hippo 0.0.4

data/lib/hippo/transaction_sets/HIPAA_277/L2100B.rb

@@ -0,0 +1,20 @@
+module Hippo::TransactionSets
+  module HIPAA_277
+
+    class L2100B < Hippo::TransactionSets::Base
+      loop_name 'L2100B'    #Information Receiver Name
+
+      #Information Receiver Name
+      segment Hippo::Segments::NM1,
+                :name           => 'Information Receiver Name',
+                :minimum        => 1,
+                :maximum        => 1,
+                :position       => 500,
+                :defaults => {
+                  'NM101' => '41',
+                  'NM108' => '46'
+                }
+
+    end
+  end
+end

data/lib/hippo/transaction_sets/HIPAA_277/L2100C.rb

@@ -0,0 +1,19 @@
+module Hippo::TransactionSets
+  module HIPAA_277
+
+    class L2100C < Hippo::TransactionSets::Base
+      loop_name 'L2100C'    #Billing Provider Name
+
+      #Billing Provider Name
+      segment Hippo::Segments::NM1,
+                :name           => 'Billing Provider Name',
+                :minimum        => 1,
+                :maximum        => 1,
+                :position       => 500,
+                :defaults => {
+                  'NM101' => '85'
+                }
+
+    end
+  end
+end

data/lib/hippo/transaction_sets/HIPAA_277/L2100D.rb

@@ -0,0 +1,20 @@
+module Hippo::TransactionSets
+  module HIPAA_277
+
+    class L2100D < Hippo::TransactionSets::Base
+      loop_name 'L2100D'    #Patient Name
+
+      #Patient Name
+      segment Hippo::Segments::NM1,
+                :name           => 'Patient Name',
+                :minimum        => 1,
+                :maximum        => 1,
+                :position       => 500,
+                :defaults => {
+                  'NM101' => 'QC',
+                  'NM102' => '1'
+                }
+
+    end
+  end
+end

data/lib/hippo/transaction_sets/HIPAA_277/L2100E.rb

@@ -0,0 +1,20 @@
+module Hippo::TransactionSets
+  module HIPAA_277
+
+    class L2100E < Hippo::TransactionSets::Base
+      loop_name 'L2100E'    #Dependent Name
+
+      #Dependent Name
+      segment Hippo::Segments::NM1,
+                :name           => 'Dependent Name',
+                :minimum        => 1,
+                :maximum        => 1,
+                :position       => 500,
+                :defaults => {
+                  'NM101' => 'QC',
+                  'NM102' => '1'
+                }
+
+    end
+  end
+end

data/lib/hippo/transaction_sets/HIPAA_277/L2200A.rb

@@ -0,0 +1,41 @@
+module Hippo::TransactionSets
+  module HIPAA_277
+
+    class L2200A < Hippo::TransactionSets::Base
+      loop_name 'L2200A'    #Transmission Receipt Control Identifier
+
+      #Transmission Receipt Control Identifier
+      segment Hippo::Segments::TRN,
+                :name           => 'Transmission Receipt Control Identifier',
+                :minimum        => 1,
+                :maximum        => 1,
+                :position       => 900,
+                :defaults => {
+                  'TRN01' => '1'
+                }
+
+      #Information Source Receipt Date
+      segment Hippo::Segments::DTP,
+                :name           => 'Information Source Receipt Date',
+                :minimum        => 1,
+                :maximum        => 1,
+                :position       => 1200,
+                :defaults => {
+                  'DTP01' => '050',
+                  'DTP02' => 'D8'
+                }
+
+      #Information Source Process Date
+      segment Hippo::Segments::DTP,
+                :name           => 'Information Source Process Date',
+                :minimum        => 1,
+                :maximum        => 1,
+                :position       => 1205,
+                :defaults => {
+                  'DTP01' => '009',
+                  'DTP02' => 'D8'
+                }
+
+    end
+  end
+end

