era_835_parser 0.0.2 → 0.0.3
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- checksums.yaml +4 -4
- data/README.md +1 -0
- data/lib/era_835_parser/parser.rb +7 -1
- data/lib/era_835_parser/version.rb +1 -1
- data/spec/era_835_parser_spec.rb +95 -0
- metadata +2 -2
checksums.yaml
CHANGED
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@@ -1,7 +1,7 @@
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---
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SHA256:
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metadata.gz:
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data.tar.gz:
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metadata.gz: 1b8165088acaa6a3976f256236ae0e13a74b9e5b671095caf6be5b08d14af1da
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4
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data.tar.gz: fd280dae00dcf64a92985c864d4b4f54500e2c2f68d370836d233691405d92e5
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SHA512:
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metadata.gz:
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data.tar.gz:
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metadata.gz: f64e0ff363d2c7b0ad67f97305f17ae591796b5f8729c472478476d4d0af8a44a7268280917bb4730a59b1203452d4c9ca37075898f9ed4d425993ccae374bf5
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7
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data.tar.gz: e2246dcdaa68f1984ee6031170b45ff4054723d490d4b84361dac8eed0ddbba0693e6f547c5bf101624db7bca6dc633c29d0a975f072adf7fb410a411971b51b
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data/README.md
CHANGED
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@@ -33,6 +33,7 @@ era[:checks].each do |check_number, check|
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33
33
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puts check[:payee] # Check payee
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34
34
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puts check[:date] # Check date (string mm/dd/yyyy)
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35
35
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check[:eras].each do |era_counter, era|
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36
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puts era[:era_text] # ERA text
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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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@@ -18,6 +18,7 @@ module Era835Parser
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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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21
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era_text = "--------------------------------------------------------------------------------------------------------------------------------------------------------\n"
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# counters
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adjustment_counter = 0
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@@ -36,6 +37,7 @@ module Era835Parser
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next_line_adjustment_group = false
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open(file_path).readlines.each do |line|
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40
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era_text += line if eras_start && line !~ /-{10,}/i
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39
41
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40
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if line.include?("Dear:")
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era[:addressed_to] = line.gsub("Dear:", "").strip
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@@ -189,15 +191,18 @@ module Era835Parser
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era_counter = 0
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eras = Hash.new
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individual_era[:line_items] = line_items
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194
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individual_era[:era_text] = era_text.strip.gsub(/\r/, "")
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eras[era_counter] = individual_era
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era[:checks][check_number][:eras] = eras
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else
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era_counter = era[:checks][check_number][:eras].count
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eras = Hash.new
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individual_era[:line_items] = line_items
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201
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individual_era[:era_text] = era_text.strip.gsub(/\r/, "")
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eras[era_counter] = individual_era
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era[:checks][check_number][:eras] = era[:checks][check_number][:eras].merge(eras)
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end
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205
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era_text = "--------------------------------------------------------------------------------------------------------------------------------------------------------\n"
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end
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end
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208
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@@ -225,16 +230,17 @@ module Era835Parser
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225
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era_counter = 0
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226
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eras = Hash.new
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individual_era[:line_items] = line_items
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233
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individual_era[:era_text] = era_text.strip.gsub(/\r/, "")
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eras[era_counter] = individual_era
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era[:checks][check_number][:eras] = eras
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else
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era_counter = era[:checks][check_number][:eras].count
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eras = Hash.new
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individual_era[:line_items] = line_items
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240
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individual_era[:era_text] = era_text.strip.gsub(/\r/, "")
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eras[era_counter] = individual_era
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era[:checks][check_number][:eras] = era[:checks][check_number][:eras].merge(eras)
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end
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-
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return era
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end
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end
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data/spec/era_835_parser_spec.rb
CHANGED
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@@ -75,6 +75,24 @@ RSpec.describe Era835Parser::Parser do
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75
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end
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76
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context 'ERA #0' do
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78
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it 'returns the ERA text' do
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79
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text = <<-EOF
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80
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--------------------------------------------------------------------------------------------------------------------------------------------------------
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81
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Check# Patient ID Last,First Charge Amt Payment Amt Accnt# Status Payer
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201812215555555555 M11111110 DOE JR,DAVIS 65.00 48.80 1112 PROCESSED AS PRIMARY ABC HEALTHCARE EAST
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ONE CIRCLE RD
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84
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SOMEWHERE,GA 11111
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85
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Tax ID: 11-1111110
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Payer Claim Control Number: 111111111000
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Line Item: Svc Date CPT Charge Amt Payment Amt Total Adj Amt Remarks
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10/25/2018 92507 65.00 48.80 16.20 NO REMARKS
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90
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91
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Adjustment Group Adj Amt Translated Reason Code
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92
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CONTRACTUAL OBLIGATIONS 16.20 CHARGES EXCEED YOUR CONTRACTED/LEGISLATED FEE ARRANGEMENT.
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93
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EOF
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94
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expect(@era[:checks]['201812215555555555'][:eras][0][:era_text]).to eq(text.strip)
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95
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end
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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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@@ -182,6 +200,30 @@ RSpec.describe Era835Parser::Parser do
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end
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context 'ERA #0' do
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203
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it 'returns the ERA text' do
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text = <<-EOF
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--------------------------------------------------------------------------------------------------------------------------------------------------------
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206
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Check# Patient ID Last,First Charge Amt Payment Amt Accnt# Status Payer
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201812215555555556 ZECM11111111 DOE,JANE -65.00 -48.80 L111 OTHER ABC HEALTHCARE WEST
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50 EAST RD
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ANYWHERE,TN 00002-1111
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Tax ID: 11-1111111
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Payer Claim Control Number: BTBBB1111100
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Line Item: Svc Date CPT Charge Amt Payment Amt Total Adj Amt Remarks
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10/27/2017 92507 -65.00 -48.80 -16.20 NO REMARKS
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215
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216
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Adjustment Group Adj Amt Translated Reason Code
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217
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OTHER ADJUSTMENTS -16.20 CHARGES EXCEED YOUR CONTRACTED/LEGISLATED FEE ARRANGEMENT.
