hippo_eyeDoc 0.0.1

data/lib/hippo_eyeDoc/transaction_sets.rb

@@ -0,0 +1,16 @@
+require_relative 'transaction_sets/base'
+require_relative 'transaction_sets/component'
+require_relative 'transaction_sets/repeating_component'
+
+module Hippo_eyeDoc
+  module TransactionSets
+    autoload_relative :HIPAA_270, 'transaction_sets/HIPAA_270'
+    autoload_relative :HIPAA_271, 'transaction_sets/HIPAA_271'
+    autoload_relative :HIPAA_276, 'transaction_sets/HIPAA_276'
+    autoload_relative :HIPAA_277, 'transaction_sets/HIPAA_277'
+    autoload_relative :HIPAA_835, 'transaction_sets/HIPAA_835'
+    autoload_relative :HIPAA_837, 'transaction_sets/HIPAA_837'
+    autoload_relative :HIPAA_997, 'transaction_sets/HIPAA_997'
+    autoload_relative :HIPAA_999, 'transaction_sets/HIPAA_999'
+  end
+end

data/lib/hippo_eyeDoc/transaction_sets/HIPAA_270.rb

@@ -0,0 +1,15 @@
+module Hippo_eyeDoc::TransactionSets
+  module HIPAA_270
+    autoload_relative :Base,      'HIPAA_270/base'
+    autoload_relative :L2000A,    'HIPAA_270/L2000A'
+    autoload_relative :L2000B,    'HIPAA_270/L2000B'
+    autoload_relative :L2000C,    'HIPAA_270/L2000C'
+    autoload_relative :L2000D,    'HIPAA_270/L2000D'
+    autoload_relative :L2100A,    'HIPAA_270/L2100A'
+    autoload_relative :L2100B,    'HIPAA_270/L2100B'
+    autoload_relative :L2100C,    'HIPAA_270/L2100C'
+    autoload_relative :L2100D,    'HIPAA_270/L2100D'
+    autoload_relative :L2110C,    'HIPAA_270/L2110C'
+    autoload_relative :L2110D,    'HIPAA_270/L2110D'
+  end
+end

data/lib/hippo_eyeDoc/transaction_sets/HIPAA_270/L2000A.rb

@@ -0,0 +1,43 @@
+module Hippo_eyeDoc::TransactionSets
+  module HIPAA_270
+
+    class L2000A < Hippo_eyeDoc::TransactionSets::Base
+      loop_name 'L2000A'    #Information Source Level
+
+      #Information Source Level
+      segment Hippo_eyeDoc::Segments::HL,
+                :name           => 'Information Source Level',
+                :minimum        => 1,
+                :maximum        => 1,
+                :position       => 100,
+                :identified_by => {
+                  'HL03' => '20',
+                  'HL04' => '1'
+                }
+
+      #Information Source Name
+      loop    Hippo_eyeDoc::TransactionSets::HIPAA_270::L2100A,
+                :name           => 'Information Source Name',
+                :minimum        => 1,
+                :maximum        => 1,
+                :position       => 300,
+                :identified_by => {
+                  'NM1.NM101' => ["2B", "36", "GP", "P5", "PR"],
+                  'NM1.NM102' => ["1", "2"],
+                  'NM1.NM108' => ["24", "46", "FI", "NI", "PI", "XV", "XX"]
+                }
+
+      #Information Receiver Level
+      loop    Hippo_eyeDoc::TransactionSets::HIPAA_270::L2000B,
+                :name           => 'Information Receiver Level',
+                :minimum        => 1,
+                :maximum        => 99999,
+                :position       => 100,
+                :identified_by => {
+                  'HL.HL03' => '21',
+                  'HL.HL04' => '1'
+                }
+
+    end
+  end
+end

