pokitdok-ruby 0.4.0 → 0.4.1
Sign up to get free protection for your applications and to get access to all the features.
- checksums.yaml +4 -4
- data/README.md +1 -1
- data/VERSION +1 -1
- data/lib/pokitdok.rb +12 -1
- data/pokitdok-ruby.gemspec +5 -3
- data/spec/fixtures/claims_status.json +15 -0
- data/spec/pokitdok_spec.rb +16 -2
- data/vcr_cassettes/activities.yml +612 -381
- data/vcr_cassettes/auth.yml +5 -5
- data/vcr_cassettes/cash_prices.yml +11 -8
- data/vcr_cassettes/claims.yml +11 -11
- data/vcr_cassettes/claims_status.yml +61 -0
- data/vcr_cassettes/eligibility.yml +12 -12
- data/vcr_cassettes/enrollment.yml +37 -37
- data/vcr_cassettes/files.yml +11 -11
- data/vcr_cassettes/insurance_prices.yml +17 -8
- data/vcr_cassettes/payers.yml +104 -104
- data/vcr_cassettes/providers.yml +20 -20
- metadata +4 -2
checksums.yaml
CHANGED
@@ -1,7 +1,7 @@
|
|
1
1
|
---
|
2
2
|
SHA1:
|
3
|
-
metadata.gz:
|
4
|
-
data.tar.gz:
|
3
|
+
metadata.gz: 6e9160fba2937f8c5771d74eda2bda1ed45eae88
|
4
|
+
data.tar.gz: d0ea969762a6a9f303f7d864fe4bc7a9ab105226
|
5
5
|
SHA512:
|
6
|
-
metadata.gz:
|
7
|
-
data.tar.gz:
|
6
|
+
metadata.gz: 698da4084e5cbba88c42e85ed1270856efd44a645768d049c12838dddad3f7cc24cbcc70fe38f46d5b3cbda9ae7d347ff342eeb465d7c74af251836869168958
|
7
|
+
data.tar.gz: 2c4b9c67b39ae1e5f9bfdb203392e8eac1bd8a5c60959ea18314c0d9cc828aa603123554adadcf0cb52804b3303604dc038f19c770257a947b8fbb8f7b3394bf
|
data/README.md
CHANGED
@@ -13,7 +13,7 @@ PokitDok Platform API Client for Ruby
|
|
13
13
|
* [View Source on GitHub][code]
|
14
14
|
* [Report Issues on GitHub][issues]
|
15
15
|
|
16
|
-
[apidocs]: https://platform.pokitdok.com/
|
16
|
+
[apidocs]: https://platform.pokitdok.com/documentation/v4#/
|
17
17
|
[code]: https://github.com/PokitDok/pokitdok-ruby
|
18
18
|
[issues]: https://github.com/PokitDok/pokitdok-ruby/issues
|
19
19
|
|
data/VERSION
CHANGED
@@ -1 +1 @@
|
|
1
|
-
0.4.
|
1
|
+
0.4.1
|
data/lib/pokitdok.rb
CHANGED
@@ -48,7 +48,7 @@ module PokitDok
|
|
48
48
|
end
|
49
49
|
|
50
50
|
def user_agent
|
51
|
-
"pokitdok-ruby 0.4 #{RUBY_DESCRIPTION}"
|
51
|
+
"pokitdok-ruby 0.4.1 #{RUBY_DESCRIPTION}"
|
52
52
|
end
|
53
53
|
|
54
54
|
# returns a standard set of headers to be passed along with all requests
|
@@ -98,6 +98,17 @@ module PokitDok
|
|
98
98
|
JSON.parse(response.body)
|
99
99
|
end
|
100
100
|
|
101
|
+
# Invokes the claims status endpoint, with an optional Hash of parameters.
|
102
|
+
def claims_status(params = {})
|
103
|
+
response = @token.post('claims/status',
|
104
|
+
headers: headers,
|
105
|
+
body: params.to_json) do |request|
|
106
|
+
request.headers['Content-Type'] = 'application/json'
|
107
|
+
end
|
108
|
+
JSON.parse(response.body)
|
109
|
+
end
|
110
|
+
|
111
|
+
|
101
112
|
# Invokes the eligibility endpoint, with an optional Hash of parameters.
|
102
113
|
def eligibility(params = {})
|
103
114
|
response = @token.post('eligibility/',
|
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 0.4.
|
5
|
+
# stub: pokitdok-ruby 0.4.1 ruby lib
|
6
6
|
|
7
7
|
Gem::Specification.new do |s|
|
8
8
|
s.name = "pokitdok-ruby"
|
9
|
-
s.version = "0.4.
|
9
|
+
s.version = "0.4.1"
|
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-
|
14
|
+
s.date = "2014-08-05"
|
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 = [
|
@@ -31,6 +31,7 @@ Gem::Specification.new do |s|
|
|
31
31
|
"lib/pokitdok.rb",
|
32
32
|
"pokitdok-ruby.gemspec",
|
33
33
|
"spec/fixtures/claim.json",
|
34
|
+
"spec/fixtures/claims_status.json",
|
34
35
|
"spec/fixtures/enrollment.json",
|
35
36
|
"spec/fixtures/sample.270",
|
36
37
|
"spec/pokitdok_spec.rb",
|
@@ -40,6 +41,7 @@ Gem::Specification.new do |s|
|
|
40
41
|
"vcr_cassettes/auth.yml",
|
41
42
|
"vcr_cassettes/cash_prices.yml",
|
42
43
|
"vcr_cassettes/claims.yml",
|
44
|
+
"vcr_cassettes/claims_status.yml",
|
43
45
|
"vcr_cassettes/eligibility.yml",
|
44
46
|
"vcr_cassettes/enrollment.yml",
|
45
47
|
"vcr_cassettes/files.yml",
|
@@ -0,0 +1,15 @@
|
|
1
|
+
{
|
2
|
+
"patient": {
|
3
|
+
"birth_date": "1970-01-01",
|
4
|
+
"first_name": "JANE",
|
5
|
+
"last_name": "DOE",
|
6
|
+
"id": "1234567890"
|
7
|
+
},
|
8
|
+
"provider": {
|
9
|
+
"first_name": "Jerome",
|
10
|
+
"last_name": "Aya-Ay",
|
11
|
+
"npi": "1467560003"
|
12
|
+
},
|
13
|
+
"service_date": "2014-01-01",
|
14
|
+
"trading_partner_id": "MOCKPAYER"
|
15
|
+
}
|
data/spec/pokitdok_spec.rb
CHANGED
@@ -2,8 +2,8 @@
|
|
2
2
|
|
3
3
|
require 'spec_helper'
|
4
4
|
|
5
|
-
CLIENT_ID = '
|
6
|
-
CLIENT_SECRET = '
|
5
|
+
CLIENT_ID = '7x7nRAotGfxHfy7Llfl3'
|
6
|
+
CLIENT_SECRET = 'T4JsCjMDJNxVQADl8ip3npmTm9JgEZhqL2xmc3Di'
|
7
7
|
POKITDOK_TEST_URL = 'http://localhost:5002'
|
8
8
|
|
9
9
|
def check_meta_and_data(result)
|
@@ -96,6 +96,20 @@ describe PokitDok do
|
|
96
96
|
end
|
97
97
|
end
|
98
98
|
|
99
|
+
describe 'Claims status endpoint' do
|
100
|
+
it 'should expose the claims status endpoint' do
|
101
|
+
query = JSON.parse(IO.read('spec/fixtures/claims_status.json'))
|
102
|
+
VCR.use_cassette 'claims_status' do
|
103
|
+
@claims_status = @pokitdok.claims_status(query)
|
104
|
+
end
|
105
|
+
|
106
|
+
check_meta_and_data @claims_status
|
107
|
+
refute_empty @claims_status['data']
|
108
|
+
|
109
|
+
assert_nil @claims_status['errors']
|
110
|
+
end
|
111
|
+
end
|
112
|
+
|
99
113
|
describe 'Eligibility endpoint' do
|
100
114
|
it 'should expose the eligibility endpoint' do
|
101
115
|
@eligibility_query = {
|
@@ -8,9 +8,9 @@ http_interactions:
|
|
8
8
|
string: ''
|
9
9
|
headers:
|
10
10
|
User-Agent:
|
11
|
-
- pokitdok-ruby 0.4 ruby 2.1.
|
11
|
+
- pokitdok-ruby 0.4.1 ruby 2.1.2p95 (2014-05-08 revision 45877) [x86_64-darwin13.0]
|
12
12
|
Authorization:
|
13
|
-
- Bearer
|
13
|
+
- Bearer fKd12YNbilTwVe8D3eF1ReNBkGzoElJuUjyt5ehz
|
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
|
-
- '
|
26
|
+
- '139250'
|
27
27
|
Mimetype:
|
28
28
|
- application/json
|
29
29
|
Charset:
|
@@ -31,37 +31,27 @@ http_interactions:
|
|
31
31
|
Server:
|
32
32
|
- Werkzeug/0.9.4 Python/2.7.3
|
33
33
|
Date:
|
34
|
-
- Tue,
|
34
|
+
- Tue, 05 Aug 2014 18:15:14 GMT
|
35
35
|
body:
|
36
36
|
encoding: UTF-8
|
37
|
-
string: '{"meta": {"processing_time":
|
38
|
-
|
39
|
-
"rate_limit_cap": 8434}, "data": [{"units_of_work": 1, "name": "
|
40
|
-
|
41
|
-
"id": "
|
42
|
-
"
|
43
|
-
"
|
44
|
-
"
|
45
|
-
"
|
46
|
-
"trading_partner_id": "PokitDok", "id": "53bc1b9956c02c08ce81adfc", "transition_path":
|
47
|
-
["process", "complete"], "history": [{"record_dt": "2014-07-08T16:26:01.884000",
|
48
|
-
"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-08T16:26:02.932000",
|
49
|
-
"name": "processing", "title": "Processing X12 transactions"}]}, {"units_of_work":
|
50
|
-
1, "name": "enrollment", "parameters": {"service_types": ["health_benefit_plan_coverage"],
|
51
|
-
"trading_partner_id": "MOCKPAYER", "payer": {"id": "MOCKPAYER", "name": "Mockpayer
|
52
|
-
For Testing"}, "member": {"birth_date": "1983-02-19", "first_name": "Nicklaus",
|
53
|
-
"last_name": "Stanton", "plan_start_date": "2013-08-10", "id": "642531785"},
|
54
|
-
"correlation_id": "1d84a585-e10b-439f-8b51-628e1461acce", "client_id": "2MBlqahR2xiaBtVSS50n",
|
55
|
-
"provider": {"first_name": "Kadin", "last_name": "Cruickshank", "npi": "0646364168"},
|
37
|
+
string: '{"meta": {"processing_time": 618, "rate_limit_amount": 10, "rate_limit_reset":
|
38
|
+
1407266111, "next": "http://localhost:5002/api/v4/activities/?offset=20",
|
39
|
+
"rate_limit_cap": 8434}, "data": [{"units_of_work": 1, "name": "insurance_prices",
|
40
|
+
"parameters": {"service_types": ["health_benefit_plan_coverage"], "trading_partner_id":
|
41
|
+
"MOCKPAYER", "payer": {"id": "MOCKPAYER", "name": "Mockpayer For Testing"},
|
42
|
+
"member": {"birth_date": "1985-06-24", "first_name": "Toney", "last_name":
|
43
|
+
"Howe", "plan_start_date": "2013-08-10", "id": "698917720"}, "correlation_id":
|
44
|
+
"25ec35c0-4318-4a6c-bb5e-2f77224e8610", "client_id": "7x7nRAotGfxHfy7Llfl3",
|
45
|
+
"provider": {"first_name": "Brenden", "last_name": "Stokes", "npi": "6035743809"},
|
56
46
|
"async": false, "transaction_code": "request"}, "state": {"name": "completed",
|
57
47
|
"title": "Completed"}, "result": {"service_types": ["professional_physician_visit_office"],
|
58
|
-
"client_id": "
|
59
|
-
"MOCK PAYER INC"}, "subscriber": {"birth_date": "
|
60
|
-
"
|
61
|
-
"
|
62
|
-
|
63
|
-
"
|
64
|
-
"
|
48
|
+
"client_id": "7x7nRAotGfxHfy7Llfl3", "payer": {"id": "MOCKPAYER", "name":
|
49
|
+
"MOCK PAYER INC"}, "subscriber": {"birth_date": "1985-06-24", "first_name":
|
50
|
+
"Toney", "last_name": "Howe", "id": "698917720", "address": {"city": "SPARTANBURG",
|
51
|
+
"state": "SC", "zipcode": "29307", "address_lines": ["123 MAIN ST"]}}, "correlation_id":
|
52
|
+
"25ec35c0-4318-4a6c-bb5e-2f77224e8610", "trading_partner_id": "MOCKPAYER",
|
53
|
+
"provider": {"first_name": "Brenden", "last_name": "Brenden Stokes", "npi":
|
54
|
+
"6035743809"}, "coverage": {"service_types": ["professional_physician_visit_office"],
|
65
55
|
"group_number": "088818801000013", "out_of_pocket": [{"in_plan_network": "yes",
|
66
56
|
"benefit_amount": {"currency": "USD", "amount": "3000"}, "coverage_level":
|
67
57
|
"individual"}, {"in_plan_network": "yes", "benefit_amount": {"currency": "USD",
|
@@ -122,41 +112,40 @@ http_interactions:
|
|
122
112
|
CARE VST,COINS APPLIES TO OUT OF POCKET"}], "in_plan_network": "no"}], "group_description":
|
123
113
|
"MOCK INDIVIDUAL ADVANTAGE PLAN", "plan_number": "0888188", "service_date":
|
124
114
|
"2013-08-10"}, "valid_request": true}, "trading_partner_id": "MOCKPAYER",
|
125
|
-
"id": "
|
126
|
-
"wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-
|
127
|
-
"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-
|
115
|
+
"id": "53cdaa9e56c02c1cdb7a4097", "transition_path": ["generate", "transmit",
|
116
|
+
"wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-22T00:04:46.393000",
|
117
|
+
"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-22T00:04:46.746000",
|
128
118
|
"name": "generating", "title": "Generating X12 transactions"}, {"record_dt":
|
129
|
-
"2014-07-
|
130
|
-
transactions to Trading Partner"}, {"record_dt": "2014-07-
|
119
|
+
"2014-07-22T00:04:46.747000", "name": "transmitting", "title": "Transmitting
|
120
|
+
transactions to Trading Partner"}, {"record_dt": "2014-07-22T00:04:46.749000",
|
131
121
|
"name": "waiting", "title": "Waiting on Trading Partner Response"}, {"record_dt":
|
132
|
-
"2014-07-
|
133
|
-
from Trading Partner"}, {"record_dt": "2014-07-
|
122
|
+
"2014-07-22T00:04:46.751000", "name": "receiving", "title": "Receiving transactions
|
123
|
+
from Trading Partner"}, {"record_dt": "2014-07-22T00:04:46.867000", "name":
|
134
124
|
"processing", "title": "Processing X12 transactions"}]}, {"units_of_work":
|
135
|
-
1, "name": "
|
125
|
+
1, "name": "providers", "parameters": {"service_types": ["health_benefit_plan_coverage"],
|
136
126
|
"trading_partner_id": "MOCKPAYER", "payer": {"id": "MOCKPAYER", "name": "Mockpayer
|
137
|
-
For Testing"}, "member": {"birth_date": "
|
138
|
-
"last_name": "
|
139
|
-
"correlation_id": "
|
140
|
-
"provider": {"first_name": "
|
127
|
+
For Testing"}, "member": {"birth_date": "1990-10-31", "first_name": "Noe",
|
128
|
+
"last_name": "Gerhold", "plan_start_date": "2013-08-10", "id": "120278826"},
|
129
|
+
"correlation_id": "ed4b706e-5a89-4f13-9999-59e8b13bceb1", "client_id": "7x7nRAotGfxHfy7Llfl3",
|
130
|
+
"provider": {"first_name": "Markus", "last_name": "Hauck", "npi": "6768571444"},
|
141
131
|
"async": false, "transaction_code": "request"}, "state": {"name": "completed",
|
142
132
|
"title": "Completed"}, "result": {"service_types": ["professional_physician_visit_office"],
|
143
|
-
"client_id": "
|
144
|
-
"MOCK PAYER INC"}, "subscriber": {"birth_date": "
|
145
|
-
"
|
146
|
-
"
|
147
|
-
|
148
|
-
"
|
149
|
-
"
|
150
|
-
"
|
151
|
-
|
152
|
-
"
|
153
|
-
"
|
154
|
-
{"
|
155
|
-
"
|
156
|
-
|
157
|
-
"
|
158
|
-
"
|
159
|
-
"benefit_amount": {"currency": "USD", "amount": "12483.57"}, "coverage_level":
|
133
|
+
"client_id": "7x7nRAotGfxHfy7Llfl3", "payer": {"id": "MOCKPAYER", "name":
