use of org.hl7.fhir.dstu3.model.Claim.ItemComponent in project beneficiary-fhir-data by CMSgov.
the class HHAClaimTransformerV2 method transformClaim.
/**
* @param claimGroup the CCW {@link HHAClaim} to transform
* @return a FHIR {@link ExplanationOfBenefit} resource that represents the specified {@link
* HHAClaim}
*/
private static ExplanationOfBenefit transformClaim(HHAClaim claimGroup) {
ExplanationOfBenefit eob = new ExplanationOfBenefit();
// Required values not directly mapped
eob.getMeta().addProfile(ProfileConstants.C4BB_EOB_NONCLINICIAN_PROFILE_URL);
// Common group level fields between all claim types
// Claim Type + Claim ID => ExplanationOfBenefit.id
// CLM_ID => ExplanationOfBenefit.identifier
// CLM_GRP_ID => ExplanationOfBenefit.identifier
// BENE_ID + Coverage Type => ExplanationOfBenefit.insurance.coverage
// BENE_ID => ExplanationOfBenefit.patient (reference)
// FINAL_ACTION => ExplanationOfBenefit.status
// CLM_FROM_DT => ExplanationOfBenefit.billablePeriod.start
// CLM_THRU_DT => ExplanationOfBenefit.billablePeriod.end
// CLM_PMT_AMT => ExplanationOfBenefit.payment.amount
TransformerUtilsV2.mapEobCommonClaimHeaderData(eob, claimGroup.getClaimId(), claimGroup.getBeneficiaryId(), ClaimTypeV2.HHA, claimGroup.getClaimGroupId().toPlainString(), MedicareSegment.PART_B, Optional.of(claimGroup.getDateFrom()), Optional.of(claimGroup.getDateThrough()), Optional.of(claimGroup.getPaymentAmount()), claimGroup.getFinalAction());
// NCH_WKLY_PROC_DT => ExplanationOfBenefit.supportinginfo.timingDate
TransformerUtilsV2.addInformation(eob, TransformerUtilsV2.createInformationRecievedDateSlice(eob, CcwCodebookVariable.NCH_WKLY_PROC_DT, Optional.of(claimGroup.getWeeklyProcessDate())));
// map eob type codes into FHIR
// NCH_CLM_TYPE_CD => ExplanationOfBenefit.type.coding
// EOB Type => ExplanationOfBenefit.type.coding
// Claim Type => ExplanationOfBenefit.type.coding
// NCH_NEAR_LINE_REC_IDENT_CD => ExplanationOfBenefit.extension
TransformerUtilsV2.mapEobType(eob, ClaimTypeV2.HHA, Optional.of(claimGroup.getNearLineRecordIdCode()), Optional.of(claimGroup.getClaimTypeCode()));
// PRVDR_NUM => ExplanationOfBenefit.provider.identifier
TransformerUtilsV2.addProviderSlice(eob, C4BBOrganizationIdentifierType.PRN, claimGroup.getProviderNumber(), claimGroup.getLastUpdated());
// Common group level fields between Inpatient, Outpatient Hospice, HHA and SNF
// ORG_NPI_NUM => ExplanationOfBenefit.provider
// CLM_FAC_TYPE_CD => ExplanationOfBenefit.facility.extension
// CLM_FREQ_CD => ExplanationOfBenefit.supportingInfo
// CLM_MDCR_NON_PMT_RSN_CD => ExplanationOfBenefit.extension
// PTNT_DSCHRG_STUS_CD => ExplanationOfBenefit.supportingInfo
// CLM_SRVC_CLSFCTN_TYPE_CD => ExplanationOfBenefit.extension
// NCH_PRMRY_PYR_CD => ExplanationOfBenefit.supportingInfo
// CLM_TOT_CHRG_AMT => ExplanationOfBenefit.total.amount
// NCH_PRMRY_PYR_CLM_PD_AMT => ExplanationOfBenefit.benefitBalance.financial
TransformerUtilsV2.mapEobCommonGroupInpOutHHAHospiceSNF(eob, claimGroup.getOrganizationNpi(), claimGroup.getClaimFacilityTypeCode(), claimGroup.getClaimFrequencyCode(), claimGroup.getClaimNonPaymentReasonCode(), claimGroup.getPatientDischargeStatusCode(), claimGroup.getClaimServiceClassificationTypeCode(), claimGroup.getClaimPrimaryPayerCode(), claimGroup.getTotalChargeAmount(), claimGroup.getPrimaryPayerPaidAmount(), claimGroup.getFiscalIntermediaryNumber(), claimGroup.getLastUpdated());
// CLM_PPS_IND_CODE => ExplanationOfBenefit.supportingInfo
TransformerUtilsV2.addInformationWithCode(eob, CcwCodebookVariable.CLM_PPS_IND_CD, CcwCodebookVariable.CLM_PPS_IND_CD, claimGroup.getProspectivePaymentCode());
// ICD_DGNS_E_VRSN_CD(1-12) => diagnosis.diagnosisCodeableConcept
for (Diagnosis diagnosis : DiagnosisUtilV2.extractDiagnoses(claimGroup)) {
DiagnosisUtilV2.addDiagnosisCode(eob, diagnosis, ClaimTypeV2.HHA);
}
// Map care team
// AT_PHYSN_NPI => ExplanationOfBenefit.careTeam.provider
// AT_PHYSN_UPIN => ExplanationOfBenefit.careTeam.provider
TransformerUtilsV2.mapCareTeam(eob, claimGroup.getAttendingPhysicianNpi(), Optional.empty(), Optional.empty(), claimGroup.getAttendingPhysicianUpin(), Optional.empty(), Optional.empty());
// CLM_HHA_LUPA_IND_CD => ExplanationOfBenefit.supportinginfo.code
