pokitdok-ruby 0.4.0 → 0.4.1
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- 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
data/vcr_cassettes/auth.yml
CHANGED
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http_interactions:
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- request:
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method: post
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uri: http://
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uri: http://7x7nRAotGfxHfy7Llfl3:T4JsCjMDJNxVQADl8ip3npmTm9JgEZhqL2xmc3Di@localhost:5002/oauth2/token
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body:
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encoding: UTF-8
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string: grant_type=client_credentials
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encoding: UTF-8
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string: '{"access_token": "
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"bearer", "expires":
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+
string: '{"access_token": "fKd12YNbilTwVe8D3eF1ReNBkGzoElJuUjyt5ehz", "token_type":
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+
"bearer", "expires": 1407266111, "expires_in": 3600}'
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http_version:
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recorded_at: Tue,
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recorded_with: VCR 2.9.2
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string: ''
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headers:
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User-Agent:
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-
- pokitdok-ruby 0.4 ruby 2.1.
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+
- pokitdok-ruby 0.4.1 ruby 2.1.2p95 (2014-05-08 revision 45877) [x86_64-darwin13.0]
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Authorization:
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- Bearer
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- Bearer fKd12YNbilTwVe8D3eF1ReNBkGzoElJuUjyt5ehz
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Accept-Encoding:
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- gzip;q=1.0,deflate;q=0.6,identity;q=0.3
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Accept:
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@@ -23,7 +23,7 @@ http_interactions:
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Content-Type:
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- text/html; charset=utf-8
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Content-Length:
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- '
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- '174'
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- application/json
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body:
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encoding: UTF-8
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string: '{"meta": {"rate_limit_amount":
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"processing_time":
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"credits_billed": 1}, "data": {"
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string: '{"meta": {"rate_limit_amount": 14, "rate_limit_reset":
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+
1405482438, "processing_time": 19, "rate_limit_cap": 1000, "credits_remaining":
|
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+
9995, "credits_billed": 1}, "data": [{"high_price": 424.72616491010086, "cpt_code":
|
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+
"95017", "low_price": 60.04033765355346, "average_price": 299.11868972705673,
|
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+
"geo_zip_area": "941", "standard_deviation": 85.05257902012636, "median_price":
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+
290.34018519305926}]}'
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recorded_at: Tue, 05 Aug 2014 18:22:43 GMT
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recorded_with: VCR 2.9.2
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data/vcr_cassettes/claims.yml
CHANGED
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@@ -11,9 +11,9 @@ http_interactions:
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11
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Ins Co","plan_id":"1234567890"}}'
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headers:
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- pokitdok-ruby 0.4 ruby 2.1.
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- pokitdok-ruby 0.4.1 ruby 2.1.2p95 (2014-05-08 revision 45877) [x86_64-darwin13.0]
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Authorization:
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- Bearer
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- Bearer fKd12YNbilTwVe8D3eF1ReNBkGzoElJuUjyt5ehz
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body:
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encoding: UTF-8
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string: '{"meta": {"rate_limit_amount":
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{"
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+
string: '{"meta": {"rate_limit_amount": 2, "rate_limit_reset": 1407266111, "processing_time":
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+
32, "rate_limit_cap": 8434, "credits_remaining": 13495, "credits_billed":
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+
1}, "data": {"units_of_work": 1, "name": "claims", "parameters": {"claim":
|
|
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+
{"plan_participation": "assigned", "provider_signature": true, "total_charge_amount":
|
|
46
46
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"60.0", "claim_frequency": "original", "place_of_service": "office", "direct_payment":
|
|
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"y", "patient_signature_on_file": true, "information_release": "informed_consent",
|
|
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"service_lines": [{"diagnosis_codes": ["487.1"], "unit_count": "1.0", "unit_type":
|
|
@@ -52,7 +52,7 @@ http_interactions:
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"last_name": "Doe", "gender": "female", "member_id": "W000000000", "payer_responsibility":
|
|
53
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"primary", "address": {"address_lines": ["123 N MAIN ST"], "state": "SC",
|
|
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"zipcode": "29301", "city": "SPARTANBURG"}, "birth_date": "1970-01-01"}, "correlation_id":
|
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-
"
|
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+
