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

Example 1 with PreAdjMcsClaim

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

the class McsClaimTransformerTest method basicFieldsTestForDetailObjectTransformation.

/**
 * Basic smoke test for transformation of detail objects prior to all of the individual field
 * tests.
 */
@Test
public void basicFieldsTestForDetailObjectTransformation() {
    claim.setIdrClmHdIcn("123456789012345");
    claim.setIdrContrId("12345");
    claim.setIdrClaimType("3");
    claim.setLastUpdated(clock.instant());
    final PreAdjMcsDetail detail = new PreAdjMcsDetail();
    detail.setIdrClmHdIcn(claim.getIdrClmHdIcn());
    detail.setPriority((short) 0);
    detail.setIdrDtlStatus("F");
    detail.setIdrDtlFromDate(LocalDate.of(2020, 1, 9));
    detail.setIdrDtlToDate(LocalDate.of(2020, 1, 10));
    detail.setIdrProcCode("abCDe");
    detail.setIdrModOne("aB");
    detail.setIdrModTwo("Cd");
    detail.setIdrModThree("EF");
    detail.setIdrModFour("gh");
    detail.setIdrDtlDiagIcdType("9");
    detail.setIdrDtlPrimaryDiagCode("hetwpqj");
    detail.setIdrKPosLnameOrg("123456789012345678901234567890123456789012345678901234567890");
    detail.setIdrKPosFname("12345678901234567890123456789012345");
    detail.setIdrKPosMname("1234567890123456789012345");
    detail.setIdrKPosAddr1("1234567890123456789012345678901234567890123456789012345");
    detail.setIdrKPosAddr2_1st("123456789012345678901234567890");
    detail.setIdrKPosAddr2_2nd("1234567890123456789012345");
    detail.setIdrKPosCity("123456789012345678901234567890");
    detail.setIdrKPosState("12");
    detail.setIdrKPosZip("123456789012345");
    detail.setLastUpdated(clock.instant());
    claim.getDetails().add(detail);
    claimBuilder.setIdrClmHdIcn("123456789012345").setIdrContrId("12345").setIdrClaimTypeEnum(McsClaimType.CLAIM_TYPE_MEDICAL).addMcsDetails(McsDetail.newBuilder().setIdrDtlStatusEnum(McsDetailStatus.DETAIL_STATUS_FINAL).setIdrDtlFromDate("2020-01-09").setIdrDtlToDate("2020-01-10").setIdrProcCode("abCDe").setIdrModOne("aB").setIdrModTwo("Cd").setIdrModThree("EF").setIdrModFour("gh").setIdrDtlDiagIcdTypeEnum(McsDiagnosisIcdType.DIAGNOSIS_ICD_TYPE_ICD9).setIdrDtlPrimaryDiagCode("hetwpqj").setIdrKPosLnameOrg("123456789012345678901234567890123456789012345678901234567890").setIdrKPosFname("12345678901234567890123456789012345").setIdrKPosMname("1234567890123456789012345").setIdrKPosAddr1("1234567890123456789012345678901234567890123456789012345").setIdrKPosAddr21St("123456789012345678901234567890").setIdrKPosAddr22Nd("1234567890123456789012345").setIdrKPosCity("123456789012345678901234567890").setIdrKPosState("12").setIdrKPosZip("123456789012345").build());
    changeBuilder.setChangeType(ChangeType.CHANGE_TYPE_INSERT).setClaim(claimBuilder.build());
    assertChangeMatches(RdaChange.Type.INSERT);
    PreAdjMcsClaim transformed = transformer.transformClaim(changeBuilder.build()).getClaim();
    assertListContentsHaveSamePropertyValues(claim.getDetails(), transformed.getDetails(), PreAdjMcsDetail::getPriority);
}

Example 2 with PreAdjMcsClaim

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

the class McsClaimTransformerTest method setUp.

@BeforeEach
public void setUp() {
    changeBuilder = McsClaimChange.newBuilder();
    claimBuilder = McsClaim.newBuilder();
    claim = new PreAdjMcsClaim();
    claim.setSequenceNumber(0L);
}

Example 3 with PreAdjMcsClaim

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

the class McsClaimTransformerTest method basicFieldsTestForDiagCodeObjectTransformation.

