vericred_client 0.0.11 → 0.0.18

data/spec/models/meta_spec.rb

@@ -93,7 +93,7 @@ document.
 In this case, we want to select `name` and `phone` from the `provider` key,
 so we would add the parameters `select=provider.name,provider.phone`.
 We also want the `name` and `code` from the `states` key, so we would
-add the parameters `select=states.name,staes.code`.  The id field of
+add the parameters `select=states.name,states.code`.  The id field of
 each document is always returned whether or not it is requested.
 
 Our final request would be `GET /providers/12345?select=provider.name,provider.phone,states.name,states.code`
@@ -150,15 +150,16 @@ Here's a description of the benefits summary string, represented as a context-fr
 ```
 root                      ::= coverage
 
-coverage                  ::= (simple_coverage | tiered_coverage) (space pipe space coverage_limitation)?
+coverage                  ::= (simple_coverage | tiered_coverage) (space pipe space coverage_modifier)?
 tiered_coverage           ::= tier (space slash space tier)*
 tier                      ::= tier_name colon space (tier_coverage | not_applicable)
 tier_coverage             ::= simple_coverage (space (then | or | and) space simple_coverage)* tier_limitation?
 simple_coverage           ::= (pre_coverage_limitation space)? coverage_amount (space post_coverage_limitation)? (comma? space coverage_condition)?
-coverage_limitation       ::= "limit" colon space (((simple_coverage | simple_limitation) (semicolon space see_carrier_documentation)?) | see_carrier_documentation | waived_if_admitted)
+coverage_modifier         ::= limit_condition colon space (((simple_coverage | simple_limitation) (semicolon space see_carrier_documentation)?) | see_carrier_documentation | waived_if_admitted | shared_across_tiers)
 waived_if_admitted        ::= ("copay" space)? "waived if admitted"
 simple_limitation         ::= pre_coverage_limitation space "copay applies"
 tier_name                 ::= "In-Network-Tier-2" | "Out-of-Network" | "In-Network"
+limit_condition           ::= "limit" | "condition"
 tier_limitation           ::= comma space "up to" space (currency | (integer space time_unit plural?)) (space post_coverage_limitation)?
 coverage_amount           ::= currency | unlimited | included | unknown | percentage | (digits space (treatment_unit | time_unit) plural?)
 pre_coverage_limitation   ::= first space digits space time_unit plural?
@@ -168,6 +169,7 @@ allowance                 ::= upto_allowance | after_allowance
 upto_allowance            ::= "up to" space (currency space)? "allowance"
 after_allowance           ::= "after" space (currency space)? "allowance"
 see_carrier_documentation ::= "see carrier documentation for more information"
+shared_across_tiers       ::= "shared across all tiers"
 unknown                   ::= "unknown"
 unlimited                 ::= /[uU]nlimited/
 included                  ::= /[iI]ncluded in [mM]edical/

data/spec/models/network_comparison_request_spec.rb

@@ -0,0 +1,261 @@
+=begin
+#Vericred API
+
+#Vericred's API allows you to search for Health Plans that a specific doctor
+accepts.
+
+## Getting Started
+
+Visit our [Developer Portal](https://developers.vericred.com) to
+create an account.
+
+Once you have created an account, you can create one Application for
+Production and another for our Sandbox (select the appropriate Plan when
+you create the Application).
+
+## SDKs
+
+Our API follows standard REST conventions, so you can use any HTTP client
+to integrate with us. You will likely find it easier to use one of our
+[autogenerated SDKs](https://github.com/vericred/?query=vericred-),
+which we make available for several common programming languages.
+
+## Authentication
+
+To authenticate, pass the API Key you created in the Developer Portal as
+a `Vericred-Api-Key` header.
+
+`curl -H 'Vericred-Api-Key: YOUR_KEY' "https://api.vericred.com/providers?search_term=Foo&zip_code=11215"`
+
+## Versioning
+
+Vericred's API default to the latest version.  However, if you need a specific
+version, you can request it with an `Accept-Version` header.
+
+The current version is `v3`.  Previous versions are `v1` and `v2`.