"1a1455a1-e62c-4047-8d2b-dd766f67ddcb", "client_id": "7x7nRAotGfxHfy7Llfl3",
|
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"receiver": {"organization_name": "MOCKRECEIVER", "id": "MOCKRECEIVER"}, "submitter":
|
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{"organization_name": "POKITDOK TESTING", "id": "POKITDOKTEST", "email": "support@pokitdok.com"},
|
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"billing_provider": {"first_name": "Jerome", "last_name": "Aya-Ay", "npi":
|
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@@ -62,10 +62,10 @@ http_interactions:
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"remaining_transitions": ["generate", "store", "transmit", "wait", "receive",
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"process", "complete"], "state": {"name": "scheduled", "title": "Scheduled
|
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for next available transmission to Trading Partner"}, "trading_partner_id":
|
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-
"MOCKPAYER", "id": "
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+
"MOCKPAYER", "id": "53e11f2f56c02c51aa2cbfd2", "transition_path": ["schedule",
|
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"generate", "store", "transmit", "wait", "receive", "process", "complete"],
|
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-
"history": [{"record_dt": "2014-
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+
"history": [{"record_dt": "2014-08-05T18:15:11.434715", "name": "init", "title":
|
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"Initializing"}]}}'
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@@ -0,0 +1,61 @@
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---
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http_interactions:
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- request:
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method: post
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uri: http://localhost:5002/api/v4/claims/status
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body:
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encoding: UTF-8
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string: '{"patient":{"birth_date":"1970-01-01","first_name":"JANE","last_name":"DOE","id":"1234567890"},"provider":{"first_name":"Jerome","last_name":"Aya-Ay","npi":"1467560003"},"service_date":"2014-01-01","trading_partner_id":"MOCKPAYER"}'
|
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headers:
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User-Agent:
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- pokitdok-ruby 0.4.1 ruby 2.1.2p95 (2014-05-08 revision 45877) [x86_64-darwin13.0]
|
|
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+
Authorization:
|
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- Bearer fKd12YNbilTwVe8D3eF1ReNBkGzoElJuUjyt5ehz
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Content-Type:
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Accept:
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- "*/*"
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response:
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status:
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code: 200
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message: OK
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- '1586'
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- Tue, 05 Aug 2014 18:15:13 GMT
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body:
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encoding: UTF-8
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string: '{"meta": {"rate_limit_amount": 6, "rate_limit_reset": 1407266111, "processing_time":
|
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599, "rate_limit_cap": 8434, "credits_remaining": 13493, "credits_billed":
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1}, "data": {"patient": {"claim_level_info": {"service_end_date": "2014-01-01",
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"statuses": [{"total_claim_amount": {"currency": "USD", "amount": "150"},
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"status_code": "Processed according to contract provisions (Contract refers
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to provisions that exist between the Health Plan and a Provider of Health
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Care Services)", "status_category": "Finalized/Payment-The claim/line has
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+
been paid.", "status_effective_date": "2014-04-24"}], "service_date": "2014-01-01",
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"claim_control_number": "E1TWCYYMF00", "tracking_id": "E1TWCYYMF"}, "service_line_level_info":
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[{"service_line_info": {"cpt_code": "99214", "charge_amount": {"currency":
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"USD", "amount": "150"}, "payment_amount": {"currency": "USD", "amount": "125"}},
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"service_end_date": "2014-03-05", "service_date": "2014-03-05", "statuses":
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[{"status_code": "Processed according to contract provisions (Contract refers
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to provisions that exist between the Health Plan and a Provider of Health
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Care Services)", "status_category": "Finalized/Payment-The claim/line has
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+
been paid.", "status_effective_date": "2014-04-24"}]}]}, "client_id": "7x7nRAotGfxHfy7Llfl3",
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"payer": {"name": "MOCK PAYER INC", "id": "MOCKPAYER"}, "providers": [{"first_name":
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"Jerome", "last_name": "Aya-Ay", "npi": "1467560003"}], "correlation_id":
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"faba4302-80d0-48b0-9f14-28d5628b387b", "trading_partner_id": "MOCKPAYER",
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"submitter": {"first_name": "Jerome", "last_name": "Aya-Ay", "id": "1467560003"}}}'
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recorded_at: Tue, 05 Aug 2014 18:22:45 GMT
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string: '{"member":{"birth_date":"1970-01-01","first_name":"Jane","last_name":"Doe","id":"W000000000"},"provider":{"first_name":"JEROME","last_name":"AYA-AY","npi":"1467560003"},"service_types":["health_benefit_plan_coverage"],"trading_partner_id":"MOCKPAYER"}'
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- pokitdok-ruby 0.4 ruby 2.1.