data/lib/hippo/transaction_sets/HIPAA_277/L2200B.rb

@@ -0,0 +1,66 @@
+module Hippo::TransactionSets
+  module HIPAA_277
+
+    class L2200B < Hippo::TransactionSets::Base
+      loop_name 'L2200B'    #Information Receiver Application Trace Identifier
+
+      #Information Receiver Application Trace Identifier
+      segment Hippo::Segments::TRN,
+                :name           => 'Information Receiver Application Trace Identifier',
+                :minimum        => 1,
+                :maximum        => 1,
+                :position       => 900,
+                :defaults => {
+                  'TRN01' => '2'
+                }
+
+      #Information Receiver Status Information
+      segment Hippo::Segments::STC,
+                :name           => 'Information Receiver Status Information',
+                :minimum        => 1,
+                :maximum        => nil,
+                :position       => 1000
+
+      #Total Accepted Quantity
+      segment Hippo::Segments::QTY,
+                :name           => 'Total Accepted Quantity',
+                :minimum        => 0,
+                :maximum        => 1,
+                :position       => 1210,
+                :defaults => {
+                  'QTY01' => '90'
+                }
+
+      #Total Rejected Quantity
+      segment Hippo::Segments::QTY,
+                :name           => 'Total Rejected Quantity',
+                :minimum        => 0,
+                :maximum        => 1,
+                :position       => 1211,
+                :defaults => {
+                  'QTY01' => 'AA'
+                }
+
+      #Total Accepted Amount
+      segment Hippo::Segments::AMT,
+                :name           => 'Total Accepted Amount',
+                :minimum        => 0,
+                :maximum        => 1,
+                :position       => 1220,
+                :defaults => {
+                  'AMT01' => 'YU'
+                }
+
+      #Total Rejected Amount
+      segment Hippo::Segments::AMT,
+                :name           => 'Total Rejected Amount',
+                :minimum        => 0,
+                :maximum        => 1,
+                :position       => 1222,
+                :defaults => {
+                  'AMT01' => 'YY'
+                }
+
+    end
+  end
+end

data/lib/hippo/transaction_sets/HIPAA_277/L2200C.rb

@@ -0,0 +1,73 @@
+module Hippo::TransactionSets
+  module HIPAA_277
+
+    class L2200C < Hippo::TransactionSets::Base
+      loop_name 'L2200C'    #Provider of Service Information Trace Identifier
+
+      #Provider of Service Information Trace Identifier
+      segment Hippo::Segments::TRN,
+                :name           => 'Provider of Service Information Trace Identifier',
+                :minimum        => 0,
+                :maximum        => 1,
+                :position       => 900,
+                :defaults => {
+                  'TRN01' => '1'
+                }
+
+      #Billing Provider Status Information
+      segment Hippo::Segments::STC,
+                :name           => 'Billing Provider Status Information',
+                :minimum        => 0,
+                :maximum        => nil,
+                :position       => 1000
+
+      #Provider Secondary Identifier
+      segment Hippo::Segments::REF,
+                :name           => 'Provider Secondary Identifier',
+                :minimum        => 0,
+                :maximum        => 3,
+                :position       => 1100
+
+      #Total Accepted Quantity
+      segment Hippo::Segments::QTY,
+                :name           => 'Total Accepted Quantity',
+                :minimum        => 0,
+                :maximum        => 1,
+                :position       => 1210,
+                :defaults => {
+                  'QTY01' => 'QA'
+                }
+
+      #Total Rejected Quantity
+      segment Hippo::Segments::QTY,
+                :name           => 'Total Rejected Quantity',
+                :minimum        => 0,
+                :maximum        => 1,
+                :position       => 1215,
+                :defaults => {
+                  'QTY01' => 'QC'
+                }
+
+      #Total Accepted Amount
+      segment Hippo::Segments::AMT,
+                :name           => 'Total Accepted Amount',
+                :minimum        => 0,
+                :maximum        => 1,
+                :position       => 1220,
+                :defaults => {
+                  'AMT01' => 'YU'
+                }
+
+      #Total Rejected Amount
+      segment Hippo::Segments::AMT,
+                :name           => 'Total Rejected Amount',
+                :minimum        => 0,
+                :maximum        => 1,
+                :position       => 1225,
+                :defaults => {
+                  'AMT01' => 'YY'
+                }
+
+    end
+  end
+end

