][1][:adjustment_groups][0][:adjustment_group]).to eq('OTHER ADJUSTMENTS')
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+ end
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+ it 'returns the Adjustment amount (integer)' do
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+ expect(@era[:checks]['201812215555555556'][:eras][0][:line_items][1][:adjustment_groups][0][:adjustment_amount]).to eq(-500)
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+ end
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+ it 'returns the Translated reason code' do
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+ expect(@era[:checks]['201812215555555556'][:eras][0][:line_items][1][:adjustment_groups][0][:translated_reason_code]).to eq('PAYMENT ADJUSTED BECAUSE CHARGES HAVE BEEN PAID BY ANOTHER PAYER.')
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+ end
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+ end
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+ end
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+ end
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+
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+ context 'ERA #1' do
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+ it 'returns the Patient ID' do
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+ expect(@era[:checks]['201812215555555556'][:eras][1][:patient_id]).to eq('ZECM11111112')
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+ end
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+ it 'returns the Patient name' do
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+ expect(@era[:checks]['201812215555555556'][:eras][1][:patient_name]).to eq('SMITH,JOSEPH')
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+ end
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+ it 'returns the Patient last name (titlized)' do
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+ expect(@era[:checks]['201812215555555556'][:eras][1][:patient_last_name]).to eq('Smith')
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+ end
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+ it 'returns the Patient first name (titlized)' do
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+ expect(@era[:checks]['201812215555555556'][:eras][1][:patient_first_name]).to eq('Joseph')
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+ end
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+ it 'returns the Total charge amount (integer)' do
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+ expect(@era[:checks]['201812215555555556'][:eras][1][:charge_amount]).to eq(10000)
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+ end
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+ it 'returns the Total payment amount (integer)' do
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+ expect(@era[:checks]['201812215555555556'][:eras][1][:payment_amount]).to eq(10000)
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+ end
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+ it 'returns the Account number' do
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+ expect(@era[:checks]['201812215555555556'][:eras][1][:account_number]).to eq('M111')
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+ end
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+ it 'returns the Status' do
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+ expect(@era[:checks]['201812215555555556'][:eras][1][:status]).to eq('PROCESSED AS SECONDARY')
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+ end
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+ it 'returns the Payer name' do
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+ expect(@era[:checks]['201812215555555556'][:eras][1][:payer_name]).to eq('ABC HEALTHCARE WEST')
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+ end
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+ it 'returns the Payer address' do
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+ expect(@era[:checks]['201812215555555556'][:eras][1][:payer_address]).to eq('50 EAST RD')
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+ end
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+ it 'returns the Payer city' do
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+ expect(@era[:checks]['201812215555555556'][:eras][1][:payer_city]).to eq('ANYWHERE')
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+ end
