mphapi 0.5.0__py3-none-any.whl → 1.11.0__py3-none-any.whl
This diff represents the content of publicly available package versions that have been released to one of the supported registries. The information contained in this diff is provided for informational purposes only and reflects changes between package versions as they appear in their respective public registries.
- mphapi/claim.py +3 -17
- mphapi/client.py +181 -37
- mphapi/client_test.py +114 -0
- mphapi/credentials.py +256 -0
- mphapi/date.py +92 -18
- mphapi/env.py +24 -0
- mphapi/pricing.py +198 -6
- mphapi/py.typed +0 -0
- mphapi/snapshots/client_test/test_client/hcfa.json +75 -0
- mphapi/snapshots/client_test/test_client/inpatient.json +405 -0
- mphapi/snapshots/client_test/test_client/outpatient.json +723 -0
- mphapi/testdata/hcfa.json +30 -0
- mphapi/testdata/inpatient.json +135 -0
- mphapi/testdata/outpatient.json +265 -0
- {mphapi-0.5.0.dist-info → mphapi-1.11.0.dist-info}/METADATA +4 -2
- mphapi-1.11.0.dist-info/RECORD +20 -0
- {mphapi-0.5.0.dist-info → mphapi-1.11.0.dist-info}/WHEEL +1 -1
- mphapi-0.5.0.dist-info/RECORD +0 -10
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{
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"claim_id": "1234",
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"medicare_amount": 124.18,
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"allowed_amount": null,
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"medicare_repricing_code": "MED",
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"medicare_repricing_note": null,
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"network_code": null,
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"allowed_repricing_code": null,
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"allowed_repricing_note": null,
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"medicare_std_dev": null,
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"medicare_source": null,
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"inpatient_price_detail": null,
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"outpatient_price_detail": null,
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"provider_detail": {
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"ccn": null,
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"mac": 4412,
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"locality": 99,
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"geographic_cbsa": 32580,
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"state_cbsa": 45,
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"rural_indicator": null,
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"specialty_type": null,
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"hospital_type": null
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"edit_detail": null,
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"pricer_result": null,
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"price_config": {
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"contract_ruleset": null,
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"price_zero_billed": false,
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"is_commercial": true,
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"disable_cost_based_reimbursement": false,
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"use_commercial_synthetic_for_not_allowed": true,
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"use_drg_from_grouper": false,
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"use_best_drg_price": true,
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"override_threshold": 300.0,
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"include_edits": true,
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"continue_on_edit_fail": false,
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"continue_on_provider_match_fail": false,
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"disable_machine_learning_estimates": false,
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"assume_impossible_anesthesia_units_are_minutes": false,
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"fallback_to_max_anesthesia_units_per_day": false,
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"allow_partial_results": false
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},
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"services": [
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{
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"line_number": "1",
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"provider_detail": null,
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"medicare_amount": 124.18,
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"allowed_amount": null,
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"medicare_repricing_code": "MED",
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"medicare_repricing_note": null,
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"network_code": null,
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"allowed_repricing_code": null,
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"allowed_repricing_note": null,
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"allowed_repricing_formula": null,
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"technical_component_amount": null,
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"professional_component_amount": null,
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"medicare_std_dev": null,
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"medicare_source": "MPFS",
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"pricer_result": "Processed",
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"status_indicator": "A",
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"payment_indicator": null,
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"discount_formula": null,
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"line_item_denial_or_rejection_flag": null,
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"packaging_flag": null,
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"payment_adjustment_flag": null,
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"payment_adjustment_flag2": null,
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"payment_method_flag": null,
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"composite_adjustment_flag": null,
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"hcpcs_apc": null,
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"payment_apc": null,
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"edit_detail": null
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],
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"edit_error": null
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}
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{
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"claim_id": "2345",
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"medicare_amount": 5489.39,
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"allowed_amount": null,
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"medicare_repricing_code": "MED",
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"medicare_repricing_note": null,
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"network_code": null,
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"allowed_repricing_code": null,
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"allowed_repricing_note": null,
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"medicare_std_dev": null,
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"medicare_source": "IPPS",
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"inpatient_price_detail": {
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"drg": "951",
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"drg_amount": 3261.48,
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"passthrough_amount": null,
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"outlier_amount": null,
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"indirect_medical_education_amount": null,
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"disproportionate_share_amount": 112.02,
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"uncompensated_care_amount": 1553.66,
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"readmission_adjustment_amount": -3.64,
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"value_based_purchasing_amount": null,
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"wage_index": 0.8145
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},
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"outpatient_price_detail": null,
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"provider_detail": {
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"ccn": "170006",
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"mac": 5202,
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"locality": 0,
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"geographic_cbsa": 38260,
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"state_cbsa": 17,
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"rural_indicator": "R",
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"specialty_type": null,
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"hospital_type": null
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},
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"edit_detail": null,
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"pricer_result": "Paid normal DRG payment with Perdiem Days",
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"price_config": {
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"contract_ruleset": null,
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"price_zero_billed": false,
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"is_commercial": true,
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"disable_cost_based_reimbursement": false,
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"use_commercial_synthetic_for_not_allowed": true,
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"use_drg_from_grouper": false,
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"use_best_drg_price": true,
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"override_threshold": 300.0,
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"include_edits": true,
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"continue_on_edit_fail": false,
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"continue_on_provider_match_fail": false,
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"disable_machine_learning_estimates": false,
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"assume_impossible_anesthesia_units_are_minutes": false,
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"fallback_to_max_anesthesia_units_per_day": false,
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"allow_partial_results": false
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},
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"services": [
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"line_number": "1",
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"provider_detail": null,
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"medicare_amount": 1545.8,
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"allowed_amount": null,
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"medicare_repricing_code": "MED",
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"medicare_repricing_note": null,
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"network_code": null,
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"allowed_repricing_code": null,
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"allowed_repricing_note": null,
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"allowed_repricing_formula": null,
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"technical_component_amount": null,
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"professional_component_amount": null,
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"medicare_std_dev": null,
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"medicare_source": "IPPS",
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"pricer_result": "pricing applied by billed percent",
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"status_indicator": null,
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"payment_indicator": null,
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"discount_formula": null,
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"line_item_denial_or_rejection_flag": null,
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"packaging_flag": null,
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"payment_adjustment_flag": null,
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"payment_adjustment_flag2": null,
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"payment_method_flag": null,
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"composite_adjustment_flag": null,
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"hcpcs_apc": null,
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"payment_apc": null,
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"edit_detail": null
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"line_number": "2",
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"medicare_amount": 161.61,
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"medicare_repricing_code": "MED",
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"medicare_source": "IPPS",
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"payment_method_flag": null,
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"composite_adjustment_flag": null,
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"hcpcs_apc": null,
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"payment_apc": null,
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"edit_detail": null
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"line_number": "3",
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"allowed_amount": null,
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"medicare_repricing_code": "MED",
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"network_code": null,
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"medicare_source": "IPPS",
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"pricer_result": "pricing applied by billed percent",
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"medicare_repricing_code": "MED",
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"pricer_result": "pricing applied by billed percent",
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"medicare_source": "IPPS",
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"pricer_result": "pricing applied by billed percent",
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"payment_method_flag": null,
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"composite_adjustment_flag": null,
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"hcpcs_apc": null,
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"payment_apc": null,
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"edit_detail": null
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"medicare_repricing_code": "MED",
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"medicare_source": "IPPS",
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