Class: ChangeHealthcare::ProfessionalClaims::SwaggerClient::ClaimPricingRepricingInformation

Inherits:
Object
  • Object
show all
Defined in:
lib/change_healthcare/professional_claims/swagger_client/models/claim_pricing_repricing_information.rb

Defined Under Namespace

Classes: EnumAttributeValidator

Instance Attribute Summary collapse

Class Method Summary collapse

Instance Method Summary collapse

Constructor Details

#initialize(attributes = {}) ⇒ ClaimPricingRepricingInformation

Initializes the object

Parameters:

  • attributes (Hash) (defaults to: {}) —

    Model attributes in the form of hash



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# File 'lib/change_healthcare/professional_claims/swagger_client/models/claim_pricing_repricing_information.rb', line 120

def initialize(attributes = {})
  return unless attributes.is_a?(Hash)

  # convert string to symbol for hash key
  attributes = attributes.transform_keys(&:to_sym)

  self.exception_code = attributes[:exceptionCode] if attributes.key?(:exceptionCode)

  self.policy_compliance_code = attributes[:policyComplianceCode] if attributes.key?(:policyComplianceCode)

  self.pricing_methodology_code = attributes[:pricingMethodologyCode] if attributes.key?(:pricingMethodologyCode)

  self.reject_reason_code = attributes[:rejectReasonCode] if attributes.key?(:rejectReasonCode)

  self.repriced_allowed_amount = attributes[:repricedAllowedAmount] if attributes.key?(:repricedAllowedAmount)

  self.repriced_approved_ambulatory_patient_group_amount = attributes[:repricedApprovedAmbulatoryPatientGroupAmount] if attributes.key?(:repricedApprovedAmbulatoryPatientGroupAmount)

  self.repriced_approved_ambulatory_patient_group_code = attributes[:repricedApprovedAmbulatoryPatientGroupCode] if attributes.key?(:repricedApprovedAmbulatoryPatientGroupCode)

  self.repriced_saving_amount = attributes[:repricedSavingAmount] if attributes.key?(:repricedSavingAmount)

  self.repricing_organization_identifier = attributes[:repricingOrganizationIdentifier] if attributes.key?(:repricingOrganizationIdentifier)

  self.repricing_per_diem_or_flat_rate_amoung = attributes[:repricingPerDiemOrFlatRateAmoung] if attributes.key?(:repricingPerDiemOrFlatRateAmoung)
end

Instance Attribute Details

#exception_code ⇒ Object

Allowed Values are:

  • '1' Non-Network Professional Provider in Network Hospital
  • '2' Emergency Care, '3' Services or Specialist not in Network
  • '4' Out-of-Service Area
  • '5' State Mandates
  • '6' Other


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# File 'lib/change_healthcare/professional_claims/swagger_client/models/claim_pricing_repricing_information.rb', line 25

def exception_code
  @exception_code
end

#policy_compliance_code ⇒ Object

Allowed Values are:

  • '1' Procedure Followed (Compliance)
  • '2' Not Followed - Call Not Made (Non-Compliance Call Not Made)
  • '3' Not Medically Necessary (Non-Compliance Non-Medically Necessary)
  • '4' Not Followed Other (Non-Compliance Other)
  • '5' Emergency Admit to Non-Network Hospital


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# File 'lib/change_healthcare/professional_claims/swagger_client/models/claim_pricing_repricing_information.rb', line 33

def policy_compliance_code
  @policy_compliance_code
end

#pricing_methodology_code ⇒ Object

Allowed Values are:

  • '00' Zero Pricing (Not Covered Under Contract)
  • '01' Priced as Billed at 100%
  • '02' Priced at the Standard Fee Schedule
  • '03' Priced at a Contractual Percentage
  • '04' Bundled Pricing
  • '05' Peer Review Pricing
  • '06' Bundled Pricing
  • '07' Flat Rate Pricing
  • '08' Combination Pricing
  • '09' Maternity Pricing
  • '10' Other Pricing
  • '11' Lower of Cost
  • '12' Ratio of Cost
  • '13' Cost Reimbursed
  • '14' Adjustment Pricing


