era_835_parser 0.1.11 → 0.2.0

checksums.yaml

@@ -1,7 +1,7 @@
 ---
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+  data.tar.gz: d5b0d016634ef6d2f177462f8cf8f9285e5b7ad820efa094f815e90fe2ec284a93680a5c1f1782ac0a61e872a2b5d879120af19849227c4c8e588a4eb4e7ae60

data/README.md

@@ -38,17 +38,26 @@ if !era[:checks].nil?
     puts check[:payer_state] # Payer state
     puts check[:payer_zip_code] # Payer zip code
     puts check[:payer_tax_id] # Payer tax id
+    puts check[:payer_edi_id] # Payer EDI id
     puts check[:date] # Check date (string mm/dd/yyyy)
     if !check[:eras].nil?
       check[:eras].each do |era_counter, individual_era|
         puts individual_era[:era_text] # ERA text
-        puts individual_era[:patient_id] # Patient ID
+        puts individual_era[:patient_id] # Patient ID / Member number
         puts individual_era[:patient_name] # Patient name
-        puts individual_era[:patient_last_name] # Patient last name (titlized)
-        puts individual_era[:patient_first_name] # Patient first name (titlized)
+        puts individual_era[:patient_last_name] # Patient last name (titleized)
+        puts individual_era[:patient_first_name] # Patient first name (titleized)
+        puts individual_era[:patient_middle_initial] # Patient middle initial
+        puts individual_era[:patient_suffix] # Patient suffix
+        puts individual_era[:subscriber_id] # Subscriber ID / Member number
+        puts individual_era[:subscriber_name] # Subscriber name
+        puts individual_era[:subscriber_last_name] # Subscriber last name (titleized)
+        puts individual_era[:subscriber_first_name] # Subscriber first name (titleized)
+        puts individual_era[:subscriber_middle_initial] # Subscriber middle initial
+        puts individual_era[:subscriber_suffix] # Subscriber suffix
         puts individual_era[:rendering_provider_name] # Rendering provider name
-        puts individual_era[:rendering_provider_last_name] # Rendering provider last name (titlized)
-        puts individual_era[:rendering_provider_first_name] # Rendering provider first name (titlized)
+        puts individual_era[:rendering_provider_last_name] # Rendering provider last name (titleized)
+        puts individual_era[:rendering_provider_first_name] # Rendering provider first name (titleized)
         puts individual_era[:charge_amount] # Total charge amount (integer)
         puts individual_era[:payment_amount] # Total payment amount (integer)
         puts individual_era[:account_number] # Account number
@@ -121,6 +130,11 @@ era = Era835Parser::Parser.new(file: string_io).parse
 4. Push to the branch (`git push origin my-new-feature`)
 5. Create a new Pull Request
 
+## Publishing
+
+1. gem build era_835_parser.gemspec
+2. gem push era_835_parser-x.x.x.gem
+
 ## License
 
 The MIT License (MIT)
@@ -143,4 +157,4 @@ FITNESS FOR A PARTICULAR PURPOSE AND NONINFRINGEMENT. IN NO EVENT SHALL THE
 AUTHORS OR COPYRIGHT HOLDERS BE LIABLE FOR ANY CLAIM, DAMAGES OR OTHER
 LIABILITY, WHETHER IN AN ACTION OF CONTRACT, TORT OR OTHERWISE, ARISING FROM,
 OUT OF OR IN CONNECTION WITH THE SOFTWARE OR THE USE OR OTHER DEALINGS IN
-THE SOFTWARE.
+THE SOFTWARE.

data/lib/era_835_parser/parser.rb

@@ -57,6 +57,7 @@ module Era835Parser
       header_number_loop = false
       claim_payment_information_loop = false
       patient_loop = false
+      subscriber_loop = false
       rendering_provider_loop = false
       service_payment_information_loop = false
       bpr_amount = ''
@@ -67,6 +68,7 @@ module Era835Parser
       service_date = false
       floating_adjustment_group_code = nil
       returned_reference_number = false
+      payer_edi_id = false
 