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- pokitdok-ruby 0.4.1 ruby 2.1.2p95 (2014-05-08 revision 45877) [x86_64-darwin13.0]
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Authorization:
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- Bearer
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- Bearer fKd12YNbilTwVe8D3eF1ReNBkGzoElJuUjyt5ehz
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Content-Type:
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body:
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encoding: UTF-8
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string: '{"meta": {"rate_limit_amount": 7, "rate_limit_reset": 1407266111, "processing_time":
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805, "rate_limit_cap": 8434, "credits_remaining": 13492, "credits_billed":
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1}, "data": {"service_types": ["professional_physician_visit_office"], "client_id":
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"7x7nRAotGfxHfy7Llfl3", "payer": {"id": "MOCKPAYER", "name": "MOCK PAYER INC"},
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"subscriber": {"birth_date": "1970-01-01", "first_name": "Jane", "last_name":
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"Doe", "id": "W000000000", "address": {"city": "SPARTANBURG", "state": "SC",
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"zipcode": "29307", "address_lines": ["123 MAIN ST"]}}, "correlation_id":
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"5ee00870-f6a2-4af6-be02-9b80f4af0ea8", "trading_partner_id": "MOCKPAYER",
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"provider": {"first_name": "JEROME", "last_name": "JEROME AYA-AY", "npi":
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"1467560003"}, "coverage": {"plan_number": "0888188", "service_types": ["professional_physician_visit_office"],
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"group_number": "088818801000013", "out_of_pocket": [{"in_plan_network": "yes",
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@@ -107,5 +107,5 @@ http_interactions:
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"MOCK INDIVIDUAL ADVANTAGE PLAN", "service_date": "2013-08-10"}, "valid_request":
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true}}'
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Mar 26 22:18:47 2014"}'
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encoding: UTF-8
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string: '{"meta": {"rate_limit_amount":
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string: '{"meta": {"rate_limit_amount": 8, "rate_limit_reset": 1407266111, "processing_time":
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"data": {"units_of_work": 1, "name": "enrollment", "parameters": {"reference_number":
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"12456", "version": "4.0.0", "payer": {"tax_id": "654456654"}, "update_dt":
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"Wed Mar 26 22:18:47 2014", "deleted": false, "major_version": "4", "subscriber":
|
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{"maintenance_type": "Addition", "first_name": "JOHN", "last_name": "DOE",
|
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"benefits": [{"maintenance_type": "Addition", "late_enrollment": false, "begin_date":
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"Sat Jun 1 00:00:00 1996", "benefit_type": "Health", "coordination_of_benefits":
|
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[{"status": "Unknown", "group_or_policy_number": "890111", "payer_responsibility":
|
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"Primary"}]}, {"maintenance_type": "Addition", "late_enrollment": false, "begin_date":
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"Sat Jun 1 00:00:00 1996", "benefit_type": "Dental"}, {"maintenance_type":
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"Addition", "late_enrollment": false, "begin_date": "Sat Jun 1 00:00:00 1996",
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"benefit_type": "Vision"}], "relationship": "Self", "contacts": [{"communication_type2":
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"Work Phone Number", "primary_communication_type": "Home Phone Number", "communication_number2":
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"7172341240", "primary_communication_number": "7172343334"}], "benefit_status":
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"Active", "gender": "Male", "employment_status": "Full-time", "subscriber_number":
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"123456789", "group_or_policy_number": "123456001", "maintenance_reason":
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"Active", "handicapped": false, "eligibility_begin_date": "Thu May 23 00:00:00
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"birth_date": "Fri Aug 16 00:00:00 1940", "middle_name": "P", "substance_abuse":
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false, "address": {"city": "CAMP HILL", "line2": "APT 3G", "county": "CUMBERLAND",
|
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"state": "PA", "postal_code": "17011", "line": "100 MARKET ST"}}, "correlation_id":
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"5dba59b6-bf46-4365-abb5-9a3742b51330", "insert_dt": "Wed Mar 26 22:18:47
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+
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|
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"MOCKPAYER", "action": "Change", "dependents": [], "sponsor": {"tax_id": "999888777"}},
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"remaining_transitions": ["generate", "store", "transmit", "wait", "receive",
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"process", "complete"], "state": {"name": "scheduled", "title": "Scheduled
|
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for next available transmission to Trading Partner"}, "trading_partner_id":
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"MOCKPAYER", "id": "53e11f3256c02c51ba2cbfd2", "transition_path": ["schedule",
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"generate", "store", "transmit", "wait", "receive", "process", "complete"],
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"history": [{"record_dt": "2014-08-05T18:15:14.110160", "name": "init", "title":
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"Initializing"}]}}'
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data/vcr_cassettes/files.yml
CHANGED
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Content-Length:
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- '3266'
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Authorization:
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- Bearer