claimGroup.getClaimLUPACode().ifPresent(c -> TransformerUtilsV2.addInformationWithCode(eob, CcwCodebookVariable.CLM_HHA_LUPA_IND_CD, CcwCodebookVariable.CLM_HHA_LUPA_IND_CD, c));
// CLM_HHA_RFRL_CD => ExplanationOfBenefit.supportinginfo.code
claimGroup.getClaimReferralCode().ifPresent(c -> TransformerUtilsV2.addInformationWithCode(eob, CcwCodebookVariable.CLM_HHA_RFRL_CD, CcwCodebookVariable.CLM_HHA_RFRL_CD, c));
// CLM_HHA_TOT_VISIT_CNT => ExplanationOfBenefit.supportinginfo.value[x]
TransformerUtilsV2.addInformation(eob, CcwCodebookVariable.CLM_HHA_TOT_VISIT_CNT).setValue(new Quantity(claimGroup.getTotalVisitCount().intValue()));
// CLM_ADMSN_DT => ExplanationOfBenefit.supportingInfo:admissionperiod
TransformerUtilsV2.addInformation(eob, TransformerUtilsV2.createInformationAdmPeriodSlice(eob, claimGroup.getCareStartDate(), Optional.empty()));
for (HHAClaimLine line : claimGroup.getLines()) {
ItemComponent item = eob.addItem();
// Override the default sequence
// CLM_LINE_NUM => item.sequence
item.setSequence(line.getLineNumber().intValue());
// PRVDR_STATE_CD => item.location
TransformerUtilsV2.addLocationState(item, claimGroup.getProviderStateCode());
// HCPCS_CD => ExplanationOfBenefit.item.productOrService
// HCPCS_1ST_MDFR_CD => ExplanationOfBenefit.item.modifier
// HCPCS_2ND_MDFR_CD => ExplanationOfBenefit.item.modifier
TransformerUtilsV2.mapHcpcs(eob, item, line.getHcpcsCode(), Optional.empty(), Arrays.asList(line.getHcpcsInitialModifierCode(), line.getHcpcsSecondModifierCode()));
// REV_CNTR_1ST_ANSI_CD => ExplanationOfBenefit.item.adjudication
TransformerUtilsV2.addAdjudication(item, TransformerUtilsV2.createAdjudicationDenialReasonSlice(eob, CcwCodebookVariable.REV_CNTR_1ST_ANSI_CD, line.getRevCntr1stAnsiCd()));
// REV_CNTR => ExplanationOfBenefit.item.revenue
// REV_CNTR_RATE_AMT => ExplanationOfBenefit.item.adjudication
// REV_CNTR_TOT_CHRG_AMT => ExplanationOfBenefit.item.adjudication
// REV_CNTR_NCVRD_CHRG_AMT => ExplanationOfBenefit.item.adjudication
// REV_CNTR_NDC_QTY => ExplanationOfBenefit.item.quantity
// REV_CNTR_NDC_QTY_QLFR_CD => ExplanationOfBenefit.modifier
TransformerUtilsV2.mapEobCommonItemRevenue(item, eob, line.getRevenueCenterCode(), line.getRateAmount(), line.getTotalChargeAmount(), Optional.of(line.getNonCoveredChargeAmount()), line.getNationalDrugCodeQuantity(), line.getNationalDrugCodeQualifierCode());
// Common item level fields between Outpatient, HHA and Hospice
// REV_CNTR_DT => ExplanationOfBenefit.item.servicedDate
// REV_CNTR_PMT_AMT_AMT => ExplanationOfBenefit.item.adjudication
TransformerUtilsV2.mapEobCommonItemRevenueOutHHAHospice(item, line.getRevenueCenterDate(), line.getPaymentAmount());
// REV_CNTR_DDCTBL_COINSRNC_CD => item.revenue
TransformerUtilsV2.addItemRevenue(item, eob, CcwCodebookVariable.REV_CNTR_DDCTBL_COINSRNC_CD, line.getDeductibleCoinsuranceCd());
// RNDRNG_PHYSN_UPIN => ExplanationOfBenefit.careTeam.provider
TransformerUtilsV2.addCareTeamMember(eob, item, C4BBPractitionerIdentifierType.UPIN, C4BBClaimProfessionalAndNonClinicianCareTeamRole.PERFORMING, line.getRevenueCenterRenderingPhysicianUPIN());
// RNDRNG_PHYSN_NPI => ExplanationOfBenefit.careTeam.provider
TransformerUtilsV2.addCareTeamMember(eob, item, C4BBPractitionerIdentifierType.NPI, C4BBClaimProfessionalAndNonClinicianCareTeamRole.PERFORMING, line.getRevenueCenterRenderingPhysicianNPI());
// REV_CNTR_STUS_IND_CD => ExplanationOfBenefit.item.revenue.extension
TransformerUtilsV2.mapEobCommonItemRevenueStatusCode(item, eob, line.getStatusCode());
}
TransformerUtilsV2.setLastUpdated(eob, claimGroup.getLastUpdated());
return eob;
}
use of org.hl7.fhir.dstu3.model.Claim.ItemComponent in project beneficiary-fhir-data by CMSgov.
the class CarrierClaimTransformerV2 method transformClaim.
/**
* @param claimGroup the CCW {@link CarrierClaim} to transform
* @return a FHIR {@link ExplanationOfBenefit} resource that represents the specified {@link
* CarrierClaim}
*/
private static ExplanationOfBenefit transformClaim(CarrierClaim claimGroup, Optional<Boolean> includeTaxNumbers) {
ExplanationOfBenefit eob = new ExplanationOfBenefit();
// Required values not directly mapped
eob.getMeta().addProfile(ProfileConstants.C4BB_EOB_NONCLINICIAN_PROFILE_URL);
// TODO: ExplanationOfBenefit.outcome is a required field. Needs to be mapped.
// eob.setOutcome(?)