|
134
|
+
"MOCK PAYER INC"}, "subscriber": {"birth_date": "1990-10-31", "first_name":
|
135
|
+
"Noe", "last_name": "Gerhold", "id": "120278826", "address": {"city": "SPARTANBURG",
|
136
|
+
"state": "SC", "zipcode": "29307", "address_lines": ["123 MAIN ST"]}}, "correlation_id":
|
137
|
+
"ed4b706e-5a89-4f13-9999-59e8b13bceb1", "trading_partner_id": "MOCKPAYER",
|
138
|
+
"provider": {"first_name": "Markus", "last_name": "Markus Hauck", "npi": "6768571444"},
|
139
|
+
"coverage": {"service_types": ["professional_physician_visit_office"], "group_number":
|
140
|
+
"088818801000013", "out_of_pocket": [{"in_plan_network": "yes", "benefit_amount":
|
141
|
+
{"currency": "USD", "amount": "3000"}, "coverage_level": "individual"}, {"in_plan_network":
|
142
|
+
"yes", "benefit_amount": {"currency": "USD", "amount": "2983.57"}, "coverage_level":
|
143
|
+
"individual", "time_period": "remaining"}, {"in_plan_network": "yes", "benefit_amount":
|
144
|
+
{"currency": "USD", "amount": "6000"}, "coverage_level": "family"}, {"in_plan_network":
|
145
|
+
"yes", "benefit_amount": {"currency": "USD", "amount": "5956.09"}, "coverage_level":
|
146
|
+
"family", "time_period": "remaining"}, {"in_plan_network": "no", "benefit_amount":
|
147
|
+
{"currency": "USD", "amount": "12500"}, "coverage_level": "individual"}, {"in_plan_network":
|
148
|
+
"no", "benefit_amount": {"currency": "USD", "amount": "12483.57"}, "coverage_level":
|
160
149
|
"individual", "time_period": "remaining"}, {"in_plan_network": "no", "benefit_amount":
|
161
150
|
{"currency": "USD", "amount": "25000"}, "coverage_level": "family"}, {"in_plan_network":
|
162
151
|
"no", "benefit_amount": {"currency": "USD", "amount": "24956.09"}, "coverage_level":
|
@@ -207,31 +196,31 @@ http_interactions:
|
|
207
196
|
CARE VST,COINS APPLIES TO OUT OF POCKET"}], "in_plan_network": "no"}], "group_description":
|
208
197
|
"MOCK INDIVIDUAL ADVANTAGE PLAN", "plan_number": "0888188", "service_date":
|
209
198
|
"2013-08-10"}, "valid_request": true}, "trading_partner_id": "MOCKPAYER",
|
210
|
-
"id": "
|
211
|
-
"wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-
|
212
|
-
"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-
|
199
|
+
"id": "53cdaa9e56c02c1cdb7a409a", "transition_path": ["generate", "transmit",
|
200
|
+
"wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-22T00:04:46.891000",
|
201
|
+
"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-22T00:04:46.907000",
|
213
202
|
"name": "generating", "title": "Generating X12 transactions"}, {"record_dt":
|
214
|
-
"2014-07-
|
215
|
-
transactions to Trading Partner"}, {"record_dt": "2014-07-
|
203
|
+
"2014-07-22T00:04:46.919000", "name": "transmitting", "title": "Transmitting
|
204
|
+
transactions to Trading Partner"}, {"record_dt": "2014-07-22T00:04:46.921000",
|
216
205
|
"name": "waiting", "title": "Waiting on Trading Partner Response"}, {"record_dt":
|
217
|
-
"2014-07-
|
218
|
-
from Trading Partner"}, {"record_dt": "2014-07-
|
206
|
+
"2014-07-22T00:04:46.923000", "name": "receiving", "title": "Receiving transactions
|
207
|
+
from Trading Partner"}, {"record_dt": "2014-07-22T00:04:46.985000", "name":
|
219
208
|
"processing", "title": "Processing X12 transactions"}]}, {"units_of_work":
|
220
|
-
1, "name": "
|
209
|
+
1, "name": "providers", "parameters": {"service_types": ["health_benefit_plan_coverage"],
|
221
210
|
"trading_partner_id": "MOCKPAYER", "payer": {"id": "MOCKPAYER", "name": "Mockpayer
|
222
|
-
For Testing"}, "member": {"birth_date": "
|
223
|
-
"last_name": "
|
224
|
-
"correlation_id": "
|
225
|
-
"provider": {"first_name": "
|
211
|
+
For Testing"}, "member": {"birth_date": "1986-05-14", "first_name": "Jessyca",
|
212
|
+
"last_name": "Koelpin", "plan_start_date": "2013-08-10", "id": "743857791"},
|
213
|
+
"correlation_id": "27d88726-6249-4fb4-9f36-3ba75d4ead38", "client_id": "7x7nRAotGfxHfy7Llfl3",
|
214
|
+
"provider": {"first_name": "Buford", "last_name": "Kozey", "npi": "4103321030"},
|
226
215
|
"async": false, "transaction_code": "request"}, "state": {"name": "completed",
|
227
216
|
"title": "Completed"}, "result": {"service_types": ["professional_physician_visit_office"],
|
228
|
-
"client_id": "
|
229
|
-
"MOCK PAYER INC"}, "subscriber": {"birth_date": "
|
230
|
-
"
|
217
|
+
"client_id": "7x7nRAotGfxHfy7Llfl3", "payer": {"id": "MOCKPAYER", "name":
|
218
|
+
"MOCK PAYER INC"}, "subscriber": {"birth_date": "1986-05-14", "first_name":
|
219
|
+
"Jessyca", "last_name": "Koelpin", "id": "743857791", "address": {"city":
|
231
220
|
"SPARTANBURG", "state": "SC", "zipcode": "29307", "address_lines": ["123 MAIN
|
232
|
-
ST"]}}, "correlation_id": "
|
233
|
-
"MOCKPAYER", "provider": {"first_name": "
|
234
|
-
"npi": "
|
221
|
+
ST"]}}, "correlation_id": "27d88726-6249-4fb4-9f36-3ba75d4ead38", "trading_partner_id":
|
222
|
+
"MOCKPAYER", "provider": {"first_name": "Buford", "last_name": "Buford Kozey",
|
223
|
+
"npi": "4103321030"}, "coverage": {"service_types": ["professional_physician_visit_office"],
|
235
224
|
"group_number": "088818801000013", "out_of_pocket": [{"in_plan_network": "yes",
|
236
225
|
"benefit_amount": {"currency": "USD", "amount": "3000"}, "coverage_level":
|
237
226
|
"individual"}, {"in_plan_network": "yes", "benefit_amount": {"currency": "USD",
|
@@ -292,41 +281,124 @@ http_interactions:
|
|
292
281
|
CARE VST,COINS APPLIES TO OUT OF POCKET"}], "in_plan_network": "no"}], "group_description":
|
293
282
|
"MOCK INDIVIDUAL ADVANTAGE PLAN", "plan_number": "0888188", "service_date":
|
294
283
|
"2013-08-10"}, "valid_request": true}, "trading_partner_id": "MOCKPAYER",
|
295
|
-
"id": "
|
296
|
-
"wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-
|
297
|
-
"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-
|
284
|
+
"id": "53cdaa9f56c02c1cdb7a409d", "transition_path": ["generate", "transmit",
|
285
|
+
"wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-22T00:04:47.006000",
|
286
|
+
"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-22T00:04:47.028000",
|
287
|
+
"name": "generating", "title": "Generating X12 transactions"}, {"record_dt":
|
288
|
+
"2014-07-22T00:04:47.029000", "name": "transmitting", "title": "Transmitting
|
289
|
+
transactions to Trading Partner"}, {"record_dt": "2014-07-22T00:04:47.031000",
|
290
|
+
"name": "waiting", "title": "Waiting on Trading Partner Response"}, {"record_dt":
|
291
|
+
"2014-07-22T00:04:47.032000", "name": "receiving", "title": "Receiving transactions
|
292
|
+
from Trading Partner"}, {"record_dt": "2014-07-22T00:04:47.093000", "name":
|
293
|
+
"processing", "title": "Processing X12 transactions"}]}, {"units_of_work":
|
294
|
+
1, "name": "pokitdok_api", "parameters": {"service_types": ["health_benefit_plan_coverage"],
|
295
|
+
"trading_partner_id": "MOCKPAYER", "payer": {"id": "MOCKPAYER", "name": "Mockpayer
|
296
|
+
For Testing"}, "member": {"birth_date": "1983-10-14", "first_name": "Rex",
|
297
|
+
"last_name": "Wehner", "plan_start_date": "2013-08-10", "id": "997427526"},
|
298
|
+
"correlation_id": "61ac613b-8780-45ce-a1b9-7ec37e71ae77", "client_id": "7x7nRAotGfxHfy7Llfl3",
|
299
|
+
"provider": {"first_name": "Damon", "last_name": "Waelchi", "npi": "1825998395"},
|
300
|
+
"async": false, "transaction_code": "request"}, "state": {"name": "completed",
|
301
|
+
"title": "Completed"}, "result": {"service_types": ["professional_physician_visit_office"],
|
302
|
+
"client_id": "7x7nRAotGfxHfy7Llfl3", "payer": {"id": "MOCKPAYER", "name":
|
303
|
+
"MOCK PAYER INC"}, "subscriber": {"birth_date": "1983-10-14", "first_name":
|
304
|
+
"Rex", "last_name": "Wehner", "id": "997427526", "address": {"city": "SPARTANBURG",
|
305
|
+
"state": "SC", "zipcode": "29307", "address_lines": ["123 MAIN ST"]}}, "correlation_id":
|
306
|
+
"61ac613b-8780-45ce-a1b9-7ec37e71ae77", "trading_partner_id": "MOCKPAYER",
|
307
|
+
"provider": {"first_name": "Damon", "last_name": "Damon Waelchi", "npi": "1825998395"},
|
308
|
+
"coverage": {"service_types": ["professional_physician_visit_office"], "group_number":
|
309
|
+
"088818801000013", "out_of_pocket": [{"in_plan_network": "yes", "benefit_amount":
|
310
|
+
{"currency": "USD", "amount": "3000"}, "coverage_level": "individual"}, {"in_plan_network":
|
311
|
+
"yes", "benefit_amount": {"currency": "USD", "amount": "2983.57"}, "coverage_level":
|
312
|
+
"individual", "time_period": "remaining"}, {"in_plan_network": "yes", "benefit_amount":
|
313
|
+
{"currency": "USD", "amount": "6000"}, "coverage_level": "family"}, {"in_plan_network":
|
314
|
+
"yes", "benefit_amount": {"currency": "USD", "amount": "5956.09"}, "coverage_level":
|
315
|
+
"family", "time_period": "remaining"}, {"in_plan_network": "no", "benefit_amount":
|
316
|
+
{"currency": "USD", "amount": "12500"}, "coverage_level": "individual"}, {"in_plan_network":
|
317
|
+
"no", "benefit_amount": {"currency": "USD", "amount": "12483.57"}, "coverage_level":
|
318
|
+
"individual", "time_period": "remaining"}, {"in_plan_network": "no", "benefit_amount":
|
319
|
+
{"currency": "USD", "amount": "25000"}, "coverage_level": "family"}, {"in_plan_network":
|
320
|
+
"no", "benefit_amount": {"currency": "USD", "amount": "24956.09"}, "coverage_level":
|
321
|
+
"family", "messages": [{"message": "Unlimited Lifetime Benefits"}], "time_period":
|
322
|
+
"remaining"}], "level": "employee_and_spouse", "copay": [{"in_plan_network":
|
323
|
+
"yes", "service_types": ["professional_physician_visit_office"], "coverage_level":
|
324
|
+
"employee_and_spouse", "messages": [{"message": "PRIMARY OFFICE"}]}, {"in_plan_network":
|
325
|
+
"not_applicable", "service_types": ["professional_physician_visit_office"],
|
326
|
+
"coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
|
327
|
+
VS"}, {"message": "GYN VISIT"}, {"message": "SPEC OFFICE"}, {"message": "SPEC
|
328
|
+
VISIT"}, {"message": "PRIME CARE VST"}, {"message": "Plan Requires PreCert"},
|
329
|
+
{"message": "Commercial"}, {"message": "Plan includes NAP"}, {"message": "Pre-Existing
|
330
|
+
may apply"}]}], "deductibles": [{"messages": [{"message": "INT MED AND RX,GYN
|
331
|
+
OFFICE VS,DED INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIMARY OFFICE,PRIME
|
332
|
+
CARE VST"}], "in_plan_network": "yes", "eligibility_date": "2013-01-01", "time_period":
|
333
|
+
"calendar_year", "coverage_level": "family", "benefit_amount": {"currency":
|
334
|
+
"USD", "amount": "6000"}}, {"in_plan_network": "yes", "time_period": "remaining",
|
335
|
+
"coverage_level": "family", "messages": [{"message": "INT MED AND RX"}], "benefit_amount":
|
336
|
+
{"currency": "USD", "amount": "5956.09"}}, {"messages": [{"message": "INT
|
337
|
+
MED AND RX,GYN OFFICE VS,DED INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIMARY
|
338
|
+
OFFICE,PRIME CARE VST"}], "in_plan_network": "yes", "eligibility_date": "2013-01-01",
|
339
|
+
"time_period": "calendar_year", "coverage_level": "individual", "benefit_amount":
|
340
|
+
{"currency": "USD", "amount": "3000"}}, {"in_plan_network": "yes", "time_period":
|
341
|
+
"remaining", "coverage_level": "individual", "messages": [{"message": "INT
|
342
|
+
MED AND RX"}], "benefit_amount": {"currency": "USD", "amount": "2983.57"}},
|
343
|
+
{"messages": [{"message": "INT MED AND RX,GYN OFFICE VS,DED INCLUDED IN OOP,GYN
|
344
|
+
VISIT,SPEC OFFICE,SPEC VISIT,PRIME CARE VST"}], "in_plan_network": "no", "eligibility_date":
|
345
|
+
"2013-01-01", "time_period": "calendar_year", "coverage_level": "family",
|
346
|
+
"benefit_amount": {"currency": "USD", "amount": "12000"}}, {"in_plan_network":
|
347
|
+
"no", "time_period": "remaining", "coverage_level": "family", "messages":
|
348
|
+
[{"message": "INT MED AND RX"}], "benefit_amount": {"currency": "USD", "amount":
|
349
|
+
"11956.09"}}, {"messages": [{"message": "INT MED AND RX,GYN OFFICE VS,DED
|
350
|
+
INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIME CARE VST"}], "in_plan_network":
|
351
|
+
"no", "eligibility_date": "2013-01-01", "time_period": "calendar_year", "coverage_level":
|
352
|
+
