Class: HCA::EnrollmentEligibility::Service

Inherits:
Common::Client::Base show all
Includes:
Common::Client::Concerns::Monitoring
Defined in:
lib/hca/enrollment_eligibility/service.rb

Constant Summary collapse

XPATH_PREFIX = 
'env:Envelope/env:Body/getEESummaryResponse/summary/'
STATSD_KEY_PREFIX = 
'api.hca_ee'
NAME_MAPPINGS = 
[
  %i[first givenName],
  %i[middle middleName],
  %i[last familyName],
  %i[suffix suffix]
].freeze
INSURANCE_MAPPINGS =

left API key, right schema key

{
  'companyName' => 'insuranceName',
  'policyNumber' => 'insurancePolicyNumber',
  'policyHolderName' => 'insurancePolicyHolderName',
  'groupNumber' => 'insuranceGroupCode'
}.freeze
MARITAL_STATUSES = 
%w[
  Married
  Never Married
  Separated
  Widowed
  Divorced
].freeze
MEDICARE = 
'Medicare'

Instance Method Summary collapse

Methods included from Common::Client::Concerns::Monitoring

#increment, #increment_failure, #increment_total, #with_monitoring

Methods inherited from Common::Client::Base

#config, configuration, #connection, #delete, #get, #perform, #post, #put, #raise_backend_exception, #raise_not_authenticated, #request, #sanitize_headers!, #service_name

Methods included from SentryLogging

#log_exception_to_sentry, #log_message_to_sentry, #non_nil_hash?, #normalize_level, #rails_logger, #set_sentry_metadata

Instance Method Details

#build_lookup_user_xml(icn) ⇒ Object (private)

rubocop:disable Metrics/MethodLength



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# File 'lib/hca/enrollment_eligibility/service.rb', line 290

def build_lookup_user_xml(icn)
  Nokogiri::XML::Builder.new do |xml|
    xml.public_send(
      'SOAP-ENV:Envelope',
      'xmlns:SOAP-ENV' => 'http://schemas.xmlsoap.org/soap/envelope/',
      'xmlns:sch' => 'http://jaxws.webservices.esr.med.va.gov/schemas'
    ) do
      xml.public_send('SOAP-ENV:Header') do
        xml.public_send(
          'wsse:Security',
          'SOAP-ENV:mustUnderstand' => '1',
          'xmlns:wsse' => 'http://docs.oasis-open.org/wss/2004/01/oasis-200401-wss-wssecurity-secext-1.0.xsd'
        ) do
          xml.public_send(
            'wsse:UsernameToken',
            'wsu:Id' => 'XWSSGID-1281117217796-43574433',
            'xmlns:wsu' => 'http://docs.oasis-open.org/wss/2004/01/oasis-200401-wss-wssecurity-utility-1.0.xsd'
          ) do
            xml.public_send('wsse:Username', Settings.hca.ee.user)
            xml.public_send(
              'wsse:Password',
              Settings.hca.ee.pass,
              'Type' => 'http://docs.oasis-open.org/wss/2004/01/oasis-200401-wss-username-token-profile-1.0#PasswordText'
            )
          end
        end
      end

      xml.public_send('SOAP-ENV:Body') do
        xml.public_send('sch:getEESummaryRequest') do
          xml.public_send('sch:key', icn)
          xml.public_send('sch:requestName', 'HCAData')
        end
      end
    end
  end.to_xml
end

#convert_insurance_hash(response, providers) ⇒ Object (private) 



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# File 'lib/hca/enrollment_eligibility/service.rb', line 109

def convert_insurance_hash(response, providers)
  strip_medicare(providers).merge(
    {
      isEnrolledMedicarePartA: get_xpath(
        response,
        "#{XPATH_PREFIX}insuranceList/insurance/enrolledInPartA"
      ) == 'true',
      medicarePartAEffectiveDate: part_a_effective_date(response),
      isMedicaidEligible: ActiveModel::Type::Boolean.new.cast(
        get_xpath(
          response,
          "#{XPATH_PREFIX}enrollmentDeterminationInfo/eligibleForMedicaid"
        )
      )
    }
  )
end

#get_ezr_data(icn) ⇒ Object 



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# File 'lib/hca/enrollment_eligibility/service.rb', line 41

def get_ezr_data(icn)
  response = with_monitoring do
    lookup_user_req(icn)
  end

  providers = parse_insurance_providers(response)
  dependents = parse_dependents(response)
  spouse = parse_spouse(response)