       file_or_file_path = !file.nil? ? file : file_path
       opened_file = file_or_file_path.respond_to?(:write) ? file_or_file_path : open(file_or_file_path)
@@ -843,56 +845,84 @@ module Era835Parser
                 when 1
                   # Patient Identifier Code
                   # puts "Patient Identifier Code: #{element}"
-                  if element == "QC"
-                    patient_loop = true
-                  else
-                    patient_loop = false
-                  end
-                  if element == "82"
-                    rendering_provider_loop = true
-                  else
-                    rendering_provider_loop = false
-                  end
+                  patient_loop = element == "QC"
+                  subscriber_loop = element == 'IL'
+                  rendering_provider_loop = element == "82"
                 when 2
                   # Entity Type Qualifier
                   # puts "Entity Type Qualifier: #{element}"
                 when 3
                   # Patient Last Name
                   # puts "Patient Last Name: #{element}"
-                  if claim_payment_information_loop && patient_loop
-                    individual_era[:patient_last_name] = element.strip.downcase.split(" ").map { |word| word.capitalize }.join(" ")
-                  end
-                  if claim_payment_information_loop && rendering_provider_loop
-                    individual_era[:rendering_provider_last_name] = element.strip.downcase.split(" ").map { |word| word.capitalize }.join(" ")
+                  if claim_payment_information_loop
+                    if patient_loop
+                      individual_era[:patient_last_name] = element.strip.downcase.split(" ").map { |word| word.capitalize }.join(" ")
+                    end
+                    if subscriber_loop
+                      individual_era[:subscriber_last_name] = element.strip.downcase.split(" ").map { |word| word.capitalize }.join(" ")
+                    end
+                    if rendering_provider_loop
+                      individual_era[:rendering_provider_last_name] = element.strip.downcase.split(" ").map { |word| word.capitalize }.join(" ")
+                    end
                   end
                 when 4
                   # Patient First Name
                   # puts "Patient First Name: #{element}"
-                  if claim_payment_information_loop && patient_loop
-                    individual_era[:patient_first_name] = element.strip.downcase.split(" ").map { |word| word.capitalize }.join(" ")
-                    individual_era[:patient_name] = individual_era[:patient_last_name].upcase + "," + individual_era[:patient_first_name].upcase
-                  end
-                  if claim_payment_information_loop && rendering_provider_loop
-                    individual_era[:rendering_provider_first_name] = element.strip.downcase.split(" ").map { |word| word.capitalize }.join(" ")
-                    individual_era[:rendering_provider_name] = individual_era[:rendering_provider_last_name].upcase + "," + individual_era[:rendering_provider_first_name].upcase
+                  if claim_payment_information_loop
+                    if patient_loop
+                      individual_era[:patient_first_name] = element.strip.downcase.split(" ").map { |word| word.capitalize }.join(" ")
+                      individual_era[:patient_name] = individual_era[:patient_last_name].upcase + "," + individual_era[:patient_first_name].upcase
+                    end
+                    if subscriber_loop
+                      individual_era[:subscriber_first_name] = element.strip.downcase.split(" ").map { |word| word.capitalize }.join(" ")
+                      individual_era[:subscriber_name] = individual_era[:subscriber_last_name].upcase + "," + individual_era[:subscriber_first_name].upcase
+                    end
+                    if rendering_provider_loop
+                      individual_era[:rendering_provider_first_name] = element.strip.downcase.split(" ").map { |word| word.capitalize }.join(" ")
+                      individual_era[:rendering_provider_name] = individual_era[:rendering_provider_last_name].upcase + "," + individual_era[:rendering_provider_first_name].upcase
+                    end
                   end
                 when 5
                   # Patient Middle Initial
                   # puts "Patient Middle Initial: #{element}"
+                  if claim_payment_information_loop
+                    if patient_loop
+                      individual_era[:patient_middle_initial] = element.strip
+                    end
+                    if subscriber_loop
+                      individual_era[:subscriber_middle_initial] = element.strip
+                    end
+                  end
                 when 6
                   # Name Prefix
                   # puts "Name Prefix: #{element}"
                 when 7
                   # Patient Name Suffix
                   # puts "Patient Name Suffix: #{element}"
+                  if claim_payment_information_loop
+                    if patient_loop
+                      individual_era[:patient_suffix] = element.strip
+                    end
+                    if subscriber_loop
+                      individual_era[:subscriber_suffix] = element.strip
+                    end
+                  end
                 when 8
                   # Identification Code Qualifier
                   # puts "Identification Code Qualifier: #{element}"
                 when 9
-                  # Patient Member Number
+                  # Patient Member Number or rendering provider NPI number
                   # puts "Patient Member Number: #{element}"
-                  if claim_payment_information_loop && patient_loop
-                    individual_era[:patient_id] = element.strip
+                  if claim_payment_information_loop
+                    if patient_loop
+                      individual_era[:patient_id] = element.strip
+                    end
+                    if subscriber_loop
+                      individual_era[:subscriber_id] = element.strip
+                    end
+                    if rendering_provider_loop
+                      individual_era[:rendering_provider_npi] = element.strip
+                    end
                   end
                 end
               when "SVC"
@@ -962,6 +992,7 @@ module Era835Parser
                   # Additional Payee Identification Qualifier
                   # puts "Additional Payee Identification Qualifier: #{element}"
                   returned_reference_number = true if element == '6R'
+                  payer_edi_id = true if element == '2U'
                 when 2
                   # Reference Identification Code
                   # puts "Reference Identification Code: #{element}"
@@ -969,6 +1000,11 @@ module Era835Parser
                     individual_line_item[:reference_number] = element
                     returned_reference_number = false
                   end
+
+                  if payer_edi_id
+                    era[:checks][check[:check_number]][:payer_edi_id] = element
+                    payer_edi_id = false
+                  end
                 when 3
                   # Additional Payee Identification Qualifier
                   # puts "Additional Payee Identification Qualifier: #{element}"

data/lib/era_835_parser/version.rb

@@ -1,3 +1,3 @@
 module Era835Parser
-  VERSION = "0.1.11"
+  VERSION = "0.2.0"
 end

