pokitdok-ruby 0.6.0 → 0.7.0
Sign up to get free protection for your applications and to get access to all the features.
- checksums.yaml +4 -4
- data/README.md +1 -1
- data/VERSION +1 -1
- data/lib/pokitdok.rb +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
data/vcr_cassettes/providers.yml
CHANGED
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@@ -10,11 +10,11 @@ http_interactions:
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10
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User-Agent:
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- Faraday v0.9.0
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Authorization:
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13
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-
- Bearer
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13
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+
- Bearer zwHIWGYIyYqGAZgczUzBpsGrhaRZFmd6mQqLaTFR
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14
14
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Accept-Encoding:
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15
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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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-
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- "*/*"
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response:
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status:
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code: 200
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@@ -23,7 +23,7 @@ http_interactions:
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Content-Type:
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- text/html; charset=utf-8
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Content-Length:
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- '
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- '5883'
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Mimetype:
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- application/json
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Charset:
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@@ -31,23 +31,83 @@ 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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-
- Wed,
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- Wed, 22 Oct 2014 19:18:49 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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-
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-
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string: '{"meta": {"rate_limit_amount": 10, "rate_limit_reset": 1414009128,
|
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38
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+
"application_mode": "test", "processing_time": 9, "rate_limit_cap": 8434,
|
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39
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+
"credits_remaining": 9997, "activity_id": "5448031956c02c448bb7da95", "credits_billed":
|
|
40
|
+
1}, "data": [{"provider": {"board_subcertifications": ["Gynecologic Oncology"],
|
|
41
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+
"board_certifications": ["Obstetrics & Gynecology"], "last_name": "SHEN",
|
|
42
|
+
"npi": "1881692002", "uuid": "1917f12b-fb6a-4016-93bc-adeb83204c83", "degree":
|
|
43
|
+
"MD", "phone": "4156680900", "gender": "Male", "residencies": [{"city": "SAN
|
|
44
|
+
FRANCISCO", "to_year": "1978", "institution_name": "MOFFITT HOSPITAL UNIVERSITY
|
|
45
|
+
OF CA", "from_year": "1976", "specialty": "OBSTETRICS & GYNECOLOGY"}, {"city":
|
|
46
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+
"SAN FRANCISCO", "to_year": "1976", "institution_name": "MOFFITT HOSPITAL
|
|
47
|
+
UNIVERSITY OF CA", "from_year": "1975", "specialty": "OBSTETRICS & GYNECOLOGY"}],
|
|
48
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+
"licensures": [{"status": "active", "expiration_date": "2016-02-29T00:00:00",
|
|
49
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+
"number": "60146196", "as_of_date": "2014-06-13T00:00:00", "state": "NY",
|
|
50
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+
"type": "unlimited"}, {"status": "inactive", "expiration_date": "1997-06-30T00:00:00",
|
|
51
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+
"number": "25MA03991900", "as_of_date": "2003-02-25T00:00:00", "state": "NJ",
|
|
52
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+
"type": "unlimited"}, {"status": "active", "expiration_date": "2015-03-31T00:00:00",
|
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53
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+
"number": "A00030257", "as_of_date": "2014-06-17T00:00:00", "state": "CA",
|
|
54
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+
"type": "unlimited"}], "specialty": ["Gynecology", "Obstetrics & Gynecology"],
|
|
55
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+
"fax": "4156680950", "specialty_primary": ["Gynecology", "Obstetrics & Gynecology"],
|
|
56
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+
"locations": [{"address_lines": ["3905 Sacramento St Ste 202"], "fax": "4156680950",
|
|
57
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+
"geo_location": [-122.45694, 37.786841], "role": ["mailing", "practice"],
|
|
58
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+
"city": "San Francisco", "state": "CA", "phone": "4156680900", "zipcode":
|
|
59
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+
"94118"}], "licenses": [{"state": "CA", "role": "preferred", "year": "1976-01-01T00:00:00"},
|
|
60
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+
