pokitdok-ruby 0.2.3 → 0.3.0
This diff represents the content of publicly available package versions that have been released to one of the supported registries. The information contained in this diff is provided for informational purposes only and reflects changes between package versions as they appear in their respective public registries.
- checksums.yaml +4 -4
- data/.travis.yml +1 -2
- data/Gemfile +1 -0
- data/Gemfile.lock +13 -0
- data/Guardfile +4 -4
- data/README.md +32 -15
- data/Rakefile +3 -0
- data/VERSION +1 -1
- data/lib/pokitdok.rb +17 -32
- data/pokitdok-ruby.gemspec +6 -4
- data/spec/fixtures/claim.json +44 -114
- data/spec/pokitdok_spec.rb +35 -38
- data/vcr_cassettes/activities.yml +202 -333
- data/vcr_cassettes/auth.yml +4 -4
- data/vcr_cassettes/claims.yml +36 -65
- data/vcr_cassettes/eligibility.yml +73 -93
- data/vcr_cassettes/enrollment.yml +38 -41
- data/vcr_cassettes/files.yml +10 -10
- data/vcr_cassettes/payers.yml +81 -77
- data/vcr_cassettes/providers.yml +308 -297
- metadata +16 -3
- data/vcr_cassettes/insurance_prices.yml +0 -42
data/vcr_cassettes/auth.yml
CHANGED
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@@ -31,11 +31,11 @@ http_interactions:
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- Werkzeug/0.9.4 Python/2.7.3
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body:
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encoding: UTF-8
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string: '{"access_token": "
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"bearer", "expires":
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string: '{"access_token": "wRjqVdn8ezPmx5uviVocwL2u1edtJ8g809Tn4Ob5", "token_type":
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"bearer", "expires": 1402078535, "expires_in": 3600}'
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recorded_at:
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recorded_at: Fri, 06 Jun 2014 17:15:35 GMT
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recorded_with: VCR 2.9.2
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data/vcr_cassettes/claims.yml
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- request:
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method: post
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uri: http://localhost:5002/api/
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uri: http://localhost:5002/api/v4/claims/
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encoding: UTF-8
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string: '{"
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Number"}],"state":"MA"},"claim":{"assignment_code":"Assigned","benefit_assignment_code":"Yes","claim_frequency_code":"1","claim_total_amount":{"amount":"40.0","currency":"USD"},"dates":[{"date_qualifier":"Onset
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of Symptom or Illness","date_value":"04/15/2014"}],"facility_code_qualifier":"B","facility_code_value":"11","health_care_codes":[{"health_care_code_1":"BK:0340","health_care_code_2":"BF:V7389"}],"information_release_code":"Informed
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Consent","patient_control_number":"26462967","provider_signature_on_file":"Y","ref":[{"id_code":"1234567890","id_type":"Claim
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Number"}],"service_lines":[{"dates":[{"date_qualifier":"Service Date","date_value":"04/16/2014"}],"medical_charge_amount":{"amount":"40.0","currency":"USD"},"medical_diagnosis_code":"1","medical_procedure_identifier":"HC:99213","medical_service_quantity":"1.0","medical_service_unit":"Unit"}]},"payer":{"entity_identifier":"Payer","entity_type":"Non-Person","id_code":"HPHC","id_type":"Payor
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Identification","last_org_name":"HARVARD PILGRIM HEALTH CARE"},"receiver":{"entity_identifier":"Receiver","entity_type":"Non-Person","id_code":"HPHC","id_type":"ETIN","last_org_name":"HPHC"},"submitter":{"entity_identifier":"Submitter","entity_type":"Non-Person","id_code":"123456789","id_type":"ETIN","last_org_name":"ACME,
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INC."},"subscriber":{"address_line_1":"123 MAIN ST","birth_date":"Sat May 1
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00:00:00 1943","city":"BURLINGTON","claim_filing_code":"Health Maintenance
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Organization","entity_identifier":"Subscriber","entity_type":"Person","first_name":"TED","gender_code":"Male","group_number":"12312-A","id_code":"HP123456700","id_type":"Member
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ID","is_patient":true,"last_org_name":"SMITH","payer_responsibility":"Primary","postal_code":"01803","relationship_code":"Self","state":"MA"},"trading_partner_id":"MOCKPAYER","transaction_purpose_code":"Original","transaction_type":"Reporting"}'
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string: '{"transaction_code":"chargeable","trading_partner_id":"MOCKPAYER","billing_provider":{"taxonomy_code":"207Q00000X","first_name":"Jerome","last_name":"Aya-Ay","npi":"1467560003","address":{"address_lines":["8311
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WARREN H ABERNATHY HWY"],"city":"SPARTANBURG","state":"SC","zipcode":"29301"},"tax_id":"123456789"},"subscriber":{"first_name":"Jane","last_name":"Doe","member_id":"W000000000","address":{"address_lines":["123
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N MAIN ST"],"city":"SPARTANBURG","state":"SC","zipcode":"29301"},"birth_date":"1970-01-01","gender":"female"},"claim":{"total_charge_amount":60.0,"service_lines":[{"procedure_code":"99213","charge_amount":60.0,"unit_count":1.0,"diagnosis_codes":["487.1"],"service_date":"2014-06-01"}]},"payer":{"organization_name":"Acme
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Ins Co","plan_id":"1234567890"}}'
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headers:
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- pokitdok-ruby 0.
