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

Example 16 with PreAdjFissClaim

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

the class FissClaimRdaSinkTest method createClaim.

private RdaChange<PreAdjFissClaim> createClaim(String dcn) {
    PreAdjFissClaim claim = new PreAdjFissClaim();
    claim.setDcn(dcn);
    claim.setApiSource(VERSION);
    return new RdaChange<>(nextSeq++, RdaChange.Type.INSERT, claim, clock.instant().minusMillis(12));
}

Example 17 with PreAdjFissClaim

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

the class RdaServerJobIT method testRandom.

@Test
public void testRandom() throws Exception {
    final RdaServerJob.Config config = RdaServerJob.Config.builder().serverMode(RdaServerJob.Config.ServerMode.Random).serverName(SERVER_NAME).randomSeed(1L).randomMaxClaims(4).build();
    final RdaServerJob job = new RdaServerJob(config);
    final ExecutorService exec = Executors.newCachedThreadPool();
    final Future<PipelineJobOutcome> outcome = exec.submit(job);
    try {
        waitForServerToStart(job);
        final ManagedChannel fissChannel = InProcessChannelBuilder.forName(SERVER_NAME).build();
        final FissClaimStreamCaller fissCaller = new FissClaimStreamCaller();
        final GrpcResponseStream<FissClaimChange> fissStream = fissCaller.callService(fissChannel, CallOptions.DEFAULT, 2);
        assertTrue(fissStream.hasNext());
        RdaChange<PreAdjFissClaim> fissChange = fissTransformer.transformClaim(fissStream.next());
        assertMatches(fissCaller.callVersionService(fissChannel, CallOptions.DEFAULT), "Random:1:.*");
        assertEquals(2L, fissChange.getSequenceNumber());
        assertTrue(fissStream.hasNext());
        fissChange = fissTransformer.transformClaim(fissStream.next());
        assertEquals(3L, fissChange.getSequenceNumber());
        assertFalse(fissStream.hasNext());
        final ManagedChannel mcsChannel = InProcessChannelBuilder.forName(SERVER_NAME).build();
        final McsClaimStreamCaller mcsCaller = new McsClaimStreamCaller();
        final GrpcResponseStream<McsClaimChange> mcsStream = mcsCaller.callService(mcsChannel, CallOptions.DEFAULT, 3);
        assertTrue(mcsStream.hasNext());
        RdaChange<PreAdjMcsClaim> mcsChange = mcsTransformer.transformClaim(mcsStream.next());
        assertMatches(mcsCaller.callVersionService(mcsChannel, CallOptions.DEFAULT), "Random:1:.*");
        assertEquals(3L, mcsChange.getSequenceNumber());
        assertFalse(mcsStream.hasNext());
    } finally {
        exec.shutdownNow();
        exec.awaitTermination(10, TimeUnit.SECONDS);
        assertEquals(PipelineJobOutcome.WORK_DONE, outcome.get());
    }
}

Example 18 with PreAdjFissClaim

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

the class FissClaimTransformerTest method basicFieldsTestForBeneZPayerObjectTransformation.

