hippo_eyeDoc 0.0.1

data/lib/hippo_eyeDoc/transaction_sets/HIPAA_270/L2110D.rb

@@ -0,0 +1,47 @@
+module Hippo_eyeDoc::TransactionSets
+  module HIPAA_270
+
+    class L2110D < Hippo_eyeDoc::TransactionSets::Base
+      loop_name 'L2110D'    #Dependent Eligibility or Benefit Inquiry
+
+      #Dependent Eligibility or Benefit Inquiry
+      segment Hippo_eyeDoc::Segments::EQ,
+                :name           => 'Dependent Eligibility or Benefit Inquiry',
+                :minimum        => 1,
+                :maximum        => 1,
+                :position       => 1300
+
+      #Dependent Eligibility or Benefit Additional Inquiry Information
+      segment Hippo_eyeDoc::Segments::III,
+                :name           => 'Dependent Eligibility or Benefit Additional Inquiry Information',
+                :minimum        => 0,
+                :maximum        => 1,
+                :position       => 1390,
+                :identified_by => {
+                  'III01' => 'ZZ'
+                }
+
+      #Dependent Additional Information
+      segment Hippo_eyeDoc::Segments::REF,
+                :name           => 'Dependent Additional Information',
+                :minimum        => 0,
+                :maximum        => 1,
+                :position       => 1400,
+                :identified_by => {
+                  'REF01' => ["9F", "G1"]
+                }
+
+      #Dependent Eligibility/Benefit Date
+      segment Hippo_eyeDoc::Segments::DTP,
+                :name           => 'Dependent Eligibility/Benefit Date',
+                :minimum        => 0,
+                :maximum        => 1,
+                :position       => 1500,
+                :identified_by => {
+                  'DTP01' => '291',
+                  'DTP02' => ["D8", "RD8"]
+                }
+
+    end
+  end
+end

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

@@ -0,0 +1,47 @@
+module Hippo_eyeDoc::TransactionSets
+  module HIPAA_270
+
+    class Base < Hippo_eyeDoc::TransactionSets::Base
+
+      #Transaction Set Header
+      segment Hippo_eyeDoc::Segments::ST,
+                :name           => 'Transaction Set Header',
+                :minimum        => 1,
+                :maximum        => 1,
+                :position       => 100,
+                :identified_by => {
+                  'ST01' => '270'
+                }
+
+      #Beginning of Hierarchical Transaction
+      segment Hippo_eyeDoc::Segments::BHT,
+                :name           => 'Beginning of Hierarchical Transaction',
+                :minimum        => 1,
+                :maximum        => 1,
+                :position       => 200,
+                :identified_by => {
+                  'BHT01' => '0022',
+                  'BHT02' => ["01", "13"]
+                }
+
+      #Information Source Level
+      loop    Hippo_eyeDoc::TransactionSets::HIPAA_270::L2000A,
+                :name           => 'Information Source Level',
+                :minimum        => 1,
+                :maximum        => 99999,
+                :position       => 100,
+                :identified_by => {
+                  'HL.HL03' => '20',
+                  'HL.HL04' => '1'
+                }
+
+      #Transaction Set Trailer
+      segment Hippo_eyeDoc::Segments::SE,
+                :name           => 'Transaction Set Trailer',
+                :minimum        => 1,
+                :maximum        => 1,
+                :position       => 1600
+
+    end
+  end
+end

data/lib/hippo_eyeDoc/transaction_sets/HIPAA_271.rb

@@ -0,0 +1,19 @@
+module Hippo_eyeDoc::TransactionSets
+  module HIPAA_271
+    autoload_relative :Base,      'HIPAA_271/base'
+    autoload_relative :L2000A,    'HIPAA_271/L2000A'
+    autoload_relative :L2000B,    'HIPAA_271/L2000B'
+    autoload_relative :L2000C,    'HIPAA_271/L2000C'
+    autoload_relative :L2000D,    'HIPAA_271/L2000D'
+    autoload_relative :L2100A,    'HIPAA_271/L2100A'
+    autoload_relative :L2100B,    'HIPAA_271/L2100B'
+    autoload_relative :L2100C,    'HIPAA_271/L2100C'
+    autoload_relative :L2100D,    'HIPAA_271/L2100D'
+    autoload_relative :L2110C,    'HIPAA_271/L2110C'
+    autoload_relative :L2110D,    'HIPAA_271/L2110D'
+    autoload_relative :L2115C,    'HIPAA_271/L2115C'
+    autoload_relative :L2115D,    'HIPAA_271/L2115D'
+    autoload_relative :L2120C,    'HIPAA_271/L2120C'
+    autoload_relative :L2120D,    'HIPAA_271/L2120D'
+  end
+end