|
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+
- Bearer fKd12YNbilTwVe8D3eF1ReNBkGzoElJuUjyt5ehz
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response:
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status:
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code: 200
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|
@@ -32,7 +32,7 @@ http_interactions:
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|
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- '
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Server:
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|
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|
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|
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|
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body:
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encoding: UTF-8
|
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string: '{"meta": {"rate_limit_amount":
|
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string: '{"meta": {"rate_limit_amount": 4, "rate_limit_reset": 1407266111, "processing_time":
|
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|
+
948, "rate_limit_cap": 8434, "credits_remaining": 13494, "credits_billed":
|
|
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+
1}, "data": {"units_of_work": 1, "name": "batch file", "remaining_transitions":
|
|
49
49
|
["process", "complete"], "state": {"name": "queued", "title": "In queue waiting
|
|
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|
-
to start"}, "trading_partner_id": "MOCKPAYER", "id": "
|
|
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|
+
to start"}, "trading_partner_id": "MOCKPAYER", "id": "53e11f3056c02c51ae2cbfd2",
|
|
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|
"transition_path": ["store", "queue", "process", "complete"], "history": [{"record_dt":
|
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|
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"2014-
|
|
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|
-
"2014-
|
|
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"2014-08-05T18:15:12.509596", "name": "init", "title": "Initializing"}, {"record_dt":
|
|
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|
+
"2014-08-05T18:15:12.510689", "name": "stored", "title": "Batch transactions
|
|
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|
stored for later processing"}]}}'
|
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|
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|
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recorded_at: Tue,
|
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recorded_at: Tue, 05 Aug 2014 18:22:44 GMT
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|
|
@@ -8,9 +8,9 @@ http_interactions:
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string: ''
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headers:
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|
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Authorization:
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- Bearer
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- Bearer fKd12YNbilTwVe8D3eF1ReNBkGzoElJuUjyt5ehz
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Accept-Encoding:
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1}, "data": {"
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string: '{"meta": {"rate_limit_amount": 17, "rate_limit_reset":
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1405482438, "processing_time": 18, "rate_limit_cap": 1000, "credits_remaining":
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9997, "credits_billed": 1}, "data": {"amounts": [{"high_price": 159.75, "standard_deviation":
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+
36.41382675904168, "average_price": 54.5895, "payer_type": "insurance", "payment_type":
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+
"allowed", "low_price": 19.98, "median_price": 56.25}, {"high_price": 188.91,
|
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+
"standard_deviation": 26.57623445180863, "average_price": 104.77350000000001,
|
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"payer_type": "insurance", "payment_type": "submitted", "low_price": 88.02,
|
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"median_price": 97.02}, {"average_price": 82.336343612, "payer_type": "medicare",
|
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|
+
"payment_type": "allowed"}, {"average_price": 100.28768722, "payer_type":
|
|
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|
+
"medicare", "payment_type": "submitted"}, {"average_price": 57.623480175999994,
|
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|
+
"payer_type": "medicare", "payment_type": "paid"}], "cpt_code": "87799", "geo_zip_area":
|
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"322"}}'
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recorded_with: VCR 2.9.2
|
data/vcr_cassettes/payers.yml
CHANGED
|
@@ -8,9 +8,9 @@ http_interactions:
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string: ''
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headers:
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- pokitdok-ruby 0.4 ruby 2.1.
|
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- pokitdok-ruby 0.4.1 ruby 2.1.2p95 (2014-05-08 revision 45877) [x86_64-darwin13.0]
|
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Authorization:
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- Bearer fKd12YNbilTwVe8D3eF1ReNBkGzoElJuUjyt5ehz
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Accept-Encoding:
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|
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|
<h1>Redirecting...</h1>
|
|
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39
|
<p>You should be redirected automatically to target URL: <a href="http://localhost:5002/api/v4/payers/?state=CA">http://localhost:5002/api/v4/payers/?state=CA</a>. If not click the link.
|
|
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|
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recorded_at: Tue,
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recorded_at: Tue, 05 Aug 2014 18:22:44 GMT
|
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- request:
|
|
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method: get
|
|
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uri: http://localhost:5002/api/v4/payers/?state=CA
|
|
@@ -47,9 +47,9 @@ http_interactions:
|
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string: ''
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headers:
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|
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- pokitdok-ruby 0.4 ruby 2.1.
