pokitdok-ruby 0.6.0 → 0.7.0
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- checksums.yaml +4 -4
- data/README.md +1 -1
- data/VERSION +1 -1
- data/lib/pokitdok.rb +27 -1
- data/pokitdok-ruby.gemspec +7 -3
- data/spec/fixtures/authorizations.json +42 -0
- data/spec/fixtures/referrals.json +36 -0
- data/spec/pokitdok_spec.rb +31 -4
- data/vcr_cassettes/activities.yml +205 -462
- data/vcr_cassettes/auth.yml +7 -45
- data/vcr_cassettes/authorizations.yml +57 -0
- data/vcr_cassettes/cash_prices.yml +12 -12
- data/vcr_cassettes/claims.yml +33 -34
- data/vcr_cassettes/claims_status.yml +25 -25
- data/vcr_cassettes/eligibility.yml +36 -36
- data/vcr_cassettes/enrollment.yml +39 -39
- data/vcr_cassettes/files.yml +15 -16
- data/vcr_cassettes/insurance_prices.yml +14 -18
- data/vcr_cassettes/payers.yml +512 -450
- data/vcr_cassettes/plans.yml +101 -652
- data/vcr_cassettes/plans_no_args.yml +100 -648
- data/vcr_cassettes/providers.yml +80 -20
- data/vcr_cassettes/referrals.yml +56 -0
- data/vcr_cassettes/trading_partners_get.yml +10 -10
- data/vcr_cassettes/trading_partners_index.yml +323 -271
- metadata +46 -42
checksums.yaml
CHANGED
|
@@ -1,7 +1,7 @@
|
|
|
1
1
|
---
|
|
2
2
|
SHA1:
|
|
3
|
-
metadata.gz:
|
|
4
|
-
data.tar.gz:
|
|
3
|
+
metadata.gz: 7b68cc8d5b31475c486190da763dd77541c526b0
|
|
4
|
+
data.tar.gz: 143898d79e403b12d0f8ac2833d5a11f1273d6b7
|
|
5
5
|
SHA512:
|
|
6
|
-
metadata.gz:
|
|
7
|
-
data.tar.gz:
|
|
6
|
+
metadata.gz: 444ced8475a19870d64c6c47b49561592ee3efbda5178c35ca0ba95ddb313f9fe065ab159798906b0b7250e70b52f80ffcc05a7ccdc969693c8c394b26212449
|
|
7
|
+
data.tar.gz: 719d1a99ba43862f9cefeb85d872a54d94fb2f9bc265685bff270ddd70626f0fd3c8a3f5fd42006c8b941a582b0e682b44be39c8f3d67783f5688de92e389633
|
data/README.md
CHANGED
data/VERSION
CHANGED
|
@@ -1 +1 @@
|
|
|
1
|
-
0.
|
|
1
|
+
0.7.0
|
data/lib/pokitdok.rb
CHANGED
|
@@ -48,7 +48,7 @@ module PokitDok
|
|
|
48
48
|
end
|
|
49
49
|
|
|
50
50
|
def user_agent
|
|
51
|
-
"pokitdok-ruby 0.
|
|
51
|
+
"pokitdok-ruby 0.7.0 #{RUBY_DESCRIPTION}"
|
|
52
52
|
end
|
|
53
53
|
|
|
54
54
|
# returns a standard set of headers to be passed along with all requests
|
|
@@ -72,6 +72,16 @@ module PokitDok
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|
|
72
72
|
JSON.parse(response.body)
|
|
73
73
|
end
|
|
74
74
|
|
|
75
|
+
# Invokes the authorizations endpoint, with an optional Hash of parameters.
|
|
76
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+
def authorizations(params = {})
|
|
77
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+
response = @token.post('authorizations/',
|
|
78
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+
headers: headers,
|
|
79
|
+
body: params.to_json) do |request|
|
|
80
|
+
request.headers['Content-Type'] = 'application/json'
|
|
81
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+
end
|
|
82
|
+
JSON.parse(response.body)
|
|
83
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+
end
|
|
84
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+
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|
75
85
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# Invokes the cash prices endpoint, with an optional Hash of parameters.
|
|
76
86
|
def cash_prices(params = {})
|
|
77
87
|
response = @token.get('prices/cash',
|
|
@@ -160,6 +170,12 @@ module PokitDok
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|
|
160
170
|
JSON.parse(response.body)
|
|
161
171
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end
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|
162
172
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173
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+
# Invokes the plans endpoint, with an optional Hash of parameters.
|
|
174
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+
def plans(params = {})
|
|
175
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+
response = @token.get('plans/', headers: headers, params: params)
|
|
176
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+
JSON.parse(response.body)
|
|
177
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+
end
|
|
178
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+
|
|
163
179
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# Invokes the providers endpoint, with an optional Hash of parameters.