data/lib/hippo_eyeDoc/transaction_sets/HIPAA_271/L2000A.rb

@@ -0,0 +1,55 @@
+module Hippo_eyeDoc::TransactionSets
+  module HIPAA_271
+
+    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' => ["0", "1"]
+                }
+
+      #Request Validation
+      segment Hippo_eyeDoc::Segments::AAA,
+                :name           => 'Request Validation',
+                :minimum        => 0,
+                :maximum        => 9,
+                :position       => 250,
+                :identified_by => {
+                  'AAA01' => ["N", "Y"],
+                  'AAA03' => ["04", "41", "42", "79"],
+                  'AAA04' => ["C", "N", "P", "R", "S", "Y"]
+                }
+
+      #Information Source Name
+      loop    Hippo_eyeDoc::TransactionSets::HIPAA_271::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_271::L2000B,
+                :name           => 'Information Receiver Level',
+                :minimum        => 0,
+                :maximum        => 99999,
+                :position       => 100,
+                :identified_by => {
+                  'HL.HL03' => '21',
+                  'HL.HL04' => ["0", "1"]
+                }
+
+    end
+  end
+end

data/lib/hippo_eyeDoc/transaction_sets/HIPAA_271/L2000B.rb

@@ -0,0 +1,43 @@
+module Hippo_eyeDoc::TransactionSets
+  module HIPAA_271
+
+    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        => 0,
+                :maximum        => 1,
+                :position       => 100,
+                :identified_by => {
+                  'HL03' => '21',
+                  'HL04' => ["0", "1"]
+                }
+
+      #Information Receiver Name
+      loop    Hippo_eyeDoc::TransactionSets::HIPAA_271::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_271::L2000C,
+                :name           => 'Subscriber Level',
+                :minimum        => 0,
+                :maximum        => 99999,
+                :position       => 100,
+                :identified_by => {
+                  'HL.HL03' => '22',
+                  'HL.HL04' => ["0", "1"]
+                }
+
+    end
+  end
+end

data/lib/hippo_eyeDoc/transaction_sets/HIPAA_271/L2000C.rb

@@ -0,0 +1,52 @@
+module Hippo_eyeDoc::TransactionSets
+  module HIPAA_271
+
+    class L2000C < Hippo_eyeDoc::TransactionSets::Base
+      loop_name 'L2000C'    #Subscriber Level
+
+      #Subscriber Level
+      segment Hippo_eyeDoc::Segments::HL,
+                :name           => 'Subscriber Level',
+                :minimum        => 0,
+                :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        => 3,
+                :position       => 200,
+                :identified_by => {
+                  'TRN01' => ["1", "2"]
+                }
+
+      #Subscriber Name
+      loop    Hippo_eyeDoc::TransactionSets::HIPAA_271::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_271::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_271/L2000D.rb

@@ -0,0 +1,41 @@
+module Hippo_eyeDoc::TransactionSets
+  module HIPAA_271
+
+    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        => 3,
+                :position       => 200,
+                :identified_by => {
+                  'TRN01' => ["1", "2"]
+                }
+
+      #Dependent Name
+      loop    Hippo_eyeDoc::TransactionSets::HIPAA_271::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_271/L2100A.rb

