pokitdok-ruby 0.4.0 → 0.4.1
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/README.md +1 -1
- data/VERSION +1 -1
- data/lib/pokitdok.rb +12 -1
- data/pokitdok-ruby.gemspec +5 -3
- data/spec/fixtures/claims_status.json +15 -0
- data/spec/pokitdok_spec.rb +16 -2
- data/vcr_cassettes/activities.yml +612 -381
- data/vcr_cassettes/auth.yml +5 -5
- data/vcr_cassettes/cash_prices.yml +11 -8
- data/vcr_cassettes/claims.yml +11 -11
- data/vcr_cassettes/claims_status.yml +61 -0
- data/vcr_cassettes/eligibility.yml +12 -12
- data/vcr_cassettes/enrollment.yml +37 -37
- data/vcr_cassettes/files.yml +11 -11
- data/vcr_cassettes/insurance_prices.yml +17 -8
- data/vcr_cassettes/payers.yml +104 -104
- data/vcr_cassettes/providers.yml +20 -20
- metadata +4 -2
checksums.yaml
CHANGED
@@ -1,7 +1,7 @@
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---
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SHA1:
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metadata.gz:
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data.tar.gz:
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metadata.gz: 6e9160fba2937f8c5771d74eda2bda1ed45eae88
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4
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data.tar.gz: d0ea969762a6a9f303f7d864fe4bc7a9ab105226
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SHA512:
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metadata.gz:
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data.tar.gz:
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metadata.gz: 698da4084e5cbba88c42e85ed1270856efd44a645768d049c12838dddad3f7cc24cbcc70fe38f46d5b3cbda9ae7d347ff342eeb465d7c74af251836869168958
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data.tar.gz: 2c4b9c67b39ae1e5f9bfdb203392e8eac1bd8a5c60959ea18314c0d9cc828aa603123554adadcf0cb52804b3303604dc038f19c770257a947b8fbb8f7b3394bf
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data/README.md
CHANGED
@@ -13,7 +13,7 @@ PokitDok Platform API Client for Ruby
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* [View Source on GitHub][code]
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* [Report Issues on GitHub][issues]
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[apidocs]: https://platform.pokitdok.com/
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[apidocs]: https://platform.pokitdok.com/documentation/v4#/
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[code]: https://github.com/PokitDok/pokitdok-ruby
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[issues]: https://github.com/PokitDok/pokitdok-ruby/issues
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data/VERSION
CHANGED
@@ -1 +1 @@
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1
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-
0.4.
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1
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0.4.1
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data/lib/pokitdok.rb
CHANGED
@@ -48,7 +48,7 @@ module PokitDok
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end
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def user_agent
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"pokitdok-ruby 0.4 #{RUBY_DESCRIPTION}"
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"pokitdok-ruby 0.4.1 #{RUBY_DESCRIPTION}"
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end
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# returns a standard set of headers to be passed along with all requests
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@@ -98,6 +98,17 @@ module PokitDok
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JSON.parse(response.body)
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end
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# Invokes the claims status endpoint, with an optional Hash of parameters.
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def claims_status(params = {})
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response = @token.post('claims/status',
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headers: headers,
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body: params.to_json) do |request|
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request.headers['Content-Type'] = 'application/json'
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end
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JSON.parse(response.body)
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end
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# Invokes the eligibility endpoint, with an optional Hash of parameters.
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def eligibility(params = {})
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response = @token.post('eligibility/',
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data/pokitdok-ruby.gemspec
CHANGED
@@ -2,16 +2,16 @@
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# DO NOT EDIT THIS FILE DIRECTLY
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# Instead, edit Jeweler::Tasks in Rakefile, and run 'rake gemspec'
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# -*- encoding: utf-8 -*-
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# stub: pokitdok-ruby 0.4.
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# stub: pokitdok-ruby 0.4.1 ruby lib
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Gem::Specification.new do |s|
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s.name = "pokitdok-ruby"
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s.version = "0.4.
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s.version = "0.4.1"
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s.required_rubygems_version = Gem::Requirement.new(">= 0") if s.respond_to? :required_rubygems_version=
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s.require_paths = ["lib"]
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s.authors = ["John Riney"]
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s.date = "2014-
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s.date = "2014-08-05"
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s.description = "Gem for easy access to the PokitDok Platform APIs."
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s.email = "john.riney@pokitdok.com"
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s.extra_rdoc_files = [
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@@ -31,6 +31,7 @@ Gem::Specification.new do |s|
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"lib/pokitdok.rb",
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"pokitdok-ruby.gemspec",
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"spec/fixtures/claim.json",
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"spec/fixtures/claims_status.json",
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"spec/fixtures/enrollment.json",
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"spec/fixtures/sample.270",
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"spec/pokitdok_spec.rb",
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@@ -40,6 +41,7 @@ Gem::Specification.new do |s|
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"vcr_cassettes/auth.yml",
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"vcr_cassettes/cash_prices.yml",
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"vcr_cassettes/claims.yml",
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"vcr_cassettes/claims_status.yml",
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"vcr_cassettes/eligibility.yml",
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"vcr_cassettes/enrollment.yml",
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"vcr_cassettes/files.yml",
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@@ -0,0 +1,15 @@
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{
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"patient": {
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"birth_date": "1970-01-01",
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"first_name": "JANE",
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"last_name": "DOE",
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"id": "1234567890"
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},
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"provider": {
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"first_name": "Jerome",
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"last_name": "Aya-Ay",
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"npi": "1467560003"
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},
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"service_date": "2014-01-01",
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"trading_partner_id": "MOCKPAYER"
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}
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data/spec/pokitdok_spec.rb
CHANGED
@@ -2,8 +2,8 @@
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require 'spec_helper'
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CLIENT_ID = '
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CLIENT_SECRET = '
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CLIENT_ID = '7x7nRAotGfxHfy7Llfl3'
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CLIENT_SECRET = 'T4JsCjMDJNxVQADl8ip3npmTm9JgEZhqL2xmc3Di'
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POKITDOK_TEST_URL = 'http://localhost:5002'
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def check_meta_and_data(result)
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end
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end
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describe 'Claims status endpoint' do
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it 'should expose the claims status endpoint' do
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query = JSON.parse(IO.read('spec/fixtures/claims_status.json'))
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VCR.use_cassette 'claims_status' do
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@claims_status = @pokitdok.claims_status(query)
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end
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check_meta_and_data @claims_status
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refute_empty @claims_status['data']
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assert_nil @claims_status['errors']
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end
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end
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describe 'Eligibility endpoint' do
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it 'should expose the eligibility endpoint' do
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@eligibility_query = {
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string: ''
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headers:
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User-Agent:
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-
- pokitdok-ruby 0.4 ruby 2.1.