|
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- pokitdok-ruby 0.4.1 ruby 2.1.2p95 (2014-05-08 revision 45877) [x86_64-darwin13.0]
|
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- Bearer
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- Bearer fKd12YNbilTwVe8D3eF1ReNBkGzoElJuUjyt5ehz
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- '
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- '39745'
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|
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|
@@ -70,63 +70,54 @@ http_interactions:
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|
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|
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|
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|
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string: '{"meta": {"processing_time":
|
|
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|
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|
+
string: '{"meta": {"processing_time": 28, "rate_limit_amount": 5, "rate_limit_reset":
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|
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|
+
1407266111, "rate_limit_cap": 8434}, "data": [{"supported_transactions": ["270",
|
|
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|
"276"], "payer_name": "Blue Cross and Blue Shield of Nebraska", "payer_key":
|
|
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|
"bcbsne", "production_status": false, "trading_partner_id": "blue_cross_blue_shield_ne"},
|
|
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|
{"supported_transactions": ["270"], "payer_name": "Blue Cross and Blue Shield
|
|
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|
of Iowa", "payer_key": "bciac", "production_status": true, "trading_partner_id":
|
|
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|
-
"blue_cross_blue_shield_ia"}, {"supported_transactions": ["
|
|
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|
-
"
|
|
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|
-
"trading_partner_id": "
|
|
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|
-
[
|
|
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|
-
"
|
|
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|
-
{"supported_transactions": ["270"], "payer_name": "Blue Cross and Blue Shield
|
|
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|
-
of North Carolina", "payer_key": "BCBSNC", "production_status": true, "trading_partner_id":
|
|
89
|
-
"blue_cross_blue_shield_nc"}, {"supported_transactions": [], "payer_name":
|
|
90
|
-
"Blue Cross and Blue Shield of New Hampshire", "payer_key": "", "production_status":
|
|
91
|
-
false, "trading_partner_id": "blue_cross_blue_shield_nh"}, {"supported_transactions":
|
|
92
|
-
[], "payer_name": "Blue Cross and Blue Shield of South Carolina", "payer_key":
|
|
93
|
-
"", "production_status": false, "trading_partner_id": "blue_cross_blue_shield_sc"},
|
|
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|
+
"blue_cross_blue_shield_ia"}, {"supported_transactions": ["270"], "payer_name":
|
|
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|
+
"Blue Cross and Blue Shield of North Carolina", "payer_key": "BCBSNC", "production_status":
|
|
84
|
+
true, "trading_partner_id": "blue_cross_blue_shield_nc"}, {"supported_transactions":
|
|
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|
+
[], "payer_name": "Blue Cross and Blue Shield of New Hampshire", "payer_key":
|
|
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|
+
"", "production_status": false, "trading_partner_id": "blue_cross_blue_shield_nh"},
|
|
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|
{"supported_transactions": [], "payer_name": "Blue Cross and Blue Shield of
|
|
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|
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|
|
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|
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"
|
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|
-
"Blue Cross and Blue Shield of
|
|
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|
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false, "trading_partner_id": "
|
|
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|
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[], "payer_name": "
|
|
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|
-
"", "production_status": false, "trading_partner_id": "
|
|
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|
+
South Carolina", "payer_key": "", "production_status": false, "trading_partner_id":
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|
89
|
+
"blue_cross_blue_shield_sc"}, {"supported_transactions": [], "payer_name":
|
|
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|
+
"Blue Cross and Blue Shield of Western New York", "payer_key": "", "production_status":
|
|
91
|
+
false, "trading_partner_id": "blue_cross_blue_shield_w_ny"}, {"supported_transactions":
|
|
92
|
+
[], "payer_name": "Blue Cross and Blue Shield of Puerto Rico", "payer_key":
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|
93
|
+
"", "production_status": false, "trading_partner_id": "blue_cross_blue_shield_pr"},
|
|
94
|
+
{"supported_transactions": [], "payer_name": "Blue Shield of Northeastern
|
|
95
|
+
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|
|
96
|
+
"blue_shield_ne_ny"}, {"supported_transactions": [], "payer_name": "Coventry
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Health Care of South Dakota", "payer_key": "", "production_status": false,
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"trading_partner_id": "coventry_health_care_sd"}, {"supported_transactions":
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[], "payer_name": "Coventry Health Care of Tennessee", "payer_key": "", "production_status":
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false, "trading_partner_id": "coventry_health_care_tn"}, {"supported_transactions":
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[], "payer_name": "Coventry Health Care of West Virginia", "payer_key": "",
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"production_status": false, "trading_partner_id": "coventry_health_care_wv"},
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{"supported_transactions": [], "payer_name": "University of Pittsburgh Medical
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Center Health Plan", "payer_key": "", "production_status": false, "trading_partner_id":
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"university_pittsburgh_medical_center_health_plan"}, {"supported_transactions":
