pokitdok-ruby 0.5.0 → 0.6.0
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 +8 -0
- data/pokitdok-ruby.gemspec +5 -3
- data/spec/pokitdok_spec.rb +28 -2
- data/vcr_cassettes/activities.yml +478 -106
- data/vcr_cassettes/auth.yml +43 -5
- data/vcr_cassettes/cash_prices.yml +12 -12
- data/vcr_cassettes/claims.yml +10 -10
- data/vcr_cassettes/claims_status.yml +9 -9
- data/vcr_cassettes/eligibility.yml +9 -9
- data/vcr_cassettes/enrollment.yml +11 -11
- data/vcr_cassettes/files.yml +10 -10
- data/vcr_cassettes/insurance_prices.yml +7 -7
- data/vcr_cassettes/payers.yml +298 -222
- data/vcr_cassettes/plans.yml +685 -0
- data/vcr_cassettes/plans_no_args.yml +681 -0
- data/vcr_cassettes/providers.yml +17 -17
- data/vcr_cassettes/trading_partners_get.yml +9 -9
- data/vcr_cassettes/trading_partners_index.yml +241 -171
- metadata +4 -2
data/vcr_cassettes/auth.yml
CHANGED
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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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headers:
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string: '{"access_token": "lKM9f7uGo2W9BAsm9xTijLqHLbC2R2QBiEJdkTNt", "token_type":
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"bearer", "expires": 1410975763, "expires_in": 3600}'
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recorded_at: Wed, 17 Sep 2014 16:42:43 GMT
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- request:
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method: get
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uri: http://localhost:5002/api/v4/prices/cash?cpt_code=
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uri: http://localhost:5002/api/v4/prices/cash?cpt_code=90658&zip_code=94403
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body:
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encoding: US-ASCII
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string: ''
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User-Agent:
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- gzip;q=1.0,deflate;q=0.6,identity;q=0.3
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"credits_billed": 1}, "data": [{"high_price": 75.08364671031882, "cpt_code":
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"90658", "low_price": 55.30875, "average_price": 62.15272966703196, "geo_zip_area":
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"944", "standard_deviation": 6.842960548193715, "median_price": 59.60960003777308}]}'
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data/vcr_cassettes/claims.yml
CHANGED
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User-Agent:
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Authorization:
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- Bearer HdwhF3km7RGrnKxldMSYcWJ7i4aFiWAvM9C11ISH
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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": 87, "rate_limit_reset": 1410972568,
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"application_mode": "production", "processing_time": 15, "rate_limit_cap":
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1000, "credits_remaining": 13205, "activity_id": "5419b8a656c02c26bf6b8195",
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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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"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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-
"
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"69986861-4e7e-4a30-ae3d-1f6fef9aa540", "client_id": "JcR2P8SmoIaon4vpN9Q9",
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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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"async": false, "billing_provider": {"first_name": "Jerome", "last_name":
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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": "5419b8a656c02c26bf6b8195", "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": "2014-09-17T16:36:54.256627", "name": "init", "title":
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"Initializing"}]}}'
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recorded_with: VCR 2.9.2
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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": 99, "rate_limit_reset": 1410972568,
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"application_mode": "production", "processing_time": 134, "rate_limit_cap":
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1000, "credits_remaining": 13200, "activity_id": "5419b8a756c02c26d96b8195",
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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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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": "
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"client_id": "JcR2P8SmoIaon4vpN9Q9", "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": "
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"npi": "1467560003"}], "correlation_id": "34cd88b7-2b1f-4952-8b95-688cb4785e54",
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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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"application_mode": "production", "processing_time": 185, "rate_limit_cap":
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1000, "credits_remaining": 13202, "activity_id": "5419b8a756c02c26d16b8195",
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"credits_billed": 1}, "data": {"service_types": ["professional_physician_visit_office"],
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"client_id": "JcR2P8SmoIaon4vpN9Q9", "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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{"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": "
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["123 MAIN ST"]}}, "correlation_id": "85028c17-642b-4748-b163-f7e7d405b879",
|
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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":
|
|
@@ -117,5 +117,5 @@ 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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recorded_at:
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recorded_at: Wed, 17 Sep 2014 16:36:55 GMT
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recorded_with: VCR 2.9.2
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@@ -19,7 +19,7 @@ http_interactions:
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User-Agent:
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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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Authorization:
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-
- Bearer
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+
- Bearer HdwhF3km7RGrnKxldMSYcWJ7i4aFiWAvM9C11ISH
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Content-Type:
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- '
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- '2612'
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@@ -42,12 +42,12 @@ http_interactions:
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Server:
