pokitdok-ruby 0.3.1 → 0.4.0

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Files changed (18) hide show
  1. checksums.yaml +4 -4
  2. data/Gemfile.lock +19 -17
  3. data/README.md +53 -1
  4. data/VERSION +1 -1
  5. data/lib/pokitdok.rb +9 -1
  6. data/pokitdok-ruby.gemspec +5 -3
  7. data/spec/pokitdok_spec.rb +19 -6
  8. data/vcr_cassettes/activities.yml +1464 -343
  9. data/vcr_cassettes/auth.yml +5 -5
  10. data/vcr_cassettes/cash_prices.yml +42 -0
  11. data/vcr_cassettes/claims.yml +21 -20
  12. data/vcr_cassettes/eligibility.yml +8 -8
  13. data/vcr_cassettes/enrollment.yml +9 -9
  14. data/vcr_cassettes/files.yml +9 -9
  15. data/vcr_cassettes/insurance_prices.yml +42 -0
  16. data/vcr_cassettes/payers.yml +490 -96
  17. data/vcr_cassettes/providers.yml +25 -471
  18. metadata +4 -2
checksums.yaml CHANGED
@@ -1,7 +1,7 @@
1
1
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2
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  SHA1:
3
- metadata.gz: 6e11a73b319df90964f566936b20131cc854bdff
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- data.tar.gz: ec1bf6c42cd3722b96b096737056a67f3155510d
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+ metadata.gz: 68f585a9559068bd2afbfd05fd76bb3dadf1461e
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+ data.tar.gz: 3d7982261da30902e009e7cdf145f02bc9c0ab5a
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5
  SHA512:
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- metadata.gz: f3fe826ff786513d1a6fa120fb4ce5c9f16dfe6f988a86adddd3bddd34f81ab43e43f5cd84942bddfb91c76069494be754ea93e07346d8107548a5cffea51309
7
- data.tar.gz: 6b3017464b34c5e8bca03353c3b5e043542de89ffc9cd0360dd205950bd897f265a6990789e0384ce7c6480bac73058b0a74f84a6fff13967d17769d58fc9a76
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+ metadata.gz: 8b2523ddda0205dd2758866800989a5ddf2d7476974e064813cac3479ce4e0b92291733a5fc41909467765ebe00f6827a46a6135a6fa137df3455a53d8c57cdf
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+ data.tar.gz: 85411ae97b385dfcf20b3c88ba98ed007ea3f74b53d310fa74717e762366b8360e272a86bca6fff3b420ccae56f13116e799e7e9e886fe7b3a15035a2e3ad081
data/Gemfile.lock CHANGED
@@ -18,12 +18,12 @@ GEM
18
18
  safe_yaml (~> 1.0.0)
19
19
  descendants_tracker (0.0.4)
20
20
  thread_safe (~> 0.3, >= 0.3.1)
21
- docile (1.1.3)
21
+ docile (1.1.5)
22
22
  faraday (0.9.0)
23
23
  multipart-post (>= 1.2, < 3)
24
24
  ffi (1.9.3)
25
25
  formatador (0.2.5)
26
- git (1.2.6)
26
+ git (1.2.7)
27
27
  github_api (0.11.3)
28
28
  addressable (~> 2.3)
29
29
  descendants_tracker (~> 0.0.1)
@@ -38,13 +38,13 @@ GEM
38
38
  lumberjack (~> 1.0)
39
39
  pry (>= 0.9.12)
40
40
  thor (>= 0.18.1)
41
- guard-minitest (2.3.0)
41
+ guard-minitest (2.3.1)
42
42
  guard (~> 2.0)
43
43
  minitest (>= 3.0)
44
44
  guard-rubocop (1.1.0)
45
45
  guard (~> 2.0)
46
46
  rubocop (~> 0.20)
47
- hashie (3.0.0)
47
+ hashie (3.1.0)
48
48
  highline (1.6.21)
49
49
  jeweler (2.0.1)
50
50
  builder
@@ -57,17 +57,17 @@ GEM
57
57
  rdoc
58
58
  json (1.8.1)
59
59
  jwt (1.0.0)
60
- listen (2.7.6)
60
+ listen (2.7.9)
61
61
  celluloid (>= 0.15.2)
62
62
  rb-fsevent (>= 0.9.3)
63
63
  rb-inotify (>= 0.9)
64
- lumberjack (1.0.6)
64
+ lumberjack (1.0.9)
65
65
  metaclass (0.0.4)