data/spec/era_835_parser_spec.rb

@@ -65,6 +65,9 @@ RSpec.describe Era835Parser::Parser do
           it 'returns the Payer tax id' do
             expect(@era[:checks]['70408535'][:payer_tax_id]).to eq('57-14001')
           end
+          it 'returns the Payer EDI id' do
+            expect(@era[:checks]['70408535'][:payer_edi_id]).to eq('11111')
+          end
           it 'returns the Check date (string mm/dd/yyyy)' do
             expect(@era[:checks]['70408535'][:date]).to eq('09/23/2010')
           end
@@ -75,10 +78,10 @@ RSpec.describe Era835Parser::Parser do
             it 'returns the Patient name' do
               expect(@era[:checks]['70408535'][:eras][0][:patient_name]).to eq('RABBIT,ROGER')
             end
-            it 'returns the Patient last name (titlized)' do
+            it 'returns the Patient last name (titleized)' do
               expect(@era[:checks]['70408535'][:eras][0][:patient_last_name]).to eq('Rabbit')
             end
-            it 'returns the Patient first name (titlized)' do
+            it 'returns the Patient first name (titleized)' do
               expect(@era[:checks]['70408535'][:eras][0][:patient_first_name]).to eq('Roger')
             end
             it 'returns the Total charge amount (integer)' do
@@ -90,7 +93,7 @@ RSpec.describe Era835Parser::Parser do
             it 'returns the Account number' do
               expect(@era[:checks]['70408535'][:eras][0][:account_number]).to eq('474623UB001CW0321')
             end
-            it 'returns the Cliam status code' do
+            it 'returns the Claim status code' do
               expect(@era[:checks]['70408535'][:eras][0][:claim_status_code]).to eq('1')
             end
             it 'returns the Claim status code description' do
@@ -185,7 +188,7 @@ RSpec.describe Era835Parser::Parser do
           end
         end
 
-        context 'Check #70408535' do
+        context 'Check #02790758' do
           it 'returns the check number' do
             expect(@era[:checks]['02790758'][:check_number]).to eq('02790758')
           end
@@ -219,6 +222,9 @@ RSpec.describe Era835Parser::Parser do
           it 'returns the Payer tax id' do
             expect(@era[:checks]['02790758'][:payer_tax_id]).to eq('60-894904')
           end
+          it 'returns the Payer EDI id' do
+            expect(@era[:checks]['02790758'][:payer_edi_id]).to eq('22222')
+          end
           it 'returns the Check date (string mm/dd/yyyy)' do
             expect(@era[:checks]['02790758'][:date]).to eq('01/08/2011')
           end
@@ -229,10 +235,10 @@ RSpec.describe Era835Parser::Parser do
             it 'returns the Patient name' do
               expect(@era[:checks]['02790758'][:eras][0][:patient_name]).to eq('DOUGH,MARY')
             end
-            it 'returns the Patient last name (titlized)' do
+            it 'returns the Patient last name (titleized)' do
               expect(@era[:checks]['02790758'][:eras][0][:patient_last_name]).to eq('Dough')
             end
-            it 'returns the Patient first name (titlized)' do
+            it 'returns the Patient first name (titleized)' do
               expect(@era[:checks]['02790758'][:eras][0][:patient_first_name]).to eq('Mary')
             end
             it 'returns the Total charge amount (integer)' do
@@ -244,7 +250,7 @@ RSpec.describe Era835Parser::Parser do
             it 'returns the Account number' do
               expect(@era[:checks]['02790758'][:eras][0][:account_number]).to eq('200200964A52')
             end
-            it 'returns the Cliam status code' do
+            it 'returns the Claim status code' do
               expect(@era[:checks]['02790758'][:eras][0][:claim_status_code]).to eq('1')
             end
             it 'returns the Claim status code description' do
@@ -425,7 +431,7 @@ RSpec.describe Era835Parser::Parser do
           end
         end
 