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[], "payer_name": "Wellmark Blue Cross and Blue Shield of South Dakota", "payer_key":
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"", "production_status": false, "trading_partner_id": "wellmark_blue_cross_blue_shield_sd"},
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{"supported_transactions": ["834", "835", "837", "270", "271", "276", "277",
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"278"], "payer_name": "Mock Payer
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"278"], "payer_name": "Mock Payer with eligibility inquiry rejection", "payer_key":
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"MOCKPAYER_REJECTION", "production_status": false, "trading_partner_id": "MOCKPAYER_REJECTION"},
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{"supported_transactions": ["834", "835", "837", "270", "271", "276", "277",
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true, "trading_partner_id": "cigna"}, {"supported_transactions": ["270", "276",
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"837"], "payer_name": "United Healthcare", "payer_key": "UNITED", "production_status":
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true, "trading_partner_id": "united_health_care"}, {"supported_transactions":
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["270", "276"], "payer_name": "Fidelis Care of New York", "payer_key": "FIDELIS",
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"production_status": true, "trading_partner_id": "fidelis_care_ny"}, {"supported_transactions":
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["270", "276"], "payer_name": "Oxford Health Plans (United Healthcare)", "payer_key":
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"OXFORD", "production_status": true, "trading_partner_id": "oxford_health_plan_united"},
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{"supported_transactions": ["270", "276"], "payer_name": "MVP Health Care",
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"payer_key": "MVP", "production_status": true, "trading_partner_id": "mvp_health_care"},
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{"supported_transactions": ["270"], "payer_name": "Blue Shield of California",
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"payer_key": "BSCA", "production_status": true, "trading_partner_id": "blue_shield_ca"},
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{"supported_transactions": ["270", "276"], "payer_name": "Blue Cross and Blue
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Shield of Kansas", "payer_key": "bcbsks", "production_status": true, "trading_partner_id":
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"blue_cross_blue_shield_ks"}, {"supported_transactions": ["270", "276", "837"],
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"payer_name": "Premera Blue Cross", "payer_key": "PREMERA", "production_status":
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true, "trading_partner_id": "premera_blue_cross"}, {"supported_transactions":
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"278"], "payer_name": "Mock Payer with Implementation Acknowledgement", "payer_key":
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"MOCKPAYER_ACK", "production_status": false, "trading_partner_id": "MOCKPAYER_ACK"},
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{"supported_transactions": ["834", "835", "837", "270", "271", "276", "277",
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"278"], "payer_name": "Mock Payer for Testing", "payer_key": "MOCKPAYER",
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"production_status": false, "trading_partner_id": "MOCKPAYER"}, {"supported_transactions":
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["270"], "payer_name": "Blue Shield of California", "payer_key": "BSCA", "production_status":
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true, "trading_partner_id": "blue_shield_ca"}, {"supported_transactions":
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["270", "276", "837"], "payer_name": "Premera Blue Cross", "payer_key": "PREMERA",
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"production_status": true, "trading_partner_id": "premera_blue_cross"}, {"supported_transactions":
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["270", "276", "837"], "payer_name": "Blue Cross and Blue Shield of Georgia",
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"payer_key": "bcbsga", "production_status": true, "trading_partner_id": "blue_cross_blue_shield_ga"},
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{"supported_transactions": ["270", "276", "837"], "payer_name": "Anthem Blue
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@@ -245,8 +236,6 @@ http_interactions:
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"", "production_status": false, "trading_partner_id": "blue_cross_pa"}, {"supported_transactions":
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[], "payer_name": "Blue Cross of Idaho", "payer_key": "", "production_status":
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false, "trading_partner_id": "blue_cross_id"}, {"supported_transactions":
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[], "payer_name": "Blue Shield of Northeastern New York", "payer_key": "",
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"production_status": false, "trading_partner_id": "blue_shield_ne_ny"}, {"supported_transactions":
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[], "payer_name": "BridgeSpan Health of Utah", "payer_key": "", "production_status":
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[], "payer_name": "BridgeSpan Health of Washington", "payer_key": "", "production_status":
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@@ -312,23 +301,16 @@ http_interactions:
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"trading_partner_id": "coventry_health_care_pa"}, {"supported_transactions":
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[], "payer_name": "Coventry Health Care of South Carolina", "payer_key": "",
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"production_status": false, "trading_partner_id": "coventry_health_care_sc"},
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{"supported_transactions": [], "payer_name": "Coventry Health Care of
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"trading_partner_id": "coventry_health_care_wv"}, {"supported_transactions":
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[], "payer_name": "Coventry Health Care of Wyoming", "payer_key": "", "production_status":
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false, "trading_partner_id": "coventry_health_care_wy"}, {"supported_transactions":
