medicafe 0.250630.0__py3-none-any.whl → 0.250708.0__py3-none-any.whl
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- MediLink/MediLink_API_v3.py +47 -24
- MediLink/MediLink_Deductible.py +17 -5
- MediLink/MediLink_GraphQL.py +109 -692
- {medicafe-0.250630.0.dist-info → medicafe-0.250708.0.dist-info}/METADATA +1 -1
- {medicafe-0.250630.0.dist-info → medicafe-0.250708.0.dist-info}/RECORD +8 -8
- {medicafe-0.250630.0.dist-info → medicafe-0.250708.0.dist-info}/LICENSE +0 -0
- {medicafe-0.250630.0.dist-info → medicafe-0.250708.0.dist-info}/WHEEL +0 -0
- {medicafe-0.250630.0.dist-info → medicafe-0.250708.0.dist-info}/top_level.txt +0 -0
MediLink/MediLink_API_v3.py
CHANGED
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@@ -504,49 +504,72 @@ def get_eligibility_super_connector(client, payer_id, provider_last_name, search
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if not provider_tin:
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raise ValueError("Provider TIN not found in configuration")
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# Construct GraphQL query variables
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"serviceEndDate": service_end or date_of_birth, # Use date_of_birth as fallback
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"coverageTypes": ["Medical"], # Default to Medical coverage
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"payerId": payer_id,
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"providerLastName": provider_last_name,
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"providerFirstName": provider_first_name or "",
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"providerNPI": npi
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}
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+
# Construct GraphQL query variables using the consolidated module
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graphql_variables = MediLink_GraphQL.build_eligibility_variables(
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member_id=member_id,
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+
date_of_birth=date_of_birth,
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payer_id=payer_id,
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provider_last_name=provider_last_name,
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provider_npi=npi
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+
)
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#
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-
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# Validate NPI format (should be 10 digits)
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if 'providerNPI' in graphql_variables:
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npi_value = graphql_variables['providerNPI']
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if not npi_value.isdigit() or len(npi_value) != 10:
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MediLink_ConfigLoader.log("Warning: NPI '{}' is not 10 digits, but continuing anyway".format(npi_value), level="WARNING")
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-
# Build GraphQL request using the
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# Build GraphQL request using the consolidated module
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# Hardcoded switch to use sample data for testing
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USE_SAMPLE_DATA =
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USE_SAMPLE_DATA = False # Set to False to use constructed data
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if USE_SAMPLE_DATA:
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# Use the sample data from swagger documentation
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graphql_body = MediLink_GraphQL.get_sample_eligibility_request()
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MediLink_ConfigLoader.log("Using SAMPLE DATA from swagger documentation", level="INFO")
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else:
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# Build GraphQL request with actual data
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# Build GraphQL request with actual data using consolidated module
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graphql_body = MediLink_GraphQL.build_eligibility_request(graphql_variables)
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MediLink_ConfigLoader.log("Using CONSTRUCTED DATA with
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MediLink_ConfigLoader.log("Using CONSTRUCTED DATA with consolidated GraphQL module", level="INFO")
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# Compare with sample data for debugging
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sample_data = MediLink_GraphQL.get_sample_eligibility_request()
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MediLink_ConfigLoader.log("Sample data structure: {}".format(json.dumps(sample_data, indent=2)), level="DEBUG")
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MediLink_ConfigLoader.log("Constructed data structure: {}".format(json.dumps(graphql_body, indent=2)), level="DEBUG")
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+
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# Compare key differences
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sample_vars = sample_data['variables']['input']
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constructed_vars = graphql_body['variables']['input']
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# Log differences in variables
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for key in set(sample_vars.keys()) | set(constructed_vars.keys()):
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sample_val = sample_vars.get(key)
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constructed_val = constructed_vars.get(key)
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if sample_val != constructed_val:
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MediLink_ConfigLoader.log("Variable difference - {}: sample='{}', constructed='{}'".format(
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key, sample_val, constructed_val), level="DEBUG")
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# Log the GraphQL request
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MediLink_ConfigLoader.log("GraphQL request body: {}".format(json.dumps(graphql_body, indent=2)), level="DEBUG")
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MediLink_ConfigLoader.log("GraphQL variables: {}".format(json.dumps(graphql_variables, indent=2)), level="DEBUG")
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# Add required headers for Super Connector
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headers = {
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'Content-Type': 'application/json',
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'Accept': 'application/json',
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'
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'tin': provider_tin
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'tin': str(provider_tin) # Ensure TIN is a string
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}
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# Only add env header when using sample data
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if USE_SAMPLE_DATA:
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headers['env'] = 'sandbox'
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# Remove None values from headers
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headers = {k: v for k, v in headers.items() if v is not None}
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569
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# Log the final headers being sent
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MediLink_ConfigLoader.log("Final headers being sent: {}".format(json.dumps(headers, indent=2)), level="DEBUG")
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# Make the GraphQL API call
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response = client.make_api_call(endpoint_name, 'POST', url_extension, params=None, data=graphql_body, headers=headers)
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@@ -650,7 +673,7 @@ if __name__ == "__main__":
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'test_claim_summary': False,
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'test_eligibility': False,
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'test_eligibility_v3': False,
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'test_eligibility_super_connector':
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'test_eligibility_super_connector': False,
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'test_claim_submission': False,
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}
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MediLink/MediLink_Deductible.py
CHANGED
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@@ -175,17 +175,29 @@ def manual_deductible_lookup():
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def get_eligibility_info(client, payer_id, provider_last_name, date_of_birth, member_id, npi):
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try:
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# Log the parameters being sent to the function
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MediLink_ConfigLoader.log("Calling
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MediLink_ConfigLoader.log("Calling eligibility check with parameters:", level="DEBUG")
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MediLink_ConfigLoader.log("payer_id: {}".format(payer_id), level="DEBUG")
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MediLink_ConfigLoader.log("provider_last_name: {}".format(provider_last_name), level="DEBUG")
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MediLink_ConfigLoader.log("date_of_birth: {}".format(date_of_birth), level="DEBUG")
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MediLink_ConfigLoader.log("member_id: {}".format(member_id), level="DEBUG")
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MediLink_ConfigLoader.log("npi: {}".format(npi), level="DEBUG")
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#
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# Configuration flag to control which API to use
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# Set to False to use the new Super Connector API, True to use the legacy v3 API
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USE_LEGACY_API = False
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if USE_LEGACY_API:
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# Use the legacy get_eligibility_v3 function as primary
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MediLink_ConfigLoader.log("Using legacy get_eligibility_v3 API", level="INFO")
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eligibility = MediLink_API_v3.get_eligibility_v3(
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client, payer_id, provider_last_name, 'MemberIDDateOfBirth', date_of_birth, member_id, npi
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)
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else:
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# Use the new Super Connector API as primary
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MediLink_ConfigLoader.log("Using new get_eligibility_super_connector API", level="INFO")
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eligibility = MediLink_API_v3.get_eligibility_super_connector(
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client, payer_id, provider_last_name, 'MemberIDDateOfBirth', date_of_birth, member_id, npi
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)
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# Log the response
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MediLink_ConfigLoader.log("Eligibility response: {}".format(json.dumps(eligibility, indent=4)), level="DEBUG")
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MediLink/MediLink_GraphQL.py
CHANGED
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@@ -5,7 +5,6 @@ Handles query templates, query building, and response transformations
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"""
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import json
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from typing import Dict, Any, Optional, List
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class GraphQLQueryBuilder:
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"""Builder class for constructing GraphQL queries for Super Connector API"""
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@@ -14,702 +13,86 @@ class GraphQLQueryBuilder:
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def get_eligibility_query() -> str:
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"""
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Returns the GraphQL query for eligibility checks.
