medicafe 0.250813.2__py3-none-any.whl → 0.250814.3__py3-none-any.whl

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@@ -1,445 +0,0 @@
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- # MediLink_GraphQL.py
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- """
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- GraphQL module for United Healthcare Super Connector API
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- Handles query templates, query building, and response transformations
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- """
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-
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- import json
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-
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- class GraphQLQueryBuilder:
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- """Builder class for constructing GraphQL queries for Super Connector API"""
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-
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- @staticmethod
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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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- Uses the exact working format from the successful cURL request.
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- """
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- return GraphQLQueryBuilder.get_working_eligibility_query()
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-
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- @staticmethod
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- def build_eligibility_variables(
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- member_id,
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- first_name=None,
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- last_name=None,
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- date_of_birth=None,
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- service_start_date=None,
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- service_end_date=None,
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- coverage_types=None,
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- payer_id=None,
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- provider_last_name=None,
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- provider_first_name=None,
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- provider_npi=None,
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- group_number=None,
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- trn_id=None,
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- service_level_codes=None,
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- plan_start_date=None,
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- plan_end_date=None,
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- family_indicator=None
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- ):
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- """
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- Builds the variables object for the eligibility GraphQL query.
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- Uses the exact format that works with the Super Connector API.
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-
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- Args:
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- member_id: Unique identifier for the member
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- first_name: First name of the member (not used in working format)
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- last_name: Last name of the member (not used in working format)
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- date_of_birth: Date of birth in ISO 8601 format (YYYY-MM-DD)
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- service_start_date: Start date of the service (not used in working format)
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- service_end_date: End date of the service (not used in working format)
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- coverage_types: Types of coverage (not used in working format)
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- payer_id: Payer identifier
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- provider_last_name: Last name of the provider
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- provider_first_name: First name of the provider (not used in working format)
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- provider_npi: National Provider Identifier (NPI) of the provider
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- group_number: Group number (not used in working format)
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- trn_id: Transaction identifier (not used in working format)
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- service_level_codes: Service level codes (not used in working format)
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- plan_start_date: Start date of the plan (not used in working format)
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- plan_end_date: End date of the plan (not used in working format)
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- family_indicator: Indicator for family/individual (not used in working format)
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-
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- Returns:
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- Dictionary containing the variables for the GraphQL query in working format
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- """
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- # Build variables in the exact format that works with the API
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- variables = {
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- "memberId": member_id,
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- "firstName": "", # Always empty string in working format
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- "lastName": "", # Always empty string in working format
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- "dateOfBirth": date_of_birth,
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- "coverageTypes": [], # Always empty array in working format
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- "payerId": payer_id,
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- "providerFirstName": "", # Always empty string in working format
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- "providerLastName": provider_last_name,
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- "providerNPI": str(provider_npi) if provider_npi else None,
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- # Required empty fields from working format
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- "groupNumber": "",
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- "serviceLevelCodes": [],
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- "planStartDate": "",
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- "planEndDate": "",
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- "familyIndicator": "",
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- "trnId": ""
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- }
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-
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- # Remove None values but keep empty strings and arrays
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- variables = {k: v for k, v in variables.items() if v is not None}
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-
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- return variables
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-
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- @staticmethod
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- def build_eligibility_request(variables):
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- """
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- Builds the complete GraphQL request body for eligibility checks.
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- Uses the working query format.
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-
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- Args:
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- variables: Variables dictionary for the GraphQL query
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-
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- Returns:
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- Complete GraphQL request body
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- """
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- return GraphQLQueryBuilder.build_working_eligibility_request(variables)
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-
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- @staticmethod
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- def get_sample_eligibility_request():
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- """
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- Returns the sample GraphQL request from the swagger documentation.
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- This is for testing purposes to verify the endpoint is working.
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- """
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- return {
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- "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 } } } } } } }",
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- "variables": {
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- "input": {
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- "memberId": "0001234567",
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- "firstName": "ABC",
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- "lastName": "EFGH",
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- "dateOfBirth": "YYYY-MM-DD",
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- "serviceStartDate": "YYYY-MM-DD",
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- "serviceEndDate": "YYYY-MM-DD",
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- "coverageTypes": [
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- "Medical"
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- ],
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- "payerId": "12345",
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- "providerLastName": "XYZ",
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- "providerFirstName": "QWERT",
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- "providerNPI": "1234567890",
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- "groupNumber": "",
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- "serviceLevelCodes": [],
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- "planStartDate": "",
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- "planEndDate": "",
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- "familyIndicator": "",
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- "trnId": ""
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- }
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- }
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- }
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-
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- @staticmethod
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- def get_working_eligibility_query():
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- """
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- Returns the exact GraphQL query format that works with the Super Connector API.
