era_835_parser 0.1.12 → 0.2.1

checksums.yaml

@@ -1,7 +1,7 @@
 ---
 SHA256:
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-  data.tar.gz: 89f39835c344f1a9005245ac6712ec0c56dedbebe1cca0f92f608ad598b93ca8
+  metadata.gz: ab71e41a87a2f73200361b1bedeb9740c6edc2451cee146057682484a3d3caf7
+  data.tar.gz: 9ed593d781b601484ac0c99019de108f6b4d15374059c1ef46d5a707d5dbec72
 SHA512:
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-  data.tar.gz: 641a2ddd323d683091d047dd04c4b26e43bdbf4bc9151bbe28c0e8aa5bf72d958a329eeadf40cdcfe402c4bff51477d9f17f7f2ab337fc2e85986272ee4f9a3e
+  metadata.gz: 260a869a1d17269a37c9e06177357b4e8a3c3ac3be88bc9605b9d58459c7bb2bb19be8752109d0640c81b7c7ece04307c9a652f4450d3c94bf198b91213d593c
+  data.tar.gz: fd110d86ad73c4a50f2578f0b65fb5f90c174408bde64f97b03b4682eb8615f44dee6e9790f0a6ff26886c39d603f5d6891a7c6aa3f54dc395a9943e4012989e

data/README.md

@@ -28,6 +28,9 @@ puts era[:addressed_to] # The person/name the ERA is addressed to
 if !era[:checks].nil?
   era[:checks].each do |check_number, check|
     puts check[:check_number] # Check number
+    puts check[:transaction_handling_code] # Transaction handling code
+    puts check[:credit_debit_flag] # Credit/debit flag
+    puts check[:payment_method_code] # Payment method code
     puts check[:amount] # Check amount
     puts check[:number_of_claims] # Number of claims this check covers (integer)
     puts check[:npi_tax_id] # NPI or Tax ID of payee
@@ -38,17 +41,26 @@ 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 +133,11 @@ 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 +160,4 @@ 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

@@ -57,10 +57,14 @@ 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 = ''
       bpr_date = ''
+      transaction_handling_code = ''
+      credit_debit_flag = ''
+      payment_method_code = ''
       receive_date = false
       claim_date_start = false
       claim_date_end = false
@@ -360,6 +364,7 @@ module Era835Parser
                 when 1
                   # Transaction Handling Code
                   # puts "Transaction Handling Code: #{element}"
+                  transaction_handling_code = element.strip
                 when 2
                   # Monetary Amount
                   # puts "Monetary Amount: #{element}"
@@ -367,9 +372,11 @@ module Era835Parser
                 when 3
                   # Credit/Debit Flag
                   # puts "Credit/Debit Flag: #{element}"
+                  credit_debit_flag = element.strip
                 when 4
                   # PAYMENT METHOD CODE
                   # puts "PAYMENT METHOD CODE: #{element}"
+                  payment_method_code = element.strip
                 when 5
                   # PAYMENT FORMAT CODE
                   # puts "PAYMENT FORMAT CODE: #{element}"
@@ -443,13 +450,20 @@ module Era835Parser
                 when 2
                   # REFERENCE IDENTIFICATION
                   # puts "REFERENCE IDENTIFICATION: #{element}"
-                  check = Hash.new
-                  check[:check_number] = element.strip
-                  check[:amount] = (bpr_amount.to_f * 100).round().to_i
+                  check = {
+                    check_number: element.strip,
+                    amount: (bpr_amount.to_f * 100).round().to_i,
+                    date: bpr_date,
+                    transaction_handling_code: transaction_handling_code,
+                    credit_debit_flag: credit_debit_flag,
+                    payment_method_code: payment_method_code,
+                  }
+                  checks[check[:check_number]] = check
                   bpr_amount = ''
-                  check[:date] = bpr_date
                   bpr_date = ''
-                  checks[check[:check_number]] = check
+                  transaction_handling_code = ''
+                  credit_debit_flag = ''
+                  payment_method_code = ''
                 when 3
                   # ORIGINATING COMPANY IDENTIFIER
                   # puts "ORIGINATING COMPANY IDENTIFIER: #{element}"
@@ -844,56 +858,84 @@ 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"
@@ -1005,7 +1047,7 @@ module Era835Parser
           eras[era_counter] = individual_era
           era[:checks][check_number][:eras] = era[:checks][check_number][:eras].merge(eras)
         end
-        return era
+        era
       else
         if individual_line_item != {}
           if line_items.nil?
@@ -1071,7 +1113,7 @@ module Era835Parser
             end
           end
         end
-        return era
+        era
       end
     end
 
@@ -1079,15 +1121,15 @@ module Era835Parser
 
     def get_length(string)
       if string.nil?
-        return 0
+        0
       else
-        return string.length
+        string.length
       end
     end
 
     def truncate(string, truncate_at)
       if !string.nil?
-        return string.to_s[0...truncate_at]
+        string.to_s[0...truncate_at]
       end
     end
 

data/lib/era_835_parser/version.rb

@@ -1,3 +1,3 @@
 module Era835Parser
-  VERSION = "0.1.12"
+  VERSION = "0.2.1"
 end