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- pokitdok-ruby 0.4.1 ruby 2.1.2p95 (2014-05-08 revision 45877) [x86_64-darwin13.0]
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Authorization:
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- Bearer
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- Bearer fKd12YNbilTwVe8D3eF1ReNBkGzoElJuUjyt5ehz
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Accept-Encoding:
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- gzip;q=1.0,deflate;q=0.6,identity;q=0.3
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Accept:
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@@ -23,7 +23,7 @@ http_interactions:
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Content-Type:
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- text/html; charset=utf-8
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Content-Length:
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- '
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- '139250'
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Mimetype:
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- application/json
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Charset:
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@@ -31,37 +31,27 @@ 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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-
- Tue,
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- Tue, 05 Aug 2014 18:15:14 GMT
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body:
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encoding: UTF-8
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string: '{"meta": {"processing_time":
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"rate_limit_cap": 8434}, "data": [{"units_of_work": 1, "name": "
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"id": "
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"
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"
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"
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"
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"trading_partner_id": "PokitDok", "id": "53bc1b9956c02c08ce81adfc", "transition_path":
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["process", "complete"], "history": [{"record_dt": "2014-07-08T16:26:01.884000",
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"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-08T16:26:02.932000",
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"name": "processing", "title": "Processing X12 transactions"}]}, {"units_of_work":
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1, "name": "enrollment", "parameters": {"service_types": ["health_benefit_plan_coverage"],
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"trading_partner_id": "MOCKPAYER", "payer": {"id": "MOCKPAYER", "name": "Mockpayer
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For Testing"}, "member": {"birth_date": "1983-02-19", "first_name": "Nicklaus",
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"last_name": "Stanton", "plan_start_date": "2013-08-10", "id": "642531785"},
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"correlation_id": "1d84a585-e10b-439f-8b51-628e1461acce", "client_id": "2MBlqahR2xiaBtVSS50n",
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"provider": {"first_name": "Kadin", "last_name": "Cruickshank", "npi": "0646364168"},
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string: '{"meta": {"processing_time": 618, "rate_limit_amount": 10, "rate_limit_reset":
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1407266111, "next": "http://localhost:5002/api/v4/activities/?offset=20",
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"rate_limit_cap": 8434}, "data": [{"units_of_work": 1, "name": "insurance_prices",
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"parameters": {"service_types": ["health_benefit_plan_coverage"], "trading_partner_id":
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"MOCKPAYER", "payer": {"id": "MOCKPAYER", "name": "Mockpayer For Testing"},
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"member": {"birth_date": "1985-06-24", "first_name": "Toney", "last_name":
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"Howe", "plan_start_date": "2013-08-10", "id": "698917720"}, "correlation_id":
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"25ec35c0-4318-4a6c-bb5e-2f77224e8610", "client_id": "7x7nRAotGfxHfy7Llfl3",
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"provider": {"first_name": "Brenden", "last_name": "Stokes", "npi": "6035743809"},
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"async": false, "transaction_code": "request"}, "state": {"name": "completed",
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"title": "Completed"}, "result": {"service_types": ["professional_physician_visit_office"],
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"client_id": "
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"MOCK PAYER INC"}, "subscriber": {"birth_date": "
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"
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"
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"
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"
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"client_id": "7x7nRAotGfxHfy7Llfl3", "payer": {"id": "MOCKPAYER", "name":
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"MOCK PAYER INC"}, "subscriber": {"birth_date": "1985-06-24", "first_name":
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"Toney", "last_name": "Howe", "id": "698917720", "address": {"city": "SPARTANBURG",
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"state": "SC", "zipcode": "29307", "address_lines": ["123 MAIN ST"]}}, "correlation_id":
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"25ec35c0-4318-4a6c-bb5e-2f77224e8610", "trading_partner_id": "MOCKPAYER",
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"provider": {"first_name": "Brenden", "last_name": "Brenden Stokes", "npi":
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"6035743809"}, "coverage": {"service_types": ["professional_physician_visit_office"],
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"group_number": "088818801000013", "out_of_pocket": [{"in_plan_network": "yes",
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"benefit_amount": {"currency": "USD", "amount": "3000"}, "coverage_level":
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"individual"}, {"in_plan_network": "yes", "benefit_amount": {"currency": "USD",
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@@ -122,41 +112,40 @@ http_interactions:
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CARE VST,COINS APPLIES TO OUT OF POCKET"}], "in_plan_network": "no"}], "group_description":
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"MOCK INDIVIDUAL ADVANTAGE PLAN", "plan_number": "0888188", "service_date":
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"2013-08-10"}, "valid_request": true}, "trading_partner_id": "MOCKPAYER",
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"id": "
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"wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-
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"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-
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"id": "53cdaa9e56c02c1cdb7a4097", "transition_path": ["generate", "transmit",
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"wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-22T00:04:46.393000",
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"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-22T00:04:46.746000",
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"name": "generating", "title": "Generating X12 transactions"}, {"record_dt":
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"2014-07-
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transactions to Trading Partner"}, {"record_dt": "2014-07-
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"2014-07-22T00:04:46.747000", "name": "transmitting", "title": "Transmitting
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transactions to Trading Partner"}, {"record_dt": "2014-07-22T00:04:46.749000",
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"name": "waiting", "title": "Waiting on Trading Partner Response"}, {"record_dt":
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"2014-07-
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from Trading Partner"}, {"record_dt": "2014-07-
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"2014-07-22T00:04:46.751000", "name": "receiving", "title": "Receiving transactions
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from Trading Partner"}, {"record_dt": "2014-07-22T00:04:46.867000", "name":
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"processing", "title": "Processing X12 transactions"}]}, {"units_of_work":
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1, "name": "
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1, "name": "providers", "parameters": {"service_types": ["health_benefit_plan_coverage"],
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"trading_partner_id": "MOCKPAYER", "payer": {"id": "MOCKPAYER", "name": "Mockpayer
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For Testing"}, "member": {"birth_date": "
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"last_name": "
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"correlation_id": "
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"provider": {"first_name": "
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+
For Testing"}, "member": {"birth_date": "1990-10-31", "first_name": "Noe",
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"last_name": "Gerhold", "plan_start_date": "2013-08-10", "id": "120278826"},
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"correlation_id": "ed4b706e-5a89-4f13-9999-59e8b13bceb1", "client_id": "7x7nRAotGfxHfy7Llfl3",
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+
"provider": {"first_name": "Markus", "last_name": "Hauck", "npi": "6768571444"},
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"async": false, "transaction_code": "request"}, "state": {"name": "completed",
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"title": "Completed"}, "result": {"service_types": ["professional_physician_visit_office"],
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"client_id": "
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"MOCK PAYER INC"}, "subscriber": {"birth_date": "
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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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"benefit_amount": {"currency": "USD", "amount": "12483.57"}, "coverage_level":
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"client_id": "7x7nRAotGfxHfy7Llfl3", "payer": {"id": "MOCKPAYER", "name":
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"MOCK PAYER INC"}, "subscriber": {"birth_date": "1990-10-31", "first_name":
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"Noe", "last_name": "Gerhold", "id": "120278826", "address": {"city": "SPARTANBURG",
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"state": "SC", "zipcode": "29307", "address_lines": ["123 MAIN ST"]}}, "correlation_id":
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"ed4b706e-5a89-4f13-9999-59e8b13bceb1", "trading_partner_id": "MOCKPAYER",
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"provider": {"first_name": "Markus", "last_name": "Markus Hauck", "npi": "6768571444"},
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"coverage": {"service_types": ["professional_physician_visit_office"], "group_number":
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"088818801000013", "out_of_pocket": [{"in_plan_network": "yes", "benefit_amount":
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{"currency": "USD", "amount": "3000"}, "coverage_level": "individual"}, {"in_plan_network":
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"yes", "benefit_amount": {"currency": "USD", "amount": "2983.57"}, "coverage_level":