"individual", "benefit_amount": {"currency": "USD", "amount": "6000"}}, {"in_plan_network":
|
353
|
+
"no", "time_period": "remaining", "coverage_level": "individual", "messages":
|
354
|
+
[{"message": "INT MED AND RX"}], "benefit_amount": {"currency": "USD", "amount":
|
355
|
+
"5983.57"}}], "plan_begin_date": "2013-02-15", "eligibility_begin_date": "2012-02-01",
|
356
|
+
"coinsurance": [{"benefit_percent": 0.0, "service_types": ["professional_physician_visit_office"],
|
357
|
+
"coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
|
358
|
+
VS"}, {"message": "GYN VISIT"}, {"message": "SPEC OFFICE"}, {"message": "SPEC
|
359
|
+
VISIT"}, {"message": "PRIMARY OFFICE"}, {"message": "PRIME CARE VST"}], "in_plan_network":
|
360
|
+
"yes"}, {"benefit_percent": 0.5, "service_types": ["professional_physician_visit_office"],
|
361
|
+
"coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
|
362
|
+
VS,COINS APPLIES TO OUT OF POCKET"}, {"message": "GYN VISIT,COINS APPLIES
|
363
|
+
TO OUT OF POCKET"}, {"message": "SPEC OFFICE,COINS APPLIES TO OUT OF POCKET"},
|
364
|
+
{"message": "SPEC VISIT,COINS APPLIES TO OUT OF POCKET"}, {"message": "PRIME
|
365
|
+
CARE VST,COINS APPLIES TO OUT OF POCKET"}], "in_plan_network": "no"}], "group_description":
|
366
|
+
"MOCK INDIVIDUAL ADVANTAGE PLAN", "plan_number": "0888188", "service_date":
|
367
|
+
"2013-08-10"}, "valid_request": true}, "trading_partner_id": "MOCKPAYER",
|
368
|
+
"id": "53cdaa9f56c02c1cdb7a40a0", "transition_path": ["generate", "transmit",
|
369
|
+
"wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-22T00:04:47.109000",
|
370
|
+
"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-22T00:04:47.129000",
|
298
371
|
"name": "generating", "title": "Generating X12 transactions"}, {"record_dt":
|
299
|
-
"2014-07-
|
300
|
-
transactions to Trading Partner"}, {"record_dt": "2014-07-
|
372
|
+
"2014-07-22T00:04:47.130000", "name": "transmitting", "title": "Transmitting
|
373
|
+
transactions to Trading Partner"}, {"record_dt": "2014-07-22T00:04:47.132000",
|
301
374
|
"name": "waiting", "title": "Waiting on Trading Partner Response"}, {"record_dt":
|
302
|
-
"2014-07-
|
303
|
-
from Trading Partner"}, {"record_dt": "2014-07-
|
375
|
+
"2014-07-22T00:04:47.133000", "name": "receiving", "title": "Receiving transactions
|
376
|
+
from Trading Partner"}, {"record_dt": "2014-07-22T00:04:47.210000", "name":
|
304
377
|
"processing", "title": "Processing X12 transactions"}]}, {"units_of_work":
|
305
378
|
1, "name": "enrollment", "parameters": {"service_types": ["health_benefit_plan_coverage"],
|
306
379
|
"trading_partner_id": "MOCKPAYER", "payer": {"id": "MOCKPAYER", "name": "Mockpayer
|
307
|
-
For Testing"}, "member": {"birth_date": "
|
308
|
-
"last_name": "
|
309
|
-
"correlation_id": "
|
310
|
-
"provider": {"first_name": "
|
380
|
+
For Testing"}, "member": {"birth_date": "1991-05-07", "first_name": "Meda",
|
381
|
+
"last_name": "Donnelly", "plan_start_date": "2013-08-10", "id": "006083744"},
|
382
|
+
"correlation_id": "8513e1d0-26f8-4036-b535-71952aec0fdd", "client_id": "7x7nRAotGfxHfy7Llfl3",
|
383
|
+
"provider": {"first_name": "Paige", "last_name": "Moen", "npi": "8484019303"},
|
311
384
|
"async": false, "transaction_code": "request"}, "state": {"name": "completed",
|
312
385
|
"title": "Completed"}, "result": {"service_types": ["professional_physician_visit_office"],
|
313
|
-
"client_id": "
|
314
|
-
"MOCK PAYER INC"}, "subscriber": {"birth_date": "
|
315
|
-
"
|
316
|
-
"
|
317
|
-
|
318
|
-
"
|
319
|
-
"
|
320
|
-
"
|
321
|
-
|
322
|
-
"
|
323
|
-
"
|
324
|
-
{"
|
325
|
-
"
|
326
|
-
|
327
|
-
"
|
328
|
-
"
|
329
|
-
"benefit_amount": {"currency": "USD", "amount": "12483.57"}, "coverage_level":
|
386
|
+
"client_id": "7x7nRAotGfxHfy7Llfl3", "payer": {"id": "MOCKPAYER", "name":
|
387
|
+
"MOCK PAYER INC"}, "subscriber": {"birth_date": "1991-05-07", "first_name":
|
388
|
+
"Meda", "last_name": "Donnelly", "id": "006083744", "address": {"city": "SPARTANBURG",
|
389
|
+
"state": "SC", "zipcode": "29307", "address_lines": ["123 MAIN ST"]}}, "correlation_id":
|
390
|
+
"8513e1d0-26f8-4036-b535-71952aec0fdd", "trading_partner_id": "MOCKPAYER",
|
391
|
+
"provider": {"first_name": "Paige", "last_name": "Paige Moen", "npi": "8484019303"},
|
392
|
+
"coverage": {"service_types": ["professional_physician_visit_office"], "group_number":
|
393
|
+
"088818801000013", "out_of_pocket": [{"in_plan_network": "yes", "benefit_amount":
|
394
|
+
{"currency": "USD", "amount": "3000"}, "coverage_level": "individual"}, {"in_plan_network":
|
395
|
+
"yes", "benefit_amount": {"currency": "USD", "amount": "2983.57"}, "coverage_level":
|
396
|
+
"individual", "time_period": "remaining"}, {"in_plan_network": "yes", "benefit_amount":
|
397
|
+
{"currency": "USD", "amount": "6000"}, "coverage_level": "family"}, {"in_plan_network":
|
398
|
+
"yes", "benefit_amount": {"currency": "USD", "amount": "5956.09"}, "coverage_level":
|
399
|
+
"family", "time_period": "remaining"}, {"in_plan_network": "no", "benefit_amount":
|
400
|
+
{"currency": "USD", "amount": "12500"}, "coverage_level": "individual"}, {"in_plan_network":
|
401
|
+
"no", "benefit_amount": {"currency": "USD", "amount": "12483.57"}, "coverage_level":
|
330
402
|
"individual", "time_period": "remaining"}, {"in_plan_network": "no", "benefit_amount":
|
331
403
|
{"currency": "USD", "amount": "25000"}, "coverage_level": "family"}, {"in_plan_network":
|
332
404
|
"no", "benefit_amount": {"currency": "USD", "amount": "24956.09"}, "coverage_level":
|
@@ -377,31 +449,115 @@ http_interactions:
|
|
377
449
|
CARE VST,COINS APPLIES TO OUT OF POCKET"}], "in_plan_network": "no"}], "group_description":
|
378
450
|
"MOCK INDIVIDUAL ADVANTAGE PLAN", "plan_number": "0888188", "service_date":
|
379
451
|
"2013-08-10"}, "valid_request": true}, "trading_partner_id": "MOCKPAYER",
|
380
|
-
"id": "
|
381
|
-
"wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-
|
382
|
-
"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-
|
452
|
+
"id": "53cdaa9f56c02c1cdb7a40a3", "transition_path": ["generate", "transmit",
|
453
|
+
"wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-22T00:04:47.228000",
|
454
|
+
"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-22T00:04:47.253000",
|
383
455
|
"name": "generating", "title": "Generating X12 transactions"}, {"record_dt":
|
384
|
-
"2014-07-
|
385
|
-
transactions to Trading Partner"}, {"record_dt": "2014-07-
|
456
|
+
"2014-07-22T00:04:47.254000", "name": "transmitting", "title": "Transmitting
|
457
|
+
transactions to Trading Partner"}, {"record_dt": "2014-07-22T00:04:47.255000",
|
386
458
|
"name": "waiting", "title": "Waiting on Trading Partner Response"}, {"record_dt":
|
387
|
-
"2014-07-
|
388
|
-
from Trading Partner"}, {"record_dt": "2014-07-
|
459
|
+
"2014-07-22T00:04:47.257000", "name": "receiving", "title": "Receiving transactions
|
460
|
+
from Trading Partner"}, {"record_dt": "2014-07-22T00:04:47.368000", "name":
|
389
461
|
"processing", "title": "Processing X12 transactions"}]}, {"units_of_work":
|
390
|
-
1, "name": "
|
462
|
+
1, "name": "cash_prices", "parameters": {"service_types": ["health_benefit_plan_coverage"],
|
391
463
|
"trading_partner_id": "MOCKPAYER", "payer": {"id": "MOCKPAYER", "name": "Mockpayer
|
392
|
-
For Testing"}, "member": {"birth_date": "
|
393
|
-
"last_name": "
|
394
|
-
"correlation_id": "
|
395
|
-
"provider": {"first_name": "
|
464
|
+
For Testing"}, "member": {"birth_date": "1991-09-08", "first_name": "Aracely",
|
465
|
+
"last_name": "Olson", "plan_start_date": "2013-08-10", "id": "603492058"},
|
466
|
+
"correlation_id": "dac8b634-3ad6-45fc-a522-80202db907e8", "client_id": "7x7nRAotGfxHfy7Llfl3",
|
467
|
+
"provider": {"first_name": "Adrian", "last_name": "Yundt", "npi": "2724259969"},
|
396
468
|
"async": false, "transaction_code": "request"}, "state": {"name": "completed",
|
397
469
|
"title": "Completed"}, "result": {"service_types": ["professional_physician_visit_office"],
|
398
|
-
"client_id": "
|
399
|
-
"MOCK PAYER INC"}, "subscriber": {"birth_date": "
|
400
|
-
"
|
470
|
+
"client_id": "7x7nRAotGfxHfy7Llfl3", "payer": {"id": "MOCKPAYER", "name":
|
471
|
+
"MOCK PAYER INC"}, "subscriber": {"birth_date": "1991-09-08", "first_name":
|
472
|
+
"Aracely", "last_name": "Olson", "id": "603492058", "address": {"city": "SPARTANBURG",
|
401
473
|
"state": "SC", "zipcode": "29307", "address_lines": ["123 MAIN ST"]}}, "correlation_id":
|
402
|
-
"
|
403
|
-
"provider": {"first_name": "
|
404
|
-
"
|
474
|
+
"dac8b634-3ad6-45fc-a522-80202db907e8", "trading_partner_id": "MOCKPAYER",
|
475
|
+
"provider": {"first_name": "Adrian", "last_name": "Adrian Yundt", "npi": "2724259969"},
|
476
|
+
"coverage": {"service_types": ["professional_physician_visit_office"], "group_number":
|
477
|
+
"088818801000013", "out_of_pocket": [{"in_plan_network": "yes", "benefit_amount":
|
478
|
+
{"currency": "USD", "amount": "3000"}, "coverage_level": "individual"}, {"in_plan_network":
|
479
|
+
"yes", "benefit_amount": {"currency": "USD", "amount": "2983.57"}, "coverage_level":
|
480
|
+
"individual", "time_period": "remaining"}, {"in_plan_network": "yes", "benefit_amount":
|
481
|
+
{"currency": "USD", "amount": "6000"}, "coverage_level": "family"}, {"in_plan_network":
|
482
|
+
"yes", "benefit_amount": {"currency": "USD", "amount": "5956.09"}, "coverage_level":
|
483
|
+
"family", "time_period": "remaining"}, {"in_plan_network": "no", "benefit_amount":
|
484
|
+
{"currency": "USD", "amount": "12500"}, "coverage_level": "individual"}, {"in_plan_network":
|
485
|
+
"no", "benefit_amount": {"currency": "USD", "amount": "12483.57"}, "coverage_level":
|
486
|
+
"individual", "time_period": "remaining"}, {"in_plan_network": "no", "benefit_amount":
|
487
|
+
{"currency": "USD", "amount": "25000"}, "coverage_level": "family"}, {"in_plan_network":
|
488
|
+
"no", "benefit_amount": {"currency": "USD", "amount": "24956.09"}, "coverage_level":
|
489
|
+
"family", "messages": [{"message": "Unlimited Lifetime Benefits"}], "time_period":
|
490
|
+
"remaining"}], "level": "employee_and_spouse", "copay": [{"in_plan_network":
|
491
|
+
"yes", "service_types": ["professional_physician_visit_office"], "coverage_level":
|
492
|
+
"employee_and_spouse", "messages": [{"message": "PRIMARY OFFICE"}]}, {"in_plan_network":
|
493
|
+
"not_applicable", "service_types": ["professional_physician_visit_office"],
|
494
|
+
"coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
|
495
|
+
VS"}, {"message": "GYN VISIT"}, {"message": "SPEC OFFICE"}, {"message": "SPEC
|
496
|
+
VISIT"}, {"message": "PRIME CARE VST"}, {"message": "Plan Requires PreCert"},
|
497
|
+
{"message": "Commercial"}, {"message": "Plan includes NAP"}, {"message": "Pre-Existing
|
498
|
+
may apply"}]}], "deductibles": [{"messages": [{"message": "INT MED AND RX,GYN
|
499
|
+
OFFICE VS,DED INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIMARY OFFICE,PRIME
|
500
|
+
CARE VST"}], "in_plan_network": "yes", "eligibility_date": "2013-01-01", "time_period":
|
501
|
+
"calendar_year", "coverage_level": "family", "benefit_amount": {"currency":
|
502
|
+
"USD", "amount": "6000"}}, {"in_plan_network": "yes", "time_period": "remaining",
|
503
|
+
"coverage_level": "family", "messages": [{"message": "INT MED AND RX"}], "benefit_amount":
|
504
|
+
{"currency": "USD", "amount": "5956.09"}}, {"messages": [{"message": "INT
|
505
|
+
MED AND RX,GYN OFFICE VS,DED INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIMARY
|
506
|
+
OFFICE,PRIME CARE VST"}], "in_plan_network": "yes", "eligibility_date": "2013-01-01",
|
507
|
+
"time_period": "calendar_year", "coverage_level": "individual", "benefit_amount":
|
508
|
+
{"currency": "USD", "amount": "3000"}}, {"in_plan_network": "yes", "time_period":
|
509
|
+
"remaining", "coverage_level": "individual", "messages": [{"message": "INT
|
510
|
+
MED AND RX"}], "benefit_amount": {"currency": "USD", "amount": "2983.57"}},
|
511
|
+
{"messages": [{"message": "INT MED AND RX,GYN OFFICE VS,DED INCLUDED IN OOP,GYN
|
512
|
+
VISIT,SPEC OFFICE,SPEC VISIT,PRIME CARE VST"}], "in_plan_network": "no", "eligibility_date":
