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

Example 21 with AdjudicationComponent

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

the class HHAClaimTransformerV2Test method shouldHaveLineItemAdjudicationRevCntr1stAnsiCd.

@Test
public void shouldHaveLineItemAdjudicationRevCntr1stAnsiCd() {
    AdjudicationComponent adjudication = TransformerTestUtilsV2.findAdjudicationByReason("CO120", eob.getItemFirstRep().getAdjudication());
    AdjudicationComponent compare = new AdjudicationComponent().setCategory(new CodeableConcept().setCoding(Arrays.asList(new Coding("http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudicationDiscriminator", "denialreason", "Denial Reason")))).setReason(new CodeableConcept().setCoding(Arrays.asList(new Coding("https://bluebutton.cms.gov/resources/variables/rev_cntr_1st_ansi_cd", "CO120", null))));
    assertTrue(compare.equalsDeep(adjudication));
}

Example 22 with AdjudicationComponent

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

the class InpatientClaimTransformerV2Test method shouldHaveLineItemRevCntrTotChrgAmtAdjudication.

@Test
public void shouldHaveLineItemRevCntrTotChrgAmtAdjudication() {
    AdjudicationComponent adjudication = TransformerTestUtilsV2.findAdjudicationByCategory("https://bluebutton.cms.gov/resources/variables/rev_cntr_tot_chrg_amt", eob.getItemFirstRep().getAdjudication());
    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_tot_chrg_amt", "Revenue Center Total Charge Amount")))).setAmount(new Money().setValue(84888.88).setCurrency(TransformerConstants.CODED_MONEY_USD));
    assertTrue(compare.equalsDeep(adjudication));
}

Example 23 with AdjudicationComponent

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

the class InpatientClaimTransformerV2Test method shouldHaveLineItemRevCentrNcvrdChrgAmtAdjudication.

@Test
public void shouldHaveLineItemRevCentrNcvrdChrgAmtAdjudication() {
    AdjudicationComponent adjudication = TransformerTestUtilsV2.findAdjudicationByCategory("https://bluebutton.cms.gov/resources/variables/rev_cntr_ncvrd_chrg_amt", eob.getItemFirstRep().getAdjudication());
    AdjudicationComponent compare = new AdjudicationComponent().setCategory(new CodeableConcept().setCoding(Arrays.asList(new Coding("http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication", "noncovered", "Noncovered"), new Coding("https://bluebutton.cms.gov/resources/codesystem/adjudication", "https://bluebutton.cms.gov/resources/variables/rev_cntr_ncvrd_chrg_amt", "Revenue Center Non-Covered Charge Amount")))).setAmount(new Money().setValueElement(new DecimalType("3699.00")).setCurrency(TransformerConstants.CODED_MONEY_USD));
    assertTrue(compare.equalsDeep(adjudication));
}

Example 24 with AdjudicationComponent

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

the class CarrierClaimTransformerV2Test method shouldHaveLineItemEligibleAdjudication.

@Test
public void shouldHaveLineItemEligibleAdjudication() {
    AdjudicationComponent adjudication = TransformerTestUtilsV2.findAdjudicationByCategory("eligible", eob.getItemFirstRep().getAdjudication());
    AdjudicationComponent compare = new AdjudicationComponent().setCategory(new CodeableConcept().setCoding(Arrays.asList(new Coding("http://terminology.hl7.org/CodeSystem/adjudication", "eligible", "Eligible Amount"), new Coding("https://bluebutton.cms.gov/resources/codesystem/adjudication", "https://bluebutton.cms.gov/resources/variables/line_alowd_chrg_amt", "Line Allowed Charge Amount")))).setAmount(new Money().setValue(75).setCurrency(TransformerConstants.CODED_MONEY_USD));
    assertTrue(compare.equalsDeep(adjudication));
}

Example 25 with AdjudicationComponent

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

the class CarrierClaimTransformerV2Test method shouldHaveLineItemPaidToProviderAdjudication.

@Test
public void shouldHaveLineItemPaidToProviderAdjudication() {
    AdjudicationComponent adjudication = TransformerTestUtilsV2.findAdjudicationByCategory("paidtoprovider", eob.getItemFirstRep().getAdjudication());
    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/line_prvdr_pmt_amt", "Line Provider Payment Amount")))).setAmount(new Money().setValue(37.5).setCurrency(TransformerConstants.CODED_MONEY_USD));
    assertTrue(compare.equalsDeep(adjudication));
}