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"individual", "time_period": "remaining"}, {"in_plan_network": "yes", "benefit_amount":
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{"currency": "USD", "amount": "6000"}, "coverage_level": "family"}, {"in_plan_network":
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{"currency": "USD", "amount": "5956.09"}}, {"messages": [{"message": "INT
|
674
|
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MED AND RX,GYN OFFICE VS,DED INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIMARY
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675
|
+
OFFICE,PRIME CARE VST"}], "in_plan_network": "yes", "eligibility_date": "2013-01-01",
|
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|
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"time_period": "calendar_year", "coverage_level": "individual", "benefit_amount":
|
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{"currency": "USD", "amount": "3000"}}, {"in_plan_network": "yes", "time_period":
|
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|
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"remaining", "coverage_level": "individual", "messages": [{"message": "INT
|
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|
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MED AND RX"}], "benefit_amount": {"currency": "USD", "amount": "2983.57"}},
|
680
|
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{"messages": [{"message": "INT MED AND RX,GYN OFFICE VS,DED INCLUDED IN OOP,GYN
|
681
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VISIT,SPEC OFFICE,SPEC VISIT,PRIME CARE VST"}], "in_plan_network": "no", "eligibility_date":
|
682
|
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"2013-01-01", "time_period": "calendar_year", "coverage_level": "family",
|
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|
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"benefit_amount": {"currency": "USD", "amount": "12000"}}, {"in_plan_network":
|
684
|
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"no", "time_period": "remaining", "coverage_level": "family", "messages":
|
685
|
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[{"message": "INT MED AND RX"}], "benefit_amount": {"currency": "USD", "amount":
|
686
|
+
"11956.09"}}, {"messages": [{"message": "INT MED AND RX,GYN OFFICE VS,DED
|
687
|
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INCLUDED IN OOP,GYN VISIT,SPEC OFFICE,SPEC VISIT,PRIME CARE VST"}], "in_plan_network":
|
688
|
+
"no", "eligibility_date": "2013-01-01", "time_period": "calendar_year", "coverage_level":
|
689
|
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"individual", "benefit_amount": {"currency": "USD", "amount": "6000"}}, {"in_plan_network":
|
690
|
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"no", "time_period": "remaining", "coverage_level": "individual", "messages":
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|
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[{"message": "INT MED AND RX"}], "benefit_amount": {"currency": "USD", "amount":
|
692
|
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"5983.57"}}], "plan_begin_date": "2013-02-15", "eligibility_begin_date": "2012-02-01",
|
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"coinsurance": [{"benefit_percent": 0.0, "service_types": ["professional_physician_visit_office"],
|
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|
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"coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
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695
|
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VS"}, {"message": "GYN VISIT"}, {"message": "SPEC OFFICE"}, {"message": "SPEC
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|
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VISIT"}, {"message": "PRIMARY OFFICE"}, {"message": "PRIME CARE VST"}], "in_plan_network":
|
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|
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"yes"}, {"benefit_percent": 0.5, "service_types": ["professional_physician_visit_office"],
|
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|
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"coverage_level": "employee_and_spouse", "messages": [{"message": "GYN OFFICE
|
699
|
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|
700
|
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TO OUT OF POCKET"}, {"message": "SPEC OFFICE,COINS APPLIES TO OUT OF POCKET"},
|
701
|
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{"message": "SPEC VISIT,COINS APPLIES TO OUT OF POCKET"}, {"message": "PRIME
|
702
|
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CARE VST,COINS APPLIES TO OUT OF POCKET"}], "in_plan_network": "no"}], "group_description":
|
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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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"processing", "title": "Processing X12 transactions"}]}, {"units_of_work":
|
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|
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1, "name": "enrollment", "parameters": {"service_types": ["health_benefit_plan_coverage"],
|
716
|
+
"trading_partner_id": "MOCKPAYER", "payer": {"id": "MOCKPAYER", "name": "Mockpayer
|
717
|
+
For Testing"}, "member": {"birth_date": "1992-01-08", "first_name": "Alfonso",
|
718
|
+
"last_name": "Tremblay", "plan_start_date": "2013-08-10", "id": "039173051"},
|
719
|
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"correlation_id": "4ca33e09-3f0a-4b84-a52e-8ca2b3ed75fe", "client_id": "7x7nRAotGfxHfy7Llfl3",
|
720
|
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"provider": {"first_name": "Dayana", "last_name": "Doyle", "npi": "8369176691"},
|
721
|
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|
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"title": "Completed"}, "result": {"service_types": ["professional_physician_visit_office"],
|
723
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"client_id": "7x7nRAotGfxHfy7Llfl3", "payer": {"id": "MOCKPAYER", "name":
|
724
|
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"MOCK PAYER INC"}, "subscriber": {"birth_date": "1992-01-08", "first_name":
|
725
|
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"Alfonso", "last_name": "Tremblay", "id": "039173051", "address": {"city":
|
486
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|
"SPARTANBURG", "state": "SC", "zipcode": "29307", "address_lines": ["123 MAIN
|
487
|
-
ST"]}}, "correlation_id": "
|
488
|
-
"MOCKPAYER", "provider": {"first_name": "
|
489
|
-
"npi": "
|
727
|
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ST"]}}, "correlation_id": "4ca33e09-3f0a-4b84-a52e-8ca2b3ed75fe", "trading_partner_id":
|
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|
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"MOCKPAYER", "provider": {"first_name": "Dayana", "last_name": "Dayana Doyle",
|
729
|
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"npi": "8369176691"}, "coverage": {"service_types": ["professional_physician_visit_office"],
|
490
730
|
"group_number": "088818801000013", "out_of_pocket": [{"in_plan_network": "yes",
|
491
731
|
"benefit_amount": {"currency": "USD", "amount": "3000"}, "coverage_level":
|
492
732
|
"individual"}, {"in_plan_network": "yes", "benefit_amount": {"currency": "USD",
|
@@ -547,30 +787,30 @@ http_interactions:
|
|
547
787
|
CARE VST,COINS APPLIES TO OUT OF POCKET"}], "in_plan_network": "no"}], "group_description":
|
548
788
|
"MOCK INDIVIDUAL ADVANTAGE PLAN", "plan_number": "0888188", "service_date":
|
549
789
|
"2013-08-10"}, "valid_request": true}, "trading_partner_id": "MOCKPAYER",
|
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|
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|
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|
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|
552
|
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"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-
|
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|
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|
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|
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|
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|
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"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-22T00:04:47.712000",
|
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793
|
"name": "generating", "title": "Generating X12 transactions"}, {"record_dt":
|
554
|
-
"2014-07-
|
555
|
-
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|
794
|
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"2014-07-22T00:04:47.713000", "name": "transmitting", "title": "Transmitting
|
795
|
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|
556
796
|
"name": "waiting", "title": "Waiting on Trading Partner Response"}, {"record_dt":
|
557
|
-
"2014-07-
|
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|
-
from Trading Partner"}, {"record_dt": "2014-07-
|
797
|
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"2014-07-22T00:04:47.716000", "name": "receiving", "title": "Receiving transactions
|
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|
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from Trading Partner"}, {"record_dt": "2014-07-22T00:04:47.783000", "name":
|
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799
|
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|
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|
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1, "name": "
|
800
|
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1, "name": "pokitdok_api", "parameters": {"service_types": ["health_benefit_plan_coverage"],
|
561
801
|
"trading_partner_id": "MOCKPAYER", "payer": {"id": "MOCKPAYER", "name": "Mockpayer
|
562
|
-
For Testing"}, "member": {"birth_date": "
|
563
|
-
"last_name": "
|
564
|
-
"correlation_id": "
|
565
|
-
"provider": {"first_name": "
|
802
|
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For Testing"}, "member": {"birth_date": "1997-11-28", "first_name": "Cleo",
|
803
|
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"last_name": "Green", "plan_start_date": "2013-08-10", "id": "454534266"},
|
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|
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"correlation_id": "9ecd6843-a6ef-477b-a531-2978097b0abe", "client_id": "7x7nRAotGfxHfy7Llfl3",
|
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|
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"provider": {"first_name": "Levi", "last_name": "Price", "npi": "4541551516"},
|
566
806
|
"async": false, "transaction_code": "request"}, "state": {"name": "completed",
|
567
807
|
"title": "Completed"}, "result": {"service_types": ["professional_physician_visit_office"],
|
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|
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"client_id": "
|
569
|
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"MOCK PAYER INC"}, "subscriber": {"birth_date": "
|
570
|
-
"
|
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|
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"client_id": "7x7nRAotGfxHfy7Llfl3", "payer": {"id": "MOCKPAYER", "name":
|
809
|
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"MOCK PAYER INC"}, "subscriber": {"birth_date": "1997-11-28", "first_name":
|
810
|
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"Cleo", "last_name": "Green", "id": "454534266", "address": {"city": "SPARTANBURG",
|
571
811
|
"state": "SC", "zipcode": "29307", "address_lines": ["123 MAIN ST"]}}, "correlation_id":
|
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|
-
"
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573
|
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"provider": {"first_name": "
|
812
|
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|
813
|
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"provider": {"first_name": "Levi", "last_name": "Levi Price", "npi": "4541551516"},
|
574
814
|
"coverage": {"service_types": ["professional_physician_visit_office"], "group_number":