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+ it 'returns the Payer state' do
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+ expect(@era[:checks]['201812215555555556'][:eras][1][:payer_state]).to eq('TN')
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+ end
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+ it 'returns the Payer zip code' do
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+ expect(@era[:checks]['201812215555555556'][:eras][1][:payer_zip_code]).to eq('00002')
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+ end
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+ it 'returns the Payer tax id' do
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+ expect(@era[:checks]['201812215555555556'][:eras][1][:payer_tax_id]).to eq('11-1111111')
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+ end
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+ it 'returns the Payer claim control number' do
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+ expect(@era[:checks]['201812215555555556'][:eras][1][:payer_claim_control_number]).to eq('BT1111111141')
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+ end
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+ it 'returns the Claim statement period start' do
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+ expect(@era[:checks]['201812215555555556'][:eras][1][:claim_statement_period_start]).to eq(nil)
347
+ end
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+ it 'returns the Claim statement period end' do
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+ expect(@era[:checks]['201812215555555556'][:eras][1][:claim_statement_period_end]).to eq(nil)
350
+ end
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+
352
+ context 'Line item #0' do
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+ it 'returns the Date of service (string mm/dd/yyyy)' do
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+ expect(@era[:checks]['201812215555555556'][:eras][1][:line_items][0][:service_date]).to eq('10/25/2017')
355
+ end
356
+ it 'returns the CPT code' do
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+ expect(@era[:checks]['201812215555555556'][:eras][1][:line_items][0][:cpt_code]).to eq('92507')
358
+ end
359
+ it 'returns the Charge amount (integer)' do
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+ expect(@era[:checks]['201812215555555556'][:eras][1][:line_items][0][:charge_amount]).to eq(10000)
361
+ end
362
+ it 'returns the Payment amount (integer)' do
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+ expect(@era[:checks]['201812215555555556'][:eras][1][:line_items][0][:payment_amount]).to eq(10000)
364
+ end
365
+ it 'returns the Total adjustment amount (integer)' do
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+ expect(@era[:checks]['201812215555555556'][:eras][1][:line_items][0][:total_adjustment_amount]).to eq(0)
367
+ end
368
+ it 'returns the Remarks' do
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+ expect(@era[:checks]['201812215555555556'][:eras][1][:line_items][0][:remarks]).to eq('NO REMARKS')
370
+ end
371
+ end
372
+ end
373
+ end
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+
375
+ context 'Check #201812215555555557' do
376
+ it 'returns the check number' do
377
+ expect(@era[:checks]['201812215555555557'][:check_number]).to eq('201812215555555557')
378
+ end
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+ it 'returns the amount' do
380
+ expect(@era[:checks]['201812215555555557'][:amount]).to eq(500)
381
+ end
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+ it 'returns the number of claims' do
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+ expect(@era[:checks]['201812215555555557'][:number_of_claims]).to eq(2)
384
+ end
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+ it 'returns the NPI or Tax ID' do
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+ expect(@era[:checks]['201812215555555557'][:npi_tax_id]).to eq('1212121212')
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+ end
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+ it 'returns the payee' do
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+ expect(@era[:checks]['201812215555555557'][:payee]).to eq('ABC COMPANY LLC')
390
+ end
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+ it 'returns the date' do
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+ expect(@era[:checks]['201812215555555557'][:date]).to eq('12/21/2018')