/**
 * Basic smoke test for transformation of BeneZ payer objects prior to all of the individual field
 * tests.
 */
@Test
public void basicFieldsTestForBeneZPayerObjectTransformation() {
    claimBuilder.setDcn("dcn").setHicNo("hicn").setCurrStatusEnum(FissClaimStatus.CLAIM_STATUS_MOVE).setCurrLoc1Enum(FissProcessingType.PROCESSING_TYPE_MANUAL).setCurrLoc2Enum(FissCurrentLocation2.CURRENT_LOCATION_2_FINAL).addFissPayers(FissPayer.newBuilder().setBeneZPayer(FissBeneZPayer.newBuilder().setPayersIdEnum(FissPayersCode.PAYERS_CODE_BLACK_LUNG).setPayersName("payers-name").setRelIndEnum(FissReleaseOfInformation.RELEASE_OF_INFORMATION_NO_RELEASE_ON_FILE).setAssignIndEnum(FissAssignmentOfBenefitsIndicator.ASSIGNMENT_OF_BENEFITS_INDICATOR_BENEFITS_ASSIGNED).setProviderNumber("provider-num").setAdjDcnIcn("dcn-icn").setPriorPmt("123.45").setEstAmtDue("234.56").setBeneRelEnum(FissPatientRelationshipCode.PATIENT_RELATIONSHIP_CODE_EMPLOYEE).setBeneLastName("last-name").setBeneFirstName("first-name").setBeneMidInit("Z").setBeneSsnHic("ssn-hic").setInsuredGroupName("group-name").setBeneDob("2020-09-10").setBeneSexEnum(FissBeneficiarySex.BENEFICIARY_SEX_FEMALE).setTreatAuthCd("auth-code").setInsuredSexEnum(FissBeneficiarySex.BENEFICIARY_SEX_MALE).setInsuredRelX12Enum(FissPatientRelationshipCode.PATIENT_RELATIONSHIP_CODE_GRANDCHILD).build()).build());
    claim.setDcn("dcn");
    claim.setHicNo("hicn");
    claim.setCurrStatus('M');
    claim.setCurrLoc1('M');
    claim.setCurrLoc2("9997");
    claim.setLastUpdated(clock.instant());
    PreAdjFissPayer payer = new PreAdjFissPayer();
    payer.setDcn("dcn");
    payer.setPriority((short) 0);
    payer.setPayerType(PreAdjFissPayer.PayerType.BeneZ);
    payer.setPayersId("H");
    payer.setPayersName("payers-name");
    payer.setRelInd("N");
    payer.setAssignInd("Y");
    payer.setProviderNumber("provider-num");
    payer.setAdjDcnIcn("dcn-icn");
    payer.setPriorPmt(new BigDecimal("123.45"));
    payer.setEstAmtDue(new BigDecimal("234.56"));
    payer.setBeneRel("08");
    payer.setBeneLastName("last-name");
    payer.setBeneFirstName("first-name");
    payer.setBeneMidInit("Z");
    payer.setBeneSsnHic("ssn-hic");
    payer.setInsuredGroupName("group-name");
    payer.setBeneDob(LocalDate.of(2020, 9, 10));
    payer.setBeneSex("F");
    payer.setTreatAuthCd("auth-code");
    payer.setInsuredSex("M");
    payer.setInsuredRelX12("13");
    payer.setLastUpdated(claim.getLastUpdated());
    claim.getPayers().add(payer);
    changeBuilder.setSeq(MIN_SEQUENCE_NUM).setChangeType(ChangeType.CHANGE_TYPE_UPDATE).setClaim(claimBuilder.build());
    PreAdjFissClaim transformed = transformer.transformClaim(changeBuilder.build()).getClaim();
    assertThat(transformed, samePropertyValuesAs(claim));
    TransformerTestUtils.assertListContentsHaveSamePropertyValues(claim.getPayers(), transformed.getPayers(), PreAdjFissPayer::getPriority);
}

Example 19 with PreAdjFissClaim

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

the class FissClaimTransformerTest method setUp.

@BeforeEach
public void setUp() {
    changeBuilder = FissClaimChange.newBuilder();
    claimBuilder = FissClaim.newBuilder();
    claim = new PreAdjFissClaim();
    claim.setSequenceNumber(0L);
}

Example 20 with PreAdjFissClaim

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

the class FissClaimTransformerTest method basicFieldsTestForProcCodeObjectTransformation.

/**
 * Basic smoke test for transformation of procedure code objects prior to all of the individual
 * field tests.
 */
@Test
public void basicFieldsTestForProcCodeObjectTransformation() {
    claimBuilder.setDcn("dcn").setHicNo("hicn").setCurrStatusEnum(FissClaimStatus.CLAIM_STATUS_MOVE).setCurrLoc1Enum(FissProcessingType.PROCESSING_TYPE_MANUAL).setCurrLoc2Enum(FissCurrentLocation2.CURRENT_LOCATION_2_FINAL).addFissProcCodes(FissProcedureCode.newBuilder().setProcCd("code-1").setProcFlag("fl-1").build()).addFissProcCodes(FissProcedureCode.newBuilder().setProcCd("code-2").setProcFlag("fl-2").setProcDt("2021-07-06").build());
    claim.setDcn("dcn");
    claim.setHicNo("hicn");
    claim.setCurrStatus('M');
    claim.setCurrLoc1('M');
    claim.setCurrLoc2("2");
    claim.setLastUpdated(clock.instant());
    PreAdjFissProcCode code = new PreAdjFissProcCode();
    code.setDcn("dcn");
    code.setPriority((short) 0);
    code.setProcCode("code-1");
    code.setProcFlag("fl-1");
    code.setLastUpdated(claim.getLastUpdated());
    claim.getProcCodes().add(code);
    code = new PreAdjFissProcCode();
    code.setDcn("dcn");
    code.setPriority((short) 1);
    code.setProcCode("code-2");
    code.setProcFlag("fl-2");
    code.setProcDate(LocalDate.of(2021, 7, 6));
    code.setLastUpdated(claim.getLastUpdated());
    claim.getProcCodes().add(code);
    changeBuilder.setSeq(MIN_SEQUENCE_NUM).setChangeType(ChangeType.CHANGE_TYPE_INSERT).setClaim(claimBuilder.build());
    PreAdjFissClaim transformed = transformer.transformClaim(changeBuilder.build()).getClaim();
    TransformerTestUtils.assertListContentsHaveSamePropertyValues(claim.getProcCodes(), transformed.getProcCodes(), PreAdjFissProcCode::getPriority);
}