|
575
815
|
"088818801000013", "out_of_pocket": [{"in_plan_network": "yes", "benefit_amount":
|
576
816
|
{"currency": "USD", "amount": "3000"}, "coverage_level": "individual"}, {"in_plan_network":
|
@@ -631,31 +871,31 @@ http_interactions:
|
|
631
871
|
CARE VST,COINS APPLIES TO OUT OF POCKET"}], "in_plan_network": "no"}], "group_description":
|
632
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|
"MOCK INDIVIDUAL ADVANTAGE PLAN", "plan_number": "0888188", "service_date":
|
633
873
|
"2013-08-10"}, "valid_request": true}, "trading_partner_id": "MOCKPAYER",
|
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|
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|
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|
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|
636
|
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"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-
|
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|
+
"id": "53cdaa9f56c02c1cdb7a40b2", "transition_path": ["generate", "transmit",
|
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|
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"wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-22T00:04:47.799000",
|
876
|
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"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-22T00:04:47.816000",
|
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877
|
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|
638
|
-
"2014-07-
|
639
|
-
transactions to Trading Partner"}, {"record_dt": "2014-07-
|
878
|
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"2014-07-22T00:04:47.817000", "name": "transmitting", "title": "Transmitting
|
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|
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|
640
880
|
"name": "waiting", "title": "Waiting on Trading Partner Response"}, {"record_dt":
|
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|
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"2014-07-
|
642
|
-
from Trading Partner"}, {"record_dt": "2014-07-
|
881
|
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"2014-07-22T00:04:47.819000", "name": "receiving", "title": "Receiving transactions
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|
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|
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883
|
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|
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|
-
1, "name": "
|
884
|
+
1, "name": "cash_prices", "parameters": {"service_types": ["health_benefit_plan_coverage"],
|
645
885
|
"trading_partner_id": "MOCKPAYER", "payer": {"id": "MOCKPAYER", "name": "Mockpayer
|
646
|
-
For Testing"}, "member": {"birth_date": "
|
647
|
-
"last_name": "
|
648
|
-
"correlation_id": "
|
649
|
-
"provider": {"first_name": "
|
886
|
+
For Testing"}, "member": {"birth_date": "1992-06-26", "first_name": "Enos",
|
887
|
+
"last_name": "Hammes", "plan_start_date": "2013-08-10", "id": "803850921"},
|
888
|
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"correlation_id": "2c111b0c-2bce-4188-9487-1d173cac2f04", "client_id": "7x7nRAotGfxHfy7Llfl3",
|
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|
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"provider": {"first_name": "Edythe", "last_name": "Kertzmann", "npi": "0303839453"},
|
650
890
|
"async": false, "transaction_code": "request"}, "state": {"name": "completed",
|
651
891
|
"title": "Completed"}, "result": {"service_types": ["professional_physician_visit_office"],
|
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|
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|
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|
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"MOCK PAYER INC"}, "subscriber": {"birth_date": "
|
654
|
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"
|
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|
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893
|
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"MOCK PAYER INC"}, "subscriber": {"birth_date": "1992-06-26", "first_name":
|
894
|
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"Enos", "last_name": "Hammes", "id": "803850921", "address": {"city": "SPARTANBURG",
|
655
895
|
"state": "SC", "zipcode": "29307", "address_lines": ["123 MAIN ST"]}}, "correlation_id":
|
656
|
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"
|
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|
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"provider": {"first_name": "
|
658
|
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"
|
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|
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|
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"provider": {"first_name": "Edythe", "last_name": "Edythe Kertzmann", "npi":
|
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|
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|
659
899
|
"group_number": "088818801000013", "out_of_pocket": [{"in_plan_network": "yes",
|
660
900
|
"benefit_amount": {"currency": "USD", "amount": "3000"}, "coverage_level":
|
661
901
|
"individual"}, {"in_plan_network": "yes", "benefit_amount": {"currency": "USD",
|
@@ -716,31 +956,31 @@ http_interactions:
|
|
716
956
|
CARE VST,COINS APPLIES TO OUT OF POCKET"}], "in_plan_network": "no"}], "group_description":
|
717
957
|
"MOCK INDIVIDUAL ADVANTAGE PLAN", "plan_number": "0888188", "service_date":
|
718
958
|
"2013-08-10"}, "valid_request": true}, "trading_partner_id": "MOCKPAYER",
|
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|
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"id": "
|
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|
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|
721
|
-
"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-
|
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|
+
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|
960
|
+
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|
961
|
+
"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-22T00:04:47.938000",
|
722
962
|
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|
723
|
-
"2014-07-
|
724
|
-
transactions to Trading Partner"}, {"record_dt": "2014-07-
|
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|
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|
964
|
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|
725
965
|
"name": "waiting", "title": "Waiting on Trading Partner Response"}, {"record_dt":
|
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|
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|
727
|
-
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|
966
|
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|
967
|
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|
728
968
|
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|
729
|
-
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|
969
|
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1, "name": "providers", "parameters": {"service_types": ["health_benefit_plan_coverage"],
|
730
970
|
"trading_partner_id": "MOCKPAYER", "payer": {"id": "MOCKPAYER", "name": "Mockpayer
|
731
|
-
For Testing"}, "member": {"birth_date": "
|
732
|
-
"last_name": "
|
733
|
-
"correlation_id": "
|
734
|
-
"provider": {"first_name": "
|
971
|
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|
972
|
+
"last_name": "Larson", "plan_start_date": "2013-08-10", "id": "431585370"},
|
973
|
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"correlation_id": "62fc1541-69a2-4377-9eb9-dd6b391ca0bd", "client_id": "7x7nRAotGfxHfy7Llfl3",
|
974
|
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"provider": {"first_name": "Tomasa", "last_name": "Cronin", "npi": "0826932801"},
|
735
975
|
"async": false, "transaction_code": "request"}, "state": {"name": "completed",
|
736
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|
"title": "Completed"}, "result": {"service_types": ["professional_physician_visit_office"],
|
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|
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|
738
|
-
"MOCK PAYER INC"}, "subscriber": {"birth_date": "
|
739
|
-
"
|
977
|
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"client_id": "7x7nRAotGfxHfy7Llfl3", "payer": {"id": "MOCKPAYER", "name":
|
978
|
+
"MOCK PAYER INC"}, "subscriber": {"birth_date": "1985-06-30", "first_name":
|
979
|
+
"Elian", "last_name": "Larson", "id": "431585370", "address": {"city": "SPARTANBURG",
|
740
980
|
"state": "SC", "zipcode": "29307", "address_lines": ["123 MAIN ST"]}}, "correlation_id":
|
741
|
-
"
|
742
|
-
"provider": {"first_name": "
|
743
|
-
"
|
981
|
+
"62fc1541-69a2-4377-9eb9-dd6b391ca0bd", "trading_partner_id": "MOCKPAYER",
|
982
|
+
"provider": {"first_name": "Tomasa", "last_name": "Tomasa Cronin", "npi":
|
983
|
+
"0826932801"}, "coverage": {"service_types": ["professional_physician_visit_office"],
|
744
984
|
"group_number": "088818801000013", "out_of_pocket": [{"in_plan_network": "yes",
|
745
985
|
"benefit_amount": {"currency": "USD", "amount": "3000"}, "coverage_level":
|
746
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|
"individual"}, {"in_plan_network": "yes", "benefit_amount": {"currency": "USD",
|
@@ -801,41 +1041,40 @@ http_interactions:
|
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CARE VST,COINS APPLIES TO OUT OF POCKET"}], "in_plan_network": "no"}], "group_description":
|
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"MOCK INDIVIDUAL ADVANTAGE PLAN", "plan_number": "0888188", "service_date":
|
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"2013-08-10"}, "valid_request": true}, "trading_partner_id": "MOCKPAYER",
|
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"wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-
|
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"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-
|
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"id": "53cdaaa056c02c1cdb7a40b8", "transition_path": ["generate", "transmit",
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"wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-22T00:04:48.035000",
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"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-22T00:04:48.063000",
|
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"name": "generating", "title": "Generating X12 transactions"}, {"record_dt":
|
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"2014-07-
|
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-
transactions to Trading Partner"}, {"record_dt": "2014-07-
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"2014-07-22T00:04:48.065000", "name": "transmitting", "title": "Transmitting
|
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transactions to Trading Partner"}, {"record_dt": "2014-07-22T00:04:48.066000",
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"name": "waiting", "title": "Waiting on Trading Partner Response"}, {"record_dt":
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|
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from Trading Partner"}, {"record_dt": "2014-07-22T00:04:48.138000", "name":
|
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1, "name": "cash_prices", "parameters": {"service_types": ["health_benefit_plan_coverage"],
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"trading_partner_id": "MOCKPAYER", "payer": {"id": "MOCKPAYER", "name": "Mockpayer
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"last_name": "
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"correlation_id": "
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"provider": {"first_name": "
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"last_name": "Berge", "plan_start_date": "2013-08-10", "id": "781167793"},
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"provider": {"first_name": "Joana", "last_name": "Herzog", "npi": "7669802604"},
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"async": false, "transaction_code": "request"}, "state": {"name": "completed",
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"title": "Completed"}, "result": {"service_types": ["professional_physician_visit_office"],