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Date:
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-
-
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- Wed, 17 Sep 2014 16:36:54 GMT
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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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"application_mode": "production", "processing_time":
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1000, "credits_remaining":
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string: '{"meta": {"rate_limit_amount": 91, "rate_limit_reset": 1410972568,
|
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+
"application_mode": "production", "processing_time": 14, "rate_limit_cap":
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+
1000, "credits_remaining": 9993, "activity_id": "5419b8a656c02c26c76b8195",
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"credits_billed": 1}, "data": {"units_of_work": 1, "name": "enrollment", "parameters":
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{"reference_number": "12456", "version": "4.0.0", "payer": {"tax_id": "654456654"},
|
|
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|
"update_dt": "Wed Mar 26 22:18:47 2014", "deleted": false, "major_version":
|
|
@@ -68,16 +68,16 @@ http_interactions:
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|
"123456789", "birth_date": "Fri Aug 16 00:00:00 1940", "middle_name": "P",
|
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"substance_abuse": false, "address": {"city": "CAMP HILL", "line2": "APT 3G",
|
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"county": "CUMBERLAND", "state": "PA", "postal_code": "17011", "line": "100
|
|
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|
-
MARKET ST"}}, "correlation_id": "
|
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+
MARKET ST"}}, "correlation_id": "77c7d805-cd70-4a93-9fa3-f7f6d1a68e63", "insert_dt":
|
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|
"Wed Mar 26 22:18:47 2014", "trading_partner_id": "MOCKPAYER", "purpose":
|
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|
-
"Original", "client_id": "
|
|
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|
+
"Original", "client_id": "JcR2P8SmoIaon4vpN9Q9", "action": "Change", "dependents":
|
|
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|
[], "sponsor": {"tax_id": "999888777"}}, "remaining_transitions": ["generate",
|
|
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|
"store", "transmit", "wait", "receive", "process", "complete"], "state": {"name":
|
|
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|
"scheduled", "title": "Scheduled for next available transmission to Trading
|
|
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|
-
Partner"}, "trading_partner_id": "MOCKPAYER", "id": "
|
|
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|
+
Partner"}, "trading_partner_id": "MOCKPAYER", "id": "5419b8a656c02c26c76b8195",
|
|
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|
"transition_path": ["schedule", "generate", "store", "transmit", "wait", "receive",
|
|
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|
-
"process", "complete"], "history": [{"record_dt": "2014-
|
|
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|
+
"process", "complete"], "history": [{"record_dt": "2014-09-17T16:36:54.501261",
|
|
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|
"name": "init", "title": "Initializing"}]}}'
|
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|
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+
recorded_at: Wed, 17 Sep 2014 16:36:54 GMT
|
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|
recorded_with: VCR 2.9.2
|
data/vcr_cassettes/files.yml
CHANGED
|
@@ -23,7 +23,7 @@ http_interactions:
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Content-Length:
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|
- '3266'
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Authorization:
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|
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- Bearer
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|
+
- Bearer HdwhF3km7RGrnKxldMSYcWJ7i4aFiWAvM9C11ISH
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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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+
- '762'
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|
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|
Charset:
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|
@@ -40,19 +40,19 @@ http_interactions:
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|
Server:
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|
- Werkzeug/0.9.4 Python/2.7.3
|
|
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|
Date:
|
|
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|
-
-
|
|
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|
+
- Wed, 17 Sep 2014 16:36:55 GMT
|
|
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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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|
-
"application_mode": "production", "processing_time":
|
|
48
|
-
1000, "credits_remaining":
|
|
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|
+
string: '{"meta": {"rate_limit_amount": 93, "rate_limit_reset": 1410972568,
|
|
47
|
+
"application_mode": "production", "processing_time": 414, "rate_limit_cap":
|
|
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|
+
1000, "credits_remaining": 13203, "activity_id": "5419b8a656c02c26cb6b8195",
|
|
49
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|
"credits_billed": 1}, "data": {"units_of_work": 1, "name": "batch file", "remaining_transitions":
|
|
50
50
|
["process", "complete"], "state": {"name": "queued", "title": "In queue waiting
|
|
51
|
-
to start"}, "trading_partner_id": "MOCKPAYER", "id": "
|
|
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|
+
to start"}, "trading_partner_id": "MOCKPAYER", "id": "5419b8a656c02c26cb6b8195",
|
|
52
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|
"transition_path": ["store", "queue", "process", "complete"], "history": [{"record_dt":
|
|
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|
-
"2014-
|
|
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|
-
"2014-
|
|
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|
+
"2014-09-17T16:36:54.993918", "name": "init", "title": "Initializing"}, {"record_dt":
|
|
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|
+
"2014-09-17T16:36:54.995058", "name": "stored", "title": "Batch transactions
|
|
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|
stored for later processing"}]}}'
|
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|
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|
-
recorded_at:
|
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|
+
recorded_at: Wed, 17 Sep 2014 16:36:55 GMT
|
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|
recorded_with: VCR 2.9.2
|
|
@@ -10,7 +10,7 @@ http_interactions:
|
|
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10
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|
User-Agent:
|
|
11
11
|
- pokitdok-ruby 0.4.1 ruby 2.0.0p451 (2014-02-24 revision 45167) [x86_64-darwin12.5.0]
|
|
12
