trizetto-api 0.1.1 → 0.1.2

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@@ -1,3 +1,8 @@
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+ ## 0.1.2 (January 12, 2018) ##
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+
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+ * Have the non-COR II Eligiblity check return an XML document. YAY! We can
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+ parse and understand XML without having to understand X12.
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+
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  ## 0.1.1 (January 11, 2018) ##
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  * Initial implementation of 5 Trizetto API endpoints: Eligibility check with
data/README.md CHANGED
@@ -20,24 +20,11 @@ Or install it yourself as:
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  ## Usage
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- ### Use the CORE2 API with an X12 payload to check eligibility in realtime
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-
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- ```ruby
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-
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- require 'trizetto/api'
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-
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- Trizetto::Api.configure do |config|
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- config.username = 'Not the real username'
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- config.password = 'Super Top Secret'
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- end
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-
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-
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- client = Trizetto::Api::Eligibility::Core2.new
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- client.check_eligibility(payload: x12_message)
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- ```
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-
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  ### Use the Eligibility Web Service with an XML payload to check eligibility in realtime
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+ This uses name/value pairs in a request and returns an XML docunment as a response.
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+ You can force this API to return an X12 document if you like pain.
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+
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  ```ruby
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  require 'trizetto/api'
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@@ -60,9 +47,33 @@ response = client.do_inquiry({
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  'InsuredDob': '19281118',
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  'GediPayerId': 'N4222',
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  })
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+
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+ puts response.to_hash[:do_inquiry_response][:do_inquiry_result][:success_code]
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+
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+ source = response.to_hash[:do_inquiry_response][:do_inquiry_result][:response_as_xml]
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+ puts Nokogiri::XML(source).to_xml
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  ```
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+ ### Use the CORE2 API with an X12 payload to check eligibility in realtime
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+
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+ This returns an X12/271 response. You will need to understand how to build
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+ X12/270 requests and parse X12/271 responses.
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+
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+ ```ruby
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+
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+ require 'trizetto/api'
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+
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+ Trizetto::Api.configure do |config|
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+ config.username = 'Not the real username'
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+ config.password = 'Super Top Secret'
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+ end
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+
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+
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+ client = Trizetto::Api::Eligibility::Core2.new
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+ client.check_eligibility(payload: x12_message)
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+ ```
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+
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  ### Ping the Payer List endpoint to see if it is up
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  ```ruby
@@ -84,6 +95,8 @@ response = client.ping
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  ### Fetch the Payer List
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+ This API times out or errors out on the Trizetto server. But you may get it to work.
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+
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  ```ruby
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  require 'trizetto/api'
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@@ -58,28 +58,6 @@ module Trizetto
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  # TODO: Understand the X12 format and allow options to be passed in, then generate the X12 message
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  #
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- # Required Field:
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- # +ProviderLastName+ - Provider Last Name/Organization Name
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- # +NPI+ - National Provider Identifier
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- #
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- # Situational Fields:
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- #
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- # +ProviderFirstName+ - Provider First Name
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- # +InsuredFirstName+ - Subscriber First Name
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- # +InsuredLastName+ - Subscriber Last Name
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- # +InsuranceNum+ - Subscriber Id
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- # +InsuredDob+ - Subscriber DOB
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- # +InsuredGender+ - Subscriber Gender
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- # +DependentFirstName+ - Dependent First Name
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- # +DependentLastName+ - Dependent Last Name
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- # +DependentDob+ - Dependent DOB
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- # +DependentGender+ - Dependent Gender
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- #
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- # Note: Some payers require additional information than those listed above. Please refer to the
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- # companion guide for the additional parameters required by few payers. A valid inquiry submitted
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- # to those payers must also account for the additional payer specific parameters. “InsuranceNum,” in
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- # particular, is not a required field for all transactions, but is required by almost all payers.
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- #
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  def check_eligibility(options = {})
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  @client.call(:real_time_transaction, message: {
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  'PayloadType': 'X12_270_Request_005010X279A1',
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  }))
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  end
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+ # Required Field:
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+ # +GediPayerId+ - The Gateway EDI specific payer identifier
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+ # +ProviderLastName+ - Provider Last Name/Organization Name
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+ # +NPI+ - National Provider Identifier
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+ #
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+ # Situational Fields:
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+ #
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+ # +ProviderFirstName+ - Provider First Name
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+ # +InsuredFirstName+ - Subscriber First Name
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+ # +InsuredLastName+ - Subscriber Last Name
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+ # +InsuranceNum+ - Subscriber Id
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+ # +InsuredDob+ - Subscriber DOB
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+ # +InsuredGender+ - Subscriber Gender
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+ # +DependentFirstName+ - Dependent First Name
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+ # +DependentLastName+ - Dependent Last Name
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+ # +DependentDob+ - Dependent DOB
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+ # +DependentGender+ - Dependent Gender
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+ #
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+ # Note: Some payers require additional information than those listed above. Please refer to the
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+ # companion guide for the additional parameters required by few payers. A valid inquiry submitted
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+ # to those payers must also account for the additional payer specific parameters. “InsuranceNum,” in
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+ # particular, is not a required field for all transactions, but is required by almost all payers.
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+ #
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  # See Also:
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  #
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  # - Service Description: https://services.gatewayedi.com/eligibility/service.asmx?op=DoInquiry
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  def do_inquiry(parameters={})
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- @client.call(:do_inquiry, message: { 'Inquiry': {'Parameters': {
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+ @client.call(:do_inquiry, message: { 'Inquiry': {
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+ 'ResponseDataType': 'Xml',
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+ 'Parameters': {
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  'MyNameValue': parameters.map do |name, value|
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  {'Name': name, 'Value': value}
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  end
@@ -29,6 +29,20 @@ module Trizetto
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  # Retrieves all Gateway EDI recognized payers along with their supported transaction types and
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  # servicing states and links to their enrollment documentation, if it exists.
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  #
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+ # The service provides the following information for each payer
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+ # Type – HCFA or UB.
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+ # - Payer ID – The Gateway EDI payer identification number.
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+ # - Payer Name – The payer name.
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+ # - Nation Wide – Yes or No.
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+ # - Servicing States – List of supported states.
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+ # - Supported Transactions – List of supported transactions.
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+ # -- Description – A description of the available transactions. Transaction include Claims, Real-time Claim Status, Remittance Advice, Real-time Eligibility, and Electronic COB.
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+ # -- Enrollment Required – Yes or No.
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+ # -- Enrollment Agreement – A http link to the enrollment documentation.
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+ # -- Authorization Required – Yes or No.
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+ # - Provider ID Required – Yes or No.
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+ # - NPI Enabled – Yes or No.
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+ # - Last Date Modified – Last date that payer information was modified.
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  # Note: You probably need to set a long timeout to make this call
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  def payer_list
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  @client.call(:get_xml_payer_list, message: {})
@@ -1,5 +1,5 @@
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  module Trizetto
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  module Api
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- VERSION = "0.1.1"
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+ VERSION = "0.1.2"
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  end
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  end
metadata CHANGED
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  --- !ruby/object:Gem::Specification
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  name: trizetto-api
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  version: !ruby/object:Gem::Version
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- version: 0.1.1
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+ version: 0.1.2
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  platform: ruby
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  authors:
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  - John Naegle
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  autorequire:
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  bindir: exe
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  cert_chain: []
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- date: 2018-01-11 00:00:00.000000000 Z
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+ date: 2018-01-12 00:00:00.000000000 Z
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  dependencies:
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  - !ruby/object:Gem::Dependency
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  name: bundler