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"MOCK PAYER INC"}, "subscriber": {"birth_date": "
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"client_id": "7x7nRAotGfxHfy7Llfl3", "payer": {"id": "MOCKPAYER", "name":
|
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"MOCK PAYER INC"}, "subscriber": {"birth_date": "1990-02-13", "first_name":
|
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"Gordon", "last_name": "Berge", "id": "781167793", "address": {"city": "SPARTANBURG",
|
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"state": "SC", "zipcode": "29307", "address_lines": ["123 MAIN ST"]}}, "correlation_id":
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"provider": {"first_name": "
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{"
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"benefit_amount": {"currency": "USD", "amount": "12483.57"}, "coverage_level":
|
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"7f7185e5-d7a0-47fd-b0a0-38ac8642e393", "trading_partner_id": "MOCKPAYER",
|
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"provider": {"first_name": "Joana", "last_name": "Joana Herzog", "npi": "7669802604"},
|
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"coverage": {"service_types": ["professional_physician_visit_office"], "group_number":
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"088818801000013", "out_of_pocket": [{"in_plan_network": "yes", "benefit_amount":
|
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{"currency": "USD", "amount": "3000"}, "coverage_level": "individual"}, {"in_plan_network":
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"yes", "benefit_amount": {"currency": "USD", "amount": "2983.57"}, "coverage_level":
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"individual", "time_period": "remaining"}, {"in_plan_network": "yes", "benefit_amount":
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{"currency": "USD", "amount": "6000"}, "coverage_level": "family"}, {"in_plan_network":
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"yes", "benefit_amount": {"currency": "USD", "amount": "5956.09"}, "coverage_level":
|
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"family", "time_period": "remaining"}, {"in_plan_network": "no", "benefit_amount":
|
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{"currency": "USD", "amount": "12500"}, "coverage_level": "individual"}, {"in_plan_network":
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"no", "benefit_amount": {"currency": "USD", "amount": "12483.57"}, "coverage_level":
|
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"individual", "time_period": "remaining"}, {"in_plan_network": "no", "benefit_amount":
|
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{"currency": "USD", "amount": "25000"}, "coverage_level": "family"}, {"in_plan_network":
|
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"no", "benefit_amount": {"currency": "USD", "amount": "24956.09"}, "coverage_level":
|
@@ -886,41 +1125,40 @@ http_interactions:
|
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CARE VST,COINS APPLIES TO OUT OF POCKET"}], "in_plan_network": "no"}], "group_description":
|
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"MOCK INDIVIDUAL ADVANTAGE PLAN", "plan_number": "0888188", "service_date":
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"2013-08-10"}, "valid_request": true}, "trading_partner_id": "MOCKPAYER",
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"id": "
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"wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-
|
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"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-
|
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"id": "53cdaaa056c02c1cdb7a40bb", "transition_path": ["generate", "transmit",
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"wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-22T00:04:48.154000",
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"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-22T00:04:48.179000",
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"name": "generating", "title": "Generating X12 transactions"}, {"record_dt":
|
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"2014-07-
|
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|
-
transactions to Trading Partner"}, {"record_dt": "2014-07-
|
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"2014-07-22T00:04:48.181000", "name": "transmitting", "title": "Transmitting
|
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transactions to Trading Partner"}, {"record_dt": "2014-07-22T00:04:48.183000",
|
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"name": "waiting", "title": "Waiting on Trading Partner Response"}, {"record_dt":
|
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"2014-07-
|
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from Trading Partner"}, {"record_dt": "2014-07-
|
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|
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from Trading Partner"}, {"record_dt": "2014-07-22T00:04:48.251000", "name":
|
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|
"processing", "title": "Processing X12 transactions"}]}, {"units_of_work":
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1, "name": "enrollment", "parameters": {"service_types": ["health_benefit_plan_coverage"],
|
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|
"trading_partner_id": "MOCKPAYER", "payer": {"id": "MOCKPAYER", "name": "Mockpayer
|
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|
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For Testing"}, "member": {"birth_date": "1997-
|
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"last_name": "
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"correlation_id": "
|
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|
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"provider": {"first_name": "
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For Testing"}, "member": {"birth_date": "1997-07-19", "first_name": "Bernita",
|
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"last_name": "Hessel", "plan_start_date": "2013-08-10", "id": "869808195"},
|
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"correlation_id": "ef2befe5-5498-400e-b282-3211744fc7dd", "client_id": "7x7nRAotGfxHfy7Llfl3",
|
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"provider": {"first_name": "Armand", "last_name": "Kulas", "npi": "1287623786"},
|
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"async": false, "transaction_code": "request"}, "state": {"name": "completed",
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"title": "Completed"}, "result": {"service_types": ["professional_physician_visit_office"],
|
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"client_id": "
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"MOCK PAYER INC"}, "subscriber": {"birth_date": "1997-
|
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"
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"client_id": "7x7nRAotGfxHfy7Llfl3", "payer": {"id": "MOCKPAYER", "name":
|
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|
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"MOCK PAYER INC"}, "subscriber": {"birth_date": "1997-07-19", "first_name":
|
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|
+
"Bernita", "last_name": "Hessel", "id": "869808195", "address": {"city": "SPARTANBURG",
|
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|
"state": "SC", "zipcode": "29307", "address_lines": ["123 MAIN ST"]}}, "correlation_id":
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"
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"provider": {"first_name": "
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{"
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|
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|
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|
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|
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{"currency": "USD", "amount": "3000"}, "coverage_level": "individual"}, {"in_plan_network":
|
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"yes", "benefit_amount": {"currency": "USD", "amount": "2983.57"}, "coverage_level":
|
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"individual", "time_period": "remaining"}, {"in_plan_network": "yes", "benefit_amount":
|
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{"currency": "USD", "amount": "6000"}, "coverage_level": "family"}, {"in_plan_network":
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"yes", "benefit_amount": {"currency": "USD", "amount": "5956.09"}, "coverage_level":
|
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"family", "time_period": "remaining"}, {"in_plan_network": "no", "benefit_amount":
|
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{"currency": "USD", "amount": "12500"}, "coverage_level": "individual"}, {"in_plan_network":
|
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"no", "benefit_amount": {"currency": "USD", "amount": "12483.57"}, "coverage_level":
|
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|
"individual", "time_period": "remaining"}, {"in_plan_network": "no", "benefit_amount":
|
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|
{"currency": "USD", "amount": "25000"}, "coverage_level": "family"}, {"in_plan_network":
|
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|
"no", "benefit_amount": {"currency": "USD", "amount": "24956.09"}, "coverage_level":
|
@@ -971,31 +1209,31 @@ http_interactions:
|
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CARE VST,COINS APPLIES TO OUT OF POCKET"}], "in_plan_network": "no"}], "group_description":
|
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|
"MOCK INDIVIDUAL ADVANTAGE PLAN", "plan_number": "0888188", "service_date":
|
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|
"2013-08-10"}, "valid_request": true}, "trading_partner_id": "MOCKPAYER",
|
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"id": "
|
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|
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"wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-
|
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"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-
|
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|
+
"id": "53cdaaa056c02c1cdb7a40be", "transition_path": ["generate", "transmit",
|
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|
+
"wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-22T00:04:48.268000",
|
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"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-22T00:04:48.284000",
|
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|
"name": "generating", "title": "Generating X12 transactions"}, {"record_dt":
|
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|
-
"2014-07-
|
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|
-
transactions to Trading Partner"}, {"record_dt": "2014-07-
|
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|
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"2014-07-22T00:04:48.285000", "name": "transmitting", "title": "Transmitting
|
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|
+
transactions to Trading Partner"}, {"record_dt": "2014-07-22T00:04:48.286000",
|
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|
"name": "waiting", "title": "Waiting on Trading Partner Response"}, {"record_dt":
|
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"2014-07-
|
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|
-
from Trading Partner"}, {"record_dt": "2014-07-
|
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|
+
"2014-07-22T00:04:48.288000", "name": "receiving", "title": "Receiving transactions
|
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|
+
from Trading Partner"}, {"record_dt": "2014-07-22T00:04:48.347000", "name":
|
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|
"processing", "title": "Processing X12 transactions"}]}, {"units_of_work":
|