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|
Authorization:
|
|
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|
-
- Bearer
|
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|
+
- Bearer HdwhF3km7RGrnKxldMSYcWJ7i4aFiWAvM9C11ISH
|
|
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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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|
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|
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|
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@@ -31,12 +31,12 @@ http_interactions:
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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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|
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string: '{"meta": {"rate_limit_amount":
|
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|
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"application_mode": "production", "processing_time":
|
|
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|
-
1000, "credits_remaining":
|
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|
+
string: '{"meta": {"rate_limit_amount": 94, "rate_limit_reset": 1410972568,
|
|
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|
+
"application_mode": "production", "processing_time": 25, "rate_limit_cap":
|
|
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|
+
1000, "credits_remaining": 9984, "activity_id": "5419b8a756c02c26ce6b8195",
|
|
40
40
|
"credits_billed": 1}, "data": {"amounts": [{"high_price": 159.75, "standard_deviation":
|
|
41
41
|
36.41382675904168, "average_price": 54.5895, "payer_type": "insurance", "payment_type":
|
|
42
42
|
"allowed", "low_price": 19.98, "median_price": 56.25}, {"high_price": 188.91,
|
|
@@ -48,5 +48,5 @@ http_interactions:
|
|
|
48
48
|
"payer_type": "medicare", "payment_type": "paid"}], "cpt_code": "87799", "geo_zip_area":
|
|
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49
|
"322"}}'
|
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|
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recorded_at: Wed, 17 Sep 2014 16:36:55 GMT
|
|
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|
recorded_with: VCR 2.9.2
|
data/vcr_cassettes/payers.yml
CHANGED
|
@@ -10,7 +10,7 @@ http_interactions:
|
|
|
10
10
|
User-Agent:
|
|
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11
|
- pokitdok-ruby 0.4.1 ruby 2.0.0p451 (2014-02-24 revision 45167) [x86_64-darwin12.5.0]
|
|
12
12
|
Authorization:
|
|
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|
-
- Bearer
|
|
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|
+
- Bearer HdwhF3km7RGrnKxldMSYcWJ7i4aFiWAvM9C11ISH
|
|
14
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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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16
|
Accept:
|
|
@@ -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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|
+
- '47233'
|
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|
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|
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|
- application/json
|
|
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|
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|
@@ -31,68 +31,55 @@ http_interactions:
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|
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|
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|
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|
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|
|
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|
-
-
|
|
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|
+
- Wed, 17 Sep 2014 16:36:55 GMT
|
|
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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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|
-
"application_mode": "production", "processing_time":
|
|
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|
-
1000, "activity_id": "
|
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|
+
string: '{"meta": {"rate_limit_amount": 100, "rate_limit_reset": 1410972568,
|
|
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|
+
"application_mode": "production", "processing_time": 31, "rate_limit_cap":
|
|
39
|
+
1000, "activity_id": "5419b8a756c02c26db6b8195"}, "data": [{"supported_transactions":
|
|
40
40
|
["837"], "payer_name": "Fidelis Care of New York", "payer_key": "FIDELIS",
|
|
41
41
|
"production_status": false, "trading_partner_id": "fidelis_care_ny"}, {"supported_transactions":
|
|
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|
-
["
|
|
43
|
-
"
|
|
42
|
+
["837"], "payer_name": "Blue Cross Blue Shield of DC (Carefirst)", "payer_key":
|
|
43
|
+
"", "production_status": false, "trading_partner_id": "blue_cross_blue_shield_dc"},
|
|
44
44
|
{"supported_transactions": ["270"], "payer_name": "Blue Cross and Blue Shield
|
|
45
|
-
of
|
|
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|
-
"
|
|
47
|
-
"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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|
-
|
|
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|
-
"
|
|
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|
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"
|
|
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|
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"
|
|
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|
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"
|
|
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|
-
|
|
57
|
-
false, "trading_partner_id": "
|
|
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|
-
["
|
|
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|
-
Payer with
|
|
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|
-
"
|
|
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|
-
|
|
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|
-
|
|
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|
-
"
|
|
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|
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|
|
65
|
-
"
|
|
66
|
-
|
|
45
|
+
of Iowa", "payer_key": "bciac", "production_status": true, "trading_partner_id":
|
|
46
|
+
"blue_cross_blue_shield_ia"}, {"supported_transactions": ["270"], "payer_name":
|
|
47
|
+
"Blue Cross and Blue Shield of North Carolina", "payer_key": "BCBSNC", "production_status":
|
|
48
|
+
true, "trading_partner_id": "blue_cross_blue_shield_nc"}, {"supported_transactions":
|
|
49
|
+
["837", "834", "835", "270", "271", "276", "277", "278"], "payer_name": "Mock
|
|
50
|
+
Payer with Random I/O wait for Testing", "payer_key": "MOCKPAYER_RANDOM_WAIT",
|
|
51
|
+
"production_status": false, "trading_partner_id": "MOCKPAYER_RANDOM_WAIT"},
|
|
52
|
+
{"supported_transactions": ["837", "834", "835", "270", "271", "276", "277",
|
|
53
|
+
"278"], "payer_name": "Mock Payer with eligibility inquiry rejection", "payer_key":
|
|
54
|
+
"MOCKPAYER_REJECTION", "production_status": false, "trading_partner_id": "MOCKPAYER_REJECTION"},
|
|
55
|
+
{"supported_transactions": ["837", "834", "835", "270", "271", "276", "277",
|
|
56
|
+
"278"], "payer_name": "Mock Payer with Implementation Acknowledgement", "payer_key":