// Common group level fields between all claim types
// Claim Type + Claim ID => ExplanationOfBenefit.id
// CLM_ID => ExplanationOfBenefit.identifier
// CLM_GRP_ID => ExplanationOfBenefit.identifier
// BENE_ID + Coverage Type => ExplanationOfBenefit.insurance.coverage
// (reference)
// BENE_ID => ExplanationOfBenefit.patient (reference)
// FINAL_ACTION => ExplanationOfBenefit.status
// CLM_FROM_DT => ExplanationOfBenefit.billablePeriod.start
// CLM_THRU_DT => ExplanationOfBenefit.billablePeriod.end
// CLM_PMT_AMT => ExplanationOfBenefit.payment.amount
TransformerUtilsV2.mapEobCommonClaimHeaderData(eob, claimGroup.getClaimId(), claimGroup.getBeneficiaryId(), ClaimTypeV2.CARRIER, claimGroup.getClaimGroupId().toPlainString(), MedicareSegment.PART_B, Optional.of(claimGroup.getDateFrom()), Optional.of(claimGroup.getDateThrough()), Optional.of(claimGroup.getPaymentAmount()), claimGroup.getFinalAction());
// NCH_WKLY_PROC_DT => ExplanationOfBenefit.supportinginfo.timingDate
TransformerUtilsV2.addInformation(eob, TransformerUtilsV2.createInformationRecievedDateSlice(eob, CcwCodebookVariable.NCH_WKLY_PROC_DT, Optional.of(claimGroup.getWeeklyProcessDate())));
// map eob type codes into FHIR
// NCH_CLM_TYPE_CD => ExplanationOfBenefit.type.coding
// EOB Type => ExplanationOfBenefit.type.coding
// Claim Type (Professional) => ExplanationOfBenefit.type.coding
// NCH_NEAR_LINE_REC_IDENT_CD => ExplanationOfBenefit.extension
TransformerUtilsV2.mapEobType(eob, ClaimTypeV2.CARRIER, Optional.of(claimGroup.getNearLineRecordIdCode()), Optional.of(claimGroup.getClaimTypeCode()));
// CARR_CLM_PRMRY_PYR_PD_AMT => ExplanationOfBenefit.total.amount
TransformerUtilsV2.addTotal(eob, TransformerUtilsV2.createTotalAdjudicationAmountSlice(eob, CcwCodebookVariable.CLM_TOT_CHRG_AMT, C4BBAdjudication.PRIOR_PAYER_PAID, claimGroup.getPrimaryPayerPaidAmount()));
// Common group level fields between Carrier and DME
// BENE_ID =>
// CARR_NUM => ExplanationOfBenefit.extension
// CLM_CLNCL_TRIL_NUM => ExplanationOfBenefit.extension
// CARR_CLM_CASH_DDCTBL_APLD_AMT => ExplanationOfBenefit.benefitBalance.financial
// CARR_CLM_PMT_DNL_CD => ExplanationOfBenefit.extension
// RFR_PHYSN_NPI => ExplanationOfBenefit.referral.identifier
// => ExplanationOfBenefit.careteam.provider
// RFR_PHYSN_UPIN => ExplanationOfBenefit.referral.identifier
// => ExplanationOfBenefit.careteam.provider
// CARR_CLM_PRVDR_ASGNMT_IND_SW => ExplanationOfBenefit.extension
// NCH_CLM_PRVDR_PMT_AMT => ExplanationOfBenefit.benefitBalance.financial
// NCH_CLM_BENE_PMT_AMT => ExplanationOfBenefit.benefitBalance.financial
// NCH_CARR_CLM_SBMTD_CHRG_AMT => ExplanationOfBenefit.benefitBalance.financial
// NCH_CARR_CLM_ALOWD_AMT => ExplanationOfBenefit.benefitBalance.financial
// CLM_DISP_CD => ExplanationOfBenefit.disposition
// CARR_CLM_CNTL_NUM => ExplanationOfBenefit.extension
TransformerUtilsV2.mapEobCommonGroupCarrierDME(eob, claimGroup.getBeneficiaryId(), claimGroup.getCarrierNumber(), claimGroup.getClinicalTrialNumber(), claimGroup.getBeneficiaryPartBDeductAmount(), claimGroup.getPaymentDenialCode(), claimGroup.getReferringPhysicianNpi(), claimGroup.getReferringPhysicianUpin(), claimGroup.getProviderAssignmentIndicator(), claimGroup.getProviderPaymentAmount(), claimGroup.getBeneficiaryPaymentAmount(), claimGroup.getSubmittedChargeAmount(), claimGroup.getAllowedChargeAmount(), claimGroup.getClaimDispositionCode(), claimGroup.getClaimCarrierControlNumber());
// ICD_DGNS_VRSN_CD(1-12) => diagnosis.diagnosisCodeableConcept
for (Diagnosis diagnosis : DiagnosisUtilV2.extractDiagnoses(claimGroup)) {
DiagnosisUtilV2.addDiagnosisCode(eob, diagnosis, ClaimTypeV2.CARRIER);
}
// CARR_CLM_RFRNG_PIN_NUM => ExplanationOfBenefit.careteam.provider
TransformerUtilsV2.addCareTeamMember(eob, C4BBPractitionerIdentifierType.NPI, C4BBClaimProfessionalAndNonClinicianCareTeamRole.REFERRING, Optional.ofNullable(claimGroup.getReferringProviderIdNumber()));
// CARR_CLM_ENTRY_CD => ExplanationOfBenefit.extension
eob.addExtension(TransformerUtilsV2.createExtensionCoding(eob, CcwCodebookVariable.CARR_CLM_ENTRY_CD, claimGroup.getClaimEntryCode()));
// Process line items
for (CarrierClaimLine line : claimGroup.getLines()) {
ItemComponent item = eob.addItem();
// LINE_NUM => ExplanationOfBenefit.item.sequence
item.setSequence(line.getLineNumber().intValue());
// PRF_PHYSN_NPI => ExplanationOfBenefit.careTeam.provider
Optional<CareTeamComponent> performing = TransformerUtilsV2.addCareTeamMember(eob, item, C4BBPractitionerIdentifierType.NPI, C4BBClaimProfessionalAndNonClinicianCareTeamRole.PERFORMING, line.getPerformingPhysicianNpi());
// Fall back to UPIN if NPI not present
if (!line.getPerformingPhysicianNpi().isPresent()) {
performing = TransformerUtilsV2.addCareTeamMember(eob, item, C4BBPractitionerIdentifierType.UPIN, C4BBClaimProfessionalAndNonClinicianCareTeamRole.PERFORMING, line.getPerformingPhysicianUpin());
}
// Update the responsible flag
performing.ifPresent(p -> {
p.setResponsible(true);
// PRVDR_SPCLTY => ExplanationOfBenefit.careTeam.qualification
p.setQualification(TransformerUtilsV2.createCodeableConcept(eob, CcwCodebookVariable.PRVDR_SPCLTY, line.getProviderSpecialityCode()));
// CARR_LINE_PRVDR_TYPE_CD => ExplanationOfBenefit.careTeam.extension
p.addExtension(TransformerUtilsV2.createExtensionCoding(eob, CcwCodebookVariable.CARR_LINE_PRVDR_TYPE_CD, line.getProviderTypeCode()));
// PRTCPTNG_IND_CD => ExplanationOfBenefit.careTeam.extension
p.addExtension(TransformerUtilsV2.createExtensionCoding(eob, CcwCodebookVariable.PRTCPTNG_IND_CD, line.getProviderParticipatingIndCode()));