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- This matches the exact format from the successful cURL request.
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- """
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- 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 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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-
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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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-
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- Args:
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- variables: Variables dictionary for the GraphQL query
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-
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- Returns:
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- Complete GraphQL request body with working query format
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- """
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- return {
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- "query": GraphQLQueryBuilder.get_working_eligibility_query(),
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- "variables": {
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- "input": variables
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- }
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- }
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-
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- class GraphQLResponseTransformer:
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- """Transforms GraphQL responses to match REST API format"""
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-
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- @staticmethod
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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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-
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- Args:
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- graphql_response: Raw GraphQL response from Super Connector API
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-
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- Returns:
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- Transformed response matching REST API format
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- """
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- try:
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- # Check for authentication errors first
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- if 'errors' in graphql_response:
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- error = graphql_response['errors'][0]
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- error_code = error.get('extensions', {}).get('code', 'UNKNOWN_ERROR')
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- error_message = error.get('message', 'Unknown error')
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-
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- if error_code == 'UNAUTHORIZED_AUTHENTICATION_FAILED':
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- return {
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- 'statuscode': '401',
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- 'message': 'Authentication failed: {}'.format(error_message),
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- 'rawGraphQLResponse': graphql_response
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- }
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- else:
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- return {
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- 'statuscode': '500',
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- 'message': 'GraphQL error: {} - {}'.format(error_code, error_message),
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- 'rawGraphQLResponse': graphql_response
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- }
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-
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- # Check if GraphQL response has data
200
- if 'data' not in graphql_response:
201
- return {
202
- 'statuscode': '404',
203
- 'message': 'No data found in GraphQL response',
204
- 'rawGraphQLResponse': graphql_response
205
- }
206
-
207
- if 'checkEligibility' not in graphql_response['data']:
208
- return {
209
- 'statuscode': '404',
210
- 'message': 'No eligibility data found in GraphQL response',
211
- 'rawGraphQLResponse': graphql_response
212
- }
213
-
214
- # Handle case where checkEligibility is null (authentication failure)
215
- if graphql_response['data']['checkEligibility'] is None:
216
- return {
217
- 'statuscode': '401',
218
- 'message': 'Authentication failed - checkEligibility returned null',
219
- 'rawGraphQLResponse': graphql_response
220
- }
221
-
222
- eligibility_data = graphql_response['data']['checkEligibility']['eligibility']
223
- if not eligibility_data:
224
- return {
225
- 'statuscode': '404',
226