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"""
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return """
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query CheckEligibility($input: EligibilityInput!) {
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checkEligibility(input: $input) {
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eligibility {
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eligibilityInfo {
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trnId
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member {
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memberId
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firstName
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lastName
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middleName
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suffix
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dateOfBirth
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gender
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relationship
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relationshipCode
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relationshipTypeCode
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individualRelationshipCode
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dependentSequenceNumber
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}
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contact {
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addresses {
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type
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street1
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street2
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city
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state
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country
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zip
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zip4
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}
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}
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insuranceInfo {
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policyNumber
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eligibilityStartDate
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eligibilityEndDate
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planStartDate
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planEndDate
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policyStatus
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planTypeDescription
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planVariation
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reportingCode
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stateOfIssueCode
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productType
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productId
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productCode
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payerId
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lineOfBusiness
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lineOfBusinessCode
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coverageTypes {
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typeCode
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description
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}
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}
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associatedIds {
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alternateId
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medicaidRecipientId
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exchangeMemberId
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alternateSubscriberId
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hicNumber
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mbiNumber
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subscriberMemberFacingIdentifier
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survivingSpouseId
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subscriberId
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memberReplacementId
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legacyMemberId
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customerAccountIdentifier
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}
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planLevels {
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level
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family {
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networkStatus
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planAmount
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planAmountFrequency
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remainingAmount
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}
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individual {
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networkStatus
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planAmount
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planAmountFrequency
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remainingAmount
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}
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}
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delegatedInfo {
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entity
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payerId
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contact {
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phone
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fax
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email
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}
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addresses {
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type
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street1
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street2
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city
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state
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country
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zip
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zip4
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}
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}
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additionalInfo {
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isReferralRequired
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}
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}
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primaryCarePhysician {
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isPcpFound
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lastName
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firstName
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middleName
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phoneNumber
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address {
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type
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street1
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street2
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city
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state
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country