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|
164
180
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def providers(params = {})
|
|
165
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response = @token.get('providers/') do |request|
|
|
@@ -168,6 +184,16 @@ module PokitDok
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168
184
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JSON.parse(response.body)
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|
169
185
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end
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|
170
186
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|
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187
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+
# Invokes the referrals endpoint, with an optional Hash of parameters.
|
|
188
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+
def referrals(params = {})
|
|
189
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+
response = @token.post('referrals/',
|
|
190
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+
headers: headers,
|
|
191
|
+
body: params.to_json) do |request|
|
|
192
|
+
request.headers['Content-Type'] = 'application/json'
|
|
193
|
+
end
|
|
194
|
+
JSON.parse(response.body)
|
|
195
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+
end
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|
196
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+
|
|
171
197
|
# Invokes the trading partners endpoint, with an optional Hash of
|
|
172
198
|
# parameters.
|
|
173
199
|
def trading_partners(params = {})
|
data/pokitdok-ruby.gemspec
CHANGED
|
@@ -2,16 +2,16 @@
|
|
|
2
2
|
# DO NOT EDIT THIS FILE DIRECTLY
|
|
3
3
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# Instead, edit Jeweler::Tasks in Rakefile, and run 'rake gemspec'
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|
4
4
|
# -*- encoding: utf-8 -*-
|
|
5
|
-
# stub: pokitdok-ruby 0.
|
|
5
|
+
# stub: pokitdok-ruby 0.7.0 ruby lib
|
|
6
6
|
|
|
7
7
|
Gem::Specification.new do |s|
|
|
8
8
|
s.name = "pokitdok-ruby"
|
|
9
|
-
s.version = "0.
|
|
9
|
+
s.version = "0.7.0"
|
|
10
10
|
|
|
11
11
|
s.required_rubygems_version = Gem::Requirement.new(">= 0") if s.respond_to? :required_rubygems_version=
|
|
12
12
|
s.require_paths = ["lib"]
|
|
13
13
|
s.authors = ["John Riney"]
|
|
14
|
-
s.date = "2014-
|
|
14
|
+
s.date = "2014-10-22"
|
|
15
15
|
s.description = "Gem for easy access to the PokitDok Platform APIs."
|
|
16
16
|
s.email = "john.riney@pokitdok.com"
|
|
17
17
|
s.extra_rdoc_files = [
|
|
@@ -30,15 +30,18 @@ Gem::Specification.new do |s|
|
|
|
30
30
|
"VERSION",
|
|
31
31
|
"lib/pokitdok.rb",
|
|
32
32
|
"pokitdok-ruby.gemspec",
|
|
33
|
+
"spec/fixtures/authorizations.json",
|
|
33
34
|
"spec/fixtures/claim.json",
|
|
34
35
|
"spec/fixtures/claims_status.json",
|
|
35
36
|
"spec/fixtures/enrollment.json",
|
|
37
|
+
"spec/fixtures/referrals.json",
|
|
36
38
|
"spec/fixtures/sample.270",
|
|
37
39
|
"spec/pokitdok_spec.rb",
|
|
38
40
|
"spec/spec_helper.rb",
|
|
39
41
|
"spec/vcr_setup.rb",
|
|
40
42
|
"vcr_cassettes/activities.yml",
|
|
41
43
|
"vcr_cassettes/auth.yml",
|
|
44
|
+
"vcr_cassettes/authorizations.yml",
|
|
42
45
|
"vcr_cassettes/cash_prices.yml",
|
|
43
46
|
"vcr_cassettes/claims.yml",
|
|
44
47
|
"vcr_cassettes/claims_status.yml",
|
|
@@ -50,6 +53,7 @@ Gem::Specification.new do |s|
|
|
|
50
53
|
"vcr_cassettes/plans.yml",
|
|
51
54
|
"vcr_cassettes/plans_no_args.yml",
|
|
52
55
|
"vcr_cassettes/providers.yml",
|
|
56
|
+
"vcr_cassettes/referrals.yml",
|
|
53
57
|
"vcr_cassettes/trading_partners_get.yml",
|
|
54
58
|
"vcr_cassettes/trading_partners_index.yml"
|
|
55
59
|
]
|
|
@@ -0,0 +1,42 @@
|
|
|
1
|
+
{
|
|
2
|
+
"event": {
|
|
3
|
+
"category": "health_services_review",
|
|
4
|
+
"certification_type": "initial",
|
|
5
|
+
"delivery": {
|
|
6
|
+
"quantity": 1,
|
|
7
|
+
"quantity_qualifier": "visits"
|
|
8
|
+
},
|
|
9
|
+
"diagnoses": [
|
|
10
|
+
{
|
|
11
|
+
"code": "789.00",
|
|
12
|
+
"date": "2014-10-01"
|
|
13
|
+
}
|
|
14
|
+
],
|
|
15
|
+
"place_of_service": "office",
|
|
16
|
+
"provider": {
|
|
17
|
+
"organization_name": "KELLY ULTRASOUND CENTER, LLC",
|
|
18
|
+
"npi": "1760779011",
|
|
19
|
+
"phone": "8642341234"
|
|
20
|
+
},
|
|
21
|
+
"services": [
|
|
22
|
+
{
|
|
23
|
+
"cpt_code": "76700",
|
|
24
|
+
"measurement": "unit",
|
|
25
|
+
"quantity": 1
|
|
26
|
+
}
|
|
27
|
+
],
|
|
28
|
+
"type": "diagnostic_medical"
|
|
29
|
+
},
|
|
30
|
+
"patient": {
|
|
31
|
+
"birth_date": "1970-01-01",
|
|
32
|
+
"first_name": "JANE",