+
+`curl -H 'Vericred-Api-Key: YOUR_KEY' -H 'Accept-Version: v2' "https://api.vericred.com/providers?search_term=Foo&zip_code=11215"`
+
+## Pagination
+
+Endpoints that accept `page` and `per_page` parameters are paginated. They expose
+four additional fields that contain data about your position in the response,
+namely `Total`, `Per-Page`, `Link`, and `Page` as described in [RFC-5988](https://tools.ietf.org/html/rfc5988).
+
+For example, to display 5 results per page and view the second page of a
+`GET` to `/networks`, your final request would be `GET /networks?....page=2&per_page=5`.
+
+## Sideloading
+
+When we return multiple levels of an object graph (e.g. `Provider`s and their `State`s
+we sideload the associated data.  In this example, we would provide an Array of
+`State`s and a `state_id` for each provider.  This is done primarily to reduce the
+payload size since many of the `Provider`s will share a `State`
+
+```
+{
+  providers: [{ id: 1, state_id: 1}, { id: 2, state_id: 1 }],
+  states: [{ id: 1, code: 'NY' }]
+}
+```
+
+If you need the second level of the object graph, you can just match the
+corresponding id.
+
+## Selecting specific data
+
+All endpoints allow you to specify which fields you would like to return.
+This allows you to limit the response to contain only the data you need.
+
+For example, let's take a request that returns the following JSON by default
+
+```
+{
+  provider: {
+    id: 1,
+    name: 'John',
+    phone: '1234567890',
+    field_we_dont_care_about: 'value_we_dont_care_about'
+  },
+  states: [{
+    id: 1,
+    name: 'New York',
+    code: 'NY',
+    field_we_dont_care_about: 'value_we_dont_care_about'
+  }]
+}
+```
+
+To limit our results to only return the fields we care about, we specify the
+`select` query string parameter for the corresponding fields in the JSON
+document.
+
+In this case, we want to select `name` and `phone` from the `provider` key,
+so we would add the parameters `select=provider.name,provider.phone`.
+We also want the `name` and `code` from the `states` key, so we would
+add the parameters `select=states.name,states.code`.  The id field of
+each document is always returned whether or not it is requested.
+
+Our final request would be `GET /providers/12345?select=provider.name,provider.phone,states.name,states.code`
+
+The response would be
+
+```
+{
+  provider: {
+    id: 1,
+    name: 'John',
+    phone: '1234567890'
+  },
+  states: [{
+    id: 1,
+    name: 'New York',
+    code: 'NY'
+  }]
+}
+```
+
+## Benefits summary format
+Benefit cost-share strings are formatted to capture:
+ * Network tiers
+ * Compound or conditional cost-share
+ * Limits on the cost-share
+ * Benefit-specific maximum out-of-pocket costs
+
+**Example #1**
+As an example, we would represent [this Summary of Benefits & Coverage](https://s3.amazonaws.com/vericred-data/SBC/2017/33602TX0780032.pdf) as:
+
+* **Hospital stay facility fees**:
+  - Network Provider: `$400 copay/admit plus 20% coinsurance`
+  - Out-of-Network Provider: `$1,500 copay/admit plus 50% coinsurance`
+  - Vericred's format for this benefit: `In-Network: $400 before deductible then 20% after deductible / Out-of-Network: $1,500 before deductible then 50% after deductible`
+
+* **Rehabilitation services:**
+  - Network Provider: `20% coinsurance`
+  - Out-of-Network Provider: `50% coinsurance`
+  - Limitations & Exceptions: `35 visit maximum per benefit period combined with Chiropractic care.`
+  - Vericred's format for this benefit: `In-Network: 20% after deductible / Out-of-Network: 50% after deductible | limit: 35 visit(s) per Benefit Period`
+
+**Example #2**
+In [this other Summary of Benefits & Coverage](https://s3.amazonaws.com/vericred-data/SBC/2017/40733CA0110568.pdf), the **specialty_drugs** cost-share has a maximum out-of-pocket for in-network pharmacies.