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zip
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zip4
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}
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networkStatusCode
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affiliateHospitalName
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providerGroupName
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}
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coordinationOfBenefit {
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coordinationOfBenefitDetails {
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payer {
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id
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name
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phoneNumber
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address {
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type
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street1
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street2
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city
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state
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country
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zip
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zip4
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}
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}
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cobPrimacy {
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indicator
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description
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message
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}
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}
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uhgPrimacyStatus {
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policyEffectiveDate
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policyTerminationDate
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primacy {
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indicator
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description
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message
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}
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}
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}
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idCardImages {
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side
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content
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contentType
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}
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providerNetwork {
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status
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tier
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}
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serviceLevels {
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family {
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networkStatus
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services {
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isVendorOnly
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service
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serviceCode
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serviceDate
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text
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status
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coPayAmount
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coPayFrequency
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coInsurancePercent
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planAmount
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-
remainingAmount
|
|
202
|
-
metYearToDateAmount
|
|
203
|
-
isReferralObtainedCopay
|
|
204
|
-
isReferralObtainedCoInsurance
|
|
205
|
-
referralCopayAmount
|
|
206
|
-
referralCoInsurancePercent
|
|
207
|
-
benefitsAllowedFrequencies
|
|
208
|
-
benefitsRemainingFrequencies
|
|
209
|
-
message {
|
|
210
|
-
note {
|
|
211
|
-
isSingleMessageDetail
|
|
212
|
-
isViewDetail
|
|
213
|
-
messages
|
|
214
|
-
text
|
|
215
|
-
subMessages {
|
|
216
|
-
service
|
|
217
|
-
status
|
|
218
|
-
copay
|
|
219
|
-
msg
|
|
220
|
-
startDate
|
|
221
|
-
endDate
|
|
222
|
-
minCopay
|
|
223
|
-
minCopayMsg
|
|
224
|
-
maxCopay
|
|
225
|
-
maxCopayMsg
|
|
226
|
-
isPrimaryIndicator
|
|
227
|
-
}
|
|
228
|
-
limitationInfo {
|
|
229
|
-
lmtPeriod
|
|
230
|
-
lmtType
|
|
231
|
-
lmtOccurPerPeriod
|
|
232
|
-
lmtDollarPerPeriod
|
|
233
|
-
message
|
|
234
|
-
}
|
|
235
|
-
isMultipleCopaysFound
|
|
236
|
-
isMultipleCoinsuranceFound
|
|
237
|
-
}
|
|
238
|
-
coPay {
|
|
239
|
-
isSingleMessageDetail
|
|
240
|
-
isViewDetail
|
|
241
|
-
messages
|
|
242
|
-
text
|
|
243
|
-
subMessages {
|
|
244
|
-
service
|
|
245
|
-
status
|
|
246
|
-
copay
|
|
247
|
-
msg
|
|
248
|
-
startDate
|
|
249
|
-
endDate
|
|
250
|
-
minCopay
|
|
251
|
-
minCopayMsg
|
|
252
|
-
maxCopay
|
|
253
|
-
maxCopayMsg
|
|
254
|
-
isPrimaryIndicator
|
|
255
|
-
}
|
|
256
|
-
limitationInfo {
|
|
257
|
-
lmtPeriod
|
|
258
|
-
lmtType
|
|
259
|
-
lmtOccurPerPeriod
|
|
260
|
-
lmtDollarPerPeriod
|
|
261
|
-
message
|
|
262
|
-
}
|
|
263
|
-
isMultipleCopaysFound
|
|
264
|
-
isMultipleCoinsuranceFound
|
|
265
|
-
}
|
|
266
|
-
coInsurance {
|
|
267
|
-
isSingleMessageDetail
|
|
268
|
-
isViewDetail
|
|
269
|
-
messages
|
|
270
|
-
text
|
|
271
|
-
subMessages {
|
|
272
|
-
service
|
|
273
|
-
status
|
|
274
|
-
copay
|
|
275
|
-
msg
|
|
276
|
-
startDate
|
|
277
|
-
endDate
|
|
278
|
-
minCopay
|
|
279
|
-
minCopayMsg
|
|
280
|
-
maxCopay
|
|
281
|
-
maxCopayMsg
|
|
282
|
-
isPrimaryIndicator
|
|
283
|
-
}
|
|
284
|
-
limitationInfo {
|
|
285
|
-
lmtPeriod
|
|
286
|
-
lmtType
|
|
287
|
-
lmtOccurPerPeriod
|
|
288
|
-
lmtDollarPerPeriod
|
|
289
|
-
message
|
|
290
|
-
}
|
|
291
|
-
isMultipleCopaysFound
|
|
292
|
-
isMultipleCoinsuranceFound
|
|
293
|
-
}
|
|
294
|
-
deductible {
|
|
295
|
-
isSingleMessageDetail
|
|
296
|
-
isViewDetail
|
|
297
|
-
messages
|
|
298
|
-
text
|
|
299
|
-
subMessages {
|
|
300
|
-
service
|
|
301
|
-
status
|
|
302
|
-
copay
|
|
303
|
-
msg
|
|
304
|
-
startDate
|
|
305
|
-
endDate
|
|
306
|
-
minCopay
|
|
307
|
-
minCopayMsg
|
|
308
|
-
maxCopay
|
|
309
|
-
maxCopayMsg
|
|
310
|
-
isPrimaryIndicator
|
|
311
|
-
}
|
|
312
|
-
limitationInfo {
|
|
313
|
-
lmtPeriod
|
|
314
|
-
lmtType
|
|
315
|
-
lmtOccurPerPeriod
|
|
316
|
-
lmtDollarPerPeriod
|
|
317
|
-
message
|
|
318
|
-
}
|
|
319
|
-
isMultipleCopaysFound
|
|
320
|
-
isMultipleCoinsuranceFound
|
|
321
|
-
}
|
|
322
|
-
benefitsAllowed {
|
|
323
|
-
isSingleMessageDetail
|
|
324
|
-
isViewDetail
|
|
325
|
-
messages
|
|
326
|
-
text
|
|
327
|
-
subMessages {
|
|
328
|
-
service
|
|
329
|
-
status
|
|
330
|
-
copay
|
|
331
|
-
msg
|
|
332
|
-
startDate
|
|
333
|
-
endDate
|
|
334
|
-
minCopay
|
|
335
|
-
minCopayMsg
|
|
336
|
-
maxCopay
|
|
337
|
-
maxCopayMsg
|
|
338
|
-
isPrimaryIndicator
|
|
339
|
-
}
|
|
340
|
-
limitationInfo {
|
|
341
|
-
lmtPeriod
|
|
342
|
-
lmtType
|
|
343
|
-
lmtOccurPerPeriod
|
|
344
|
-
lmtDollarPerPeriod
|
|
345
|
-
message
|
|
346
|
-
}
|
|
347
|
-
isMultipleCopaysFound
|
|
348
|
-
isMultipleCoinsuranceFound
|
|
349
|
-
}
|
|
350
|
-
benefitsRemaining {
|
|
351
|
-
isSingleMessageDetail
|
|
352
|
-
isViewDetail
|
|
353
|
-
messages
|
|
354
|
-
text
|
|
355
|
-
subMessages {
|
|
356
|
-
service
|
|
357
|
-
status
|
|
358
|
-
copay