data/lib/hippo_eyeDoc/transaction_sets/HIPAA_270/L2000B.rb

@@ -0,0 +1,42 @@
+module Hippo_eyeDoc::TransactionSets
+  module HIPAA_270
+
+    class L2000B < Hippo_eyeDoc::TransactionSets::Base
+      loop_name 'L2000B'    #Information Receiver Level
+
+      #Information Receiver Level
+      segment Hippo_eyeDoc::Segments::HL,
+                :name           => 'Information Receiver Level',
+                :minimum        => 1,
+                :maximum        => 1,
+                :position       => 100,
+                :identified_by => {
+                  'HL03' => '21',
+                  'HL04' => '1'
+                }
+
+      #Information Receiver Name
+      loop    Hippo_eyeDoc::TransactionSets::HIPAA_270::L2100B,
+                :name           => 'Information Receiver Name',
+                :minimum        => 1,
+                :maximum        => 1,
+                :position       => 300,
+                :identified_by => {
+                  'NM1.NM101' => ["1P", "2B", "36", "80", "FA", "GP", "P5", "PR"],
+                  'NM1.NM102' => ["1", "2"],
+                  'NM1.NM108' => ["24", "34", "FI", "PI", "PP", "SV", "XV", "XX"]
+                }
+
+      #Subscriber Level
+      loop    Hippo_eyeDoc::TransactionSets::HIPAA_270::L2000C,
+                :name           => 'Subscriber Level',
+                :minimum        => 1,
+                :maximum        => 99999,
+                :position       => 100,
+                :identified_by => {
+                  'HL.HL03' => '22',
+                  'HL.HL04' => ["0", "1"]
+                }
+    end
+  end
+end

data/lib/hippo_eyeDoc/transaction_sets/HIPAA_270/L2000C.rb

@@ -0,0 +1,52 @@
+module Hippo_eyeDoc::TransactionSets
+  module HIPAA_270
+
+    class L2000C < Hippo_eyeDoc::TransactionSets::Base
+      loop_name 'L2000C'    #Subscriber Level
+
+      #Subscriber Level
+      segment Hippo_eyeDoc::Segments::HL,
+                :name           => 'Subscriber Level',
+                :minimum        => 1,
+                :maximum        => 1,
+                :position       => 100,
+                :identified_by => {
+                  'HL03' => '22',
+                  'HL04' => ["0", "1"]
+                }
+
+      #Subscriber Trace Number
+      segment Hippo_eyeDoc::Segments::TRN,
+                :name           => 'Subscriber Trace Number',
+                :minimum        => 0,
+                :maximum        => 2,
+                :position       => 200,
+                :identified_by => {
+                  'TRN01' => '1'
+                }
+
+      #Subscriber Name
+      loop    Hippo_eyeDoc::TransactionSets::HIPAA_270::L2100C,
+                :name           => 'Subscriber Name',
+                :minimum        => 1,
+                :maximum        => 1,
+                :position       => 300,
+                :identified_by => {
+                  'NM1.NM101' => 'IL',
+                  'NM1.NM102' => ["1", "2"]
+                }
+
+      #Dependent Level
+      loop    Hippo_eyeDoc::TransactionSets::HIPAA_270::L2000D,
+                :name           => 'Dependent Level',
+                :minimum        => 0,
+                :maximum        => 99999,
+                :position       => 100,
+                :identified_by => {
+                  'HL.HL03' => '23',
+                  'HL.HL04' => '0'
+                }
+
+    end
+  end
+end

data/lib/hippo_eyeDoc/transaction_sets/HIPAA_270/L2000D.rb

@@ -0,0 +1,41 @@
+module Hippo_eyeDoc::TransactionSets
+  module HIPAA_270
+
+    class L2000D < Hippo_eyeDoc::TransactionSets::Base
+      loop_name 'L2000D'    #Dependent Level
+
+      #Dependent Level
+      segment Hippo_eyeDoc::Segments::HL,
+                :name           => 'Dependent Level',
+                :minimum        => 0,
+                :maximum        => 1,
+                :position       => 100,
+                :identified_by => {
+                  'HL03' => '23',
+                  'HL04' => '0'
+                }
+
+      #Dependent Trace Number
+      segment Hippo_eyeDoc::Segments::TRN,
+                :name           => 'Dependent Trace Number',
+                :minimum        => 0,
+                :maximum        => 2,
+                :position       => 200,
+                :identified_by => {
+                  'TRN01' => '1'
+                }
+
+      #Dependent Name
+      loop    Hippo_eyeDoc::TransactionSets::HIPAA_270::L2100D,
+                :name           => 'Dependent Name',
+                :minimum        => 1,
+                :maximum        => 1,
+                :position       => 300,
+                :identified_by => {
+                  'NM1.NM101' => '03',
+                  'NM1.NM102' => '1'
+                }
+
+    end
+  end
+end