data/lib/hippo/transaction_sets/HIPAA_277/L2200D.rb

@@ -0,0 +1,73 @@
+module Hippo::TransactionSets
+  module HIPAA_277
+
+    class L2200D < Hippo::TransactionSets::Base
+      loop_name 'L2200D'    #Claim Status Tracking Number
+
+      #Claim Status Tracking Number
+      segment Hippo::Segments::TRN,
+                :name           => 'Claim Status Tracking Number',
+                :minimum        => 1,
+                :maximum        => 1,
+                :position       => 900,
+                :defaults => {
+                  'TRN01' => '2'
+                }
+
+      #Claim Level Status Information
+      segment Hippo::Segments::STC,
+                :name           => 'Claim Level Status Information',
+                :minimum        => 1,
+                :maximum        => nil,
+                :position       => 1000
+
+      #Payer Claim Control Number
+      segment Hippo::Segments::REF,
+                :name           => 'Payer Claim Control Number',
+                :minimum        => 0,
+                :maximum        => 1,
+                :position       => 1100,
+                :defaults => {
+                  'REF01' => '1K'
+                }
+
+      #Claim Identifier Number For Clearinghouse and Other Transmission Intermediaries
+      segment Hippo::Segments::REF,
+                :name           => 'Claim Identifier Number For Clearinghouse and Other Transmission Intermediaries',
+                :minimum        => 0,
+                :maximum        => 1,
+                :position       => 1110,
+                :defaults => {
+                  'REF01' => 'D9'
+                }
+
+      #Institutional Bill Type Identification
+      segment Hippo::Segments::REF,
+                :name           => 'Institutional Bill Type Identification',
+                :minimum        => 0,
+                :maximum        => 1,
+                :position       => 1120,
+                :defaults => {
+                  'REF01' => 'BLT'
+                }
+
+      #Claim Level Service Date
+      segment Hippo::Segments::DTP,
+                :name           => 'Claim Level Service Date',
+                :minimum        => 1,
+                :maximum        => 1,
+                :position       => 1200,
+                :defaults => {
+                  'DTP01' => '472'
+                }
+
+      #Service Line Information
+      loop    Hippo::TransactionSets::HIPAA_277::L2220D,
+                :name           => 'Service Line Information',
+                :minimum        => 0,
+                :maximum        => nil,
+                :position       => 1800
+
+    end
+  end
+end

data/lib/hippo/transaction_sets/HIPAA_277/L2200E.rb

@@ -0,0 +1,103 @@
+module Hippo::TransactionSets
+  module HIPAA_277
+
+    class L2200E < Hippo::TransactionSets::Base
+      loop_name 'L2200E'    #Claim Status Tracking Number
+
+      #Claim Status Tracking Number
+      segment Hippo::Segments::TRN,
+                :name           => 'Claim Status Tracking Number',
+                :minimum        => 1,
+                :maximum        => 1,
+                :position       => 900,
+                :defaults => {
+                  'TRN01' => '2'
+                }
+
+      #Claim Level Status Information
+      segment Hippo::Segments::STC,
+                :name           => 'Claim Level Status Information',
+                :minimum        => 1,
+                :maximum        => nil,
+                :position       => 1000
+
+      #Payer Claim Control Number
+      segment Hippo::Segments::REF,
+                :name           => 'Payer Claim Control Number',
+                :minimum        => 0,
+                :maximum        => 1,
+                :position       => 1100,
+                :defaults => {
+                  'REF01' => '1K'
+                }
+
+      #Institutional Bill Type Identification
+      segment Hippo::Segments::REF,
+                :name           => 'Institutional Bill Type Identification',
+                :minimum        => 0,
+                :maximum        => 1,
+                :position       => 1120,
+                :defaults => {
+                  'REF01' => 'BLT'
+                }
+
+      #Patient Control Number
+      segment Hippo::Segments::REF,
+                :name           => 'Patient Control Number',
+                :minimum        => 0,
+                :maximum        => 1,
+                :position       => 1145,
+                :defaults => {
+                  'REF01' => 'EJ'
+                }
+
+      #Pharmacy Prescription Number
+      segment Hippo::Segments::REF,
+                :name           => 'Pharmacy Prescription Number',
+                :minimum        => 0,
+                :maximum        => 1,
+                :position       => 1150,
+                :defaults => {
+                  'REF01' => 'XZ'
+                }
+
+      #Voucher Identifier
+      segment Hippo::Segments::REF,
+                :name           => 'Voucher Identifier',
+                :minimum        => 0,
+                :maximum        => 1,
+                :position       => 1155,
+                :defaults => {
+                  'REF01' => 'VV'
+                }
+
+      #Claim Identification Number For Clearinghouses and Other Transmission Intermediaries
+      segment Hippo::Segments::REF,
+                :name           => 'Claim Identification Number For Clearinghouses and Other Transmission Intermediaries',
+                :minimum        => 0,
+                :maximum        => 1,
+                :position       => 1160,
+                :defaults => {
+                  'REF01' => 'D9'
+                }
+
+      #Claim Service Date
+      segment Hippo::Segments::DTP,
+                :name           => 'Claim Service Date',
+                :minimum        => 0,
+                :maximum        => 1,
+                :position       => 1200,
+                :defaults => {
+                  'DTP01' => '472'
+                }
+
+      #Service Line Information
+      loop    Hippo::TransactionSets::HIPAA_277::L2220E,
+                :name           => 'Service Line Information',
+                :minimum        => 0,
+                :maximum        => nil,
+                :position       => 1800
+
+    end
+  end
+end