});
// ORG_NPI_NUM => ExplanationOfBenefit.careTeam.provider
TransformerUtilsV2.addCareTeamMember(eob, item, C4BBPractitionerIdentifierType.NPI, C4BBClaimProfessionalAndNonClinicianCareTeamRole.PRIMARY, line.getOrganizationNpi());
// CARR_LINE_RDCD_PMT_PHYS_ASTN_C => ExplanationOfBenefit.item.adjudication
TransformerUtilsV2.addAdjudication(item, TransformerUtilsV2.createAdjudicationDenialReasonSlice(eob, CcwCodebookVariable.CARR_LINE_RDCD_PMT_PHYS_ASTN_C, String.valueOf(line.getReducedPaymentPhysicianAsstCode())));
// HCPCS_CD => ExplanationOfBenefit.item.productOrService
// HCPCS_1ST_MDFR_CD => ExplanationOfBenefit.item.modifier
// HCPCS_2ND_MDFR_CD => ExplanationOfBenefit.item.modifier
// CARR_CLM_HCPCS_YR_CD => ExplanationOfBenefit.item.modifier.version
TransformerUtilsV2.mapHcpcs(eob, item, line.getHcpcsCode(), claimGroup.getHcpcsYearCode(), Arrays.asList(line.getHcpcsInitialModifierCode(), line.getHcpcsSecondModifierCode()));
// tax num should be as a extension
if (includeTaxNumbers.orElse(false)) {
item.addExtension(TransformerUtilsV2.createExtensionCoding(eob, CcwCodebookVariable.TAX_NUM, line.getProviderTaxNumber()));
}
// CARR_LINE_ANSTHSA_UNIT_CNT => ExplanationOfBenefit.item.extension
if (line.getAnesthesiaUnitCount().compareTo(BigDecimal.ZERO) > 0) {
item.addExtension(TransformerUtilsV2.createExtensionQuantity(CcwCodebookVariable.CARR_LINE_ANSTHSA_UNIT_CNT, line.getAnesthesiaUnitCount()));
}
// CARR_LINE_MTUS_CNT => ExplanationOfBenefit.item.extension
if (!line.getMtusCount().equals(BigDecimal.ZERO)) {
item.addExtension(TransformerUtilsV2.createExtensionQuantity(CcwCodebookVariable.CARR_LINE_MTUS_CNT, line.getMtusCount()));
}
// CARR_LINE_MTUS_CD => ExplanationOfBenefit.item.extension
line.getMtusCode().ifPresent(code -> item.addExtension(TransformerUtilsV2.createExtensionCoding(eob, CcwCodebookVariable.CARR_LINE_MTUS_CNT, code)));
// Common item level fields between Carrier and DME
// LINE_SRVC_CNT => ExplanationOfBenefit.item.quantity
// LINE_CMS_TYPE_SRVC_CD => ExplanationOfBenefit.item.category
// LINE_PLACE_OF_SRVC_CD => ExplanationOfBenefit.item.location
// BETOS_CD => ExplanationOfBenefit.item.extension
// LINE_1ST_EXPNS_DT => ExplanationOfBenefit.item.servicedPeriod
// LINE_LAST_EXPNS_DT => ExplanationOfBenefit.item.servicedPeriod
// LINE_NCH_PMT_AMT => ExplanationOfBenefit.item.adjudication
// LINE_PMT_80_100_CD => ExplanationOfBenefit.item.adjudication.extension
// PAID_TO_PATIENT => ExplanationOfBenefit.item.adjudication
// LINE_PRVDR_PMT_AMT => ExplanationOfBenefit.item.adjudication
// LINE_BENE_PTB_DDCTBL_AMT => ExplanationOfBenefit.item.adjudication
// LINE_BENE_PRMRY_PYR_CD => ExplanationOfBenefit.item.extension
// LINE_BENE_PRMRY_PYR_PD_AMT => ExplanationOfBenefit.item.adjudication
// LINE_COINSRNC_AMT => ExplanationOfBenefit.item.adjudication
// LINE_SBMTD_CHRG_AMT => ExplanationOfBenefit.item.adjudication
// LINE_ALOWD_CHRG_AMT => ExplanationOfBenefit.item.adjudication
// LINE_BENE_PRMRY_PYR_CD => ExplanationOfBenefit.item.extension
// LINE_SERVICE_DEDUCTIBLE => ExplanationOfBenefit.item.extension
// LINE_HCT_HGB_TYPE_CD => Observation.code
// LINE_HCT_HGB_RSLT_NUM => Observation.value
// LINE_NDC_CD => ExplanationOfBenefit.item.productOrService
TransformerUtilsV2.mapEobCommonItemCarrierDME(item, eob, claimGroup.getClaimId(), item.getSequence(), line.getServiceCount(), line.getPlaceOfServiceCode(), line.getFirstExpenseDate(), line.getLastExpenseDate(), line.getBeneficiaryPaymentAmount(), line.getProviderPaymentAmount(), line.getBeneficiaryPartBDeductAmount(), line.getPrimaryPayerCode(), line.getPrimaryPayerPaidAmount(), line.getBetosCode(), line.getPaymentAmount(), line.getPaymentCode(), line.getCoinsuranceAmount(), line.getSubmittedChargeAmount(), line.getAllowedChargeAmount(), line.getProcessingIndicatorCode(), line.getServiceDeductibleCode(), line.getHctHgbTestTypeCode(), line.getHctHgbTestResult(), line.getCmsServiceTypeCode(), line.getNationalDrugCode());
// LINE_ICD_DGNS_CD => ExplanationOfBenefit.item.diagnosisSequence
// LINE_ICD_DGNS_VRSN_CD => ExplanationOfBenefit.item.diagnosisSequence
DiagnosisUtilV2.addDiagnosisLink(eob, item, Diagnosis.from(line.getDiagnosisCode(), line.getDiagnosisCodeVersion(), DiagnosisLabel.OTHER), ClaimTypeV2.CARRIER);
// PRVDR_STATE_CD => ExplanationOfBenefit.item.location.extension
line.getProviderStateCode().ifPresent(code -> item.getLocation().addExtension(TransformerUtilsV2.createExtensionCoding(eob, CcwCodebookVariable.PRVDR_STATE_CD, code)));
// PRVDR_ZIP => ExplanationOfBenefit.item.location.extension
line.getProviderZipCode().ifPresent(code -> item.getLocation().addExtension(TransformerUtilsV2.createExtensionCoding(eob, CcwCodebookVariable.PRVDR_ZIP, code)));
// CARR_LINE_PRCNG_LCLTY_CD => ExplanationOfBenefit.item.location.extension
item.getLocation().addExtension(TransformerUtilsV2.createExtensionCoding(eob, CcwCodebookVariable.CARR_LINE_PRCNG_LCLTY_CD, line.getLinePricingLocalityCode()));
// CARR_LINE_CLIA_LAB_NUM => ExplanationOfBenefit.item.location.extension
line.getCliaLabNumber().ifPresent(num -> item.getLocation().addExtension(TransformerUtilsV2.createExtensionIdentifier(CcwCodebookVariable.CARR_LINE_CLIA_LAB_NUM, num)));
}
TransformerUtilsV2.setLastUpdated(eob, claimGroup.getLastUpdated());
return eob;
}
use of org.hl7.fhir.dstu3.model.Claim.ItemComponent in project beneficiary-fhir-data by CMSgov.
the class R4ExplanationOfBenefitResourceProviderIT method assertEobEquals.