-        context 'Check #70408535' do
+        context 'Check #02790758' do
           it 'returns the check number' do
             expect(@era[:checks]['02790758'][:check_number]).to eq('02790758')
           end
@@ -459,6 +465,9 @@ RSpec.describe Era835Parser::Parser do
           it 'returns the Payer tax id' do
             expect(@era[:checks]['02790758'][:payer_tax_id]).to eq('60-894904')
           end
+          it 'returns the Payer EDI id' do
+            expect(@era[:checks]['02790758'][:payer_edi_id]).to eq('33333')
+          end
           it 'returns the Check date (string mm/dd/yyyy)' do
             expect(@era[:checks]['02790758'][:date]).to eq('01/08/2011')
           end
@@ -469,10 +478,10 @@ RSpec.describe Era835Parser::Parser do
             it 'returns the Patient name' do
               expect(@era[:checks]['02790758'][:eras][0][:patient_name]).to eq('DOUGH,MARY')
             end
-            it 'returns the Patient last name (titlized)' do
+            it 'returns the Patient last name (titleized)' do
               expect(@era[:checks]['02790758'][:eras][0][:patient_last_name]).to eq('Dough')
             end
-            it 'returns the Patient first name (titlized)' do
+            it 'returns the Patient first name (titleized)' do
               expect(@era[:checks]['02790758'][:eras][0][:patient_first_name]).to eq('Mary')
             end
             it 'returns the Total charge amount (integer)' do
@@ -484,7 +493,7 @@ RSpec.describe Era835Parser::Parser do
             it 'returns the Account number' do
               expect(@era[:checks]['02790758'][:eras][0][:account_number]).to eq('200200964A52')
             end
-            it 'returns the Cliam status code' do
+            it 'returns the Claim status code' do
               expect(@era[:checks]['02790758'][:eras][0][:claim_status_code]).to eq('1')
             end
             it 'returns the Claim status code description' do
@@ -699,6 +708,9 @@ RSpec.describe Era835Parser::Parser do
           it 'returns the Payer tax id' do
             expect(@era[:checks]['0123456789012345678901234567890123456789'][:payer_tax_id]).to eq('60-894904')
           end
+          it 'returns the Payer EDI id' do
+            expect(@era[:checks]['0123456789012345678901234567890123456789'][:payer_edi_id]).to eq(nil)
+          end
           it 'returns the Check date (string mm/dd/yyyy)' do
             expect(@era[:checks]['0123456789012345678901234567890123456789'][:date]).to eq('01/08/2011')
           end
@@ -709,12 +721,282 @@ RSpec.describe Era835Parser::Parser do
             it 'returns the Patient name' do
               expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:patient_name]).to eq('DOUGH,MARY')
             end
-            it 'returns the Patient last name (titlized)' do
+            it 'returns the Patient last name (titleized)' do
+              expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:patient_last_name]).to eq('Dough')
+            end
+            it 'returns the Patient first name (titleized)' do
+              expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:patient_first_name]).to eq('Mary')
+            end
+            it 'returns the Total charge amount (integer)' do
+              expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:charge_amount]).to eq(210000)
+            end
+            it 'returns the Total payment amount (integer)' do
+              expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:payment_amount]).to eq(192286)
+            end
+            it 'returns the Account number' do
+              expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:account_number]).to eq('200200964A52')
+            end
+            it 'returns the Claim status code' do
+              expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:claim_status_code]).to eq('1')
+            end
+            it 'returns the Claim status code description' do
+              expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:status]).to eq("PROCESSED AS PRIMARY")
+            end
+            it 'returns the Payer claim control number' do
+              expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:payer_claim_control_number]).to eq('94151100100')
+            end
+            it 'returns the Claim statement period start' do
+              expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:claim_statement_period_start]).to eq(nil)
+            end
+            it 'returns the Claim statement period end' do
+              expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:claim_statement_period_end]).to eq(nil)
+            end
+
+            context 'Line item #0' do
+              it 'returns the Date of service (string mm/dd/yyyy)' do
+                expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:line_items][0][:service_date]).to eq("12/31/2010")
+              end
+              it 'returns the CPT code' do
+                expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:line_items][0][:cpt_code]).to eq("59430")
+              end
+              it 'returns the Charge amount (integer)' do
+                expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:line_items][0][:charge_amount]).to eq(121000)
+              end
+              it 'returns the Payment amount (integer)' do
+                expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:line_items][0][:payment_amount]).to eq(105786)
+              end
+              it 'returns the Total adjustment amount (integer)' do
+                expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:line_items][0][:total_adjustment_amount]).to eq(15214)
+              end
+              it 'returns the Remark code' do
+                expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:line_items][0][:remark_code]).to eq(nil)
+              end
+              it 'returns the Remarks' do
+                expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:line_items][0][:remarks]).to eq(nil)
+              end
+              it 'returns the Reference number' do
+                expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:line_items][0][:reference_number]).to eq('0001')
+              end
+              context 'Adjustment group #0' do
+                it 'returns the Adjustment group' do
+                  expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:line_items][0][:adjustment_groups][0][:adjustment_group]).to eq("Contractual Obligation")
+                end
+                it 'returns the Adjustment group code' do
+                  expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:line_items][0][:adjustment_groups][0][:adjustment_group_code]).to eq("CO")
+                end
+                it 'returns the Adjustment amount (integer)' do
+                  expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:line_items][0][:adjustment_groups][0][:adjustment_amount]).to eq(3460)
+                end
+                it 'returns the Reason code' do
+                  expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:line_items][0][:adjustment_groups][0][:reason_code]).to eq('42')
+                end
+                it 'returns the Translated reason code' do
+                  expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:line_items][0][:adjustment_groups][0][:translated_reason_code]).to eq("Charges exceed our fee schedule or maximum allowable amount. (Use CARC 45)")
+                end
+              end
+              context 'Adjustment group #1' do
+                it 'returns the Adjustment group' do
+                  expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:line_items][0][:adjustment_groups][1][:adjustment_group]).to eq("Patient Responsibility")
+                end
+                it 'returns the Adjustment group code' do
+                  expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:line_items][0][:adjustment_groups][1][:adjustment_group_code]).to eq("PR")
+                end
+                it 'returns the Adjustment amount (integer)' do
