stupidedi 1.1.0
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- data/README.md +215 -0
- data/Rakefile +108 -0
- data/bin/edi-ed +71 -0
- data/bin/edi-pp +81 -0
- data/doc/Defining.md +0 -0
- data/doc/Generating.md +321 -0
- data/doc/LICENSE.md +0 -0
- data/doc/Navigating.md +645 -0
- data/doc/Parsing.md +0 -0
- data/doc/Serializing.md +7 -0
- data/doc/Tokenizing.md +0 -0
- data/doc/Validating.md +0 -0
- data/doc/design/Parser.md +0 -0
- data/doc/design/Reader.md +0 -0
- data/lib/ruby/array.rb +164 -0
- data/lib/ruby/blank.rb +67 -0
- data/lib/ruby/enumerable.rb +35 -0
- data/lib/ruby/exception.rb +33 -0
- data/lib/ruby/hash.rb +4 -0
- data/lib/ruby/instance_exec.rb +26 -0
- data/lib/ruby/module.rb +79 -0
- data/lib/ruby/object.rb +63 -0
- data/lib/ruby/string.rb +73 -0
- data/lib/ruby/symbol.rb +24 -0
- data/lib/ruby/to_d.rb +81 -0
- data/lib/ruby/to_date.rb +33 -0
- data/lib/ruby/to_time.rb +24 -0
- data/lib/ruby/try.rb +43 -0
- data/lib/stupidedi/blank_slate.rb +11 -0
- data/lib/stupidedi/builder/builder_dsl.rb +281 -0
- data/lib/stupidedi/builder/constraint_table.rb +418 -0
- data/lib/stupidedi/builder/generation.rb +112 -0
- data/lib/stupidedi/builder/instruction.rb +102 -0
- data/lib/stupidedi/builder/instruction_table.rb +204 -0
- data/lib/stupidedi/builder/navigation.rb +655 -0
- data/lib/stupidedi/builder/state_machine.rb +55 -0
- data/lib/stupidedi/builder/states/abstract_state.rb +332 -0
- data/lib/stupidedi/builder/states/failure_state.rb +69 -0
- data/lib/stupidedi/builder/states/functional_group_state.rb +97 -0
- data/lib/stupidedi/builder/states/initial_state.rb +63 -0
- data/lib/stupidedi/builder/states/interchange_state.rb +94 -0
- data/lib/stupidedi/builder/states/loop_state.rb +79 -0
- data/lib/stupidedi/builder/states/table_state.rb +96 -0
- data/lib/stupidedi/builder/states/transaction_set_state.rb +112 -0
- data/lib/stupidedi/builder/states/transmission_state.rb +59 -0
- data/lib/stupidedi/builder/tokenization.rb +196 -0
- data/lib/stupidedi/builder.rb +23 -0
- data/lib/stupidedi/color.rb +93 -0
- data/lib/stupidedi/config/code_list_config.rb +42 -0
- data/lib/stupidedi/config/editor_config.rb +51 -0
- data/lib/stupidedi/config/functional_group_config.rb +62 -0
- data/lib/stupidedi/config/interchange_config.rb +79 -0
- data/lib/stupidedi/config/transaction_set_config.rb +91 -0
- data/lib/stupidedi/config.rb +101 -0
- data/lib/stupidedi/editor/00501.rb +341 -0
- data/lib/stupidedi/editor/005010/N2.rb +0 -0
- data/lib/stupidedi/editor/005010/N3.rb +0 -0
- data/lib/stupidedi/editor/005010/N4.rb +63 -0
- data/lib/stupidedi/editor/005010/NM1.rb +0 -0
- data/lib/stupidedi/editor/005010.rb +469 -0
- data/lib/stupidedi/editor/X222-HC837.rb +195 -0
- data/lib/stupidedi/editor/abstract_ed.rb +36 -0
- data/lib/stupidedi/editor/claim_ack.rb +9 -0
- data/lib/stupidedi/editor/implementation_ack.rb +213 -0
- data/lib/stupidedi/editor/interchange_ack.rb +9 -0
- data/lib/stupidedi/editor/result.rb +100 -0
- data/lib/stupidedi/editor/result_set.rb +69 -0
- data/lib/stupidedi/editor/transaction_set_ed.rb +275 -0
- data/lib/stupidedi/editor/transmission_ed.rb +90 -0
- data/lib/stupidedi/editor.rb +37 -0
- data/lib/stupidedi/either.rb +287 -0
- data/lib/stupidedi/exceptions/invalid_element_error.rb +8 -0
- data/lib/stupidedi/exceptions/invalid_schema_error.rb +8 -0
- data/lib/stupidedi/exceptions/output_error.rb +8 -0
- data/lib/stupidedi/exceptions/parse_error.rb +8 -0
- data/lib/stupidedi/exceptions/stupidedi_error.rb +8 -0
- data/lib/stupidedi/exceptions/tokenize_error.rb +8 -0
- data/lib/stupidedi/exceptions/zipper_error.rb +8 -0
- data/lib/stupidedi/exceptions.rb +11 -0
- data/lib/stupidedi/guides/005010/X214-HN277.rb +409 -0
- data/lib/stupidedi/guides/005010/X221-HP835.rb +613 -0
- data/lib/stupidedi/guides/005010/X221A1-HP835.rb +613 -0
- data/lib/stupidedi/guides/005010/X222-HC837P.rb +2291 -0
- data/lib/stupidedi/guides/005010/X222A1-HC837P.rb +2297 -0
- data/lib/stupidedi/guides/005010/X231-FA999.rb +123 -0
- data/lib/stupidedi/guides/005010/X231A1-FA999.rb +119 -0
- data/lib/stupidedi/guides/005010/element_reqs.rb +38 -0
- data/lib/stupidedi/guides/005010/guide_builder.rb +180 -0
- data/lib/stupidedi/guides/005010/segment_reqs.rb +32 -0
- data/lib/stupidedi/guides/005010.rb +64 -0
- data/lib/stupidedi/guides.rb +5 -0
- data/lib/stupidedi/inspect.rb +26 -0
- data/lib/stupidedi/reader/input/abstract_input.rb +133 -0
- data/lib/stupidedi/reader/input/delegated_input.rb +111 -0
- data/lib/stupidedi/reader/input/file_input.rb +155 -0
- data/lib/stupidedi/reader/input.rb +30 -0
- data/lib/stupidedi/reader/position.rb +69 -0
- data/lib/stupidedi/reader/result.rb +168 -0
- data/lib/stupidedi/reader/segment_dict.rb +175 -0
- data/lib/stupidedi/reader/separators.rb +85 -0
- data/lib/stupidedi/reader/stream_reader.rb +172 -0
- data/lib/stupidedi/reader/token_reader.rb +466 -0
- data/lib/stupidedi/reader/tokens/component_element_tok.rb +56 -0
- data/lib/stupidedi/reader/tokens/composite_element_tok.rb +64 -0
- data/lib/stupidedi/reader/tokens/repeated_element_tok.rb +64 -0
- data/lib/stupidedi/reader/tokens/segment_tok.rb +51 -0
- data/lib/stupidedi/reader/tokens/simple_element_tok.rb +63 -0
- data/lib/stupidedi/reader.rb +121 -0
- data/lib/stupidedi/schema/abstract_def.rb +74 -0
- data/lib/stupidedi/schema/abstract_use.rb +73 -0
- data/lib/stupidedi/schema/code_list.rb +94 -0
- data/lib/stupidedi/schema/element_def.rb +173 -0
- data/lib/stupidedi/schema/element_req.rb +56 -0
- data/lib/stupidedi/schema/element_use.rb +251 -0
- data/lib/stupidedi/schema/functional_group_def.rb +114 -0
- data/lib/stupidedi/schema/interchange_def.rb +93 -0
- data/lib/stupidedi/schema/loop_def.rb +152 -0
- data/lib/stupidedi/schema/repeat_count.rb +85 -0
- data/lib/stupidedi/schema/segment_def.rb +108 -0
- data/lib/stupidedi/schema/segment_req.rb +43 -0
- data/lib/stupidedi/schema/segment_use.rb +98 -0
- data/lib/stupidedi/schema/syntax_note.rb +63 -0
- data/lib/stupidedi/schema/table_def.rb +139 -0
- data/lib/stupidedi/schema/transaction_set_def.rb +88 -0
- data/lib/stupidedi/schema.rb +28 -0
- data/lib/stupidedi/sets/absolute_set.rb +297 -0
- data/lib/stupidedi/sets/abstract_set.rb +174 -0
- data/lib/stupidedi/sets/null_set.rb +125 -0
- data/lib/stupidedi/sets/relative_complement.rb +137 -0
- data/lib/stupidedi/sets/relative_set.rb +269 -0
- data/lib/stupidedi/sets/universal_set.rb +104 -0
- data/lib/stupidedi/sets.rb +57 -0
- data/lib/stupidedi/tail_call.rb +109 -0
- data/lib/stupidedi/thread_local.rb +174 -0
- data/lib/stupidedi/values/abstract_element_val.rb +19 -0
- data/lib/stupidedi/values/abstract_val.rb +130 -0
- data/lib/stupidedi/values/composite_element_val.rb +95 -0
- data/lib/stupidedi/values/functional_group_val.rb +102 -0
- data/lib/stupidedi/values/interchange_val.rb +86 -0
- data/lib/stupidedi/values/invalid_envelope_val.rb +61 -0
- data/lib/stupidedi/values/invalid_segment_val.rb +78 -0
- data/lib/stupidedi/values/loop_val.rb +70 -0
- data/lib/stupidedi/values/repeated_element_val.rb +105 -0
- data/lib/stupidedi/values/segment_val.rb +104 -0
- data/lib/stupidedi/values/segment_val_group.rb +20 -0
- data/lib/stupidedi/values/simple_element_val.rb +80 -0
- data/lib/stupidedi/values/table_val.rb +66 -0
- data/lib/stupidedi/values/transaction_set_val.rb +66 -0
- data/lib/stupidedi/values/transmission_val.rb +52 -0
- data/lib/stupidedi/values.rb +21 -0
- data/lib/stupidedi/version.rb +3 -0
- data/lib/stupidedi/versions/functional_groups/004010/element_defs.rb +54 -0
- data/lib/stupidedi/versions/functional_groups/004010/element_reqs.rb +18 -0
- data/lib/stupidedi/versions/functional_groups/004010/element_types/date_val.rb +527 -0
- data/lib/stupidedi/versions/functional_groups/004010/element_types/fixnum_val.rb +335 -0
- data/lib/stupidedi/versions/functional_groups/004010/element_types/float_val.rb +299 -0
- data/lib/stupidedi/versions/functional_groups/004010/element_types/identifier_val.rb +287 -0
- data/lib/stupidedi/versions/functional_groups/004010/element_types/string_val.rb +338 -0
- data/lib/stupidedi/versions/functional_groups/004010/element_types/time_val.rb +309 -0
- data/lib/stupidedi/versions/functional_groups/004010/element_types.rb +124 -0
- data/lib/stupidedi/versions/functional_groups/004010/functional_group_def.rb +30 -0
- data/lib/stupidedi/versions/functional_groups/004010/segment_defs/GE.rb +20 -0
- data/lib/stupidedi/versions/functional_groups/004010/segment_defs/GS.rb +27 -0
- data/lib/stupidedi/versions/functional_groups/004010/segment_defs/SE.rb +20 -0
- data/lib/stupidedi/versions/functional_groups/004010/segment_defs/ST.rb +20 -0
- data/lib/stupidedi/versions/functional_groups/004010/segment_defs.rb +23 -0
- data/lib/stupidedi/versions/functional_groups/004010/segment_reqs.rb +18 -0
- data/lib/stupidedi/versions/functional_groups/004010/syntax_notes.rb +174 -0
- data/lib/stupidedi/versions/functional_groups/004010.rb +38 -0
- data/lib/stupidedi/versions/functional_groups/005010/element_defs.rb +1405 -0
- data/lib/stupidedi/versions/functional_groups/005010/element_reqs.rb +18 -0
- data/lib/stupidedi/versions/functional_groups/005010/element_types/date_val.rb +577 -0
- data/lib/stupidedi/versions/functional_groups/005010/element_types/fixnum_val.rb +322 -0
- data/lib/stupidedi/versions/functional_groups/005010/element_types/float_val.rb +354 -0
- data/lib/stupidedi/versions/functional_groups/005010/element_types/identifier_val.rb +368 -0
- data/lib/stupidedi/versions/functional_groups/005010/element_types/operators.rb +117 -0
- data/lib/stupidedi/versions/functional_groups/005010/element_types/string_val.rb +398 -0