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1, "name": "
|
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1, "name": "providers", "parameters": {"service_types": ["health_benefit_plan_coverage"],
|
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|
"trading_partner_id": "MOCKPAYER", "payer": {"id": "MOCKPAYER", "name": "Mockpayer
|
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|
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For Testing"}, "member": {"birth_date": "
|
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|
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"last_name": "
|
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|
-
"correlation_id": "
|
989
|
-
"provider": {"first_name": "
|
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|
+
For Testing"}, "member": {"birth_date": "1997-10-31", "first_name": "Filiberto",
|
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|
+
"last_name": "Robel", "plan_start_date": "2013-08-10", "id": "950795427"},
|
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|
+
"correlation_id": "8e95d79d-d09d-4034-94f9-d3a367c10b18", "client_id": "7x7nRAotGfxHfy7Llfl3",
|
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|
+
"provider": {"first_name": "Judy", "last_name": "Strosin", "npi": "3462453852"},
|
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|
"async": false, "transaction_code": "request"}, "state": {"name": "completed",
|
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"title": "Completed"}, "result": {"service_types": ["professional_physician_visit_office"],
|
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|
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"client_id": "
|
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|
-
"MOCK PAYER INC"}, "subscriber": {"birth_date": "
|
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|
-
"
|
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|
+
"client_id": "7x7nRAotGfxHfy7Llfl3", "payer": {"id": "MOCKPAYER", "name":
|
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|
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"MOCK PAYER INC"}, "subscriber": {"birth_date": "1997-10-31", "first_name":
|
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|
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"Filiberto", "last_name": "Robel", "id": "950795427", "address": {"city":
|
995
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|
"SPARTANBURG", "state": "SC", "zipcode": "29307", "address_lines": ["123 MAIN
|
996
|
-
ST"]}}, "correlation_id": "
|
997
|
-
"MOCKPAYER", "provider": {"first_name": "
|
998
|
-
"npi": "
|
1234
|
+
ST"]}}, "correlation_id": "8e95d79d-d09d-4034-94f9-d3a367c10b18", "trading_partner_id":
|
1235
|
+
"MOCKPAYER", "provider": {"first_name": "Judy", "last_name": "Judy Strosin",
|
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|
+
"npi": "3462453852"}, "coverage": {"service_types": ["professional_physician_visit_office"],
|
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|
"group_number": "088818801000013", "out_of_pocket": [{"in_plan_network": "yes",
|
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|
"benefit_amount": {"currency": "USD", "amount": "3000"}, "coverage_level":
|
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|
"individual"}, {"in_plan_network": "yes", "benefit_amount": {"currency": "USD",
|
@@ -1056,31 +1294,31 @@ http_interactions:
|
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|
CARE VST,COINS APPLIES TO OUT OF POCKET"}], "in_plan_network": "no"}], "group_description":
|
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|
"MOCK INDIVIDUAL ADVANTAGE PLAN", "plan_number": "0888188", "service_date":
|
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|
"2013-08-10"}, "valid_request": true}, "trading_partner_id": "MOCKPAYER",
|
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|
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"id": "
|
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|
-
"wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-
|
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"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-
|
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|
+
"id": "53cdaaa056c02c1cdb7a40c1", "transition_path": ["generate", "transmit",
|
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|
+
"wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-22T00:04:48.360000",
|
1299
|
+
"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-22T00:04:48.375000",
|
1062
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|
"name": "generating", "title": "Generating X12 transactions"}, {"record_dt":
|
1063
|
-
"2014-07-
|
1064
|
-
transactions to Trading Partner"}, {"record_dt": "2014-07-
|
1301
|
+
"2014-07-22T00:04:48.376000", "name": "transmitting", "title": "Transmitting
|
1302
|
+
transactions to Trading Partner"}, {"record_dt": "2014-07-22T00:04:48.378000",
|
1065
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|
"name": "waiting", "title": "Waiting on Trading Partner Response"}, {"record_dt":
|
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|
-
"2014-07-
|
1067
|
-
from Trading Partner"}, {"record_dt": "2014-07-
|
1304
|
+
"2014-07-22T00:04:48.379000", "name": "receiving", "title": "Receiving transactions
|
1305
|
+
from Trading Partner"}, {"record_dt": "2014-07-22T00:04:48.434000", "name":
|
1068
1306
|
"processing", "title": "Processing X12 transactions"}]}, {"units_of_work":
|
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|
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1, "name": "
|
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+
1, "name": "providers", "parameters": {"service_types": ["health_benefit_plan_coverage"],
|
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|
"trading_partner_id": "MOCKPAYER", "payer": {"id": "MOCKPAYER", "name": "Mockpayer
|
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|
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For Testing"}, "member": {"birth_date": "
|
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|
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"last_name": "
|
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|
-
"correlation_id": "
|
1074
|
-
"provider": {"first_name": "
|
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|
+
For Testing"}, "member": {"birth_date": "1986-09-19", "first_name": "Kobe",
|
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|
+
"last_name": "Konopelski", "plan_start_date": "2013-08-10", "id": "966447696"},
|
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|
+
"correlation_id": "2e063c46-c744-4a58-81d2-7eed19707545", "client_id": "7x7nRAotGfxHfy7Llfl3",
|
1312
|
+
"provider": {"first_name": "Dasia", "last_name": "Jones", "npi": "9845281621"},
|
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|
"async": false, "transaction_code": "request"}, "state": {"name": "completed",
|
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|
"title": "Completed"}, "result": {"service_types": ["professional_physician_visit_office"],
|
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|
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"client_id": "
|
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|
-
"MOCK PAYER INC"}, "subscriber": {"birth_date": "
|
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|
-
"
|
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|
+
"client_id": "7x7nRAotGfxHfy7Llfl3", "payer": {"id": "MOCKPAYER", "name":
|
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"MOCK PAYER INC"}, "subscriber": {"birth_date": "1986-09-19", "first_name":
|
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"Kobe", "last_name": "Konopelski", "id": "966447696", "address": {"city":
|
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"SPARTANBURG", "state": "SC", "zipcode": "29307", "address_lines": ["123 MAIN
|
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ST"]}}, "correlation_id": "
|
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-
"MOCKPAYER", "provider": {"first_name": "
|
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"npi": "
|
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+
ST"]}}, "correlation_id": "2e063c46-c744-4a58-81d2-7eed19707545", "trading_partner_id":
|
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|
+
"MOCKPAYER", "provider": {"first_name": "Dasia", "last_name": "Dasia Jones",
|
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"npi": "9845281621"}, "coverage": {"service_types": ["professional_physician_visit_office"],
|
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"group_number": "088818801000013", "out_of_pocket": [{"in_plan_network": "yes",
|
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"benefit_amount": {"currency": "USD", "amount": "3000"}, "coverage_level":
|
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"individual"}, {"in_plan_network": "yes", "benefit_amount": {"currency": "USD",
|
@@ -1141,41 +1379,40 @@ http_interactions:
|
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|
CARE VST,COINS APPLIES TO OUT OF POCKET"}], "in_plan_network": "no"}], "group_description":
|
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|
"MOCK INDIVIDUAL ADVANTAGE PLAN", "plan_number": "0888188", "service_date":
|
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"2013-08-10"}, "valid_request": true}, "trading_partner_id": "MOCKPAYER",
|
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"id": "
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-
"wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-
|
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"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-
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"id": "53cdaaa056c02c1cdb7a40c4", "transition_path": ["generate", "transmit",
|
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"wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-22T00:04:48.450000",
|
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"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-22T00:04:48.466000",
|
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"name": "generating", "title": "Generating X12 transactions"}, {"record_dt":
|
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"2014-07-
|
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-
transactions to Trading Partner"}, {"record_dt": "2014-07-
|
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"2014-07-22T00:04:48.467000", "name": "transmitting", "title": "Transmitting
|
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transactions to Trading Partner"}, {"record_dt": "2014-07-22T00:04:48.469000",
|
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"name": "waiting", "title": "Waiting on Trading Partner Response"}, {"record_dt":
|
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"2014-07-
|
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from Trading Partner"}, {"record_dt": "2014-07-
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"2014-07-22T00:04:48.471000", "name": "receiving", "title": "Receiving transactions
|
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from Trading Partner"}, {"record_dt": "2014-07-22T00:04:48.533000", "name":
|
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|
"processing", "title": "Processing X12 transactions"}]}, {"units_of_work":
|
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|
1, "name": "insurance_prices", "parameters": {"service_types": ["health_benefit_plan_coverage"],
|
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|
"trading_partner_id": "MOCKPAYER", "payer": {"id": "MOCKPAYER", "name": "Mockpayer
|
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-
For Testing"}, "member": {"birth_date": "
|
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"last_name": "
|
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-
"correlation_id": "
|
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|
-
"provider": {"first_name": "
|
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For Testing"}, "member": {"birth_date": "1983-03-07", "first_name": "Rodger",
|
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|
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"last_name": "Koss", "plan_start_date": "2013-08-10", "id": "190345307"},
