hippo_eyeDoc 0.0.1

data/lib/hippo_eyeDoc/transaction_sets/HIPAA_835/L2100.rb

@@ -0,0 +1,213 @@
+module Hippo_eyeDoc::TransactionSets
+  module HIPAA_835
+
+    class L2100 < Hippo_eyeDoc::TransactionSets::Base
+      loop_name 'L2100'    #Claim Payment Information
+
+      #Claim Payment Information
+      segment Hippo_eyeDoc::Segments::CLP,
+                :name           => 'Claim Payment Information',
+                :minimum        => 1,
+                :maximum        => 1,
+                :position       => 100,
+                :identified_by => {
+                  'CLP02' => ["1", "2", "3", "4", "19", "20", "21", "22", "23", "25"],
+                  'CLP06' => ["12", "13", "14", "15", "16", "17", "AM", "CH", "DS", "HM", "LM", "MA", "MB", "MC", "OF", "TV", "VA", "WC", "ZZ"]
+                }
+
+      #Claim Adjustment
+      segment Hippo_eyeDoc::Segments::CAS,
+                :name           => 'Claim Adjustment',
+                :minimum        => 0,
+                :maximum        => 99,
+                :position       => 200,
+                :identified_by => {
+                  'CAS01' => ["CO", "OA", "PI", "PR"]
+                }
+
+      #Patient Name
+      segment Hippo_eyeDoc::Segments::NM1,
+                :name           => 'Patient Name',
+                :minimum        => 1,
+                :maximum        => 1,
+                :position       => 290,
+                :identified_by => {
+                  'NM101' => 'QC',
+                  'NM102' => '1'
+                }
+
+      #Insured Name
+      segment Hippo_eyeDoc::Segments::NM1,
+                :name           => 'Insured Name',
+                :minimum        => 0,
+                :maximum        => 1,
+                :position       => 300,
+                :identified_by => {
+                  'NM101' => 'IL',
+                  'NM102' => ["1", "2"],
+                  'NM108' => ["FI", "II", "MI"]
+                }
+
+      #Corrected Patient/Insured Name
+      segment Hippo_eyeDoc::Segments::NM1,
+                :name           => 'Corrected Patient/Insured Name',
+                :minimum        => 0,
+                :maximum        => 1,
+                :position       => 310,
+                :identified_by => {
+                  'NM101' => '74',
+                  'NM102' => ["1", "2"]
+                }
+
+      #Service Provider Name
+      segment Hippo_eyeDoc::Segments::NM1,
+                :name           => 'Service Provider Name',
+                :minimum        => 0,
+                :maximum        => 1,
+                :position       => 320,
+                :identified_by => {
+                  'NM101' => '82',
+                  'NM102' => ["1", "2"],
+                  'NM108' => ["BD", "BS", "FI", "MC", "PC", "SL", "UP", "XX"]
+                }
+
+      #Crossover Carrier Name
+      segment Hippo_eyeDoc::Segments::NM1,
+                :name           => 'Crossover Carrier Name',
+                :minimum        => 0,
+                :maximum        => 1,
+                :position       => 330,
+                :identified_by => {
+                  'NM101' => 'TT',
+                  'NM102' => '2',
+                  'NM108' => ["AD", "FI", "NI", "PI", "PP", "XV"]
+                }
+
+      #Corrected Priority Payer Name
+      segment Hippo_eyeDoc::Segments::NM1,
+                :name           => 'Corrected Priority Payer Name',
+                :minimum        => 0,
+                :maximum        => 1,
+                :position       => 340,
+                :identified_by => {
+                  'NM101' => 'PR',
+                  'NM102' => '2',
+                  'NM108' => ["AD", "FI", "NI", "PI", "PP", "XV"]
+                }
+
+      #Other Subscriber Name
+      segment Hippo_eyeDoc::Segments::NM1,
+                :name           => 'Other Subscriber Name',
+                :minimum        => 0,
+                :maximum        => 1,
+                :position       => 350,
+                :identified_by => {
+                  'NM101' => 'GB',
+                  'NM102' => ["1", "2"]
+                }