+                  expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:line_items][0][:adjustment_groups][1][:adjustment_amount]).to eq(11754)
+                end
+                it 'returns the Reason code' do
+                  expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:line_items][0][:adjustment_groups][1][:reason_code]).to eq('2')
+                end
+                it 'returns the Translated reason code' do
+                  expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:line_items][0][:adjustment_groups][1][:translated_reason_code]).to eq("Coinsurance Amount")
+                end
+              end
+            end
+            context 'Line item #1' do
+              it 'returns the Date of service (string mm/dd/yyyy)' do
+                expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:line_items][1][:service_date]).to eq("12/31/2010")
+              end
+              it 'returns the CPT code' do
+                expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:line_items][1][:cpt_code]).to eq("59440")
+              end
+              it 'returns the Charge amount (integer)' do
+                expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:line_items][1][:charge_amount]).to eq(89000)
+              end
+              it 'returns the Payment amount (integer)' do
+                expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:line_items][1][:payment_amount]).to eq(86500)
+              end
+              it 'returns the Total adjustment amount (integer)' do
+                expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:line_items][1][:total_adjustment_amount]).to eq(2500)
+              end
+              it 'returns the Remark code' do
+                expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:line_items][1][:remark_code]).to eq(nil)
+              end
+              it 'returns the Remarks' do
+                expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:line_items][1][:remarks]).to eq(nil)
+              end
+              it 'returns the Reference number' do
+                expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:line_items][1][:reference_number]).to eq('0002')
+              end
+              context 'Adjustment group #0' do
+                it 'returns the Adjustment group' do
+                  expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:line_items][1][:adjustment_groups][0][:adjustment_group]).to eq("Patient Responsibility")
+                end
+                it 'returns the Adjustment group code' do
+                  expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:line_items][1][:adjustment_groups][0][:adjustment_group_code]).to eq("PR")
+                end
+                it 'returns the Adjustment amount (integer)' do
+                  expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:line_items][1][:adjustment_groups][0][:adjustment_amount]).to eq(2500)
+                end
+                it 'returns the Reason code' do
+                  expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:line_items][1][:adjustment_groups][0][:reason_code]).to eq('3')
+                end
+                it 'returns the Translated reason code' do
+                  expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:line_items][1][:adjustment_groups][0][:translated_reason_code]).to eq("Co-payment Amount")
+                end
+              end
+            end
+            context 'Line item #2' do
+              it 'returns the Date of service (string mm/dd/yyyy)' do
+                expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:line_items][2][:service_date]).to eq("12/31/2010")
+              end
+              it 'returns the CPT code' do
+                expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:line_items][2][:cpt_code]).to eq("59426")
+              end
+              it 'returns the Charge amount (integer)' do
+                expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:line_items][2][:charge_amount]).to eq(74200)
+              end
+              it 'returns the Payment amount (integer)' do
+                expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:line_items][2][:payment_amount]).to eq(74200)
+              end
+              it 'returns the Total adjustment amount (integer)' do
+                expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:line_items][2][:total_adjustment_amount]).to eq(nil)
+              end
+              it 'returns the Remark code' do
+                expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:line_items][2][:remark_code]).to eq(nil)
+              end
+              it 'returns the Remarks' do
+                expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:line_items][2][:remarks]).to eq(nil)
+              end
+              it 'returns the Reference number' do
+                expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:line_items][2][:reference_number]).to eq('0003')
+              end
+            end
+          end
+        end
+      end
+
+      context 'example_5.835' do
+        before :all do
+          @era = Era835Parser::Parser.new(file_path: "../era_835_parser/spec/example_5.835").parse
+        end
+
+        context 'Aggregate totals' do
+          it 'returns the addressed to' do
+            expect(@era[:addressed_to]).to eq(nil)
+          end
+          it 'returns the correct number of checks' do
+            expect(@era[:checks].count).to eq(1)
+          end
+          it 'returns the correct number of adjustments' do
+            expect(@era[:adjustments]).to eq(nil)
+          end
+          it 'returns the correct number of eras' do
+            expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras].count).to eq(1)
+          end
+          it 'returns the correct number of line items' do
+            expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:line_items].count).to eq(3)
+          end
+          it 'returns the correct number of adjustment groups' do
+            expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:line_items][0][:adjustment_groups].count).to eq(2)
+          end
+          it 'returns the correct number of adjustment groups' do
+            expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:line_items][1][:adjustment_groups].count).to eq(1)
+          end
+          it 'returns the correct number of adjustment groups' do
+            expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:line_items][2][:adjustment_groups]).to eq(nil)
+          end
+        end
+
+        context 'Check #70408535' do
+          it 'returns the check number' do
+            expect(@era[:checks]['0123456789012345678901234567890123456789'][:check_number]).to eq('0123456789012345678901234567890123456789')
+          end
+          it 'returns the amount' do
+            expect(@era[:checks]['0123456789012345678901234567890123456789'][:amount]).to eq(192286)
+          end
+          it 'returns the number of claims' do
+            expect(@era[:checks]['0123456789012345678901234567890123456789'][:number_of_claims]).to eq(1)
+          end
+          it 'returns the NPI or Tax ID of payee' do
+            expect(@era[:checks]['0123456789012345678901234567890123456789'][:npi_tax_id]).to eq('0987654321')
+          end
+          it 'returns the Check payee' do
+            expect(@era[:checks]['0123456789012345678901234567890123456789'][:payee]).to eq('XYZ HEALTHCARE CORPORATION')
+          end
+          it 'returns the Payer name' do
+            expect(@era[:checks]['0123456789012345678901234567890123456789'][:payer_name]).to eq('BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA')
+          end
+          it 'returns the Payer address' do
+            expect(@era[:checks]['0123456789012345678901234567890123456789'][:payer_address]).to eq('P O BOX 2291')
+          end
+          it 'returns the Payer city' do
+            expect(@era[:checks]['0123456789012345678901234567890123456789'][:payer_city]).to eq('DURHAM')