data/lib/hippo/transaction_sets/HIPAA_277/L2220D.rb

@@ -0,0 +1,56 @@
+module Hippo::TransactionSets
+  module HIPAA_277
+
+    class L2220D < Hippo::TransactionSets::Base
+      loop_name 'L2220D'    #Service Line Information
+
+      #Service Line Information
+      segment Hippo::Segments::SVC,
+                :name           => 'Service Line Information',
+                :minimum        => 0,
+                :maximum        => 1,
+                :position       => 1800
+
+      #Service Line Level Status Information
+      segment Hippo::Segments::STC,
+                :name           => 'Service Line Level Status Information',
+                :minimum        => 1,
+                :maximum        => nil,
+                :position       => 1900,
+                :defaults => {
+                  'STC03' => 'U'
+                }
+
+      #Service Line Item Identification
+      segment Hippo::Segments::REF,
+                :name           => 'Service Line Item Identification',
+                :minimum        => 1,
+                :maximum        => 1,
+                :position       => 2000,
+                :defaults => {
+                  'REF01' => 'FJ'
+                }
+
+      #Pharmacy Prescription Number
+      segment Hippo::Segments::REF,
+                :name           => 'Pharmacy Prescription Number',
+                :minimum        => 0,
+                :maximum        => 1,
+                :position       => 2010,
+                :defaults => {
+                  'REF01' => 'XZ'
+                }
+
+      #Service Line Date
+      segment Hippo::Segments::DTP,
+                :name           => 'Service Line Date',
+                :minimum        => 0,
+                :maximum        => 1,
+                :position       => 2100,
+                :defaults => {
+                  'DTP01' => '472'
+                }
+
+    end
+  end
+end

data/lib/hippo/transaction_sets/HIPAA_277/L2220E.rb

@@ -0,0 +1,43 @@
+module Hippo::TransactionSets
+  module HIPAA_277
+
+    class L2220E < Hippo::TransactionSets::Base
+      loop_name 'L2220E'    #Service Line Information
+
+      #Service Line Information
+      segment Hippo::Segments::SVC,
+                :name           => 'Service Line Information',
+                :minimum        => 0,
+                :maximum        => 1,
+                :position       => 1800
+
+      #Service Line Status Information
+      segment Hippo::Segments::STC,
+                :name           => 'Service Line Status Information',
+                :minimum        => 1,
+                :maximum        => nil,
+                :position       => 1900
+
+      #Service Line Item Identification
+      segment Hippo::Segments::REF,
+                :name           => 'Service Line Item Identification',
+                :minimum        => 0,
+                :maximum        => 1,
+                :position       => 2000,
+                :defaults => {
+                  'REF01' => 'FJ'
+                }
+
+      #Service Line Date
+      segment Hippo::Segments::DTP,
+                :name           => 'Service Line Date',
+                :minimum        => 1,
+                :maximum        => 1,
+                :position       => 2100,
+                :defaults => {
+                  'DTP01' => '472'
+                }
+
+    end
+  end
+end