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- pokitdok-ruby 0.4 ruby 2.1.1p76 (2014-02-24 revision 45161) [x86_64-darwin13.0]
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Authorization:
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- Bearer
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- Bearer wRjqVdn8ezPmx5uviVocwL2u1edtJ8g809Tn4Ob5
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- '2075'
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encoding: UTF-8
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string: '{"meta": {"rate_limit_amount":
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"processing_time":
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1}, "data": {"units_of_work": 1, "
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[{"
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2014", "client_id": "4nhMZTpLxBxmiocveVb5", "trading_partner_id": "MOCKPAYER",
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"receiver": {"id_code": "HPHC", "entity_identifier": "Receiver", "id_type":
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"ETIN", "last_org_name": "HPHC", "entity_type": "Non-Person"}, "submitter":
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{"id_code": "123456789", "entity_identifier": "Submitter", "id_type": "ETIN",
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"last_org_name": "ACME, INC.", "entity_type": "Non-Person"}, "billing_provider":
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{"city": "BURLINGTON", "entity_identifier": "Billing Provider", "last_org_name":
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"KATIE BRADFORD", "entity_type": "Non-Person", "provider_id_type": "Provider
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Taxonomy Code", "id_code": "1730240128", "state": "MA", "provider_id_code":
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"133V00000X", "postal_code": "018033744", "id_type": "NPI", "provider_code":
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"Billing", "ref": [{"id_type": "Employee Identification Number", "id_code":
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"587654321"}], "address_line_1": "418 FARMS DR"}, "app_transaction_id": "00000000001"},
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"update_dt": "Tue Jun 3 20:30:49 2014", "remaining_transitions": ["generate",
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"transmit", "wait", "receive", "process", "complete"], "major_version": "3",
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"state": {"name": "pending", "title": "Pending Batch Transmission to Trading
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Partner"}, "deleted": false, "correlation_id": "7c397f0b-4cd2-4455-8c90-b7cef091e92a",
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"version": "3.0.0", "client_id": "4nhMZTpLxBxmiocveVb5", "trading_partner_id":
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"MOCKPAYER", "_id": "538e307956c02c5ec974954b", "insert_dt": "Tue Jun 3 20:30:49
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2014", "transition_path": ["batch", "generate", "transmit", "wait", "receive",
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"process", "complete"], "history": [{"record_dt": "Tue Jun 3 20:30:49 2014",
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"name": "init", "title": "Initializing"}]}}'
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string: '{"meta": {"rate_limit_amount": 32, "rate_limit_reset": 1402077424,
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"processing_time": 13, "rate_limit_cap": 8434, "credits_remaining": 9969,
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"credits_billed": 1}, "data": {"units_of_work": 1, "name": "claims", "parameters":
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{"claim": {"plan_participation": "assigned", "provider_signature": true, "total_charge_amount":
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"60.0", "claim_frequency": "original", "place_of_service": "office", "direct_payment":
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"y", "patient_signature_on_file": true, "information_release": "informed_consent",
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"service_lines": [{"diagnosis_codes": ["487.1"], "unit_count": "1.0", "unit_type":
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"units", "charge_amount": "60.0", "service_date": "2014-06-01", "procedure_code":
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"99213"}]}, "trading_partner_id": "MOCKPAYER", "payer": {"organization_name":
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"Acme Ins Co", "plan_id": "1234567890"}, "subscriber": {"first_name": "Jane",
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"last_name": "Doe", "gender": "female", "member_id": "W000000000", "payer_responsibility":
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"primary", "address": {"address_lines": ["123 N MAIN ST"], "state": "SC",
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"zipcode": "29301", "city": "SPARTANBURG"}, "birth_date": "1970-01-01"}, "correlation_id":
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"c5b39b6f-741c-425d-a67d-3bc505b3d638", "client_id": "4nhMZTpLxBxmiocveVb5",
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"receiver": {"organization_name": "PD App", "id": "4nhMZTpLxBxmiocveVb5"},