- 'message': 'No eligibility records found',
227
- 'rawGraphQLResponse': graphql_response
228
- }
229
-
230
- # Take the first eligibility record (assuming single member query)
231
- first_eligibility = eligibility_data[0]
232
- eligibility_info = first_eligibility.get('eligibilityInfo', {})
233
-
234
- # Transform to REST-like format
235
- rest_response = {
236
- 'statuscode': '200',
237
- 'message': 'Eligibility found',
238
- 'rawGraphQLResponse': graphql_response # Include original response for debugging
239
- }
240
-
241
- # Safely extract member information
242
- member_info = eligibility_info.get('member', {})
243
- if member_info:
244
- rest_response.update({
245
- 'memberId': member_info.get('memberId'),
246
- 'firstName': member_info.get('firstName'),
247
- 'lastName': member_info.get('lastName'),
248
- 'middleName': member_info.get('middleName'),
249
- 'suffix': member_info.get('suffix'),
250
- 'dateOfBirth': member_info.get('dateOfBirth'),
251
- 'gender': member_info.get('gender'),
252
- 'relationship': member_info.get('relationship'),
253
- 'relationshipCode': member_info.get('relationshipCode'),
254
- 'individualRelationshipCode': member_info.get('individualRelationshipCode'),
255
- 'dependentSequenceNumber': member_info.get('dependentSequenceNumber')
256
- })
257
-
258
- # Safely extract insurance information
259
- insurance_info = eligibility_info.get('insuranceInfo', {})
260
- if insurance_info:
261
- rest_response.update({
262
- 'policyNumber': insurance_info.get('policyNumber'),
263
- 'eligibilityStartDate': insurance_info.get('eligibilityStartDate'),
264
- 'eligibilityEndDate': insurance_info.get('eligibilityEndDate'),
265
- 'planStartDate': insurance_info.get('planStartDate'),
266
- 'planEndDate': insurance_info.get('planEndDate'),
267
- 'policyStatus': insurance_info.get('policyStatus'),
268
- 'planTypeDescription': insurance_info.get('planTypeDescription'),
269
- 'planVariation': insurance_info.get('planVariation'),
270
- 'reportingCode': insurance_info.get('reportingCode'),
271
- 'stateOfIssueCode': insurance_info.get('stateOfIssueCode'),
272
- 'productType': insurance_info.get('productType'),
273
- 'productId': insurance_info.get('productId'),
274
- 'productCode': insurance_info.get('productCode'),
275
- 'lineOfBusiness': insurance_info.get('lineOfBusiness'),
276
- 'lineOfBusinessCode': insurance_info.get('lineOfBusinessCode'),
277
- 'coverageTypes': insurance_info.get('coverageTypes', [])
278
- })
279
-
280
- # Safely extract associated IDs
281
- associated_ids = eligibility_info.get('associatedIds', {})
282
- if associated_ids:
283
- rest_response.update({
284
- 'alternateId': associated_ids.get('alternateId'),
285
- 'medicaidRecipientId': associated_ids.get('medicaidRecipientId'),
286
- 'exchangeMemberId': associated_ids.get('exchangeMemberId'),
287
- 'alternateSubscriberId': associated_ids.get('alternateSubscriberId'),
288
- 'hicNumber': associated_ids.get('hicNumber'),
289
- 'mbiNumber': associated_ids.get('mbiNumber'),
290
- 'subscriberMemberFacingIdentifier': associated_ids.get('subscriberMemberFacingIdentifier'),
291
- 'survivingSpouseId': associated_ids.get('survivingSpouseId'),
292
- 'subscriberId': associated_ids.get('subscriberId'),
293
- 'memberReplacementId': associated_ids.get('memberReplacementId'),
294
- 'legacyMemberId': associated_ids.get('legacyMemberId'),
295
- 'customerAccountIdentifier': associated_ids.get('customerAccountIdentifier')
296
- })
297
-
298
- # Safely extract plan levels
299
- plan_levels = eligibility_info.get('planLevels', [])
300
- if plan_levels:
301
- rest_response['planLevels'] = plan_levels
302
-
303
- # Safely extract delegated info
304
- delegated_info = eligibility_info.get('delegatedInfo', [])
305
- if delegated_info:
306
- rest_response['delegatedInfo'] = delegated_info
307
-
308
- # Safely extract additional information
309
- additional_info = eligibility_info.get('additionalInfo', {})
310
- if additional_info:
311
- rest_response['isReferralRequired'] = additional_info.get('isReferralRequired')
312
-
313
- # Safely extract primary care physician
314
- pcp = first_eligibility.get('primaryCarePhysician', {})
315
- if pcp:
316
- rest_response.update({
317
- 'pcpIsFound': pcp.get('isPcpFound'),
318
- 'pcpLastName': pcp.get('lastName'),
319
- 'pcpFirstName': pcp.get('firstName'),
320
- 'pcpMiddleName': pcp.get('middleName'),
321
- 'pcpPhoneNumber': pcp.get('phoneNumber'),
322
- 'pcpAddress': pcp.get('address'),
323
- 'pcpNetworkStatusCode': pcp.get('networkStatusCode'),
324
- 'pcpAffiliateHospitalName': pcp.get('affiliateHospitalName'),
325
- 'pcpProviderGroupName': pcp.get('providerGroupName')
326
- })
327
-
328
- # Safely extract coordination of benefit
329
- cob = first_eligibility.get('coordinationOfBenefit', {})
330
- if cob:
331
- # Transform COB to handle missing 'id' field in payer
332
- transformed_cob = cob.copy()
333
- if 'coordinationOfBenefitDetails' in transformed_cob:
334
- for detail in transformed_cob['coordinationOfBenefitDetails']:
335
- if 'payer' in detail and 'id' not in detail['payer']:
336
- # Add empty id field for compatibility
337
- detail['payer']['id'] = None
338