|
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"correlation_id": "b886a354-28a5-4dd7-a645-7bd1e6c1b09b", "client_id": "7x7nRAotGfxHfy7Llfl3",
|
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|
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"provider": {"first_name": "Reed", "last_name": "O''Keefe", "npi": "0228483630"},
|
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|
"async": false, "transaction_code": "request"}, "state": {"name": "completed",
|
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"title": "Completed"}, "result": {"service_types": ["professional_physician_visit_office"],
|
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"client_id": "
|
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"MOCK PAYER INC"}, "subscriber": {"birth_date": "
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"
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"
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{"
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"
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"benefit_amount": {"currency": "USD", "amount": "12483.57"}, "coverage_level":
|
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+
"client_id": "7x7nRAotGfxHfy7Llfl3", "payer": {"id": "MOCKPAYER", "name":
|
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"MOCK PAYER INC"}, "subscriber": {"birth_date": "1983-03-07", "first_name":
|
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"Rodger", "last_name": "Koss", "id": "190345307", "address": {"city": "SPARTANBURG",
|
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"state": "SC", "zipcode": "29307", "address_lines": ["123 MAIN ST"]}}, "correlation_id":
|
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"b886a354-28a5-4dd7-a645-7bd1e6c1b09b", "trading_partner_id": "MOCKPAYER",
|
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"provider": {"first_name": "Reed", "last_name": "Reed O''Keefe", "npi": "0228483630"},
|
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"coverage": {"service_types": ["professional_physician_visit_office"], "group_number":
|
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"088818801000013", "out_of_pocket": [{"in_plan_network": "yes", "benefit_amount":
|
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{"currency": "USD", "amount": "3000"}, "coverage_level": "individual"}, {"in_plan_network":
|
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"yes", "benefit_amount": {"currency": "USD", "amount": "2983.57"}, "coverage_level":
|
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"individual", "time_period": "remaining"}, {"in_plan_network": "yes", "benefit_amount":
|
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{"currency": "USD", "amount": "6000"}, "coverage_level": "family"}, {"in_plan_network":
|
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|
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"yes", "benefit_amount": {"currency": "USD", "amount": "5956.09"}, "coverage_level":
|
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+
"family", "time_period": "remaining"}, {"in_plan_network": "no", "benefit_amount":
|
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|
+
{"currency": "USD", "amount": "12500"}, "coverage_level": "individual"}, {"in_plan_network":
|
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"no", "benefit_amount": {"currency": "USD", "amount": "12483.57"}, "coverage_level":
|
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|
"individual", "time_period": "remaining"}, {"in_plan_network": "no", "benefit_amount":
|
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|
{"currency": "USD", "amount": "25000"}, "coverage_level": "family"}, {"in_plan_network":
|
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"no", "benefit_amount": {"currency": "USD", "amount": "24956.09"}, "coverage_level":
|
@@ -1226,37 +1463,31 @@ http_interactions:
|
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|
CARE VST,COINS APPLIES TO OUT OF POCKET"}], "in_plan_network": "no"}], "group_description":
|
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|
"MOCK INDIVIDUAL ADVANTAGE PLAN", "plan_number": "0888188", "service_date":
|
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"2013-08-10"}, "valid_request": true}, "trading_partner_id": "MOCKPAYER",
|
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"id": "
|
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"wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-
|
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"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-
|
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"id": "53cdaaa056c02c1cdb7a40c7", "transition_path": ["generate", "transmit",
|
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"wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-22T00:04:48.551000",
|
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"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-22T00:04:48.572000",
|
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|
"name": "generating", "title": "Generating X12 transactions"}, {"record_dt":
|
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"2014-07-
|
1234
|
-
transactions to Trading Partner"}, {"record_dt": "2014-07-
|
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"2014-07-22T00:04:48.573000", "name": "transmitting", "title": "Transmitting
|
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|
+
transactions to Trading Partner"}, {"record_dt": "2014-07-22T00:04:48.575000",
|
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"name": "waiting", "title": "Waiting on Trading Partner Response"}, {"record_dt":
|
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"2014-07-
|
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-
from Trading Partner"}, {"record_dt": "2014-07-
|
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"2014-07-22T00:04:48.578000", "name": "receiving", "title": "Receiving transactions
|
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|
+
from Trading Partner"}, {"record_dt": "2014-07-22T00:04:48.645000", "name":
|
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|
"processing", "title": "Processing X12 transactions"}]}, {"units_of_work":
|
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|
-
1, "name": "prices", "parameters": {"cpt_code": "12345", "zip_code": "75201"},
|
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|
-
"state": {"name": "completed", "title": "Completed"}, "trading_partner_id":
|
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-
"PokitDok", "id": "53bc1b9b56c02c08ce81adfd", "transition_path": ["process",
|
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-
"complete"], "history": [{"record_dt": "2014-07-08T16:26:03.008000", "name":
|
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"init", "title": "Initializing"}, {"record_dt": "2014-07-08T16:26:03.009000",
|
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"name": "processing", "title": "Processing X12 transactions"}]}, {"units_of_work":
|
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1, "name": "providers", "parameters": {"service_types": ["health_benefit_plan_coverage"],
|
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|
"trading_partner_id": "MOCKPAYER", "payer": {"id": "MOCKPAYER", "name": "Mockpayer
|
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|
-
For Testing"}, "member": {"birth_date": "
|
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-
"last_name": "
|
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|
-
"correlation_id": "
|
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|
-
"provider": {"first_name": "
|
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|
+
For Testing"}, "member": {"birth_date": "1978-04-04", "first_name": "Gianni",
|
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|
+
"last_name": "Cassin", "plan_start_date": "2013-08-10", "id": "178975927"},
|
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"correlation_id": "fbca5ddc-0a37-483a-9fc9-4fd1ecc98715", "client_id": "7x7nRAotGfxHfy7Llfl3",
|
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+
"provider": {"first_name": "Margarete", "last_name": "Dicki", "npi": "7954513966"},
|
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|
"async": false, "transaction_code": "request"}, "state": {"name": "completed",
|
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"title": "Completed"}, "result": {"service_types": ["professional_physician_visit_office"],
|
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"client_id": "
|
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"MOCK PAYER INC"}, "subscriber": {"birth_date": "
|
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"
|
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"client_id": "7x7nRAotGfxHfy7Llfl3", "payer": {"id": "MOCKPAYER", "name":
|
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"MOCK PAYER INC"}, "subscriber": {"birth_date": "1978-04-04", "first_name":
|
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"Gianni", "last_name": "Cassin", "id": "178975927", "address": {"city": "SPARTANBURG",
|
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|
"state": "SC", "zipcode": "29307", "address_lines": ["123 MAIN ST"]}}, "correlation_id":
|
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"
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"provider": {"first_name": "
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"
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"fbca5ddc-0a37-483a-9fc9-4fd1ecc98715", "trading_partner_id": "MOCKPAYER",
|
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"provider": {"first_name": "Margarete", "last_name": "Margarete Dicki", "npi":
|
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"7954513966"}, "coverage": {"service_types": ["professional_physician_visit_office"],
|
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"group_number": "088818801000013", "out_of_pocket": [{"in_plan_network": "yes",
|
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"benefit_amount": {"currency": "USD", "amount": "3000"}, "coverage_level":
|
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|
@@ -1317,31 +1548,31 @@ http_interactions:
|
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|
CARE VST,COINS APPLIES TO OUT OF POCKET"}], "in_plan_network": "no"}], "group_description":
|
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|
"MOCK INDIVIDUAL ADVANTAGE PLAN", "plan_number": "0888188", "service_date":
|
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|
"2013-08-10"}, "valid_request": true}, "trading_partner_id": "MOCKPAYER",
|
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"id": "
|
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"wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-
|
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"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-
|
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"id": "53cdaaa056c02c1cdb7a40ca", "transition_path": ["generate", "transmit",
|
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+
"wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-22T00:04:48.660000",
|
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"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-22T00:04:48.675000",
|
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|
"name": "generating", "title": "Generating X12 transactions"}, {"record_dt":
|
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"2014-07-
|
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|
-
transactions to Trading Partner"}, {"record_dt": "2014-07-
|
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"2014-07-22T00:04:48.677000", "name": "transmitting", "title": "Transmitting
|
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|
+
transactions to Trading Partner"}, {"record_dt": "2014-07-22T00:04:48.679000",
|
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|
"name": "waiting", "title": "Waiting on Trading Partner Response"}, {"record_dt":
|
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"2014-07-
|
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-
from Trading Partner"}, {"record_dt": "2014-07-
|