@@ -0,0 +1,43 @@
+module Hippo_eyeDoc::TransactionSets
+  module HIPAA_271
+
+    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"]
+                }
+
+      #Information Source Contact Information
+      segment Hippo_eyeDoc::Segments::PER,
+                :name           => 'Information Source Contact Information',
+                :minimum        => 0,
+                :maximum        => 3,
+                :position       => 800,
+                :identified_by => {
+                  'PER01' => 'IC'
+                }
+
+      #Request Validation
+      segment Hippo_eyeDoc::Segments::AAA,
+                :name           => 'Request Validation',
+                :minimum        => 0,
+                :maximum        => 9,
+                :position       => 850,
+                :identified_by => {
+                  'AAA01' => ["N", "Y"],
+                  'AAA03' => ["04", "41", "42", "79", "80", "T4"],
+                  'AAA04' => ["C", "N", "P", "R", "S", "W", "X", "Y"]
+                }
+
+    end
+  end
+end

data/lib/hippo_eyeDoc/transaction_sets/HIPAA_271/L2100B.rb

@@ -0,0 +1,67 @@
+module Hippo_eyeDoc::TransactionSets
+  module HIPAA_271
+
+    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 Request Validation
+      segment Hippo_eyeDoc::Segments::AAA,
+                :name           => 'Information Receiver Request Validation',
+                :minimum        => 0,
+                :maximum        => 9,
+                :position       => 850,
+                :identified_by => {
+                  'AAA01' => ["N", "Y"],
+                  'AAA03' => ["15", "41", "43", "44", "45", "46", "47", "48", "50", "51", "79", "97", "T4"],
+                  'AAA04' => ["C", "N", "R", "S", "W", "X", "Y"]
+                }
+
+      #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_271/L2100C.rb

@@ -0,0 +1,124 @@
+module Hippo_eyeDoc::TransactionSets
+  module HIPAA_271
+
+    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", "49", "6P", "CE", "CT", "EA", "EJ", "F6", "GH", "HJ", "IF", "IG", "N6", "NQ", "Q4", "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
+
+      #Subscriber Request Validation
+      segment Hippo_eyeDoc::Segments::AAA,
+                :name           => 'Subscriber Request Validation',
+                :minimum        => 0,
+                :maximum        => 9,
+                :position       => 850,
+                :identified_by => {
+                  'AAA01' => ["N", "Y"],
+                  'AAA03' => ["15", "35", "42", "43", "45", "47", "48", "49", "51", "52", "56", "57", "58", "60", "61", "62", "63", "71", "72", "73", "74", "75", "76", "78"],
+                  'AAA04' => ["C", "N", "R", "S", "W", "X", "Y"]
+                }
+
+      #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
+
+      #Subscriber Relationship
+      segment Hippo_eyeDoc::Segments::INS,
+                :name           => 'Subscriber Relationship',
+                :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        => 9,
+                :position       => 1200,
+                :identified_by => {
+                  'DTP01' => ["096", "102", "152", "291", "307", "318", "340", "341", "342", "343", "346", "347", "356", "357", "382", "435", "442", "458", "472", "539", "540", "636", "771"],
+                  'DTP02' => ["D8", "RD8"]
+                }
+
+      #Subscriber Military Personnel Information
+      segment Hippo_eyeDoc::Segments::MPI,
+                :name           => 'Subscriber Military Personnel Information',
+                :minimum        => 0,
+                :maximum        => 1,
+                :position       => 1275,
+                :identified_by => {
+                  'MPI01' => ["A", "C", "L", "O", "P", "S", "T"],
+                  'MPI02' => ["AE", "AO", "AS", "AT", "AU", "CC", "DD", "HD", "IR", "LX", "PE", "RE", "RM", "RR", "RU"],
+                  'MPI03' => ["A", "B", "C", "D", "E", "F", "G", "H", "I", "J", "K", "L", "M", "N", "O", "Q", "R", "S", "U", "W"]
+                }
+
+      #Subscriber Eligibility or Benefit Information
+      loop    Hippo_eyeDoc::TransactionSets::HIPAA_271::L2110C,
+                :name           => 'Subscriber Eligibility or Benefit Information',
+                :minimum        => 0,
+                :maximum        => 99999,
+                :position       => 1300,
+                :identified_by => {
+                  'EB.EB01' => ["1", "2", "3", "4", "5", "6", "7", "8", "A", "B", "C", "CB", "D", "E", "F", "G", "H", "I", "J", "K", "L", "M", "MC", "N", "O", "P", "Q", "R", "S", "T", "U", "V", "W", "X", "Y"]
+                }
+
+    end
+  end
+end