+          end
+          it 'returns the Payer state' do
+            expect(@era[:checks]['0123456789012345678901234567890123456789'][:payer_state]).to eq('NC')
+          end
+          it 'returns the Payer zip code' do
+            expect(@era[:checks]['0123456789012345678901234567890123456789'][:payer_zip_code]).to eq('27702')
+          end
+          it 'returns the Payer tax id' do
+            expect(@era[:checks]['0123456789012345678901234567890123456789'][:payer_tax_id]).to eq('60-894904')
+          end
+          it 'returns the Payer EDI id' do
+            expect(@era[:checks]['0123456789012345678901234567890123456789'][:payer_edi_id]).to eq(nil)
+          end
+          it 'returns the Check date (string mm/dd/yyyy)' do
+            expect(@era[:checks]['0123456789012345678901234567890123456789'][:date]).to eq('01/08/2011')
+          end
+          context 'ERA #0' do
+            it 'returns the Patient ID' do
+              expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:patient_id]).to eq(nil)
+            end
+            it 'returns the Patient name' do
+              expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:patient_name]).to eq('DOUGH,MARY')
+            end
+            it 'returns the Patient last name (titleized)' do
               expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:patient_last_name]).to eq('Dough')
             end
-            it 'returns the Patient first name (titlized)' do
+            it 'returns the Patient first name (titleized)' do
               expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:patient_first_name]).to eq('Mary')
             end
+            it 'returns the Subscriber last name (titleized)' do
+              expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:subscriber_first_name]).to eq('Marty')
+            end
+            it 'returns the Subscriber last name (titleized)' do
+              expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:subscriber_last_name]).to eq('Dough')
+            end
+            it 'returns the Subscriber name (titleized)' do
+              expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:subscriber_name]).to eq('DOUGH,MARTY')
+            end
+            it 'returns the Subscriber middle initial' do
+              expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:subscriber_middle_initial]).to eq('L')
+            end
+            it 'returns the Subscriber suffix' do
+              expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:subscriber_suffix]).to eq('Sr.')
+            end
+            it 'returns the Subscriber ID' do
+              expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:subscriber_id]).to eq('YPB123456789009')
+            end
+            it 'returns the rendering provider last_name (titleized)' do
+              expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:rendering_provider_last_name]).to eq('Jones')
+            end
+            it 'returns the rendering provider first name (titleized)' do
+              expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:rendering_provider_first_name]).to eq('Alice')
+            end
+            it 'returns the rendering provider NPI' do
+              expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:rendering_provider_npi]).to eq('1116359906')
+            end
             it 'returns the Total charge amount (integer)' do
               expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:charge_amount]).to eq(210000)
             end
@@ -724,7 +1006,7 @@ RSpec.describe Era835Parser::Parser do
             it 'returns the Account number' do
               expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:account_number]).to eq('200200964A52')
             end
-            it 'returns the Cliam status code' do
+            it 'returns the Claim status code' do
               expect(@era[:checks]['0123456789012345678901234567890123456789'][:eras][0][:claim_status_code]).to eq('1')
             end
             it 'returns the Claim status code description' do
@@ -990,10 +1272,10 @@ Check#                         Patient ID         Last,First          Charge Amt
           it 'returns the Patient name' do
             expect(@era[:checks]['201812215555555555'][:eras][0][:patient_name]).to eq('DOE JR,DAVIS')
           end
-          it 'returns the Patient last name (titlized)' do
+          it 'returns the Patient last name (titleized)' do
             expect(@era[:checks]['201812215555555555'][:eras][0][:patient_last_name]).to eq('Doe Jr')
           end
-          it 'returns the Patient first name (titlized)' do
+          it 'returns the Patient first name (titleized)' do
             expect(@era[:checks]['201812215555555555'][:eras][0][:patient_first_name]).to eq('Davis')
           end
           it 'returns the Total charge amount (integer)' do
@@ -1121,10 +1403,10 @@ Check#                         Patient ID         Last,First          Charge Amt
           it 'returns the Patient name' do
             expect(@era[:checks]['201812215555555556'][:eras][0][:patient_name]).to eq('DOE,JANE')
           end
-          it 'returns the Patient last name (titlized)' do
+          it 'returns the Patient last name (titleized)' do
             expect(@era[:checks]['201812215555555556'][:eras][0][:patient_last_name]).to eq('Doe')
           end
-          it 'returns the Patient first name (titlized)' do
+          it 'returns the Patient first name (titleized)' do
             expect(@era[:checks]['201812215555555556'][:eras][0][:patient_first_name]).to eq('Jane')
           end
           it 'returns the Total charge amount (integer)' do
@@ -1236,10 +1518,10 @@ Check#                         Patient ID         Last,First          Charge Amt
           it 'returns the Patient name' do
             expect(@era[:checks]['201812215555555556'][:eras][1][:patient_name]).to eq('SMITH,JOSEPH')
           end
-          it 'returns the Patient last name (titlized)' do
+          it 'returns the Patient last name (titleized)' do
             expect(@era[:checks]['201812215555555556'][:eras][1][:patient_last_name]).to eq('Smith')
           end
-          it 'returns the Patient first name (titlized)' do
+          it 'returns the Patient first name (titleized)' do
             expect(@era[:checks]['201812215555555556'][:eras][1][:patient_first_name]).to eq('Joseph')
           end
           it 'returns the Total charge amount (integer)' do
@@ -1351,10 +1633,10 @@ Check#                         Patient ID         Last,First          Charge Amt
           it 'returns the Patient name' do
             expect(@era[:checks]['201812215555555557'][:eras][0][:patient_name]).to eq('LASTNAME,')
           end
-          it 'returns the Patient last name (titlized)' do
+          it 'returns the Patient last name (titleized)' do
             expect(@era[:checks]['201812215555555557'][:eras][0][:patient_last_name]).to eq('Lastname')
           end
-          it 'returns the Patient first name (titlized)' do
+          it 'returns the Patient first name (titleized)' do
             expect(@era[:checks]['201812215555555557'][:eras][0][:patient_first_name]).to eq(nil)
           end
           it 'returns the Total charge amount (integer)' do
@@ -1438,10 +1720,10 @@ Check#                         Patient ID         Last,First          Charge Amt
           it 'returns the Patient name' do
             expect(@era[:checks]['201812215555555557'][:eras][1][:patient_name]).to eq('WORLD,HELLO')
           end
-          it 'returns the Patient last name (titlized)' do
+          it 'returns the Patient last name (titleized)' do
             expect(@era[:checks]['201812215555555557'][:eras][1][:patient_last_name]).to eq('World')
           end
-          it 'returns the Patient first name (titlized)' do
+          it 'returns the Patient first name (titleized)' do
             expect(@era[:checks]['201812215555555557'][:eras][1][:patient_first_name]).to eq('Hello')
           end
           it 'returns the Total charge amount (integer)' do