|
|
33
|
+
"last_name": "DOE",
|
|
34
|
+
"id": "1234567890"
|
|
35
|
+
},
|
|
36
|
+
"provider": {
|
|
37
|
+
"first_name": "JEROME",
|
|
38
|
+
"npi": "1467560003",
|
|
39
|
+
"last_name": "AYA-AY"
|
|
40
|
+
},
|
|
41
|
+
"trading_partner_id": "MOCKPAYER"
|
|
42
|
+
}
|
|
@@ -0,0 +1,36 @@
|
|
|
1
|
+
{
|
|
2
|
+
"event": {
|
|
3
|
+
"category": "specialty_care_review",
|
|
4
|
+
"certification_type": "initial",
|
|
5
|
+
"delivery": {
|
|
6
|
+
"quantity": 1,
|
|
7
|
+
"quantity_qualifier": "visits"
|
|
8
|
+
},
|
|
9
|
+
"diagnoses": [
|
|
10
|
+
{
|
|
11
|
+
"code": "384.20",
|
|
12
|
+
"date": "2014-09-30"
|
|
13
|
+
}
|
|
14
|
+
],
|
|
15
|
+
"place_of_service": "office",
|
|
16
|
+
"provider": {
|
|
17
|
+
"first_name": "JOHN",
|
|
18
|
+
"npi": "1154387751",
|
|
19
|
+
"last_name": "FOSTER",
|
|
20
|
+
"phone": "8645822900"
|
|
21
|
+
},
|
|
22
|
+
"type": "consultation"
|
|
23
|
+
},
|
|
24
|
+
"patient": {
|
|
25
|
+
"birth_date": "1970-01-01",
|
|
26
|
+
"first_name": "JANE",
|
|
27
|
+
"last_name": "DOE",
|
|
28
|
+
"id": "1234567890"
|
|
29
|
+
},
|
|
30
|
+
"provider": {
|
|
31
|
+
"first_name": "CHRISTINA",
|
|
32
|
+
"last_name": "BERTOLAMI",
|
|
33
|
+
"npi": "1619131232"
|
|
34
|
+
},
|
|
35
|
+
"trading_partner_id": "MOCKPAYER"
|
|
36
|
+
}
|
data/spec/pokitdok_spec.rb
CHANGED
|
@@ -2,8 +2,8 @@
|
|
|
2
2
|
|
|
3
3
|
require 'spec_helper'
|
|
4
4
|
|
|
5
|
-
CLIENT_ID = '
|
|
6
|
-
CLIENT_SECRET = '
|
|
5
|
+
CLIENT_ID = 'WbkhoNbwuJRWdz0w9Ehl'
|
|
6
|
+
CLIENT_SECRET = 'OPA9HSOUMJLYyZrH4VRPZLoL51gGtm7U4OxuYiz6'
|
|
7
7
|
POKITDOK_TEST_URL = 'http://localhost:5002'
|
|
8
8
|
|
|
9
9
|
def check_meta_and_data(result)
|
|
@@ -55,6 +55,19 @@ describe PokitDok do
|
|
|
55
55
|
end
|
|
56
56
|
end
|
|
57
57
|
|
|
58
|
+
describe 'Authorizations endpoint' do
|
|
59
|
+
it 'should expose the authorizations endpoint' do
|
|
60
|
+
query = JSON.parse(IO.read('spec/fixtures/authorizations.json'))
|
|
61
|
+
|
|
62
|
+
VCR.use_cassette 'authorizations' do
|
|
63
|
+
@authorizations = @pokitdok.authorizations query
|
|
64
|
+
end
|
|
65
|
+
|
|
66
|
+
check_meta_and_data @authorizations
|
|
67
|
+
refute_empty @authorizations['data']
|
|
68
|
+
end
|
|
69
|
+
end
|
|
70
|
+
|
|
58
71
|
describe 'Cash Prices endpoint' do
|
|
59
72
|
it 'should expose the cash prices endpoint' do
|
|
60
73
|
query = { cpt_code: '90658', zip_code: '94403' }
|
|
@@ -173,7 +186,7 @@ describe PokitDok do
|
|
|
173
186
|
|
|
174
187
|
check_meta_and_data @payers
|
|
175
188
|
refute_nil @payers['data']
|
|
176
|
-
@payers['data'].size.must_equal
|
|
189
|
+
@payers['data'].size.must_equal 295
|
|
177
190
|
end
|
|
178
191
|
end
|
|
179
192
|
|
|
@@ -187,7 +200,21 @@ describe PokitDok do
|
|
|
187
200
|
|
|
188
201
|
check_meta_and_data @providers
|
|
189
202
|
refute_nil @providers['data']
|
|
190
|
-
@providers['data'].size.must_equal
|
|
203
|
+
@providers['data'].size.must_equal 4
|
|
204
|
+
end
|
|
205
|
+
end
|
|
206
|
+
|
|
207
|
+
describe 'Referrals endpoint' do
|
|
208
|
+
it 'should expose the referrals endpoint' do
|
|
209
|
+
query = JSON.parse(IO.read('spec/fixtures/referrals.json'))
|
|
210
|
+
|
|
211
|
+
VCR.use_cassette 'referrals' do
|
|
212
|
+
@referrals = @pokitdok.referrals(query)
|
|
213
|
+
end
|
|
214
|
+
|
|
215
|
+
check_meta_and_data @referrals
|
|
216
|
+
refute_nil @referrals['data']
|
|
217
|
+
@referrals['data']['valid_request'].must_equal true
|
|
191
218
|
end
|
|
192
219
|
end
|
|
193
220
|
|
|
@@ -8,13 +8,13 @@ http_interactions:
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8
8
|
string: ''
|
|
9
9
|
headers:
|
|
10
10
|
User-Agent:
|
|
11
|
-
- pokitdok-ruby 0.4.1 ruby 2.
|
|
11
|
+
- pokitdok-ruby 0.4.1 ruby 2.1.3p242 (2014-09-19 revision 47630) [x86_64-darwin14.0]
|
|
12
12
|
Authorization:
|
|
13
|
-
- Bearer
|
|
13
|
+
- Bearer zwHIWGYIyYqGAZgczUzBpsGrhaRZFmd6mQqLaTFR
|
|
14
14
|
Accept-Encoding:
|
|
15
15
|
- gzip;q=1.0,deflate;q=0.6,identity;q=0.3
|
|
16
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|
Accept:
|
|
17
|
-
-
|
|
17
|
+
- "*/*"
|
|
18
18
|
response:
|
|
19
19
|
status:
|
|
20
20
|
code: 200
|
|
@@ -23,7 +23,7 @@ http_interactions:
|
|
|
23
23
|
Content-Type:
|
|
24
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|
- text/html; charset=utf-8
|
|
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25
|
Content-Length:
|
|
26
|
-
- '
|
|
26
|
+
- '18351'
|
|
27
27
|
Mimetype:
|
|
28
28
|
- application/json
|
|
29
29
|
Charset:
|
|
@@ -31,493 +31,236 @@ http_interactions:
|
|
|
31
31
|
Server:
|
|
32
32
|
- Werkzeug/0.9.4 Python/2.7.3
|
|
33
33
|
Date:
|
|
34
|
-
- Wed,
|