+* **Specialty drugs:**
+  - Network Provider: `40% coinsurance up to a $500 maximum for up to a 30 day supply`
+  - Out-of-Network Provider `Not covered`
+  - Vericred's format for this benefit: `In-Network: 40% after deductible, up to $500 per script / Out-of-Network: 100%`
+
+**BNF**
+
+Here's a description of the benefits summary string, represented as a context-free grammar:
+
+```
+root                      ::= coverage
+
+coverage                  ::= (simple_coverage | tiered_coverage) (space pipe space coverage_modifier)?
+tiered_coverage           ::= tier (space slash space tier)*
+tier                      ::= tier_name colon space (tier_coverage | not_applicable)
+tier_coverage             ::= simple_coverage (space (then | or | and) space simple_coverage)* tier_limitation?
+simple_coverage           ::= (pre_coverage_limitation space)? coverage_amount (space post_coverage_limitation)? (comma? space coverage_condition)?
+coverage_modifier         ::= limit_condition colon space (((simple_coverage | simple_limitation) (semicolon space see_carrier_documentation)?) | see_carrier_documentation | waived_if_admitted | shared_across_tiers)
+waived_if_admitted        ::= ("copay" space)? "waived if admitted"
+simple_limitation         ::= pre_coverage_limitation space "copay applies"
+tier_name                 ::= "In-Network-Tier-2" | "Out-of-Network" | "In-Network"
+limit_condition           ::= "limit" | "condition"
+tier_limitation           ::= comma space "up to" space (currency | (integer space time_unit plural?)) (space post_coverage_limitation)?
+coverage_amount           ::= currency | unlimited | included | unknown | percentage | (digits space (treatment_unit | time_unit) plural?)
+pre_coverage_limitation   ::= first space digits space time_unit plural?
+post_coverage_limitation  ::= (((then space currency) | "per condition") space)? "per" space (treatment_unit | (integer space time_unit) | time_unit) plural?
+coverage_condition        ::= ("before deductible" | "after deductible" | "penalty" | allowance | "in-state" | "out-of-state") (space allowance)?
+allowance                 ::= upto_allowance | after_allowance
+upto_allowance            ::= "up to" space (currency space)? "allowance"
+after_allowance           ::= "after" space (currency space)? "allowance"
+see_carrier_documentation ::= "see carrier documentation for more information"
+shared_across_tiers       ::= "shared across all tiers"
+unknown                   ::= "unknown"
+unlimited                 ::= /[uU]nlimited/
+included                  ::= /[iI]ncluded in [mM]edical/
+time_unit                 ::= /[hH]our/ | (((/[cC]alendar/ | /[cC]ontract/) space)? /[yY]ear/) | /[mM]onth/ | /[dD]ay/ | /[wW]eek/ | /[vV]isit/ | /[lL]ifetime/ | ((((/[bB]enefit/ plural?) | /[eE]ligibility/) space)? /[pP]eriod/)
+treatment_unit            ::= /[pP]erson/ | /[gG]roup/ | /[cC]ondition/ | /[sS]cript/ | /[vV]isit/ | /[eE]xam/ | /[iI]tem/ | /[sS]tay/ | /[tT]reatment/ | /[aA]dmission/ | /[eE]pisode/
+comma                     ::= ","
+colon                     ::= ":"
+semicolon                 ::= ";"
+pipe                      ::= "|"
+slash                     ::= "/"
+plural                    ::= "(s)" | "s"
+then                      ::= "then" | ("," space) | space
+or                        ::= "or"
+and                       ::= "and"
+not_applicable            ::= "Not Applicable" | "N/A" | "NA"
+first                     ::= "first"
+currency                  ::= "$" number
+percentage                ::= number "%"
+number                    ::= float | integer
+float                     ::= digits "." digits
+integer                   ::= /[0-9]/+ (comma_int | under_int)*
+comma_int                 ::= ("," /[0-9]/*3) !"_"
+under_int                 ::= ("_" /[0-9]/*3) !","
+digits                    ::= /[0-9]/+ ("_" /[0-9]/+)*
+space                     ::= /[ \t]/+
+```
+
+
+
+OpenAPI spec version: 1.0.0
+
+Generated by: https://github.com/swagger-api/swagger-codegen.git
+
+Licensed under the Apache License, Version 2.0 (the "License");
+you may not use this file except in compliance with the License.