66
66
  method_source (0.8.2)
67
67
  mime-types (2.3)
68
68
  mini_portile (0.6.0)
69
- minitest (5.3.4)
70
- minitest-reporters (1.0.4)
69
+ minitest (5.4.0)
70
+ minitest-reporters (1.0.5)
71
71
  ansi
72
72
  builder
73
73
  minitest (>= 5.0)
@@ -77,6 +77,7 @@ GEM
77
77
  multi_json (1.10.1)
78
78
  multi_xml (0.5.5)
79
79
  multipart-post (2.0.0)
80
+ netrc (0.7.7)
80
81
  nokogiri (1.6.2.1)
81
82
  mini_portile (= 0.6.0)
82
83
  oauth2 (0.9.4)
@@ -85,27 +86,28 @@ GEM
85
86
  multi_json (~> 1.3)
86
87
  multi_xml (~> 0.5)
87
88
  rack (~> 1.2)
88
- parser (2.1.9)
89
+ parser (2.2.0.pre.3)
89
90
  ast (>= 1.1, < 3.0)
90
91
  slop (~> 3.4, >= 3.4.5)
91
92
  powerpack (0.0.9)
92
- pry (0.9.12.6)
93
- coderay (~> 1.0)
94
- method_source (~> 0.8)
93
+ pry (0.10.0)
94
+ coderay (~> 1.1.0)
95
+ method_source (~> 0.8.1)
95
96
  slop (~> 3.4)
96
97
  rack (1.5.2)
97
98
  rainbow (2.0.0)
98
99
  rake (10.3.2)
99
100
  rb-fsevent (0.9.4)
100
- rb-inotify (0.9.4)
101
+ rb-inotify (0.9.5)
101
102
  ffi (>= 0.5.0)
102
103
  rdoc (4.1.1)
103
104
  json (~> 1.4)
104
- rest-client (1.6.7)
105
- mime-types (>= 1.16)
106
- rubocop (0.23.0)
105
+ rest-client (1.7.0)
106
+ mime-types (~> 2.0)
107
+ netrc (~> 0.7)
108
+ rubocop (0.24.1)
107
109
  json (>= 1.7.7, < 2)
108
- parser (~> 2.1.9)
110
+ parser (>= 2.2.0.pre.3, < 3.0)
109
111
  powerpack (~> 0.0.6)
110
112
  rainbow (>= 1.99.1, < 3.0)
111
113
  ruby-progressbar (~> 1.4)
data/README.md CHANGED
@@ -55,7 +55,53 @@ pd.providers(zipcode: '29307', radius: '10mi', specialty: 'RHEUMATOLOGY')
55
55
  trading_partner_id: 'MOCKPAYER'
56
56
  }
57
57
 
58
- pd.eligibility(params)
58
+ pd.eligibility @eligibility_query
59
+
60
+ # Claim
61
+ @claim = {
62
+ transaction_code: 'chargeable',
63
+ trading_partner_id: 'MOCKPAYER',
64
+ billing_provider: {
65
+ taxonomy_code: '207Q00000X',
66
+ first_name: 'Jerome',
67
+ last_name: 'Aya-Ay',
68
+ npi: '1467560003',
69
+ address: {
70
+ address_lines: ['8311 WARREN H ABERNATHY HWY'],
71
+ city: 'SPARTANBURG',
72
+ state: 'SC',
73
+ zipcode: '29301'
74
+ },
75
+ tax_id: '123456789'
76
+ },
77
+ subscriber: {
78
+ first_name: 'Jane',
79
+ last_name: 'Doe',
80
+ member_id: 'W000000000',
81
+ address: {
82
+ address_lines: ['123 N MAIN ST'],
83
+ city: 'SPARTANBURG',
84
+ state: 'SC',
85
+ zipcode: '29301'
86
+ },
87
+ birth_date: '1970-01-01',
88
+ gender: 'female'
89
+ },
90
+ claim: {
91
+ total_charge_amount: 60.0,
92
+ service_lines: [
93
+ {
94
+ procedure_code: '99213',
95
+ charge_amount: 60.0,
96
+ unit_count: 1.0,
97
+ diagnosis_codes: ['487.1'],
98
+ service_date: '2014-06-01'
99
+ }
100
+ ]
101
+ }
102
+ }
103
+
104
+ pd.claim @claim
59
105
 
60
106
  # Retrieve an index of activities
61
107
  pd.activities
@@ -68,6 +114,12 @@ pd.activities(parent_id: '537cd4b240b35755f5128d5c')
68
114
 
69
115
  # Upload an EDI file
70
116
  pd.files('trading_partner_id', 'path/to/a_file.edi')
117
+
118
+ # Get cash prices
119
+ pd.cash_prices(cpt_code: '87799', zip_code: '75201')
120
+
121
+ # Get insurance prices
122
+ pd.insurance_prices(cpt_code: '87799', zip_code: '29403')
71
123
 
72
124
  ```
73
125
 
data/VERSION CHANGED
@@ -1 +1 @@
1
- 0.3.1
1
+ 0.4.0
data/lib/pokitdok.rb CHANGED
@@ -74,7 +74,15 @@ module PokitDok
74
74
 