- data/lib/stupidedi/versions/functional_groups/005010/element_types/time_val.rb +327 -0
- data/lib/stupidedi/versions/functional_groups/005010/element_types.rb +132 -0
- data/lib/stupidedi/versions/functional_groups/005010/functional_group_def.rb +30 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/AK1.rb +21 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/AK2.rb +21 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/AK9.rb +28 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/AMT.rb +21 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/BHT.rb +24 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/BPR.rb +49 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/CAS.rb +56 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/CL1.rb +22 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/CLM.rb +41 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/CLP.rb +34 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/CN1.rb +24 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/CR1.rb +32 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/CR2.rb +35 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/CR3.rb +25 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/CRC.rb +26 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/CTP.rb +36 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/CTX.rb +24 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/CUR.rb +57 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/DMG.rb +34 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/DN1.rb +22 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/DN2.rb +24 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/DTM.rb +24 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/DTP.rb +21 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/FRM.rb +25 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/GE.rb +20 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/GS.rb +27 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/HCP.rb +39 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/HI.rb +31 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/HL.rb +22 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/IK3.rb +22 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/IK4.rb +22 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/IK5.rb +24 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/K3.rb +21 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/LIN.rb +69 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/LQ.rb +22 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/LX.rb +19 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/MEA.rb +39 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/MIA.rb +45 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/MOA.rb +28 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/N1.rb +24 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/N2.rb +20 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/N3.rb +20 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/N4.rb +30 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/NM1.rb +35 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/NTE.rb +20 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/OI.rb +24 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/PAT.rb +31 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/PER.rb +32 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/PLB.rb +40 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/PRV.rb +26 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/PS1.rb +21 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/PWK.rb +30 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/QTY.rb +25 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/RDM.rb +23 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/REF.rb +23 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/SBR.rb +28 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/SE.rb +20 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/ST.rb +21 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/STC.rb +30 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/SV1.rb +44 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/SV2.rb +29 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/SV3.rb +30 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/SV5.rb +29 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/SVC.rb +26 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/SVD.rb +24 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/TOO.rb +21 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/TRN.rb +22 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/TS2.rb +40 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs/TS3.rb +45 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_defs.rb +227 -0
- data/lib/stupidedi/versions/functional_groups/005010/segment_reqs.rb +18 -0
- data/lib/stupidedi/versions/functional_groups/005010/syntax_notes.rb +165 -0
- data/lib/stupidedi/versions/functional_groups/005010/transaction_set_defs/FA999.rb +38 -0
- data/lib/stupidedi/versions/functional_groups/005010/transaction_set_defs/HB271.rb +85 -0
- data/lib/stupidedi/versions/functional_groups/005010/transaction_set_defs/HC837.rb +163 -0
- data/lib/stupidedi/versions/functional_groups/005010/transaction_set_defs/HI278.rb +64 -0
- data/lib/stupidedi/versions/functional_groups/005010/transaction_set_defs/HN277.rb +74 -0
- data/lib/stupidedi/versions/functional_groups/005010/transaction_set_defs/HP835.rb +68 -0
- data/lib/stupidedi/versions/functional_groups/005010/transaction_set_defs/HR276.rb +57 -0
- data/lib/stupidedi/versions/functional_groups/005010/transaction_set_defs/HS270.rb +53 -0
- data/lib/stupidedi/versions/functional_groups/005010/transaction_set_defs/RA820.rb +240 -0
- data/lib/stupidedi/versions/functional_groups/005010/transaction_set_defs.rb +68 -0
- data/lib/stupidedi/versions/functional_groups/005010.rb +38 -0
- data/lib/stupidedi/versions/functional_groups.rb +8 -0
- data/lib/stupidedi/versions/interchanges/00401/element_defs.rb +224 -0
- data/lib/stupidedi/versions/interchanges/00401/interchange_def.rb +45 -0
- data/lib/stupidedi/versions/interchanges/00401/segment_defs/IEA.rb +20 -0
- data/lib/stupidedi/versions/interchanges/00401/segment_defs/ISA.rb +34 -0
- data/lib/stupidedi/versions/interchanges/00401/segment_defs/TA1.rb +23 -0
- data/lib/stupidedi/versions/interchanges/00401/segment_defs.rb +28 -0
- data/lib/stupidedi/versions/interchanges/00401.rb +23 -0
- data/lib/stupidedi/versions/interchanges/00501/element_defs.rb +269 -0
- data/lib/stupidedi/versions/interchanges/00501/interchange_def.rb +47 -0
- data/lib/stupidedi/versions/interchanges/00501/segment_defs/IEA.rb +20 -0
- data/lib/stupidedi/versions/interchanges/00501/segment_defs/ISA.rb +34 -0
- data/lib/stupidedi/versions/interchanges/00501/segment_defs/ISB.rb +18 -0
- data/lib/stupidedi/versions/interchanges/00501/segment_defs/ISE.rb +18 -0
- data/lib/stupidedi/versions/interchanges/00501/segment_defs/TA1.rb +23 -0
- data/lib/stupidedi/versions/interchanges/00501/segment_defs/TA3.rb +18 -0
- data/lib/stupidedi/versions/interchanges/00501/segment_defs.rb +37 -0
- data/lib/stupidedi/versions/interchanges/00501.rb +23 -0
- data/lib/stupidedi/versions/interchanges.rb +8 -0
- data/lib/stupidedi/versions.rb +6 -0
- data/lib/stupidedi/writer/claredi.rb +142 -0
- data/lib/stupidedi/writer/default.rb +124 -0
- data/lib/stupidedi/writer.rb +6 -0
- data/lib/stupidedi/zipper/abstract_cursor.rb +351 -0
- data/lib/stupidedi/zipper/dangling_cursor.rb +103 -0
- data/lib/stupidedi/zipper/edited_cursor.rb +157 -0
- data/lib/stupidedi/zipper/memoized_cursor.rb +131 -0
- data/lib/stupidedi/zipper/path.rb +124 -0
- data/lib/stupidedi/zipper/root_cursor.rb +120 -0
- data/lib/stupidedi/zipper.rb +25 -0
- data/lib/stupidedi.rb +66 -0
- data/spec/examples/integration/generating.example +551 -0
- data/spec/examples/integration/navigating.example +214 -0
- data/spec/examples/integration/parsing.example +445 -0
- data/spec/examples/ruby/array.example +476 -0
- data/spec/examples/ruby/blank.example +62 -0
- data/spec/examples/ruby/count.example +68 -0
- data/spec/examples/ruby/object.example +99 -0
- data/spec/examples/ruby/string.example +111 -0
- data/spec/examples/ruby/symbol.example +117 -0
- data/spec/examples/ruby/to_d.example +90 -0
- data/spec/examples/ruby/try.example +50 -0
- data/spec/examples/stupidedi/either.example +375 -0
- data/spec/examples/stupidedi/reader/failure.example +68 -0
- data/spec/examples/stupidedi/reader/input/delegated_input.example +292 -0
- data/spec/examples/stupidedi/reader/separators.example +73 -0
- data/spec/examples/stupidedi/reader/stream_reader.example +48 -0
- data/spec/examples/stupidedi/reader/success.example +34 -0
- data/spec/examples/stupidedi/reader/token_reader.example +775 -0
- data/spec/examples/stupidedi/reader.example +168 -0
- data/spec/examples/stupidedi/sets/absolute_set.example +1577 -0
- data/spec/examples/stupidedi/sets/null_set.example +2 -0
- data/spec/examples/stupidedi/sets/relative_set.example +2 -0
- data/spec/examples/stupidedi/sets/universal_set.example +1 -0
- data/spec/examples/stupidedi/versions/005010/element_types/an.example +201 -0
- data/spec/examples/stupidedi/versions/005010/element_types/dt.example +258 -0
- data/spec/examples/stupidedi/versions/005010/element_types/id.example +192 -0
- data/spec/examples/stupidedi/versions/005010/element_types/nn.example +177 -0
- data/spec/examples/stupidedi/versions/005010/element_types/r.example +178 -0
- data/spec/examples/stupidedi/versions/005010/element_types/tm.example +2 -0