{"state": "CA", "role": "alternate", "year": "1976-01-01T00:00:00"}], "first_name":
|
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61
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"JENTA", "birth_date": "1945", "education": {"medical_school": "NATIONAL DEFENSE
|
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62
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+
MEDICAL CENTER TAIPEI TAIWAN (385 03 PR 1", "graduation_year": "1970-01-01T00:00:00"}}},
|
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63
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+
{"provider": {"board_subcertifications": ["Hospice and Palliative Medicine"],
|
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64
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"board_certifications": ["Internal Medicine"], "last_name": "VIJAY", "npi":
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65
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+
"1720057821", "uuid": "35ed7481-aa9d-4822-8090-298ddbc89b67", "degree": "MD",
|
|
66
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+
"gender": "Female", "residencies": [{"city": "PITTSBURGH", "to_year": "2005",
|
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67
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+
"institution_name": "UNIVERSITY OF PITTSBURGH MEDICAL CENTER", "from_year":
|
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68
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+
"2002", "specialty": "INTERNAL MEDICINE"}, {"city": "PITTSBURGH", "to_year":
|
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69
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+
"2002", "institution_name": "ST FRANCIS MEDICAL CENTER", "from_year": "2002",
|
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70
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"specialty": "INTERNAL MEDICINE"}], "licensures": [{"status": "active", "expiration_date":
|
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71
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+
"2015-05-31T00:00:00", "number": "A00091741", "as_of_date": "2014-06-17T00:00:00",
|
|
72
|
+
"state": "CA", "type": "unlimited"}, {"status": "inactive", "as_of_date":
|
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73
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+
"2014-04-24T00:00:00", "state": "PA", "type": "resident", "expiration_date":
|
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74
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+
"2005-07-07T00:00:00"}], "specialty": ["Internal Medicine"], "first_name":
|
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75
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+
"CHETHANA", "specialty_primary": ["Internal Medicine"], "locations": [{"address_lines":
|
|
76
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+
["1027 Wisteria Dr"], "city": "Fremont", "zipcode": "94539", "state": "CA",
|
|
77
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+
"geo_location": [-121.93831, 37.53901], "role": ["mailing"]}, {"address_lines":
|
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78
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+
["2000 Vale Rd"], "city": "San Pablo", "zipcode": "94806", "state": "CA",
|
|
79
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+
"geo_location": [-122.338754, 37.952833], "role": ["practice"]}], "licenses":
|
|
80
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[{"state": "CA", "role": "preferred", "year": "2005-01-01T00:00:00"}, {"state":
|
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81
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"CA", "role": "alternate", "year": "2005-01-01T00:00:00"}, {"state": "CA",
|
|
82
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"role": "hospital", "year": "2005-01-01T00:00:00"}], "birth_date": "1977",
|
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83
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+
"education": {"medical_school": "JSS MEDICAL COLLEGE MYSORE UNIVERSITY MYSORE
|
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84
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+
KARNATAKA IN", "graduation_year": "2001-01-01T00:00:00"}}}, {"provider": {"last_name":
|
|
85
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+
"LE", "npi": "1760485171", "degree": "DO", "locations": [{"address_lines":
|
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86
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+
["2683 Mignon Dr"], "city": "San Jose", "zipcode": "95132", "state": "CA",
|
|
87
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+
"geo_location": [-121.87201, 37.398588], "role": ["mailing"]}, {"address_lines":
|
|
88
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+
["3640 Sweigert Rd"], "city": "San Jose", "zipcode": "95132", "state": "CA",
|
|
89
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+
"geo_location": [-121.84214, 37.41407], "role": ["practice"]}], "specialty_primary":
|
|
90
|
+
["Family Practice", "Family Medicine"], "specialty": ["Family Practice", "Family
|
|
91
|
+
Medicine"], "licenses": [{"state": "CA", "role": "preferred", "year": "2003-01-01T00:00:00"},
|
|
92
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+
{"state": "CA", "role": "alternate", "year": "2003-01-01T00:00:00"}], "education":
|
|
93
|
+
{"medical_school": "TOURO UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICAL VALLEJO
|
|
94
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+
CA 94592", "graduation_year": "2002-01-01T00:00:00"}, "board_certifications":
|
|
95
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+