|
|
57
|
+
"MOCKPAYER_ACK", "production_status": false, "trading_partner_id": "MOCKPAYER_ACK"},
|
|
58
|
+
{"supported_transactions": ["837", "834", "835", "270", "271", "276", "277",
|
|
59
|
+
"278"], "payer_name": "Mock Payer with eligibility inquiry rejection", "payer_key":
|
|
60
|
+
"MOCKPAYER_PARSE_ERROR", "production_status": false, "trading_partner_id":
|
|
61
|
+
"MOCKPAYER_PARSE_ERROR"}, {"supported_transactions": ["837"], "payer_name":
|
|
62
|
+
"Medica HealthCare", "payer_key": "MEDICA", "production_status": false, "trading_partner_id":
|
|
63
|
+
"medica_health_care"}, {"supported_transactions": ["837"], "payer_name": "Highmark-Vision
|
|
64
|
+
Pennsylvania", "payer_key": "HIGHMARK", "production_status": false, "trading_partner_id":
|
|
65
|
+
"highmark_vision_pa"}, {"supported_transactions": ["837"], "payer_name": "BridgeSpan",
|
|
66
|
+
"payer_key": "", "production_status": false, "trading_partner_id": "bridgespan"},
|
|
67
|
+
{"supported_transactions": ["837"], "payer_name": "Blue Cross Blue Shield
|
|
68
|
+
of Maryland (CareFirst)", "payer_key": "", "production_status": false, "trading_partner_id":
|
|
69
|
+
"blue_cross_blue_shield_md"}, {"supported_transactions": ["837"], "payer_name":
|
|
70
|
+
"Community Health Plan of Washington", "payer_key": "", "production_status":
|
|
71
|
+
false, "trading_partner_id": "community_health_plan_wa"}, {"supported_transactions":
|
|
72
|
+
["837"], "payer_name": "Blue Cross and Blue Shield of Mississippi", "payer_key":
|
|
73
|
+
"", "production_status": false, "trading_partner_id": "blue_cross_blue_shield_ms"},
|
|
74
|
+
{"supported_transactions": ["270", "837", "276"], "payer_name": "Harvard Pilgrim
|
|
67
75
|
Healthcare", "payer_key": "UNITED", "production_status": false, "trading_partner_id":
|
|
68
|
-
"harvard_pilgrim_health_care"}, {"supported_transactions": ["270", "
|
|
69
|
-
"
|
|
76
|
+
"harvard_pilgrim_health_care"}, {"supported_transactions": ["270", "837",
|
|
77
|
+
"276"], "payer_name": "Premera Blue Cross", "payer_key": "PREMERA", "production_status":
|
|
70
78
|
true, "trading_partner_id": "premera_blue_cross"}, {"supported_transactions":
|
|
71
|
-
["270", "
|
|
72
|
-
"
|
|
73
|
-
{"supported_transactions": ["270", "
|
|
74
|
-
|
|
75
|
-
true, "trading_partner_id": "anthem_blue_cross_blue_shield_wi"}, {"supported_transactions":
|
|
76
|
-
["270", "276", "837"], "payer_name": "Anthem Blue Cross and Blue Shield of
|
|
77
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-
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{"supported_transactions": [], "payer_name": "Arnett Health Plan", "payer_key":
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Virginia", "payer_key": "", "production_status": false, "trading_partner_id":
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"blue_cross_blue_shield_va"}, {"supported_transactions": [], "payer_name":
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"Blue Cross and Blue Shield of Wyoming", "payer_key": "", "production_status":
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false, "trading_partner_id": "blue_cross_blue_shield_wy"}, {"supported_transactions":
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[], "payer_name": "Blue Cross of Northeastern Pennsylvania", "payer_key":
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false, "trading_partner_id": "blue_cross_id"}, {"supported_transactions":
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@@ -195,8 +152,6 @@ http_interactions:
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@@ -209,8 +164,6 @@ http_interactions:
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@@ -281,13 +234,7 @@ http_interactions:
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@@ -370,16 +317,12 @@ http_interactions:
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[], "payer_name": "NetworkHealth (A Tufts Health Plan)", "payer_key": "",
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"production_status": false, "trading_partner_id": "network_health_tufts_plan"},
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{"supported_transactions": [], "payer_name": "Nevada Health Co-Op", "payer_key":
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"neighborhood_health_plan"}, {"supported_transactions": [], "payer_name":
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@@ -388,9 +331,7 @@ http_interactions:
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"
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"optum_health"}, {"supported_transactions": [], "payer_name": "Oregon''s Health
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CO-OP", "payer_key": "", "production_status": false, "trading_partner_id":
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@@ -402,8 +343,6 @@ http_interactions:
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[], "payer_name": "PreferredOne", "payer_key": "", "production_status": false,
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"trading_partner_id": "preferred_one"}, {"supported_transactions": [], "payer_name":
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@@ -423,8 +362,6 @@ http_interactions:
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"regence_blue_cross_blue_sheild_ut"}, {"supported_transactions": [], "payer_name":
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"Regence BlueShield of Idaho", "payer_key": "", "production_status": false,
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"trading_partner_id": "regence_blue_shield_id"}, {"supported_transactions":
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[], "payer_name": "Regence BlueShield of Washington", "payer_key": "", "production_status":
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false, "trading_partner_id": "regence_blue_shield_wa"}, {"supported_transactions":
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[], "payer_name": "Sierra Health", "payer_key": "", "production_status": false,
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"trading_partner_id": "sierra_health"}, {"supported_transactions": [], "payer_name":
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@@ -440,97 +377,236 @@ http_interactions:
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Health Plan", "payer_key": "", "production_status": false, "trading_partner_id":
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"trillum_community_health_plan"}, {"supported_transactions": [], "payer_name":
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"Tufts Health Plan", "payer_key": "", "production_status": false, "trading_partner_id":
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"tufts_health_plan"}, {"supported_transactions": [], "payer_name": "
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false, "trading_partner_id": "united_health_care_medicare_solutions"}, {"supported_transactions":
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[], "payer_name": "Unity Health ", "payer_key": "", "production_status": false,
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"trading_partner_id": "unity_health"}, {"supported_transactions": [], "payer_name":
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"Univera Healthcare", "payer_key": "", "production_status": false, "trading_partner_id":