75
75
  # Invokes the cash prices endpoint, with an optional Hash of parameters.
76
76
  def cash_prices(params = {})
77
- response = @token.get('price/cash/',
77
+ response = @token.get('prices/cash',
78
+ headers: headers,
79
+ params: params)
80
+ JSON.parse(response.body)
81
+ end
82
+
83
+ # Invokes the insurance prices endpoint, with an optional Hash of parameters.
84
+ def insurance_prices(params = {})
85
+ response = @token.get('prices/insurance',
78
86
  headers: headers,
79
87
  params: params)
80
88
  JSON.parse(response.body)
data/pokitdok-ruby.gemspec CHANGED
@@ -2,16 +2,16 @@
2
2
  # DO NOT EDIT THIS FILE DIRECTLY
3
3
  # Instead, edit Jeweler::Tasks in Rakefile, and run 'rake gemspec'
4
4
  # -*- encoding: utf-8 -*-
5
- # stub: pokitdok-ruby 0.3.1 ruby lib
5
+ # stub: pokitdok-ruby 0.4.0 ruby lib
6
6
 
7
7
  Gem::Specification.new do |s|
8
8
  s.name = "pokitdok-ruby"
9
- s.version = "0.3.1"
9
+ s.version = "0.4.0"
10
10
 
11
11
  s.required_rubygems_version = Gem::Requirement.new(">= 0") if s.respond_to? :required_rubygems_version=
12
12
  s.require_paths = ["lib"]
13
13
  s.authors = ["John Riney"]
14
- s.date = "2014-06-06"
14
+ s.date = "2014-07-08"
15
15
  s.description = "Gem for easy access to the PokitDok Platform APIs."
16
16
  s.email = "john.riney@pokitdok.com"
17
17
  s.extra_rdoc_files = [
@@ -38,10 +38,12 @@ Gem::Specification.new do |s|
38
38
  "spec/vcr_setup.rb",
39
39
  "vcr_cassettes/activities.yml",
40
40
  "vcr_cassettes/auth.yml",
41
+ "vcr_cassettes/cash_prices.yml",
41
42
  "vcr_cassettes/claims.yml",
42
43
  "vcr_cassettes/eligibility.yml",
43
44
  "vcr_cassettes/enrollment.yml",
44
45
  "vcr_cassettes/files.yml",
46
+ "vcr_cassettes/insurance_prices.yml",
45
47
  "vcr_cassettes/payers.yml",
46
48
  "vcr_cassettes/providers.yml"
47
49
  ]
data/spec/pokitdok_spec.rb CHANGED
@@ -2,8 +2,8 @@
2
2
 
3
3
  require 'spec_helper'
4
4
 
5
- CLIENT_ID = '4nhMZTpLxBxmiocveVb5'
6
- CLIENT_SECRET = 'HUIpG9fFf9Qku9mh0lO50SPSDiju3D9Cjx17oeCN'
5
+ CLIENT_ID = '2MBlqahR2xiaBtVSS50n'
6
+ CLIENT_SECRET = 'FJaN1fyB1V5q7qPLNrb2F6yV1Xkaui0OB6eXotOS'
7
7
  POKITDOK_TEST_URL = 'http://localhost:5002'
8
8
 
9
9
  def check_meta_and_data(result)
@@ -57,7 +57,6 @@ describe PokitDok do
57
57
 
58
58
  describe 'Cash Prices endpoint' do
59
59
  it 'should expose the cash prices endpoint' do
60
- skip 'in development'
61
60
  query = { cpt_code: '12345', zip_code: '75201' }
62
61
 
63
62
  VCR.use_cassette 'cash_prices' do
@@ -69,6 +68,20 @@ describe PokitDok do
69
68
  end
70
69
  end
71
70
 
71
+ describe 'Insurance Prices endpoint' do
72
+ it 'should expose the insurance prices endpoint' do
73
+ query = { cpt_code: '12345', zip_code: '75201' }
74
+
75
+ VCR.use_cassette 'insurance_prices' do
76
+ @prices = @pokitdok.insurance_prices query
77
+ end
78
+
79
+ check_meta_and_data @prices
80
+ refute_empty @prices['data']
81
+ end
82
+ end
83
+
84
+
72
85
  describe 'Claims endpoint' do
73
86
  it 'should expose the claims endpoint' do
74
87
  query = JSON.parse(IO.read('spec/fixtures/claim.json'))
@@ -146,13 +159,13 @@ describe PokitDok do
146
159
 
147
160
  check_meta_and_data @payers
148
161
  refute_nil @payers['data']
149