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"2014-07-22T00:04:48.681000", "name": "receiving", "title": "Receiving transactions
|
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|
+
from Trading Partner"}, {"record_dt": "2014-07-22T00:04:48.741000", "name":
|
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|
"processing", "title": "Processing X12 transactions"}]}, {"units_of_work":
|
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-
1, "name": "
|
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1, "name": "pokitdok_api", "parameters": {"service_types": ["health_benefit_plan_coverage"],
|
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|
"trading_partner_id": "MOCKPAYER", "payer": {"id": "MOCKPAYER", "name": "Mockpayer
|
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For Testing"}, "member": {"birth_date": "
|
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"last_name": "
|
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-
"correlation_id": "
|
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|
-
"provider": {"first_name": "
|
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|
+
For Testing"}, "member": {"birth_date": "1984-01-19", "first_name": "Jaleel",
|
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|
+
"last_name": "Hilll", "plan_start_date": "2013-08-10", "id": "513952516"},
|
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+
"correlation_id": "4bd99d75-4db1-4546-8e87-baf2b3ab082a", "client_id": "7x7nRAotGfxHfy7Llfl3",
|
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|
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"provider": {"first_name": "Gerald", "last_name": "Lehner", "npi": "1126688385"},
|
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|
"async": false, "transaction_code": "request"}, "state": {"name": "completed",
|
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"title": "Completed"}, "result": {"service_types": ["professional_physician_visit_office"],
|
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"client_id": "
|
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-
"MOCK PAYER INC"}, "subscriber": {"birth_date": "
|
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"
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"
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"
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"client_id": "7x7nRAotGfxHfy7Llfl3", "payer": {"id": "MOCKPAYER", "name":
|
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|
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"MOCK PAYER INC"}, "subscriber": {"birth_date": "1984-01-19", "first_name":
|
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"Jaleel", "last_name": "Hilll", "id": "513952516", "address": {"city": "SPARTANBURG",
|
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|
+
"state": "SC", "zipcode": "29307", "address_lines": ["123 MAIN ST"]}}, "correlation_id":
|
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|
+
"4bd99d75-4db1-4546-8e87-baf2b3ab082a", "trading_partner_id": "MOCKPAYER",
|
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|
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"provider": {"first_name": "Gerald", "last_name": "Gerald Lehner", "npi":
|
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|
+
"1126688385"}, "coverage": {"service_types": ["professional_physician_visit_office"],
|
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|
"group_number": "088818801000013", "out_of_pocket": [{"in_plan_network": "yes",
|
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|
"benefit_amount": {"currency": "USD", "amount": "3000"}, "coverage_level":
|
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|
"individual"}, {"in_plan_network": "yes", "benefit_amount": {"currency": "USD",
|
@@ -1402,31 +1633,31 @@ http_interactions:
|
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|
CARE VST,COINS APPLIES TO OUT OF POCKET"}], "in_plan_network": "no"}], "group_description":
|
1403
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|
"MOCK INDIVIDUAL ADVANTAGE PLAN", "plan_number": "0888188", "service_date":
|
1404
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|
"2013-08-10"}, "valid_request": true}, "trading_partner_id": "MOCKPAYER",
|
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|
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"id": "
|
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|
-
"wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-
|
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|
-
"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-
|
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|
+
"id": "53cdaaa056c02c1cdb7a40cd", "transition_path": ["generate", "transmit",
|
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|
+
"wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-22T00:04:48.755000",
|
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|
+
"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-22T00:04:48.770000",
|
1408
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|
"name": "generating", "title": "Generating X12 transactions"}, {"record_dt":
|
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|
-
"2014-07-
|
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|
-
transactions to Trading Partner"}, {"record_dt": "2014-07-
|
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|
+
"2014-07-22T00:04:48.772000", "name": "transmitting", "title": "Transmitting
|
1641
|
+
transactions to Trading Partner"}, {"record_dt": "2014-07-22T00:04:48.773000",
|
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|
"name": "waiting", "title": "Waiting on Trading Partner Response"}, {"record_dt":
|
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|
-
"2014-07-
|
1413
|
-
from Trading Partner"}, {"record_dt": "2014-07-
|
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|
+
"2014-07-22T00:04:48.774000", "name": "receiving", "title": "Receiving transactions
|
1644
|
+
from Trading Partner"}, {"record_dt": "2014-07-22T00:04:48.830000", "name":
|
1414
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|
"processing", "title": "Processing X12 transactions"}]}, {"units_of_work":
|
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|
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1, "name": "
|
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|
+
1, "name": "pokitdok_api", "parameters": {"service_types": ["health_benefit_plan_coverage"],
|
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|
"trading_partner_id": "MOCKPAYER", "payer": {"id": "MOCKPAYER", "name": "Mockpayer
|
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|
-
For Testing"}, "member": {"birth_date": "
|
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|
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"last_name": "
|
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|
-
"correlation_id": "
|
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|
-
"provider": {"first_name": "
|
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|
+
For Testing"}, "member": {"birth_date": "1977-01-12", "first_name": "Lorine",
|
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|
+
"last_name": "Nolan", "plan_start_date": "2013-08-10", "id": "152238613"},
|
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|
+
"correlation_id": "6a5571a2-7ee3-4cfd-bcc5-ea0c945140fe", "client_id": "7x7nRAotGfxHfy7Llfl3",
|
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+
"provider": {"first_name": "Humberto", "last_name": "Casper", "npi": "6223440922"},
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"async": false, "transaction_code": "request"}, "state": {"name": "completed",
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"title": "Completed"}, "result": {"service_types": ["professional_physician_visit_office"],
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"client_id": "
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"MOCK PAYER INC"}, "subscriber": {"birth_date": "
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"
|
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+
"client_id": "7x7nRAotGfxHfy7Llfl3", "payer": {"id": "MOCKPAYER", "name":
|
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+
"MOCK PAYER INC"}, "subscriber": {"birth_date": "1977-01-12", "first_name":
|
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+
"Lorine", "last_name": "Nolan", "id": "152238613", "address": {"city": "SPARTANBURG",
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"state": "SC", "zipcode": "29307", "address_lines": ["123 MAIN ST"]}}, "correlation_id":
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"
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"provider": {"first_name": "
|
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"
|
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"6a5571a2-7ee3-4cfd-bcc5-ea0c945140fe", "trading_partner_id": "MOCKPAYER",
|
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+
"provider": {"first_name": "Humberto", "last_name": "Humberto Casper", "npi":
|
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"6223440922"}, "coverage": {"service_types": ["professional_physician_visit_office"],
|
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"group_number": "088818801000013", "out_of_pocket": [{"in_plan_network": "yes",
|
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"benefit_amount": {"currency": "USD", "amount": "3000"}, "coverage_level":
|
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"individual"}, {"in_plan_network": "yes", "benefit_amount": {"currency": "USD",
|
@@ -1487,16 +1718,16 @@ http_interactions:
|
|
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CARE VST,COINS APPLIES TO OUT OF POCKET"}], "in_plan_network": "no"}], "group_description":
|
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"MOCK INDIVIDUAL ADVANTAGE PLAN", "plan_number": "0888188", "service_date":
|
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"2013-08-10"}, "valid_request": true}, "trading_partner_id": "MOCKPAYER",
|
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"id": "
|
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-
"wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-
|
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"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-
|
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+
"id": "53cdaaa056c02c1cdb7a40d0", "transition_path": ["generate", "transmit",
|
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+
"wait", "receive", "process", "complete"], "history": [{"record_dt": "2014-07-22T00:04:48.844000",
|
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+
"name": "init", "title": "Initializing"}, {"record_dt": "2014-07-22T00:04:48.867000",
|
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"name": "generating", "title": "Generating X12 transactions"}, {"record_dt":
|
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-
"2014-07-
|
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-
transactions to Trading Partner"}, {"record_dt": "2014-07-
|
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+
"2014-07-22T00:04:48.869000", "name": "transmitting", "title": "Transmitting
|
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+
transactions to Trading Partner"}, {"record_dt": "2014-07-22T00:04:48.870000",
|
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"name": "waiting", "title": "Waiting on Trading Partner Response"}, {"record_dt":
|
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"2014-07-
|
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from Trading Partner"}, {"record_dt": "2014-07-
|
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"2014-07-22T00:04:48.871000", "name": "receiving", "title": "Receiving transactions
|
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+
from Trading Partner"}, {"record_dt": "2014-07-22T00:04:48.930000", "name":
|
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|
"processing", "title": "Processing X12 transactions"}]}]}'
|
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http_version:
|
1501
|
-
recorded_at: Tue,
|
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+
recorded_at: Tue, 05 Aug 2014 18:22:47 GMT
|
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|
recorded_with: VCR 2.9.2
|