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"univera_health_care"}, {"supported_transactions": [], "payer_name": "University
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Health Alliance of Hawaii", "payer_key": "", "production_status": false, "trading_partner_id":
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"tufts_health_plan"}, {"supported_transactions": [], "payer_name": "Unity
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Health ", "payer_key": "", "production_status": false, "trading_partner_id":
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"unity_health"}, {"supported_transactions": [], "payer_name": "Univera Healthcare",
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"payer_key": "", "production_status": false, "trading_partner_id": "univera_health_care"},
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{"supported_transactions": [], "payer_name": "University Health Alliance of
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Hawaii", "payer_key": "", "production_status": false, "trading_partner_id":
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"university_health_alliance_hi"}, {"supported_transactions": [], "payer_name":
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"University of Pittsburgh Medical Center Health Plan", "payer_key": "", "production_status":
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false, "trading_partner_id": "university_pittsburgh_medical_center_health_plan"},
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{"supported_transactions": [], "payer_name": "Wellmark Blue Cross and Blue
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Shield of
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Shield of South Dakota", "payer_key": "", "production_status": false, "trading_partner_id":
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"wellmark_blue_cross_blue_shield_sd"}, {"supported_transactions": [], "payer_name":
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"Wellpoint, Inc", "payer_key": "", "production_status": false, "trading_partner_id":
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"wellpoint"}, {"supported_transactions": [], "payer_name": "Windsor Health
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Plan", "payer_key": "", "production_status": false, "trading_partner_id":
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"windsor_health_plan"}, {"supported_transactions": [], "payer_name": "WinHealth",
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"payer_key": "", "production_status": false, "trading_partner_id": "winhealth"},
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{"supported_transactions": ["837", "834", "835", "270", "271", "276", "277",
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+
"278"], "payer_name": "Mock Payer for Communication Error Testing", "payer_key":
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+
"MOCKPAYER_COMMERROR", "production_status": false, "trading_partner_id": "MOCKPAYER_COMMERROR"},
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+
{"supported_transactions": ["270", "837", "276"], "payer_name": "Blue Shield
|
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|
+
of California", "payer_key": "BSCA", "production_status": true, "trading_partner_id":
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+
"blue_shield_ca"}, {"supported_transactions": ["837"], "payer_name": "AmeriHealth
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+
Administrators", "payer_key": "ahad", "production_status": false, "trading_partner_id":
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+
"amerihealth_administrators"}, {"supported_transactions": ["837"], "payer_name":
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+
"AmeriHealth NJ Non-HMO", "payer_key": "ahnj", "production_status": false,
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+
"trading_partner_id": "amerihealth_nj_non_hmo"}, {"supported_transactions":
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+
["837"], "payer_name": "AmeriHealth DE Non-HMO", "payer_key": "ahde", "production_status":
|
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+
false, "trading_partner_id": "amerihealth_de_non_hmo"}, {"supported_transactions":
|
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+
["837"], "payer_name": "AmeriHealth NJ/DE HMO", "payer_key": "ahnjdehmo",
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+
"production_status": false, "trading_partner_id": "amerihealth_nj_de_hmo"},
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+
{"supported_transactions": ["837", "834", "835", "270", "271", "276", "277",
|
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+
"278"], "payer_name": "Mock Payer for Testing", "payer_key": "MOCKPAYER",
|
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413
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+
"production_status": false, "trading_partner_id": "MOCKPAYER"}, {"supported_transactions":
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+
["837"], "payer_name": "Great West Healthcare", "payer_key": "", "production_status":
|
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+
false, "trading_partner_id": "great_west_health_care"}, {"supported_transactions":
|
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+
["837"], "payer_name": "Sierra Health Services", "payer_key": "shs", "production_status":
|
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417
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+
false, "trading_partner_id": "sierra_health_services"}, {"supported_transactions":
|
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+
["276"], "payer_name": "Anthem Blue Cross Blue Shield of Missouri", "payer_key":
|
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+
"bcbsmo", "production_status": false, "trading_partner_id": "anthem_blue_cross_blue_shield_mo"},
|
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+
{"supported_transactions": ["276"], "payer_name": "Anthem Blue Cross Blue
|
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421
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+
Shield of Ohio", "payer_key": "bcbsoh", "production_status": false, "trading_partner_id":
|
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422
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+
"anthem_blue_cross_blue_shield_oh"}, {"supported_transactions": ["837"], "payer_name":
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+
"Regence BlueShield of Washington", "payer_key": "", "production_status":
|
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+
false, "trading_partner_id": "regence_blue_shield_wa"}, {"supported_transactions":
|
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+
["837"], "payer_name": "Caresource of Kentucky", "payer_key": "", "production_status":
|
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+
false, "trading_partner_id": "care_source_ky"}, {"supported_transactions":
|
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+
["837"], "payer_name": "Blue Cross and Blue Shield of Oklahoma", "payer_key":
|
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|
+
"", "production_status": false, "trading_partner_id": "blue_cross_blue_shield_ok"},
|
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429