|
34
|
+
- Wed, 22 Oct 2014 19:18:49 GMT
|
|
35
35
|
body:
|
|
36
36
|
encoding: UTF-8
|
|
37
|
-
string: '{"meta": {"rate_limit_amount":
|
|
38
|
-
"
|
|
39
|
-
|
|
40
|
-
"
|
|
41
|
-
|
|
42
|
-
"
|
|
43
|
-
"
|
|
44
|
-
|
|
45
|
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|
|
371
|
-
"claim_level_info": [{"claim_level_service_date": "2014-09-08", "claim_id_number":
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372
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"MOCKPAYER", "payer": {"name": "MOCKPAYER", "date_processed": "2014-09-08",
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"id": "123456789", "tracking_id": "1445056.1", "date_received": "2014-09-08"},
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"providers": [{"npi": "123456789", "accepted_amount": "100", "accepted_quantity":
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|
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379
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|
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|
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|
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|
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|
|
117
|
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"parameters": {"npi": "1467560003"}, "state": {"name": "completed", "title":
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|
118
|
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|
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|
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|
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122
|
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1, "name": "eligibility", "parameters": {"service_types": ["health_benefit_plan_coverage"],
|
|
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|
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"client_id": "WbkhoNbwuJRWdz0w9Ehl", "payer": {"id": "MOCKPAYER", "name":
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124
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"MOCKPAYER"}, "member": {"birth_date": "1996-05-07", "first_name": "Jerod",
|
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|
|
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|
+
"trading_partner_id": "MOCKPAYER", "provider": {"organization_name": "Wuckert
|
|
128
|
+
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|
|
129
|
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"remaining_transitions": ["generate", "store", "transmit", "wait", "receive",
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|
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"process", "complete"], "parent_id": "5446e2d256c02c3ddfb7da95", "state":
|
|
131
|
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{"name": "scheduled", "title": "Scheduled for next available transmission
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|
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|
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|
"transition_path": ["schedule", "generate", "store", "transmit", "wait", "receive",
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-
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386
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-
"
|
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387
|
-
|
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388
|
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"
|
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|
|
390
|
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|
|
391
|
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|
|
392
|
-
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|
|
393
|
-
"name": "claims", "parameters": {"claim": {"plan_participation": "assigned",
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394
|
-
"provider_signature": true, "total_charge_amount": "60", "claim_frequency":
|
|
395
|
-
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|
|
396
|
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true, "information_release": "informed_consent", "service_lines": [{"diagnosis_codes":
|
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397
|
-
["487.1"], "unit_count": "1", "unit_type": "units", "charge_amount": "60",
|
|
398
|
-
"service_date": "2014-06-01", "procedure_code": "99213"}]}, "trading_partner_id":
|
|
399
|
-
"MOCKPAYER", "payer": {"organization_name": "MOCKPAYER", "plan_id": "MOCKPAYER"},
|
|
400
|
-
"subscriber": {"first_name": "Jane", "last_name": "Doe", "gender": "female",
|
|
401
|
-