/**
 * Basic smoke test for transformation of diagnosis code objects prior to all of the individual
 * field tests.
 */
@Test
public void basicFieldsTestForDiagCodeObjectTransformation() {
    claim.setIdrClmHdIcn("123456789012345");
    claim.setIdrContrId("12345");
    claim.setIdrClaimType("3");
    claim.setLastUpdated(clock.instant());
    PreAdjMcsDiagnosisCode diagCode = new PreAdjMcsDiagnosisCode();
    diagCode.setIdrClmHdIcn(claim.getIdrClmHdIcn());
    diagCode.setPriority((short) 0);
    diagCode.setIdrDiagIcdType("9");
    diagCode.setIdrDiagCode("1234567");
    diagCode.setLastUpdated(clock.instant());
    claim.getDiagCodes().add(diagCode);
    diagCode = new PreAdjMcsDiagnosisCode();
    diagCode.setIdrClmHdIcn(claim.getIdrClmHdIcn());
    diagCode.setPriority((short) 1);
    diagCode.setIdrDiagIcdType("0");
    diagCode.setIdrDiagCode("jdsyejs");
    diagCode.setLastUpdated(clock.instant());
    claim.getDiagCodes().add(diagCode);
    claimBuilder.setIdrClmHdIcn("123456789012345").setIdrContrId("12345").setIdrClaimTypeEnum(McsClaimType.CLAIM_TYPE_MEDICAL).addMcsDiagnosisCodes(McsDiagnosisCode.newBuilder().setIdrClmHdIcn("123456789012345").setIdrDiagCode("1234567").setIdrDiagIcdTypeEnum(McsDiagnosisIcdType.DIAGNOSIS_ICD_TYPE_ICD9).build()).addMcsDiagnosisCodes(McsDiagnosisCode.newBuilder().setIdrClmHdIcn("123456789012345").setIdrDiagCode("jdsyejs").setIdrDiagIcdTypeEnum(McsDiagnosisIcdType.DIAGNOSIS_ICD_TYPE_ICD10).build());
    changeBuilder.setChangeType(ChangeType.CHANGE_TYPE_INSERT).setClaim(claimBuilder.build());
    assertChangeMatches(RdaChange.Type.INSERT);
    PreAdjMcsClaim transformed = transformer.transformClaim(changeBuilder.build()).getClaim();
    assertListContentsHaveSamePropertyValues(claim.getDetails(), transformed.getDetails(), PreAdjMcsDetail::getPriority);
}

Example 4 with PreAdjMcsClaim

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

the class McsClaimRdaSinkIT method mcsClaim.