+
+      #Inpatient Adjudication Information
+      segment Hippo_eyeDoc::Segments::MIA,
+                :name           => 'Inpatient Adjudication Information',
+                :minimum        => 0,
+                :maximum        => 1,
+                :position       => 370
+
+      #Outpatient Adjudication Information
+      segment Hippo_eyeDoc::Segments::MOA,
+                :name           => 'Outpatient Adjudication Information',
+                :minimum        => 0,
+                :maximum        => 1,
+                :position       => 380
+
+      #Other Claim Related Identification
+      segment Hippo_eyeDoc::Segments::REF,
+                :name           => 'Other Claim Related Identification',
+                :minimum        => 0,
+                :maximum        => 5,
+                :position       => 400,
+                :identified_by => {
+                  'REF01' => ["1L", "1W", "28", "6P", "9A", "9C", "BB", "CE", "EA", "F8", "G1", "G3", "IG", "SY"]
+                }
+
+      #Rendering Provider Identification
+      segment Hippo_eyeDoc::Segments::REF,
+                :name           => 'Rendering Provider Identification',
+                :minimum        => 0,
+                :maximum        => 10,
+                :position       => 450,
+                :identified_by => {
+                  'REF01' => ["0B", "1A", "1B", "1C", "1D", "1G", "1H", "1J", "D3", "G2", "LU"]
+                }
+
+      #Statement From or To Date
+      segment Hippo_eyeDoc::Segments::DTM,
+                :name           => 'Statement From or To Date',
+                :minimum        => 0,
+                :maximum        => 2,
+                :position       => 500,
+                :identified_by => {
+                  'DTM01' => ["232", "233"]
+                }
+
+      #Coverage Expiration Date
+      segment Hippo_eyeDoc::Segments::DTM,
+                :name           => 'Coverage Expiration Date',
+                :minimum        => 0,
+                :maximum        => 1,
+                :position       => 505,
+                :identified_by => {
+                  'DTM01' => '036'
+                }
+
+      #Claim Received Date
+      segment Hippo_eyeDoc::Segments::DTM,
+                :name           => 'Claim Received Date',
+                :minimum        => 0,
+                :maximum        => 1,
+                :position       => 510,
+                :identified_by => {
+                  'DTM01' => '050'
+                }
+
+      #Claim Contact Information
+      segment Hippo_eyeDoc::Segments::PER,
+                :name           => 'Claim Contact Information',
+                :minimum        => 0,
+                :maximum        => 2,
+                :position       => 600,
+                :identified_by => {
+                  'PER01' => 'CX',
+                  'PER03' => ["EM", "FX", "TE"]
+                }
+
+      #Claim Supplemental Information
+      segment Hippo_eyeDoc::Segments::AMT,
+                :name           => 'Claim Supplemental Information',
+                :minimum        => 0,
+                :maximum        => 13,
+                :position       => 620,
+                :identified_by => {
+                  'AMT01' => ["AU", "D8", "DY", "F5", "I", "NL", "T", "T2", "ZK", "ZL", "ZM", "ZN", "ZO"]
+                }
+
+      #Claim Supplemental Information Quantity
+      segment Hippo_eyeDoc::Segments::QTY,
+                :name           => 'Claim Supplemental Information Quantity',
+                :minimum        => 0,
+                :maximum        => 14,
+                :position       => 640,
+                :identified_by => {
+                  'QTY01' => ["CA", "CD", "LA", "LE", "NE", "NR", "OU", "PS", "VS", "ZK", "ZL", "ZM", "ZN", "ZO"]
+                }
+
+      #Service Payment Information
+      loop    Hippo_eyeDoc::TransactionSets::HIPAA_835::L2110,
+                :name           => 'Service Payment Information',
+                :minimum        => 0,
+                :maximum        => 999,
+                :position       => 700
+
+    end
+  end
+end