- data/spec/examples/stupidedi/zipper/abstract_cursor.example +417 -0
- data/spec/examples/stupidedi/zipper.example +9 -0
- data/spec/fixtures/X186-AG824/1-bad.txt +21 -0
- data/spec/fixtures/X186-AG824/1-good.txt +17 -0
- data/spec/fixtures/X186-AG824/2-bad.txt +26 -0
- data/spec/fixtures/X186-AG824/2-good.txt +21 -0
- data/spec/fixtures/X186-AG824/3-bad.txt +87 -0
- data/spec/fixtures/X186-AG824/3-good.txt +61 -0
- data/spec/fixtures/X212-HN277/1-bad.txt +54 -0
- data/spec/fixtures/X212-HN277/1-good.txt +46 -0
- data/spec/fixtures/X212-HN277/2-bad.txt +37 -0
- data/spec/fixtures/X212-HN277/2-good.txt +29 -0
- data/spec/fixtures/X212-HN277/3-bad.txt +22 -0
- data/spec/fixtures/X212-HN277/3-good.txt +17 -0
- data/spec/fixtures/X212-HN277/4-bad.txt +30 -0
- data/spec/fixtures/X212-HN277/4-good.txt +24 -0
- data/spec/fixtures/X212-HR276/1-bad.txt +53 -0
- data/spec/fixtures/X212-HR276/1-good.txt +46 -0
- data/spec/fixtures/X212-HR276/2-bad.txt +45 -0
- data/spec/fixtures/X212-HR276/2-good.txt +38 -0
- data/spec/fixtures/X212-HR276/3-bad.txt +32 -0
- data/spec/fixtures/X212-HR276/3-good.txt +26 -0
- data/spec/fixtures/X212-HR276/4-bad.txt +32 -0
- data/spec/fixtures/X212-HR276/4-good.txt +26 -0
- data/spec/fixtures/X214-HN277/1-bad.txt +58 -0
- data/spec/fixtures/X214-HN277/1-good.txt +47 -0
- data/spec/fixtures/X214-HN277/2-bad.txt +34 -0
- data/spec/fixtures/X214-HN277/2-good.txt +22 -0
- data/spec/fixtures/X214-HN277/3-bad.txt +64 -0
- data/spec/fixtures/X214-HN277/3-good.txt +54 -0
- data/spec/fixtures/X214-HN277/4-bad.txt +77 -0
- data/spec/fixtures/X214-HN277/4-good.txt +63 -0
- data/spec/fixtures/X216-HI278/1-bad.txt +42 -0
- data/spec/fixtures/X216-HI278/1-good.txt +27 -0
- data/spec/fixtures/X216-HI278/2-bad.txt +43 -0
- data/spec/fixtures/X216-HI278/2-good.txt +29 -0
- data/spec/fixtures/X217-HI278/Sample_278_Request_5010X217-1.txt +24 -0
- data/spec/fixtures/X217-HI278/Sample_278_Request_5010X217-1_Clean.txt +20 -0
- data/spec/fixtures/X217-HI278/Sample_278_Request_5010X217-2.txt +46 -0
- data/spec/fixtures/X217-HI278/Sample_278_Request_5010X217-2_Clean.txt +30 -0
- data/spec/fixtures/X217-HI278/Sample_278_Request_5010X217-3.txt +38 -0
- data/spec/fixtures/X217-HI278/Sample_278_Request_5010X217-3_Clean.txt +24 -0
- data/spec/fixtures/X217-HI278/Sample_278_Request_5010X217-4a.txt +39 -0
- data/spec/fixtures/X217-HI278/Sample_278_Request_5010X217-4a_Clean.txt +24 -0
- data/spec/fixtures/X217-HI278/Sample_278_Request_5010X217-4b.txt +43 -0
- data/spec/fixtures/X217-HI278/Sample_278_Request_5010X217-4b_Clean.txt +25 -0
- data/spec/fixtures/X217-HI278/Sample_278_Request_5010X217-5.txt +63 -0
- data/spec/fixtures/X217-HI278/Sample_278_Request_5010X217-5_Clean.txt +41 -0
- data/spec/fixtures/X217-HI278/Sample_278_Request_5010X217-6.txt +36 -0
- data/spec/fixtures/X217-HI278/Sample_278_Request_5010X217-6_Clean.txt +20 -0
- data/spec/fixtures/X217-HI278/Sample_278_Response_5010X217-1r.txt +34 -0
- data/spec/fixtures/X217-HI278/Sample_278_Response_5010X217-1r_Clean.txt +23 -0
- data/spec/fixtures/X217-HI278/Sample_278_Response_5010X217-2r.txt +46 -0
- data/spec/fixtures/X217-HI278/Sample_278_Response_5010X217-2r_Clean.txt +31 -0
- data/spec/fixtures/X217-HI278/Sample_278_Response_5010X217-3r.txt +44 -0
- data/spec/fixtures/X217-HI278/Sample_278_Response_5010X217-3r_Clean.txt +26 -0
- data/spec/fixtures/X217-HI278/Sample_278_Response_5010X217-4ar_Clean.txt +28 -0
- data/spec/fixtures/X217-HI278/Sample_278_Response_5010X217-4br_Clean.txt +35 -0
- data/spec/fixtures/X217-HI278/Sample_278_Response_5010X217-5r.txt +60 -0
- data/spec/fixtures/X217-HI278/Sample_278_Response_5010X217-5r_Clean.txt +42 -0
- data/spec/fixtures/X217-HI278/Sample_278_Response_5010X217-6r.txt +40 -0
- data/spec/fixtures/X217-HI278/Sample_278_Response_5010X217-6r_Clean.txt +24 -0
- data/spec/fixtures/X218-RA820/1-bad.txt +31 -0
- data/spec/fixtures/X218-RA820/1-good.txt +25 -0
- data/spec/fixtures/X218-RA820/2-bad.txt +37 -0
- data/spec/fixtures/X218-RA820/2-good.txt +29 -0
- data/spec/fixtures/X218-RA820/3-bad.txt +29 -0
- data/spec/fixtures/X218-RA820/3-good.txt +23 -0
- data/spec/fixtures/X218-RA820/4-bad.txt +36 -0
- data/spec/fixtures/X218-RA820/4-good.txt +27 -0
- data/spec/fixtures/X220-BE834/1-bad.txt +35 -0
- data/spec/fixtures/X220-BE834/1-good.txt +29 -0
- data/spec/fixtures/X220-BE834/10-bad.txt +26 -0
- data/spec/fixtures/X220-BE834/10-good.txt +19 -0
- data/spec/fixtures/X220-BE834/2-bad.txt +31 -0
- data/spec/fixtures/X220-BE834/2-good.txt +23 -0
- data/spec/fixtures/X220-BE834/3-bad.txt +36 -0
- data/spec/fixtures/X220-BE834/3-good.txt +26 -0
- data/spec/fixtures/X220-BE834/4-bad.txt +27 -0
- data/spec/fixtures/X220-BE834/4-good.txt +21 -0
- data/spec/fixtures/X220-BE834/5-bad.txt +26 -0
- data/spec/fixtures/X220-BE834/5-good.txt +17 -0
- data/spec/fixtures/X220-BE834/6-bad.txt +25 -0
- data/spec/fixtures/X220-BE834/6-good.txt +20 -0
- data/spec/fixtures/X220-BE834/7-bad.txt +25 -0
- data/spec/fixtures/X220-BE834/7-good.txt +20 -0
- data/spec/fixtures/X220-BE834/8-bad.txt +25 -0
- data/spec/fixtures/X220-BE834/8-good.txt +20 -0
- data/spec/fixtures/X220-BE834/9-bad.txt +27 -0
- data/spec/fixtures/X220-BE834/9-good.txt +21 -0
- data/spec/fixtures/X221-HP835/1-bad.txt +58 -0
- data/spec/fixtures/X221-HP835/1-good.txt +40 -0
- data/spec/fixtures/X221-HP835/2-bad.txt +51 -0
- data/spec/fixtures/X221-HP835/2-good.txt +40 -0
- data/spec/fixtures/X221-HP835/3a-bad.txt +78 -0
- data/spec/fixtures/X221-HP835/3a-good.txt +49 -0
- data/spec/fixtures/X221-HP835/3b-bad.txt +60 -0
- data/spec/fixtures/X221-HP835/3b-good.txt +32 -0
- data/spec/fixtures/X221-HP835/3c-bad.txt +55 -0
- data/spec/fixtures/X221-HP835/3c-good.txt +34 -0
- data/spec/fixtures/X222-HC837/1-bad.txt +60 -0
- data/spec/fixtures/X222-HC837/1-good.txt +53 -0
- data/spec/fixtures/X222-HC837/10a-bad.txt +52 -0
- data/spec/fixtures/X222-HC837/10a-good.txt +40 -0
- data/spec/fixtures/X222-HC837/10b-bad.txt +99 -0
- data/spec/fixtures/X222-HC837/10b-good.txt +80 -0
- data/spec/fixtures/X222-HC837/10c-bad.txt +105 -0
- data/spec/fixtures/X222-HC837/10c-good.txt +80 -0
- data/spec/fixtures/X222-HC837/11-bad.txt +69 -0
- data/spec/fixtures/X222-HC837/11-good.txt +45 -0
- data/spec/fixtures/X222-HC837/12-bad.txt +73 -0
- data/spec/fixtures/X222-HC837/12-good.txt +51 -0
- data/spec/fixtures/X222-HC837/13-bad.txt +64 -0
- data/spec/fixtures/X222-HC837/13-good.txt +46 -0
- data/spec/fixtures/X222-HC837/3a-bad.txt +83 -0
- data/spec/fixtures/X222-HC837/3a-good.txt +59 -0
- data/spec/fixtures/X222-HC837/3b-bad.txt +97 -0
- data/spec/fixtures/X222-HC837/3b-good.txt +70 -0
- data/spec/fixtures/X222-HC837/3c-bad.txt +95 -0
- data/spec/fixtures/X222-HC837/3c-good.txt +74 -0
- data/spec/fixtures/X222-HC837/4-bad.txt +67 -0
- data/spec/fixtures/X222-HC837/4-good.txt +48 -0
- data/spec/fixtures/X222-HC837/5-bad.txt +73 -0
- data/spec/fixtures/X222-HC837/5-good.txt +60 -0
- data/spec/fixtures/X222-HC837/6-bad.txt +50 -0
- data/spec/fixtures/X222-HC837/6-good.txt +39 -0
- data/spec/fixtures/X222-HC837/7-bad.txt +93 -0
- data/spec/fixtures/X222-HC837/7-good.txt +78 -0
- data/spec/fixtures/X222-HC837/8-bad.txt +64 -0
- data/spec/fixtures/X222-HC837/8-good.txt +52 -0
- data/spec/fixtures/X222-HC837/9-bad.txt +56 -0
- data/spec/fixtures/X222-HC837/9-good.txt +38 -0
- data/spec/fixtures/X223-HC837/1-bad.txt +66 -0
- data/spec/fixtures/X223-HC837/1-good.txt +53 -0
- data/spec/fixtures/X223-HC837/2-bad.txt +69 -0
- data/spec/fixtures/X223-HC837/2-good.txt +60 -0
- data/spec/fixtures/X223-HC837/3-bad.txt +89 -0
- data/spec/fixtures/X223-HC837/3-good.txt +61 -0
- data/spec/fixtures/X223-HC837/4-bad.txt +60 -0
- data/spec/fixtures/X223-HC837/4-good.txt +40 -0
- data/spec/fixtures/X223-HC837/5-bad.txt +75 -0
- data/spec/fixtures/X223-HC837/5-good.txt +58 -0
- data/spec/fixtures/X224-HC837/1-bad.txt +54 -0
- data/spec/fixtures/X224-HC837/1-good.txt +44 -0
- data/spec/fixtures/X224-HC837/2a-bad.txt +52 -0
- data/spec/fixtures/X224-HC837/2a-good.txt +42 -0
- data/spec/fixtures/X224-HC837/2b-bad.txt +67 -0
- data/spec/fixtures/X224-HC837/2b-good.txt +52 -0
- data/spec/fixtures/X224-HC837/3-bad.txt +67 -0
- data/spec/fixtures/X224-HC837/3-good.txt +51 -0
- data/spec/fixtures/X224-HC837/4-bad.txt +49 -0
- data/spec/fixtures/X224-HC837/4-good.txt +40 -0
- data/spec/fixtures/X230-FA997/1-bad.txt +19 -0
- data/spec/fixtures/X230-FA997/1-good.txt +16 -0
- data/spec/fixtures/X231-FA999/1-bad.txt +20 -0
- data/spec/fixtures/X231-FA999/1-good.txt +20 -0
- data/spec/fixtures/X279-HB271/1-bad.txt +36 -0
- data/spec/fixtures/X279-HB271/1-good.txt +30 -0
- data/spec/fixtures/X279-HB271/2-bad.txt +22 -0
- data/spec/fixtures/X279-HB271/2-good.txt +16 -0
- data/spec/fixtures/X279-HB271/3-bad.txt +44 -0
- data/spec/fixtures/X279-HB271/3-good.txt +36 -0
- data/spec/fixtures/X279-HS270/1-bad.txt +29 -0
- data/spec/fixtures/X279-HS270/1-good.txt +23 -0
- data/spec/fixtures/X279-HS270/2-bad.txt +32 -0
- data/spec/fixtures/X279-HS270/2-good.txt +25 -0
- data/spec/spec_helper.rb +34 -0
- data/spec/support/fixtures.rb +26 -0
- data/spec/support/matchers/either_matchers.rb +26 -0
- data/spec/support/matchers/navigation_matchers.rb +247 -0
- data/spec/support/node.rb +41 -0
- data/spec/support/quickcheck/characters.rb +28 -0
- data/spec/support/quickcheck/property.rb +105 -0
- data/spec/support/quickcheck/serialized_edi.rb +399 -0
- data/spec/support/quickcheck.rb +302 -0
- data/spec/support/rcov.rb +34 -0
- metadata +577 -0
@@ -0,0 +1,613 @@
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module Stupidedi
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module Guides