|
513
|
+
"2013-01-01", "time_period": "calendar_year", "coverage_level": "family",
|
514
|
+
"benefit_amount": {"currency": "USD", "amount": "12000"}}, {"in_plan_network":
|
515
|
+
"no", "time_period": "remaining", "coverage_level": "family", "messages":
|
516
|
+
[{"message": "INT MED AND RX"}], "benefit_amount": {"currency": "USD", "amount":
|
517
|
+
"11956.09"}}, {"messages": [{"message": "INT MED AND RX,GYN OFFICE VS,DED
|
518
|
+
INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIME CARE VST"}], "in_plan_network":
|
519
|
+
"no", "eligibility_date": "2013-01-01", "time_period": "calendar_year", "coverage_level":
|
520
|
+
"individual", "benefit_amount": {"currency": "USD", "amount": "6000"}}, {"in_plan_network":
|
521
|
+
"no", "time_period": "remaining", "coverage_level": "individual", "messages":
|
522
|
+
[{"message": "INT MED AND RX"}], "benefit_amount": {"currency": "USD", "amount":
|
523
|
+
"5983.57"}}], "plan_begin_date": "2013-02-15", "eligibility_begin_date": "2012-02-01",
|
524
|
+
"coinsurance": [{"benefit_percent": 0.0, "service_types": ["professional_physician_visit_office"],
|
525
|
+
"coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
|
526
|
+
VS"}, {"message": "GYN VISIT"}, {"message": "SPEC OFFICE"}, {"message": "SPEC
|
527
|
+
VISIT"}, {"message": "PRIMARY OFFICE"}, {"message": "PRIME CARE VST"}], "in_plan_network":
|
528
|
+
"yes"}, {"benefit_percent": 0.5, "service_types": ["professional_physician_visit_office"],
|
529
|
+
"coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
|
530
|
+
VS,COINS APPLIES TO OUT OF POCKET"}, {"message": "GYN VISIT,COINS APPLIES
|
531
|
+
TO OUT OF POCKET"}, {"message": "SPEC OFFICE,COINS APPLIES TO OUT OF POCKET"},
|
532
|
+
{"message": "SPEC VISIT,COINS APPLIES TO OUT OF POCKET"}, {"message": "PRIME
|
533
|
+
CARE VST,COINS APPLIES TO OUT OF POCKET"}], "in_plan_network": "no"}], "group_description":
|
534
|
+
"MOCK INDIVIDUAL ADVANTAGE PLAN", "plan_number": "0888188", "service_date":
|
535
|
+
"2013-08-10"}, "valid_request": true}, "trading_partner_id": "MOCKPAYER",
|
536
|
+
"id": "53cdaa9f56c02c1cdb7a40a6", "transition_path": ["generate", "transmit",
|
537
|
+
"wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-22T00:04:47.382000",
|
538
|
+
"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-22T00:04:47.398000",
|
539
|
+
"name": "generating", "title": "Generating X12 transactions"}, {"record_dt":
|
540
|
+
"2014-07-22T00:04:47.400000", "name": "transmitting", "title": "Transmitting
|
541
|
+
transactions to Trading Partner"}, {"record_dt": "2014-07-22T00:04:47.401000",
|
542
|
+
"name": "waiting", "title": "Waiting on Trading Partner Response"}, {"record_dt":
|
543
|
+
"2014-07-22T00:04:47.403000", "name": "receiving", "title": "Receiving transactions
|
544
|
+
from Trading Partner"}, {"record_dt": "2014-07-22T00:04:47.468000", "name":
|
545
|
+
"processing", "title": "Processing X12 transactions"}]}, {"units_of_work":
|
546
|
+
1, "name": "pokitdok_api", "parameters": {"service_types": ["health_benefit_plan_coverage"],
|
547
|
+
"trading_partner_id": "MOCKPAYER", "payer": {"id": "MOCKPAYER", "name": "Mockpayer
|
548
|
+
For Testing"}, "member": {"birth_date": "1980-12-30", "first_name": "Erica",
|
549
|
+
"last_name": "Rowe", "plan_start_date": "2013-08-10", "id": "156268289"},
|
550
|
+
"correlation_id": "10c348f7-9193-48f9-b44a-2991ddd5c68e", "client_id": "7x7nRAotGfxHfy7Llfl3",
|
551
|
+
"provider": {"first_name": "Geovanni", "last_name": "Corkery", "npi": "3322623552"},
|
552
|
+
"async": false, "transaction_code": "request"}, "state": {"name": "completed",
|
553
|
+
"title": "Completed"}, "result": {"service_types": ["professional_physician_visit_office"],
|
554
|
+
"client_id": "7x7nRAotGfxHfy7Llfl3", "payer": {"id": "MOCKPAYER", "name":
|
555
|
+
"MOCK PAYER INC"}, "subscriber": {"birth_date": "1980-12-30", "first_name":
|
556
|
+
"Erica", "last_name": "Rowe", "id": "156268289", "address": {"city": "SPARTANBURG",
|
557
|
+
"state": "SC", "zipcode": "29307", "address_lines": ["123 MAIN ST"]}}, "correlation_id":
|
558
|
+
"10c348f7-9193-48f9-b44a-2991ddd5c68e", "trading_partner_id": "MOCKPAYER",
|
559
|
+
"provider": {"first_name": "Geovanni", "last_name": "Geovanni Corkery", "npi":
|
560
|
+
"3322623552"}, "coverage": {"service_types": ["professional_physician_visit_office"],
|
405
561
|
"group_number": "088818801000013", "out_of_pocket": [{"in_plan_network": "yes",
|
406
562
|
"benefit_amount": {"currency": "USD", "amount": "3000"}, "coverage_level":
|
407
563
|
"individual"}, {"in_plan_network": "yes", "benefit_amount": {"currency": "USD",
|
@@ -462,31 +618,115 @@ http_interactions:
|
|
462
618
|
CARE VST,COINS APPLIES TO OUT OF POCKET"}], "in_plan_network": "no"}], "group_description":
|
463
619
|
"MOCK INDIVIDUAL ADVANTAGE PLAN", "plan_number": "0888188", "service_date":
|
464
620
|
"2013-08-10"}, "valid_request": true}, "trading_partner_id": "MOCKPAYER",
|
465
|
-
"id": "
|
466
|
-
"wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-
|
467
|
-
"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-
|
621
|
+
"id": "53cdaa9f56c02c1cdb7a40a9", "transition_path": ["generate", "transmit",
|
622
|
+
"wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-22T00:04:47.486000",
|
623
|
+
"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-22T00:04:47.508000",
|
468
624
|
"name": "generating", "title": "Generating X12 transactions"}, {"record_dt":
|
469
|
-
"2014-07-
|
470
|
-
transactions to Trading Partner"}, {"record_dt": "2014-07-
|
625
|
+
"2014-07-22T00:04:47.510000", "name": "transmitting", "title": "Transmitting
|
626
|
+
transactions to Trading Partner"}, {"record_dt": "2014-07-22T00:04:47.511000",
|
471
627
|
"name": "waiting", "title": "Waiting on Trading Partner Response"}, {"record_dt":
|
472
|
-
"2014-07-
|
473
|
-
from Trading Partner"}, {"record_dt": "2014-07-
|
628
|
+
"2014-07-22T00:04:47.512000", "name": "receiving", "title": "Receiving transactions
|
629
|
+
from Trading Partner"}, {"record_dt": "2014-07-22T00:04:47.576000", "name":
|
474
630
|
"processing", "title": "Processing X12 transactions"}]}, {"units_of_work":
|
475
631
|
1, "name": "insurance_prices", "parameters": {"service_types": ["health_benefit_plan_coverage"],
|
476
632
|
"trading_partner_id": "MOCKPAYER", "payer": {"id": "MOCKPAYER", "name": "Mockpayer
|
477
|
-
For Testing"}, "member": {"birth_date": "
|
478
|
-
"last_name": "
|
479
|
-
"correlation_id": "
|
480
|
-
"provider": {"first_name": "
|
633
|
+
For Testing"}, "member": {"birth_date": "1990-09-20", "first_name": "Mason",
|
634
|
+
"last_name": "Nolan", "plan_start_date": "2013-08-10", "id": "023393527"},
|
635
|
+
"correlation_id": "b5020a9e-df35-41f5-a47e-3ae2397d42de", "client_id": "7x7nRAotGfxHfy7Llfl3",
|
636
|
+
"provider": {"first_name": "Kailyn", "last_name": "Stark", "npi": "3841318739"},
|
481
637
|
"async": false, "transaction_code": "request"}, "state": {"name": "completed",
|
482
638
|
"title": "Completed"}, "result": {"service_types": ["professional_physician_visit_office"],
|
483
|
-
"client_id": "
|
484
|
-
"MOCK PAYER INC"}, "subscriber": {"birth_date": "
|
485
|
-
"
|
639
|
+
"client_id": "7x7nRAotGfxHfy7Llfl3", "payer": {"id": "MOCKPAYER", "name":
|
640
|
+
"MOCK PAYER INC"}, "subscriber": {"birth_date": "1990-09-20", "first_name":
|
641
|
+
"Mason", "last_name": "Nolan", "id": "023393527", "address": {"city": "SPARTANBURG",
|
642
|
+
"state": "SC", "zipcode": "29307", "address_lines": ["123 MAIN ST"]}}, "correlation_id":
|
643
|
+
"b5020a9e-df35-41f5-a47e-3ae2397d42de", "trading_partner_id": "MOCKPAYER",
|
644
|
+
"provider": {"first_name": "Kailyn", "last_name": "Kailyn Stark", "npi": "3841318739"},
|
645
|
+
"coverage": {"service_types": ["professional_physician_visit_office"], "group_number":
|
646
|
+
"088818801000013", "out_of_pocket": [{"in_plan_network": "yes", "benefit_amount":
|
647
|
+
{"currency": "USD", "amount": "3000"}, "coverage_level": "individual"}, {"in_plan_network":
|
648
|
+
"yes", "benefit_amount": {"currency": "USD", "amount": "2983.57"}, "coverage_level":
|
649
|
+
"individual", "time_period": "remaining"}, {"in_plan_network": "yes", "benefit_amount":
|
650
|
+
{"currency": "USD", "amount": "6000"}, "coverage_level": "family"}, {"in_plan_network":
|
651
|
+
"yes", "benefit_amount": {"currency": "USD", "amount": "5956.09"}, "coverage_level":
|
652
|
+
"family", "time_period": "remaining"}, {"in_plan_network": "no", "benefit_amount":
|
653
|
+
{"currency": "USD", "amount": "12500"}, "coverage_level": "individual"}, {"in_plan_network":
|
654
|
+
"no", "benefit_amount": {"currency": "USD", "amount": "12483.57"}, "coverage_level":
|
655
|
+
"individual", "time_period": "remaining"}, {"in_plan_network": "no", "benefit_amount":
|
656
|
+
{"currency": "USD", "amount": "25000"}, "coverage_level": "family"}, {"in_plan_network":
|
657
|
+
"no", "benefit_amount": {"currency": "USD", "amount": "24956.09"}, "coverage_level":
|
658
|
+
"family", "messages": [{"message": "Unlimited Lifetime Benefits"}], "time_period":
|
659
|
+
"remaining"}], "level": "employee_and_spouse", "copay": [{"in_plan_network":
|
660
|
+
"yes", "service_types": ["professional_physician_visit_office"], "coverage_level":
|
661
|
+
"employee_and_spouse", "messages": [{"message": "PRIMARY OFFICE"}]}, {"in_plan_network":
|
662
|
+
"not_applicable", "service_types": ["professional_physician_visit_office"],
|
663
|
+
"coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
|
664
|
+
VS"}, {"message": "GYN VISIT"}, {"message": "SPEC OFFICE"}, {"message": "SPEC
|
665
|
+
VISIT"}, {"message": "PRIME CARE VST"}, {"message": "Plan Requires PreCert"},
|
666
|
+
{"message": "Commercial"}, {"message": "Plan includes NAP"}, {"message": "Pre-Existing
|
667
|
+
may apply"}]}], "deductibles": [{"messages": [{"message": "INT MED AND RX,GYN
|
668
|
+
OFFICE VS,DED INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIMARY OFFICE,PRIME
|
669
|
+
CARE VST"}], "in_plan_network": "yes", "eligibility_date": "2013-01-01", "time_period":
|
670
|
+
"calendar_year", "coverage_level": "family", "benefit_amount": {"currency":
|
671
|
+
"USD", "amount": "6000"}}, {"in_plan_network": "yes", "time_period": "remaining",
|
672
|
+
"coverage_level": "family", "messages": [{"message": "INT MED AND RX"}], "benefit_amount":
|
673
|
+
{"currency": "USD", "amount": "5956.09"}}, {"messages": [{"message": "INT
|
674
|
+
MED AND RX,GYN OFFICE VS,DED INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIMARY
|
675
|
+
OFFICE,PRIME CARE VST"}], "in_plan_network": "yes", "eligibility_date": "2013-01-01",
|
676
|
+
"time_period": "calendar_year", "coverage_level": "individual", "benefit_amount":
|
677
|
+
{"currency": "USD", "amount": "3000"}}, {"in_plan_network": "yes", "time_period":
|
678
|
+
"remaining", "coverage_level": "individual", "messages": [{"message": "INT
|
679
|
+
MED AND RX"}], "benefit_amount": {"currency": "USD", "amount": "2983.57"}},
|
680
|
+
{"messages": [{"message": "INT MED AND RX,GYN OFFICE VS,DED INCLUDED IN OOP,GYN
|
681
|
+
VISIT,SPEC OFFICE,SPEC VISIT,PRIME CARE VST"}], "in_plan_network": "no", "eligibility_date":
|
682
|
+
"2013-01-01", "time_period": "calendar_year", "coverage_level": "family",
|
683
|
+
"benefit_amount": {"currency": "USD", "amount": "12000"}}, {"in_plan_network":
|
684
|
+
"no", "time_period": "remaining", "coverage_level": "family", "messages":
|
685
|
+
[{"message": "INT MED AND RX"}], "benefit_amount": {"currency": "USD", "amount":
|
686
|
+
"11956.09"}}, {"messages": [{"message": "INT MED AND RX,GYN OFFICE VS,DED
|
687
|
+
INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIME CARE VST"}], "in_plan_network":
|
688
|
+
"no", "eligibility_date": "2013-01-01", "time_period": "calendar_year", "coverage_level":
|
689
|
+
"individual", "benefit_amount": {"currency": "USD", "amount": "6000"}}, {"in_plan_network":
|
690
|
+
"no", "time_period": "remaining", "coverage_level": "individual", "messages":
|
691
|
+
[{"message": "INT MED AND RX"}], "benefit_amount": {"currency": "USD", "amount":
|
692
|
+