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+
{"supported_transactions": ["837"], "payer_name": "Group Health Cooperative",
|
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430
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+
"payer_key": "", "production_status": false, "trading_partner_id": "group_health_cooperative"},
|
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431
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+
{"supported_transactions": ["837"], "payer_name": "CareSource of Michigan",
|
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+
"payer_key": "", "production_status": false, "trading_partner_id": "care_source_mi"},
|
|
433
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+
{"supported_transactions": ["837"], "payer_name": "Caresource Health Plan
|
|
434
|
+
of Oregon", "payer_key": "", "production_status": false, "trading_partner_id":
|
|
435
|
+
"care_source_health_plan_or"}, {"supported_transactions": ["837"], "payer_name":
|
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436
|
+
"Group Health Plan - CMR", "payer_key": "", "production_status": false, "trading_partner_id":
|
|
437
|
+
"group_health_plan_care_management_resource"}, {"supported_transactions":
|
|
438
|
+
["837"], "payer_name": "Blue Cross and Blue Shield of Illinois", "payer_key":
|
|
439
|
+
"", "production_status": false, "trading_partner_id": "blue_cross_blue_shield_il"},
|
|
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+
{"supported_transactions": ["837"], "payer_name": "Group Health Cooperative
|
|
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|
+
of Eau Claire", "payer_key": "", "production_status": false, "trading_partner_id":
|
|
442
|
+
"group_health_cooperative_eau_claire"}, {"supported_transactions": ["837"],
|
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+
"payer_name": "Blue Cross and Blue Shield of Michigan", "payer_key": "", "production_status":
|
|
444
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+
false, "trading_partner_id": "blue_cross_blue_shield_mi"}, {"supported_transactions":
|
|
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+
["837"], "payer_name": "Blue Cross and Blue Shield of Montana", "payer_key":
|
|
446
|
+
"", "production_status": false, "trading_partner_id": "blue_cross_blue_shield_mt"},
|
|
447
|
+
{"supported_transactions": ["837"], "payer_name": "CareFirst BCBS NCA Region",
|
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448
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+
"payer_key": "", "production_status": false, "trading_partner_id": "care_first_blue_cross_blue_shield_nca"},
|
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449
|
+
{"supported_transactions": ["837"], "payer_name": "PacificSource Health Plans",
|
|
450
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+
"payer_key": "", "production_status": false, "trading_partner_id": "pacific_source_health_plans"},
|
|
451
|
+
{"supported_transactions": ["837"], "payer_name": "First Choice Health Network",
|
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452
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+
"payer_key": "", "production_status": false, "trading_partner_id": "first_choice_health_network"},
|
|
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+
{"supported_transactions": ["837"], "payer_name": "Columbia United Providers",
|
|
454
|
+
"payer_key": "", "production_status": false, "trading_partner_id": "columbia_united_providers"},
|
|
455
|
+
{"supported_transactions": ["837"], "payer_name": "Wellcare", "payer_key":
|
|
456
|
+
"", "production_status": false, "trading_partner_id": "wellcare"}, {"supported_transactions":
|
|
457
|
+
["837"], "payer_name": "Blue Cross and Blue Shield of New Mexico", "payer_key":
|
|
458
|
+
"", "production_status": false, "trading_partner_id": "blue_cross_blue_shield_nm"},
|
|
459
|
+
{"supported_transactions": ["837"], "payer_name": "Blue Cross and Blue Shield
|
|
460
|
+
of Vermont", "payer_key": "", "production_status": false, "trading_partner_id":
|
|
461
|
+
"blue_cross_blue_shield_vt"}, {"supported_transactions": ["837"], "payer_name":
|
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+
"Group Health Cooperative of South Central Wisconsin", "payer_key": "", "production_status":
|
|
463
|
+
false, "trading_partner_id": "group_health_cooperative_south_central_wi"},
|
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+
{"supported_transactions": ["837"], "payer_name": "Medical Mutual of Ohio",
|
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465
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+
"payer_key": "", "production_status": false, "trading_partner_id": "medical_mutual_oh"},
|
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466
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+
{"supported_transactions": ["837"], "payer_name": "Moda Health (Formerly ODS
|
|
467
|
+
Health Plan)", "payer_key": "", "production_status": false, "trading_partner_id":
|
|
468
|
+
"moda_health"}, {"supported_transactions": ["837"], "payer_name": "CareOregon
|
|
469
|
+
Inc.", "payer_key": "", "production_status": false, "trading_partner_id":
|
|
470
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+
"care_or"}, {"supported_transactions": ["270", "276"], "payer_name": "Assurant
|
|
471
|
+
Health", "payer_key": "ASSURANT HEALTH", "production_status": false, "trading_partner_id":
|
|
472
|
+
"assurant_health"}, {"supported_transactions": ["270"], "payer_name": "United
|
|
473
|
+
Healthcare Plan of the River Valley", "payer_key": "BCBSWV", "production_status":
|
|
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+
false, "trading_partner_id": "united_health_care_plan_river_valley"}, {"supported_transactions":
|
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+
["837"], "payer_name": "Blue Shield of California BLUE SHIELD OF CALIFORNIA",
|
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+
"payer_key": "networkhealth", "production_status": false, "trading_partner_id":
|
|
477
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+
"network_health"}, {"supported_transactions": ["837"], "payer_name": "Blue
|
|
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|
+
Cross and Blue Shield of Hawaii", "payer_key": "", "production_status": false,
|
|
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+
"trading_partner_id": "blue_cross_blue_shield_hi"}, {"supported_transactions":
|
|
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+
["837"], "payer_name": "BlueCross BlueShield of Western New York", "payer_key":
|
|
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+
"", "production_status": false, "trading_partner_id": "blue_cross_blue_sheild_west_ny"},
|
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+
{"supported_transactions": ["837"], "payer_name": "Blue Cross and Blue Shield
|
|
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|
+
of Alabama", "payer_key": "", "production_status": false, "trading_partner_id":
|
|
484
|
+
"blue_cross_blue_shield_al"}, {"supported_transactions": ["270", "837", "276"],
|
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|
+
"payer_name": "Blue Cross and Blue Shield of Missouri", "payer_key": "bcmoc",
|
|
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|
+