/**
* Compares two ExplanationOfBenefit objects in detail while working around serialization issues
* like comparing "0" and "0.0" or creation differences like using "Quantity" vs "SimpleQuantity"
*
* @param expected the expected
* @param actual the actual
*/
private static void assertEobEquals(ExplanationOfBenefit expected, ExplanationOfBenefit actual) {
// ID in the bundle will have `ExplanationOfBenefit/` in front, so make sure the last bit
// matches up
assertTrue(actual.getId().endsWith(expected.getId()));
// Clean them out so we can do a deep compare later
actual.setId("");
expected.setId("");
// If there are any contained resources, they might have lastupdate times in them too
assertEquals(expected.getContained().size(), actual.getContained().size());
for (int i = 0; i < expected.getContained().size(); i++) {
Resource expectedContained = expected.getContained().get(i);
Resource actualContained = actual.getContained().get(i);
expectedContained.getMeta().setLastUpdated(null);
actualContained.getMeta().setLastUpdated(null);
// TODO: HAPI seems to be inserting the `#` in the ID of the contained element.
// This is incorrect according to the FHIR spec:
// https://build.fhir.org/references.html#contained
// This works around that problem
assertEquals("#" + expectedContained.getId(), actualContained.getId());
expectedContained.setId("");
actualContained.setId("");
}
// Dates are not easy to compare so just make sure they are there
assertNotNull(actual.getMeta().getLastUpdated());
// We compared all of meta that we care about so get it out of the way
expected.getMeta().setLastUpdated(null);
actual.getMeta().setLastUpdated(null);
// Created is required, but can't be compared
assertNotNull(actual.getCreated());
expected.setCreated(null);
actual.setCreated(null);
// Extensions may have `valueMoney` elements
assertEquals(expected.getExtension().size(), actual.getExtension().size());
for (int i = 0; i < expected.getExtension().size(); i++) {
Extension expectedEx = expected.getExtension().get(i);
Extension actualEx = actual.getExtension().get(i);
// We have to deal with Money objects separately
if (expectedEx.hasValue() && expectedEx.getValue() instanceof Money) {
assertTrue(actualEx.getValue() instanceof Money);
assertCurrencyEquals((Money) expectedEx.getValue(), (Money) actualEx.getValue());
// Now remove since we validated so we can compare the rest directly
expectedEx.setValue(null);
actualEx.setValue(null);
}
}
// SupportingInfo can have `valueQuantity` that has the 0 vs 0.0 issue
assertEquals(expected.getSupportingInfo().size(), actual.getSupportingInfo().size());
for (int i = 0; i < expected.getSupportingInfo().size(); i++) {
SupportingInformationComponent expectedSup = expected.getSupportingInfo().get(i);
SupportingInformationComponent actualSup = actual.getSupportingInfo().get(i);
// We have to deal with Money objects separately
if (expectedSup.hasValueQuantity()) {
assertTrue(actualSup.hasValueQuantity());
assertEquals(expectedSup.getValueQuantity().getValue().floatValue(), actualSup.getValueQuantity().getValue().floatValue(), 0.0);
// Now remove since we validated so we can compare the rest directly
expectedSup.setValue(null);
actualSup.setValue(null);
}
}
// line items
assertEquals(expected.getItem().size(), actual.getItem().size());
for (int i = 0; i < expected.getItem().size(); i++) {
ItemComponent expectedItem = expected.getItem().get(i);
ItemComponent actualItem = actual.getItem().get(i);
// Compare value directly because SimpleQuantity vs Quantity can't be compared
assertEquals(expectedItem.getQuantity().getValue().floatValue(), actualItem.getQuantity().getValue().floatValue(), 0.0);
expectedItem.setQuantity(null);
actualItem.setQuantity(null);
assertEquals(expectedItem.getAdjudication().size(), actualItem.getAdjudication().size());
for (int j = 0; j < expectedItem.getAdjudication().size(); j++) {
AdjudicationComponent expectedAdj = expectedItem.getAdjudication().get(j);
AdjudicationComponent actualAdj = actualItem.getAdjudication().get(j);
// Here is where we start getting into trouble with "0" vs "0.0", so we do this manually
if (expectedAdj.hasAmount()) {
assertNotNull(actualAdj.getAmount());
assertCurrencyEquals(expectedAdj.getAmount(), actualAdj.getAmount());
} else {
// If expected doesn't have an amount, actual shouldn't
assertFalse(actualAdj.hasAmount());
}
// We just checked manually, so null them out and check the rest of the fields
expectedAdj.setAmount(null);
actualAdj.setAmount(null);
}
}
// Total has the same problem with values
assertEquals(expected.getTotal().size(), actual.getTotal().size());
for (int i = 0; i < expected.getTotal().size(); i++) {
TotalComponent expectedTot = expected.getTotal().get(i);
TotalComponent actualTot = actual.getTotal().get(i);
if (expectedTot.hasAmount()) {
assertNotNull(actualTot.getAmount());
assertCurrencyEquals(expectedTot.getAmount(), actualTot.getAmount());
} else {
// If expected doesn't have an amount, actual shouldn't
assertFalse(actualTot.hasAmount());
}
expectedTot.setAmount(null);
actualTot.setAmount(null);
}
// Benefit Balance Financial components
assertEquals(expected.getBenefitBalance().size(), actual.getBenefitBalance().size());
for (int i = 0; i < expected.getBenefitBalance().size(); i++) {
BenefitBalanceComponent expectedBen = expected.getBenefitBalance().get(i);
BenefitBalanceComponent actualBen = actual.getBenefitBalance().get(i);
assertEquals(expectedBen.getFinancial().size(), actualBen.getFinancial().size());
for (int j = 0; j < expectedBen.getFinancial().size(); j++) {
BenefitComponent expectedFinancial = expectedBen.getFinancial().get(j);
BenefitComponent actualFinancial = actualBen.getFinancial().get(j);
// Are we dealing with Money?