"5983.57"}}], "plan_begin_date": "2013-02-15", "eligibility_begin_date": "2012-02-01",
|
693
|
+
"coinsurance": [{"benefit_percent": 0.0, "service_types": ["professional_physician_visit_office"],
|
694
|
+
"coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
|
695
|
+
VS"}, {"message": "GYN VISIT"}, {"message": "SPEC OFFICE"}, {"message": "SPEC
|
696
|
+
VISIT"}, {"message": "PRIMARY OFFICE"}, {"message": "PRIME CARE VST"}], "in_plan_network":
|
697
|
+
"yes"}, {"benefit_percent": 0.5, "service_types": ["professional_physician_visit_office"],
|
698
|
+
"coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
|
699
|
+
VS,COINS APPLIES TO OUT OF POCKET"}, {"message": "GYN VISIT,COINS APPLIES
|
700
|
+
TO OUT OF POCKET"}, {"message": "SPEC OFFICE,COINS APPLIES TO OUT OF POCKET"},
|
701
|
+
{"message": "SPEC VISIT,COINS APPLIES TO OUT OF POCKET"}, {"message": "PRIME
|
702
|
+
CARE VST,COINS APPLIES TO OUT OF POCKET"}], "in_plan_network": "no"}], "group_description":
|
703
|
+
"MOCK INDIVIDUAL ADVANTAGE PLAN", "plan_number": "0888188", "service_date":
|
704
|
+
"2013-08-10"}, "valid_request": true}, "trading_partner_id": "MOCKPAYER",
|
705
|
+
"id": "53cdaa9f56c02c1cdb7a40ac", "transition_path": ["generate", "transmit",
|
706
|
+
"wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-22T00:04:47.597000",
|
707
|
+
"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-22T00:04:47.614000",
|
708
|
+
"name": "generating", "title": "Generating X12 transactions"}, {"record_dt":
|
709
|
+
"2014-07-22T00:04:47.615000", "name": "transmitting", "title": "Transmitting
|
710
|
+
transactions to Trading Partner"}, {"record_dt": "2014-07-22T00:04:47.617000",
|
711
|
+
"name": "waiting", "title": "Waiting on Trading Partner Response"}, {"record_dt":
|
712
|
+
"2014-07-22T00:04:47.618000", "name": "receiving", "title": "Receiving transactions
|
713
|
+
from Trading Partner"}, {"record_dt": "2014-07-22T00:04:47.683000", "name":
|
714
|
+
"processing", "title": "Processing X12 transactions"}]}, {"units_of_work":
|
715
|
+
1, "name": "enrollment", "parameters": {"service_types": ["health_benefit_plan_coverage"],
|
716
|
+
"trading_partner_id": "MOCKPAYER", "payer": {"id": "MOCKPAYER", "name": "Mockpayer
|
717
|
+
For Testing"}, "member": {"birth_date": "1992-01-08", "first_name": "Alfonso",
|
718
|
+
"last_name": "Tremblay", "plan_start_date": "2013-08-10", "id": "039173051"},
|
719
|
+
"correlation_id": "4ca33e09-3f0a-4b84-a52e-8ca2b3ed75fe", "client_id": "7x7nRAotGfxHfy7Llfl3",
|
720
|
+
"provider": {"first_name": "Dayana", "last_name": "Doyle", "npi": "8369176691"},
|
721
|
+
"async": false, "transaction_code": "request"}, "state": {"name": "completed",
|
722
|
+
"title": "Completed"}, "result": {"service_types": ["professional_physician_visit_office"],
|
723
|
+
"client_id": "7x7nRAotGfxHfy7Llfl3", "payer": {"id": "MOCKPAYER", "name":
|
724
|
+
"MOCK PAYER INC"}, "subscriber": {"birth_date": "1992-01-08", "first_name":
|
725
|
+
"Alfonso", "last_name": "Tremblay", "id": "039173051", "address": {"city":
|
486
726
|
"SPARTANBURG", "state": "SC", "zipcode": "29307", "address_lines": ["123 MAIN
|
487
|
-
ST"]}}, "correlation_id": "
|
488
|
-
"MOCKPAYER", "provider": {"first_name": "
|
489
|
-
"npi": "
|
727
|
+
ST"]}}, "correlation_id": "4ca33e09-3f0a-4b84-a52e-8ca2b3ed75fe", "trading_partner_id":
|
728
|
+
"MOCKPAYER", "provider": {"first_name": "Dayana", "last_name": "Dayana Doyle",
|
729
|
+
"npi": "8369176691"}, "coverage": {"service_types": ["professional_physician_visit_office"],
|
490
730
|
"group_number": "088818801000013", "out_of_pocket": [{"in_plan_network": "yes",
|
491
731
|
"benefit_amount": {"currency": "USD", "amount": "3000"}, "coverage_level":
|
492
732
|
"individual"}, {"in_plan_network": "yes", "benefit_amount": {"currency": "USD",
|
@@ -547,30 +787,30 @@ http_interactions:
|
|
547
787
|
CARE VST,COINS APPLIES TO OUT OF POCKET"}], "in_plan_network": "no"}], "group_description":
|
548
788
|
"MOCK INDIVIDUAL ADVANTAGE PLAN", "plan_number": "0888188", "service_date":
|
549
789
|
"2013-08-10"}, "valid_request": true}, "trading_partner_id": "MOCKPAYER",
|
550
|
-
"id": "
|
551
|
-
"wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-
|
552
|
-
"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-
|
790
|
+
"id": "53cdaa9f56c02c1cdb7a40af", "transition_path": ["generate", "transmit",
|
791
|
+
"wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-22T00:04:47.696000",
|
792
|
+
"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-22T00:04:47.712000",
|
553
793
|
"name": "generating", "title": "Generating X12 transactions"}, {"record_dt":
|
554
|
-
"2014-07-
|
555
|
-
transactions to Trading Partner"}, {"record_dt": "2014-07-
|
794
|
+
"2014-07-22T00:04:47.713000", "name": "transmitting", "title": "Transmitting
|
795
|
+
transactions to Trading Partner"}, {"record_dt": "2014-07-22T00:04:47.715000",
|
556
796
|
"name": "waiting", "title": "Waiting on Trading Partner Response"}, {"record_dt":
|
557
|
-
"2014-07-
|
558
|
-
from Trading Partner"}, {"record_dt": "2014-07-
|
797
|
+
"2014-07-22T00:04:47.716000", "name": "receiving", "title": "Receiving transactions
|
798
|
+
from Trading Partner"}, {"record_dt": "2014-07-22T00:04:47.783000", "name":
|
559
799
|
"processing", "title": "Processing X12 transactions"}]}, {"units_of_work":
|
560
|
-
1, "name": "
|
800
|
+
1, "name": "pokitdok_api", "parameters": {"service_types": ["health_benefit_plan_coverage"],
|
561
801
|
"trading_partner_id": "MOCKPAYER", "payer": {"id": "MOCKPAYER", "name": "Mockpayer
|
562
|
-
For Testing"}, "member": {"birth_date": "
|
563
|
-
"last_name": "
|
564
|
-
"correlation_id": "
|
565
|
-
"provider": {"first_name": "
|
802
|
+
For Testing"}, "member": {"birth_date": "1997-11-28", "first_name": "Cleo",
|
803
|
+
"last_name": "Green", "plan_start_date": "2013-08-10", "id": "454534266"},
|
804
|
+
"correlation_id": "9ecd6843-a6ef-477b-a531-2978097b0abe", "client_id": "7x7nRAotGfxHfy7Llfl3",
|
805
|
+
"provider": {"first_name": "Levi", "last_name": "Price", "npi": "4541551516"},
|
566
806
|
"async": false, "transaction_code": "request"}, "state": {"name": "completed",
|
567
807
|
"title": "Completed"}, "result": {"service_types": ["professional_physician_visit_office"],
|
568
|
-
"client_id": "
|
569
|
-
"MOCK PAYER INC"}, "subscriber": {"birth_date": "
|
570
|
-
"
|
808
|
+
"client_id": "7x7nRAotGfxHfy7Llfl3", "payer": {"id": "MOCKPAYER", "name":
|
809
|
+
"MOCK PAYER INC"}, "subscriber": {"birth_date": "1997-11-28", "first_name":
|
810
|
+
"Cleo", "last_name": "Green", "id": "454534266", "address": {"city": "SPARTANBURG",
|
571
811
|
"state": "SC", "zipcode": "29307", "address_lines": ["123 MAIN ST"]}}, "correlation_id":
|
572
|
-
"
|
573
|
-
"provider": {"first_name": "
|
812
|
+
"9ecd6843-a6ef-477b-a531-2978097b0abe", "trading_partner_id": "MOCKPAYER",
|
813
|
+
"provider": {"first_name": "Levi", "last_name": "Levi Price", "npi": "4541551516"},
|
574
814
|
"coverage": {"service_types": ["professional_physician_visit_office"], "group_number":
|
575
815
|
"088818801000013", "out_of_pocket": [{"in_plan_network": "yes", "benefit_amount":
|
576
816
|
{"currency": "USD", "amount": "3000"}, "coverage_level": "individual"}, {"in_plan_network":
|
@@ -631,31 +871,31 @@ http_interactions:
|
|
631
871
|
CARE VST,COINS APPLIES TO OUT OF POCKET"}], "in_plan_network": "no"}], "group_description":
|
632
872
|
"MOCK INDIVIDUAL ADVANTAGE PLAN", "plan_number": "0888188", "service_date":
|
633
873
|
"2013-08-10"}, "valid_request": true}, "trading_partner_id": "MOCKPAYER",
|
634
|
-
"id": "
|
635
|
-
"wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-
|
636
|
-
"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-
|
874
|
+
"id": "53cdaa9f56c02c1cdb7a40b2", "transition_path": ["generate", "transmit",
|
875
|
+
"wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-22T00:04:47.799000",
|
876
|
+
"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-22T00:04:47.816000",
|
637
877
|
"name": "generating", "title": "Generating X12 transactions"}, {"record_dt":
|
638
|
-
"2014-07-
|
639
|
-
transactions to Trading Partner"}, {"record_dt": "2014-07-
|
878
|
+
"2014-07-22T00:04:47.817000", "name": "transmitting", "title": "Transmitting
|
879
|
+
transactions to Trading Partner"}, {"record_dt": "2014-07-22T00:04:47.818000",
|
640
880
|
"name": "waiting", "title": "Waiting on Trading Partner Response"}, {"record_dt":
|
641
|
-
"2014-07-
|
642
|
-
from Trading Partner"}, {"record_dt": "2014-07-
|
881
|
+
"2014-07-22T00:04:47.819000", "name": "receiving", "title": "Receiving transactions
|
882
|
+
from Trading Partner"}, {"record_dt": "2014-07-22T00:04:47.888000", "name":
|
643
883
|
"processing", "title": "Processing X12 transactions"}]}, {"units_of_work":
|
644
|
-
1, "name": "
|
884
|
+
1, "name": "cash_prices", "parameters": {"service_types": ["health_benefit_plan_coverage"],
|
645
885
|
"trading_partner_id": "MOCKPAYER", "payer": {"id": "MOCKPAYER", "name": "Mockpayer
|
646
|
-
For Testing"}, "member": {"birth_date": "
|
647
|
-
"last_name": "
|
648
|
-
"correlation_id": "
|
649
|
-
"provider": {"first_name": "
|
886
|
+
For Testing"}, "member": {"birth_date": "1992-06-26", "first_name": "Enos",
|
887
|
+
"last_name": "Hammes", "plan_start_date": "2013-08-10", "id": "803850921"},
|
888
|
+
"correlation_id": "2c111b0c-2bce-4188-9487-1d173cac2f04", "client_id": "7x7nRAotGfxHfy7Llfl3",
|
889
|
+
"provider": {"first_name": "Edythe", "last_name": "Kertzmann", "npi": "0303839453"},
|
650
890
|
"async": false, "transaction_code": "request"}, "state": {"name": "completed",
|
651
891
|
"title": "Completed"}, "result": {"service_types": ["professional_physician_visit_office"],
|
652
|
-
"client_id": "
|
653
|
-
"MOCK PAYER INC"}, "subscriber": {"birth_date": "
|
654
|
-
"
|
892
|
+
"client_id": "7x7nRAotGfxHfy7Llfl3", "payer": {"id": "MOCKPAYER", "name":
|
893
|
+
"MOCK PAYER INC"}, "subscriber": {"birth_date": "1992-06-26", "first_name":
|
894
|
+
"Enos", "last_name": "Hammes", "id": "803850921", "address": {"city": "SPARTANBURG",
|
655
895
|
"state": "SC", "zipcode": "29307", "address_lines": ["123 MAIN ST"]}}, "correlation_id":
|
656
|
-
"
|
657
|
-
"provider": {"first_name": "
|
658
|
-
"
|
896
|
+
"2c111b0c-2bce-4188-9487-1d173cac2f04", "trading_partner_id": "MOCKPAYER",
|
897
|
+
"provider": {"first_name": "Edythe", "last_name": "Edythe Kertzmann", "npi":
|
898
|
+
"0303839453"}, "coverage": {"service_types": ["professional_physician_visit_office"],
|
659
899
|
"group_number": "088818801000013", "out_of_pocket": [{"in_plan_network": "yes",
|
660
900
|
"benefit_amount": {"currency": "USD", "amount": "3000"}, "coverage_level":
|
661
901
|
"individual"}, {"in_plan_network": "yes", "benefit_amount": {"currency": "USD",
|
@@ -716,31 +956,31 @@ http_interactions:
|
|
716
956
|
CARE VST,COINS APPLIES TO OUT OF POCKET"}], "in_plan_network": "no"}], "group_description":
|
717
957
|
"MOCK INDIVIDUAL ADVANTAGE PLAN", "plan_number": "0888188", "service_date":
|
718
958
|
"2013-08-10"}, "valid_request": true}, "trading_partner_id": "MOCKPAYER",
|
719
|
-
"id": "
|
720
|
-
"wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-
|
721
|
-
"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-
|
959
|
+
"id": "53cdaa9f56c02c1cdb7a40b5", "transition_path": ["generate", "transmit",
|
960
|
+
"wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-22T00:04:47.901000",
|
961
|
+
"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-22T00:04:47.938000",
|
722
962
|
"name": "generating", "title": "Generating X12 transactions"}, {"record_dt":
|
723
|
-
"2014-07-
|
724
|
-
transactions to Trading Partner"}, {"record_dt": "2014-07-
|
963
|
+
"2014-07-22T00:04:47.939000", "name": "transmitting", "title": "Transmitting
|
964
|
+
transactions to Trading Partner"}, {"record_dt": "2014-07-22T00:04:47.940000",
|
725
965
|
"name": "waiting", "title": "Waiting on Trading Partner Response"}, {"record_dt":
|
726
|
-
"2014-07-
|
727
|
-
from Trading Partner"}, {"record_dt": "2014-07-
|
966
|
+
"2014-07-22T00:04:47.942000", "name": "receiving", "title": "Receiving transactions
|
967
|
+