"member_id": "W000000000", "payer_responsibility": "primary", "address": {"address_lines":
|
|
134
|
+
"process", "complete"], "history": [{"record_dt": "2014-10-21T22:48:51.324000",
|
|
135
|
+
"name": "init", "title": "Initializing"}]}, {"units_of_work": 1, "name": "claims",
|
|
136
|
+
"parameters": {"claim": {"plan_participation": "assigned", "provider_signature":
|
|
137
|
+
true, "total_charge_amount": "60.0", "claim_frequency": "original", "place_of_service":
|
|
138
|
+
"office", "direct_payment": "y", "patient_signature_on_file": true, "information_release":
|
|
139
|
+
"informed_consent", "service_lines": [{"diagnosis_codes": ["487.1"], "unit_count":
|
|
140
|
+
"1.0", "unit_type": "units", "charge_amount": "60.0", "service_date": "2014-06-01",
|
|
141
|
+
"procedure_code": "99213"}]}, "trading_partner_id": "MOCKPAYER", "payer":
|
|
142
|
+
{"organization_name": "MOCKPAYER", "plan_id": "MOCKPAYER"}, "subscriber":
|
|
143
|
+
{"first_name": "Jane", "last_name": "Doe", "gender": "female", "member_id":
|
|
144
|
+
"W000000000", "payer_responsibility": "primary", "address": {"address_lines":
|
|
402
145
|
["123 N MAIN ST"], "state": "SC", "zipcode": "29301", "city": "SPARTANBURG"},
|
|
403
|
-
"birth_date": "1970-01-01"}, "correlation_id": "
|
|
404
|
-
"client_id": "
|
|
146
|
+
"birth_date": "1970-01-01"}, "correlation_id": "3eab49a5-4e77-4ec5-9ffb-bd8a29adade0",
|
|
147
|
+
"client_id": "WbkhoNbwuJRWdz0w9Ehl", "receiver": {"organization_name": "MOCKRECEIVER",
|
|
405
148
|
"id": "MOCKRECEIVER"}, "submitter": {"organization_name": "POKITDOK TESTING",
|
|
406
149
|
"id": "POKITDOKTEST", "email": "support@pokitdok.com"}, "async": false, "billing_provider":
|
|
407
150
|
{"first_name": "Jerome", "last_name": "Aya-Ay", "npi": "1467560003", "taxonomy_code":
|
|
408
151
|
"207Q00000X", "address": {"address_lines": ["8311 WARREN H ABERNATHY HWY"],
|
|
409
152
|
"state": "SC", "zipcode": "29301", "city": "SPARTANBURG"}, "tax_id": "123456789"},
|
|
410
|
-
"transaction_code": "chargeable"}, "
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|
411
|
-
"
|
|
412
|
-
"
|
|
413
|
-
"
|
|
414
|
-
"
|
|
415
|
-
"
|
|
416
|
-
"
|
|
417
|
-
|
|
418
|
-
"
|
|
419
|
-
"
|
|
420
|
-
"
|
|
421
|
-
"
|
|
422
|
-
"
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|
423
|
-
"
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|
153
|
+
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|
|
154
|
+
"transmit", "wait", "receive", "process", "complete"], "state": {"name": "scheduled",
|
|
155
|
+
"title": "Scheduled for next available transmission to Trading Partner"},
|
|
156
|
+
"trading_partner_id": "MOCKPAYER", "id": "5446e2d256c02c3dd5b7da95", "transition_path":
|
|
157
|
+
["schedule", "generate", "store", "transmit", "wait", "receive", "process",
|
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158
|
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"complete"], "history": [{"record_dt": "2014-10-21T22:48:50.267000", "name":
|
|
159
|
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"init", "title": "Initializing"}]}, {"units_of_work": 1, "name": "referrals",
|
|
160
|
+
"parameters": {"patient": {"birth_date": "1970-01-01", "first_name": "JANE",
|
|
161
|
+
"last_name": "DOE", "id": "1234567890"}, "trading_partner_id": "MOCKPAYER",
|
|
162
|
+
"payer": {"organization_name": "Mock Payer for Testing", "id": "MOCKPAYER"},
|
|
163
|
+
"originating_company_id": "123456789", "correlation_id": "d5b56815-f4b6-43c0-8bbc-68cacf249c4c",
|
|
164
|
+
"client_id": "WbkhoNbwuJRWdz0w9Ehl", "provider": {"first_name": "CHRISTINA",
|
|
165
|
+
"last_name": "BERTOLAMI", "npi": "1619131232"}, "async": false, "event": {"category":
|
|
166
|
+
"specialty_care_review", "diagnoses": [{"date": "2014-09-30", "code": "384.20"}],
|
|
167
|
+
"place_of_service": "office", "delivery": {"quantity_qualifier": "visits",
|
|
168
|
+
"quantity": 1}, "provider": {"phone": "8645822900", "first_name": "JOHN",
|
|
169
|
+
"last_name": "FOSTER", "npi": "1154387751"}, "certification_type": "initial",
|
|
170
|
+
"type": "consultation"}}, "state": {"name": "completed", "title": "Completed"},
|
|
171
|
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"result": {"patient": {"first_name": "JANE", "last_name": "DOE", "id": "1234567890"},
|
|
172
|
+
"trading_partner_id": "MOCKPAYER", "payer": {"organization_name": "MOCK PAYER
|
|
173
|
+
INC", "id": "MOCKPAYER"}, "originating_company_id": "9012345678", "correlation_id":
|
|
174
|
+
"d5b56815-f4b6-43c0-8bbc-68cacf249c4c", "client_id": "WbkhoNbwuJRWdz0w9Ehl",
|
|
175
|
+
"provider": {"first_name": "CHRISTINA", "last_name": "BERTOLAMI", "tax_id":