393
+ end
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+
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+ context 'ERA #0' do
396
+ it 'returns the Patient ID' do
397
+ expect(@era[:checks]['201812215555555557'][:eras][0][:patient_id]).to eq('ZECM11111112')
398
+ end
399
+ it 'returns the Patient name' do
400
+ expect(@era[:checks]['201812215555555557'][:eras][0][:patient_name]).to eq('LASTNAME,FIRST')
401
+ end
402
+ it 'returns the Patient last name (titlized)' do
403
+ expect(@era[:checks]['201812215555555557'][:eras][0][:patient_last_name]).to eq('Lastname')
404
+ end
405
+ it 'returns the Patient first name (titlized)' do
406
+ expect(@era[:checks]['201812215555555557'][:eras][0][:patient_first_name]).to eq('First')
407
+ end
408
+ it 'returns the Total charge amount (integer)' do
409
+ expect(@era[:checks]['201812215555555557'][:eras][0][:charge_amount]).to eq(4500)
410
+ end
411
+ it 'returns the Total payment amount (integer)' do
412
+ expect(@era[:checks]['201812215555555557'][:eras][0][:payment_amount]).to eq(0)
413
+ end
414
+ it 'returns the Account number' do
415
+ expect(@era[:checks]['201812215555555557'][:eras][0][:account_number]).to eq('M111')
416
+ end
417
+ it 'returns the Status' do
418
+ expect(@era[:checks]['201812215555555557'][:eras][0][:status]).to eq('DENIED')
419
+ end
420
+ it 'returns the Payer name' do
421
+ expect(@era[:checks]['201812215555555557'][:eras][0][:payer_name]).to eq('ABC HEALTHCARE EAST')
422
+ end
423
+ it 'returns the Payer address' do
424
+ expect(@era[:checks]['201812215555555557'][:eras][0][:payer_address]).to eq('ONE CIRCLE RD')
425
+ end
426
+ it 'returns the Payer city' do
427
+ expect(@era[:checks]['201812215555555557'][:eras][0][:payer_city]).to eq('SOMEWHERE')
428
+ end
429
+ it 'returns the Payer state' do
430
+ expect(@era[:checks]['201812215555555557'][:eras][0][:payer_state]).to eq('GA')
431
+ end
432
+ it 'returns the Payer zip code' do
433
+ expect(@era[:checks]['201812215555555557'][:eras][0][:payer_zip_code]).to eq('11111')
434
+ end
435
+ it 'returns the Payer tax id' do
436
+ expect(@era[:checks]['201812215555555557'][:eras][0][:payer_tax_id]).to eq('11-1111110')
437
+ end
438
+ it 'returns the Payer claim control number' do
439
+ expect(@era[:checks]['201812215555555557'][:eras][0][:payer_claim_control_number]).to eq('BT1111111131')
440
+ end
441
+ it 'returns the Claim statement period start' do
442
+ expect(@era[:checks]['201812215555555557'][:eras][0][:claim_statement_period_start]).to eq('01/30/2019')
443
+ end
444
+ it 'returns the Claim statement period end' do
445
+ expect(@era[:checks]['201812215555555557'][:eras][0][:claim_statement_period_end]).to eq('01/30/2019')
446
+ end
447
+
448
+ context 'Line item #0' do
449
+ it 'returns the Date of service (string mm/dd/yyyy)' do
450
+ expect(@era[:checks]['201812215555555557'][:eras][0][:line_items][0][:service_date]).to eq('10/28/2017')
451
+ end
452
+ it 'returns the CPT code' do
453
+ expect(@era[:checks]['201812215555555557'][:eras][0][:line_items][0][:cpt_code]).to eq('92507')
454
+ end
455
+ it 'returns the Charge amount (integer)' do
456
+ expect(@era[:checks]['201812215555555557'][:eras][0][:line_items][0][:charge_amount]).to eq(4500)
457
+ end
458
+ it 'returns the Payment amount (integer)' do
459
+ expect(@era[:checks]['201812215555555557'][:eras][0][:line_items][0][:payment_amount]).to eq(0)
460
+ end
461
+ it 'returns the Total adjustment amount (integer)' do
462
+ expect(@era[:checks]['201812215555555557'][:eras][0][:line_items][0][:total_adjustment_amount]).to eq(4500)
463
+ end
464
+ it 'returns the Remarks' do
465
+ expect(@era[:checks]['201812215555555557'][:eras][0][:line_items][0][:remarks]).to eq('NO REMARKS')
466
+ end
467
+ context 'Adjustment group #0' do
468
+ it 'returns the Adjustment group' do
469
+ expect(@era[:checks]['201812215555555557'][:eras][0][:line_items][0][:adjustment_groups][0][:adjustment_group]).to eq('CONTRACTUAL OBLIGATIONS')
470
+ end
471
+ it 'returns the Adjustment amount (integer)' do
472
+ expect(@era[:checks]['201812215555555557'][:eras][0][:line_items][0][:adjustment_groups][0][:adjustment_amount]).to eq(4500)
473
+ end
474
+ it 'returns the Translated reason code' do
475
+ expect(@era[:checks]['201812215555555557'][:eras][0][:line_items][0][:adjustment_groups][0][:translated_reason_code]).to eq('CHARGES EXCEED YOUR CONTRACTED/LEGISLATED FEE ARRANGEMENT.')