from Trading Partner"}, {"record_dt": "2014-07-22T00:04:48.020000", "name":
|
728
968
|
"processing", "title": "Processing X12 transactions"}]}, {"units_of_work":
|
729
|
-
1, "name": "
|
969
|
+
1, "name": "providers", "parameters": {"service_types": ["health_benefit_plan_coverage"],
|
730
970
|
"trading_partner_id": "MOCKPAYER", "payer": {"id": "MOCKPAYER", "name": "Mockpayer
|
731
|
-
For Testing"}, "member": {"birth_date": "
|
732
|
-
"last_name": "
|
733
|
-
"correlation_id": "
|
734
|
-
"provider": {"first_name": "
|
971
|
+
For Testing"}, "member": {"birth_date": "1985-06-30", "first_name": "Elian",
|
972
|
+
"last_name": "Larson", "plan_start_date": "2013-08-10", "id": "431585370"},
|
973
|
+
"correlation_id": "62fc1541-69a2-4377-9eb9-dd6b391ca0bd", "client_id": "7x7nRAotGfxHfy7Llfl3",
|
974
|
+
"provider": {"first_name": "Tomasa", "last_name": "Cronin", "npi": "0826932801"},
|
735
975
|
"async": false, "transaction_code": "request"}, "state": {"name": "completed",
|
736
976
|
"title": "Completed"}, "result": {"service_types": ["professional_physician_visit_office"],
|
737
|
-
"client_id": "
|
738
|
-
"MOCK PAYER INC"}, "subscriber": {"birth_date": "
|
739
|
-
"
|
977
|
+
"client_id": "7x7nRAotGfxHfy7Llfl3", "payer": {"id": "MOCKPAYER", "name":
|
978
|
+
"MOCK PAYER INC"}, "subscriber": {"birth_date": "1985-06-30", "first_name":
|
979
|
+
"Elian", "last_name": "Larson", "id": "431585370", "address": {"city": "SPARTANBURG",
|
740
980
|
"state": "SC", "zipcode": "29307", "address_lines": ["123 MAIN ST"]}}, "correlation_id":
|
741
|
-
"
|
742
|
-
"provider": {"first_name": "
|
743
|
-
"
|
981
|
+
"62fc1541-69a2-4377-9eb9-dd6b391ca0bd", "trading_partner_id": "MOCKPAYER",
|
982
|
+
"provider": {"first_name": "Tomasa", "last_name": "Tomasa Cronin", "npi":
|
983
|
+
"0826932801"}, "coverage": {"service_types": ["professional_physician_visit_office"],
|
744
984
|
"group_number": "088818801000013", "out_of_pocket": [{"in_plan_network": "yes",
|
745
985
|
"benefit_amount": {"currency": "USD", "amount": "3000"}, "coverage_level":
|
746
986
|
"individual"}, {"in_plan_network": "yes", "benefit_amount": {"currency": "USD",
|
@@ -801,41 +1041,40 @@ http_interactions:
|
|
801
1041
|
CARE VST,COINS APPLIES TO OUT OF POCKET"}], "in_plan_network": "no"}], "group_description":
|
802
1042
|
"MOCK INDIVIDUAL ADVANTAGE PLAN", "plan_number": "0888188", "service_date":
|
803
1043
|
"2013-08-10"}, "valid_request": true}, "trading_partner_id": "MOCKPAYER",
|
804
|
-
"id": "
|
805
|
-
"wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-
|
806
|
-
"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-
|
1044
|
+
"id": "53cdaaa056c02c1cdb7a40b8", "transition_path": ["generate", "transmit",
|
1045
|
+
"wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-22T00:04:48.035000",
|
1046
|
+
"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-22T00:04:48.063000",
|
807
1047
|
"name": "generating", "title": "Generating X12 transactions"}, {"record_dt":
|
808
|
-
"2014-07-
|
809
|
-
transactions to Trading Partner"}, {"record_dt": "2014-07-
|
1048
|
+
"2014-07-22T00:04:48.065000", "name": "transmitting", "title": "Transmitting
|
1049
|
+
transactions to Trading Partner"}, {"record_dt": "2014-07-22T00:04:48.066000",
|
810
1050
|
"name": "waiting", "title": "Waiting on Trading Partner Response"}, {"record_dt":
|
811
|
-
"2014-07-
|
812
|
-
from Trading Partner"}, {"record_dt": "2014-07-
|
1051
|
+
"2014-07-22T00:04:48.067000", "name": "receiving", "title": "Receiving transactions
|
1052
|
+
from Trading Partner"}, {"record_dt": "2014-07-22T00:04:48.138000", "name":
|
813
1053
|
"processing", "title": "Processing X12 transactions"}]}, {"units_of_work":
|
814
|
-
1, "name": "
|
1054
|
+
1, "name": "cash_prices", "parameters": {"service_types": ["health_benefit_plan_coverage"],
|
815
1055
|
"trading_partner_id": "MOCKPAYER", "payer": {"id": "MOCKPAYER", "name": "Mockpayer
|
816
|
-
For Testing"}, "member": {"birth_date": "
|
817
|
-
"last_name": "
|
818
|
-
"correlation_id": "
|
819
|
-
"provider": {"first_name": "
|
1056
|
+
For Testing"}, "member": {"birth_date": "1990-02-13", "first_name": "Gordon",
|
1057
|
+
"last_name": "Berge", "plan_start_date": "2013-08-10", "id": "781167793"},
|
1058
|
+
"correlation_id": "7f7185e5-d7a0-47fd-b0a0-38ac8642e393", "client_id": "7x7nRAotGfxHfy7Llfl3",
|
1059
|
+
"provider": {"first_name": "Joana", "last_name": "Herzog", "npi": "7669802604"},
|
820
1060
|
"async": false, "transaction_code": "request"}, "state": {"name": "completed",
|
821
1061
|
"title": "Completed"}, "result": {"service_types": ["professional_physician_visit_office"],
|
822
|
-
"client_id": "
|
823
|
-
"MOCK PAYER INC"}, "subscriber": {"birth_date": "
|
824
|
-
"
|
1062
|
+
"client_id": "7x7nRAotGfxHfy7Llfl3", "payer": {"id": "MOCKPAYER", "name":
|
1063
|
+
"MOCK PAYER INC"}, "subscriber": {"birth_date": "1990-02-13", "first_name":
|
1064
|
+
"Gordon", "last_name": "Berge", "id": "781167793", "address": {"city": "SPARTANBURG",
|
825
1065
|
"state": "SC", "zipcode": "29307", "address_lines": ["123 MAIN ST"]}}, "correlation_id":
|
826
|
-
"
|
827
|
-
"provider": {"first_name": "
|
828
|
-
"
|
829
|
-
"
|
830
|
-
|
831
|
-
"
|
832
|
-
"
|
833
|
-
{"
|
834
|
-
"
|
835
|
-
|
836
|
-
"
|
837
|
-
"
|
838
|
-
"benefit_amount": {"currency": "USD", "amount": "12483.57"}, "coverage_level":
|
1066
|
+
"7f7185e5-d7a0-47fd-b0a0-38ac8642e393", "trading_partner_id": "MOCKPAYER",
|
1067
|
+
"provider": {"first_name": "Joana", "last_name": "Joana Herzog", "npi": "7669802604"},
|
1068
|
+
"coverage": {"service_types": ["professional_physician_visit_office"], "group_number":
|
1069
|
+
"088818801000013", "out_of_pocket": [{"in_plan_network": "yes", "benefit_amount":
|
1070
|
+
{"currency": "USD", "amount": "3000"}, "coverage_level": "individual"}, {"in_plan_network":
|
1071
|
+
"yes", "benefit_amount": {"currency": "USD", "amount": "2983.57"}, "coverage_level":
|
1072
|
+
"individual", "time_period": "remaining"}, {"in_plan_network": "yes", "benefit_amount":
|
1073
|
+
{"currency": "USD", "amount": "6000"}, "coverage_level": "family"}, {"in_plan_network":
|
1074
|
+
"yes", "benefit_amount": {"currency": "USD", "amount": "5956.09"}, "coverage_level":
|
1075
|
+
"family", "time_period": "remaining"}, {"in_plan_network": "no", "benefit_amount":
|
1076
|
+
{"currency": "USD", "amount": "12500"}, "coverage_level": "individual"}, {"in_plan_network":
|
1077
|
+
"no", "benefit_amount": {"currency": "USD", "amount": "12483.57"}, "coverage_level":
|
839
1078
|
"individual", "time_period": "remaining"}, {"in_plan_network": "no", "benefit_amount":
|
840
1079
|
{"currency": "USD", "amount": "25000"}, "coverage_level": "family"}, {"in_plan_network":
|
841
1080
|
"no", "benefit_amount": {"currency": "USD", "amount": "24956.09"}, "coverage_level":
|
@@ -886,41 +1125,40 @@ http_interactions:
|
|
886
1125
|
CARE VST,COINS APPLIES TO OUT OF POCKET"}], "in_plan_network": "no"}], "group_description":
|
887
1126
|
"MOCK INDIVIDUAL ADVANTAGE PLAN", "plan_number": "0888188", "service_date":
|
888
1127
|
"2013-08-10"}, "valid_request": true}, "trading_partner_id": "MOCKPAYER",
|
889
|
-
"id": "
|
890
|
-
"wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-
|
891
|
-
"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-
|
1128
|
+
"id": "53cdaaa056c02c1cdb7a40bb", "transition_path": ["generate", "transmit",
|
1129
|
+
"wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-22T00:04:48.154000",
|
1130
|
+
"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-22T00:04:48.179000",
|
892
1131
|
"name": "generating", "title": "Generating X12 transactions"}, {"record_dt":
|
893
|
-
"2014-07-
|
894
|
-
transactions to Trading Partner"}, {"record_dt": "2014-07-
|
1132
|
+
"2014-07-22T00:04:48.181000", "name": "transmitting", "title": "Transmitting
|
1133
|
+
transactions to Trading Partner"}, {"record_dt": "2014-07-22T00:04:48.183000",
|
895
1134
|
"name": "waiting", "title": "Waiting on Trading Partner Response"}, {"record_dt":
|
896
|
-
"2014-07-
|
897
|
-
from Trading Partner"}, {"record_dt": "2014-07-
|
1135
|
+
"2014-07-22T00:04:48.184000", "name": "receiving", "title": "Receiving transactions
|
1136
|
+
from Trading Partner"}, {"record_dt": "2014-07-22T00:04:48.251000", "name":
|
898
1137
|
"processing", "title": "Processing X12 transactions"}]}, {"units_of_work":
|
899
|
-
1, "name": "
|
1138
|
+
1, "name": "enrollment", "parameters": {"service_types": ["health_benefit_plan_coverage"],
|
900
1139
|
"trading_partner_id": "MOCKPAYER", "payer": {"id": "MOCKPAYER", "name": "Mockpayer
|
901
|
-
For Testing"}, "member": {"birth_date": "1997-
|
902
|
-
"last_name": "
|
903
|
-
"correlation_id": "
|
904
|
-
"provider": {"first_name": "
|
1140
|
+
For Testing"}, "member": {"birth_date": "1997-07-19", "first_name": "Bernita",
|
1141
|
+
"last_name": "Hessel", "plan_start_date": "2013-08-10", "id": "869808195"},
|
1142
|
+
"correlation_id": "ef2befe5-5498-400e-b282-3211744fc7dd", "client_id": "7x7nRAotGfxHfy7Llfl3",
|
1143
|
+
"provider": {"first_name": "Armand", "last_name": "Kulas", "npi": "1287623786"},
|
905
1144
|
"async": false, "transaction_code": "request"}, "state": {"name": "completed",
|
906
1145
|
"title": "Completed"}, "result": {"service_types": ["professional_physician_visit_office"],
|
907
|
-
"client_id": "
|
908
|
-
"MOCK PAYER INC"}, "subscriber": {"birth_date": "1997-
|
909
|
-
"
|
1146
|
+
"client_id": "7x7nRAotGfxHfy7Llfl3", "payer": {"id": "MOCKPAYER", "name":
|
1147
|
+
"MOCK PAYER INC"}, "subscriber": {"birth_date": "1997-07-19", "first_name":
|
1148
|
+
"Bernita", "last_name": "Hessel", "id": "869808195", "address": {"city": "SPARTANBURG",
|
910
1149
|
"state": "SC", "zipcode": "29307", "address_lines": ["123 MAIN ST"]}}, "correlation_id":
|
911
|
-
"
|
912
|
-
"provider": {"first_name": "
|
913
|
-
"
|
914
|
-
"
|
915
|
-
|
916
|
-
"
|
917
|
-
"
|
918
|
-
{"
|
919
|
-
"
|
920
|
-
|
921
|
-
"
|
922
|
-
"
|
923
|
-
"benefit_amount": {"currency": "USD", "amount": "12483.57"}, "coverage_level":
|
1150
|
+
"ef2befe5-5498-400e-b282-3211744fc7dd", "trading_partner_id": "MOCKPAYER",
|
1151
|
+
"provider": {"first_name": "Armand", "last_name": "Armand Kulas", "npi": "1287623786"},
|
1152
|
+
"coverage": {"service_types": ["professional_physician_visit_office"], "group_number":
|
1153
|
+
"088818801000013", "out_of_pocket": [{"in_plan_network": "yes", "benefit_amount":
|
1154
|
+
{"currency": "USD", "amount": "3000"}, "coverage_level": "individual"}, {"in_plan_network":
|
1155
|
+
"yes", "benefit_amount": {"currency": "USD", "amount": "2983.57"}, "coverage_level":
|
1156
|
+
"individual", "time_period": "remaining"}, {"in_plan_network": "yes", "benefit_amount":
|
1157
|
+
{"currency": "USD", "amount": "6000"}, "coverage_level": "family"}, {"in_plan_network":
|
1158
|
+
"yes", "benefit_amount": {"currency": "USD", "amount": "5956.09"}, "coverage_level":
|
1159
|
+
"family", "time_period": "remaining"}, {"in_plan_network": "no", "benefit_amount":
|
1160
|
+
{"currency": "USD", "amount": "12500"}, "coverage_level": "individual"}, {"in_plan_network":
|
1161
|
+
"no", "benefit_amount": {"currency": "USD", "amount": "12483.57"}, "coverage_level":
|
924
1162
|
"individual", "time_period": "remaining"}, {"in_plan_network": "no", "benefit_amount":
|
925
1163
|
{"currency": "USD", "amount": "25000"}, "coverage_level": "family"}, {"in_plan_network":
|
926
1164
|
"no", "benefit_amount": {"currency": "USD", "amount": "24956.09"}, "coverage_level":
|
@@ -971,31 +1209,31 @@ http_interactions:
|
|
971
1209
|
CARE VST,COINS APPLIES TO OUT OF POCKET"}], "in_plan_network": "no"}], "group_description":
|
972
1210
|
"MOCK INDIVIDUAL ADVANTAGE PLAN", "plan_number": "0888188", "service_date":
|
973
1211
|
"2013-08-10"}, "valid_request": true}, "trading_partner_id": "MOCKPAYER",
|
974
|
-
"id": "
|
975
|
-
"wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-
|
976
|
-
"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-
|
1212
|
+
"id": "53cdaaa056c02c1cdb7a40be", "transition_path": ["generate", "transmit",
|
1213
|
+
"wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-22T00:04:48.268000",