["Family Medicine"], "residencies": [{"city": "STOCKTON", "to_year": "2005",
|
|
96
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+
"institution_name": "SAN JOAQUIN GENERAL HOSPITAL", "from_year": "2002", "specialty":
|
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97
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"FAMILY MEDICINE"}], "uuid": "2093f529-709a-43ee-a3a0-92b2d03fd5c3", "gender":
|
|
98
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+
"Male", "licensures": [{"status": "active", "expiration_date": "2014-10-31T00:00:00",
|
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99
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+
"number": "20A8549", "as_of_date": "2014-06-02T00:00:00", "state": "CA", "type":
|
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100
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"unlimited"}], "first_name": "VINCENT", "birth_date": "1972"}}, {"provider":
|
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101
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+
{"organization_name": "MEDICAL UNIVERSITY MEDICAL ASSOCIATES", "phone": "8437921414",
|
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102
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+
"npi": "1669523528", "uuid": "daa6c66e-fbd8-4280-a3c1-bb85cddb20ab", "specialty_secondary":
|
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103
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+
["Physician Assistant", "Nurse Practitioner"], "locations": [{"address_lines":
|
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104
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["PO Box 751514"], "state": "NC", "geo_location": [-80.804151, 35.26002],
|
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"role": ["mailing"], "city": "Charlotte", "country": "US", "zipcode": "28275",
|
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106
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"phone": "8437926200"}, {"address_lines": ["171 Ashley Ave"], "state": "SC",
|
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107
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"geo_location": [-79.946621, 32.785542], "role": ["practice"], "city": "Charleston",
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108
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"country": "US", "zipcode": "29425", "phone": "8437921414"}], "specialty_primary":
|
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109
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["Transplant Surgery", "Surgery"], "specialty": ["Transplant Surgery", "Physician
|
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110
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Assistant", "Surgery", "Nurse Practitioner"]}}]}'
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http_version:
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recorded_at: Wed, 22 Oct 2014 19:18:49 GMT
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recorded_with: VCR 2.9.2
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---
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http_interactions:
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- request:
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method: post
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uri: http://localhost:5002/api/v4/referrals/
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body:
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encoding: UTF-8
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string: '{"event":{"category":"specialty_care_review","certification_type":"initial","delivery":{"quantity":1,"quantity_qualifier":"visits"},"diagnoses":[{"code":"384.20","date":"2014-09-30"}],"place_of_service":"office","provider":{"first_name":"JOHN","npi":"1154387751","last_name":"FOSTER","phone":"8645822900"},"type":"consultation"},"patient":{"birth_date":"1970-01-01","first_name":"JANE","last_name":"DOE","id":"1234567890"},"provider":{"first_name":"CHRISTINA","last_name":"BERTOLAMI","npi":"1619131232"},"trading_partner_id":"MOCKPAYER"}'
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headers:
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User-Agent:
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- pokitdok-ruby 0.4.1 ruby 2.1.3p242 (2014-09-19 revision 47630) [x86_64-darwin14.0]
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Authorization:
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- Bearer zwHIWGYIyYqGAZgczUzBpsGrhaRZFmd6mQqLaTFR
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Content-Type:
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- application/json
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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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- "*/*"
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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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Content-Type:
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- text/html; charset=utf-8
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Content-Length:
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- '1162'
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Mimetype:
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- application/json
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Charset:
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- utf-8
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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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- Wed, 22 Oct 2014 19:18:50 GMT
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body:
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encoding: UTF-8
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string: '{"meta": {"rate_limit_amount": 12, "rate_limit_reset": 1414009128,
|
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"application_mode": "test", "processing_time": 152, "rate_limit_cap": 8434,
|
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"credits_remaining": 13439, "activity_id": "5448031956c02c448fb7da95", "credits_billed":
|
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1}, "data": {"patient": {"first_name": "JANE", "last_name": "DOE", "id": "1234567890"},
|
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"trading_partner_id": "MOCKPAYER", "payer": {"organization_name": "MOCK PAYER
|
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INC", "id": "MOCKPAYER"}, "originating_company_id": "9012345678", "correlation_id":
|
|
45
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"8908e4a1-cd18-4db4-81f8-7c16f95ffb1f", "client_id": "WbkhoNbwuJRWdz0w9Ehl",
|
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46
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+
"provider": {"first_name": "CHRISTINA", "last_name": "BERTOLAMI", "tax_id":
|
|
47
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+
"1619131232"}, "async": false, "event": {"category": "specialty_care_review",
|
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48
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"diagnoses": [{"date": "2005-04-30", "code": "410.90"}], "place_of_service":
|
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"office", "review": {"certification_number": "AUTH0001", "second_surgical_opinion_required":
|
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false, "certification_action": "certified_in_total"}, "delivery": {"quantity_qualifier":
|
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"visits", "quantity": 1}, "provider": {"first_name": "JOHN", "last_name":
|
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"FOSTER", "tax_id": "1154387751"}, "certification_type": "initial", "type":
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"consultation"}, "valid_request": true}}'
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http_version:
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recorded_at: Wed, 22 Oct 2014 19:18:50 GMT
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recorded_with: VCR 2.9.2
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User-Agent:
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Authorization:
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- Bearer
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- Bearer zwHIWGYIyYqGAZgczUzBpsGrhaRZFmd6mQqLaTFR
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Accept-Encoding:
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- Wed,
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- Wed, 22 Oct 2014 19:18:49 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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string: '{"meta": {"rate_limit_amount": 8, "rate_limit_reset": 1414009128, "application_mode":
|
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"test", "processing_time": 10, "rate_limit_cap": 8434, "activity_id": "5448031956c02c4487b7da95"},
|
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"data": {"is_enabled": false, "supported_transactions": ["837", "834", "835",
|
|
40
|
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"270", "271", "276", "277", "278"], "id": "MOCKPAYER", "name": "Mock Payer
|
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+
for Testing"}}'
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recorded_at: Wed,
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recorded_at: Wed, 22 Oct 2014 19:18:49 GMT
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recorded_with: VCR 2.9.2
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User-Agent:
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Net - California"}, {"is_enabled": false, "supported_transactions": ["837"],
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Health Plan - CMR"}, {"is_enabled": false, "supported_transactions": ["837"],
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(CareFirst)"}, {"is_enabled": false, "supported_transactions": ["837"], "id":
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of Mississippi"}, {"is_enabled": false, "supported_transactions": ["837"],
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of Vermont"}, {"is_enabled": false, "supported_transactions": ["837"], "id":
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["837"], "id": "aarp_medicare_supplement", "name": "AARP Medicare Supplement
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Plan"}, {"is_enabled": true, "supported_transactions": ["837"], "id": "united_health_care_community_plan_nj",
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Healthcare Great Lakes Health Plan"}, {"is_enabled": true, "supported_transactions":
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Community Plan of Iowa"}, {"is_enabled": true, "supported_transactions": ["837"],
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Plan of South Carolina"}, {"is_enabled": true, "supported_transactions": ["837"],
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Blue Cross and Blue Shield of Indiana"}, {"is_enabled": true, "supported_transactions":
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Blue Cross and Blue Shield of Kentucky"}, {"is_enabled": true, "supported_transactions":
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Blue Cross and Blue Shield of Maine"}, {"is_enabled": true, "supported_transactions":