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module FiftyTen
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module X221
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b = GuideBuilder
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d = Schema
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r = SegmentReqs
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e = ElementReqs
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s = Versions::FunctionalGroups::FiftyTen::SegmentDefs
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t = Versions::FunctionalGroups::FiftyTen::TransactionSetDefs
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HP835 = b.build(t::HP835,
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d::TableDef.header("Table 1 - Header",
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b::Segment(100, s::ST, "Transaction Set Header",
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r::Required, d::RepeatCount.bounded(1),
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b::Element(e::Required, "Transaction Set Identifier Code", b::Values("835")),
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b::Element(e::Required, "Transaction Set Control Number"),
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b::Element(e::NotUsed, "Implementation Guide Version Name")),
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b::Segment(200, s::BPR, "Financial Information",
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r::Required, d::RepeatCount.bounded(1),
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b::Element(e::Required, "Transaction Handling Code", b::Values("C", "D", "H", "I", "P", "U", "X")),
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b::Element(e::Required, "Total Actual Provider Payment Amount", b::MaxLength(10)),
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b::Element(e::Required, "Credit or Debit Flag Code", b::Values("C", "D")),
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b::Element(e::Required, "Payment Method Code", b::Values("ACH", "BOP", "CHK", "FWT", "NON")),
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b::Element(e::Situational, "Payment Format Code", b::Values("CCP", "CTX")),
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b::Element(e::Situational, "Depository Financial Institution (DFI) Identification Number Qualifier", b::Values("01", "04")),
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b::Element(e::Situational, "Sender DFI Number"),
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b::Element(e::Situational, "Account Number Qualifier", b::Values("DA")),
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b::Element(e::Situational, "Sender Bank Account Number"),
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b::Element(e::Situational, "Payer Identifier"),
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b::Element(e::Situational, "Originating Company Supplemental Code"),
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b::Element(e::Situational, "Depository Financial Institution (DFI) Identification Number Qualifier", b::Values("01", "04")),
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b::Element(e::Situational, "Receiver or Provider Bank ID Number"),
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b::Element(e::Situational, "Account Number Qualifier", b::Values("DA", "SG")),
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b::Element(e::Situational, "Receiver or Provider Account Number"),
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b::Element(e::Required, "Check Issue or EFT Effective Date"),
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b::Element(e::NotUsed, "Business Function Code"),
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b::Element(e::NotUsed, "(DFI) ID Number Qualifier"),
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40
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b::Element(e::NotUsed, "(DFI) Identification Number"),
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b::Element(e::NotUsed, "Account Number Qualifier"),
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b::Element(e::NotUsed, "Account Number")),
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b::Segment(400, s::TRN, "Reassociation Trace Number",
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r::Required, d::RepeatCount.bounded(1),
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45
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b::Element(e::Required, "Trace Type Code", b::Values("1")),
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b::Element(e::Required, "Check or EFT Trace Number"),
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b::Element(e::Required, "Payer Identifier"),
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48
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b::Element(e::Situational, "Originating Company Supplemental Code")),
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49
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b::Segment(500, s::CUR, "Foreign Currency Information",
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50
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r::Situational, d::RepeatCount.bounded(1),
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51
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b::Element(e::Required, "Entity Identifier Code", b::Values("PR")),
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52
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b::Element(e::Required, "Currency Code"),
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53
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b::Element(e::NotUsed, "Exchange Rate"),
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54
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b::Element(e::NotUsed, "Entity Identifier Code"),
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55
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b::Element(e::NotUsed, "Currency Code"),
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56
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b::Element(e::NotUsed, "Currency Market/Exchange Code"),
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57
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b::Element(e::NotUsed, "Date/Time Qualifier"),
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58
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b::Element(e::NotUsed, "Date"),
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59
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b::Element(e::NotUsed, "Time"),
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60
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b::Element(e::NotUsed, "Date/Time Qualifier"),
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61
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b::Element(e::NotUsed, "Date"),
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62
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b::Element(e::NotUsed, "Time"),
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63
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b::Element(e::NotUsed, "Date/Time Qualifier"),
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64
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b::Element(e::NotUsed, "Date"),
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65
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b::Element(e::NotUsed, "Time"),
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66
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b::Element(e::NotUsed, "Date/Time Qualifier"),
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67
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b::Element(e::NotUsed, "Date"),
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68
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+
b::Element(e::NotUsed, "Time"),
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69
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b::Element(e::NotUsed, "Date/Time Qualifier"),
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70
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b::Element(e::NotUsed, "Date"),
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71
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b::Element(e::NotUsed, "Time")),
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72
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b::Segment(600, s::REF, "Receiver Identification",
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73
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r::Situational, d::RepeatCount.bounded(1),
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74
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b::Element(e::Required, "Reference Identification Qualifier", b::Values("EV")),
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75
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b::Element(e::Required, "Receiver Identifier"),
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76
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b::Element(e::NotUsed, "Description"),
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77
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b::Element(e::NotUsed, "REFERENCE IDENTIFIER")),
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78
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+
b::Segment(600, s::REF, "Version Identification",
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79