+You may obtain a copy of the License at
+
+http://www.apache.org/licenses/LICENSE-2.0
+
+Unless required by applicable law or agreed to in writing, software
+distributed under the License is distributed on an "AS IS" BASIS,
+WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied.
+See the License for the specific language governing permissions and
+limitations under the License.
+
+=end
+
+require 'spec_helper'
+require 'json'
+require 'date'
+
+# Unit tests for VericredClient::NetworkComparisonRequest
+# Automatically generated by swagger-codegen (github.com/swagger-api/swagger-codegen)
+# Please update as you see appropriate
+describe 'NetworkComparisonRequest' do
+  before do
+    # run before each test
+    @instance = VericredClient::NetworkComparisonRequest.new
+  end
+
+  after do
+    # run after each test
+  end
+
+  describe 'test an instance of NetworkComparisonRequest' do
+    it 'should create an instact of NetworkComparisonRequest' do
+      expect(@instance).to be_instance_of(VericredClient::NetworkComparisonRequest)
+    end
+  end
+  describe 'test attribute "network_ids"' do
+    it 'should work' do
+       # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
+    end
+  end
+
+  describe 'test attribute "radius"' do
+    it 'should work' do
+       # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
+    end
+  end
+
+  describe 'test attribute "zip_code"' do
+    it 'should work' do
+       # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
+    end
+  end
+
+end
+

data/spec/models/network_comparison_response_spec.rb

@@ -0,0 +1,255 @@
+=begin
+#Vericred API
+
+#Vericred's API allows you to search for Health Plans that a specific doctor
+accepts.
+
+## Getting Started
+
+Visit our [Developer Portal](https://developers.vericred.com) to
+create an account.
+
+Once you have created an account, you can create one Application for
+Production and another for our Sandbox (select the appropriate Plan when
+you create the Application).
+
+## SDKs
+
+Our API follows standard REST conventions, so you can use any HTTP client
+to integrate with us. You will likely find it easier to use one of our
+[autogenerated SDKs](https://github.com/vericred/?query=vericred-),
+which we make available for several common programming languages.
+
+## Authentication
+
+To authenticate, pass the API Key you created in the Developer Portal as
+a `Vericred-Api-Key` header.
+
+`curl -H 'Vericred-Api-Key: YOUR_KEY' "https://api.vericred.com/providers?search_term=Foo&zip_code=11215"`
+
+## Versioning
+
+Vericred's API default to the latest version.  However, if you need a specific
+version, you can request it with an `Accept-Version` header.
+
+The current version is `v3`.  Previous versions are `v1` and `v2`.
+
+`curl -H 'Vericred-Api-Key: YOUR_KEY' -H 'Accept-Version: v2' "https://api.vericred.com/providers?search_term=Foo&zip_code=11215"`
+
+## Pagination
+
+Endpoints that accept `page` and `per_page` parameters are paginated. They expose
+four additional fields that contain data about your position in the response,
+namely `Total`, `Per-Page`, `Link`, and `Page` as described in [RFC-5988](https://tools.ietf.org/html/rfc5988).
+
+For example, to display 5 results per page and view the second page of a
+`GET` to `/networks`, your final request would be `GET /networks?....page=2&per_page=5`.
+
+## Sideloading
+
+When we return multiple levels of an object graph (e.g. `Provider`s and their `State`s
+we sideload the associated data.  In this example, we would provide an Array of
+`State`s and a `state_id` for each provider.  This is done primarily to reduce the
+payload size since many of the `Provider`s will share a `State`
+
+```
+{
+  providers: [{ id: 1, state_id: 1}, { id: 2, state_id: 1 }],
+  states: [{ id: 1, code: 'NY' }]
+}
+```
+
+If you need the second level of the object graph, you can just match the
+corresponding id.
+
+## Selecting specific data
+
+All endpoints allow you to specify which fields you would like to return.
+This allows you to limit the response to contain only the data you need.