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# File 'lib/change_healthcare/professional_claims/swagger_client/models/claim_pricing_repricing_information.rb', line 51

def pricing_methodology_code
  @pricing_methodology_code
end

#reject_reason_code ⇒ Object

Allowed Values are:

  • 'T1' Cannot Identify Provider as TPO (Third Party Organization) Participant
  • 'T2' Cannot Identify Payer as TPO (Third Party Organization) Participant
  • 'T3' Cannot Identify Insured as TPO (Third Party Organization) Participant
  • 'T4' Payer Name or Identifier Missing
  • 'T5' Certification Information Missing
  • '16' Claim does not contain enough information for repricing


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# File 'lib/change_healthcare/professional_claims/swagger_client/models/claim_pricing_repricing_information.rb', line 60

def reject_reason_code
  @reject_reason_code
end

#repriced_allowed_amount ⇒ Object

Returns the value of attribute repriced_allowed_amount.



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# File 'lib/change_healthcare/professional_claims/swagger_client/models/claim_pricing_repricing_information.rb', line 62

def repriced_allowed_amount
  @repriced_allowed_amount
end

#repriced_approved_ambulatory_patient_group_amount ⇒ Object

Returns the value of attribute repriced_approved_ambulatory_patient_group_amount.



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# File 'lib/change_healthcare/professional_claims/swagger_client/models/claim_pricing_repricing_information.rb', line 62

def repriced_approved_ambulatory_patient_group_amount
  @repriced_approved_ambulatory_patient_group_amount
end

#repriced_approved_ambulatory_patient_group_code ⇒ Object

Returns the value of attribute repriced_approved_ambulatory_patient_group_code.



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# File 'lib/change_healthcare/professional_claims/swagger_client/models/claim_pricing_repricing_information.rb', line 62

def repriced_approved_ambulatory_patient_group_code
  @repriced_approved_ambulatory_patient_group_code
end

#repriced_saving_amount ⇒ Object

Returns the value of attribute repriced_saving_amount.



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# File 'lib/change_healthcare/professional_claims/swagger_client/models/claim_pricing_repricing_information.rb', line 62

def repriced_saving_amount
  @repriced_saving_amount
end

#repricing_organization_identifier ⇒ Object

Returns the value of attribute repricing_organization_identifier.



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# File 'lib/change_healthcare/professional_claims/swagger_client/models/claim_pricing_repricing_information.rb', line 62

def repricing_organization_identifier
  @repricing_organization_identifier
end

#repricing_per_diem_or_flat_rate_amoung ⇒ Object

Returns the value of attribute repricing_per_diem_or_flat_rate_amoung.



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# File 'lib/change_healthcare/professional_claims/swagger_client/models/claim_pricing_repricing_information.rb', line 62

def repricing_per_diem_or_flat_rate_amoung
  @repricing_per_diem_or_flat_rate_amoung
end

Class Method Details

.attribute_map ⇒ Object

Attribute mapping from ruby-style variable name to JSON key.



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# File 'lib/change_healthcare/professional_claims/swagger_client/models/claim_pricing_repricing_information.rb', line 87

def self.attribute_map
  {
    exception_code: :exceptionCode,
    policy_compliance_code: :policyComplianceCode,
    pricing_methodology_code: :pricingMethodologyCode,
    reject_reason_code: :rejectReasonCode,
    repriced_allowed_amount: :repricedAllowedAmount,
    repriced_approved_ambulatory_patient_group_amount: :repricedApprovedAmbulatoryPatientGroupAmount,
    repriced_approved_ambulatory_patient_group_code: :repricedApprovedAmbulatoryPatientGroupCode,
    repriced_saving_amount: :repricedSavingAmount,
    repricing_organization_identifier: :repricingOrganizationIdentifier,
    repricing_per_diem_or_flat_rate_amoung: :repricingPerDiemOrFlatRateAmoung
  }
end

.swagger_types ⇒ Object

Attribute type mapping.