|
1214
|
+
"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-22T00:04:48.284000",
|
977
1215
|
"name": "generating", "title": "Generating X12 transactions"}, {"record_dt":
|
978
|
-
"2014-07-
|
979
|
-
transactions to Trading Partner"}, {"record_dt": "2014-07-
|
1216
|
+
"2014-07-22T00:04:48.285000", "name": "transmitting", "title": "Transmitting
|
1217
|
+
transactions to Trading Partner"}, {"record_dt": "2014-07-22T00:04:48.286000",
|
980
1218
|
"name": "waiting", "title": "Waiting on Trading Partner Response"}, {"record_dt":
|
981
|
-
"2014-07-
|
982
|
-
from Trading Partner"}, {"record_dt": "2014-07-
|
1219
|
+
"2014-07-22T00:04:48.288000", "name": "receiving", "title": "Receiving transactions
|
1220
|
+
from Trading Partner"}, {"record_dt": "2014-07-22T00:04:48.347000", "name":
|
983
1221
|
"processing", "title": "Processing X12 transactions"}]}, {"units_of_work":
|
984
|
-
1, "name": "
|
1222
|
+
1, "name": "providers", "parameters": {"service_types": ["health_benefit_plan_coverage"],
|
985
1223
|
"trading_partner_id": "MOCKPAYER", "payer": {"id": "MOCKPAYER", "name": "Mockpayer
|
986
|
-
For Testing"}, "member": {"birth_date": "
|
987
|
-
"last_name": "
|
988
|
-
"correlation_id": "
|
989
|
-
"provider": {"first_name": "
|
1224
|
+
For Testing"}, "member": {"birth_date": "1997-10-31", "first_name": "Filiberto",
|
1225
|
+
"last_name": "Robel", "plan_start_date": "2013-08-10", "id": "950795427"},
|
1226
|
+
"correlation_id": "8e95d79d-d09d-4034-94f9-d3a367c10b18", "client_id": "7x7nRAotGfxHfy7Llfl3",
|
1227
|
+
"provider": {"first_name": "Judy", "last_name": "Strosin", "npi": "3462453852"},
|
990
1228
|
"async": false, "transaction_code": "request"}, "state": {"name": "completed",
|
991
1229
|
"title": "Completed"}, "result": {"service_types": ["professional_physician_visit_office"],
|
992
|
-
"client_id": "
|
993
|
-
"MOCK PAYER INC"}, "subscriber": {"birth_date": "
|
994
|
-
"
|
1230
|
+
"client_id": "7x7nRAotGfxHfy7Llfl3", "payer": {"id": "MOCKPAYER", "name":
|
1231
|
+
"MOCK PAYER INC"}, "subscriber": {"birth_date": "1997-10-31", "first_name":
|
1232
|
+
"Filiberto", "last_name": "Robel", "id": "950795427", "address": {"city":
|
995
1233
|
"SPARTANBURG", "state": "SC", "zipcode": "29307", "address_lines": ["123 MAIN
|
996
|
-
ST"]}}, "correlation_id": "
|
997
|
-
"MOCKPAYER", "provider": {"first_name": "
|
998
|
-
"npi": "
|
1234
|
+
ST"]}}, "correlation_id": "8e95d79d-d09d-4034-94f9-d3a367c10b18", "trading_partner_id":
|
1235
|
+
"MOCKPAYER", "provider": {"first_name": "Judy", "last_name": "Judy Strosin",
|
1236
|
+
"npi": "3462453852"}, "coverage": {"service_types": ["professional_physician_visit_office"],
|
999
1237
|
"group_number": "088818801000013", "out_of_pocket": [{"in_plan_network": "yes",
|
1000
1238
|
"benefit_amount": {"currency": "USD", "amount": "3000"}, "coverage_level":
|
1001
1239
|
"individual"}, {"in_plan_network": "yes", "benefit_amount": {"currency": "USD",
|
@@ -1056,31 +1294,31 @@ http_interactions:
|
|
1056
1294
|
CARE VST,COINS APPLIES TO OUT OF POCKET"}], "in_plan_network": "no"}], "group_description":
|
1057
1295
|
"MOCK INDIVIDUAL ADVANTAGE PLAN", "plan_number": "0888188", "service_date":
|
1058
1296
|
"2013-08-10"}, "valid_request": true}, "trading_partner_id": "MOCKPAYER",
|
1059
|
-
"id": "
|
1060
|
-
"wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-
|
1061
|
-
"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-
|
1297
|
+
"id": "53cdaaa056c02c1cdb7a40c1", "transition_path": ["generate", "transmit",
|
1298
|
+
"wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-22T00:04:48.360000",
|
1299
|
+
"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-22T00:04:48.375000",
|
1062
1300
|
"name": "generating", "title": "Generating X12 transactions"}, {"record_dt":
|
1063
|
-
"2014-07-
|
1064
|
-
transactions to Trading Partner"}, {"record_dt": "2014-07-
|
1301
|
+
"2014-07-22T00:04:48.376000", "name": "transmitting", "title": "Transmitting
|
1302
|
+
transactions to Trading Partner"}, {"record_dt": "2014-07-22T00:04:48.378000",
|
1065
1303
|
"name": "waiting", "title": "Waiting on Trading Partner Response"}, {"record_dt":
|
1066
|
-
"2014-07-
|
1067
|
-
from Trading Partner"}, {"record_dt": "2014-07-
|
1304
|
+
"2014-07-22T00:04:48.379000", "name": "receiving", "title": "Receiving transactions
|
1305
|
+
from Trading Partner"}, {"record_dt": "2014-07-22T00:04:48.434000", "name":
|
1068
1306
|
"processing", "title": "Processing X12 transactions"}]}, {"units_of_work":
|
1069
|
-
1, "name": "
|
1307
|
+
1, "name": "providers", "parameters": {"service_types": ["health_benefit_plan_coverage"],
|
1070
1308
|
"trading_partner_id": "MOCKPAYER", "payer": {"id": "MOCKPAYER", "name": "Mockpayer
|
1071
|
-
For Testing"}, "member": {"birth_date": "
|
1072
|
-
"last_name": "
|
1073
|
-
"correlation_id": "
|
1074
|
-
"provider": {"first_name": "
|
1309
|
+
For Testing"}, "member": {"birth_date": "1986-09-19", "first_name": "Kobe",
|
1310
|
+
"last_name": "Konopelski", "plan_start_date": "2013-08-10", "id": "966447696"},
|
1311
|
+
"correlation_id": "2e063c46-c744-4a58-81d2-7eed19707545", "client_id": "7x7nRAotGfxHfy7Llfl3",
|
1312
|
+
"provider": {"first_name": "Dasia", "last_name": "Jones", "npi": "9845281621"},
|
1075
1313
|
"async": false, "transaction_code": "request"}, "state": {"name": "completed",
|
1076
1314
|
"title": "Completed"}, "result": {"service_types": ["professional_physician_visit_office"],
|
1077
|
-
"client_id": "
|
1078
|
-
"MOCK PAYER INC"}, "subscriber": {"birth_date": "
|
1079
|
-
"
|
1315
|
+
"client_id": "7x7nRAotGfxHfy7Llfl3", "payer": {"id": "MOCKPAYER", "name":
|
1316
|
+
"MOCK PAYER INC"}, "subscriber": {"birth_date": "1986-09-19", "first_name":
|
1317
|
+
"Kobe", "last_name": "Konopelski", "id": "966447696", "address": {"city":
|
1080
1318
|
"SPARTANBURG", "state": "SC", "zipcode": "29307", "address_lines": ["123 MAIN
|
1081
|
-
ST"]}}, "correlation_id": "
|
1082
|
-
"MOCKPAYER", "provider": {"first_name": "
|
1083
|
-
"npi": "
|
1319
|
+
ST"]}}, "correlation_id": "2e063c46-c744-4a58-81d2-7eed19707545", "trading_partner_id":
|
1320
|
+
"MOCKPAYER", "provider": {"first_name": "Dasia", "last_name": "Dasia Jones",
|
1321
|
+
"npi": "9845281621"}, "coverage": {"service_types": ["professional_physician_visit_office"],
|
1084
1322
|
"group_number": "088818801000013", "out_of_pocket": [{"in_plan_network": "yes",
|
1085
1323
|
"benefit_amount": {"currency": "USD", "amount": "3000"}, "coverage_level":
|
1086
1324
|
"individual"}, {"in_plan_network": "yes", "benefit_amount": {"currency": "USD",
|
@@ -1141,41 +1379,40 @@ http_interactions:
|
|
1141
1379
|
CARE VST,COINS APPLIES TO OUT OF POCKET"}], "in_plan_network": "no"}], "group_description":
|
1142
1380
|
"MOCK INDIVIDUAL ADVANTAGE PLAN", "plan_number": "0888188", "service_date":
|
1143
1381
|
"2013-08-10"}, "valid_request": true}, "trading_partner_id": "MOCKPAYER",
|
1144
|
-
"id": "
|
1145
|
-
"wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-
|
1146
|
-
"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-
|
1382
|
+
"id": "53cdaaa056c02c1cdb7a40c4", "transition_path": ["generate", "transmit",
|
1383
|
+
"wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-22T00:04:48.450000",
|
1384
|
+
"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-22T00:04:48.466000",
|
1147
1385
|
"name": "generating", "title": "Generating X12 transactions"}, {"record_dt":
|
1148
|
-
"2014-07-
|
1149
|
-
transactions to Trading Partner"}, {"record_dt": "2014-07-
|
1386
|
+
"2014-07-22T00:04:48.467000", "name": "transmitting", "title": "Transmitting
|
1387
|
+
transactions to Trading Partner"}, {"record_dt": "2014-07-22T00:04:48.469000",
|
1150
1388
|
"name": "waiting", "title": "Waiting on Trading Partner Response"}, {"record_dt":
|
1151
|
-
"2014-07-
|
1152
|
-
from Trading Partner"}, {"record_dt": "2014-07-
|
1389
|
+
"2014-07-22T00:04:48.471000", "name": "receiving", "title": "Receiving transactions
|
1390
|
+
from Trading Partner"}, {"record_dt": "2014-07-22T00:04:48.533000", "name":
|
1153
1391
|
"processing", "title": "Processing X12 transactions"}]}, {"units_of_work":
|
1154
1392
|
1, "name": "insurance_prices", "parameters": {"service_types": ["health_benefit_plan_coverage"],
|
1155
1393
|
"trading_partner_id": "MOCKPAYER", "payer": {"id": "MOCKPAYER", "name": "Mockpayer
|
1156
|
-
For Testing"}, "member": {"birth_date": "
|
1157
|
-
"last_name": "
|
1158
|
-
"correlation_id": "
|
1159
|
-
"provider": {"first_name": "
|
1394
|
+
For Testing"}, "member": {"birth_date": "1983-03-07", "first_name": "Rodger",
|
1395
|
+
"last_name": "Koss", "plan_start_date": "2013-08-10", "id": "190345307"},
|
1396
|
+
"correlation_id": "b886a354-28a5-4dd7-a645-7bd1e6c1b09b", "client_id": "7x7nRAotGfxHfy7Llfl3",
|
1397
|
+
"provider": {"first_name": "Reed", "last_name": "O''Keefe", "npi": "0228483630"},
|
1160
1398
|
"async": false, "transaction_code": "request"}, "state": {"name": "completed",
|
1161
1399
|
"title": "Completed"}, "result": {"service_types": ["professional_physician_visit_office"],
|
1162
|
-
"client_id": "
|
1163
|
-
"MOCK PAYER INC"}, "subscriber": {"birth_date": "
|
1164
|
-
"
|
1165
|
-
"
|
1166
|
-
|
1167
|
-
"
|
1168
|
-
"
|
1169
|
-
"
|
1170
|
-
|
1171
|
-
"
|
1172
|
-
"
|
1173
|
-
{"
|
1174
|
-
"
|
1175
|
-
|
1176
|
-
"
|
1177
|
-
"
|
1178
|
-
"benefit_amount": {"currency": "USD", "amount": "12483.57"}, "coverage_level":
|
1400
|
+
"client_id": "7x7nRAotGfxHfy7Llfl3", "payer": {"id": "MOCKPAYER", "name":
|
1401
|
+
"MOCK PAYER INC"}, "subscriber": {"birth_date": "1983-03-07", "first_name":
|
1402
|
+
"Rodger", "last_name": "Koss", "id": "190345307", "address": {"city": "SPARTANBURG",
|
1403
|
+
"state": "SC", "zipcode": "29307", "address_lines": ["123 MAIN ST"]}}, "correlation_id":
|
1404
|
+
"b886a354-28a5-4dd7-a645-7bd1e6c1b09b", "trading_partner_id": "MOCKPAYER",
|
1405
|
+
"provider": {"first_name": "Reed", "last_name": "Reed O''Keefe", "npi": "0228483630"},
|
1406
|
+
"coverage": {"service_types": ["professional_physician_visit_office"], "group_number":
|
1407
|
+
"088818801000013", "out_of_pocket": [{"in_plan_network": "yes", "benefit_amount":
|
1408
|
+
{"currency": "USD", "amount": "3000"}, "coverage_level": "individual"}, {"in_plan_network":
|
1409
|
+
"yes", "benefit_amount": {"currency": "USD", "amount": "2983.57"}, "coverage_level":
|
1410
|
+
"individual", "time_period": "remaining"}, {"in_plan_network": "yes", "benefit_amount":
|
1411
|
+
{"currency": "USD", "amount": "6000"}, "coverage_level": "family"}, {"in_plan_network":
|
1412
|
+
"yes", "benefit_amount": {"currency": "USD", "amount": "5956.09"}, "coverage_level":
|
1413
|
+
"family", "time_period": "remaining"}, {"in_plan_network": "no", "benefit_amount":
|
1414
|
+
{"currency": "USD", "amount": "12500"}, "coverage_level": "individual"}, {"in_plan_network":
|
1415
|
+
"no", "benefit_amount": {"currency": "USD", "amount": "12483.57"}, "coverage_level":
|
1179
1416
|
"individual", "time_period": "remaining"}, {"in_plan_network": "no", "benefit_amount":
|
1180
1417
|
{"currency": "USD", "amount": "25000"}, "coverage_level": "family"}, {"in_plan_network":
|
1181
1418
|
"no", "benefit_amount": {"currency": "USD", "amount": "24956.09"}, "coverage_level":
|
@@ -1226,37 +1463,31 @@ http_interactions:
|
|
1226
1463
|
CARE VST,COINS APPLIES TO OUT OF POCKET"}], "in_plan_network": "no"}], "group_description":
|
1227
1464
|
"MOCK INDIVIDUAL ADVANTAGE PLAN", "plan_number": "0888188", "service_date":
|
1228
1465
|
"2013-08-10"}, "valid_request": true}, "trading_partner_id": "MOCKPAYER",
|
1229
|
-
"id": "
|
1230
|
-
"wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-
|
1231
|
-
"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-
|
1466
|
+
"id": "53cdaaa056c02c1cdb7a40c7", "transition_path": ["generate", "transmit",
|
1467
|
+
"wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-22T00:04:48.551000",
|
1468
|
+
"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-22T00:04:48.572000",
|
1232
1469
|
"name": "generating", "title": "Generating X12 transactions"}, {"record_dt":