data/lib/hippo_eyeDoc/transaction_sets/HIPAA_835/L2110.rb

@@ -0,0 +1,106 @@
+module Hippo_eyeDoc::TransactionSets
+  module HIPAA_835
+
+    class L2110 < Hippo_eyeDoc::TransactionSets::Base
+      loop_name 'L2110'    #Service Payment Information
+
+      #Service Payment Information
+      segment Hippo_eyeDoc::Segments::SVC,
+                :name           => 'Service Payment Information',
+                :minimum        => 0,
+                :maximum        => 1,
+                :position       => 700
+
+      #Service Date
+      segment Hippo_eyeDoc::Segments::DTM,
+                :name           => 'Service Date',
+                :minimum        => 0,
+                :maximum        => 2,
+                :position       => 800,
+                :identified_by => {
+                  'DTM01' => ["150", "151", "472"]
+                }
+
+      #Service Adjustment
+      segment Hippo_eyeDoc::Segments::CAS,
+                :name           => 'Service Adjustment',
+                :minimum        => 0,
+                :maximum        => 99,
+                :position       => 900,
+                :identified_by => {
+                  'CAS01' => ["CO", "OA", "PI", "PR"]
+                }
+
+      #Service Identification
+      segment Hippo_eyeDoc::Segments::REF,
+                :name           => 'Service Identification',
+                :minimum        => 0,
+                :maximum        => 8,
+                :position       => 1000,
+                :identified_by => {
+                  'REF01' => ["1S", "APC", "BB", "E9", "G1", "G3", "LU", "RB"]
+                }
+
+      #Line Item Control Number
+      segment Hippo_eyeDoc::Segments::REF,
+                :name           => 'Line Item Control Number',
+                :minimum        => 0,
+                :maximum        => 1,
+                :position       => 1010,
+                :identified_by => {
+                  'REF01' => '6R'
+                }
+
+      #Rendering Provider Information
+      segment Hippo_eyeDoc::Segments::REF,
+                :name           => 'Rendering Provider Information',
+                :minimum        => 0,
+                :maximum        => 10,
+                :position       => 1050,
+                :identified_by => {
+                  'REF01' => ["0B", "1A", "1B", "1C", "1D", "1G", "1H", "1J", "D3", "G2", "HPI", "SY", "TJ"]
+                }
+
+      #HealthCare Policy Identification
+      segment Hippo_eyeDoc::Segments::REF,
+                :name           => 'HealthCare Policy Identification',
+                :minimum        => 0,
+                :maximum        => 5,
+                :position       => 1060,
+                :identified_by => {
+                  'REF01' => '0K'
+                }
+
+      #Service Supplemental Amount
+      segment Hippo_eyeDoc::Segments::AMT,
+                :name           => 'Service Supplemental Amount',
+                :minimum        => 0,
+                :maximum        => 9,
+                :position       => 1100,
+                :identified_by => {
+                  'AMT01' => ["B6", "KH", "T", "T2", "ZK", "ZL", "ZM", "ZN", "ZO"]
+                }
+
+      #Service Supplemental Quantity
+      segment Hippo_eyeDoc::Segments::QTY,
+                :name           => 'Service Supplemental Quantity',
+                :minimum        => 0,
+                :maximum        => 6,
+                :position       => 1200,
+                :identified_by => {
+                  'QTY01' => ["ZK", "ZL", "ZM", "ZN", "ZO"]
+                }
+
+      #Health Care Remark Codes
+      segment Hippo_eyeDoc::Segments::LQ,
+                :name           => 'Health Care Remark Codes',
+                :minimum        => 0,
+                :maximum        => 99,
+                :position       => 1300,
+                :identified_by => {
+                  'LQ01' => ["HE", "RX"]
+                }
+
+    end
+  end
+end

data/lib/hippo_eyeDoc/transaction_sets/HIPAA_835/base.rb

@@ -0,0 +1,122 @@
+module Hippo_eyeDoc::TransactionSets
+  module HIPAA_835
+
+    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' => '835'
+                }
+
+      #Financial Information
+      segment Hippo_eyeDoc::Segments::BPR,
+                :name           => 'Financial Information',
+                :minimum        => 1,
+                :maximum        => 1,
+                :position       => 200,
+                :identified_by => {
+                  'BPR01' => ["C", "D", "H", "I", "P", "U", "X"],
+                  'BPR03' => ["C", "D"],
+                  'BPR04' => ["ACH", "BOP", "CHK", "FWT", "NON"]
+                }
+
+      #Reassociation Trace Number
+      segment Hippo_eyeDoc::Segments::TRN,
+                :name           => 'Reassociation Trace Number',
+                :minimum        => 1,
+                :maximum        => 1,
+                :position       => 400,
+                :identified_by => {
+                  'TRN01' => '1'
+                }
+
+      #Foreign Currency Information
+      segment Hippo_eyeDoc::Segments::CUR,
+                :name           => 'Foreign Currency Information',
+                :minimum        => 0,
+                :maximum        => 1,
+                :position       => 500,
+                :identified_by => {
+                  'CUR01' => 'PR'
+                }
+
+      #Receiver Identification
+      segment Hippo_eyeDoc::Segments::REF,
+                :name           => 'Receiver Identification',
+                :minimum        => 0,
+                :maximum        => 1,
+                :position       => 590,
+                :identified_by => {
+                  'REF01' => 'EV'
+                }
+
+      #Version Identification
+      segment Hippo_eyeDoc::Segments::REF,
+                :name           => 'Version Identification',
+                :minimum        => 0,
+                :maximum        => 1,
+                :position       => 600,
+                :identified_by => {
+                  'REF01' => 'F2'
+                }
+
+      #Production Date
+      segment Hippo_eyeDoc::Segments::DTM,
+                :name           => 'Production Date',
+                :minimum        => 0,
+                :maximum        => 1,
+                :position       => 700,
+                :identified_by => {
+                  'DTM01' => '405'
+                }
+
+      #Payer Identification
+      loop    Hippo_eyeDoc::TransactionSets::HIPAA_835::L1000A,
+                :name           => 'Payer Identification',
+                :minimum        => 1,
+                :maximum        => 1,
+                :position       => 800,
+                :identified_by => {
+                  'N1.N101' => 'PR'
+                }
+
+      #Payee Identification
+      loop    Hippo_eyeDoc::TransactionSets::HIPAA_835::L1000B,
+                :name           => 'Payee Identification',
+                :minimum        => 1,
+                :maximum        => 1,
+                :position       => 1400,
+                :identified_by => {
+                  'N1.N101' => 'PE',
+                  'N1.N103' => ["FI", "XV", "XX"]
+                }
+
+      #Header Number
+      loop    Hippo_eyeDoc::TransactionSets::HIPAA_835::L2000,
+                :name           => 'Header Number',
+                :minimum        => 0,
+                :maximum        => 99999,
+                :position       => 30
+
+      #Provider Adjustment
+      segment Hippo_eyeDoc::Segments::PLB,
+                :name           => 'Provider Adjustment',
+                :minimum        => 0,
+                :maximum        => 99999,
+                :position       => 100
+
+      #Transaction Set Trailer
+      segment Hippo_eyeDoc::Segments::SE,
+                :name           => 'Transaction Set Trailer',
+                :minimum        => 1,
+                :maximum        => 1,
+                :position       => 200
+
+    end
+  end
+end

