pokitdok-ruby 0.4.1 → 0.5.0
This diff represents the content of publicly available package versions that have been released to one of the supported registries. The information contained in this diff is provided for informational purposes only and reflects changes between package versions as they appear in their respective public registries.
- checksums.yaml +4 -4
- data/VERSION +1 -1
- data/lib/pokitdok.rb +14 -2
- data/pokitdok-ruby.gemspec +6 -4
- data/spec/pokitdok_spec.rb +33 -5
- data/vcr_cassettes/activities.yml +118 -1700
- data/vcr_cassettes/auth.yml +6 -6
- data/vcr_cassettes/cash_prices.yml +13 -13
- data/vcr_cassettes/claims.yml +16 -15
- data/vcr_cassettes/claims_status.yml +30 -24
- data/vcr_cassettes/eligibility.yml +36 -26
- data/vcr_cassettes/enrollment.yml +39 -38
- data/vcr_cassettes/files.yml +13 -12
- data/vcr_cassettes/insurance_prices.yml +11 -10
- data/vcr_cassettes/payers.yml +212 -237
- data/vcr_cassettes/providers.yml +19 -57
- data/vcr_cassettes/trading_partners_get.yml +44 -0
- data/vcr_cassettes/trading_partners_index.yml +337 -0
- metadata +44 -42
data/vcr_cassettes/auth.yml
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"paid", "standard_deviation": 18.16, "average": 45.58, "payer_type": "cash",
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data/vcr_cassettes/claims.yml
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Ins Co","plan_id":"1234567890"}}'
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- pokitdok-ruby 0.4.1 ruby 2.0.0p451 (2014-02-24 revision 45167) [x86_64-darwin12.5.0]
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string: '{"meta": {"rate_limit_amount": 262, "rate_limit_reset": 1407856935,
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"credits_billed": 1}, "data": {"units_of_work": 1, "name": "claims", "parameters":
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{"claim": {"plan_participation": "assigned", "provider_signature": true, "total_charge_amount":
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"60.0", "claim_frequency": "original", "place_of_service": "office", "direct_payment":
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"y", "patient_signature_on_file": true, "information_release": "informed_consent",
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"service_lines": [{"diagnosis_codes": ["487.1"], "unit_count": "1.0", "unit_type":
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"last_name": "Doe", "gender": "female", "member_id": "W000000000", "payer_responsibility":
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"primary", "address": {"address_lines": ["123 N MAIN ST"], "state": "SC",
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"zipcode": "29301", "city": "SPARTANBURG"}, "birth_date": "1970-01-01"}, "correlation_id":
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"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":
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"1467560003", "taxonomy_code": "207Q00000X", "address": {"address_lines":
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"async": false, "billing_provider": {"first_name": "Jerome", "last_name":
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"Aya-Ay", "npi": "1467560003", "taxonomy_code": "207Q00000X", "address": {"address_lines":
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["8311 WARREN H ABERNATHY HWY"], "state": "SC", "zipcode": "29301", "city":
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"SPARTANBURG"}, "tax_id": "123456789"}, "transaction_code": "chargeable"},
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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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"generate", "store", "transmit", "wait", "receive", "process", "complete"],
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"Initializing"}]}}'
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string: '{"meta": {"rate_limit_amount": 261, "rate_limit_reset": 1407856935,
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1000, "credits_remaining": 12973, "activity_id": "53ea306d56c02c23b3a3f755",
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"credits_billed": 1}, "data": {"patient": {"claims": [{"applied_to_deductible":
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false, "total_claim_amount": {"currency": "USD", "amount": "150"}, "service_end_date":
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"2014-01-01", "claim_control_number": "E1TWCYYMF00", "service_date": "2014-01-01",
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"claim_payment_amount": {"currency": "USD", "amount": "125"}, "adjudication_finalized_date":
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"2014-03-21", "statuses": [{"total_claim_amount": {"currency": "USD", "amount":
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"150"}, "status_category": "Finalized/Payment-The claim/line has been paid.",
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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)", "
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Care Services)", "claim_payment_amount": {"currency": "USD", "amount": "125"},
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"adjudication_finalized_date": "2014-03-21", "status_effective_date": "2014-04-24",
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"check_number": "08608-035632423", "remittance_date": "2014-04-09"}], "tracking_id":
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"E1TWCYYMF", "services": [{"cpt_code": "99214", "service_end_date": "2014-03-05",
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"payment_amount": {"currency": "USD", "amount": "125"}, "charge_amount": {"currency":
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"USD", "amount": "150"}, "service_date": "2014-03-05", "statuses": [{"status_code":
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that exist between the Health Plan and a Provider of Health Care Services)",
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"status_category": "Finalized/Payment-The claim/line has been paid.", "status_effective_date":
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"2014-04-24"}]}], "check_number": "08608-035632423", "remittance_date": "2014-04-09"}]},
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"client_id": "oB7rLIqHmdoAXHRAmWtM", "payer": {"name": "MOCK PAYER INC", "id":
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"MOCKPAYER"}, "providers": [{"first_name": "Jerome", "last_name": "Aya-Ay",
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"npi": "1467560003"}], "correlation_id": "e24d39c3-bca6-44d8-8054-6575ed224f30",
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"trading_partner_id": "MOCKPAYER", "submitter": {"first_name": "Jerome", "last_name":
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"Aya-Ay", "id": "1467560003"}}}'
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string: '{"meta": {"rate_limit_amount": 256, "rate_limit_reset": 1407856935,
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"application_mode": "production", "processing_time": 405, "rate_limit_cap":
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1000, "credits_remaining": 12975, "activity_id": "53ea306c56c02c23a7a3f755",