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+
r::Situational, d::RepeatCount.bounded(1),
|
80
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+
b::Element(e::Required, "Reference Identification Qualifier", b::Values("F2")),
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81
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+
b::Element(e::Required, "Version Identification Code"),
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82
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+
b::Element(e::NotUsed, "Description"),
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83
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+
b::Element(e::NotUsed, "REFERENCE IDENTIFIER")),
|
84
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+
b::Segment(700, s::DTM, "Production Date",
|
85
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+
r::Situational, d::RepeatCount.bounded(1),
|
86
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+
b::Element(e::Required, "Date/Time Qualifier", b::Values("405")),
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87
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+
b::Element(e::Required, "Production Date"),
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88
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+
b::Element(e::NotUsed, "Time"),
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89
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b::Element(e::NotUsed, "Time Code"),
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90
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b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
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91
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b::Element(e::NotUsed, "Date Time Period")),
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92
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+
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93
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+
d::LoopDef.build("1000A PAYER IDENTIFICATION",
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94
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+
d::RepeatCount.bounded(1),
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95
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+
b::Segment( 800, s::N1, "Payer Identification",
|
96
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+
r::Required, d::RepeatCount.bounded(1),
|
97
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+
b::Element(e::Required, "Entity Identifier Code", b::Values("PR")),
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98
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b::Element(e::Required, "Payer Name"),
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99
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b::Element(e::Situational, "Identification Code Qualifier", b::Values("XV")),
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100
|
+
b::Element(e::Situational, "Payer Identifier"),
|
101
|
+
b::Element(e::NotUsed, "Entity Relationship Code"),
|
102
|
+
b::Element(e::NotUsed, "Entity Identifier Code")),
|
103
|
+
b::Segment(1000, s::N3, "Payer Address",
|
104
|
+
r::Required, d::RepeatCount.bounded(1),
|
105
|
+
b::Element(e::Required, "Payer Address Line"),
|
106
|
+
b::Element(e::Situational, "Payer Address Line")),
|
107
|
+
b::Segment(1100, s::N4, "Payer City, State, ZIP Code",
|
108
|
+
r::Required, d::RepeatCount.bounded(1),
|
109
|
+
b::Element(e::Required, "Payer City Name"),
|
110
|
+
b::Element(e::Situational, "Payer State or Province Code"),
|
111
|
+
b::Element(e::Situational, "Payer Postal Zone or ZIP Code"),
|
112
|
+
b::Element(e::Situational, "Country Code"),
|
113
|
+
b::Element(e::NotUsed, "Location Qualifier"),
|
114
|
+
b::Element(e::NotUsed, "Location Identifier"),
|
115
|
+
b::Element(e::Situational, "Country Subdivision Code")),
|
116
|
+
b::Segment(1200, s::REF, "Additional Payer Identification",
|
117
|
+
r::Situational, d::RepeatCount.bounded(4),
|
118
|
+
b::Element(e::Required, "Reference Identification Qualifier", b::Values("2U", "EO", "HI", "NF")),
|
119
|
+
b::Element(e::Required, "Additional Payer Identifier"),
|
120
|
+
b::Element(e::NotUsed, "Description"),
|
121
|
+
b::Element(e::NotUsed, "REFERENCE IDENTIFIER")),
|
122
|
+
b::Segment(1300, s::PER, "Payer Business Contact Information",
|
123
|
+
r::Situational, d::RepeatCount.bounded(1),
|
124
|
+
b::Element(e::Required, "Contact Function Code", b::Values("CX")),
|
125
|
+
b::Element(e::Situational, "Payer Contact Name"),
|
126
|
+
b::Element(e::Situational, "Communication Number Qualifier", b::Values("EM", "FX", "TE")),
|
127
|
+
b::Element(e::Situational, "Communication Number"),
|
128
|
+
b::Element(e::Situational, "Communication Number Qualifier", b::Values("EM", "EX", "FX", "TE")),
|
129
|
+
b::Element(e::Situational, "Communication Number"),
|
130
|
+
b::Element(e::Situational, "Communication Number Qualifier", b::Values("EX")),
|
131
|
+
b::Element(e::Situational, "Communication Number"),
|
132
|
+
b::Element(e::NotUsed, "Contact Inquiry Reference")),
|
133
|
+
b::Segment(1300, s::PER, "Payer Technical Contact Information",
|
134
|
+
r::Required, d::RepeatCount.unbounded,
|
135
|
+
b::Element(e::Required, "Contact Function Code", b::Values("BL")),
|
136
|
+
b::Element(e::Situational, "Payer Contact Name"),
|
137
|
+
b::Element(e::Situational, "Communication Number Qualifier", b::Values("EM", "TE", "UR")),
|
138
|
+
b::Element(e::Situational, "Communication Number"),
|
139
|
+
b::Element(e::Situational, "Communication Number Qualifier", b::Values("EM", "EX", "FX", "TE", "UR")),
|
140
|
+
b::Element(e::Situational, "Communication Number"),
|
141
|
+
b::Element(e::Situational, "Communication Number Qualifier", b::Values("EM", "EX", "FX", "UR")),
|
142
|
+
b::Element(e::Situational, "Communication Number"),
|
143
|
+
b::Element(e::NotUsed, "Contact Inquiry Reference")),
|
144
|
+
b::Segment(1300, s::PER, "Payer Web Site",
|
145
|
+
r::Situational, d::RepeatCount.bounded(1),
|
146
|
+
b::Element(e::Required, "Contact Function Code", b::Values("IC")),
|
147
|
+
b::Element(e::NotUsed, "Payer Contact Name"),
|
148
|
+
b::Element(e::Required, "Communication Number Qualifier", b::Values("UR")),
|
149
|
+
b::Element(e::Required, "Communication Number"),
|
150
|
+
b::Element(e::NotUsed, "Communication Number Qualifier"),
|
151
|
+
b::Element(e::NotUsed, "Communication Number"),
|
152
|
+
b::Element(e::NotUsed, "Communication Number Qualifier"),
|
153
|
+
b::Element(e::NotUsed, "Communication Number"),
|
154
|
+
b::Element(e::NotUsed, "Contact Inquiry Reference"))),
|
155
|
+
|
156
|
+
d::LoopDef.build("1000B PAYEE IDENTIFICATION",
|
157
|
+
d::RepeatCount.bounded(1),
|
158
|
+
b::Segment( 800, s::N1, "Payee Identification",
|
159
|
+
r::Required, d::RepeatCount.bounded(1),
|
160
|
+
b::Element(e::Required, "Entity Identifier Code", b::Values("PE")),
|
161
|
+
b::Element(e::Required, "Payee Name"),
|
162
|
+
b::Element(e::Required, "Identification Code Qualifier", b::Values("FI", "XV", "XX")),
|
163
|
+
b::Element(e::Required, "Payee Identification Code"),
|
164
|
+
b::Element(e::NotUsed, "Entity Relationship Code"),
|
165
|
+
b::Element(e::NotUsed, "Entity Identifier Code")),
|
166
|
+
b::Segment(1000, s::N3, "Payee Address",
|
167
|
+
r::Situational, d::RepeatCount.bounded(1),
|
168
|
+
b::Element(e::Required, "Payee Address Line"),
|
169
|
+
b::Element(e::Situational, "Payee Address Line")),
|
170
|
+
b::Segment(1100, s::N4, "Payee City, State, ZIP Code",
|
171
|
+
r::Required, d::RepeatCount.bounded(1),
|
172
|
+
b::Element(e::Required, "Payee City Name"),
|
173
|
+
b::Element(e::Situational, "Payee State or Province Code"),
|
174
|
+
b::Element(e::Situational, "Payee Postal Zone or ZIP Code"),
|
175
|
+
b::Element(e::Situational, "Country Code"),
|
176
|
+
b::Element(e::NotUsed, "Location Qualifier"),
|
177
|
+
b::Element(e::NotUsed, "Location Identifier"),
|
178
|
+
b::Element(e::Situational, "Country Subdivision Code")),
|
179
|
+
b::Segment(1200, s::REF, "Payee Additional Identification",
|
180
|
+
r::Situational, d::RepeatCount.unbounded,
|
181
|
+
b::Element(e::Required, "Reference Identification Qualifier", b::Values("0B", "D3", "PQ", "TJ")),
|
182
|
+
b::Element(e::Required, "Additional Payee Identifier"),
|
183
|
+
b::Element(e::NotUsed, "Description"),
|
184
|
+
b::Element(e::NotUsed, "REFERENCE IDENTIFIER")),
|
185
|
+
b::Segment(1400, s::RDM, "Remittance Delivery Method",
|
186
|
+
r::Situational, d::RepeatCount.bounded(1),
|
187
|
+
b::Element(e::Required, "Report Transmission Code", b::Values("BM", "EM", "FT", "OL")),
|
188
|
+
b::Element(e::Situational, "Name"),
|
189
|
+
b::Element(e::Situational, "Communication Number"),
|
190
|
+
b::Element(e::NotUsed, "REFERENCE IDENTIFIER"),
|
191
|
+
b::Element(e::NotUsed, "REFERENCE IDENTIFIER")))),
|
192
|
+
|
193
|
+
d::TableDef.detail("Table 2 - Detail",
|
194
|
+
d::LoopDef.build("2000 HEADER NUMBER",
|
195
|
+
d::RepeatCount.bounded(1),
|
196
|
+
b::Segment(30, s::LX, "Header Number",
|
197
|
+
r::Situational, d::RepeatCount.bounded(1),
|
198
|
+
b::Element(e::Required, "Assigned Number")),
|
199
|
+
b::Segment(50, s::TS3, "Provider Summary Information",
|
200
|
+
r::Situational, d::RepeatCount.bounded(1),
|
201
|
+
b::Element(e::Required, "Provider Identifier"),
|
202
|
+
b::Element(e::Required, "Facility Type Code"),
|
203
|
+
b::Element(e::Required, "Fiscal Period Date"),
|
204
|
+
b::Element(e::Required, "Total Claim Count"),
|
205
|
+
b::Element(e::Required, "Total Claim Charge Amount"),
|
206