- rest_response['coordinationOfBenefit'] = transformed_cob
339
-
340
- # Safely extract ID card images
341
- id_card_images = first_eligibility.get('idCardImages', [])
342
- if id_card_images:
343
- rest_response['idCardImages'] = id_card_images
344
-
345
- # Safely extract provider network information
346
- provider_network = first_eligibility.get('providerNetwork', {})
347
- if provider_network:
348
- rest_response.update({
349
- 'networkStatus': provider_network.get('status'),
350
- 'networkTier': provider_network.get('tier')
351
- })
352
-
353
- # Safely extract service levels
354
- service_levels = first_eligibility.get('serviceLevels', [])
355
- if service_levels:
356
- rest_response['serviceLevels'] = service_levels
357
-
358
- # Extract first service as example for compatibility
359
- if service_levels and len(service_levels) > 0:
360
- first_service_level = service_levels[0]
361
- individual_services = first_service_level.get('individual', [])
362
- if individual_services and len(individual_services) > 0:
363
- first_individual = individual_services[0]
364
- services = first_individual.get('services', [])
365
- if services and len(services) > 0:
366
- first_service = services[0]
367
- rest_response.update({
368
- 'serviceCode': first_service.get('serviceCode'),
369
- 'serviceText': first_service.get('text'),
370
- 'serviceStatus': first_service.get('status'),
371
- 'coPayAmount': first_service.get('coPayAmount'),
372
- 'coPayFrequency': first_service.get('coPayFrequency'),
373
- 'coInsurancePercent': first_service.get('coInsurancePercent'),
374
- 'planAmount': first_service.get('planAmount'),
375
- 'remainingAmount': first_service.get('remainingAmount'),
376
- 'metYearToDateAmount': first_service.get('metYearToDateAmount')
377
- })
378
-
379
- # Safely extract extended attributes
380
- extended_attrs = first_eligibility.get('extendedAttributes', {})
381
- if extended_attrs:
382
- rest_response.update({
383
- 'fundingCode': extended_attrs.get('fundingCode'),
384
- 'fundingType': extended_attrs.get('fundingType'),
385
- 'hsa': extended_attrs.get('hsa'),
386
- 'cdhp': extended_attrs.get('cdhp'),
387
- 'governmentProgramCode': extended_attrs.get('governmentProgramCode'),
388
- 'cmsPackageBenefitPlanCode': extended_attrs.get('cmsPackageBenefitPlanCode'),
389
- 'cmsSegmentId': extended_attrs.get('cmsSegmentId'),
390
- 'cmsContractId': extended_attrs.get('cmsContractId'),
391
- 'marketType': extended_attrs.get('marketType'),
392
- 'obligorId': extended_attrs.get('obligorId'),
393
- 'marketSite': extended_attrs.get('marketSite'),
394
- 'benefitPlanId': extended_attrs.get('benefitPlanId'),
395
- 'virtualVisit': extended_attrs.get('virtualVisit'),
396
- 'planVariation': extended_attrs.get('planVariation'),
397
- 'groupNumber': extended_attrs.get('groupNumber'),
398
- 'legacyPanelNumber': extended_attrs.get('legacyPanelNumber'),
399
- 'coverageLevel': extended_attrs.get('coverageLevel'),
400
- 'sharedArrangement': extended_attrs.get('sharedArrangement'),
401
- 'productServiceCode': extended_attrs.get('productServiceCode'),
402
- 'designatedVirtualClinicNetwork': extended_attrs.get('designatedVirtualClinicNetwork'),
403
- 'medicaidVariableCode': extended_attrs.get('medicaidVariableCode'),
404
- 'healthInsuranceExchangeId': extended_attrs.get('healthInsuranceExchangeId'),
405
- 'memberDiv': extended_attrs.get('memberDiv'),
406
- 'legalEntityCode': extended_attrs.get('legalEntityCode')
407
- })
408
-
409
- # Safely extract other beneficiaries
410
- other_beneficiaries = first_eligibility.get('otherBeneficiaries', [])
411
- if other_beneficiaries:
412
- rest_response['otherBeneficiaries'] = other_beneficiaries
413
-
414
- return rest_response
415
-
416
- except Exception as e:
417
- # Log the error and the response structure for debugging
418
- print("Error transforming GraphQL response: {}".format(str(e)))
419
- print("Response structure: {}".format(json.dumps(graphql_response, indent=2)))
420
- return {
421
- 'statuscode': '500',
422
- 'message': 'Error processing GraphQL response: {}'.format(str(e)),
423
- 'rawGraphQLResponse': graphql_response
424
- }
425
-
426
- # Convenience functions for easy access
427
- def get_eligibility_query():
428
- """Get the eligibility GraphQL query (working format)"""
429
- return GraphQLQueryBuilder.get_eligibility_query()
430
-
431
- def build_eligibility_variables(**kwargs):
432
- """Build eligibility query variables in working format"""
433
- return GraphQLQueryBuilder.build_eligibility_variables(**kwargs)
434
-
435
- def build_eligibility_request(variables):
436
- """Build complete eligibility request body with working format"""
437
- return GraphQLQueryBuilder.build_eligibility_request(variables)
438
-
439
- def transform_eligibility_response(graphql_response):
440
- """Transform GraphQL eligibility response to REST format"""
441
- return GraphQLResponseTransformer.transform_eligibility_response(graphql_response)
442
-
443
- def get_sample_eligibility_request():
444
- """Get the sample GraphQL request from swagger documentation"""
445
- return GraphQLQueryBuilder.get_sample_eligibility_request()
File without changes