data/lib/hippo_eyeDoc/transaction_sets/HIPAA_270/L2100A.rb

@@ -0,0 +1,21 @@
+module Hippo_eyeDoc::TransactionSets
+  module HIPAA_270
+
+    class L2100A < Hippo_eyeDoc::TransactionSets::Base
+      loop_name 'L2100A'    #Information Source Name
+
+      #Information Source Name
+      segment Hippo_eyeDoc::Segments::NM1,
+                :name           => 'Information Source Name',
+                :minimum        => 1,
+                :maximum        => 1,
+                :position       => 300,
+                :identified_by => {
+                  'NM101' => ["2B", "36", "GP", "P5", "PR"],
+                  'NM102' => ["1", "2"],
+                  'NM108' => ["24", "46", "FI", "NI", "PI", "XV", "XX"]
+                }
+
+    end
+  end
+end

data/lib/hippo_eyeDoc/transaction_sets/HIPAA_270/L2100B.rb

@@ -0,0 +1,55 @@
+module Hippo_eyeDoc::TransactionSets
+  module HIPAA_270
+
+    class L2100B < Hippo_eyeDoc::TransactionSets::Base
+      loop_name 'L2100B'    #Information Receiver Name
+
+      #Information Receiver Name
+      segment Hippo_eyeDoc::Segments::NM1,
+                :name           => 'Information Receiver Name',
+                :minimum        => 1,
+                :maximum        => 1,
+                :position       => 300,
+                :identified_by => {
+                  'NM101' => ["1P", "2B", "36", "80", "FA", "GP", "P5", "PR"],
+                  'NM102' => ["1", "2"],
+                  'NM108' => ["24", "34", "FI", "PI", "PP", "SV", "XV", "XX"]
+                }
+
+      #Information Receiver Additional Identification
+      segment Hippo_eyeDoc::Segments::REF,
+                :name           => 'Information Receiver Additional Identification',
+                :minimum        => 0,
+                :maximum        => 9,
+                :position       => 400,
+                :identified_by => {
+                  'REF01' => ["0B", "1C", "1D", "1J", "4A", "CT", "EL", "EO", "HPI", "JD", "N5", "N7", "Q4", "SY", "TJ"]
+                }
+
+      #Information Receiver Address
+      segment Hippo_eyeDoc::Segments::N3,
+                :name           => 'Information Receiver Address',
+                :minimum        => 0,
+                :maximum        => 1,
+                :position       => 600
+
+      #Information Receiver City, State, ZIP Code
+      segment Hippo_eyeDoc::Segments::N4,
+                :name           => 'Information Receiver City, State, ZIP Code',
+                :minimum        => 0,
+                :maximum        => 1,
+                :position       => 700
+
+      #Information Receiver Provider Information
+      segment Hippo_eyeDoc::Segments::PRV,
+                :name           => 'Information Receiver Provider Information',
+                :minimum        => 0,
+                :maximum        => 1,
+                :position       => 900,
+                :identified_by => {
+                  'PRV01' => ["AD", "AT", "BI", "CO", "CV", "H", "HH", "LA", "OT", "P1", "P2", "PC", "PE", "R", "RF", "SB", "SK", "SU"]
+                }
+
+    end
+  end
+end