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Line Item: Svc Date CPT Charge Amt Payment Amt Total Adj Amt Remarks
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11/09/2017 92507 -5.00 0.00 -5.00 NO REMARKS
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Adjustment Group Adj Amt Translated Reason Code
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OTHER ADJUSTMENTS -5.00 PAYMENT ADJUSTED BECAUSE CHARGES HAVE BEEN PAID BY ANOTHER PAYER.
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EOF
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expect(@era[:checks]['201812215555555556'][:eras][0][:era_text]).to eq(text.strip)
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end
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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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@@ -300,6 +342,21 @@ RSpec.describe Era835Parser::Parser do
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300
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end
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context 'ERA #1' do
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it 'returns the ERA text' do
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text = <<-EOF
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--------------------------------------------------------------------------------------------------------------------------------------------------------
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348
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Check# Patient ID Last,First Charge Amt Payment Amt Accnt# Status Payer
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349
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201812215555555556 ZECM11111112 SMITH,JOSEPH 100.00 100.00 M111 PROCESSED AS SECONDARY ABC HEALTHCARE WEST
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350
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50 EAST RD
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351
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ANYWHERE,TN 00002
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Tax ID: 11-1111111
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353
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Payer Claim Control Number: BT1111111141
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355
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Line Item: Svc Date CPT Charge Amt Payment Amt Total Adj Amt Remarks
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356
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10/25/2017 92507 100.00 100.00 0.00 NO REMARKS
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EOF
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expect(@era[:checks]['201812215555555556'][:eras][1][:era_text]).to eq(text.strip)
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end
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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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@@ -396,6 +453,25 @@ RSpec.describe Era835Parser::Parser do
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396
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end
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context 'ERA #0' do
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456
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it 'returns the ERA text' do
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457
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text = <<-EOF
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--------------------------------------------------------------------------------------------------------------------------------------------------------
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459
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Check# Patient ID Last,First Charge Amt Payment Amt Accnt# Status Payer
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460
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201812215555555557 ZECM11111112 LASTNAME,FIRST 45.00 0.00 M111 DENIED ABC HEALTHCARE EAST
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461
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ONE CIRCLE RD
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462
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SOMEWHERE,GA 11111
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463
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Tax ID: 11-1111110
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464
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Payer Claim Control Number: BT1111111131
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Claim Statement Period: 01/30/2019 - 01/30/2019
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466
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Line Item: Svc Date CPT Charge Amt Payment Amt Total Adj Amt Remarks
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468
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10/28/2017 92507 45.00 0.00 45.00 NO REMARKS
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469
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470
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Adjustment Group Adj Amt Translated Reason Code
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471
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CONTRACTUAL OBLIGATIONS 45.00 CHARGES EXCEED YOUR CONTRACTED/LEGISLATED FEE ARRANGEMENT.
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472
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EOF
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473
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expect(@era[:checks]['201812215555555557'][:eras][0][:era_text]).to eq(text.strip)
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end
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it 'returns the Patient ID' do
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expect(@era[:checks]['201812215555555557'][:eras][0][:patient_id]).to eq('ZECM11111112')
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end
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@@ -482,6 +558,25 @@ RSpec.describe Era835Parser::Parser do
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482
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end
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context 'ERA #1' do
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561
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it 'returns the ERA text' do
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text = <<-EOF
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--------------------------------------------------------------------------------------------------------------------------------------------------------
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564
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Check# Patient ID Last,First Charge Amt Payment Amt Accnt# Status Payer
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565
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201812215555555557 ZECM11111112 WORLD,HELLO 65.00 5.00 M111 PROCESSED AS PRIMARY, FWDED ABC HEALTHCARE EAST
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566
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ONE CIRCLE RD
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567
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SOMEWHERE,GA 11111
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568
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Tax ID: 11-1111110
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569
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Payer Claim Control Number: BT1111111121
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570
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571
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Line Item: Svc Date CPT Charge Amt Payment Amt Total Adj Amt Remarks
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572
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10/30/2017 92507 65.00 5.00 60.00 NO REMARKS
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573
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574
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Adjustment Group Adj Amt Translated Reason Code
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575
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CONTRACTUAL OBLIGATIONS 16.20 CHARGES EXCEED YOUR CONTRACTED/LEGISLATED FEE ARRANGEMENT.
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576
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OTHER ADJUSTMENTS 43.80 PAYMENT ADJUSTED BECAUSE CHARGES HAVE BEEN PAID BY ANOTHER PAYER.
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577
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EOF
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578
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expect(@era[:checks]['201812215555555557'][:eras][1][:era_text]).to eq(text.strip)
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579
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end
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it 'returns the Patient ID' do
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486
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expect(@era[:checks]['201812215555555557'][:eras][1][:patient_id]).to eq('ZECM11111112')
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end
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metadata
CHANGED
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@@ -1,14 +1,14 @@
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1
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--- !ruby/object:Gem::Specification
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2
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name: era_835_parser
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3
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version: !ruby/object:Gem::Version
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4
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-
version: 0.0.
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version: 0.0.3
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5
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platform: ruby
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authors:
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- Kevin S. Dias
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autorequire:
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bindir: bin
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cert_chain: []
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date: 2019-02-
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date: 2019-02-25 00:00:00.000000000 Z
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dependencies:
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- !ruby/object:Gem::Dependency
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name: bundler
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