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"submitter": {"organization_name": "PokitDok, Inc.", "id": "453504565"}, "billing_provider":
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{"first_name": "Jerome", "last_name": "Aya-Ay", "npi": "1467560003", "taxonomy_code":
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"207Q00000X", "address": {"address_lines": ["8311 WARREN H ABERNATHY HWY"],
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"state": "SC", "zipcode": "29301", "city": "SPARTANBURG"}, "tax_id": "123456789"},
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"transaction_code": "chargeable"}, "remaining_transitions": ["generate", "store",
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"transmit", "wait", "receive", "process", "complete"], "state": {"name": "scheduled",
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"title": "Scheduled for next available transmission to Trading Partner"},
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"trading_partner_id": "MOCKPAYER", "id": "5391f73856c02c1338283bbd", "transition_path":
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["schedule", "generate", "store", "transmit", "wait", "receive", "process",
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"complete"], "history": [{"record_dt": "2014-06-06T17:15:36.134800", "name":
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"init", "title": "Initializing"}]}}'
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uri: http://localhost:5002/api/v4/eligibility/
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DOE","member_birth_date":"05-21-1975","service_types":["Health Benefit Plan
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Coverage"]}'
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string: '{"member":{"birth_date":"1970-01-01","first_name":"Jane","last_name":"Doe","id":"W000000000"},"provider":{"first_name":"JEROME","last_name":"AYA-AY","npi":"1467560003"},"service_types":["health_benefit_plan_coverage"],"trading_partner_id":"MOCKPAYER"}'
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- pokitdok-ruby 0.4 ruby 2.1.1p76 (2014-02-24 revision 45161) [x86_64-darwin13.0]
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Visit - Office"], "messages": [{"message": "PRIMARY OFFICE"}], "in_plan_network":
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"Y", "coverage_level_code": "ESP", "coverage_level": "Employee and Spouse"},
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{"service_type_codes": ["98"], "service_types": ["Professional (Physician)
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VISIT"}, {"message": "SPEC OFFICE"}, {"message": "SPEC VISIT"}, {"message":
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"PRIME CARE VST"}, {"message": "Plan Requires PreCert"}, {"message": "Commercial"},
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{"message": "Plan includes NAP"}, {"message": "Pre-Existing may apply"}],
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"in_plan_network": "W", "coverage_level_code": "ESP", "coverage_level": "Employee
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and Spouse"}], "deductibles": [{"messages": [{"message": "INT MED AND RX,GYN
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"processing_time": 86, "rate_limit_cap": 8434, "credits_remaining": 9961,
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"credits_billed": 1}, "data": {"service_types": ["professional_physician_visit_office"],
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"client_id": "4nhMZTpLxBxmiocveVb5", "payer": {"id": "MOCKPAYER", "name":
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"MOCK PAYER INC"}, "subscriber": {"birth_date": "1970-01-01", "first_name":
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"Jane", "last_name": "Doe", "id": "W000000000", "address": {"city": "SPARTANBURG",
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"state": "SC", "zipcode": "29307", "address_lines": ["123 MAIN ST"]}}, "correlation_id":
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"39d77716-110e-4c8e-b310-de921d53aef5", "trading_partner_id": "MOCKPAYER",
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"provider": {"first_name": "JEROME", "last_name": "JEROME AYA-AY", "npi":
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"1467560003"}, "coverage": {"plan_number": "0888188", "service_types": ["professional_physician_visit_office"],
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"group_number": "088818801000013", "out_of_pocket": [{"in_plan_network": "yes",
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"benefit_amount": {"currency": "USD", "amount": "3000"}, "coverage_level":
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data/vcr_cassettes/files.yml
CHANGED
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@@ -40,18 +40,18 @@ http_interactions:
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["process", "complete"], "state": {"name": "queued", "title": "In queue waiting
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|
+
"2014-06-06T17:15:35.814205", "name": "init", "title": "Initializing"}, {"record_dt":
|
|
53
|
+
"2014-06-06T17:15:35.815458", "name": "stored", "title": "Batch transactions
|
|
54
54
|
stored for later processing"}]}}'
|
|
55
55
|
http_version:
|
|
56
|
-
recorded_at:
|
|
56
|
+
recorded_at: Fri, 06 Jun 2014 17:15:35 GMT
|
|
57
57
|
recorded_with: VCR 2.9.2
|