Examples with Mbi gov.cms.bfd.model.rda.Mbi used on opensource projects

Example 6 with Mbi

use of gov.cms.bfd.model.rda.Mbi in project beneficiary-fhir-data by CMSgov.

the class MbiCacheIT method usesExistingRecordWhenOneExists.

@Test
public void usesExistingRecordWhenOneExists() throws Exception {
    RdaPipelineTestUtils.runTestWithTemporaryDb(FissClaimRdaSinkIT.class, Clock.systemUTC(), (appState, entityManager) -> {
        final String fakeHash1 = "not-a-real-hash-but-loads-from-db";
        // preload our fake hash code
        entityManager.getTransaction().begin();
        entityManager.persist(new Mbi(mbi1, fakeHash1));
        entityManager.getTransaction().commit();
        // verify our fake is used instead of a computed correct one
        final MbiCache mbiCache = MbiCache.databaseCache(entityManager, normalHasher);
        assertEquals(fakeHash1, mbiCache.lookupMbi(mbi1).getHash());
        assertEquals(fakeHash1, mbiCache.lookupMbi(mbi1).getHash());
        // verify database still contains our fake hash
        Mbi databaseMbiEntity = RdaPipelineTestUtils.lookupCachedMbi(entityManager, mbi1);
        assertNotNull(databaseMbiEntity);
        assertEquals(fakeHash1, databaseMbiEntity.getHash());
    });
}

Example 7 with Mbi

use of gov.cms.bfd.model.rda.Mbi in project beneficiary-fhir-data by CMSgov.

the class RdaPipelineTestUtils method lookupCachedMbi.

/**
 * Looks for a record in the MbiCache table using the given EntityManager.
 *
 * @param entityManager used to perform the query
 * @param mbi mbi string to look for
 * @return null if not cached otherwise the Mbi record from database
 */
public static Mbi lookupCachedMbi(EntityManager entityManager, String mbi) {
    entityManager.getTransaction().begin();
    final CriteriaBuilder builder = entityManager.getCriteriaBuilder();
    final CriteriaQuery<Mbi> criteria = builder.createQuery(Mbi.class);
    final Root<Mbi> root = criteria.from(Mbi.class);
    criteria.select(root).where(builder.equal(root.get(Mbi.Fields.mbi), mbi));
    final var records = entityManager.createQuery(criteria).getResultList();
    entityManager.getTransaction().commit();
    return records.isEmpty() ? null : records.get(0);
}

Example 8 with Mbi

use of gov.cms.bfd.model.rda.Mbi in project beneficiary-fhir-data by CMSgov.

the class FissClaimTransformerTest method basicFieldsTestForClaimObjectTransformation.

/**
 * Basic smoke test for transformation of claim objects prior to all of the individual field
 * tests.
 */
@Test
public void basicFieldsTestForClaimObjectTransformation() {
    claim.setDcn("dcn");
    claim.setSequenceNumber(42L);
    claim.setHicNo("hicn");
    claim.setCurrStatus('M');
    claim.setCurrLoc1('M');
    claim.setCurrLoc2("9000");
    claim.setMedaProvId("mpi");
    claim.setMedaProv_6("mp_6");
    claim.setTotalChargeAmount(new BigDecimal("1002.54"));
    claim.setReceivedDate(LocalDate.of(2020, 1, 2));
    claim.setCurrTranDate(LocalDate.of(2021, 3, 4));
    claim.setAdmitDiagCode("1234567");
    claim.setPrincipleDiag("7654321");
    claim.setNpiNumber("npi-123456");
    claim.setMbiRecord(new Mbi(1L, "12345678901", "3cf7b310f8fd6e7b275ddbdc6c3cd5b4eec0ea10bc9a504d471b086bd5d9b888"));
    claim.setFedTaxNumber("1234567890");
    claim.setPracLocAddr1("loc-address-1");
    claim.setPracLocAddr2("loc-address-2");
    claim.setPracLocCity("loc-city");
    claim.setPracLocState("ls");
    claim.setPracLocZip("123456789012345");
    claim.setStmtCovFromDate(LocalDate.of(2020, 2, 3));
    claim.setStmtCovToDate(LocalDate.of(2021, 4, 5));
    claim.setLobCd("1");
    claim.setServTypeCd("6");
    claim.setServTypeCdMapping(PreAdjFissClaim.ServTypeCdMapping.Clinic);
    claim.setFreqCd("G");
    claim.setBillTypCd("ABC");
    claim.setLastUpdated(clock.instant());
    claimBuilder.setDcn("dcn").setHicNo("hicn").setCurrStatusEnum(FissClaimStatus.CLAIM_STATUS_MOVE).setCurrLoc1Enum(FissProcessingType.PROCESSING_TYPE_MANUAL).setCurrLoc2Enum(FissCurrentLocation2.CURRENT_LOCATION_2_CABLE).setMedaProvId("mpi").setMedaProv6("mp_6").setTotalChargeAmount("1002.54").setRecdDtCymd("2020-01-02").setCurrTranDtCymd("2021-03-04").setAdmDiagCode("1234567").setPrincipleDiag("7654321").setNpiNumber("npi-123456").setMbi("12345678901").setFedTaxNb("1234567890").setPracLocAddr1("loc-address-1").setPracLocAddr2("loc-address-2").setPracLocCity("loc-city").setPracLocState("ls").setPracLocZip("123456789012345").setStmtCovFromCymd("2020-02-03").setStmtCovToCymd("2021-04-05").setLobCdEnum(FissBillFacilityType.BILL_FACILITY_TYPE_HOSPITAL).setServTypeCdForClinicsEnum(FissBillClassificationForClinics.BILL_CLASSIFICATION_FOR_CLINICS_COMMUNITY_MENTAL_HEALTH_CENTER).setFreqCdEnum(FissBillFrequency.BILL_FREQUENCY_ADJUSTMENT_CLAIM_G).setBillTypCd("ABC");
    changeBuilder.setSeq(42).setChangeType(ChangeType.CHANGE_TYPE_UPDATE).setClaim(claimBuilder.build());
    assertChangeMatches(RdaChange.Type.UPDATE);
}