data/lib/hippo_eyeDoc/transaction_sets/HIPAA_270/L2100C.rb

@@ -0,0 +1,97 @@
+module Hippo_eyeDoc::TransactionSets
+  module HIPAA_270
+
+    class L2100C < Hippo_eyeDoc::TransactionSets::Base
+      loop_name 'L2100C'    #Subscriber Name
+
+      #Subscriber Name
+      segment Hippo_eyeDoc::Segments::NM1,
+                :name           => 'Subscriber Name',
+                :minimum        => 1,
+                :maximum        => 1,
+                :position       => 300,
+                :identified_by => {
+                  'NM101' => 'IL',
+                  'NM102' => ["1", "2"]
+                }
+
+      #Subscriber Additional Identification
+      segment Hippo_eyeDoc::Segments::REF,
+                :name           => 'Subscriber Additional Identification',
+                :minimum        => 0,
+                :maximum        => 9,
+                :position       => 400,
+                :identified_by => {
+                  'REF01' => ["18", "1L", "1W", "3H", "6P", "CT", "EA", "EJ", "F6", "GH", "HJ", "IG", "N6", "NQ", "SY", "Y4"]
+                }
+
+      #Subscriber Address
+      segment Hippo_eyeDoc::Segments::N3,
+                :name           => 'Subscriber Address',
+                :minimum        => 0,
+                :maximum        => 1,
+                :position       => 600
+
+      #Subscriber City, State, ZIP Code
+      segment Hippo_eyeDoc::Segments::N4,
+                :name           => 'Subscriber City, State, ZIP Code',
+                :minimum        => 0,
+                :maximum        => 1,
+                :position       => 700
+
+      #Provider Information
+      segment Hippo_eyeDoc::Segments::PRV,
+                :name           => 'Provider Information',
+                :minimum        => 0,
+                :maximum        => 1,
+                :position       => 900,
+                :identified_by => {
+                  'PRV01' => ["AD", "AT", "BI", "CO", "CV", "H", "HH", "LA", "OT", "P1", "P2", "PC", "PE", "R", "RF", "SK", "SU"]
+                }
+
+      #Subscriber Demographic Information
+      segment Hippo_eyeDoc::Segments::DMG,
+                :name           => 'Subscriber Demographic Information',
+                :minimum        => 0,
+                :maximum        => 1,
+                :position       => 1000
+
+      #Multiple Birth Sequence Number
+      segment Hippo_eyeDoc::Segments::INS,
+                :name           => 'Multiple Birth Sequence Number',
+                :minimum        => 0,
+                :maximum        => 1,
+                :position       => 1100,
+                :identified_by => {
+                  'INS01' => 'Y',
+                  'INS02' => '18'
+                }
+
+      #Subscriber Health Care Diagnosis Code
+      segment Hippo_eyeDoc::Segments::HI,
+                :name           => 'Subscriber Health Care Diagnosis Code',
+                :minimum        => 0,
+                :maximum        => 1,
+                :position       => 1150
+
+      #Subscriber Date
+      segment Hippo_eyeDoc::Segments::DTP,
+                :name           => 'Subscriber Date',
+                :minimum        => 0,
+                :maximum        => 2,
+                :position       => 1200,
+                :identified_by => {
+                  'DTP01' => ["102", "291"],
+                  'DTP02' => ["D8", "RD8"]
+                }
+
+      #Subscriber Eligibility or Benefit Inquiry
+      loop    Hippo_eyeDoc::TransactionSets::HIPAA_270::L2110C,
+                :name           => 'Subscriber Eligibility or Benefit Inquiry',
+                :minimum        => 0,
+                :maximum        => 99,
+                :position       => 1300
+
+    end
+  end
+end

data/lib/hippo_eyeDoc/transaction_sets/HIPAA_270/L2110C.rb

@@ -0,0 +1,67 @@
+module Hippo_eyeDoc::TransactionSets
+  module HIPAA_270
+
+    class L2110C < Hippo_eyeDoc::TransactionSets::Base
+      loop_name 'L2110C'    #Subscriber Eligibility or Benefit Inquiry
+
+      #Subscriber Eligibility or Benefit Inquiry
+      segment Hippo_eyeDoc::Segments::EQ,
+                :name           => 'Subscriber Eligibility or Benefit Inquiry',
+                :minimum        => 0,
+                :maximum        => 1,
+                :position       => 1300
+
+      #Subscriber Spend Down Amount
+      segment Hippo_eyeDoc::Segments::AMT,
+                :name           => 'Subscriber Spend Down Amount',
+                :minimum        => 0,
+                :maximum        => 1,
+                :position       => 1350,
+                :identified_by => {
+                  'AMT01' => 'R'
+                }
+
+      #Subscriber Spend Down Total Billed Amount
+      segment Hippo_eyeDoc::Segments::AMT,
+                :name           => 'Subscriber Spend Down Total Billed Amount',
+                :minimum        => 0,
+                :maximum        => 1,
+                :position       => 1355,
+                :identified_by => {
+                  'AMT01' => 'PB'
+                }
+
+      #Subscriber Eligibility or Benefit Additional Inquiry Information
+      segment Hippo_eyeDoc::Segments::III,
+                :name           => 'Subscriber Eligibility or Benefit Additional Inquiry Information',
+                :minimum        => 0,
+                :maximum        => 1,
+                :position       => 1390,
+                :identified_by => {
+                  'III01' => 'ZZ'
+                }
+
+      #Subscriber Additional Information
+      segment Hippo_eyeDoc::Segments::REF,
+                :name           => 'Subscriber Additional Information',
+                :minimum        => 0,
+                :maximum        => 1,
+                :position       => 1400,
+                :identified_by => {
+                  'REF01' => ["9F", "G1"]
+                }
+
+      #Subscriber Eligibility/Benefit Date
+      segment Hippo_eyeDoc::Segments::DTP,
+                :name           => 'Subscriber Eligibility/Benefit Date',
+                :minimum        => 0,
+                :maximum        => 1,
+                :position       => 1500,
+                :identified_by => {
+                  'DTP01' => '291',
+                  'DTP02' => ["D8", "RD8"]
+                }
+
+    end
+  end
+end