|
|
359
|
-
msg
|
|
360
|
-
startDate
|
|
361
|
-
endDate
|
|
362
|
-
minCopay
|
|
363
|
-
minCopayMsg
|
|
364
|
-
maxCopay
|
|
365
|
-
maxCopayMsg
|
|
366
|
-
isPrimaryIndicator
|
|
367
|
-
}
|
|
368
|
-
limitationInfo {
|
|
369
|
-
lmtPeriod
|
|
370
|
-
lmtType
|
|
371
|
-
lmtOccurPerPeriod
|
|
372
|
-
lmtDollarPerPeriod
|
|
373
|
-
message
|
|
374
|
-
}
|
|
375
|
-
isMultipleCopaysFound
|
|
376
|
-
isMultipleCoinsuranceFound
|
|
377
|
-
}
|
|
378
|
-
coPayList
|
|
379
|
-
coInsuranceList
|
|
380
|
-
}
|
|
381
|
-
}
|
|
382
|
-
}
|
|
383
|
-
individual {
|
|
384
|
-
networkStatus
|
|
385
|
-
services {
|
|
386
|
-
isVendorOnly
|
|
387
|
-
service
|
|
388
|
-
serviceCode
|
|
389
|
-
serviceDate
|
|
390
|
-
text
|
|
391
|
-
status
|
|
392
|
-
coPayAmount
|
|
393
|
-
coPayFrequency
|
|
394
|
-
coInsurancePercent
|
|
395
|
-
planAmount
|
|
396
|
-
remainingAmount
|
|
397
|
-
metYearToDateAmount
|
|
398
|
-
isReferralObtainedCopay
|
|
399
|
-
isReferralObtainedCoInsurance
|
|
400
|
-
referralCopayAmount
|
|
401
|
-
referralCoInsurancePercent
|
|
402
|
-
benefitsAllowedFrequencies
|
|
403
|
-
benefitsRemainingFrequencies
|
|
404
|
-
message {
|
|
405
|
-
note {
|
|
406
|
-
isSingleMessageDetail
|
|
407
|
-
isViewDetail
|
|
408
|
-
messages
|
|
409
|
-
text
|
|
410
|
-
subMessages {
|
|
411
|
-
service
|
|
412
|
-
status
|
|
413
|
-
copay
|
|
414
|
-
msg
|
|
415
|
-
startDate
|
|
416
|
-
endDate
|
|
417
|
-
minCopay
|
|
418
|
-
minCopayMsg
|
|
419
|
-
maxCopay
|
|
420
|
-
maxCopayMsg
|
|
421
|
-
isPrimaryIndicator
|
|
422
|
-
}
|
|
423
|
-
limitationInfo {
|
|
424
|
-
lmtPeriod
|
|
425
|
-
lmtType
|
|
426
|
-
lmtOccurPerPeriod
|
|
427
|
-
lmtDollarPerPeriod
|
|
428
|
-
message
|
|
429
|
-
}
|
|
430
|
-
isMultipleCopaysFound
|
|
431
|
-
isMultipleCoinsuranceFound
|
|
432
|
-
}
|
|
433
|
-
coPay {
|
|
434
|
-
isSingleMessageDetail
|
|
435
|
-
isViewDetail
|
|
436
|
-
messages
|
|
437
|
-
text
|
|
438
|
-
subMessages {
|
|
439
|
-
service
|
|
440
|
-
status
|
|
441
|
-
copay
|
|
442
|
-
msg
|
|
443
|
-
startDate
|
|
444
|
-
endDate
|
|
445
|
-
minCopay
|
|
446
|
-
minCopayMsg
|
|
447
|
-
maxCopay
|
|
448
|
-
maxCopayMsg
|
|
449
|
-
isPrimaryIndicator
|
|
450
|
-
}
|
|
451
|
-
limitationInfo {
|
|
452
|
-
lmtPeriod
|
|
453
|
-
lmtType
|
|
454
|
-
lmtOccurPerPeriod
|
|
455
|
-
lmtDollarPerPeriod
|
|
456
|
-
message
|
|
457
|
-
}
|
|
458
|
-
isMultipleCopaysFound
|
|
459
|
-
isMultipleCoinsuranceFound
|
|
460
|
-
}
|
|
461
|
-
coInsurance {
|
|
462
|
-
isSingleMessageDetail
|
|
463
|
-
isViewDetail
|
|
464
|
-
messages
|
|
465
|
-
text
|
|
466
|
-
subMessages {
|
|
467
|
-
service
|
|
468
|
-
status
|
|
469
|
-
copay
|
|
470
|
-
msg
|
|
471
|
-
startDate
|
|
472
|
-
endDate
|
|
473
|
-
minCopay
|
|
474
|
-
minCopayMsg
|
|
475
|
-
maxCopay
|
|
476
|
-
maxCopayMsg
|
|
477
|
-
isPrimaryIndicator
|
|
478
|
-
}
|
|
479
|
-
limitationInfo {
|
|
480
|
-
lmtPeriod
|
|
481
|
-
lmtType
|
|
482
|
-
lmtOccurPerPeriod
|
|
483
|
-
lmtDollarPerPeriod
|
|
484
|
-
message
|
|
485
|
-
}
|
|
486
|
-
isMultipleCopaysFound
|
|
487
|
-
isMultipleCoinsuranceFound
|
|
488
|
-
}
|
|
489
|
-
deductible {
|
|
490
|
-
isSingleMessageDetail
|
|
491
|
-
isViewDetail
|
|
492
|
-
messages
|
|
493
|
-
text
|
|
494
|
-
subMessages {
|
|
495
|
-
service
|
|
496
|
-
status
|
|
497
|
-
copay
|
|
498
|
-
msg
|
|
499
|
-
startDate
|
|
500
|
-
endDate
|
|
501
|
-
minCopay
|
|
502
|
-
minCopayMsg
|
|
503
|
-
maxCopay
|
|
504
|
-
maxCopayMsg
|
|
505
|
-
isPrimaryIndicator
|
|
506
|
-
}
|
|
507
|
-
limitationInfo {
|
|
508
|
-
lmtPeriod
|
|
509
|
-
lmtType
|
|
510
|
-
lmtOccurPerPeriod
|
|
511
|
-
lmtDollarPerPeriod
|
|
512
|
-
message
|
|
513
|
-
}
|
|
514
|
-
isMultipleCopaysFound
|
|
515
|
-
isMultipleCoinsuranceFound
|
|
516
|
-
}
|
|
517
|
-
benefitsAllowed {
|
|
518
|
-
isSingleMessageDetail
|
|
519
|
-
isViewDetail
|
|
520
|
-
messages
|
|
521
|
-
text
|
|
522
|
-
subMessages {
|
|
523
|
-
service
|
|
524
|
-
status
|
|
525
|
-
copay
|
|
526
|
-
msg
|
|
527
|
-
startDate
|
|
528
|
-
endDate
|
|
529
|
-
minCopay
|
|
530
|
-
minCopayMsg
|
|
531
|
-
maxCopay
|
|
532
|
-
maxCopayMsg
|
|
533
|
-
isPrimaryIndicator
|
|
534
|
-
}
|
|
535
|
-
limitationInfo {
|
|
536
|
-
lmtPeriod
|
|
537
|
-
lmtType
|
|
538
|
-
lmtOccurPerPeriod
|
|
539
|
-
lmtDollarPerPeriod
|
|
540
|
-
message
|
|
541
|
-
}
|
|
542
|
-
isMultipleCopaysFound
|
|
543
|
-
isMultipleCoinsuranceFound
|
|
544
|
-
}
|
|
545
|
-
benefitsRemaining {
|
|
546
|
-
isSingleMessageDetail
|
|
547
|
-
isViewDetail
|
|
548
|
-
messages
|
|
549
|
-
text
|
|
550
|
-
subMessages {
|
|
551
|
-
service
|
|
552
|
-
status
|
|
553
|
-
copay
|
|
554
|
-
msg
|
|
555
|
-
startDate
|
|
556
|
-
endDate
|
|
557
|
-
minCopay
|
|
558
|
-
minCopayMsg
|
|
559
|
-
maxCopay
|
|
560
|
-
maxCopayMsg
|
|
561
|
-
isPrimaryIndicator
|
|
562
|
-
}
|
|
563
|
-
limitationInfo {
|
|
564
|
-
lmtPeriod
|
|
565
|
-
lmtType
|
|
566
|
-
lmtOccurPerPeriod
|
|
567
|
-
lmtDollarPerPeriod
|
|
568
|
-
message
|
|
569
|
-
}
|
|
570
|
-
isMultipleCopaysFound
|
|
571
|
-
isMultipleCoinsuranceFound
|
|
572
|
-
}
|
|
573
|
-
coPayList
|
|
574
|
-
coInsuranceList
|
|
575
|
-
}
|
|
576
|
-
}
|
|
577
|
-
}
|
|
578
|
-
}
|
|
579
|
-
extendedAttributes {
|
|
580
|
-
fundingCode
|
|
581
|
-
fundingType
|
|
582
|
-
hsa
|
|
583
|
-
cdhp
|
|
584
|
-
governmentProgramCode
|
|
585
|
-
cmsPackageBenefitPlanCode
|
|
586
|
-
cmsSegmentId
|
|
587
|
-
cmsContractId
|
|
588
|
-
marketType
|
|
589
|
-
obligorId
|
|
590
|
-
marketSite
|
|
591
|
-
benefitPlanId
|
|
592
|
-
virtualVisit
|
|
593
|
-
planVariation
|
|
594
|
-
groupNumber
|
|
595
|
-
legacyPanelNumber
|
|
596
|
-
coverageLevel
|
|
597
|
-
sharedArrangement
|
|
598
|
-
productServiceCode
|
|
599
|
-
designatedVirtualClinicNetwork
|
|
600
|
-
medicaidVariableCode
|
|
601
|
-
healthInsuranceExchangeId
|
|
602
|
-
memberDiv
|
|
603
|
-
legalEntityCode
|
|
604
|
-
}
|
|
605
|
-
otherBeneficiaries {
|
|
606
|
-
memberId
|
|
607
|
-
firstName
|
|
608
|
-
lastName
|
|
609
|
-
middleName
|
|
610
|
-
suffix
|
|
611
|
-
dateOfBirth
|
|
612
|
-
gender
|
|
613
|
-
relationship
|
|
614
|
-
relationshipCode
|
|
615
|
-
relationshipTypeCode
|
|
616
|
-
individualRelationshipCode
|
|
617
|
-
dependentSequenceNumber
|
|
618
|
-
}
|
|
619
|
-
}
|
|
620
|
-
}
|
|
621
|
-
}
|
|
16
|
+
Uses the exact working format from the successful cURL request.
|
|
622
17
|
"""
|
|
18
|
+
return GraphQLQueryBuilder.get_working_eligibility_query()
|
|
623
19
|
|
|
624
20
|
@staticmethod
|
|
625
21
|
def build_eligibility_variables(
|
|
626
|
-
member_id
|
|
627
|
-
first_name
|
|
628
|
-
last_name
|
|
629
|
-
date_of_birth
|
|
630
|
-
service_start_date
|
|
631
|
-
service_end_date
|
|
632
|
-
coverage_types
|
|
633
|
-
payer_id
|
|
634
|
-
provider_last_name
|
|
635
|
-
provider_first_name
|
|
636
|
-
provider_npi
|
|
637
|
-
group_number
|
|
638
|
-
trn_id
|
|
639
|
-
service_level_codes
|
|
640
|
-
plan_start_date
|
|
641
|
-
plan_end_date
|
|
642
|
-
family_indicator
|
|
643
|
-
)
|
|
22
|
+
member_id,
|
|
23
|
+
first_name=None,
|
|
24
|
+
last_name=None,
|
|
25
|
+
date_of_birth=None,
|
|
26
|
+
service_start_date=None,
|
|
27
|
+
service_end_date=None,
|
|
28
|
+
coverage_types=None,
|
|
29
|
+
payer_id=None,
|
|
30
|
+
provider_last_name=None,
|
|
31
|
+
provider_first_name=None,
|
|
32
|
+
provider_npi=None,
|
|
33
|
+
group_number=None,
|
|
34
|
+
trn_id=None,
|
|
35
|
+
service_level_codes=None,
|
|
36
|
+
plan_start_date=None,
|
|
37
|
+
plan_end_date=None,
|
|
38
|
+
family_indicator=None
|
|
39
|
+
):
|
|
644
40
|
"""
|
|
645
41
|
Builds the variables object for the eligibility GraphQL query.
|
|
42
|
+
Uses the exact format that works with the Super Connector API.
|
|
646
43
|
|
|
647
44
|
Args:
|
|
648
45
|