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[], "payer_name": "Emblem Health", "payer_key": "", "production_status": false,
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"trading_partner_id": "emblem_health"}, {"supported_transactions": [], "payer_name":
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"Empire Plan (United Healthcare)", "payer_key": "", "production_status": false,
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"trading_partner_id": "empire_plan_united_health"}, {"supported_transactions":
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{"supported_transactions": [], "payer_name": "Coventry Health Care of Utah",
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"payer_key": "", "production_status": false, "trading_partner_id": "coventry_health_care_ut"},
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{"supported_transactions": [], "payer_name": "Coventry Health Care of Virginia",
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"payer_key": "", "production_status": false, "trading_partner_id": "coventry_health_care_va"},
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{"supported_transactions": [], "payer_name": "Coventry Health Care of Wyoming",
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"payer_key": "", "production_status": false, "trading_partner_id": "coventry_health_care_wy"},
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{"supported_transactions": [], "payer_name": "Emblem Health", "payer_key":
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"", "production_status": false, "trading_partner_id": "emblem_health"}, {"supported_transactions":
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[], "payer_name": "Empire Plan (United Healthcare)", "payer_key": "", "production_status":
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false, "trading_partner_id": "empire_plan_united_health"}, {"supported_transactions":
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[], "payer_name": "Evercare", "payer_key": "", "production_status": false,
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"trading_partner_id": "evercare"}, {"supported_transactions": [], "payer_name":
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"Excellus BlueCross BlueShield", "payer_key": "", "production_status": false,
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@@ -365,20 +347,15 @@ http_interactions:
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{"supported_transactions": [], "payer_name": "HealthSpring (Cigna)", "payer_key":
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{"supported_transactions": [], "payer_name": "Highmark Blue Cross Blue Shield
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"Highmark Blue Cross Blue Shield
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[], "payer_name": "Highmark Blue
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"", "production_status": false, "trading_partner_id": "highmark_blue_shield"},
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{"supported_transactions": [], "payer_name": "Horizon Blue Cross and Blue
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Shield", "payer_key": "", "production_status": false, "trading_partner_id":
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"horizon_blue_cross_blue_shield"}, {"supported_transactions": [], "payer_name":
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"Humana", "payer_key": "", "production_status": false, "trading_partner_id":
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of West Virginia", "payer_key": "", "production_status": false, "trading_partner_id":
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"highmark_blue_cross_blue_shield_wv"}, {"supported_transactions": [], "payer_name":
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"Highmark Blue Cross Blue Shield", "payer_key": "", "production_status": false,
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"trading_partner_id": "highmark_blue_cross_blue_shield"}, {"supported_transactions":
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[], "payer_name": "Highmark Blue Shield", "payer_key": "", "production_status":
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false, "trading_partner_id": "highmark_blue_shield"}, {"supported_transactions":
|
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[], "payer_name": "Horizon Blue Cross and Blue Shield", "payer_key": "", "production_status":
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false, "trading_partner_id": "horizon_blue_cross_blue_shield"}, {"supported_transactions":
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[], "payer_name": "Humana", "payer_key": "", "production_status": false, "trading_partner_id":
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"humana"}, {"supported_transactions": [], "payer_name": "Kaiser Permanente
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Mid-Atlantic", "payer_key": "", "production_status": false, "trading_partner_id":
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"kaiser_permanente_mid_atlantic"}, {"supported_transactions": [], "payer_name":
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@@ -520,23 +497,35 @@ http_interactions:
|
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|
"university_health_alliance_hi"}, {"supported_transactions": [], "payer_name":
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"Wellmark Blue Cross and Blue Shield of Iowa", "payer_key": "", "production_status":
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false, "trading_partner_id": "wellmark_blue_cross_blue_shield_ia"}, {"supported_transactions":
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[], "payer_name": "
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524
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-
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525
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|
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"", "production_status": false, "trading_partner_id": "wellpoint"}, {"supported_transactions":
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527
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-
[], "payer_name": "Windsor Health Plan", "payer_key": "", "production_status":
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[], "payer_name": "Wellpoint, Inc", "payer_key": "", "production_status":
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false, "trading_partner_id": "wellpoint"}, {"supported_transactions": [],
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"payer_name": "Windsor Health Plan", "payer_key": "", "production_status":
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528