"production_status": true, "trading_partner_id": "blue_cross_blue_shield_mo"},
|
|
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|
+
{"supported_transactions": ["270", "837", "276"], "payer_name": "Blue Cross
|
|
498
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|
and Blue Shield of Ohio", "payer_key": "bcohc", "production_status": true,
|
|
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|
"trading_partner_id": "blue_cross_blue_shield_oh"}, {"supported_transactions":
|
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500
|
-
["270", "
|
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-
|
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502
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-
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"
|
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|
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"
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|
-
|
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506
|
-
|
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-
true, "trading_partner_id": "
|
|
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|
-
["270", "
|
|
509
|
-
false, "trading_partner_id": "aetna"}, {"supported_transactions": ["837"],
|
|
510
|
-
"payer_name": "Independence Blue Cross INDEPENDENCE BLUE CROSS", "payer_key":
|
|
511
|
-
"bcibc", "production_status": false, "trading_partner_id": "independence_blue_cross"},
|
|
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|
-
{"supported_transactions": ["837"], "payer_name": "Highmark Blue Cross Blue
|
|
513
|
-
Shield of Delaware", "payer_key": "bcbsd", "production_status": false, "trading_partner_id":
|
|
514
|
-
"highmark_blue_cross_blue_shield_de"}, {"supported_transactions": ["270"],
|
|
515
|
-
"payer_name": "Assurant Health", "payer_key": "ASSURANT HEALTH", "production_status":
|
|
516
|
-
false, "trading_partner_id": "assurant_health"}, {"supported_transactions":
|
|
517
|
-
["270", "276", "837"], "payer_name": "Cigna", "payer_key": "CIGNA", "production_status":
|
|
518
|
-
true, "trading_partner_id": "cigna"}, {"supported_transactions": ["270", "276",
|
|
519
|
-
"837"], "payer_name": "ConnectiCare", "payer_key": "", "production_status":
|
|
490
|
+
["270", "837", "276"], "payer_name": "Empire Blue Cross and Blue Shield",
|
|
491
|
+
"payer_key": "bcbsny", "production_status": true, "trading_partner_id": "empire_blue_cross_blue_shield"},
|
|
492
|
+
{"supported_transactions": ["270", "837", "276"], "payer_name": "Aetna", "payer_key":
|
|
493
|
+
"AETNA", "production_status": false, "trading_partner_id": "aetna"}, {"supported_transactions":
|
|
494
|
+
["837"], "payer_name": "Independence Blue Cross INDEPENDENCE BLUE CROSS",
|
|
495
|
+
"payer_key": "bcibc", "production_status": false, "trading_partner_id": "independence_blue_cross"},
|
|
496
|
+
{"supported_transactions": ["270", "837", "276"], "payer_name": "Cigna", "payer_key":
|
|
497
|
+
"CIGNA", "production_status": true, "trading_partner_id": "cigna"}, {"supported_transactions":
|
|
498
|
+
["270", "837", "276"], "payer_name": "ConnectiCare", "payer_key": "", "production_status":
|
|
520
499
|
true, "trading_partner_id": "connecticare"}, {"supported_transactions": ["270",
|
|
521
|
-
"
|
|
500
|
+
"837", "276"], "payer_name": "Anthem Blue Cross California", "payer_key":
|
|
522
501
|
"bcca", "production_status": true, "trading_partner_id": "anthem_blue_cross_ca"},
|
|
523
502
|
{"supported_transactions": ["270", "276"], "payer_name": "MVP Health Care",
|
|
524
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|
"payer_key": "MVP", "production_status": true, "trading_partner_id": "mvp_health_care"},
|
|
525
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|
{"supported_transactions": ["270", "276"], "payer_name": "Oxford Health Plans
|
|
526
505
|
(United Healthcare)", "payer_key": "OXFORD", "production_status": true, "trading_partner_id":
|
|
527
|
-
"oxford_health_plan_united"}, {"supported_transactions": ["270", "
|
|
506
|
+
"oxford_health_plan_united"}, {"supported_transactions": ["270", "837", "276"],
|
|
528
507
|
"payer_name": "United Healthcare", "payer_key": "UNITED", "production_status":
|
|
529
508
|
true, "trading_partner_id": "united_health_care"}, {"supported_transactions":
|
|
530
509
|
["837"], "payer_name": "Keystone Health Plan East", "payer_key": "khpe", "production_status":
|
|
531
510
|
false, "trading_partner_id": "keystone_health_plan_east"}, {"supported_transactions":
|
|
511
|
+
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512
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515
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516
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518
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519
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520
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521
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522
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523
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524
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526
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527
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528
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529
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530
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531
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532
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{"supported_transactions": ["270", "837", "276"], "payer_name": "Anthem Blue
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533
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Cross and Blue Shield of Virginia", "payer_key": "bcvac", "production_status":
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534
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true, "trading_partner_id": "anthem_blue_cross_blue_shield_va"}, {"supported_transactions":
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532
535
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["270", "837"], "payer_name": "Highmark Blue Cross Blue Shield of Pennsylvania",
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533
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536
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537
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538
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539
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540
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541
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542
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543
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544
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"care_source_oh"}, {"supported_transactions": ["837"], "payer_name": "CareFirst
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545
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BCBS of Maryland", "payer_key": "", "production_status": false, "trading_partner_id":
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546
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547
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548
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549