member_id: Unique identifier for the member
|
|
649
|
-
first_name: First name of the member
|
|
650
|
-
last_name: Last name of the member
|
|
46
|
+
first_name: First name of the member (not used in working format)
|
|
47
|
+
last_name: Last name of the member (not used in working format)
|
|
651
48
|
date_of_birth: Date of birth in ISO 8601 format (YYYY-MM-DD)
|
|
652
|
-
service_start_date: Start date of the service in
|
|
653
|
-
service_end_date: End date of the service in
|
|
654
|
-
coverage_types: Types of coverage
|
|
49
|
+
service_start_date: Start date of the service (not used in working format)
|
|
50
|
+
service_end_date: End date of the service (not used in working format)
|
|
51
|
+
coverage_types: Types of coverage (not used in working format)
|
|
655
52
|
payer_id: Payer identifier
|
|
656
53
|
provider_last_name: Last name of the provider
|
|
657
|
-
provider_first_name: First name of the provider
|
|
54
|
+
provider_first_name: First name of the provider (not used in working format)
|
|
658
55
|
provider_npi: National Provider Identifier (NPI) of the provider
|
|
659
|
-
group_number: Group number
|
|
660
|
-
trn_id: Transaction identifier
|
|
661
|
-
service_level_codes: Service level codes (
|
|
662
|
-
plan_start_date: Start date of the plan in
|
|
663
|
-
plan_end_date: End date of the plan in
|
|
664
|
-
family_indicator: Indicator for family/individual
|
|
56
|
+
group_number: Group number (not used in working format)
|
|
57
|
+
trn_id: Transaction identifier (not used in working format)
|
|
58
|
+
service_level_codes: Service level codes (not used in working format)
|
|
59
|
+
plan_start_date: Start date of the plan (not used in working format)
|
|
60
|
+
plan_end_date: End date of the plan (not used in working format)
|
|
61
|
+
family_indicator: Indicator for family/individual (not used in working format)
|
|
665
62
|
|
|
666
63
|
Returns:
|
|
667
|
-
Dictionary containing the variables for the GraphQL query
|
|
64
|
+
Dictionary containing the variables for the GraphQL query in working format
|
|
668
65
|
"""
|
|
66
|
+
# Build variables in the exact format that works with the API
|
|
669
67
|
variables = {
|
|
670
|
-
"memberId": member_id
|
|
68
|
+
"memberId": member_id,
|
|
69
|
+
"firstName": "", # Always empty string in working format
|
|
70
|
+
"lastName": "", # Always empty string in working format
|
|
71
|
+
"dateOfBirth": date_of_birth,
|
|
72
|
+
"coverageTypes": [], # Always empty array in working format
|
|
73
|
+
"payerId": payer_id,
|
|
74
|
+
"providerFirstName": "", # Always empty string in working format
|
|
75
|
+
"providerLastName": provider_last_name,
|
|
76
|
+
"providerNPI": str(provider_npi) if provider_npi else None,
|
|
77
|
+
# Required empty fields from working format
|
|
78
|
+
"groupNumber": "",
|
|
79
|
+
"serviceLevelCodes": [],
|
|
80
|
+
"planStartDate": "",
|
|
81
|
+
"planEndDate": "",
|
|
82
|
+
"familyIndicator": "",
|
|
83
|
+
"trnId": ""
|
|
671
84
|
}
|
|
672
85
|
|
|
673
|
-
#
|
|
674
|
-
if
|
|
675
|
-
|
|
676
|
-
if last_name:
|
|
677
|
-
variables["lastName"] = last_name
|
|
678
|
-
if date_of_birth:
|
|
679
|
-
variables["dateOfBirth"] = date_of_birth
|
|
680
|
-
if service_start_date:
|
|
681
|
-
variables["serviceStartDate"] = service_start_date
|
|
682
|
-
if service_end_date:
|
|
683
|
-
variables["serviceEndDate"] = service_end_date
|
|
684
|
-
if coverage_types:
|
|
685
|
-
variables["coverageTypes"] = coverage_types
|
|
686
|
-
if payer_id:
|
|
687
|
-
variables["payerId"] = payer_id
|
|
688
|
-
if provider_last_name:
|
|
689
|
-
variables["providerLastName"] = provider_last_name
|
|
690
|
-
if provider_first_name:
|
|
691
|
-
variables["providerFirstName"] = provider_first_name
|
|
692
|
-
if provider_npi:
|
|
693
|
-
variables["providerNPI"] = provider_npi
|
|
694
|
-
if group_number:
|
|
695
|
-
variables["groupNumber"] = group_number
|
|
696
|
-
if trn_id:
|
|
697
|
-
variables["trnId"] = trn_id
|
|
698
|
-
if service_level_codes:
|
|
699
|
-
variables["serviceLevelCodes"] = service_level_codes
|
|
700
|
-
if plan_start_date:
|
|
701
|
-
variables["planStartDate"] = plan_start_date
|
|
702
|
-
if plan_end_date:
|
|
703
|
-
variables["planEndDate"] = plan_end_date
|
|
704
|
-
if family_indicator:
|
|
705
|
-
variables["familyIndicator"] = family_indicator
|
|
706
|
-
|
|
86
|
+
# Remove None values but keep empty strings and arrays
|
|
87
|
+
variables = {k: v for k, v in variables.items() if v is not None}
|
|
88
|
+
|
|
707
89
|
return variables
|
|
708
90
|
|
|
709
91
|
@staticmethod
|
|
710
|
-
def build_eligibility_request(variables
|
|
92
|
+
def build_eligibility_request(variables):
|
|
711
93
|
"""
|
|
712
94
|
Builds the complete GraphQL request body for eligibility checks.
|
|
95
|
+
Uses the working query format.
|
|
713
96
|
|
|
714
97
|
Args:
|
|
715
98
|
variables: Variables dictionary for the GraphQL query
|
|
@@ -717,21 +100,16 @@ class GraphQLQueryBuilder:
|
|
|
717
100
|
Returns:
|
|
718
101
|
Complete GraphQL request body
|
|
719
102
|
"""
|
|
720
|
-
return
|
|
721
|
-
"query": GraphQLQueryBuilder.get_eligibility_query(),
|
|
722
|
-
"variables": {
|
|
723
|
-
"input": variables
|
|
724
|
-
}
|
|
725
|
-
}
|
|
103
|
+
return GraphQLQueryBuilder.build_working_eligibility_request(variables)
|
|
726
104
|
|
|
727
105
|
@staticmethod
|
|
728
|
-
def get_sample_eligibility_request()
|
|
106
|
+
def get_sample_eligibility_request():
|
|
729
107
|
"""
|
|
730
108
|
Returns the sample GraphQL request from the swagger documentation.
|
|
731
109
|
This is for testing purposes to verify the endpoint is working.
|
|
732
110
|
"""
|
|
733
111
|
return {
|
|
734
|
-
"query": "query
|
|
112
|
+
"query": "query Query($input: EligibilityInput!) { checkEligibility(input: $input) { eligibility { eligibilityInfo { trnId member { memberId firstName lastName middleName suffix dateOfBirth gender relationship relationshipCode relationshipTypeCode individualRelationshipCode dependentSequenceNumber } contact { addresses { type street1 street2 city state country zip zip4 } } insuranceInfo { policyNumber eligibilityStartDate eligibilityEndDate planStartDate planEndDate policyStatus planTypeDescription planVariation reportingCode stateOfIssueCode productType productId productCode payerId lineOfBusiness lineOfBusinessCode coverageTypes { typeCode description } } associatedIds { alternateId medicaidRecipientId exchangeMemberId alternateSubscriberId hicNumber mbiNumber subscriberMemberFacingIdentifier survivingSpouseId subscriberId memberReplacementId legacyMemberId customerAccountIdentifier } planLevels { level family { networkStatus planAmount planAmountFrequency remainingAmount } individual { networkStatus planAmount planAmountFrequency remainingAmount } } delegatedInfo { entity payerId contact { phone fax email } addresses { type street1 street2 city state country zip zip4 } } additionalInfo { isReferralRequired } } primaryCarePhysician { isPcpFound lastName firstName middleName phoneNumber address { type street1 street2 city state country zip zip4 } networkStatusCode affiliateHospitalName providerGroupName } coordinationOfBenefit { coordinationOfBenefitDetails { payer { name phoneNumber address { type street1 street2 city state country zip zip4 } } cobPrimacy { indicator description message } } uhgPrimacyStatus { policyEffectiveDate policyTerminationDate primacy { indicator description message } } } idCardImages { side content contentType } providerNetwork { status tier } extendedAttributes { fundingCode fundingType hsa cdhp governmentProgramCode cmsPackageBenefitPlanCode cmsSegmentId cmsContractId marketType obligorId marketSite benefitPlanId virtualVisit planVariation groupNumber legacyPanelNumber coverageLevel sharedArrangement