  OpenStruct.new(
    convert_insurance_hash(
      response, providers
    ).merge(
      dependents.present? ? { dependents: } : {}
    ).merge(spouse)
  )
end

#get_locate_value(node, key) ⇒ Object (private) 



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# File 'lib/hca/enrollment_eligibility/service.rb', line 216

def get_locate_value(node, key)
  res = node.locate(key)[0]
  return if res.nil?

  res.nodes[0]
end

#get_locate_value_bool(node, key) ⇒ Object (private) 



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# File 'lib/hca/enrollment_eligibility/service.rb', line 212

def get_locate_value_bool(node, key)
  ActiveModel::Type::Boolean.new.cast(get_locate_value(node, key))
end

#get_locate_value_date(node, key) ⇒ Object (private) 



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# File 'lib/hca/enrollment_eligibility/service.rb', line 208

def get_locate_value_date(node, key)
  parse_es_date(get_locate_value(node, key))
end

#get_marital_status(response) ⇒ Object (private) 



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# File 'lib/hca/enrollment_eligibility/service.rb', line 127

def get_marital_status(response)
  marital_status = get_locate_value(
    response,
    "#{XPATH_PREFIX}demographics/maritalStatus"
  )

  return unless MARITAL_STATUSES.include?(marital_status)

  marital_status
end

#get_xpath(response, xpath) ⇒ Object (private) 



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# File 'lib/hca/enrollment_eligibility/service.rb', line 282

def get_xpath(response, xpath)
  node = response.locate(xpath)
  return if node.blank?

  node[0].nodes[0]
end

#income_year_is_last_year?(response) ⇒ Boolean (private)

Returns:

  • (Boolean) 


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# File 'lib/hca/enrollment_eligibility/service.rb', line 328

def income_year_is_last_year?(response)
  income_year = get_xpath(
    response,
    "#{XPATH_PREFIX}financialsInfo/incomeTest/incomeYear"
  )

  income_year == (DateTime.now.utc.year - 1).to_s
end

#lookup_user(icn) ⇒ Object

rubocop:disable Metrics/MethodLength



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# File 'lib/hca/enrollment_eligibility/service.rb', line 60

def lookup_user(icn)
  response = with_monitoring do
    lookup_user_req(icn)
  end

  {
    enrollment_status: get_xpath(
      response,
      "#{XPATH_PREFIX}enrollmentDeterminationInfo/enrollmentStatus"
    ),
    application_date: get_xpath(
      response,
      "#{XPATH_PREFIX}enrollmentDeterminationInfo/applicationDate"
    ),
    enrollment_date: get_xpath(
      response,
      "#{XPATH_PREFIX}enrollmentDeterminationInfo/enrollmentDate"
    ),
    preferred_facility: get_xpath(
      response,
      "#{XPATH_PREFIX}demographics/preferredFacility"
    ),
    ineligibility_reason: get_xpath(
      response,
      "#{XPATH_PREFIX}enrollmentDeterminationInfo/ineligibilityFactor/reason"
    ),
    effective_date: get_xpath(
      response,
      "#{XPATH_PREFIX}enrollmentDeterminationInfo/effectiveDate"
    ),
    primary_eligibility: get_xpath(
      response,
      "#{XPATH_PREFIX}enrollmentDeterminationInfo/primaryEligibility/type"
    ),
    veteran: get_xpath(
      response,
      "#{XPATH_PREFIX}enrollmentDeterminationInfo/veteran"
    ),
    priority_group: get_xpath(
      response,
      "#{XPATH_PREFIX}enrollmentDeterminationInfo/priorityGroup"
    ),
    can_submit_financial_info: !income_year_is_last_year?(response)
  }
end

#lookup_user_req(icn) ⇒ Object (private) 



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# File 'lib/hca/enrollment_eligibility/service.rb', line 278

def lookup_user_req(icn)
  perform(:post, '', build_lookup_user_xml(icn)).body
end

#parse_dependents(response) ⇒ Object (private)