data/spec/example_1.835

@@ -1 +1 @@
-ST*835*1234~BPR*I*15096.46*C*CHK************20100923~TRN*1*70408535*15714001~REF*F2*slca435w~DTM*405*20100923~N1*PR*NC TEACHERS & STATE EMPLOYEES HEALTH PLAN & HEALTH CHOICE~N3*P O BOX 30025~N4*DURHAM*NC*27702~PER*CX**TE*8002144844~N1*PE*ACME UNIV HLTH SYS INC*XX*1234567890~N3*P O BOX AAA1~N4*DURHAM*NC*27701~REF*TJ*123456789~CLP*474623UB001CW0321*1*3740.6*5451.04**15*80209000000*11*1**397*0.7309~CAS*CO*94*-1710.44~NM1*QC*1*Rabbit*Roger*B***MI* RUN123456789~MIA*0~REF*EA*CW0321~DTM*232*20100307~DTM*233*20100310~DTM*50*20100918~AMT*AU*5451.04~SE*21*1234~
+ST*835*1234~BPR*I*15096.46*C*CHK************20100923~TRN*1*70408535*15714001~REF*F2*slca435w~DTM*405*20100923~N1*PR*NC TEACHERS & STATE EMPLOYEES HEALTH PLAN & HEALTH CHOICE~N3*P O BOX 30025~N4*DURHAM*NC*27702~REF*2U*11111~PER*CX**TE*8002144844~N1*PE*ACME UNIV HLTH SYS INC*XX*1234567890~N3*P O BOX AAA1~N4*DURHAM*NC*27701~REF*TJ*123456789~CLP*474623UB001CW0321*1*3740.6*5451.04**15*80209000000*11*1**397*0.7309~CAS*CO*94*-1710.44~NM1*QC*1*Rabbit*Roger*B***MI* RUN123456789~MIA*0~REF*EA*CW0321~DTM*232*20100307~DTM*233*20100310~DTM*50*20100918~AMT*AU*5451.04~SE*21*1234~