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
207
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
208
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
209
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
210
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
211
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
212
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
213
|
+
b::Element(e::Situational, "Total MSP Payer Amount"),
|
214
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
215
|
+
b::Element(e::Situational, "Total Non-Lab Charge Amount"),
|
216
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
217
|
+
b::Element(e::Situational, "Total HCPCS Reported Charge Amount"),
|
218
|
+
b::Element(e::Situational, "Total HCPCS Payable Amount"),
|
219
|
+
b::Element(e::NotUsed, "Monetary Amount"),
|
220
|
+
b::Element(e::Situational, "Total Professional Component Amount"),
|
221
|
+
b::Element(e::Situational, "Total MSP Patient Liability Met Amount"),
|
222
|
+
b::Element(e::Situational, "Total Patient Reimbursement Amount"),
|
223
|
+
b::Element(e::Situational, "Total PIP Claim Count"),
|
224
|
+
b::Element(e::Situational, "Total PIP Adjustment Amount")),
|
225
|
+
b::Segment(70, s::TS2, "Provider Supplemental Summary Information",
|
226
|
+
r::Situational, d::RepeatCount.bounded(1),
|
227
|
+
b::Element(e::Situational, "Total DRG Amount"),
|
228
|
+
b::Element(e::Situational, "Total Federal Specific Amount"),
|
229
|
+
b::Element(e::Situational, "Total Hospital Specific Amount"),
|
230
|
+
b::Element(e::Situational, "Total Disproportionate Share Amount"),
|
231
|
+
b::Element(e::Situational, "Total Capital Amount"),
|
232
|
+
b::Element(e::Situational, "Total Indirect Medical Education Amount"),
|
233
|
+
b::Element(e::Situational, "Total Outlier Day Count"),
|
234
|
+
b::Element(e::Situational, "Total Day Outlier Count"),
|
235
|
+
b::Element(e::Situational, "Total Cost Outlier Amount"),
|
236
|
+
b::Element(e::Situational, "Average DRG Length of Stay"),
|
237
|
+
b::Element(e::Situational, "Total Discharge Amount"),
|
238
|
+
b::Element(e::Situational, "Total Cost Report Day Count"),
|
239
|
+
b::Element(e::Situational, "Total Covered Day Count"),
|
240
|
+
b::Element(e::Situational, "Total Noncovered Day Count"),
|
241
|
+
b::Element(e::Situational, "Total MSP Pass-Through Count"),
|
242
|
+
b::Element(e::Situational, "Average DRG Weight"),
|
243
|
+
b::Element(e::Situational, "Total PPS Capital FSP DRG Amount"),
|
244
|
+
b::Element(e::Situational, "Total PPS Capital HSP DRG Amount"),
|
245
|
+
b::Element(e::Situational, "Total PPS DSH DRG Amount")),
|
246
|
+
|
247
|
+
d::LoopDef.build("2100 CLAIM PAYMENT INFORMATION",
|
248
|
+
d::RepeatCount.unbounded,
|
249
|
+
b::Segment( 100, s::CLP, "Claim Payment Information",
|
250
|
+
r::Required, d::RepeatCount.bounded(1),
|
251
|
+
b::Element(e::Required, "Patient Control Number"),
|
252
|
+
b::Element(e::Required, "Claim Status Code", b::Values("1", "2", "3", "4", "19", "20", "21", "22", "23", "25")),
|
253
|
+
b::Element(e::Required, "Total Claim Charge Amount"),
|
254
|
+
b::Element(e::Required, "Claim Payment Amount"),
|
255
|
+
b::Element(e::Situational, "Patient Responsibility Amount"),
|
256
|
+
b::Element(e::Required, "Claim Filing Indicator Code", b::Values("12", "13", "14", "15", "16", "17", "AM", "CH", "DS", "HM", "LM", "MA", "MB", "MC", "OF", "TV", "VA", "WC", "ZZ")),
|
257
|
+
b::Element(e::Required, "Payer Claim Control Number"),
|
258
|
+
b::Element(e::Situational, "Facility Type Code"),
|
259
|
+
b::Element(e::Situational, "Claim Frequency Type Code"),
|
260
|
+
b::Element(e::NotUsed, "Patient Status Code"),
|
261
|
+
b::Element(e::Situational, "Diagnosis Related Group (DRG) Code"),
|
262
|
+
b::Element(e::Situational, "Diagnosis Related Group (DRG) Weight"),
|
263
|
+
b::Element(e::Situational, "Discharge Fraction"),
|
264
|
+
b::Element(e::NotUsed, "Yes/No Condition or Response Code")),
|
265
|
+
b::Segment( 200, s::CAS, "Claim Adjustment",
|
266
|
+
r::Situational, d::RepeatCount.bounded(99),
|
267
|
+
b::Element(e::Required, "Claim Adjustment Group Code", b::Values("CO", "CR", "OA", "PI", "PR")),
|
268
|
+
b::Element(e::Required, "Adjustment Reason Code"),
|
269
|
+
b::Element(e::Required, "Adjustment Amount"),
|
270
|
+
b::Element(e::Situational, "Adjustment Quantity"),
|
271
|
+
b::Element(e::Situational, "Adjustment Reason Code"),
|
272
|
+
b::Element(e::Situational, "Adjustment Amount"),
|
273
|
+
b::Element(e::Situational, "Adjustment Quantity"),
|
274
|
+
b::Element(e::Situational, "Adjustment Reason Code"),
|
275
|
+
b::Element(e::Situational, "Adjustment Amount"),
|
276
|
+
b::Element(e::Situational, "Adjustment Quantity"),
|
277
|
+
b::Element(e::Situational, "Adjustment Reason Code"),
|
278
|
+
b::Element(e::Situational, "Adjustment Amount"),
|
279
|
+
b::Element(e::Situational, "Adjustment Quantity"),
|
280
|
+
b::Element(e::Situational, "Adjustment Reason Code"),
|
281
|
+
b::Element(e::Situational, "Adjustment Amount"),
|
282
|
+
b::Element(e::Situational, "Adjustment Quantity"),
|
283
|
+
b::Element(e::Situational, "Adjustment Reason Code"),
|
284
|
+
b::Element(e::Situational, "Adjustment Amount"),
|
285
|
+
b::Element(e::Situational, "Adjustment Quantity")),
|
286
|
+
b::Segment( 300, s::NM1, "Patient Name",
|
287
|
+
r::Required, d::RepeatCount.bounded(1),
|
288
|
+
b::Element(e::Required, "Entity Identifier Code", b::Values("QC")),
|
289
|
+
b::Element(e::Required, "Entity Type Qualifier", b::Values("1")),
|
290
|
+
b::Element(e::Situational, "Patient Last Name"),
|
291
|
+
b::Element(e::Situational, "Patient First Name"),
|
292
|
+
b::Element(e::Situational, "Patient Middle Name or Initial"),
|
293
|
+
b::Element(e::NotUsed, "Name Prefix"),
|
294
|
+
b::Element(e::Situational, "Patient Name Suffix"),
|
295
|
+
b::Element(e::Situational, "Identification Code Qualifier", b::Values("34", "HN", "II", "MI", "MR")),
|
296
|
+
b::Element(e::Situational, "Patient Identifier"),
|
297
|
+
b::Element(e::NotUsed, "Entity Relationship Code"),
|
298
|
+
b::Element(e::NotUsed, "Entity Identifier Code"),
|
299
|
+
b::Element(e::NotUsed, "Name Last or Organization Name")),
|
300
|
+
b::Segment( 300, s::NM1, "Insured Name",
|
301
|
+
r::Situational, d::RepeatCount.bounded(1),
|
302
|
+
b::Element(e::Required, "Entity Identifier Code", b::Values("IL")),
|
303
|
+
b::Element(e::Required, "Entity Type Qualifier", b::Values("1", "2")),
|
304
|
+
b::Element(e::Situational, "Subscriber Last Name"),
|
305
|
+
b::Element(e::Situational, "Subscriber First Name"),
|
306
|
+
b::Element(e::Situational, "Subscriber Middle Name or Initial"),
|
307
|
+
b::Element(e::NotUsed, "Name Prefix"),
|
308
|
+
b::Element(e::Situational, "Subscriber Name Suffix"),
|
309
|
+
b::Element(e::Required, "Identification Code Qualifier", b::Values("FI", "II", "MI")),
|
310
|
+
b::Element(e::Required, "Subscriber Identifier"),
|
311
|
+
b::Element(e::NotUsed, "Entity Relationship Code"),
|
312
|
+
b::Element(e::NotUsed, "Entity Identifier Code"),
|
313
|
+
b::Element(e::NotUsed, "Name Last or Organization Name")),
|
314
|
+
b::Segment( 300, s::NM1, "Corrected Patient/Insured Name",
|
315
|
+
r::Situational, d::RepeatCount.bounded(1),
|
316
|
+
b::Element(e::Required, "Entity Identifier Code", b::Values("74")),
|
317
|
+
b::Element(e::Required, "Entity Type Qualifier", b::Values("1")),
|
318
|
+
b::Element(e::Situational, "Corrected Patient or Insured Last Name"),
|
319
|
+
b::Element(e::Situational, "Corrected Patient or Insured First Name"),
|
320
|
+
b::Element(e::Situational, "Corrected Patient or Insured Middle Name or Initial"),
|
321
|
+
b::Element(e::NotUsed, "Name Prefix"),
|
322
|
+
b::Element(e::Situational, "Corrected Patient or Insured Name Suffix"),
|
323
|
+
b::Element(e::Situational, "Identification Code Qualifier", b::Values("C")),
|
324
|
+
b::Element(e::Situational, "Corrected Insured Identification Indicator"),
|
325
|
+
b::Element(e::NotUsed, "Entity Relationship Code"),
|
326
|
+
b::Element(e::NotUsed, "Entity Identifier Code"),
|
327
|
+
b::Element(e::NotUsed, "Name Last or Organization Name")),
|
328
|
+
b::Segment( 300, s::NM1, "Service Provider Name",
|
329
|
+
r::Situational, d::RepeatCount.bounded(1),
|
330
|
+
b::Element(e::Required, "Entity Identifier Code", b::Values("82")),
|
331
|
+
b::Element(e::Required, "Entity Type Qualifier", b::Values("1", "2")),
|
332
|
+
b::Element(e::Situational, "Rendering Provider Last or Organization Name"),
|
333
|
+
b::Element(e::Situational, "Rendering Provider First Name"),
|
334
|
+
b::Element(e::Situational, "Rendering Provider Middle Name or Initial"),
|
335
|
+
b::Element(e::NotUsed, "Name Prefix"),
|
336
|
+
b::Element(e::Situational, "Rendering Provider Name Suffix"),
|
337
|
+
b::Element(e::Required, "Identification Code Qualifier", b::Values("BD", "BS", "FI", "MC", "PC", "SL", "UP", "XX")),
|
338
|
+
b::Element(e::Required, "Rendering Provider Identifier"),
|
339
|
+
b::Element(e::NotUsed, "Entity Relationship Code"),
|
340
|
+
b::Element(e::NotUsed, "Entity Identifier Code"),
|
341
|
+
b::Element(e::NotUsed, "Name Last or Organization Name")),
|
342
|
+
b::Segment( 300, s::NM1, "Crossover Carrier Name",
|
343
|
+
r::Situational, d::RepeatCount.bounded(1),
|
344
|
+
b::Element(e::Required, "Entity Identifier Code", b::Values("TT")),
|
345
|
+
b::Element(e::Required, "Entity Type Qualifier", b::Values("2")),
|
346
|
+
b::Element(e::Required, "Coordination of Benefits Carrier Name"),
|
347
|
+
b::Element(e::NotUsed, "Name First"),
|
348
|
+
b::Element(e::NotUsed, "Name Middle"),
|
349
|
+
b::Element(e::NotUsed, "Name Prefix"),