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"credits_billed": 1}, "data": {"service_types": ["professional_physician_visit_office"],
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"client_id": "oB7rLIqHmdoAXHRAmWtM", "payer": {"id": "MOCKPAYER", "name":
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"MOCK PAYER INC"}, "summary": {"deductible": {"individual": {"in_network":
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{"applied": {"currency": "USD", "amount": "16.43"}, "limit": {"currency":
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"USD", "amount": "3000"}, "remaining": {"currency": "USD", "amount": "2983.57"}},
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"out_of_network": {"applied": {"currency": "USD", "amount": "16.43"}, "limit":
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{"currency": "USD", "amount": "6000"}, "remaining": {"currency": "USD", "amount":
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"5983.57"}}}, "family": {"in_network": {"applied": {"currency": "USD", "amount":
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"43.91"}, "limit": {"currency": "USD", "amount": "6000"}, "remaining": {"currency":
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"USD", "amount": "5956.09"}}, "out_of_network": {"applied": {"currency": "USD",
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"amount": "43.91"}, "limit": {"currency": "USD", "amount": "12000"}, "remaining":
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{"currency": "USD", "amount": "11956.09"}}}}}, "subscriber": {"birth_date":
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"1970-01-01", "first_name": "Jane", "last_name": "Doe", "id": "W000000000",
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"address": {"city": "SPARTANBURG", "state": "SC", "zipcode": "29307", "address_lines":
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["123 MAIN ST"]}}, "correlation_id": "ed490e9a-ad0c-4fc4-b92c-f6cdc1af9388",
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"trading_partner_id": "MOCKPAYER", "provider": {"first_name": "JEROME", "last_name":
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"JEROME AYA-AY", "npi": "1467560003"}, "coverage": {"plan_number": "0888188",
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"service_types": ["professional_physician_visit_office"], "group_number":
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"088818801000013", "out_of_pocket": [{"in_plan_network": "yes", "benefit_amount":
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{"currency": "USD", "amount": "3000"}, "coverage_level": "individual"}, {"in_plan_network":
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"yes", "benefit_amount": {"currency": "USD", "amount": "2983.57"}, "coverage_level":
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{"currency": "USD", "amount": "12500"}, "coverage_level": "individual"}, {"in_plan_network":
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"no", "benefit_amount": {"currency": "USD", "amount": "12483.57"}, "coverage_level":
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{"currency": "USD", "amount": "25000"}, "coverage_level": "family"}, {"in_plan_network":
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"MOCK INDIVIDUAL ADVANTAGE PLAN", "service_date": "2013-08-10"}, "valid_request":
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true}}'
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1000, "credits_remaining": 9970, "activity_id": "53ea306b56c02c23a1a3f755",
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"4", "subscriber": {"maintenance_type": "Addition", "first_name": "JOHN",
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false, "begin_date": "Sat Jun 1 00:00:00 1996", "benefit_type": "Health",
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"890111", "payer_responsibility": "Primary"}]}, {"maintenance_type": "Addition",
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"Dental"}, {"maintenance_type": "Addition", "late_enrollment": false, "begin_date":
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"maintenance_reason": "Active", "handicapped": false, "eligibility_begin_date":
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"Thu May 23 00:00:00 1996", "ssn": "123456789", "tobacco_use": false, "member_id":
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"Wed Mar 26 22:18:47 2014", "trading_partner_id": "MOCKPAYER", "purpose":
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"Original", "client_id": "oB7rLIqHmdoAXHRAmWtM", "action": "Change", "dependents":
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[], "sponsor": {"tax_id": "999888777"}}, "remaining_transitions": ["generate",
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"scheduled", "title": "Scheduled for next available transmission to Trading
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Partner"}, "trading_partner_id": "MOCKPAYER", "id": "53ea306b56c02c23a1a3f755",
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"transition_path": ["schedule", "generate", "store", "transmit", "wait", "receive",
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"process", "complete"], "history": [{"record_dt": "2014-08-12T15:19:07.923201",
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"name": "init", "title": "Initializing"}]}}'
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CHANGED
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|
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"application_mode": "production", "processing_time": 521, "rate_limit_cap":
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|
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1000, "credits_remaining": 12974, "activity_id": "53ea306d56c02c23afa3f755",
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|
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|
+
"credits_billed": 1}, "data": {"units_of_work": 1, "name": "batch file", "remaining_transitions":
|
|
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50
|
["process", "complete"], "state": {"name": "queued", "title": "In queue waiting
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|
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|
-
to start"}, "trading_partner_id": "MOCKPAYER", "id": "
|
|
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+
to start"}, "trading_partner_id": "MOCKPAYER", "id": "53ea306d56c02c23afa3f755",
|
|
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|
"transition_path": ["store", "queue", "process", "complete"], "history": [{"record_dt":
|
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"2014-08-
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|
-
"2014-08-
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|
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"2014-08-12T15:19:09.168442", "name": "init", "title": "Initializing"}, {"record_dt":
|
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|
+
"2014-08-12T15:19:09.170534", "name": "stored", "title": "Batch transactions
|
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|
stored for later processing"}]}}'
|
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recorded_with: VCR 2.9.2
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