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["270", "837", "276"], "payer_name": "Highmark Blue Cross Blue Shield West
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550
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Virginia", "payer_key": "BCBSWV", "production_status": false, "trading_partner_id":
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551
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552
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553
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554
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555
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Plus", "payer_key": "", "production_status": true, "trading_partner_id": "united_health_care_medicare_solutions"},
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556
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{"supported_transactions": ["837"], "payer_name": "Preferred Care Partners",
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557
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558
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{"supported_transactions": ["837"], "payer_name": "Golden Rule", "payer_key":
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559
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560
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561
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"", "production_status": true, "trading_partner_id": "optum_health"}, {"supported_transactions":
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562
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["837"], "payer_name": "United Healthcare Community Plan of Kansas", "payer_key":
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563
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564
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565
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566
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567
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568
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"unicare"}, {"supported_transactions": ["837"], "payer_name": "Blue Cross
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569
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and Blue Shield of Massachusetts", "payer_key": "", "production_status": false,
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570
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"trading_partner_id": "blue_cross_blue_shield_ma"}, {"supported_transactions":
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571
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["270", "837"], "payer_name": "Blue Cross and Blue Shield of Louisiana", "payer_key":
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572
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573
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{"supported_transactions": ["837"], "payer_name": "Blue Cross Blue Shield
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574
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of NY Excellus Utica Region", "payer_key": "", "production_status": false,
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575
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"trading_partner_id": "blue_cross_blue_shield_ny_excellus_utica_region"},
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576
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{"supported_transactions": ["270", "837", "276"], "payer_name": "Blue Cross
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577
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578
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true, "trading_partner_id": "blue_cross_blue_shield_kc"}, {"supported_transactions":
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579
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580
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"payer_key": "", "production_status": false, "trading_partner_id": "excellus_blue_cross_blue_shield_ny_central_region"},
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581
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{"supported_transactions": ["837"], "payer_name": "Blue Cross and Blue Shield
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582
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583
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584
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585
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false, "trading_partner_id": "blue_cross_blue_shield_ny_excellus_rochester"},
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586
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{"supported_transactions": ["270", "837", "276"], "payer_name": "Blue Cross
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587
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and Blue Shield of Kansas", "payer_key": "bcbsks", "production_status": true,
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588
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591
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592
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593
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594
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595
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596
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597
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598
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599
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{"supported_transactions": ["837"], "payer_name": "Capital BlueCross", "payer_key":
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600
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601
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602
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603
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604
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"", "production_status": false, "trading_partner_id": "beech_street"}, {"supported_transactions":
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605
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["837"], "payer_name": "Blue Cross Blue Shield of NY - Excellus Central Region",
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606
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607
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{"supported_transactions": ["276"], "payer_name": "Wellmark Blue Cross and
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608
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Blue Shield of Iowa", "payer_key": "", "production_status": false, "trading_partner_id":
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609
|
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"wellmark_blue_cross_blue_shield_ia"}]}'
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534
610
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http_version:
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611
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recorded_at: Wed, 17 Sep 2014 16:36:55 GMT
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recorded_with: VCR 2.9.2
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