476
+ end
477
+ end
478
+ end
479
+ end
480
+
481
+ context 'ERA #1' do
482
+ it 'returns the Patient ID' do
483
+ expect(@era[:checks]['201812215555555557'][:eras][1][:patient_id]).to eq('ZECM11111112')
484
+ end
485
+ it 'returns the Patient name' do
486
+ expect(@era[:checks]['201812215555555557'][:eras][1][:patient_name]).to eq('WORLD,HELLO')
487
+ end
488
+ it 'returns the Patient last name (titlized)' do
489
+ expect(@era[:checks]['201812215555555557'][:eras][1][:patient_last_name]).to eq('World')
490
+ end
491
+ it 'returns the Patient first name (titlized)' do
492
+ expect(@era[:checks]['201812215555555557'][:eras][1][:patient_first_name]).to eq('Hello')
493
+ end
494
+ it 'returns the Total charge amount (integer)' do
495
+ expect(@era[:checks]['201812215555555557'][:eras][1][:charge_amount]).to eq(6500)
496
+ end
497
+ it 'returns the Total payment amount (integer)' do
498
+ expect(@era[:checks]['201812215555555557'][:eras][1][:payment_amount]).to eq(500)
499
+ end
500
+ it 'returns the Account number' do
501
+ expect(@era[:checks]['201812215555555557'][:eras][1][:account_number]).to eq('M111')
502
+ end
503
+ it 'returns the Status' do
504
+ expect(@era[:checks]['201812215555555557'][:eras][1][:status]).to eq('PROCESSED AS PRIMARY, FWDED')
505
+ end
506
+ it 'returns the Payer name' do
507
+ expect(@era[:checks]['201812215555555557'][:eras][1][:payer_name]).to eq('ABC HEALTHCARE EAST')
508
+ end
509
+ it 'returns the Payer address' do
510
+ expect(@era[:checks]['201812215555555557'][:eras][1][:payer_address]).to eq('ONE CIRCLE RD')
511
+ end
512
+ it 'returns the Payer city' do
513
+ expect(@era[:checks]['201812215555555557'][:eras][1][:payer_city]).to eq('SOMEWHERE')
514
+ end
515
+ it 'returns the Payer state' do
516
+ expect(@era[:checks]['201812215555555557'][:eras][1][:payer_state]).to eq('GA')
517
+ end
518
+ it 'returns the Payer zip code' do
519
+ expect(@era[:checks]['201812215555555557'][:eras][1][:payer_zip_code]).to eq('11111')
520
+ end
521
+ it 'returns the Payer tax id' do
522
+ expect(@era[:checks]['201812215555555557'][:eras][1][:payer_tax_id]).to eq('11-1111110')
523
+ end
524
+ it 'returns the Payer claim control number' do
525
+ expect(@era[:checks]['201812215555555557'][:eras][1][:payer_claim_control_number]).to eq('BT1111111121')
526
+ end
527
+ it 'returns the Claim statement period start' do
528
+ expect(@era[:checks]['201812215555555557'][:eras][1][:claim_statement_period_start]).to eq(nil)
529
+ end
530
+ it 'returns the Claim statement period end' do
531
+ expect(@era[:checks]['201812215555555557'][:eras][1][:claim_statement_period_end]).to eq(nil)
532
+ end
533
+
534
+ context 'Line item #0' do
535
+ it 'returns the Date of service (string mm/dd/yyyy)' do
536
+ expect(@era[:checks]['201812215555555557'][:eras][1][:line_items][0][:service_date]).to eq('10/30/2017')
537
+ end
538
+ it 'returns the CPT code' do
539
+ expect(@era[:checks]['201812215555555557'][:eras][1][:line_items][0][:cpt_code]).to eq('92507')
540
+ end
541
+ it 'returns the Charge amount (integer)' do
542
+ expect(@era[:checks]['201812215555555557'][:eras][1][:line_items][0][:charge_amount]).to eq(6500)
543
+ end
544
+ it 'returns the Payment amount (integer)' do
545
+ expect(@era[:checks]['201812215555555557'][:eras][1][:line_items][0][:payment_amount]).to eq(500)
546
+ end
547
+ it 'returns the Total adjustment amount (integer)' do
548
+ expect(@era[:checks]['201812215555555557'][:eras][1][:line_items][0][:total_adjustment_amount]).to eq(6000)
549
+ end
550
+ it 'returns the Remarks' do
551
+ expect(@era[:checks]['201812215555555557'][:eras][1][:line_items][0][:remarks]).to eq('NO REMARKS')
552
+ end
553
+ context 'Adjustment group #0' do
554
+ it 'returns the Adjustment group' do
555
+ expect(@era[:checks]['201812215555555557'][:eras][1][:line_items][0][:adjustment_groups][0][:adjustment_group]).to eq('CONTRACTUAL OBLIGATIONS')
556
+ end
557
+ it 'returns the Adjustment amount (integer)' do
558
+ expect(@era[:checks]['201812215555555557'][:eras][1][:line_items][0][:adjustment_groups][0][:adjustment_amount]).to eq(1620)
559
+ end
560
+ it 'returns the Translated reason code' do
561
+ expect(@era[:checks]['201812215555555557'][:eras][1][:line_items][0][:adjustment_groups][0][:translated_reason_code]).to eq('CHARGES EXCEED YOUR CONTRACTED/LEGISLATED FEE ARRANGEMENT.')