@Test
public void mcsClaim() throws Exception {
    RdaPipelineTestUtils.runTestWithTemporaryDb(McsClaimRdaSinkIT.class, Clock.systemUTC(), (appState, entityManager) -> {
        final LocalDate today = LocalDate.of(2022, 1, 3);
        final Instant now = today.atStartOfDay().toInstant(ZoneOffset.UTC);
        final Clock clock = Clock.fixed(now, ZoneOffset.UTC);
        final PreAdjMcsClaim claim = new PreAdjMcsClaim();
        claim.setSequenceNumber(7L);
        claim.setIdrClmHdIcn("3");
        claim.setIdrContrId("c1");
        claim.setIdrHic("hc");
        claim.setIdrClaimType("c");
        claim.setMbiRecord(new Mbi(1L, "12345678901", "hash-of-12345678901"));
        final PreAdjMcsDetail detail = new PreAdjMcsDetail();
        detail.setIdrClmHdIcn(claim.getIdrClmHdIcn());
        detail.setPriority((short) 0);
        detail.setIdrDtlStatus("P");
        claim.getDetails().add(detail);
        final PreAdjMcsDiagnosisCode diagCode = new PreAdjMcsDiagnosisCode();
        diagCode.setIdrClmHdIcn(claim.getIdrClmHdIcn());
        diagCode.setPriority((short) 0);
        diagCode.setIdrDiagIcdType("T");
        diagCode.setIdrDiagCode("D");
        claim.getDiagCodes().add(diagCode);
        final McsDetail detailMessage = McsDetail.newBuilder().setIdrDtlStatusUnrecognized(detail.getIdrDtlStatus()).build();
        final McsDiagnosisCode diagCodeMessage = McsDiagnosisCode.newBuilder().setIdrDiagIcdTypeUnrecognized(diagCode.getIdrDiagIcdType()).setIdrDiagCode(diagCode.getIdrDiagCode()).build();
        final McsClaim claimMessage = McsClaim.newBuilder().setIdrClmHdIcn(claim.getIdrClmHdIcn()).setIdrContrId(claim.getIdrContrId()).setIdrClaimMbi(claim.getIdrClaimMbi()).setIdrHic(claim.getIdrHic()).setIdrClaimTypeUnrecognized(claim.getIdrClaimType()).addMcsDetails(detailMessage).addMcsDiagnosisCodes(diagCodeMessage).build();
        final McsClaimChange message = McsClaimChange.newBuilder().setSeq(claim.getSequenceNumber()).setIcn(claim.getIdrClmHdIcn()).setClaim(claimMessage).build();
        final IdHasher hasher = new IdHasher(new IdHasher.Config(1, "notarealpepper"));
        final McsClaimTransformer transformer = new McsClaimTransformer(clock, MbiCache.computedCache(hasher.getConfig()));
        final McsClaimRdaSink sink = new McsClaimRdaSink(appState, transformer, true);
        final String expectedMbiHash = hasher.computeIdentifierHash(claim.getIdrClaimMbi());
        assertEquals(Optional.empty(), sink.readMaxExistingSequenceNumber());
        int count = sink.writeMessage("version", message);
        assertEquals(1, count);
        List<PreAdjMcsClaim> resultClaims = entityManager.createQuery("select c from PreAdjMcsClaim c", PreAdjMcsClaim.class).getResultList();
        assertEquals(1, resultClaims.size());
        PreAdjMcsClaim resultClaim = resultClaims.get(0);
        assertEquals(Long.valueOf(7), resultClaim.getSequenceNumber());
        assertEquals(claim.getIdrHic(), resultClaim.getIdrHic());
        assertEquals(claim.getIdrClaimMbi(), resultClaim.getIdrClaimMbi());
        assertEquals(expectedMbiHash, resultClaim.getIdrClaimMbiHash());
        assertEquals(claim.getDetails().size(), resultClaim.getDetails().size());
        assertEquals(claim.getDiagCodes().size(), resultClaim.getDiagCodes().size());
        assertEquals(Optional.of(claim.getSequenceNumber()), sink.readMaxExistingSequenceNumber());
        Mbi databaseMbiEntity = RdaPipelineTestUtils.lookupCachedMbi(entityManager, claimMessage.getIdrClaimMbi());
        assertNotNull(databaseMbiEntity);
        assertEquals(claim.getIdrClaimMbi(), databaseMbiEntity.getMbi());
        assertEquals(expectedMbiHash, databaseMbiEntity.getHash());
    });
}

Example 5 with PreAdjMcsClaim

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

the class RdaLoadJobIT method mcsClaimsTest.

@Test
public void mcsClaimsTest() throws Exception {
    RdaPipelineTestUtils.runTestWithTemporaryDb(RdaLoadJobIT.class, clock, (appState, entityManager) -> {
        assertTablesAreEmpty(entityManager);
        RdaServer.InProcessConfig.builder().serverName(RdaServerJob.Config.DEFAULT_SERVER_NAME).mcsSourceFactory(mcsJsonSource(mcsClaimJson)).build().runWithNoParam(() -> {
            final RdaLoadOptions config = createRdaLoadOptions(-1);
            final PipelineJob<?> job = config.createMcsClaimsLoadJob(appState);
            job.call();
        });
        final ImmutableList<McsClaimChange> expectedClaims = JsonMessageSource.parseAll(mcsClaimJson, JsonMessageSource::parseMcsClaimChange);
        List<PreAdjMcsClaim> claims = getPreAdjMcsClaims(entityManager);
        assertEquals(expectedClaims.size(), claims.size());
        for (PreAdjMcsClaim resultClaim : claims) {
            McsClaim expected = findMatchingMcsClaim(expectedClaims, resultClaim);
            assertNotNull(expected);
            assertEquals(expected.getIdrHic(), Strings.nullToEmpty(resultClaim.getIdrHic()));
            assertEquals(expected.getIdrClaimMbi(), Strings.nullToEmpty(resultClaim.getIdrClaimMbi()));
            assertEquals(expected.getMcsDetailsCount(), resultClaim.getDetails().size());
            assertEquals(expected.getMcsDiagnosisCodesCount(), resultClaim.getDiagCodes().size());
        }
    });
}