|
|
176
|
+
"1619131232"}, "async": false, "event": {"category": "specialty_care_review",
|
|
177
|
+
"diagnoses": [{"date": "2005-04-30", "code": "410.90"}], "place_of_service":
|
|
178
|
+
"office", "review": {"certification_number": "AUTH0001", "second_surgical_opinion_required":
|
|
179
|
+
false, "certification_action": "certified_in_total"}, "delivery": {"quantity_qualifier":
|
|
180
|
+
"visits", "quantity": 1}, "provider": {"first_name": "JOHN", "last_name":
|
|
181
|
+
"FOSTER", "tax_id": "1154387751"}, "certification_type": "initial", "type":
|
|
182
|
+
"consultation"}, "valid_request": true}, "trading_partner_id": "MOCKPAYER",
|
|
183
|
+
"id": "5446e2d256c02c3dd7b7da95", "transition_path": ["generate", "transmit",
|
|
184
|
+
"wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-10-21T22:48:50.303000",
|
|
185
|
+
"name": "init", "title": "Initializing"}, {"record_dt": "2014-10-21T22:48:50.394000",
|
|
186
|
+
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|
|
187
|
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"name": "transmitting", "title": "Transmitting transactions to Trading Partner"},
|
|
188
|
+
{"record_dt": "2014-10-21T22:48:50.397000", "name": "waiting", "title": "Waiting
|
|
189
|
+
on Trading Partner Response"}, {"record_dt": "2014-10-21T22:48:50.398000",
|
|
190
|
+
"name": "receiving", "title": "Receiving transactions from Trading Partner"},
|
|
191
|
+
{"record_dt": "2014-10-21T22:48:50.429000", "name": "processing", "title":
|
|
192
|
+
"Processing transactions"}]}, {"units_of_work": 1, "name": "enrollment", "parameters":
|
|
193
|
+
{"reference_number": "12456", "version": "4.0.0", "payer": {"tax_id": "654456654"},
|
|
194
|
+
"update_dt": "Wed Mar 26 22:18:47 2014", "deleted": false, "major_version":
|
|
195
|
+
"4", "subscriber": {"maintenance_type": "Addition", "first_name": "JOHN",
|
|
196
|
+
"last_name": "DOE", "benefits": [{"maintenance_type": "Addition", "late_enrollment":
|
|
197
|
+
false, "begin_date": "Sat Jun 1 00:00:00 1996", "benefit_type": "Health",
|
|
198
|
+
"coordination_of_benefits": [{"status": "Unknown", "group_or_policy_number":
|
|
199
|
+
"890111", "payer_responsibility": "Primary"}]}, {"maintenance_type": "Addition",
|
|
200
|
+
"late_enrollment": false, "begin_date": "Sat Jun 1 00:00:00 1996", "benefit_type":
|
|
201
|
+
"Dental"}, {"maintenance_type": "Addition", "late_enrollment": false, "begin_date":
|
|
202
|
+
"Sat Jun 1 00:00:00 1996", "benefit_type": "Vision"}], "relationship": "Self",
|
|
203
|
+
"contacts": [{"communication_type2": "Work Phone Number", "primary_communication_type":
|
|
204
|
+
"Home Phone Number", "communication_number2": "7172341240", "primary_communication_number":
|
|
205
|
+
"7172343334"}], "benefit_status": "Active", "gender": "Male", "employment_status":
|
|
206
|
+
"Full-time", "subscriber_number": "123456789", "group_or_policy_number": "123456001",
|
|
207
|
+
"maintenance_reason": "Active", "member_id": "123456789", "handicapped": false,
|
|
208
|
+
"eligibility_begin_date": "Thu May 23 00:00:00 1996", "ssn": "123456789",
|
|
209
|
+
"address": {"city": "CAMP HILL", "line2": "APT 3G", "county": "CUMBERLAND",
|
|
210
|
+
"state": "PA", "postal_code": "17011", "line": "100 MARKET ST"}, "birth_date":
|
|
211
|
+
"Fri Aug 16 00:00:00 1940", "middle_name": "P", "substance_abuse": false,
|
|
212
|
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"tobacco_use": false}, "correlation_id": "11f6e7aa-509a-4181-94c8-ce5395f8f100",
|
|
213
|
+
"insert_dt": "Wed Mar 26 22:18:47 2014", "trading_partner_id": "MOCKPAYER",
|
|
214
|
+
"purpose": "Original", "client_id": "WbkhoNbwuJRWdz0w9Ehl", "action": "Change",
|
|
215
|
+
"dependents": [], "sponsor": {"tax_id": "999888777"}}, "remaining_transitions":
|
|
216
|
+
["generate", "store", "transmit", "wait", "receive", "process", "complete"],
|
|
217
|
+
"state": {"name": "scheduled", "title": "Scheduled for next available transmission
|
|
218
|
+
to Trading Partner"}, "trading_partner_id": "MOCKPAYER", "id": "5446e2d356c02c3debb7da95",
|
|
424
219
|
"transition_path": ["schedule", "generate", "store", "transmit", "wait", "receive",
|
|
425
|
-
"process", "complete"], "history": [{"record_dt": "2014-
|
|
426
|
-
"name": "init", "title": "Initializing"}, {"
|
|
427
|
-
"
|
|
428
|
-
|
|
429
|
-
"
|
|
430
|
-
"
|
|
431
|
-
|
|
432
|
-
"Transmitting transactions to Trading Partner"}, {"record_dt": "2014-09-08T14:34:11.503000",
|
|
433
|
-
"name": "waiting", "title": "Waiting on Trading Partner Response"}, {"record_dt":
|
|
434
|
-
"2014-09-08T14:34:11.507000", "name": "receiving", "title": "Receiving transactions