|
350
|
+
b::Element(e::Situational, "Rendering Provider Name Suffix"),
|
351
|
+
b::Element(e::Required, "Identification Code Qualifier", b::Values("AD", "FI", "NI", "PI", "PP", "XV")),
|
352
|
+
b::Element(e::Required, "Coordination of Benefits Carrient Identifier"),
|
353
|
+
b::Element(e::NotUsed, "Entity Relationship Code"),
|
354
|
+
b::Element(e::NotUsed, "Entity Identifier Code"),
|
355
|
+
b::Element(e::NotUsed, "Name Last or Organization Name")),
|
356
|
+
b::Segment( 300, s::NM1, "Corrected Priority Payer Name",
|
357
|
+
r::Situational, d::RepeatCount.bounded(1),
|
358
|
+
b::Element(e::Required, "Entity Identifier Code", b::Values("PR")),
|
359
|
+
b::Element(e::Required, "Entity Type Qualifier", b::Values("2")),
|
360
|
+
b::Element(e::Required, "Corrected Priority Payer Name"),
|
361
|
+
b::Element(e::NotUsed, "Name First"),
|
362
|
+
b::Element(e::NotUsed, "Name Middle"),
|
363
|
+
b::Element(e::NotUsed, "Name Prefix"),
|
364
|
+
b::Element(e::Situational, "Rendering Provider Name Suffix"),
|
365
|
+
b::Element(e::Required, "Identification Code Qualifier", b::Values("AD", "FI", "NI", "PI", "PP", "XV")),
|
366
|
+
b::Element(e::Required, "Corrected Priority Payer Identification Number"),
|
367
|
+
b::Element(e::NotUsed, "Entity Relationship Code"),
|
368
|
+
b::Element(e::NotUsed, "Entity Identifier Code"),
|
369
|
+
b::Element(e::NotUsed, "Name Last or Organization Name")),
|
370
|
+
b::Segment( 300, s::NM1, "Other Subscriber Name",
|
371
|
+
r::Situational, d::RepeatCount.bounded(1),
|
372
|
+
b::Element(e::Required, "Entity Identifier Code", b::Values("GB")),
|
373
|
+
b::Element(e::Required, "Entity Type Qualifier", b::Values("1", "2")),
|
374
|
+
b::Element(e::Situational, "Other Subscriber Last Name"),
|
375
|
+
b::Element(e::Situational, "Other Subscriber First Name"),
|
376
|
+
b::Element(e::Situational, "Other Subscriber Middle Name or Initial"),
|
377
|
+
b::Element(e::NotUsed, "Name Prefix"),
|
378
|
+
b::Element(e::Situational, "Other Subscriber Name Suffix"),
|
379
|
+
b::Element(e::Situational, "Identification Code Qualifier", b::Values("FI", "II", "MI")),
|
380
|
+
b::Element(e::Situational, "Other Subscriber Identifier"),
|
381
|
+
b::Element(e::NotUsed, "Entity Relationship Code"),
|
382
|
+
b::Element(e::NotUsed, "Entity Identifier Code"),
|
383
|
+
b::Element(e::NotUsed, "Name Last or Organization Name")),
|
384
|
+
b::Segment( 330, s::MIA, "Inpatient Adjudication Information",
|
385
|
+
r::Situational, d::RepeatCount.bounded(1),
|
386
|
+
b::Element(e::Required, "Covered Days or Visits Count"),
|
387
|
+
b::Element(e::Situational, "PPS Operating Outlier Amount"),
|
388
|
+
b::Element(e::Situational, "Lifetime Psychiatric Days Count"),
|
389
|
+
b::Element(e::Situational, "Claim DRG Amount"),
|
390
|
+
b::Element(e::Situational, "Claim Payment Remark Code"),
|
391
|
+
b::Element(e::Situational, "Claim Disproportionate Share Amount"),
|
392
|
+
b::Element(e::Situational, "Claim MSP Pass-Through Amount"),
|
393
|
+
b::Element(e::Situational, "Claim PPS Capital Amount"),
|
394
|
+
b::Element(e::Situational, "PPS-Capital FSP DRG Amount"),
|
395
|
+
b::Element(e::Situational, "PPS-Capital HSP DRG Amount"),
|
396
|
+
b::Element(e::Situational, "PPS-Capital DSH DRG Amount"),
|
397
|
+
b::Element(e::Situational, "Old Capital Amount"),
|
398
|
+
b::Element(e::Situational, "PPS-Capital IME Amount"),
|
399
|
+
b::Element(e::Situational, "PPS-Operating Hospital Specific DRG Amount"),
|
400
|
+
b::Element(e::Situational, "Cost Report Day Count"),
|
401
|
+
b::Element(e::Situational, "PPS-Operating Federal Specific DRG Amount"),
|
402
|
+
b::Element(e::Situational, "Claim PPS Capital Outlier Amount"),
|
403
|
+
b::Element(e::Situational, "Claim Indirect Teaching Amount"),
|
404
|
+
b::Element(e::Situational, "Nonpayable Professional Component Amount"),
|
405
|
+
b::Element(e::Situational, "Claim Payment Remark Code"),
|
406
|
+
b::Element(e::Situational, "Claim Payment Remark Code"),
|
407
|
+
b::Element(e::Situational, "Claim Payment Remark Code"),
|
408
|
+
b::Element(e::Situational, "Claim Payment Remark Code"),
|
409
|
+
b::Element(e::Situational, "PPS-Capital Exception Amount")),
|
410
|
+
b::Segment( 350, s::MOA, "Outpatient Adjudication Information",
|
411
|
+
r::Situational, d::RepeatCount.bounded(1),
|
412
|
+
b::Element(e::Situational, "Reimbursement Rate"),
|
413
|
+
b::Element(e::Situational, "Claim HCPCS Payable Amount", b::MaxLength(10)),
|
414
|
+
b::Element(e::Situational, "Claim Payment Remark Code"),
|
415
|
+
b::Element(e::Situational, "Claim Payment Remark Code"),
|
416
|
+
b::Element(e::Situational, "Claim Payment Remark Code"),
|
417
|
+
b::Element(e::Situational, "Claim Payment Remark Code"),
|
418
|
+
b::Element(e::Situational, "Claim Payment Remark Code"),
|
419
|
+
b::Element(e::Situational, "Claim ESRD Payment Amount", b::MaxLength(10)),
|
420
|
+
b::Element(e::Situational, "Nonpayable Professional Component Amount", b::MaxLength(10))),
|
421
|
+
b::Segment( 400, s::REF, "Other Claim Related Identification",
|
422
|
+
r::Situational, d::RepeatCount.bounded(5),
|
423
|
+
b::Element(e::Required, "Reference Identification Qualifier", b::Values("1L", "1W", "28", "6P", "9A", "9C", "BB", "CE", "EA", "F8", "G1", "G3", "IG", "SY")),
|
424
|
+
b::Element(e::Required, "Other Claim Related Identifier"),
|
425
|
+
b::Element(e::NotUsed, "Description"),
|
426
|
+
b::Element(e::NotUsed, "REFERENCE IDENTIFIER")),
|
427
|
+
b::Segment( 400, s::REF, "Rendering Provider Identification",
|
428
|
+
r::Situational, d::RepeatCount.bounded(10),
|
429
|
+
b::Element(e::Required, "Reference Identification Qualifier", b::Values("0B", "1A", "1B", "1C", "1D", "1G", "1H", "1J", "D3", "G2", "LU")),
|
430
|
+
b::Element(e::Required, "Rendering Provider Secondary Identifier"),
|
431
|
+
b::Element(e::NotUsed, "Description"),
|
432
|
+
b::Element(e::NotUsed, "REFERENCE IDENTIFIER")),
|
433
|
+
b::Segment( 500, s::DTM, "Statement From or To Date",
|
434
|
+
r::Situational, d::RepeatCount.bounded(2),
|
435
|
+
b::Element(e::Required, "Date/Time Qualifier", b::Values("232", "233")),
|
436
|
+
b::Element(e::Required, "Claim Date"),
|
437
|
+
b::Element(e::NotUsed, "Time"),
|
438
|
+
b::Element(e::NotUsed, "Time Code"),
|
439
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
440
|
+
b::Element(e::NotUsed, "Date Time Period")),
|
441
|
+
b::Segment( 500, s::DTM, "Coverage Expiration Date",
|
442
|
+
r::Situational, d::RepeatCount.bounded(1),
|
443
|
+
b::Element(e::Required, "Date/Time Qualifier", b::Values("036")),
|
444
|
+
b::Element(e::Required, "Date"),
|
445
|
+
b::Element(e::NotUsed, "Time"),
|
446
|
+
b::Element(e::NotUsed, "Time Code"),
|
447
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
448
|
+
b::Element(e::NotUsed, "Date Time Period")),
|
449
|
+
b::Segment( 500, s::DTM, "Claim Received Date",
|
450
|
+
r::Situational, d::RepeatCount.bounded(1),
|
451
|
+
b::Element(e::Required, "Date/Time Qualifier", b::Values("050")),
|
452
|
+
b::Element(e::Required, "Date"),
|
453
|
+
b::Element(e::NotUsed, "Time"),
|
454
|
+
b::Element(e::NotUsed, "Time Code"),
|
455
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
456
|
+
b::Element(e::NotUsed, "Date Time Period")),
|
457
|
+
b::Segment( 600, s::PER, "Claim Contact Information",
|
458
|
+
r::Situational, d::RepeatCount.bounded(2),
|
459
|
+
b::Element(e::Required, "Contact Function Code", b::Values("CX")),
|
460
|
+
b::Element(e::Situational, "Claim Contact Name"),
|
461
|
+
b::Element(e::Required, "Communication Number Qualifier", b::Values("EM", "FX", "TE")),
|
462
|
+
b::Element(e::Required, "Claim Contact Communication Number"),
|
463
|
+
b::Element(e::Situational, "Communication Number Qualifier", b::Values("EM", "EX", "FX", "TE")),
|
464
|
+
b::Element(e::Situational, "Claim Contact Communication Number"),
|
465
|
+
b::Element(e::Situational, "Communication Number Qualifier", b::Values("EX")),
|
466
|
+
b::Element(e::Situational, "Claim Contact Communication Number Extension"),
|
467
|
+
b::Element(e::NotUsed, "Contact Inquiry Reference")),
|
468
|
+
b::Segment( 620, s::AMT, "Claim Supplemental Information",
|
469
|
+
r::Situational, d::RepeatCount.bounded(13),
|
470
|
+
b::Element(e::Required, "Amount Qualifier Code", b::Values("AU", "D8", "DY", "F5", "I", "NL", "T", "T2", "ZK", "ZL", "ZM", "ZN", "ZO")),
|
471
|
+
b::Element(e::Required, "Claim Supplemental Information Amount"),
|
472
|
+
b::Element(e::NotUsed, "Credit/Debit Flag Code")),
|
473
|
+
b::Segment( 640, s::QTY, "Claim Supplemental Information Quantity",
|
474
|
+
r::Situational, d::RepeatCount.bounded(14),
|
475
|
+
b::Element(e::Required, "Quantity Qualifier", b::Values("CA", "CD", "LA", "LE", "NE", "NR", "OU", "PS", "VS", "ZK", "ZL", "ZM", "ZN", "ZO")),
|
476
|
+
b::Element(e::Required, "Claim Supplemental Information Quantity"),
|
477
|
+
b::Element(e::NotUsed, "COMPOSITE UNIT OF MEASURE"),
|
478
|
+
b::Element(e::NotUsed, "Free-Form Information")),
|
479
|
+
|
480
|
+
d::LoopDef.build("2110 SERVICE PAYMENT INFORMATION",
|
481
|
+
d::RepeatCount.bounded(999),
|
482
|
+
b::Segment( 700, s::SVC, "Service Payment Information",
|
483
|
+
r::Situational, d::RepeatCount.bounded(1),
|
484
|
+
b::Element(e::Required, "COMPOSITE MEDICAL PROCEDURE IDENTIFIER",
|
485
|
+
b::Element(e::Required, "Product or Service ID Qualifier", b::Values("AD", "ER", "HC", "HP", "IV", "N4", "N6", "NU", "UI", "WK")),
|
486
|
+
b::Element(e::Required, "Adjudicated Procedure Code"),
|
487
|
+
b::Element(e::Situational, "Procedure Modifier"),
|
488
|
+
b::Element(e::Situational, "Procedure Modifier"),
|
489
|
+