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Blue Cross and Blue Shield of Nevada"}, {"is_enabled": true, "supported_transactions":
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Blue Cross and Blue Shield of Wisconsin"}, {"is_enabled": true, "supported_transactions":
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Blue Cross and Blue Shield of Colorado"}, {"is_enabled": true, "supported_transactions":
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Blue Cross and Blue Shield of Connecticut"}, {"is_enabled": true, "supported_transactions":
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Blue Cross and Blue Shield of New Hampshire"}, {"is_enabled": true, "supported_transactions":
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Blue Cross and Blue Shield of Virginia"}, {"is_enabled": false, "supported_transactions":
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Blue Cross Blue Shield of Pennsylvania"}, {"is_enabled": false, "supported_transactions":
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Blue Cross Blue Shield of Delaware"}, {"is_enabled": false, "supported_transactions":
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["837", "276"], "id": "blue_cross_blue_shield_ne", "name": "Blue Cross and
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Blue Shield of Nebraska"}, {"is_enabled": false, "supported_transactions":
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"name": "CareFirst BCBS of Maryland"}, {"is_enabled": false, "supported_transactions":
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of Texas"}, {"is_enabled": false, "supported_transactions": ["270", "837",
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Cross Blue Shield West Virginia"}, {"is_enabled": true, "supported_transactions":
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West Virginia"}, {"is_enabled": true, "supported_transactions": ["837"], "id":
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"golden_rule_united_health_one", "name": "Golden Rule"}, {"is_enabled": true,
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"supported_transactions": ["837"], "id": "united_health_care_community_plan_ks",
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"name": "United Healthcare Community Plan of Kansas"}, {"is_enabled": true,
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"supported_transactions": ["837"], "id": "all_savers_insurance", "name": "All
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Savers Insurance"}, {"is_enabled": true, "supported_transactions": ["837"],
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"id": "united_health_care_medicare_solutions", "name": "United Healthcare
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Medicare Solutions - Care Improvement Plus"}, {"is_enabled": true, "supported_transactions":
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["837"], "id": "preferred_care_partners", "name": "Preferred Care Partners"},
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{"is_enabled": true, "supported_transactions": ["837"], "id": "medica_healthcare_plans_medicare",
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"name": "Medica Healthcare Plans (Medicare)"}, {"is_enabled": false, "supported_transactions":
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["270", "276"], "id": "unicare", "name": "UniCare"}, {"is_enabled": false,
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"name": "Blue Cross and Blue Shield of Kansas City"}, {"is_enabled": false,
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"supported_transactions": ["837"], "id": "excellus_blue_cross_blue_shield_ny_central_region",
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"name": "Blue Cross Blue Shield of NY - Excellus Central Region"}, {"is_enabled":
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"name": "Blue Cross and Blue Shield of Rhode Island"}, {"is_enabled": false,
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"supported_transactions": ["837"], "id": "blue_cross_blue_shield_ny_excellus_rochester",
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"name": "Blue Cross Blue Shield of NY Excellus Rochester"}, {"is_enabled":
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"name": "Blue Cross and Blue Shield of Kansas"}, {"is_enabled": false, "supported_transactions":
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"supported_transactions": ["270", "837", "276"], "id": "tricare_west", "name":
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"TRICARE West"}, {"is_enabled": false, "supported_transactions": ["276"],
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"id": "wellmark_blue_cross_blue_shield_ia", "name": "Wellmark Blue Cross and
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Blue Shield of Iowa"}, {"is_enabled": false, "supported_transactions": ["837"],
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"id": "coordinated_care_cenpatico", "name": "Coordinated Care - Cenpatico"},
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{"is_enabled": false, "supported_transactions": ["837"], "id": "coordinated_medical_specialists",
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"name": "Coordinated Medical Specialists"}, {"is_enabled": false, "supported_transactions":
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["837"], "id": "child_health_plus_by_healthfirst", "name": "Childhealth Plus
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by Healthfirst (CHP)"}, {"is_enabled": false, "
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by Healthfirst (CHP)"}, {"is_enabled": false, "id": "health_partners_mn",