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|
false, "trading_partner_id": "windsor_health_plan"}, {"supported_transactions":
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|
[], "payer_name": "WinHealth", "payer_key": "", "production_status": false,
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|
"trading_partner_id": "winhealth"}, {"supported_transactions": ["834", "835",
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531
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"837", "270", "271", "276", "277", "278"], "payer_name": "Mock Payer for
|
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"payer_key": "
|
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"
|
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"276", "277", "278"], "payer_name": "Mock Payer
|
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"payer_key": "
|
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|
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"271", "276", "277", "278"], "payer_name": "Mock
|
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rejection", "payer_key": "MOCKPAYER_PARSE_ERROR",
|
|
539
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"trading_partner_id": "MOCKPAYER_PARSE_ERROR"},
|
|
506
|
+
"837", "270", "271", "276", "277", "278"], "payer_name": "Mock Payer for Communication
|
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|
+
Error Testing", "payer_key": "MOCKPAYER_COMMERROR", "production_status": false,
|
|
508
|
+
"trading_partner_id": "MOCKPAYER_COMMERROR"}, {"supported_transactions": ["834",
|
|
509
|
+
"835", "837", "270", "271", "276", "277", "278"], "payer_name": "Mock Payer
|
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510
|
+
with Random I/O wait for Testing", "payer_key": "MOCKPAYER_RANDOM_WAIT", "production_status":
|
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|
+
false, "trading_partner_id": "MOCKPAYER_RANDOM_WAIT"}, {"supported_transactions":
|
|
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|
+
["834", "835", "837", "270", "271", "276", "277", "278"], "payer_name": "Mock
|
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+
Payer with eligibility inquiry rejection", "payer_key": "MOCKPAYER_PARSE_ERROR",
|
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+
"production_status": false, "trading_partner_id": "MOCKPAYER_PARSE_ERROR"},
|
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+
{"supported_transactions": ["837"], "payer_name": "Highmark Blue Cross Blue
|
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516
|
+
Shield of Pennsylvania", "payer_key": "", "production_status": false, "trading_partner_id":
|
|
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|
+
"highmark_blue_cross_blue_shield_pa"}, {"supported_transactions": ["837"],
|
|
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+
"payer_name": "Independence Blue Cross", "payer_key": "bcibc", "production_status":
|
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|
+
false, "trading_partner_id": "independence_blue_cross"}, {"supported_transactions":
|
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520
|
+
["270", "276"], "payer_name": "Blue Cross and Blue Shield of Kansas City",
|
|
521
|
+
"payer_key": "bcbskc", "production_status": true, "trading_partner_id": "blue_cross_blue_shield_kc"},
|
|
522
|
+
{"supported_transactions": ["270", "276"], "payer_name": "Blue Cross and Blue
|
|
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|
+
Shield of Kansas", "payer_key": "bcbsks", "production_status": true, "trading_partner_id":
|
|
524
|
+
"blue_cross_blue_shield_ks"}, {"supported_transactions": ["270", "276"], "payer_name":
|
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|
+
"MVP Health Care", "payer_key": "MVP", "production_status": true, "trading_partner_id":
|
|
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|
+
"mvp_health_care"}, {"supported_transactions": ["270", "276"], "payer_name":
|
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|
+
"Oxford Health Plans (United Healthcare)", "payer_key": "OXFORD", "production_status":
|
|
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|
+
true, "trading_partner_id": "oxford_health_plan_united"}, {"supported_transactions":
|
|
540
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|
["270", "276", "837"], "payer_name": "Blue Cross and Blue Shield of Missouri",
|
|
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530
|
"payer_key": "bcmoc", "production_status": true, "trading_partner_id": "blue_cross_blue_shield_mo"},
|
|
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531
|
{"supported_transactions": ["270", "276", "837"], "payer_name": "Blue Cross
|
|
@@ -555,7 +544,18 @@ http_interactions:
|
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555
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|
["270", "837"], "payer_name": "Harvard Pilgrim Healthcare", "payer_key": "UNITED",
|
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|
"production_status": false, "trading_partner_id": "harvard_pilgrim_health_care"},
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|
{"supported_transactions": ["270", "276", "837"], "payer_name": "ConnectiCare",
|
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"payer_key": "", "production_status": true, "trading_partner_id": "connecticare"}
|
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|
+
"payer_key": "", "production_status": true, "trading_partner_id": "connecticare"},
|
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548
|
+
{"supported_transactions": ["837"], "payer_name": "Highmark Blue Cross Blue
|
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|
+
Shield of Delaware", "payer_key": "bcbsd", "production_status": false, "trading_partner_id":
|
|
550
|
+
"highmark_blue_cross_blue_shield_de"}, {"supported_transactions": ["270",
|
|
551
|
+
"276", "837"], "payer_name": "Aetna", "payer_key": "AETNA", "production_status":
|
|
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|
+
true, "trading_partner_id": "aetna"}, {"supported_transactions": ["270", "276",
|
|
553
|
+
"837"], "payer_name": "Cigna", "payer_key": "CIGNA", "production_status":
|
|
554
|
+
true, "trading_partner_id": "cigna"}, {"supported_transactions": ["270", "276"],
|
|
555
|
+
"payer_name": "Fidelis Care of New York", "payer_key": "FIDELIS", "production_status":
|
|
556
|
+
true, "trading_partner_id": "fidelis_care_ny"}, {"supported_transactions":
|
|
557
|
+
["270", "276", "837"], "payer_name": "United Healthcare", "payer_key": "UNITED",
|
|
558
|
+
"production_status": true, "trading_partner_id": "united_health_care"}]}'
|
|
559
559
|
http_version:
|
|
560
|
-
recorded_at: Tue,
|
|
560
|
+
recorded_at: Tue, 05 Aug 2014 18:22:44 GMT
|
|
561
561
|
recorded_with: VCR 2.9.2
|