b::Element(e::Situational, "Procedure Modifier"),
|
490
|
+
b::Element(e::Situational, "Procedure Modifier"),
|
491
|
+
b::Element(e::NotUsed, "Description"),
|
492
|
+
b::Element(e::NotUsed, "Product/Service ID")),
|
493
|
+
b::Element(e::Required, "Line Item Charge Amount", b::MaxLength(10)),
|
494
|
+
b::Element(e::Required, "Line Item Provider Payment Amount", b::MaxLength(10)),
|
495
|
+
b::Element(e::Situational, "National Uniform Billing Committee Revenue Code"),
|
496
|
+
b::Element(e::Situational, "Units of Service Paid Count"),
|
497
|
+
b::Element(e::Situational, "COMPOSITE MEDICAL PROCEDURE IDENTIFIER",
|
498
|
+
b::Element(e::Required, "Product or Service ID Qualifier", b::Values("AD", "ER", "HC", "HP", "IV", "N4", "N6", "NU", "UI", "WK")),
|
499
|
+
b::Element(e::Required, "Procedure Code"),
|
500
|
+
b::Element(e::Situational, "Procedure Modifier"),
|
501
|
+
b::Element(e::Situational, "Procedure Modifier"),
|
502
|
+
b::Element(e::Situational, "Procedure Modifier"),
|
503
|
+
b::Element(e::Situational, "Procedure Modifier"),
|
504
|
+
b::Element(e::NotUsed, "Description"),
|
505
|
+
b::Element(e::NotUsed, "Product/Service ID")),
|
506
|
+
b::Element(e::Situational, "Original Units of Service Count")),
|
507
|
+
b::Segment( 800, s::DTM, "Service Date",
|
508
|
+
r::Situational, d::RepeatCount.bounded(2),
|
509
|
+
b::Element(e::Required, "Date/Time Qualifier", b::Values("150", "151", "472")),
|
510
|
+
b::Element(e::Required, "Service Date"),
|
511
|
+
b::Element(e::NotUsed, "Time"),
|
512
|
+
b::Element(e::NotUsed, "Time Code"),
|
513
|
+
b::Element(e::NotUsed, "Date Time Period Format Qualifier"),
|
514
|
+
b::Element(e::NotUsed, "Date Time Period")),
|
515
|
+
b::Segment( 900, s::CAS, "Service Adjustment",
|
516
|
+
r::Situational, d::RepeatCount.bounded(99),
|
517
|
+
b::Element(e::Required, "Claim Adjustment Group Code", b::Values("CO", "CR", "OA", "PI", "PR")),
|
518
|
+
b::Element(e::Required, "Adjustment Reason Code"),
|
519
|
+
b::Element(e::Required, "Adjustment Amount", b::MaxLength(10)),
|
520
|
+
b::Element(e::Situational, "Adjustment Quantity"),
|
521
|
+
b::Element(e::Situational, "Adjustment Reason Code"),
|
522
|
+
b::Element(e::Situational, "Adjustment Amount", b::MaxLength(10)),
|
523
|
+
b::Element(e::Situational, "Adjustment Quantity"),
|
524
|
+
b::Element(e::Situational, "Adjustment Reason Code"),
|
525
|
+
b::Element(e::Situational, "Adjustment Amount", b::MaxLength(10)),
|
526
|
+
b::Element(e::Situational, "Adjustment Quantity"),
|
527
|
+
b::Element(e::Situational, "Adjustment Reason Code"),
|
528
|
+
b::Element(e::Situational, "Adjustment Amount", b::MaxLength(10)),
|
529
|
+
b::Element(e::Situational, "Adjustment Quantity"),
|
530
|
+
b::Element(e::Situational, "Adjustment Reason Code"),
|
531
|
+
b::Element(e::Situational, "Adjustment Amount", b::MaxLength(10)),
|
532
|
+
b::Element(e::Situational, "Adjustment Quantity"),
|
533
|
+
b::Element(e::Situational, "Adjustment Reason Code"),
|
534
|
+
b::Element(e::Situational, "Adjustment Amount", b::MaxLength(10)),
|
535
|
+
b::Element(e::Situational, "Adjustment Quantity")),
|
536
|
+
b::Segment(1000, s::REF, "Service Identification",
|
537
|
+
r::Situational, d::RepeatCount.bounded(8),
|
538
|
+
b::Element(e::Required, "Reference Identification Qualifier", b::Values("1S", "APC", "BB", "E9", "G1", "G3", "LU", "RB")),
|
539
|
+
b::Element(e::Required, "Provider Identifier"),
|
540
|
+
b::Element(e::NotUsed, "Description"),
|
541
|
+
b::Element(e::NotUsed, "REFERENCE IDENTIFIER")),
|
542
|
+
b::Segment(1000, s::REF, "Line Item Control Number",
|
543
|
+
r::Situational, d::RepeatCount.bounded(1),
|
544
|
+
b::Element(e::Required, "Reference Identification Qualifier", b::Values("6R")),
|
545
|
+
b::Element(e::Required, "Line Item Control Number"),
|
546
|
+
b::Element(e::NotUsed, "Description"),
|
547
|
+
b::Element(e::NotUsed, "REFERENCE IDENTIFIER")),
|
548
|
+
b::Segment(1000, s::REF, "Rendering Provider Information",
|
549
|
+
r::Situational, d::RepeatCount.bounded(10),
|
550
|
+
b::Element(e::Required, "Reference Identification Qualifier", b::Values("0B", "1A", "1B", "1C", "1D", "1G", "1H", "1J", "D3", "G2", "HPI", "SY", "TJ")),
|
551
|
+
b::Element(e::Required, "Rendering Provider Identifier"),
|
552
|
+
b::Element(e::NotUsed, "Description"),
|
553
|
+
b::Element(e::NotUsed, "REFERENCE IDENTIFIER")),
|
554
|
+
b::Segment(1000, s::REF, "HealthCare Policy Identification",
|
555
|
+
r::Situational, d::RepeatCount.bounded(5),
|
556
|
+
b::Element(e::Required, "Reference Identification Qualifier", b::Values("0K")),
|
557
|
+
b::Element(e::Required, "Healthcare Policy Identification"),
|
558
|
+
b::Element(e::NotUsed, "Description"),
|
559
|
+
b::Element(e::NotUsed, "REFERENCE IDENTIFIER")),
|
560
|
+
b::Segment(1100, s::AMT, "Service Supplemental Amount",
|
561
|
+
r::Situational, d::RepeatCount.bounded(9),
|
562
|
+
b::Element(e::Required, "Amount Qualifier Code", b::Values("B6", "KH", "T", "T2", "ZK", "ZL", "ZM", "ZN", "ZO")),
|
563
|
+
b::Element(e::Required, "Service Supplemental Amount", b::MaxLength(10)),
|
564
|
+
b::Element(e::NotUsed, "Credit/Debit Flag Code")),
|
565
|
+
b::Segment(1200, s::QTY, "Service Supplemental Quantity",
|
566
|
+
r::Situational, d::RepeatCount.bounded(6),
|
567
|
+
b::Element(e::Required, "Quantity Qualifier", b::Values("ZK", "ZL", "ZM", "ZN", "ZO")),
|
568
|
+
b::Element(e::Required, "Service Supplemental Quantity Count"),
|
569
|
+
b::Element(e::NotUsed, "COMPOSITE UNIT OF MEASURE"),
|
570
|
+
b::Element(e::NotUsed, "Free-Form Information")),
|
571
|
+
b::Segment(1300, s::LQ, "Health Care Remark Codes",
|
572
|
+
r::Situational, d::RepeatCount.bounded(99),
|
573
|
+
b::Element(e::Required, "Code List Qualifier Code", b::Values("HE", "RX")),
|
574
|
+
b::Element(e::Required, "Remark Code")))))),
|
575
|
+
|
576
|
+
d::TableDef.summary("Table 3 - Summary",
|
577
|
+
b::Segment(100, s::PLB, "Provider Adjustment",
|
578
|
+
r::Situational, d::RepeatCount.unbounded,
|
579
|
+
b::Element(e::Required, "Provider Identifier"),
|
580
|
+
b::Element(e::Required, "Fiscal Period Date"),
|
581
|
+
b::Element(e::Required, "ADJUSTMENT IDENTIFIER",
|
582
|
+
b::Element(e::Required, "Adjustment Reason Code", b::Values("50", "51", "72", "90", "AH", "AM", "AP", "B2", "B3", "BD", "BN", "C5", "CR", "CS", "CT", "CV", "CW", "DM", "E3", "FB", "FC", "GO", "HM", "IP", "IR", "IS", "J1", "L3", "L6", "LE", "LS", "OA", "OB", "PI", "PL", "RA", "RE", "SL", "TL", "WO", "WU")),
|
583
|
+
b::Element(e::Situational, "Provider Adjustment Identifier")),
|
584
|
+
b::Element(e::Required, "Provider Adjustment Amount", b::MaxLength(10)),
|
585
|
+
b::Element(e::Situational, "ADJUSTMENT IDENTIFIER",
|
586
|
+
b::Element(e::Required, "Adjustment Reason Code", b::Values("50", "51", "72", "90", "AH", "AM", "AP", "B2", "B3", "BD", "BN", "C5", "CR", "CS", "CT", "CV", "CW", "DM", "E3", "FB", "FC", "GO", "HM", "IP", "IR", "IS", "J1", "L3", "L6", "LE", "LS", "OA", "OB", "PI", "PL", "RA", "RE", "SL", "TL", "WO", "WU")),
|
587
|
+
b::Element(e::Situational, "Provider Adjustment Identifier")),
|
588
|
+
b::Element(e::Situational, "Provider Adjustment Amount", b::MaxLength(10)),
|
589
|
+
b::Element(e::Situational, "ADJUSTMENT IDENTIFIER",
|
590
|
+
b::Element(e::Required, "Adjustment Reason Code", b::Values("50", "51", "72", "90", "AH", "AM", "AP", "B2", "B3", "BD", "BN", "C5", "CR", "CS", "CT", "CV", "CW", "DM", "E3", "FB", "FC", "GO", "HM", "IP", "IR", "IS", "J1", "L3", "L6", "LE", "LS", "OA", "OB", "PI", "PL", "RA", "RE", "SL", "TL", "WO", "WU")),
|
591
|
+
b::Element(e::Situational, "Provider Adjustment Identifier")),
|
592
|
+
b::Element(e::Situational, "Provider Adjustment Amount", b::MaxLength(10)),
|
593
|
+
b::Element(e::Situational, "ADJUSTMENT IDENTIFIER",
|
594
|
+
b::Element(e::Required, "Adjustment Reason Code", b::Values("50", "51", "72", "90", "AH", "AM", "AP", "B2", "B3", "BD", "BN", "C5", "CR", "CS", "CT", "CV", "CW", "DM", "E3", "FB", "FC", "GO", "HM", "IP", "IR", "IS", "J1", "L3", "L6", "LE", "LS", "OA", "OB", "PI", "PL", "RA", "RE", "SL", "TL", "WO", "WU")),
|
595
|
+
b::Element(e::Situational, "Provider Adjustment Identifier")),
|
596
|
+
b::Element(e::Situational, "Provider Adjustment Amount", b::MaxLength(10)),
|
597
|
+
b::Element(e::Situational, "ADJUSTMENT IDENTIFIER",
|
598
|
+
b::Element(e::Required, "Adjustment Reason Code", b::Values("50", "51", "72", "90", "AH", "AM", "AP", "B2", "B3", "BD", "BN", "C5", "CR", "CS", "CT", "CV", "CW", "DM", "E3", "FB", "FC", "GO", "HM", "IP", "IR", "IS", "J1", "L3", "L6", "LE", "LS", "OA", "OB", "PI", "PL", "RA", "RE", "SL", "TL", "WO", "WU")),
|
599
|
+
b::Element(e::Situational, "Provider Adjustment Identifier")),
|
600
|
+
b::Element(e::Situational, "Provider Adjustment Amount", b::MaxLength(10)),
|
601
|
+
b::Element(e::Situational, "ADJUSTMENT IDENTIFIER",
|
602
|
+
b::Element(e::Required, "Adjustment Reason Code", b::Values("50", "51", "72", "90", "AH", "AM", "AP", "B2", "B3", "BD", "BN", "C5", "CR", "CS", "CT", "CV", "CW", "DM", "E3", "FB", "FC", "GO", "HM", "IP", "IR", "IS", "J1", "L3", "L6", "LE", "LS", "OA", "OB", "PI", "PL", "RA", "RE", "SL", "TL", "WO", "WU")),
|
603
|
+
b::Element(e::Situational, "Provider Adjustment Identifier")),
|
604
|
+
b::Element(e::Situational, "Provider Adjustment Amount", b::MaxLength(10))),
|
605
|
+
b::Segment(200, s::SE, "Transaction Set Trailer",
|
606
|
+
r::Required, d::RepeatCount.bounded(1),
|
607
|
+
b::Element(e::Required, "Transaction Segment Count"),
|
608
|
+
b::Element(e::Required, "Transaction Set Control Number"))))
|
609
|
+
|
610
|
+
end
|
611
|
+
end
|
612
|
+
end
|
613
|
+
end
|