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# File 'lib/change_healthcare/professional_claims/swagger_client/models/claim_pricing_repricing_information.rb', line 103

def self.swagger_types
  {
    exception_code: :String,
    policy_compliance_code: :String,
    pricing_methodology_code: :String,
    reject_reason_code: :String,
    repriced_allowed_amount: :String,
    repriced_approved_ambulatory_patient_group_amount: :String,
    repriced_approved_ambulatory_patient_group_code: :String,
    repriced_saving_amount: :String,
    repricing_organization_identifier: :String,
    repricing_per_diem_or_flat_rate_amoung: :String
  }
end

Instance Method Details

#==(other) ⇒ Object

Checks equality by comparing each attribute.

Parameters:

  • Object (Object) —

    to be compared



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# File 'lib/change_healthcare/professional_claims/swagger_client/models/claim_pricing_repricing_information.rb', line 224

def ==(other)
  return true if equal?(other)

  self.class == other.class &&
    exception_code == other.exception_code &&
    policy_compliance_code == other.policy_compliance_code &&
    pricing_methodology_code == other.pricing_methodology_code &&
    reject_reason_code == other.reject_reason_code &&
    repriced_allowed_amount == other.repriced_allowed_amount &&
    repriced_approved_ambulatory_patient_group_amount == other.repriced_approved_ambulatory_patient_group_amount &&
    repriced_approved_ambulatory_patient_group_code == other.repriced_approved_ambulatory_patient_group_code &&
    repriced_saving_amount == other.repriced_saving_amount &&
    repricing_organization_identifier == other.repricing_organization_identifier &&
    repricing_per_diem_or_flat_rate_amoung == other.repricing_per_diem_or_flat_rate_amoung
end

#_deserialize(type, value) ⇒ Object

Deserializes the data based on type

Parameters:

  • string —

    type Data type

  • string —

    value Value to be deserialized

Returns:

  • (Object) —

    Deserialized data



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# File 'lib/change_healthcare/professional_claims/swagger_client/models/claim_pricing_repricing_information.rb', line 280

def _deserialize(type, value)
  case type.to_sym
  when :DateTime
    DateTime.parse(value)
  when :Date
    Date.parse(value)
  when :String
    value.to_s
  when :Integer
    value.to_i
  when :Float
    value.to_f
  when :BOOLEAN
    if value.to_s =~ /\A(true|t|yes|y|1)\z/i
      true
    else
      false
    end
  when :Object
    # generic object (usually a Hash), return directly
    value
  when /\AArray<(?<inner_type>.+)>\z/
    inner_type = Regexp.last_match[:inner_type]
    value.map { |v| _deserialize(inner_type, v) }
  when /\AHash<(?<k_type>.+?), (?<v_type>.+)>\z/
    k_type = Regexp.last_match[:k_type]
    v_type = Regexp.last_match[:v_type]
    {}.tap do |hash|
      value.each do |k, v|
        hash[_deserialize(k_type, k)] = _deserialize(v_type, v)
      end
    end
  else # model
    temp_model = SwaggerClient.const_get(type).new
    temp_model.build_from_hash(value)
  end
end

#_to_hash(value) ⇒ Hash

Outputs non-array value in the form of hash For object, use to_hash. Otherwise, just return the value

Parameters:

  • value (Object) —

    Any valid value

Returns:

  • (Hash) —

    Returns the value in the form of hash



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# File 'lib/change_healthcare/professional_claims/swagger_client/models/claim_pricing_repricing_information.rb', line 347

def _to_hash(value)
  if value.is_a?(Array)
    value.compact.map { |v| _to_hash(v) }
  elsif value.is_a?(Hash)
    {}.tap do |hash|
      value.each { |k, v| hash[k] = _to_hash(v) }
    end
  elsif value.respond_to? :to_hash
    value.to_hash
  else
    value
  end
end

#build_from_hash(attributes) ⇒ Object

Builds the object from hash

Parameters:

  • attributes (Hash) —

    Model attributes in the form of hash

Returns:

  • (Object) —

    Returns the model itself



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# File 'lib/change_healthcare/professional_claims/swagger_client/models/claim_pricing_repricing_information.rb', line 256

def build_from_hash(attributes)
  return nil unless attributes.is_a?(Hash)

  self.class.swagger_types.each_pair do |key, type|
    if type =~ /\AArray<(.*)>/i
      # check to ensure the input is an array given that the attribute
      # is documented as an array but the input is not
      if attributes[self.class.attribute_map[key]].is_a?(Array)
        send("#{key}=", attributes[self.class.attribute_map[key]].map do |v|
                          _deserialize(Regexp.last_match(1), v)
                        end)
      end
    elsif !attributes[self.class.attribute_map[key]].nil?
      send("#{key}=", _deserialize(type, attributes[self.class.attribute_map[key]]))
    end
  end

  self
end

#eql?(other) ⇒ Boolean

Parameters:

  • Object (Object) —

    to be compared

Returns:

  • (Boolean)

See Also:

  • `==` method


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# File 'lib/change_healthcare/professional_claims/swagger_client/models/claim_pricing_repricing_information.rb', line 242

def eql?(other)
  self == other
end

#hash ⇒ Fixnum

Calculates hash code according to all attributes.

Returns:

  • (Fixnum) —

    Hash code



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# File 'lib/change_healthcare/professional_claims/swagger_client/models/claim_pricing_repricing_information.rb', line 248

def hash
  [exception_code, policy_compliance_code, pricing_methodology_code, reject_reason_code, repriced_allowed_amount,
   repriced_approved_ambulatory_patient_group_amount, repriced_approved_ambulatory_patient_group_code, repriced_saving_amount, repricing_organization_identifier, repricing_per_diem_or_flat_rate_amoung].hash
end

#list_invalid_properties ⇒ Object

Show invalid properties with the reasons. Usually used together with valid?

Returns:

  • Array for valid properties with the reasons



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# File 'lib/change_healthcare/professional_claims/swagger_client/models/claim_pricing_repricing_information.rb', line 149

def list_invalid_properties
  []
end

#to_body ⇒ Hash

to_body is an alias to to_hash (backward compatibility)

Returns:

  • (Hash) —

    Returns the object in the form of hash



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# File 'lib/change_healthcare/professional_claims/swagger_client/models/claim_pricing_repricing_information.rb', line 326

def to_body
  to_hash
end

#to_hash ⇒ Hash

Returns the object in the form of hash

Returns:

  • (Hash) —

    Returns the object in the form of hash



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# File 'lib/change_healthcare/professional_claims/swagger_client/models/claim_pricing_repricing_information.rb', line 332

def to_hash
  hash = {}
  self.class.attribute_map.each_pair do |attr, param|
    value = send(attr)
    next if value.nil?

    hash[param] = _to_hash(value)
  end
  hash
end

#to_s ⇒ String

Returns the string representation of the object

Returns:

  • (String) —

    String presentation of the object



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# File 'lib/change_healthcare/professional_claims/swagger_client/models/claim_pricing_repricing_information.rb', line 320

def to_s
  to_hash.to_s
end

#valid? ⇒ Boolean

Check to see if the all the properties in the model are valid

Returns:

  • (Boolean) —

    true if the model is valid



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# File 'lib/change_healthcare/professional_claims/swagger_client/models/claim_pricing_repricing_information.rb', line 155

def valid?
  exception_code_validator = EnumAttributeValidator.new('String', %w[1 2 3 4 5 6])
  return false unless exception_code_validator.valid?(@exception_code)

  policy_compliance_code_validator = EnumAttributeValidator.new('String', %w[1 2 3 4 5])
  return false unless policy_compliance_code_validator.valid?(@policy_compliance_code)

  pricing_methodology_code_validator = EnumAttributeValidator.new('String',
                                                                  %w[00 01 02 03 04 05 06 07 08 09 10 11 12 13
                                                                     14])
  return false unless pricing_methodology_code_validator.valid?(@pricing_methodology_code)

  reject_reason_code_validator = EnumAttributeValidator.new('String', %w[T1 T2 T3 T4 T5 T6])
  return false unless reject_reason_code_validator.valid?(@reject_reason_code)

  true
end