+
+For example, let's take a request that returns the following JSON by default
+
+```
+{
+  provider: {
+    id: 1,
+    name: 'John',
+    phone: '1234567890',
+    field_we_dont_care_about: 'value_we_dont_care_about'
+  },
+  states: [{
+    id: 1,
+    name: 'New York',
+    code: 'NY',
+    field_we_dont_care_about: 'value_we_dont_care_about'
+  }]
+}
+```
+
+To limit our results to only return the fields we care about, we specify the
+`select` query string parameter for the corresponding fields in the JSON
+document.
+
+In this case, we want to select `name` and `phone` from the `provider` key,
+so we would add the parameters `select=provider.name,provider.phone`.
+We also want the `name` and `code` from the `states` key, so we would
+add the parameters `select=states.name,states.code`.  The id field of
+each document is always returned whether or not it is requested.
+
+Our final request would be `GET /providers/12345?select=provider.name,provider.phone,states.name,states.code`
+
+The response would be
+
+```
+{
+  provider: {
+    id: 1,
+    name: 'John',
+    phone: '1234567890'
+  },
+  states: [{
+    id: 1,
+    name: 'New York',
+    code: 'NY'
+  }]
+}
+```
+
+## Benefits summary format
+Benefit cost-share strings are formatted to capture:
+ * Network tiers
+ * Compound or conditional cost-share
+ * Limits on the cost-share
+ * Benefit-specific maximum out-of-pocket costs
+
+**Example #1**
+As an example, we would represent [this Summary of Benefits & Coverage](https://s3.amazonaws.com/vericred-data/SBC/2017/33602TX0780032.pdf) as:
+
+* **Hospital stay facility fees**:
+  - Network Provider: `$400 copay/admit plus 20% coinsurance`
+  - Out-of-Network Provider: `$1,500 copay/admit plus 50% coinsurance`
+  - Vericred's format for this benefit: `In-Network: $400 before deductible then 20% after deductible / Out-of-Network: $1,500 before deductible then 50% after deductible`
+
+* **Rehabilitation services:**
+  - Network Provider: `20% coinsurance`
+  - Out-of-Network Provider: `50% coinsurance`
+  - Limitations & Exceptions: `35 visit maximum per benefit period combined with Chiropractic care.`
+  - Vericred's format for this benefit: `In-Network: 20% after deductible / Out-of-Network: 50% after deductible | limit: 35 visit(s) per Benefit Period`
+
+**Example #2**
+In [this other Summary of Benefits & Coverage](https://s3.amazonaws.com/vericred-data/SBC/2017/40733CA0110568.pdf), the **specialty_drugs** cost-share has a maximum out-of-pocket for in-network pharmacies.
+* **Specialty drugs:**
+  - Network Provider: `40% coinsurance up to a $500 maximum for up to a 30 day supply`
+  - Out-of-Network Provider `Not covered`
+  - Vericred's format for this benefit: `In-Network: 40% after deductible, up to $500 per script / Out-of-Network: 100%`
+
+**BNF**
+
+Here's a description of the benefits summary string, represented as a context-free grammar:
+
+```
+root                      ::= coverage
+
+coverage                  ::= (simple_coverage | tiered_coverage) (space pipe space coverage_modifier)?
+tiered_coverage           ::= tier (space slash space tier)*
+tier                      ::= tier_name colon space (tier_coverage | not_applicable)
+tier_coverage             ::= simple_coverage (space (then | or | and) space simple_coverage)* tier_limitation?
+simple_coverage           ::= (pre_coverage_limitation space)? coverage_amount (space post_coverage_limitation)? (comma? space coverage_condition)?
+coverage_modifier         ::= limit_condition colon space (((simple_coverage | simple_limitation) (semicolon space see_carrier_documentation)?) | see_carrier_documentation | waived_if_admitted | shared_across_tiers)
+waived_if_admitted        ::= ("copay" space)? "waived if admitted"
+simple_limitation         ::= pre_coverage_limitation space "copay applies"
+tier_name                 ::= "In-Network-Tier-2" | "Out-of-Network" | "In-Network"
+limit_condition           ::= "limit" | "condition"
+tier_limitation           ::= comma space "up to" space (currency | (integer space time_unit plural?)) (space post_coverage_limitation)?