if (expectedFinancial.hasUsedMoney()) {
assertNotNull(actualFinancial.getUsedMoney());
assertCurrencyEquals(expectedFinancial.getUsedMoney(), actualFinancial.getUsedMoney());
// Clean up
expectedFinancial.setUsed(null);
actualFinancial.setUsed(null);
}
}
}
// As does payment
if (expected.hasPayment()) {
assertTrue(actual.hasPayment());
assertCurrencyEquals(expected.getPayment().getAmount(), actual.getPayment().getAmount());
} else {
// If expected doesn't have an amount, actual shouldn't
assertFalse(actual.hasPayment());
}
expected.getPayment().setAmount(null);
actual.getPayment().setAmount(null);
// Now for the grand finale, we can do an `equalsDeep` on the rest
assertTrue(expected.equalsDeep(actual));
}
use of org.hl7.fhir.dstu3.model.Claim.ItemComponent in project beneficiary-fhir-data by CMSgov.
the class CarrierClaimTransformerTest method assertMatches.
/**
* Verifies that the {@link ExplanationOfBenefit} "looks like" it should, if it were produced from
* the specified {@link CarrierClaim}.
*
* @param claim the {@link CarrierClaim} that the {@link ExplanationOfBenefit} was generated from
* @param eob the {@link ExplanationOfBenefit} that was generated from the specified {@link
* CarrierClaim}
* @param includedTaxNumbers whether or not to include tax numbers are expected to be included in
* the result (see {@link
* ExplanationOfBenefitResourceProvider#HEADER_NAME_INCLUDE_TAX_NUMBERS}, defaults to <code>
* false</code>)
* @throws FHIRException (indicates test failure)
*/
static void assertMatches(CarrierClaim claim, ExplanationOfBenefit eob, Optional<Boolean> includedTaxNumbers) throws FHIRException {
// Test to ensure group level fields between all claim types match
TransformerTestUtils.assertEobCommonClaimHeaderData(eob, claim.getClaimId(), claim.getBeneficiaryId(), ClaimType.CARRIER, claim.getClaimGroupId().toPlainString(), MedicareSegment.PART_B, Optional.of(claim.getDateFrom()), Optional.of(claim.getDateThrough()), Optional.of(claim.getPaymentAmount()), claim.getFinalAction());
// Test to ensure common group fields between Carrier and DME match
TransformerTestUtils.assertEobCommonGroupCarrierDMEEquals(eob, claim.getBeneficiaryId(), claim.getCarrierNumber(), claim.getClinicalTrialNumber(), claim.getBeneficiaryPartBDeductAmount(), claim.getPaymentDenialCode(), claim.getReferringPhysicianNpi(), claim.getProviderAssignmentIndicator(), claim.getProviderPaymentAmount(), claim.getBeneficiaryPaymentAmount(), claim.getSubmittedChargeAmount(), claim.getAllowedChargeAmount());
assertEquals(5, eob.getDiagnosis().size());
assertEquals(1, eob.getItem().size());
TransformerTestUtils.assertAdjudicationTotalAmountEquals(CcwCodebookVariable.PRPAYAMT, claim.getPrimaryPayerPaidAmount(), eob);
CarrierClaimLine claimLine1 = claim.getLines().get(0);
ItemComponent eobItem0 = eob.getItem().get(0);
assertEquals(claimLine1.getLineNumber(), new BigDecimal(eobItem0.getSequence()));
TransformerTestUtils.assertCareTeamEquals(claimLine1.getPerformingPhysicianNpi().get(), ClaimCareteamrole.PRIMARY, eob);
CareTeamComponent performingCareTeamEntry = TransformerTestUtils.findCareTeamEntryForProviderNpi(claimLine1.getPerformingPhysicianNpi().get(), eob.getCareTeam());
TransformerTestUtils.assertHasCoding(CcwCodebookVariable.PRVDR_SPCLTY, claimLine1.getProviderSpecialityCode(), performingCareTeamEntry.getQualification());
TransformerTestUtils.assertExtensionCodingEquals(CcwCodebookVariable.CARR_LINE_PRVDR_TYPE_CD, claimLine1.getProviderTypeCode(), performingCareTeamEntry);
TransformerTestUtils.assertExtensionCodingEquals(CcwCodebookVariable.PRTCPTNG_IND_CD, claimLine1.getProviderParticipatingIndCode(), performingCareTeamEntry);
TransformerTestUtils.assertExtensionCodingEquals(performingCareTeamEntry, TransformerConstants.CODING_NPI_US, TransformerConstants.CODING_NPI_US, "" + claimLine1.getOrganizationNpi().get());
CareTeamComponent taxNumberCareTeamEntry = TransformerTestUtils.findCareTeamEntryForProviderTaxNumber(claimLine1.getProviderTaxNumber(), eob.getCareTeam());
if (includedTaxNumbers.orElse(false)) {
assertNotNull(taxNumberCareTeamEntry);
} else {
assertNull(taxNumberCareTeamEntry);
}
TransformerTestUtils.assertExtensionCodingEquals(CcwCodebookVariable.PRVDR_STATE_CD, claimLine1.getProviderStateCode(), eobItem0.getLocation());
TransformerTestUtils.assertExtensionCodingEquals(CcwCodebookVariable.PRVDR_STATE_CD, claimLine1.getProviderStateCode(), eobItem0.getLocation());
TransformerTestUtils.assertExtensionCodingEquals(CcwCodebookVariable.CARR_LINE_PRCNG_LCLTY_CD, claimLine1.getLinePricingLocalityCode(), eobItem0.getLocation());
TransformerTestUtils.assertHasCoding(TransformerConstants.CODING_SYSTEM_HCPCS, "" + claim.getHcpcsYearCode().get(), null, claimLine1.getHcpcsCode().get(), eobItem0.getService().getCoding());
assertEquals(1, eobItem0.getModifier().size());
TransformerTestUtils.assertHcpcsCodes(eobItem0, claimLine1.getHcpcsCode(), claimLine1.getHcpcsInitialModifierCode(), claimLine1.getHcpcsSecondModifierCode(), claim.getHcpcsYearCode(), 0);
if (claimLine1.getAnesthesiaUnitCount().compareTo(BigDecimal.ZERO) > 0) {