productServiceCode designatedVirtualClinicNetwork medicaidVariableCode healthInsuranceExchangeId memberDiv legalEntityCode } otherBeneficiaries { memberId firstName lastName middleName suffix dateOfBirth gender relationship relationshipCode relationshipTypeCode individualRelationshipCode dependentSequenceNumber } serviceLevels { family { networkStatus services { isVendorOnly service serviceCode serviceDate text status coPayAmount coPayFrequency coInsurancePercent planAmount remainingAmount metYearToDateAmount isReferralObtainedCopay isReferralObtainedCoInsurance referralCopayAmount referralCoInsurancePercent benefitsAllowedFrequencies benefitsRemainingFrequencies message { note { isSingleMessageDetail isViewDetail messages text subMessages { service status copay msg startDate endDate minCopay minCopayMsg maxCopay maxCopayMsg isPrimaryIndicator } limitationInfo { lmtPeriod lmtType lmtOccurPerPeriod lmtDollarPerPeriod message } isMultipleCopaysFound isMultipleCoinsuranceFound } coPay { isSingleMessageDetail isViewDetail messages text subMessages { service status copay msg startDate endDate minCopay minCopayMsg maxCopay maxCopayMsg isPrimaryIndicator } limitationInfo { lmtPeriod lmtType lmtOccurPerPeriod lmtDollarPerPeriod message } isMultipleCopaysFound isMultipleCoinsuranceFound } coInsurance { isSingleMessageDetail isViewDetail messages text subMessages { service status copay msg startDate endDate minCopay minCopayMsg maxCopay maxCopayMsg isPrimaryIndicator } limitationInfo { lmtPeriod lmtType lmtOccurPerPeriod lmtDollarPerPeriod message } isMultipleCopaysFound isMultipleCoinsuranceFound } deductible { isSingleMessageDetail isViewDetail messages text subMessages { service status copay msg startDate endDate minCopay minCopayMsg maxCopay maxCopayMsg isPrimaryIndicator } limitationInfo { lmtPeriod lmtType lmtOccurPerPeriod lmtDollarPerPeriod message } isMultipleCopaysFound isMultipleCoinsuranceFound } benefitsAllowed { isSingleMessageDetail isViewDetail messages text subMessages { service status copay msg startDate endDate minCopay minCopayMsg maxCopay maxCopayMsg isPrimaryIndicator } limitationInfo { lmtPeriod lmtType lmtOccurPerPeriod lmtDollarPerPeriod message } isMultipleCopaysFound isMultipleCoinsuranceFound } benefitsRemaining { isSingleMessageDetail isViewDetail messages text subMessages { service status copay msg startDate endDate minCopay minCopayMsg maxCopay maxCopayMsg isPrimaryIndicator } limitationInfo { lmtPeriod lmtType lmtOccurPerPeriod lmtDollarPerPeriod message } isMultipleCopaysFound isMultipleCoinsuranceFound } coPayList coInsuranceList } } } individual { networkStatus services { isVendorOnly service serviceCode serviceDate text status coPayAmount coPayFrequency coInsurancePercent planAmount remainingAmount metYearToDateAmount isReferralObtainedCopay isReferralObtainedCoInsurance referralCopayAmount referralCoInsurancePercent benefitsAllowedFrequencies benefitsRemainingFrequencies message { note { isSingleMessageDetail isViewDetail messages text subMessages { service status copay msg startDate endDate minCopay minCopayMsg maxCopay maxCopayMsg isPrimaryIndicator } limitationInfo { lmtPeriod lmtType lmtOccurPerPeriod lmtDollarPerPeriod message } isMultipleCopaysFound isMultipleCoinsuranceFound } coPay { isSingleMessageDetail isViewDetail messages text subMessages { service status copay msg startDate endDate minCopay minCopayMsg maxCopay maxCopayMsg isPrimaryIndicator } limitationInfo { lmtPeriod lmtType lmtOccurPerPeriod lmtDollarPerPeriod message } isMultipleCopaysFound isMultipleCoinsuranceFound } coInsurance { isSingleMessageDetail isViewDetail messages text subMessages { service status copay msg startDate endDate minCopay minCopayMsg maxCopay maxCopayMsg isPrimaryIndicator } limitationInfo { lmtPeriod lmtType lmtOccurPerPeriod lmtDollarPerPeriod message } isMultipleCopaysFound isMultipleCoinsuranceFound } deductible { isSingleMessageDetail isViewDetail messages text subMessages { service status copay msg startDate endDate minCopay minCopayMsg maxCopay maxCopayMsg isPrimaryIndicator } limitationInfo { lmtPeriod lmtType lmtOccurPerPeriod lmtDollarPerPeriod message } isMultipleCopaysFound isMultipleCoinsuranceFound } benefitsAllowed { isSingleMessageDetail isViewDetail messages text subMessages { service status copay msg startDate endDate minCopay minCopayMsg maxCopay maxCopayMsg isPrimaryIndicator } limitationInfo { lmtPeriod lmtType lmtOccurPerPeriod lmtDollarPerPeriod message } isMultipleCopaysFound isMultipleCoinsuranceFound } benefitsRemaining { isSingleMessageDetail isViewDetail messages text subMessages { service status copay msg startDate endDate minCopay minCopayMsg maxCopay maxCopayMsg isPrimaryIndicator } limitationInfo { lmtPeriod lmtType lmtOccurPerPeriod lmtDollarPerPeriod message } isMultipleCopaysFound isMultipleCoinsuranceFound } coPayList coInsuranceList } } } } } } }",
|
|
735
113
|
"variables": {
|
|
736
114
|
"input": {
|
|
737
115
|
"memberId": "0001234567",
|
|
@@ -746,16 +124,48 @@ class GraphQLQueryBuilder:
|
|
|
746
124
|
"payerId": "12345",
|
|
747
125
|
"providerLastName": "XYZ",
|
|
748
126
|
"providerFirstName": "QWERT",
|
|
749
|
-
"providerNPI": "1234567890"
|
|
127
|
+
"providerNPI": "1234567890",
|
|
128
|
+
"groupNumber": "",
|
|
129
|
+
"serviceLevelCodes": [],
|
|
130
|
+
"planStartDate": "",
|
|
131
|
+
"planEndDate": "",
|
|
132
|
+
"familyIndicator": "",
|
|
133
|
+
"trnId": ""
|
|
750
134
|
}
|
|
751
135
|
}
|
|
752
136
|
}
|
|
753
137
|
|
|
138
|
+
@staticmethod
|
|
139
|
+
def get_working_eligibility_query():
|
|
140
|
+
"""
|
|
141
|
+
Returns the exact GraphQL query format that works with the Super Connector API.
|
|
142
|
+
This matches the exact format from the successful cURL request.
|
|
143
|
+
"""
|
|
144
|
+
return """query Query($input: EligibilityInput!) {\r\n \r\n checkEligibility(input: $input) {\r\n eligibility {\r\n eligibilityInfo {\r\n trnId\r\n member {\r\n memberId\r\n firstName\r\n lastName\r\n middleName\r\n suffix\r\n dateOfBirth\r\n gender\r\n relationship\r\n relationshipCode\r\n relationshipTypeCode\r\n individualRelationshipCode\r\n dependentSequenceNumber\r\n }\r\n contact {\r\n addresses {\r\n type\r\n street1\r\n street2\r\n city\r\n state\r\n country\r\n zip\r\n zip4\r\n }\r\n }\r\n insuranceInfo {\r\n policyNumber\r\n eligibilityStartDate\r\n eligibilityEndDate\r\n planStartDate\r\n planEndDate\r\n policyStatus\r\n planTypeDescription\r\n planVariation\r\n reportingCode\r\n stateOfIssueCode\r\n productType\r\n productId\r\n productCode\r\n payerId\r\n lineOfBusiness\r\n lineOfBusinessCode\r\n coverageTypes {\r\n typeCode\r\n description\r\n }\r\n }\r\n associatedIds {\r\n alternateId\r\n medicaidRecipientId\r\n exchangeMemberId\r\n alternateSubscriberId\r\n hicNumber\r\n mbiNumber\r\n subscriberMemberFacingIdentifier\r\n survivingSpouseId\r\n subscriberId\r\n memberReplacementId\r\n legacyMemberId\r\n customerAccountIdentifier\r\n }\r\n planLevels {\r\n level\r\n family {\r\n networkStatus\r\n planAmount\r\n planAmountFrequency\r\n remainingAmount\r\n }\r\n individual {\r\n networkStatus\r\n planAmount\r\n planAmountFrequency\r\n remainingAmount\r\n }\r\n }\r\n delegatedInfo {\r\n entity\r\n payerId\r\n contact {\r\n phone\r\n fax\r\n email\r\n }\r\n addresses {\r\n type\r\n street1\r\n street2\r\n city\r\n state\r\n country\r\n zip\r\n zip4\r\n }\r\n }\r\n additionalInfo {\r\n isReferralRequired\r\n }\r\n }\r\n primaryCarePhysician {\r\n isPcpFound\r\n lastName\r\n firstName\r\n middleName\r\n phoneNumber\r\n address {\r\n type\r\n street1\r\n street2\r\n city\r\n state\r\n country\r\n zip\r\n zip4\r\n }\r\n networkStatusCode\r\n affiliateHospitalName\r\n providerGroupName\r\n }\r\n coordinationOfBenefit {\r\n