|
|
435
|
-
from Trading Partner"}, {"record_dt": "2014-09-08T14:34:11.509000", "name":
|
|
436
|
-
"processing", "title": "Processing transactions"}]}, {"units_of_work": 1,
|
|
437
|
-
"name": "providers", "parameters": {"npi": "1467560003"}, "state": {"name":
|
|
438
|
-
"failed", "title": "Failed"}, "trading_partner_id": "PokitDok", "id": "5419ad8956c02c1e6b6b8195",
|
|
439
|
-
"transition_path": ["process", "complete"], "history": [{"record_dt": "2014-09-17T15:49:29.329000",
|
|
440
|
-
"name": "init", "title": "Initializing"}, {"record_dt": "2014-09-17T15:49:30.151000",
|
|
441
|
-
"name": "processing", "title": "Processing transactions"}]}, {"units_of_work":
|
|
442
|
-
1, "name": "payers", "parameters": {"state": "CA"}, "state": {"name": "completed",
|
|
443
|
-
"title": "Completed"}, "trading_partner_id": "PokitDok", "id": "5419ad8a56c02c1e806b8195",
|
|
444
|
-
"transition_path": ["process", "complete"], "history": [{"record_dt": "2014-09-17T15:49:30.810000",
|
|
445
|
-
"name": "init", "title": "Initializing"}, {"record_dt": "2014-09-17T15:49:30.835000",
|
|
446
|
-
"name": "processing", "title": "Processing transactions"}]}, {"units_of_work":
|
|
447
|
-
1, "name": "plans", "state": {"name": "completed", "title": "Completed"},
|
|
448
|
-
"trading_partner_id": "PokitDok", "id": "5419ae1b56c02c1ed36b8195", "transition_path":
|
|
449
|
-
["process", "complete"], "history": [{"record_dt": "2014-09-17T15:51:55.751000",
|
|
450
|
-
"name": "init", "title": "Initializing"}, {"record_dt": "2014-09-17T15:51:55.789000",
|
|
451
|
-
"name": "processing", "title": "Processing transactions"}]}, {"units_of_work":
|
|
452
|
-
1, "name": "eligibility", "parameters": {"service_types": ["health_benefit_plan_coverage"],
|
|
453
|
-
"client_id": "JcR2P8SmoIaon4vpN9Q9", "payer": {"id": "MOCKPAYER", "name":
|
|
454
|
-
"MOCKPAYER"}, "member": {"birth_date": "1995-04-14", "first_name": "Jimmie",
|
|
455
|
-
"last_name": "Monahan", "plan_start_date": "2014-03-05", "id": "315531994"},
|
|
456
|
-
"parent_id": "5419b85c56c02c26626b8195", "correlation_id": "665ecabc-e17a-4dee-9a7b-4fcceed0a4d5",
|
|
220
|
+
"process", "complete"], "history": [{"record_dt": "2014-10-21T22:48:51.235000",
|
|
221
|
+
"name": "init", "title": "Initializing"}]}, {"units_of_work": 1, "name": "eligibility",
|
|
222
|
+
"parameters": {"service_types": ["health_benefit_plan_coverage"], "client_id":
|
|
223
|
+
"WbkhoNbwuJRWdz0w9Ehl", "payer": {"id": "MOCKPAYER", "name": "MOCKPAYER"},
|
|
224
|
+
"member": {"birth_date": "1992-01-26", "first_name": "Keyon", "last_name":
|
|
225
|
+
"Ortiz", "plan_start_date": "2014-03-05", "id": "178470414"}, "parent_id":
|
|
226
|
+
"5446e2d256c02c3ddfb7da95", "correlation_id": "ad6e0a02-0fb2-4332-87d3-9f77efe11db6",
|
|
457
227
|
"trading_partner_id": "MOCKPAYER", "provider": {"organization_name": "Wuckert
|
|
458
228
|
Inc", "npi": "581603684"}, "async": true, "transaction_code": "request"},
|
|
459
229
|
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461
231
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{"name": "scheduled", "title": "Scheduled for next available transmission
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232
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to Trading Partner"}, "trading_partner_id": "MOCKPAYER", "id": "5446e2d356c02c3d8acd4621",
|
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463
233
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234
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465
235
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"name": "init", "title": "Initializing"}]}, {"units_of_work": 1, "name": "eligibility",
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466
236
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"parameters": {"service_types": ["health_benefit_plan_coverage"], "client_id":
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-
"
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469
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"
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470
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"
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|
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"WbkhoNbwuJRWdz0w9Ehl", "payer": {"id": "MOCKPAYER", "name": "MOCKPAYER"},
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"member": {"birth_date": "1995-04-14", "first_name": "Jimmie", "last_name":
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"5446e2d256c02c3ddfb7da95", "correlation_id": "ad6e0a02-0fb2-4332-87d3-9f77efe11db6",