- @payers['data'].size.must_equal 36
162
+ @payers['data'].size.must_equal 224
150
163
  end
151
164
  end
152
165
 
153
166
  describe 'Providers endpoint' do
154
167
  it 'should expose the providers endpoint' do
155
- query = { state: 'CA' }
168
+ query = { npi: '1467560003' }
156
169
 
157
170
  VCR.use_cassette 'providers' do
158
171
  @providers = @pokitdok.providers(query)
@@ -160,7 +173,7 @@ describe PokitDok do
160
173
 
161
174
  check_meta_and_data @providers
162
175
  refute_nil @providers['data']
163
- @providers['data'].size.must_equal 20
176
+ @providers['data'].size.must_equal 1
164
177
  end
165
178
  end
166
179
  end
data/vcr_cassettes/activities.yml CHANGED
@@ -10,7 +10,7 @@ http_interactions:
10
10
  User-Agent:
11
11
  - pokitdok-ruby 0.4 ruby 2.1.1p76 (2014-02-24 revision 45161) [x86_64-darwin13.0]
12
12
  Authorization:
13
- - Bearer wRjqVdn8ezPmx5uviVocwL2u1edtJ8g809Tn4Ob5
13
+ - Bearer IVfoTbbbimnTM3DKVGPCpicTPYThOAazPSbAnLA0
14
14
  Accept-Encoding:
15
15
  - gzip;q=1.0,deflate;q=0.6,identity;q=0.3
16
16
  Accept:
@@ -23,7 +23,7 @@ http_interactions:
23
23
  Content-Type:
24
24
  - text/html; charset=utf-8
25
25
  Content-Length:
26
- - '27738'
26
+ - '119841'
27
27
  Mimetype:
28
28
  - application/json
29
29
  Charset:
@@ -31,351 +31,1472 @@ http_interactions:
31
31
  Server:
32
32
  - Werkzeug/0.9.4 Python/2.7.3
33
33
  Date:
34
- - Fri, 06 Jun 2014 17:15:35 GMT
34
+ - Tue, 08 Jul 2014 16:27:12 GMT
35
35
  body:
36
36
  encoding: UTF-8
37
- string: '{"meta": {"processing_time": 22, "rate_limit_amount": 29, "rate_limit_reset":
38
- 1402077424, "next": "http://localhost:5002/api/v4/activities/?offset=20",
39
- "rate_limit_cap": 8434}, "data": [{"units_of_work": 1, "name": "claims", "parameters":
40
- {"state": "CA"}, "state": {"name": "completed", "title": "Completed"}, "trading_partner_id":
41
- "PokitDok", "id": "538e05c056c02c40598300e5", "transition_path": ["process",
42
- "complete"], "history": [{"record_dt": "2014-06-03T17:28:32.431000", "name":
43
- "init", "title": "Initializing"}, {"record_dt": "2014-06-03T17:28:33.033000",
44
- "name": "processing", "title": "Processing X12 transactions"}]}, {"units_of_work":
45
- 1, "name": "providers", "parameters": {"member_name": "Junior Spencer", "service_types":
46
- ["Health Benefit Plan Coverage"], "client_id": "4nhMZTpLxBxmiocveVb5", "update_dt":
47
- "Tue Jun 3 16:07:20 2014", "deleted": false, "payer_name": "Mock Payer for
48
- Testing", "major_version": "3", "provider_id": "314087243", "control_number":
49
- "000000001", "correlation_id": "3fb9a7b3-d83b-48d6-bc3e-50c87c5d10d4", "version":
50
- "3.0.0", "member_first_name": "Junior", "trading_partner_id": "MOCKPAYER",
51
- "member_id": "762008086", "member_last_name": "Spencer", "provider_name":
52
- "Heathcote, Fahey and McCullough", "member_birth_date": "Sat Jan 6 00:00:00
53
- 1990", "insert_dt": "Tue Jun 3 16:07:20 2014", "provider_type": "Non-Person
54
- Entity"}, "remaining_transitions": ["wait", "receive", "process", "complete"],
55
- "state": {"name": "failed", "title": "Failed"}, "trading_partner_id": "MOCKPAYER",
56
- "id": "538df2b856c02c36fb6c2f05", "transition_path": ["generate", "transmit",