TransformerTestUtils.assertExtensionQuantityEquals(CcwCodebookVariable.CARR_LINE_ANSTHSA_UNIT_CNT, claimLine1.getAnesthesiaUnitCount(), eobItem0.getService());
}
TransformerTestUtils.assertExtensionCodingEquals(CcwCodebookVariable.CARR_LINE_MTUS_CD, claimLine1.getMtusCode(), eobItem0);
TransformerTestUtils.assertExtensionQuantityEquals(CcwCodebookVariable.CARR_LINE_MTUS_CNT, claimLine1.getMtusCount(), eobItem0);
TransformerTestUtils.assertAdjudicationReasonEquals(CcwCodebookVariable.CARR_LINE_RDCD_PMT_PHYS_ASTN_C, claimLine1.getReducedPaymentPhysicianAsstCode(), eobItem0.getAdjudication());
TransformerTestUtils.assertExtensionIdentifierEquals(CcwCodebookVariable.CARR_LINE_CLIA_LAB_NUM, claimLine1.getCliaLabNumber(), eobItem0.getLocation());
// verify {@link
// TransformerUtils#mapEobType(CodeableConcept,ClaimType,Optional,Optional)}
// method worked as expected for this claim type
TransformerTestUtils.assertMapEobType(eob.getType(), ClaimType.CARRIER, Optional.of(org.hl7.fhir.dstu3.model.codesystems.ClaimType.PROFESSIONAL), Optional.of(claim.getNearLineRecordIdCode()), Optional.of(claim.getClaimTypeCode()));
// Test to ensure common item fields between Carrier and DME match
TransformerTestUtils.assertEobCommonItemCarrierDMEEquals(eobItem0, eob, claimLine1.getServiceCount(), claimLine1.getPlaceOfServiceCode(), claimLine1.getFirstExpenseDate(), claimLine1.getLastExpenseDate(), claimLine1.getBeneficiaryPaymentAmount(), claimLine1.getProviderPaymentAmount(), claimLine1.getBeneficiaryPartBDeductAmount(), claimLine1.getPrimaryPayerCode(), claimLine1.getPrimaryPayerPaidAmount(), claimLine1.getBetosCode(), claimLine1.getPaymentAmount(), claimLine1.getPaymentCode(), claimLine1.getCoinsuranceAmount(), claimLine1.getSubmittedChargeAmount(), claimLine1.getAllowedChargeAmount(), claimLine1.getProcessingIndicatorCode(), claimLine1.getServiceDeductibleCode(), claimLine1.getDiagnosisCode(), claimLine1.getDiagnosisCodeVersion(), claimLine1.getHctHgbTestTypeCode(), claimLine1.getHctHgbTestResult(), claimLine1.getCmsServiceTypeCode(), claimLine1.getNationalDrugCode());
// Test lastUpdated
TransformerTestUtils.assertLastUpdatedEquals(claim.getLastUpdated(), eob);
}
use of org.hl7.fhir.dstu3.model.Claim.ItemComponent in project beneficiary-fhir-data by CMSgov.
the class OutpatientClaimTransformerTest method assertMatches.
/**
* Verifies that the {@link ExplanationOfBenefit} "looks like" it should, if it were produced from
* the specified {@link OutpatientClaim}.
*
* @param claim the {@link OutpatientClaim} that the {@link ExplanationOfBenefit} was generated
* from
* @param eob the {@link ExplanationOfBenefit} that was generated from the specified {@link
* OutpatientClaim}
* @throws FHIRException (indicates test failure)
*/
static void assertMatches(OutpatientClaim claim, ExplanationOfBenefit eob) throws FHIRException {
// Test to ensure group level fields between all claim types match
TransformerTestUtils.assertEobCommonClaimHeaderData(eob, claim.getClaimId(), claim.getBeneficiaryId(), ClaimType.OUTPATIENT, claim.getClaimGroupId().toPlainString(), MedicareSegment.PART_B, Optional.of(claim.getDateFrom()), Optional.of(claim.getDateThrough()), Optional.of(claim.getPaymentAmount()), claim.getFinalAction());
// test the common field provider number is set as expected in the EOB
TransformerTestUtils.assertProviderNumber(eob, claim.getProviderNumber());
TransformerTestUtils.assertAdjudicationTotalAmountEquals(CcwCodebookVariable.NCH_BENE_PTB_DDCTBL_AMT, claim.getDeductibleAmount(), eob);
TransformerTestUtils.assertAdjudicationTotalAmountEquals(CcwCodebookVariable.NCH_PROFNL_CMPNT_CHRG_AMT, claim.getProfessionalComponentCharge(), eob);
TransformerTestUtils.assertAdjudicationTotalAmountEquals(CcwCodebookVariable.NCH_BENE_PTB_COINSRNC_AMT, claim.getCoinsuranceAmount(), eob);
TransformerTestUtils.assertAdjudicationTotalAmountEquals(CcwCodebookVariable.CLM_OP_PRVDR_PMT_AMT, claim.getProviderPaymentAmount(), eob);
TransformerTestUtils.assertAdjudicationTotalAmountEquals(CcwCodebookVariable.CLM_OP_BENE_PMT_AMT, claim.getBeneficiaryPaymentAmount(), eob);
// Test to ensure common group fields between Inpatient, Outpatient and SNF
TransformerTestUtils.assertEobCommonGroupInpOutSNFEquals(eob, claim.getBloodDeductibleLiabilityAmount(), claim.getOperatingPhysicianNpi(), claim.getOtherPhysicianNpi(), claim.getClaimQueryCode(), claim.getMcoPaidSw());
// Test to ensure common group fields between Inpatient, Outpatient HHA, Hospice
// and SNF match
TransformerTestUtils.assertEobCommonGroupInpOutHHAHospiceSNFEquals(eob, claim.getOrganizationNpi(), claim.getClaimFacilityTypeCode(), claim.getClaimFrequencyCode(), claim.getClaimNonPaymentReasonCode(), claim.getPatientDischargeStatusCode().get(), claim.getClaimServiceClassificationTypeCode(), claim.getClaimPrimaryPayerCode(), claim.getAttendingPhysicianNpi(), claim.getTotalChargeAmount(), claim.getPrimaryPayerPaidAmount(), claim.getFiscalIntermediaryNumber(), claim.getFiDocumentClaimControlNumber(), claim.getFiOriginalClaimControlNumber());
