Class: ChangeHealth::Response::Claim::Report277Data

Inherits:
ReportData show all
Defined in:
lib/change_health/response/claim/report/report_277_data.rb

Overview

Methods only return meaningful data for json reports

Instance Attribute Summary

Attributes inherited from ReportData

#json, #report_name

Attributes inherited from ResponseData

#raw, #response

Instance Method Summary collapse

Methods inherited from ReportData

#edi?, #initialize, #is_277?, is_277?, is_835?, #is_835?, #presence, report_type, #report_type

Methods inherited from ResponseData

#errors, #errors?, #initialize, #recommend_retry?, #server_error

Constructor Details

This class inherits a constructor from ChangeHealth::Response::Claim::ReportData

Instance Method Details

#claims ⇒ Object 



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# File 'lib/change_health/response/claim/report/report_277_data.rb', line 19

def claims
  report_claims = []

  transactions&.each do |transaction|
    id = transaction.dig('id')
    report_creation_date = ChangeHealth::Models::PARSE_DATE.call(transaction['transactionSetCreationDate'])
    transaction['payers']&.each do |payer|
      payer_identification = payer['payerIdentification']
      payer_name = payer['organizationName']
      payer['claimStatusTransactions']&.each do |claim_status_txn|
        claim_status_txn['claimStatusDetails']&.each do |claim_status_detail|
          service_provider_npi = claim_status_detail.dig('serviceProvider', 'npi')
          claim_status_detail['patientClaimStatusDetails']&.each do |patient_claim_status_detail|
            patient_first_name = patient_claim_status_detail.dig('subscriber', 'firstName')
            patient_last_name = patient_claim_status_detail.dig('subscriber', 'lastName')
            patient_member_id = patient_claim_status_detail.dig('subscriber', 'memberId')
            patient_claim_status_detail['claims']&.each do |claim|
              procedure_codes = []
              claim['serviceLines']&.each do |service_line|
                procedure_codes << service_line.dig('service', 'procedureCode')
              end
              claim_status = claim['claimStatus']
              next if claim_status.nil?

              clearinghouse_trace_number = claim_status['clearinghouseTraceNumber']
               = claim_status['patientAccountNumber']
              referenced_transaction_trace_number = claim_status['referencedTransactionTraceNumber']
              trading_partner_claim_number = claim_status['tradingPartnerClaimNumber']

              service_date_begin = ChangeHealth::Models::PARSE_DATE.call(presence(claim_status['claimServiceBeginDate']) || presence(claim_status['claimServiceDate']))
              service_date_end = ChangeHealth::Models::PARSE_DATE.call(presence(claim_status['claimServiceEndDate']) || presence(claim_status['claimServiceDate']))

              info_claim_statuses = []
              claim_status['informationClaimStatuses']&.each do |info_claim_status|
                message = info_claim_status['message']
                status_information_effective_date = ChangeHealth::Models::PARSE_DATE.call(info_claim_status['statusInformationEffectiveDate'])
                total_charge_amount = info_claim_status['totalClaimChargeAmount']

                info_statuses = []
                info_claim_status['informationStatuses']&.each do |info_status|
                  info_statuses << Report277InfoStatus.new(
                    status_category_code: info_status['healthCareClaimStatusCategoryCode'],
                    status_category_code_value: info_status['healthCareClaimStatusCategoryCodeValue'],
                    status_code: info_status['statusCode'],
                    status_code_value: info_status['statusCodeValue']
                  )
                end

                info_claim_statuses << Report277InfoClaimStatus.new(
                  message: message,
                  info_statuses: info_statuses,
                  total_charge_amount: total_charge_amount,
                  status_information_effective_date: status_information_effective_date
                )
              end
              report_claims << Report277Claim.new(
                clearinghouse_trace_number: clearinghouse_trace_number,
                id: id,
                info_claim_statuses: info_claim_statuses,
                patient_account_number: ,
                patient_first_name: patient_first_name,
                patient_last_name: patient_last_name,
                patient_member_id: patient_member_id,
                payer_identification: payer_identification,
                payer_name: payer_name,
                procedure_codes: procedure_codes,
                referenced_transaction_trace_number: referenced_transaction_trace_number,
                report_creation_date: report_creation_date,
                report_name: report_name,
                service_date_begin: service_date_begin,
                service_date_end: service_date_end,
                service_provider_npi: service_provider_npi,
                trading_partner_claim_number: trading_partner_claim_number
              )
            end
          end
        end
      end
    end
  end

  report_claims
end

#payer_name ⇒ Object

Only one payer per report



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# File 'lib/change_health/response/claim/report/report_277_data.rb', line 11

def payer_name
  transactions&.first&.dig('payers')&.first&.dig('organizationName')
end

#report_creation_date ⇒ Object 



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# File 'lib/change_health/response/claim/report/report_277_data.rb', line 15

def report_creation_date
  ChangeHealth::Models::PARSE_DATE.call(transactions&.first&.dig('transactionSetCreationDate'))
end

#transactions ⇒ Object 



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# File 'lib/change_health/response/claim/report/report_277_data.rb', line 6

def transactions
  @raw['transactions']
end