|
1233
|
-
"2014-07-
|
1234
|
-
transactions to Trading Partner"}, {"record_dt": "2014-07-
|
1470
|
+
"2014-07-22T00:04:48.573000", "name": "transmitting", "title": "Transmitting
|
1471
|
+
transactions to Trading Partner"}, {"record_dt": "2014-07-22T00:04:48.575000",
|
1235
1472
|
"name": "waiting", "title": "Waiting on Trading Partner Response"}, {"record_dt":
|
1236
|
-
"2014-07-
|
1237
|
-
from Trading Partner"}, {"record_dt": "2014-07-
|
1473
|
+
"2014-07-22T00:04:48.578000", "name": "receiving", "title": "Receiving transactions
|
1474
|
+
from Trading Partner"}, {"record_dt": "2014-07-22T00:04:48.645000", "name":
|
1238
1475
|
"processing", "title": "Processing X12 transactions"}]}, {"units_of_work":
|
1239
|
-
1, "name": "prices", "parameters": {"cpt_code": "12345", "zip_code": "75201"},
|
1240
|
-
"state": {"name": "completed", "title": "Completed"}, "trading_partner_id":
|
1241
|
-
"PokitDok", "id": "53bc1b9b56c02c08ce81adfd", "transition_path": ["process",
|
1242
|
-
"complete"], "history": [{"record_dt": "2014-07-08T16:26:03.008000", "name":
|
1243
|
-
"init", "title": "Initializing"}, {"record_dt": "2014-07-08T16:26:03.009000",
|
1244
|
-
"name": "processing", "title": "Processing X12 transactions"}]}, {"units_of_work":
|
1245
1476
|
1, "name": "providers", "parameters": {"service_types": ["health_benefit_plan_coverage"],
|
1246
1477
|
"trading_partner_id": "MOCKPAYER", "payer": {"id": "MOCKPAYER", "name": "Mockpayer
|
1247
|
-
For Testing"}, "member": {"birth_date": "
|
1248
|
-
"last_name": "
|
1249
|
-
"correlation_id": "
|
1250
|
-
"provider": {"first_name": "
|
1478
|
+
For Testing"}, "member": {"birth_date": "1978-04-04", "first_name": "Gianni",
|
1479
|
+
"last_name": "Cassin", "plan_start_date": "2013-08-10", "id": "178975927"},
|
1480
|
+
"correlation_id": "fbca5ddc-0a37-483a-9fc9-4fd1ecc98715", "client_id": "7x7nRAotGfxHfy7Llfl3",
|
1481
|
+
"provider": {"first_name": "Margarete", "last_name": "Dicki", "npi": "7954513966"},
|
1251
1482
|
"async": false, "transaction_code": "request"}, "state": {"name": "completed",
|
1252
1483
|
"title": "Completed"}, "result": {"service_types": ["professional_physician_visit_office"],
|
1253
|
-
"client_id": "
|
1254
|
-
"MOCK PAYER INC"}, "subscriber": {"birth_date": "
|
1255
|
-
"
|
1484
|
+
"client_id": "7x7nRAotGfxHfy7Llfl3", "payer": {"id": "MOCKPAYER", "name":
|
1485
|
+
"MOCK PAYER INC"}, "subscriber": {"birth_date": "1978-04-04", "first_name":
|
1486
|
+
"Gianni", "last_name": "Cassin", "id": "178975927", "address": {"city": "SPARTANBURG",
|
1256
1487
|
"state": "SC", "zipcode": "29307", "address_lines": ["123 MAIN ST"]}}, "correlation_id":
|
1257
|
-
"
|
1258
|
-
"provider": {"first_name": "
|
1259
|
-
"
|
1488
|
+
"fbca5ddc-0a37-483a-9fc9-4fd1ecc98715", "trading_partner_id": "MOCKPAYER",
|
1489
|
+
"provider": {"first_name": "Margarete", "last_name": "Margarete Dicki", "npi":
|
1490
|
+
"7954513966"}, "coverage": {"service_types": ["professional_physician_visit_office"],
|
1260
1491
|
"group_number": "088818801000013", "out_of_pocket": [{"in_plan_network": "yes",
|
1261
1492
|
"benefit_amount": {"currency": "USD", "amount": "3000"}, "coverage_level":
|
1262
1493
|
"individual"}, {"in_plan_network": "yes", "benefit_amount": {"currency": "USD",
|
@@ -1317,31 +1548,31 @@ http_interactions:
|
|
1317
1548
|
CARE VST,COINS APPLIES TO OUT OF POCKET"}], "in_plan_network": "no"}], "group_description":
|
1318
1549
|
"MOCK INDIVIDUAL ADVANTAGE PLAN", "plan_number": "0888188", "service_date":
|
1319
1550
|
"2013-08-10"}, "valid_request": true}, "trading_partner_id": "MOCKPAYER",
|
1320
|
-
"id": "
|
1321
|
-
"wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-
|
1322
|
-
"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-
|
1551
|
+
"id": "53cdaaa056c02c1cdb7a40ca", "transition_path": ["generate", "transmit",
|
1552
|
+
"wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-22T00:04:48.660000",
|
1553
|
+
"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-22T00:04:48.675000",
|
1323
1554
|
"name": "generating", "title": "Generating X12 transactions"}, {"record_dt":
|
1324
|
-
"2014-07-
|
1325
|
-
transactions to Trading Partner"}, {"record_dt": "2014-07-
|
1555
|
+
"2014-07-22T00:04:48.677000", "name": "transmitting", "title": "Transmitting
|
1556
|
+
transactions to Trading Partner"}, {"record_dt": "2014-07-22T00:04:48.679000",
|
1326
1557
|
"name": "waiting", "title": "Waiting on Trading Partner Response"}, {"record_dt":
|
1327
|
-
"2014-07-
|
1328
|
-
from Trading Partner"}, {"record_dt": "2014-07-
|
1558
|
+
"2014-07-22T00:04:48.681000", "name": "receiving", "title": "Receiving transactions
|
1559
|
+
from Trading Partner"}, {"record_dt": "2014-07-22T00:04:48.741000", "name":
|
1329
1560
|
"processing", "title": "Processing X12 transactions"}]}, {"units_of_work":
|
1330
|
-
1, "name": "
|
1561
|
+
1, "name": "pokitdok_api", "parameters": {"service_types": ["health_benefit_plan_coverage"],
|
1331
1562
|
"trading_partner_id": "MOCKPAYER", "payer": {"id": "MOCKPAYER", "name": "Mockpayer
|
1332
|
-
For Testing"}, "member": {"birth_date": "
|
1333
|
-
"last_name": "
|
1334
|
-
"correlation_id": "
|
1335
|
-
"provider": {"first_name": "
|
1563
|
+
For Testing"}, "member": {"birth_date": "1984-01-19", "first_name": "Jaleel",
|
1564
|
+
"last_name": "Hilll", "plan_start_date": "2013-08-10", "id": "513952516"},
|
1565
|
+
"correlation_id": "4bd99d75-4db1-4546-8e87-baf2b3ab082a", "client_id": "7x7nRAotGfxHfy7Llfl3",
|
1566
|
+
"provider": {"first_name": "Gerald", "last_name": "Lehner", "npi": "1126688385"},
|
1336
1567
|
"async": false, "transaction_code": "request"}, "state": {"name": "completed",
|
1337
1568
|
"title": "Completed"}, "result": {"service_types": ["professional_physician_visit_office"],
|
1338
|
-
"client_id": "
|
1339
|
-
"MOCK PAYER INC"}, "subscriber": {"birth_date": "
|
1340
|
-
"
|
1341
|
-
"
|
1342
|
-
|
1343
|
-
"
|
1344
|
-
|
1569
|
+
"client_id": "7x7nRAotGfxHfy7Llfl3", "payer": {"id": "MOCKPAYER", "name":
|
1570
|
+
"MOCK PAYER INC"}, "subscriber": {"birth_date": "1984-01-19", "first_name":
|
1571
|
+
"Jaleel", "last_name": "Hilll", "id": "513952516", "address": {"city": "SPARTANBURG",
|
1572
|
+
"state": "SC", "zipcode": "29307", "address_lines": ["123 MAIN ST"]}}, "correlation_id":
|
1573
|
+
"4bd99d75-4db1-4546-8e87-baf2b3ab082a", "trading_partner_id": "MOCKPAYER",
|
1574
|
+
"provider": {"first_name": "Gerald", "last_name": "Gerald Lehner", "npi":
|
1575
|
+
"1126688385"}, "coverage": {"service_types": ["professional_physician_visit_office"],
|
1345
1576
|
"group_number": "088818801000013", "out_of_pocket": [{"in_plan_network": "yes",
|
1346
1577
|
"benefit_amount": {"currency": "USD", "amount": "3000"}, "coverage_level":
|
1347
1578
|
"individual"}, {"in_plan_network": "yes", "benefit_amount": {"currency": "USD",
|
@@ -1402,31 +1633,31 @@ http_interactions:
|
|
1402
1633
|
CARE VST,COINS APPLIES TO OUT OF POCKET"}], "in_plan_network": "no"}], "group_description":
|
1403
1634
|
"MOCK INDIVIDUAL ADVANTAGE PLAN", "plan_number": "0888188", "service_date":
|
1404
1635
|
"2013-08-10"}, "valid_request": true}, "trading_partner_id": "MOCKPAYER",
|
1405
|
-
"id": "
|
1406
|
-
"wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-
|
1407
|
-
"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-
|
1636
|
+
"id": "53cdaaa056c02c1cdb7a40cd", "transition_path": ["generate", "transmit",
|
1637
|
+
"wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-22T00:04:48.755000",
|
1638
|
+
"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-22T00:04:48.770000",
|
1408
1639
|
"name": "generating", "title": "Generating X12 transactions"}, {"record_dt":
|
1409
|
-
"2014-07-
|
1410
|
-
transactions to Trading Partner"}, {"record_dt": "2014-07-
|
1640
|
+
"2014-07-22T00:04:48.772000", "name": "transmitting", "title": "Transmitting
|
1641
|
+
transactions to Trading Partner"}, {"record_dt": "2014-07-22T00:04:48.773000",
|
1411
1642
|
"name": "waiting", "title": "Waiting on Trading Partner Response"}, {"record_dt":
|
1412
|
-
"2014-07-
|
1413
|
-
from Trading Partner"}, {"record_dt": "2014-07-
|
1643
|
+
"2014-07-22T00:04:48.774000", "name": "receiving", "title": "Receiving transactions
|
1644
|
+
from Trading Partner"}, {"record_dt": "2014-07-22T00:04:48.830000", "name":
|
1414
1645
|
"processing", "title": "Processing X12 transactions"}]}, {"units_of_work":
|
1415
|
-
1, "name": "
|
1646
|
+
1, "name": "pokitdok_api", "parameters": {"service_types": ["health_benefit_plan_coverage"],
|
1416
1647
|
"trading_partner_id": "MOCKPAYER", "payer": {"id": "MOCKPAYER", "name": "Mockpayer
|
1417
|
-
For Testing"}, "member": {"birth_date": "
|
1418
|
-
"last_name": "
|
1419
|
-
"correlation_id": "
|
1420
|
-
"provider": {"first_name": "
|
1648
|
+
For Testing"}, "member": {"birth_date": "1977-01-12", "first_name": "Lorine",
|
1649
|
+
"last_name": "Nolan", "plan_start_date": "2013-08-10", "id": "152238613"},
|
1650
|
+
"correlation_id": "6a5571a2-7ee3-4cfd-bcc5-ea0c945140fe", "client_id": "7x7nRAotGfxHfy7Llfl3",
|
1651
|
+
"provider": {"first_name": "Humberto", "last_name": "Casper", "npi": "6223440922"},
|
1421
1652
|
"async": false, "transaction_code": "request"}, "state": {"name": "completed",
|
1422
1653
|
"title": "Completed"}, "result": {"service_types": ["professional_physician_visit_office"],
|
1423
|
-
"client_id": "
|
1424
|
-
"MOCK PAYER INC"}, "subscriber": {"birth_date": "
|
1425
|
-
"
|
1654
|
+
"client_id": "7x7nRAotGfxHfy7Llfl3", "payer": {"id": "MOCKPAYER", "name":
|
1655
|
+
"MOCK PAYER INC"}, "subscriber": {"birth_date": "1977-01-12", "first_name":
|
1656
|
+
"Lorine", "last_name": "Nolan", "id": "152238613", "address": {"city": "SPARTANBURG",
|
1426
1657
|
"state": "SC", "zipcode": "29307", "address_lines": ["123 MAIN ST"]}}, "correlation_id":
|
1427
|
-
"
|
1428
|
-
"provider": {"first_name": "
|
1429
|
-
"
|
1658
|
+
"6a5571a2-7ee3-4cfd-bcc5-ea0c945140fe", "trading_partner_id": "MOCKPAYER",
|
1659
|
+
"provider": {"first_name": "Humberto", "last_name": "Humberto Casper", "npi":
|
1660
|
+
"6223440922"}, "coverage": {"service_types": ["professional_physician_visit_office"],
|
1430
1661
|
"group_number": "088818801000013", "out_of_pocket": [{"in_plan_network": "yes",
|
1431
1662
|
"benefit_amount": {"currency": "USD", "amount": "3000"}, "coverage_level":
|
1432
1663
|
"individual"}, {"in_plan_network": "yes", "benefit_amount": {"currency": "USD",
|
@@ -1487,16 +1718,16 @@ http_interactions:
|
|
1487
1718
|
CARE VST,COINS APPLIES TO OUT OF POCKET"}], "in_plan_network": "no"}], "group_description":
|
1488
1719
|
"MOCK INDIVIDUAL ADVANTAGE PLAN", "plan_number": "0888188", "service_date":
|
1489
1720
|
"2013-08-10"}, "valid_request": true}, "trading_partner_id": "MOCKPAYER",
|
1490
|
-
"id": "
|
1491
|
-
"wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-
|
1492
|
-
"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-
|
1721
|
+
"id": "53cdaaa056c02c1cdb7a40d0", "transition_path": ["generate", "transmit",
|
1722
|
+
"wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-22T00:04:48.844000",
|
1723
|
+
"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-22T00:04:48.867000",
|
1493
1724
|
"name": "generating", "title": "Generating X12 transactions"}, {"record_dt":
|
1494
|
-
"2014-07-
|
1495
|
-
transactions to Trading Partner"}, {"record_dt": "2014-07-
|
1725
|
+
"2014-07-22T00:04:48.869000", "name": "transmitting", "title": "Transmitting
|
1726
|
+
transactions to Trading Partner"}, {"record_dt": "2014-07-22T00:04:48.870000",
|
1496
1727
|
"name": "waiting", "title": "Waiting on Trading Partner Response"}, {"record_dt":
|
1497
|
-
"2014-07-
|
1498
|
-
from Trading Partner"}, {"record_dt": "2014-07-
|
1728
|
+
"2014-07-22T00:04:48.871000", "name": "receiving", "title": "Receiving transactions
|
1729
|
+
from Trading Partner"}, {"record_dt": "2014-07-22T00:04:48.930000", "name":
|
1499
1730
|
"processing", "title": "Processing X12 transactions"}]}]}'
|
1500
1731
|
http_version:
|
1501
|
-
recorded_at: Tue,
|
1732
|
+
recorded_at: Tue, 05 Aug 2014 18:22:47 GMT
|
1502
1733
|
recorded_with: VCR 2.9.2
|