assertTrue(countDiagnosisCodes(claim) >= eob.getDiagnosis().size(), "Expect actual diagnosis count is less than or equal to the claim count");
if (claim.getProcedure1Code().isPresent()) {
CCWProcedure ccwProcedure = new CCWProcedure(claim.getProcedure1Code(), claim.getProcedure1CodeVersion(), claim.getProcedure1Date());
TransformerTestUtils.assertHasCoding(ccwProcedure.getFhirSystem().toString(), claim.getProcedure1Code().get(), eob.getProcedure().get(0).getProcedureCodeableConcept().getCoding());
assertEquals(claim.getProcedure1Date().get().atStartOfDay(ZoneId.systemDefault()).toInstant(), eob.getProcedure().get(0).getDate().toInstant());
}
assertTrue(1 <= eob.getItem().size(), "Expect actual item count is above 0");
ItemComponent eobItem0 = eob.getItem().get(0);
OutpatientClaimLine claimLine1 = claim.getLines().get(0);
assertEquals(new Integer(claimLine1.getLineNumber().intValue()), new Integer(eobItem0.getSequence()));
assertEquals(claim.getProviderStateCode(), eobItem0.getLocationAddress().getState());
// TODO re-map as described in CBBF-111
/*
* TransformerTestUtils.assertHasCoding(TransformerConstants.CODING_NDC,
* claimLine1.getNationalDrugCode().get(), eobItem0.getService());
*/
TransformerTestUtils.assertAdjudicationReasonEquals(CcwCodebookVariable.REV_CNTR_1ST_ANSI_CD, claimLine1.getRevCntr1stAnsiCd(), eobItem0.getAdjudication());
TransformerTestUtils.assertAdjudicationReasonEquals(CcwCodebookVariable.REV_CNTR_2ND_ANSI_CD, claimLine1.getRevCntr2ndAnsiCd(), eobItem0.getAdjudication());
TransformerTestUtils.assertAdjudicationReasonEquals(CcwCodebookVariable.REV_CNTR_3RD_ANSI_CD, claimLine1.getRevCntr3rdAnsiCd(), eobItem0.getAdjudication());
TransformerTestUtils.assertAdjudicationReasonEquals(CcwCodebookVariable.REV_CNTR_4TH_ANSI_CD, claimLine1.getRevCntr4thAnsiCd(), eobItem0.getAdjudication());
TransformerTestUtils.assertHcpcsCodes(eobItem0, claimLine1.getHcpcsCode(), claimLine1.getHcpcsInitialModifierCode(), claimLine1.getHcpcsSecondModifierCode(), Optional.empty(), 0);
TransformerTestUtils.assertExtensionCodingEquals(CcwCodebookVariable.REV_CNTR_IDE_NDC_UPC_NUM, claimLine1.getNationalDrugCode(), eobItem0.getService());
TransformerTestUtils.assertAdjudicationAmountEquals(CcwCodebookVariable.REV_CNTR_BLOOD_DDCTBL_AMT, claimLine1.getBloodDeductibleAmount(), eobItem0.getAdjudication());
TransformerTestUtils.assertAdjudicationAmountEquals(CcwCodebookVariable.REV_CNTR_CASH_DDCTBL_AMT, claimLine1.getCashDeductibleAmount(), eobItem0.getAdjudication());
TransformerTestUtils.assertAdjudicationAmountEquals(CcwCodebookVariable.REV_CNTR_COINSRNC_WGE_ADJSTD_C, claimLine1.getWageAdjustedCoinsuranceAmount(), eobItem0.getAdjudication());
TransformerTestUtils.assertAdjudicationAmountEquals(CcwCodebookVariable.REV_CNTR_RDCD_COINSRNC_AMT, claimLine1.getReducedCoinsuranceAmount(), eobItem0.getAdjudication());
TransformerTestUtils.assertAdjudicationAmountEquals(CcwCodebookVariable.REV_CNTR_1ST_MSP_PD_AMT, claimLine1.getFirstMspPaidAmount(), eobItem0.getAdjudication());
TransformerTestUtils.assertAdjudicationAmountEquals(CcwCodebookVariable.REV_CNTR_1ST_MSP_PD_AMT, claimLine1.getSecondMspPaidAmount(), eobItem0.getAdjudication());
TransformerTestUtils.assertAdjudicationAmountEquals(CcwCodebookVariable.REV_CNTR_PRVDR_PMT_AMT, claimLine1.getProviderPaymentAmount(), eobItem0.getAdjudication());
TransformerTestUtils.assertAdjudicationAmountEquals(CcwCodebookVariable.REV_CNTR_BENE_PMT_AMT, claimLine1.getBenficiaryPaymentAmount(), eobItem0.getAdjudication());
TransformerTestUtils.assertAdjudicationAmountEquals(CcwCodebookVariable.REV_CNTR_PTNT_RSPNSBLTY_PMT, claimLine1.getPatientResponsibilityAmount(), eobItem0.getAdjudication());
String claimControlNumber = "0000000000";
// Test to ensure item level fields between Inpatient, Outpatient, HHA, Hopsice
// and SNF match
TransformerTestUtils.assertEobCommonItemRevenueEquals(eobItem0, eob, claimLine1.getRevenueCenterCode(), claimLine1.getRateAmount(), claimLine1.getTotalChargeAmount(), claimLine1.getNonCoveredChargeAmount(), claimLine1.getUnitCount(), claimControlNumber, claimLine1.getNationalDrugCodeQuantity(), claimLine1.getNationalDrugCodeQualifierCode(), claimLine1.getRevenueCenterRenderingPhysicianNPI(), 1);
// Test to ensure item level fields between Outpatient, HHA and Hospice match
TransformerTestUtils.assertEobCommonItemRevenueOutHHAHospice(eobItem0, claimLine1.getRevenueCenterDate(), claimLine1.getPaymentAmount());
// verify {@link
// TransformerUtils#mapEobType(CodeableConcept,ClaimType,Optional,Optional)}
// method worked as expected for this claim type
TransformerTestUtils.assertMapEobType(eob.getType(), ClaimType.OUTPATIENT, Optional.of(org.hl7.fhir.dstu3.model.codesystems.ClaimType.PROFESSIONAL), Optional.of(claim.getNearLineRecordIdCode()), Optional.of(claim.getClaimTypeCode()));
TransformerTestUtils.assertExtensionCodingEquals(CcwCodebookVariable.REV_CNTR_STUS_IND_CD, claimLine1.getStatusCode(), eobItem0.getRevenue());
// Test lastUpdated
TransformerTestUtils.assertLastUpdatedEquals(claim.getLastUpdated(), eob);
}
Aggregations