+coverage_amount           ::= currency | unlimited | included | unknown | percentage | (digits space (treatment_unit | time_unit) plural?)
+pre_coverage_limitation   ::= first space digits space time_unit plural?
+post_coverage_limitation  ::= (((then space currency) | "per condition") space)? "per" space (treatment_unit | (integer space time_unit) | time_unit) plural?
+coverage_condition        ::= ("before deductible" | "after deductible" | "penalty" | allowance | "in-state" | "out-of-state") (space allowance)?
+allowance                 ::= upto_allowance | after_allowance
+upto_allowance            ::= "up to" space (currency space)? "allowance"
+after_allowance           ::= "after" space (currency space)? "allowance"
+see_carrier_documentation ::= "see carrier documentation for more information"
+shared_across_tiers       ::= "shared across all tiers"
+unknown                   ::= "unknown"
+unlimited                 ::= /[uU]nlimited/
+included                  ::= /[iI]ncluded in [mM]edical/
+time_unit                 ::= /[hH]our/ | (((/[cC]alendar/ | /[cC]ontract/) space)? /[yY]ear/) | /[mM]onth/ | /[dD]ay/ | /[wW]eek/ | /[vV]isit/ | /[lL]ifetime/ | ((((/[bB]enefit/ plural?) | /[eE]ligibility/) space)? /[pP]eriod/)
+treatment_unit            ::= /[pP]erson/ | /[gG]roup/ | /[cC]ondition/ | /[sS]cript/ | /[vV]isit/ | /[eE]xam/ | /[iI]tem/ | /[sS]tay/ | /[tT]reatment/ | /[aA]dmission/ | /[eE]pisode/
+comma                     ::= ","
+colon                     ::= ":"
+semicolon                 ::= ";"
+pipe                      ::= "|"
+slash                     ::= "/"
+plural                    ::= "(s)" | "s"
+then                      ::= "then" | ("," space) | space
+or                        ::= "or"
+and                       ::= "and"
+not_applicable            ::= "Not Applicable" | "N/A" | "NA"
+first                     ::= "first"
+currency                  ::= "$" number
+percentage                ::= number "%"
+number                    ::= float | integer
+float                     ::= digits "." digits
+integer                   ::= /[0-9]/+ (comma_int | under_int)*
+comma_int                 ::= ("," /[0-9]/*3) !"_"
+under_int                 ::= ("_" /[0-9]/*3) !","
+digits                    ::= /[0-9]/+ ("_" /[0-9]/+)*
+space                     ::= /[ \t]/+
+```
+
+
+
+OpenAPI spec version: 1.0.0
+
+Generated by: https://github.com/swagger-api/swagger-codegen.git
+
+Licensed under the Apache License, Version 2.0 (the "License");
+you may not use this file except in compliance with the License.
+You may obtain a copy of the License at
+
+http://www.apache.org/licenses/LICENSE-2.0
+
+Unless required by applicable law or agreed to in writing, software
+distributed under the License is distributed on an "AS IS" BASIS,
+WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied.
+See the License for the specific language governing permissions and
+limitations under the License.
+
+=end
+
+require 'spec_helper'
+require 'json'
+require 'date'
+
+# Unit tests for VericredClient::NetworkComparisonResponse
+# Automatically generated by swagger-codegen (github.com/swagger-api/swagger-codegen)
+# Please update as you see appropriate
+describe 'NetworkComparisonResponse' do
+  before do
+    # run before each test
+    @instance = VericredClient::NetworkComparisonResponse.new
+  end
+
+  after do
+    # run after each test
+  end
+
+  describe 'test an instance of NetworkComparisonResponse' do
+    it 'should create an instact of NetworkComparisonResponse' do
+      expect(@instance).to be_instance_of(VericredClient::NetworkComparisonResponse)
+    end
+  end
+  describe 'test attribute "networks"' do
+    it 'should work' do
+       # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
+    end
+  end
+
+  describe 'test attribute "network_comparisons"' do
+    it 'should work' do
+       # assertion here. ref: https://www.relishapp.com/rspec/rspec-expectations/docs/built-in-matchers
+    end
+  end
+
+end
+