Examples with AdjudicationComponent org.hl7.fhir.r4.model.ExplanationOfBenefit.AdjudicationComponent used on opensource projects

Example 61 with AdjudicationComponent

use of org.hl7.fhir.r4.model.ExplanationOfBenefit.AdjudicationComponent in project beneficiary-fhir-data by CMSgov.

the class HospiceClaimTransformerV2Test method shouldHaveLineItemRevCenterRateAmtAdjudication.

@Test
public void shouldHaveLineItemRevCenterRateAmtAdjudication() {
    AdjudicationComponent adjudication = TransformerTestUtilsV2.findAdjudicationByCategory("https://bluebutton.cms.gov/resources/variables/rev_cntr_rate_amt", eob.getItemFirstRep().getAdjudication());
    assertNotNull(adjudication);
    AdjudicationComponent compare = new AdjudicationComponent().setCategory(new CodeableConcept().setCoding(Arrays.asList(new Coding("http://terminology.hl7.org/CodeSystem/adjudication", "submitted", "Submitted Amount"), new Coding("https://bluebutton.cms.gov/resources/codesystem/adjudication", "https://bluebutton.cms.gov/resources/variables/rev_cntr_rate_amt", "Revenue Center Rate Amount")))).setAmount(new Money().setValue(0).setCurrency(TransformerConstants.CODED_MONEY_USD));
    assertTrue(compare.equalsDeep(adjudication));
}

Example 62 with AdjudicationComponent

use of org.hl7.fhir.r4.model.ExplanationOfBenefit.AdjudicationComponent in project beneficiary-fhir-data by CMSgov.

the class HospiceClaimTransformerV2Test method shouldHaveLineItemRevCenterPaidToProviderAmtAdjudication.

@Test
public void shouldHaveLineItemRevCenterPaidToProviderAmtAdjudication() {
    AdjudicationComponent adjudication = TransformerTestUtilsV2.findAdjudicationByCategory("https://bluebutton.cms.gov/resources/variables/rev_cntr_prvdr_pmt_amt", eob.getItemFirstRep().getAdjudication());
    assertNotNull(adjudication);
    AdjudicationComponent compare = new AdjudicationComponent().setCategory(new CodeableConcept().setCoding(Arrays.asList(new Coding("http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication", "paidtoprovider", "Paid to provider"), new Coding("https://bluebutton.cms.gov/resources/codesystem/adjudication", "https://bluebutton.cms.gov/resources/variables/rev_cntr_prvdr_pmt_amt", "Revenue Center (Medicare) Provider Payment Amount")))).setAmount(new Money().setValueElement(new DecimalType("29.00")).setCurrency(TransformerConstants.CODED_MONEY_USD));
    assertTrue(compare.equalsDeep(adjudication));
}

Example 63 with AdjudicationComponent

use of org.hl7.fhir.r4.model.ExplanationOfBenefit.AdjudicationComponent in project beneficiary-fhir-data by CMSgov.

the class HospiceClaimTransformerV2Test method shouldHaveLineItemRevCenterBenePaymentAmtAdjudication.

@Test
public void shouldHaveLineItemRevCenterBenePaymentAmtAdjudication() {
    AdjudicationComponent adjudication = TransformerTestUtilsV2.findAdjudicationByCategory("https://bluebutton.cms.gov/resources/variables/rev_cntr_bene_pmt_amt", eob.getItemFirstRep().getAdjudication());
    assertNotNull(adjudication);
    AdjudicationComponent compare = new AdjudicationComponent().setCategory(new CodeableConcept().setCoding(Arrays.asList(new Coding("http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication", "paidtopatient", "Paid to patient"), new Coding("https://bluebutton.cms.gov/resources/codesystem/adjudication", "https://bluebutton.cms.gov/resources/variables/rev_cntr_bene_pmt_amt", "Revenue Center Payment Amount to Beneficiary")))).setAmount(new Money().setValueElement(new DecimalType("28.00")).setCurrency(TransformerConstants.CODED_MONEY_USD));
    assertTrue(compare.equalsDeep(adjudication));
}

Example 64 with AdjudicationComponent

use of org.hl7.fhir.r4.model.ExplanationOfBenefit.AdjudicationComponent in project beneficiary-fhir-data by CMSgov.

the class HospiceClaimTransformerV2Test method shouldHaveLineItemRevCenterMedicarePaymentAmtAdjudication.

@Test
public void shouldHaveLineItemRevCenterMedicarePaymentAmtAdjudication() {
    AdjudicationComponent adjudication = TransformerTestUtilsV2.findAdjudicationByCategory("https://bluebutton.cms.gov/resources/variables/rev_cntr_pmt_amt_amt", eob.getItemFirstRep().getAdjudication());
    assertNotNull(adjudication);
    AdjudicationComponent compare = new AdjudicationComponent().setCategory(new CodeableConcept().setCoding(Arrays.asList(new Coding("http://terminology.hl7.org/CodeSystem/adjudication", "submitted", "Submitted Amount"), new Coding("https://bluebutton.cms.gov/resources/codesystem/adjudication", "https://bluebutton.cms.gov/resources/variables/rev_cntr_pmt_amt_amt", "Revenue Center (Medicare) Payment Amount")))).setAmount(new Money().setValueElement(new DecimalType("26.00")).setCurrency(TransformerConstants.CODED_MONEY_USD));
    assertTrue(compare.equalsDeep(adjudication));
}

Example 65 with AdjudicationComponent

use of org.hl7.fhir.r4.model.ExplanationOfBenefit.AdjudicationComponent in project beneficiary-fhir-data by CMSgov.

the class HospiceClaimTransformerV2Test method shouldHaveLineItemRevCenterMedicareProviderAmtAdjudication.

@Test
public void shouldHaveLineItemRevCenterMedicareProviderAmtAdjudication() {
    AdjudicationComponent adjudication = TransformerTestUtilsV2.findAdjudicationByCategory("https://bluebutton.cms.gov/resources/variables/rev_cntr_prvdr_pmt_amt", eob.getItemFirstRep().getAdjudication());
    assertNotNull(adjudication);
    AdjudicationComponent compare = new AdjudicationComponent().setCategory(new CodeableConcept().setCoding(Arrays.asList(new Coding("http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication", "paidtoprovider", "Paid to provider"), new Coding("https://bluebutton.cms.gov/resources/codesystem/adjudication", "https://bluebutton.cms.gov/resources/variables/rev_cntr_prvdr_pmt_amt", "Revenue Center (Medicare) Provider Payment Amount")))).setAmount(new Money().setValueElement(new DecimalType("29.00")).setCurrency(TransformerConstants.CODED_MONEY_USD));
    assertTrue(compare.equalsDeep(adjudication));
}