coordinationOfBenefitDetails {\r\n payer {\r\n name\r\n phoneNumber\r\n address {\r\n type\r\n street1\r\n street2\r\n city\r\n state\r\n country\r\n zip\r\n zip4\r\n }\r\n }\r\n cobPrimacy {\r\n indicator\r\n description\r\n message\r\n }\r\n }\r\n uhgPrimacyStatus {\r\n policyEffectiveDate\r\n policyTerminationDate\r\n primacy {\r\n indicator\r\n description\r\n message\r\n }\r\n }\r\n }\r\n idCardImages {\r\n side\r\n content\r\n contentType\r\n }\r\n providerNetwork {\r\n status\r\n tier\r\n }\r\n extendedAttributes {\r\n fundingCode\r\n fundingType\r\n hsa\r\n cdhp\r\n governmentProgramCode\r\n cmsPackageBenefitPlanCode\r\n cmsSegmentId\r\n cmsContractId\r\n marketType\r\n obligorId\r\n marketSite\r\n benefitPlanId\r\n virtualVisit\r\n planVariation\r\n groupNumber\r\n legacyPanelNumber\r\n coverageLevel\r\n sharedArrangement\r\n productServiceCode\r\n designatedVirtualClinicNetwork\r\n medicaidVariableCode\r\n healthInsuranceExchangeId\r\n memberDiv\r\n legalEntityCode\r\n }\r\n otherBeneficiaries {\r\n memberId\r\n firstName\r\n lastName\r\n middleName\r\n suffix\r\n dateOfBirth\r\n gender\r\n relationship\r\n relationshipCode\r\n relationshipTypeCode\r\n individualRelationshipCode\r\n dependentSequenceNumber\r\n }\r\n serviceLevels {\r\n family {\r\n networkStatus\r\n services {\r\n isVendorOnly\r\n service\r\n serviceCode\r\n serviceDate\r\n text\r\n status\r\n coPayAmount\r\n coPayFrequency\r\n coInsurancePercent\r\n planAmount\r\n remainingAmount\r\n metYearToDateAmount\r\n isReferralObtainedCopay\r\n isReferralObtainedCoInsurance\r\n referralCopayAmount\r\n referralCoInsurancePercent\r\n benefitsAllowedFrequencies\r\n benefitsRemainingFrequencies\r\n message {\r\n note {\r\n isSingleMessageDetail\r\n isViewDetail\r\n messages\r\n text\r\n subMessages {\r\n service\r\n status\r\n copay\r\n msg\r\n startDate\r\n endDate\r\n minCopay\r\n minCopayMsg\r\n maxCopay\r\n maxCopayMsg\r\n isPrimaryIndicator\r\n }\r\n limitationInfo {\r\n lmtPeriod\r\n lmtType\r\n lmtOccurPerPeriod\r\n lmtDollarPerPeriod\r\n message\r\n }\r\n isMultipleCopaysFound\r\n isMultipleCoinsuranceFound\r\n }\r\n coPay {\r\n isSingleMessageDetail\r\n isViewDetail\r\n messages\r\n text\r\n subMessages {\r\n service\r\n status\r\n copay\r\n msg\r\n startDate\r\n endDate\r\n minCopay\r\n minCopayMsg\r\n maxCopay\r\n maxCopayMsg\r\n isPrimaryIndicator\r\n }\r\n limitationInfo {\r\n lmtPeriod\r\n lmtType\r\n lmtOccurPerPeriod\r\n lmtDollarPerPeriod\r\n message\r\n }\r\n isMultipleCopaysFound\r\n isMultipleCoinsuranceFound\r\n }\r\n coInsurance {\r\n isSingleMessageDetail\r\n isViewDetail\r\n messages\r\n text\r\n subMessages {\r\n service\r\n status\r\n copay\r\n msg\r\n startDate\r\n endDate\r\n minCopay\r\n minCopayMsg\r\n maxCopay\r\n maxCopayMsg\r\n isPrimaryIndicator\r\n }\r\n limitationInfo {\r\n lmtPeriod\r\n lmtType\r\n lmtOccurPerPeriod\r\n lmtDollarPerPeriod\r\n message\r\n }\r\n isMultipleCopaysFound\r\n isMultipleCoinsuranceFound\r\n }\r\n deductible {\r\n isSingleMessageDetail\r\n isViewDetail\r\n messages\r\n text\r\n subMessages {\r\n service\r\n status\r\n copay\r\n msg\r\n startDate\r\n endDate\r\n minCopay\r\n minCopayMsg\r\n maxCopay\r\n maxCopayMsg\r\n isPrimaryIndicator\r\n }\r\n limitationInfo {\r\n lmtPeriod\r\n lmtType\r\n lmtOccurPerPeriod\r\n lmtDollarPerPeriod\r\n message\r\n }\r\n isMultipleCopaysFound\r\n isMultipleCoinsuranceFound\r\n }\r\n benefitsAllowed {\r\n isSingleMessageDetail\r\n isViewDetail\r\n messages\r\n text\r\n subMessages {\r\n service\r\n status\r\n copay\r\n msg\r\n startDate\r\n endDate\r\n minCopay\r\n minCopayMsg\r\n maxCopay\r\n maxCopayMsg\r\n isPrimaryIndicator\r\n }\r\n limitationInfo {\r\n lmtPeriod\r\n lmtType\r\n lmtOccurPerPeriod\r\n lmtDollarPerPeriod\r\n message\r\n }\r\n isMultipleCopaysFound\r\n isMultipleCoinsuranceFound\r\n }\r\n benefitsRemaining {\r\n isSingleMessageDetail\r\n isViewDetail\r\n messages\r\n text\r\n subMessages {\r\n service\r\n status\r\n copay\r\n msg\r\n startDate\r\n endDate\r\n minCopay\r\n minCopayMsg\r\n maxCopay\r\n maxCopayMsg\r\n isPrimaryIndicator\r\n }\r\n limitationInfo {\r\n lmtPeriod\r\n lmtType\r\n lmtOccurPerPeriod\r\n lmtDollarPerPeriod\r\n message\r\n }\r\n isMultipleCopaysFound\r\n isMultipleCoinsuranceFound\r\n }\r\n coPayList\r\n coInsuranceList\r\n }\r\n }\r\n }\r\n individual {\r\n networkStatus\r\n services {\r\n isVendorOnly\r\n service\r\n serviceCode\r\n serviceDate\r\n text\r\n status\r\n coPayAmount\r\n coPayFrequency\r\n coInsurancePercent\r\n planAmount\r\n remainingAmount\r\n metYearToDateAmount\r\n isReferralObtainedCopay\r\n isReferralObtainedCoInsurance\r\n referralCopayAmount\r\n referralCoInsurancePercent\r\n benefitsAllowedFrequencies\r\n benefitsRemainingFrequencies\r\n message {\r\n note {\r\n isSingleMessageDetail\r\n isViewDetail\r\n messages\r\n text\r\n subMessages {\r\n service\r\n status\r\n copay\r\n msg\r\n startDate\r\n endDate\r\n minCopay\r\n minCopayMsg\r\n maxCopay\r\n maxCopayMsg\r\n isPrimaryIndicator\r\n }\r\n limitationInfo {\r\n lmtPeriod\r\n lmtType\r\n lmtOccurPerPeriod\r\n lmtDollarPerPeriod\r\n message\r\n }\r\n isMultipleCopaysFound\r\n isMultipleCoinsuranceFound\r\n }\r\n coPay {\r\n isSingleMessageDetail\r\n isViewDetail\r\n messages\r\n text\r\n subMessages {\r\n service\r\n status\r\n copay\r\n msg\r\n startDate\r\n endDate\r\n minCopay\r\n minCopayMsg\r\n maxCopay\r\n maxCopayMsg\r\n isPrimaryIndicator\r\n }\r\n limitationInfo {\r\n lmtPeriod\r\n lmtType\r\n lmtOccurPerPeriod\r\n lmtDollarPerPeriod\r\n message\r\n }\r\n isMultipleCopaysFound\r\n isMultipleCoinsuranceFound\r\n }\r\n coInsurance {\r\n isSingleMessageDetail\r\n isViewDetail\r\n messages\r\n text\r\n subMessages {\r\n service\r\n status\r\n copay\r\n msg\r\n startDate\r\n endDate\r\n minCopay\r\n minCopayMsg\r\n maxCopay\r\n maxCopayMsg\r\n isPrimaryIndicator\r\n }\r\n limitationInfo {\r\n lmtPeriod\r\n lmtType\r\n lmtOccurPerPeriod\r\n lmtDollarPerPeriod\r\n message\r\n }\r\n isMultipleCopaysFound\r\n isMultipleCoinsuranceFound\r\n }\r\n deductible {\r\n isSingleMessageDetail\r\n isViewDetail\r\n messages\r\n text\r\n subMessages {\r\n service\r\n status\r\n copay\r\n msg\r\n startDate\r\n endDate\r\n minCopay\r\n minCopayMsg\r\n maxCopay\r\n maxCopayMsg\r\n isPrimaryIndicator\r\n }\r\n limitationInfo {\r\n lmtPeriod\r\n lmtType\r\n lmtOccurPerPeriod\r\n lmtDollarPerPeriod\r\n message\r\n }\r\n isMultipleCopaysFound\r\n isMultipleCoinsuranceFound\r\n }\r\n benefitsAllowed {\r\n isSingleMessageDetail\r\n isViewDetail\r\n messages\r\n text\r\n subMessages {\r\n service\r\n status\r\n copay\r\n msg\r\n startDate\r\n endDate\r\n minCopay\r\n minCopayMsg\r\n maxCopay\r\n maxCopayMsg\r\n isPrimaryIndicator\r\n }\r\n limitationInfo {\r\n lmtPeriod\r\n lmtType\r\n lmtOccurPerPeriod\r\n lmtDollarPerPeriod\r\n message\r\n }\r\n isMultipleCopaysFound\r\n isMultipleCoinsuranceFound\r\n }\r\n benefitsRemaining {\r\n isSingleMessageDetail\r\n isViewDetail\r\n messages\r\n text\r\n subMessages {\r\n service\r\n status\r\n copay\r\n msg\r\n startDate\r\n endDate\r\n minCopay\r\n minCopayMsg\r\n maxCopay\r\n maxCopayMsg\r\n isPrimaryIndicator\r\n }\r\n limitationInfo {\r\n lmtPeriod\r\n lmtType\r\n lmtOccurPerPeriod\r\n lmtDollarPerPeriod\r\n message\r\n }\r\n isMultipleCopaysFound\r\n isMultipleCoinsuranceFound\r\n }\r\n coPayList\r\n coInsuranceList\r\n }\r\n }\r\n }\r\n }\r\n }\r\n }\r\n}"""
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@staticmethod
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def build_working_eligibility_request(variables):
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"""
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Builds the complete GraphQL request body using the working query format.