562
+ end
563
+ end
564
+ context 'Adjustment group #1' do
565
+ it 'returns the Adjustment group' do
566
+ expect(@era[:checks]['201812215555555557'][:eras][1][:line_items][0][:adjustment_groups][1][:adjustment_group]).to eq('OTHER ADJUSTMENTS')
567
+ end
568
+ it 'returns the Adjustment amount (integer)' do
569
+ expect(@era[:checks]['201812215555555557'][:eras][1][:line_items][0][:adjustment_groups][1][:adjustment_amount]).to eq(4380)
570
+ end
571
+ it 'returns the Translated reason code' do
572
+ expect(@era[:checks]['201812215555555557'][:eras][1][:line_items][0][:adjustment_groups][1][:translated_reason_code]).to eq('PAYMENT ADJUSTED BECAUSE CHARGES HAVE BEEN PAID BY ANOTHER PAYER.')
573
+ end
574
+ end
575
+ end
576
+ end
577
+ end
578
+
579
+ context 'Adjustments' do
580
+ context 'Adjustment #0' do
581
+ it 'returns Adjustment date (string mm/dd/yyyy)' do
582
+ expect(@era[:adjustments][0][:adjustment_date]).to eq('12/30/2018')
583
+ end
584
+ it 'returns Provider ID' do
585
+ expect(@era[:adjustments][0][:provider_id]).to eq('1111111111')
586
+ end
587
+ it 'returns Reference ID' do
588
+ expect(@era[:adjustments][0][:reference_id]).to eq('BBBBBBVP31M0')
589
+ end
590
+ it 'returns Adjustment amount (integer)' do
591
+ expect(@era[:adjustments][0][:adjustment_amount]).to eq(-4281)
592
+ end
593
+ it 'returns reason' do
594
+ expect(@era[:adjustments][0][:reason]).to eq('Overpayment Recover')
595
+ end
596
+ end
597
+ context 'Adjustment #1' do
598
+ it 'returns Adjustment date (string mm/dd/yyyy)' do
599
+ expect(@era[:adjustments][1][:adjustment_date]).to eq('12/31/2018')
600
+ end
601
+ it 'returns Provider ID' do
602
+ expect(@era[:adjustments][1][:provider_id]).to eq('1111111112')
603
+ end
604
+ it 'returns Reference ID' do
605
+ expect(@era[:adjustments][1][:reference_id]).to eq('BBBBBBVP31M1')
606
+ end
607
+ it 'returns Adjustment amount (integer)' do
608
+ expect(@era[:adjustments][1][:adjustment_amount]).to eq(-3344)
609
+ end
610
+ it 'returns reason' do
611
+ expect(@era[:adjustments][1][:reason]).to eq('Overpayment Recover')
612
+ end
613
+ end
614
+ context 'Adjustment #2' do
615
+ it 'returns Adjustment date (string mm/dd/yyyy)' do
616
+ expect(@era[:adjustments][2][:adjustment_date]).to eq('12/30/2018')
617
+ end
618
+ it 'returns Provider ID' do
619
+ expect(@era[:adjustments][2][:provider_id]).to eq('1111111113')
620
+ end
621
+ it 'returns Reference ID' do
622
+ expect(@era[:adjustments][2][:reference_id]).to eq('BBBBBBVP31M2')
623
+ end
624
+ it 'returns Adjustment amount (integer)' do
625
+ expect(@era[:adjustments][2][:adjustment_amount]).to eq(3345)
626
+ end
627
+ it 'returns reason' do
628
+ expect(@era[:adjustments][2][:reason]).to eq('Overpayment Recover')
629
+ end
630
+ end
631
+ end
632
+ end
633
+ end