data/lib/hippo/transaction_sets/HIPAA_277/base.rb

@@ -0,0 +1,77 @@
+module Hippo::TransactionSets
+  module HIPAA_277
+
+    class Base < Hippo::TransactionSets::Base
+
+      #Transaction Set Header
+      segment Hippo::Segments::ST,
+                :name           => 'Transaction Set Header',
+                :minimum        => 1,
+                :maximum        => 1,
+                :position       => 100,
+                :defaults => {
+                  'ST01' => '277'
+                }
+
+      #Beginning of Hierarchical Transaction
+      segment Hippo::Segments::BHT,
+                :name           => 'Beginning of Hierarchical Transaction',
+                :minimum        => 1,
+                :maximum        => 1,
+                :position       => 200,
+                :defaults => {
+                  'BHT01' => '0085',
+                  'BHT02' => '08',
+                  'BHT06' => 'TH'
+                }
+
+      #Information Source Level
+      loop    Hippo::TransactionSets::HIPAA_277::L2000A,
+                :name           => 'Information Source Level',
+                :identified_by  => {
+                  'HL.HL03' => '20'
+                },
+                :minimum        => 1,
+                :maximum        => 1,
+                :position       => 100
+
+      #Information Receiver Level
+      loop    Hippo::TransactionSets::HIPAA_277::L2000B,
+                :name           => 'Information Receiver Level',
+                :identified_by  => {
+                  'HL.HL03' => '21'
+                },
+                :minimum        => 1,
+                :maximum        => 1,
+                :position       => 100
+
+      #Billing Provider of Service Level
+      loop    Hippo::TransactionSets::HIPAA_277::L2000C,
+                :name           => 'Billing Provider of Service Level',
+                :identified_by  => {
+                  'HL.HL03' => '19'
+                },
+                :minimum        => 0,
+                :maximum        => nil,
+                :position       => 100
+
+      #Patient Level
+      loop    Hippo::TransactionSets::HIPAA_277::L2000D,
+                :name           => 'Patient Level',
+                :identified_by  => {
+                  'HL.HL03' => 'PT'
+                },
+                :minimum        => 0,
+                :maximum        => nil,
+                :position       => 100
+
+      #Transaction Set Trailer
+      segment Hippo::Segments::SE,
+                :name           => 'Transaction Set Trailer',
+                :minimum        => 1,
+                :maximum        => 1,
+                :position       => 2700
+
+    end
+  end
+end

data/lib/hippo/transaction_sets/HIPAA_277.rb

@@ -0,0 +1,24 @@
+module Hippo::TransactionSets
+  module HIPAA_277
+
+    autoload :Base,      'hippo/transaction_sets/HIPAA_277/base'
+    autoload :L2000A,    'hippo/transaction_sets/HIPAA_277/L2000A'
+    autoload :L2000B,    'hippo/transaction_sets/HIPAA_277/L2000B'
+    autoload :L2000C,    'hippo/transaction_sets/HIPAA_277/L2000C'
+    autoload :L2000D,    'hippo/transaction_sets/HIPAA_277/L2000D'
+    autoload :L2000E,    'hippo/transaction_sets/HIPAA_277/L2000E'
+    autoload :L2100A,    'hippo/transaction_sets/HIPAA_277/L2100A'
+    autoload :L2100B,    'hippo/transaction_sets/HIPAA_277/L2100B'
+    autoload :L2100C,    'hippo/transaction_sets/HIPAA_277/L2100C'
+    autoload :L2100D,    'hippo/transaction_sets/HIPAA_277/L2100D'
+    autoload :L2100E,    'hippo/transaction_sets/HIPAA_277/L2100E'
+    autoload :L2200A,    'hippo/transaction_sets/HIPAA_277/L2200A'
+    autoload :L2200B,    'hippo/transaction_sets/HIPAA_277/L2200B'
+    autoload :L2200C,    'hippo/transaction_sets/HIPAA_277/L2200C'
+    autoload :L2200D,    'hippo/transaction_sets/HIPAA_277/L2200D'
+    autoload :L2200E,    'hippo/transaction_sets/HIPAA_277/L2200E'
+    autoload :L2220D,    'hippo/transaction_sets/HIPAA_277/L2220D'
+    autoload :L2220E,    'hippo/transaction_sets/HIPAA_277/L2220E'
+
+  end
+end