57
- "wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-06-03T16:07:20.886000",
58
- "name": "init", "title": "Initializing"}, {"record_dt": "2014-06-03T16:07:20.924000",
59
- "name": "generating", "title": "Generating X12 transactions"}]}, {"units_of_work":
60
- 1, "name": "providers", "parameters": {"claim": {"dates": [{"date_value":
61
- "Tue Apr 15 00:00:00 2014", "date_qualifier": "Onset of Symptom or Illness"}],
62
- "facility_code_value": "11", "claim_total_amount": {"currency": "USD", "amount":
63
- "40.0"}, "health_care_codes": [{"health_care_code_1": "BK:0340", "health_care_code_2":
64
- "BF:V7389"}], "assignment_code": "Assigned", "information_release_code": "Informed
65
- Consent", "facility_code_qualifier": "B", "benefit_assignment_code": "Yes",
66
- "claim_frequency_code": "1", "provider_signature_on_file": "Y", "service_lines":
67
- [{"medical_service_unit": "Unit", "medical_service_quantity": "1.0", "medical_procedure_identifier":
68
- "HC:99213", "dates": [{"date_value": "Wed Apr 16 00:00:00 2014", "date_qualifier":
69
- "Service Date"}], "medical_diagnosis_code": "1", "medical_charge_amount":
70
- {"currency": "USD", "amount": "40.0"}}], "ref": [{"id_type": "Claim Number",
71
- "id_code": "1234567890"}], "patient_control_number": "26462967"}, "transaction_purpose_code":
72
- "Original", "payer": {"id_code": "HPHC", "entity_identifier": "Payer", "id_type":
73
- "Payor Identification", "last_org_name": "HARVARD PILGRIM HEALTH CARE", "entity_type":
74
- "Non-Person"}, "update_dt": "Tue Jun 3 17:28:32 2014", "deleted": false,
75
- "major_version": "3", "transaction_type": "Reporting", "subscriber": {"city":
76
- "BURLINGTON", "first_name": "TED", "entity_identifier": "Subscriber", "last_org_name":
77
- "SMITH", "entity_type": "Person", "group_number": "12312-A", "gender_code":
78
- "Male", "id_code": "HP123456700", "relationship_code": "Self", "is_patient":
79
- true, "state": "MA", "payer_responsibility": "Primary", "id_type": "Member
80
- ID", "birth_date": "Sat May 1 00:00:00 1943", "postal_code": "01803", "claim_filing_code":
81
- "Health Maintenance Organization", "address_line_1": "123 MAIN ST"}, "correlation_id":
82
- "11e00a63-959d-4686-be9c-3438a97797de", "version": "3.0.0", "client_id": "4nhMZTpLxBxmiocveVb5",
83
- "trading_partner_id": "MOCKPAYER", "receiver": {"id_code": "HPHC", "entity_identifier":
84
- "Receiver", "id_type": "ETIN", "last_org_name": "HPHC", "entity_type": "Non-Person"},
85
- "submitter": {"id_code": "123456789", "entity_identifier": "Submitter", "id_type":
86
- "ETIN", "last_org_name": "ACME, INC.", "entity_type": "Non-Person"}, "billing_provider":
87
- {"city": "BURLINGTON", "entity_identifier": "Billing Provider", "last_org_name":
88
- "KATIE BRADFORD", "entity_type": "Non-Person", "provider_id_type": "Provider
89
- Taxonomy Code", "id_code": "1730240128", "state": "MA", "provider_id_code":
90
- "133V00000X", "postal_code": "018033744", "id_type": "NPI", "provider_code":
91
- "Billing", "ref": [{"id_type": "Employee Identification Number", "id_code":
92
- "587654321"}], "address_line_1": "418 FARMS DR"}, "insert_dt": "Tue Jun 3
93
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