data/lib/hippo_eyeDoc/transaction_sets/HIPAA_837.rb

@@ -0,0 +1,43 @@
+module Hippo_eyeDoc::TransactionSets
+  module HIPAA_837
+    autoload_relative :Base,      'HIPAA_837/base'
+    autoload_relative :L1000A,    'HIPAA_837/L1000A'
+    autoload_relative :L1000B,    'HIPAA_837/L1000B'
+    autoload_relative :L2000A,    'HIPAA_837/L2000A'
+    autoload_relative :L2000B,    'HIPAA_837/L2000B'
+    autoload_relative :L2000C,    'HIPAA_837/L2000C'
+    autoload_relative :L2010AA,   'HIPAA_837/L2010AA'
+    autoload_relative :L2010AB,   'HIPAA_837/L2010AB'
+    autoload_relative :L2010AC,   'HIPAA_837/L2010AC'
+    autoload_relative :L2010BA,   'HIPAA_837/L2010BA'
+    autoload_relative :L2010BB,   'HIPAA_837/L2010BB'
+    autoload_relative :L2010CA,   'HIPAA_837/L2010CA'
+    autoload_relative :L2300,     'HIPAA_837/L2300'
+    autoload_relative :L2310A,    'HIPAA_837/L2310A'
+    autoload_relative :L2310B,    'HIPAA_837/L2310B'
+    autoload_relative :L2310C,    'HIPAA_837/L2310C'
+    autoload_relative :L2310D,    'HIPAA_837/L2310D'
+    autoload_relative :L2310E,    'HIPAA_837/L2310E'
+    autoload_relative :L2310F,    'HIPAA_837/L2310F'
+    autoload_relative :L2320,     'HIPAA_837/L2320'
+    autoload_relative :L2330A,    'HIPAA_837/L2330A'
+    autoload_relative :L2330B,    'HIPAA_837/L2330B'
+    autoload_relative :L2330C,    'HIPAA_837/L2330C'
+    autoload_relative :L2330D,    'HIPAA_837/L2330D'
+    autoload_relative :L2330E,    'HIPAA_837/L2330E'
+    autoload_relative :L2330F,    'HIPAA_837/L2330F'
+    autoload_relative :L2330G,    'HIPAA_837/L2330G'
+    autoload_relative :L2400,     'HIPAA_837/L2400'
+    autoload_relative :L2410,     'HIPAA_837/L2410'
+    autoload_relative :L2420A,    'HIPAA_837/L2420A'
+    autoload_relative :L2420B,    'HIPAA_837/L2420B'
+    autoload_relative :L2420C,    'HIPAA_837/L2420C'
+    autoload_relative :L2420D,    'HIPAA_837/L2420D'
+    autoload_relative :L2420E,    'HIPAA_837/L2420E'
+    autoload_relative :L2420F,    'HIPAA_837/L2420F'
+    autoload_relative :L2420G,    'HIPAA_837/L2420G'
+    autoload_relative :L2420H,    'HIPAA_837/L2420H'
+    autoload_relative :L2430,     'HIPAA_837/L2430'
+    autoload_relative :L2440,     'HIPAA_837/L2440'
+  end
+end