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"name": "HealthPartners of Minnesota"}, {"is_enabled": false, "id": "avmed_health_plan",
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"name": "Avmed Health Plan"}, {"is_enabled": false, "supported_transactions":
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["837", "834", "835", "270", "271", "276", "277", "278"], "id": "MOCKPAYER",
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"name": "Mock Payer for Testing"}, {"is_enabled": false, "supported_transactions":
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["837"], "id": "molina_health_care_fl", "name": "Molina Healthcare of Florida"},
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{"is_enabled": false, "supported_transactions": ["837"], "id": "coresource_md_pa_il_nc_in",
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"name": "CoreSource (MD, PA, IL, NC, IN)"}, {"is_enabled": false, "supported_transactions":
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["837"], "id": "medica_usa", "name": "Medica2"}, {"is_enabled": false, "supported_transactions":
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["837"], "id": "managed_care_services", "name": "Managed Care Services"},
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{"is_enabled": false, "supported_transactions": ["837"], "id": "molina_health_care_nm",
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"name": "Molina Healthcare of New Mexico"}, {"is_enabled": false, "supported_transactions":
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["837"], "id": "sunshine_state_health_plan_cenpatico", "name": "Sunshine State
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Health Plan - Cenpatico"}, {"is_enabled": false, "supported_transactions":
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["837"], "id": "medica_midwest", "name": "Medica"}, {"is_enabled": false,
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"supported_transactions": ["837"], "id": "molina_health_care_tx", "name":
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"Molina Healthcare of Texas"}, {"is_enabled": false, "supported_transactions":
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["837"], "id": "molina_health_care_ca", "name": "Molina Healthcare of California"},
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{"is_enabled": false, "supported_transactions": ["837"], "id": "molina_health_care_nm_salud",
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"name": "Molina Healthcare of New Mexico - Salud"}, {"is_enabled": false,
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"supported_transactions": ["837"], "id": "molina_health_care_oh", "name":
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"Molina Healthcare of Ohio"}, {"is_enabled": false, "supported_transactions":
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["837"], "id": "qual_choice_ar", "name": "Qual Choice of Arkansas"}, {"is_enabled":
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false, "supported_transactions": ["837"], "id": "molina_health_care_id", "name":
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"Molina Medicaid Solutions - Idaho"}, {"is_enabled": false, "supported_transactions":
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["837"], "id": "molina_health_care_mi", "name": "Molina Healthcare of Michigan"},
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{"is_enabled": false, "supported_transactions": ["837"], "id": "coresource_little_rock",
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"name": "CoreSource Little Rock"}, {"is_enabled": false, "supported_transactions":
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["837"], "id": "health_spring", "name": "HealthSpring"}, {"is_enabled": false,
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"supported_transactions": ["837"], "id": "molina_health_care_wi", "name":
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"Molina Healthcare of Wisconsin"}, {"is_enabled": false, "supported_transactions":
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["837"], "id": "coresource_oh", "name": "CoreSource - Ohio"}, {"is_enabled":
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false, "supported_transactions": ["837"], "id": "molina_health_care_sc", "name":
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"Molina Healthcare of South Carolina"}, {"is_enabled": false, "supported_transactions":
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["837"], "id": "molina_health_care_wa", "name": "Molina Healthcare of Washington"},
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{"is_enabled": false, "supported_transactions": ["837"], "id": "sunshine_state_health_plan_medical",
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"name": "Sunshine State Health Plan - Medical"}, {"is_enabled": false, "id":
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+
"excellus_blue_cross_blue_shield", "name": "Excellus BlueCross BlueShield"},
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+
{"is_enabled": true, "supported_transactions": ["270", "278", "837", "276"],
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"id": "aetna", "name": "Aetna"}, {"is_enabled": true, "supported_transactions":
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+
["270", "278", "837", "276"], "id": "cigna", "name": "Cigna"}]}'
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http_version:
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recorded_at: Wed,
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+
recorded_at: Wed, 22 Oct 2014 19:18:50 GMT
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|
407
459
|
recorded_with: VCR 2.9.2
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