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471
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"trading_partner_id": "MOCKPAYER", "provider": {"organization_name": "Wuckert
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Inc", "npi": "581603684"}, "async": true, "transaction_code": "request"},
|
|
473
243
|
"remaining_transitions": ["generate", "store", "transmit", "wait", "receive",
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474
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"process", "complete"], "parent_id": "
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|
244
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"process", "complete"], "parent_id": "5446e2d256c02c3ddfb7da95", "state":
|
|
475
245
|
{"name": "scheduled", "title": "Scheduled for next available transmission
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|
476
|
-
to Trading Partner"}, "trading_partner_id": "MOCKPAYER", "id": "
|
|
246
|
+
to Trading Partner"}, "trading_partner_id": "MOCKPAYER", "id": "5446e2d356c02c3d8acd461d",
|
|
477
247
|
"transition_path": ["schedule", "generate", "store", "transmit", "wait", "receive",
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478
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-
"process", "complete"], "history": [{"record_dt": "2014-
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479
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480
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"
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481
|
-
"
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482
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"
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483
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-
"
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484
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"
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485
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486
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487
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488
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|
249
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|
|
250
|
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|
251
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"WbkhoNbwuJRWdz0w9Ehl", "payer": {"id": "MOCKPAYER", "name": "MOCKPAYER"},
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252
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254
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490
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"trading_partner_id": "MOCKPAYER", "provider": {"organization_name": "Wuckert
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491
256
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Inc", "npi": "581603684"}, "async": true, "transaction_code": "request"},
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492
257
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494
259
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{"name": "scheduled", "title": "Scheduled for next available transmission
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495
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-
to Trading Partner"}, "trading_partner_id": "MOCKPAYER", "id": "
|
|
260
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to Trading Partner"}, "trading_partner_id": "MOCKPAYER", "id": "5446e2d356c02c3d8acd461e",
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|
496
261
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497
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|
498
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499
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-
"parameters": {"cpt_code": "12345", "zip_code": "75201"}, "state": {"name":
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500
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|
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507
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|
521
264
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http_version:
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522
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recorded_at: Wed,
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|
265
|
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recorded_at: Wed, 22 Oct 2014 19:18:49 GMT
|
|
523
266
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recorded_with: VCR 2.9.2
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