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# File 'lib/hca/enrollment_eligibility/service.rb', line 181

def parse_dependents(response)
  dependents = []

  response.locate(
    "#{XPATH_PREFIX}financialsInfo/financialStatement/dependentFinancialsList"
  )[0]&.nodes&.each do |dep_node|
    dependent = {
      fullName: {},
      socialSecurityNumber: get_locate_value(dep_node, 'dependentInfo/ssns/ssn/ssnText'),
      becameDependent: get_locate_value_date(dep_node, 'dependentInfo/startDate'),
      dependentRelation: get_locate_value(dep_node, 'dependentInfo/relationship').downcase.upcase_first,
      disabledBefore18: get_locate_value_bool(dep_node, 'incapableOfSelfSupport'),
      attendedSchoolLastYear: get_locate_value_bool(dep_node, 'attendedSchool'),
      cohabitedLastYear: get_locate_value_bool(dep_node, 'livedWithPatient'),
      dateOfBirth: get_locate_value_date(dep_node, 'dependentInfo/dob')
    }

    NAME_MAPPINGS.each do |mapping|
      dependent[:fullName][mapping[0]] = get_locate_value(dep_node, "dependentInfo/#{mapping[1]}")
    end

    dependents << Common::HashHelpers.deep_compact(dependent)
  end

  dependents
end

#parse_es_date(date_str) ⇒ Object (private) 



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# File 'lib/hca/enrollment_eligibility/service.rb', line 260

def parse_es_date(date_str)
  return if date_str.blank?

  Date.parse(date_str).to_s
rescue Date::Error => e
  log_exception_to_sentry(e)
  PersonalInformationLog.create!(
    data: date_str,
    error_class: 'Form1010Ezr DateError'
  )

  nil
end

#parse_insurance_providers(response) ⇒ Object (private) 



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# File 'lib/hca/enrollment_eligibility/service.rb', line 223

def parse_insurance_providers(response)
  providers = []

  response.locate("#{XPATH_PREFIX}insuranceList")[0]&.nodes&.each do |insurance_node|
    insurance = {}

    insurance_node.nodes.each do |insurance_inner|
      INSURANCE_MAPPINGS.each do |k, v|
        insurance[v] = insurance_inner.nodes[0] if insurance_inner.value == k
      end
    end

    providers << insurance
  end

  providers
end

#parse_spouse(response) ⇒ Object (private)

rubocop:disable Metrics/MethodLength



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# File 'lib/hca/enrollment_eligibility/service.rb', line 139

def parse_spouse(response)
  spouse_financials_xpath =
    "#{XPATH_PREFIX}financialsInfo/financialStatement/spouseFinancialsList/spouseFinancials/"

  Common::HashHelpers.deep_compact(
    {
      spouseFullName: lambda do
        return_val = {}

        NAME_MAPPINGS.each do |mapping|
          return_val[mapping[0]] = get_locate_value(
            response,
            "#{spouse_financials_xpath}spouse/#{mapping[1]}"
          )
        end

        return if return_val.compact.blank?

        return_val
      end.call,
      maritalStatus: get_marital_status(response),
      dateOfMarriage: get_locate_value_date(
        response,
        "#{spouse_financials_xpath}spouse/startDate"
      ),
      cohabitedLastYear: get_locate_value_bool(
        response,
        "#{spouse_financials_xpath}livedWithPatient"
      ),
      spouseDateOfBirth: get_locate_value_date(
        response,
        "#{spouse_financials_xpath}spouse/dob"
      ),
      spouseSocialSecurityNumber: get_locate_value(
        response,
        "#{spouse_financials_xpath}spouse/ssns/ssn/ssnText"
      )
    }
  )
end

#part_a_effective_date(response) ⇒ Object (private) 



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# File 'lib/hca/enrollment_eligibility/service.rb', line 274

def part_a_effective_date(response)
  get_locate_value_date(response, "#{XPATH_PREFIX}insuranceList/insurance/partAEffectiveDate")
end

#strip_medicare(providers) ⇒ Object (private) 



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# File 'lib/hca/enrollment_eligibility/service.rb', line 241

def strip_medicare(providers)
  return_val = {
    providers: [],
    medicareClaimNumber: nil
  }

  providers.each do |provider|
    if provider['insuranceName'] == MEDICARE
      return_val[:medicareClaimNumber] = provider['insurancePolicyNumber']
    else
      return_val[:providers] << provider
    end
  end

  return_val.delete(:providers) if return_val[:providers].blank?

  return_val
end