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return {
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"query": GraphQLQueryBuilder.get_working_eligibility_query(),
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class GraphQLResponseTransformer:
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def transform_eligibility_response(graphql_response
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"""
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Transforms the GraphQL eligibility response to match the REST API format.
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This ensures the calling code receives the same structure regardless of endpoint.
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@@ -882,7 +292,14 @@ class GraphQLResponseTransformer:
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# Safely extract coordination of benefit
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cob = first_eligibility.get('coordinationOfBenefit', {})
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# Add empty id field for compatibility
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# Safely extract ID card images
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id_card_images = first_eligibility.get('idCardImages', [])
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@@ -971,22 +388,22 @@ class GraphQLResponseTransformer:
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# Convenience functions for easy access
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def get_eligibility_query()
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"""Get the eligibility GraphQL query"""
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def get_eligibility_query():
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"""Get the eligibility GraphQL query (working format)"""
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def build_eligibility_variables(**kwargs)
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def build_eligibility_variables(**kwargs):
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"""Build eligibility query variables in working format"""
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def build_eligibility_request(variables
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"""Build complete eligibility request body"""
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def build_eligibility_request(variables):
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"""Build complete eligibility request body with working format"""
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def transform_eligibility_response(graphql_response
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def transform_eligibility_response(graphql_response):
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"""Transform GraphQL eligibility response to REST format"""
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return GraphQLResponseTransformer.transform_eligibility_response(graphql_response)
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def get_sample_eligibility_request()
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def get_sample_eligibility_request():
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"""Get the sample GraphQL request from swagger documentation"""
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return GraphQLQueryBuilder.get_sample_eligibility_request()
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@@ -19,18 +19,18 @@ MediLink/MediLink_837p_encoder.py,sha256=id2qhKUYq_raKcDr5pAY1xF0V_UR5KBC8SXDAeh
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MediLink/MediLink_837p_encoder_library.py,sha256=rxame7v_LcNJe8Wdt3INQkTC5MdIbZq9ySsR90OL6Lo,49924
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MediLink/MediLink_API_Generator.py,sha256=vBZ8moR9tvv7mb200HlZnJrk1y-bQi8E16I2r41vgVM,10345
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MediLink/MediLink_API_v2.py,sha256=mcIgLnXPS_NaUBrkKJ8mxCUaQ0AuQUeU1vG6DoplbVY,7733
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MediLink/MediLink_API_v3.py,sha256=
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MediLink/MediLink_API_v3.py,sha256=_M-rspeOVoetEXA1omJfxmYgjZWhNR6KOsJu8yV0otY,39617
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MediLink/MediLink_APIs.py,sha256=jm3f9T034MJKH8A_CIootULoeuk7H8s7PazpFZRCbKI,6222
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MediLink/MediLink_Azure.py,sha256=Ow70jctiHFIylskBExN7WUoRgrKOvBR6jNTnQMk6lJA,210
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MediLink/MediLink_ClaimStatus.py,sha256=GNZ9mRrjxemBHJ5LiJb2DUWhKgWX2vTNY5jxoUgqv-I,9776
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MediLink/MediLink_ConfigLoader.py,sha256=u9ecB0SIN7zuJAo8KcoQys95BtyAo-8S2n4mRd0S3XU,4356
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27
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MediLink/MediLink_DataMgmt.py,sha256=jrTAPSNVzs1wwYl1g0_8Mda3k2B27CbaSw8Pu2qmThw,33058
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28
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MediLink/MediLink_Decoder.py,sha256=Suw9CmUHgoe0ZW8sJP_pIO8URBrhO5FmxFF8RcUj9lI,13318
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MediLink/MediLink_Deductible.py,sha256=
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MediLink/MediLink_Deductible.py,sha256=qZR-d_9Nb1CzbYTXj95PBqS9I-l6kfSKzGfHL8lL38c,14206
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MediLink/MediLink_Down.py,sha256=hrDODhs-zRfOKCdiRGENN5Czu-AvdtwJj4Q7grcRXME,6518
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31
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MediLink/MediLink_ERA_decoder.py,sha256=MiOtDcXnmevPfHAahIlTLlUc14VcQWAor9Xa7clA2Ts,8710
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MediLink/MediLink_Gmail.py,sha256=OYsASNgP4YSTaSnj9XZxPPiy0cw41JC-suLIgRyNrlQ,31439
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MediLink/MediLink_GraphQL.py,sha256=
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MediLink/MediLink_GraphQL.py,sha256=Ikst5REpvJCbKf0AvY0k6oNGR4nG_FuQuwXgYDbh6-U,44095
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34
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MediLink/MediLink_Mailer.py,sha256=47DEQpj8HBSa-_TImW-5JCeuQeRkm5NMpJWZG3hSuFU,0
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MediLink/MediLink_Parser.py,sha256=YCg2jvoJUi048GICUmP0v71b-hGqwxUQelhoi3P33i4,8128
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MediLink/MediLink_Scan.py,sha256=47DEQpj8HBSa-_TImW-5JCeuQeRkm5NMpJWZG3hSuFU,0
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@@ -44,8 +44,8 @@ MediLink/__init__.py,sha256=47DEQpj8HBSa-_TImW-5JCeuQeRkm5NMpJWZG3hSuFU,0
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44
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MediLink/openssl.cnf,sha256=76VdcGCykf0Typyiv8Wd1mMVKixrQ5RraG6HnfKFqTo,887
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45
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MediLink/test.py,sha256=kSvvJRL_3fWuNS3_x4hToOnUljGLoeEw6SUTHQWQRJk,3108
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46
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MediLink/webapp.html,sha256=JPKT559aFVBi1r42Hz7C77Jj0teZZRumPhBev8eSOLk,19806
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medicafe-0.
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medicafe-0.
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medicafe-0.
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medicafe-0.
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+
medicafe-0.250708.0.dist-info/LICENSE,sha256=65lb-vVujdQK7uMH3RRJSMwUW-WMrMEsc5sOaUn2xUk,1096
|
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48
|
+
medicafe-0.250708.0.dist-info/METADATA,sha256=t3MOA51V-8NM6P7GI2DO1LgYb92Iw_YHbPp2QM--FD4,5501
|
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49
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+
medicafe-0.250708.0.dist-info/WHEEL,sha256=oiQVh_5PnQM0E3gPdiz09WCNmwiHDMaGer_elqB3coM,92
|
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50
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+
medicafe-0.250708.0.dist-info/top_level.txt,sha256=3uOwR4q_SP8Gufk2uCHoKngAgbtdOwQC6Qjl7ViBa_c,17
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51
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+
medicafe-0.250708.0.dist-info/RECORD,,
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File without changes
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File without changes
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File without changes
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