data/spec/example_2.835

@@ -1 +1 @@
-ST*835*1234~BPR*I*1922.86*C*CHK************20110108~TRN*1*02790758*560894904~REF*F2*LCLA438D~DTM*405*20110104~N1*PR*BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA~N3*P O BOX 2291~N4*DURHAM*NC*27702~PER*CX*TE*8005554844~N1*PE*XYZ HEALTHCARE CORPORATION*XX*0987654321~N3*P O BOX XYZ~N4*CHARLOTTE*NC*28234~REF*TJ*123456789~LX*1~CLP*200200964A52*1*2100*1922.86*142.54*15*94151100100~NM1*QC*1*Dough*Mary****MI* YPB123456789001~DTM*050*20110103~SVC*HC:59430*1210*1057.86**1*HC:59410~DTM*472*20101231~CAS*CO*42*34.6~CAS*PR*2*117.54~REF*6R*0001~AMT*B6*1175.4~SVC*HC:59440*890*865**1*HC:59410~DTM*472*20101231~CAS*PR*3*25~REF*6R*0002~SVC*HC:59426*742*742**1~DTM*472*20101231~REF*6R*0003~AMT*B6*742~SE*33*1234~
+ST*835*1234~BPR*I*1922.86*C*CHK************20110108~TRN*1*02790758*560894904~REF*F2*LCLA438D~DTM*405*20110104~N1*PR*BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA~N3*P O BOX 2291~N4*DURHAM*NC*27702~REF*2U*22222~PER*CX*TE*8005554844~N1*PE*XYZ HEALTHCARE CORPORATION*XX*0987654321~N3*P O BOX XYZ~N4*CHARLOTTE*NC*28234~REF*TJ*123456789~LX*1~CLP*200200964A52*1*2100*1922.86*142.54*15*94151100100~NM1*QC*1*Dough*Mary****MI* YPB123456789001~DTM*050*20110103~SVC*HC:59430*1210*1057.86**1*HC:59410~DTM*472*20101231~CAS*CO*42*34.6~CAS*PR*2*117.54~REF*6R*0001~AMT*B6*1175.4~SVC*HC:59440*890*865**1*HC:59410~DTM*472*20101231~CAS*PR*3*25~REF*6R*0002~SVC*HC:59426*742*742**1~DTM*472*20101231~REF*6R*0003~AMT*B6*742~SE*33*1234~

data/spec/example_3.835

@@ -6,6 +6,7 @@ DTM*405*20110104~
 N1*PR*BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA~
 N3*P O BOX 2291~
 N4*DURHAM*NC*27702~
+REF*2U*33333~
 PER*CX*TE*8005554844~
 N1*PE*XYZ HEALTHCARE CORPORATION*XX*0987654321~
 N3*P O BOX XYZ~

data/spec/example_5.835

@@ -0,0 +1,34 @@
+ST*835*1234~
+BPR*I*1922.86*C*CHK************20110108~
+TRN*1*0123456789012345678901234567890123456789*560894904~
+REF*F2*LCLA438D~
+DTM*405*20110104~
+N1*PR*BLUE CROSS AND BLUE SHIELD OF NORTH CAROLINA~
+N3*P O BOX 2291~
+N4*DURHAM*NC*27702~
+PER*CX*TE*8005554844~
+N1*PE*XYZ HEALTHCARE CORPORATION*XX*0987654321~
+N3*P O BOX XYZ~
+N4*CHARLOTTE*NC*28234~
+REF*TJ*123456789~
+LX*1~
+CLP*200200964A52*1*2100*1922.86*142.54*15*94151100100~
+NM1*QC*1*Dough*Mary~
+NM1*IL*1*Dough*Marty*L**Sr.*MI* YPB123456789009~
+NM1*82*1*Jones*Alice****XX*1116359906~
+DTM*050*20110103~
+SVC*HC:59430*1210*1057.86**1*HC:59410~
+DTM*472*20101231~
+CAS*CO*42*34.6~
+CAS*PR*2*117.54~
+REF*6R*0001~
+AMT*B6*1175.4~
+SVC*HC:59440*890*865**1*HC:59410~
+DTM*472*20101231~
+CAS*PR*3*25~
+REF*6R*0002~
+SVC*HC:59426*742*742**1~
+DTM*472*20101231~
+REF*6R*0003~
+AMT*B6*742~
+SE*33*1234~

metadata

@@ -1,14 +1,14 @@
 --- !ruby/object:Gem::Specification
 name: era_835_parser
 version: !ruby/object:Gem::Version
-  version: 0.1.11
+  version: 0.2.0
 platform: ruby
 authors:
 - Kevin S. Dias
 autorequire:
 bindir: bin
 cert_chain: []
-date: 2023-07-09 00:00:00.000000000 Z
+date: 2026-03-04 00:00:00.000000000 Z
 dependencies:
 - !ruby/object:Gem::Dependency
   name: bundler
@@ -79,6 +79,7 @@ files:
 - spec/example_2.835
 - spec/example_3.835
 - spec/example_4.835
+- spec/example_5.835
 - spec/spec_helper.rb
 - spec/test_era.txt
 homepage: https://github.com/diasks2/era_835_parser
@@ -110,5 +111,6 @@ test_files:
 - spec/example_2.835
 - spec/example_3.835
 - spec/example_4.835
+- spec/example_5.835
 - spec/spec_helper.rb
 - spec/test_era.txt