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

Example 41 with AdjudicationComponent

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

the class DMEClaimTransformerV2Test method shouldHaveLineItemAdjudicationLineDmePrchsPriceAmt.

@Test
public void shouldHaveLineItemAdjudicationLineDmePrchsPriceAmt() {
    AdjudicationComponent adjudication = TransformerTestUtilsV2.findAdjudicationByCategory("https://bluebutton.cms.gov/resources/variables/line_dme_prchs_price_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/line_dme_prchs_price_amt", "Line DME Purchase Price Amount")))).setAmount(new Money().setValue(82.29).setCurrency(TransformerConstants.CODED_MONEY_USD));
    assertTrue(compare.equalsDeep(adjudication));
}

Example 42 with AdjudicationComponent

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

the class HHAClaimTransformerV2Test method shouldHaveLineItemAdjudicationRevCntrRateAmt.

@Test
public void shouldHaveLineItemAdjudicationRevCntrRateAmt() {
    AdjudicationComponent adjudication = TransformerTestUtilsV2.findAdjudicationByCategory("https://bluebutton.cms.gov/resources/variables/rev_cntr_rate_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_rate_amt", "Revenue Center Rate Amount")))).setAmount(new Money().setValue(0).setCurrency(TransformerConstants.CODED_MONEY_USD));
    assertTrue(compare.equalsDeep(adjudication));
}

Example 43 with AdjudicationComponent

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

the class CarrierClaimTransformerV2Test method shouldHaveLineItemCoInsuranceAdjudication.

@Test
public void shouldHaveLineItemCoInsuranceAdjudication() {
    AdjudicationComponent adjudication = TransformerTestUtilsV2.findAdjudicationByCategory("coinsurance", eob.getItemFirstRep().getAdjudication());
    AdjudicationComponent compare = new AdjudicationComponent().setCategory(new CodeableConcept().setCoding(Arrays.asList(new Coding("http://hl7.org/fhir/us/carin-bb/CodeSystem/C4BBAdjudication", "coinsurance", "Co-insurance"), new Coding("https://bluebutton.cms.gov/resources/codesystem/adjudication", "https://bluebutton.cms.gov/resources/variables/line_coinsrnc_amt", "Line Beneficiary Coinsurance Amount")))).setAmount(new Money().setValue(9.57).setCurrency(TransformerConstants.CODED_MONEY_USD));
    assertTrue(compare.equalsDeep(adjudication));
}

Example 44 with AdjudicationComponent

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

the class CarrierClaimTransformerV2Test method shouldHaveLineItemSubmittedAdjudication.

@Test
public void shouldHaveLineItemSubmittedAdjudication() {
    AdjudicationComponent adjudication = TransformerTestUtilsV2.findAdjudicationByCategory("submitted", 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/line_sbmtd_chrg_amt", "Line Submitted Charge Amount")))).setAmount(new Money().setValue(75).setCurrency(TransformerConstants.CODED_MONEY_USD));
    assertTrue(compare.equalsDeep(adjudication));
}

Example 45 with AdjudicationComponent

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

the class CarrierClaimTransformerV2Test method shouldHaveLineItemBenefitAdjudication.

@Test
public void shouldHaveLineItemBenefitAdjudication() {
    AdjudicationComponent adjudication = TransformerTestUtilsV2.findAdjudicationByCategory("benefit", eob.getItemFirstRep().getAdjudication());
    AdjudicationComponent compare = new AdjudicationComponent().setCategory(new CodeableConcept().setCoding(Arrays.asList(new Coding("http://terminology.hl7.org/CodeSystem/adjudication", "benefit", "Benefit Amount"), new Coding("https://bluebutton.cms.gov/resources/codesystem/adjudication", "https://bluebutton.cms.gov/resources/variables/line_nch_pmt_amt", "Line NCH Medicare Payment Amount")))).setAmount(new Money().setValue(37.5).setCurrency(TransformerConstants.CODED_MONEY_USD));
    compare.setExtension(Arrays.asList(new Extension("https://bluebutton.cms.gov/resources/variables/line_pmt_80_100_cd").setValue(new Coding("https://bluebutton.cms.gov/resources/variables/line_pmt_80_100_cd", "0", "80%"))));
    assertTrue(compare.equalsDeep(adjudication));
}