Example 9 with Mbi

use of gov.cms.bfd.model.rda.Mbi in project beneficiary-fhir-data by CMSgov.

the class McsClaimTransformerTest method basicFieldsTestForClaimObjectTransformation.

/**
 * Basic smoke test for transformation of claim objects prior to all of the individual field
 * tests.
 */
@Test
public void basicFieldsTestForClaimObjectTransformation() {
    claim.setSequenceNumber(42L);
    claim.setIdrClmHdIcn("123456789012345");
    claim.setIdrContrId("12345");
    claim.setIdrHic("123456789012");
    claim.setIdrClaimType("3");
    claim.setIdrDtlCnt(0);
    claim.setIdrBeneLast_1_6("123456");
    claim.setIdrBeneFirstInit("7");
    claim.setIdrBeneMidInit("8");
    claim.setIdrBeneSex("F");
    claim.setIdrStatusCode("A");
    claim.setIdrStatusDate(LocalDate.of(2020, 2, 3));
    claim.setIdrBillProvNpi("CDEFGHIJKL");
    claim.setIdrBillProvNum("MNOPQRSTUV");
    claim.setIdrBillProvEin("WXYZabcdef");
    claim.setIdrBillProvType("RS");
    claim.setIdrBillProvSpec("tu");
    claim.setIdrBillProvGroupInd("v");
    claim.setIdrBillProvPriceSpec("rw");
    claim.setIdrBillProvCounty("34");
    claim.setIdrBillProvLoc("43");
    claim.setIdrTotAllowed(new BigDecimal("12345.42"));
    claim.setIdrCoinsurance(new BigDecimal("67890.94"));
    claim.setIdrDeductible(new BigDecimal("87945.28"));
    claim.setIdrBillProvStatusCd("P");
    claim.setIdrTotBilledAmt(new BigDecimal("67591.96"));
    claim.setIdrClaimReceiptDate(LocalDate.of(2020, 2, 1));
    claim.setMbiRecord(new Mbi(1L, "54678912456", "717ac79ed263a61100f92f7ca67df9249501d52ee4d1af49ea43b457fcabf0d1"));
    claim.setIdrHdrFromDateOfSvc(LocalDate.of(2020, 1, 7));
    claim.setIdrHdrToDateOfSvc(LocalDate.of(2020, 1, 14));
    claim.setLastUpdated(clock.instant());
    claimBuilder.setIdrClmHdIcn("123456789012345").setIdrContrId("12345").setIdrHic("123456789012").setIdrClaimTypeEnum(McsClaimType.CLAIM_TYPE_MEDICAL).setIdrDtlCnt(0).setIdrBeneLast16("123456").setIdrBeneFirstInit("7").setIdrBeneMidInit("8").setIdrBeneSexEnum(McsBeneficiarySex.BENEFICIARY_SEX_FEMALE).setIdrStatusCodeEnum(McsStatusCode.STATUS_CODE_ACTIVE_A).setIdrStatusDate("2020-02-03").setIdrBillProvNpi("CDEFGHIJKL").setIdrBillProvNum("MNOPQRSTUV").setIdrBillProvEin("WXYZabcdef").setIdrBillProvType("RS").setIdrBillProvSpec("tu").setIdrBillProvGroupIndUnrecognized("v").setIdrBillProvPriceSpec("rw").setIdrBillProvCounty("34").setIdrBillProvLoc("43").setIdrTotAllowed("12345.42").setIdrCoinsurance("67890.94").setIdrDeductible("87945.28").setIdrBillProvStatusCdEnum(McsBillingProviderStatusCode.BILLING_PROVIDER_STATUS_CODE_PARTICIPATING).setIdrTotBilledAmt("67591.96").setIdrClaimReceiptDate("2020-02-01").setIdrClaimMbi("54678912456").setIdrHdrFromDos("2020-01-07").setIdrHdrToDos("2020-01-14");
    changeBuilder.setChangeType(ChangeType.CHANGE_TYPE_INSERT).setSeq(42).setClaim(claimBuilder.build());
    assertChangeMatches(RdaChange.Type.INSERT);
}