class ChangeHealthcare::ProfessionalClaims::SwaggerClient::ClaimPricingRepricingInformation

Attributes

exception_code[R]

Allowed Values are:

  • '1' Non-Network Professional Provider in Network Hospital

  • '2' Emergency Care, '3' Services or Specialist not in Network

  • '4' Out-of-Service Area

  • '5' State Mandates

  • '6' Other

policy_compliance_code[R]

Allowed Values are:

  • '1' Procedure Followed (Compliance)

  • '2' Not Followed - Call Not Made (Non-Compliance Call Not Made)

  • '3' Not Medically Necessary (Non-Compliance Non-Medically Necessary)

  • '4' Not Followed Other (Non-Compliance Other)

  • '5' Emergency Admit to Non-Network Hospital

pricing_methodology_code[R]

Allowed Values are:

  • '00' Zero Pricing (Not Covered Under Contract)

  • '01' Priced as Billed at 100%

  • '02' Priced at the Standard Fee Schedule

  • '03' Priced at a Contractual Percentage

  • '04' Bundled Pricing

  • '05' Peer Review Pricing

  • '06' Bundled Pricing

  • '07' Flat Rate Pricing

  • '08' Combination Pricing

  • '09' Maternity Pricing

  • '10' Other Pricing

  • '11' Lower of Cost

  • '12' Ratio of Cost

  • '13' Cost Reimbursed

  • '14' Adjustment Pricing

reject_reason_code[R]

Allowed Values are:

  • 'T1' Cannot Identify Provider as TPO (Third Party Organization) Participant

  • 'T2' Cannot Identify Payer as TPO (Third Party Organization) Participant

  • 'T3' Cannot Identify Insured as TPO (Third Party Organization) Participant

  • 'T4' Payer Name or Identifier Missing

  • 'T5' Certification Information Missing

  • '16' Claim does not contain enough information for repricing

repriced_allowed_amount[RW]
repriced_approved_ambulatory_patient_group_amount[RW]
repriced_approved_ambulatory_patient_group_code[RW]
repriced_saving_amount[RW]
repricing_organization_identifier[RW]
repricing_per_diem_or_flat_rate_amoung[RW]

Public Class Methods

attribute_map() click to toggle source

Attribute mapping from ruby-style variable name to JSON key.

# File lib/change_healthcare/professional_claims/swagger_client/models/claim_pricing_repricing_information.rb, line 87
def self.attribute_map
  {
    exception_code: :exceptionCode,
    policy_compliance_code: :policyComplianceCode,
    pricing_methodology_code: :pricingMethodologyCode,
    reject_reason_code: :rejectReasonCode,
    repriced_allowed_amount: :repricedAllowedAmount,
    repriced_approved_ambulatory_patient_group_amount: :repricedApprovedAmbulatoryPatientGroupAmount,
    repriced_approved_ambulatory_patient_group_code: :repricedApprovedAmbulatoryPatientGroupCode,
    repriced_saving_amount: :repricedSavingAmount,
    repricing_organization_identifier: :repricingOrganizationIdentifier,
    repricing_per_diem_or_flat_rate_amoung: :repricingPerDiemOrFlatRateAmoung
  }
end
new(attributes = {}) click to toggle source

Initializes the object @param [Hash] attributes Model attributes in the form of hash

# File lib/change_healthcare/professional_claims/swagger_client/models/claim_pricing_repricing_information.rb, line 120
def initialize(attributes = {})
  return unless attributes.is_a?(Hash)

  # convert string to symbol for hash key
  attributes = attributes.transform_keys(&:to_sym)

  self.exception_code = attributes[:exceptionCode] if attributes.key?(:exceptionCode)

  self.policy_compliance_code = attributes[:policyComplianceCode] if attributes.key?(:policyComplianceCode)

  self.pricing_methodology_code = attributes[:pricingMethodologyCode] if attributes.key?(:pricingMethodologyCode)

  self.reject_reason_code = attributes[:rejectReasonCode] if attributes.key?(:rejectReasonCode)

  self.repriced_allowed_amount = attributes[:repricedAllowedAmount] if attributes.key?(:repricedAllowedAmount)

  self.repriced_approved_ambulatory_patient_group_amount = attributes[:repricedApprovedAmbulatoryPatientGroupAmount] if attributes.key?(:repricedApprovedAmbulatoryPatientGroupAmount)

  self.repriced_approved_ambulatory_patient_group_code = attributes[:repricedApprovedAmbulatoryPatientGroupCode] if attributes.key?(:repricedApprovedAmbulatoryPatientGroupCode)

  self.repriced_saving_amount = attributes[:repricedSavingAmount] if attributes.key?(:repricedSavingAmount)

  self.repricing_organization_identifier = attributes[:repricingOrganizationIdentifier] if attributes.key?(:repricingOrganizationIdentifier)

  self.repricing_per_diem_or_flat_rate_amoung = attributes[:repricingPerDiemOrFlatRateAmoung] if attributes.key?(:repricingPerDiemOrFlatRateAmoung)
end
swagger_types() click to toggle source

Attribute type mapping.

# File lib/change_healthcare/professional_claims/swagger_client/models/claim_pricing_repricing_information.rb, line 103
def self.swagger_types
  {
    exception_code: :String,
    policy_compliance_code: :String,
    pricing_methodology_code: :String,
    reject_reason_code: :String,
    repriced_allowed_amount: :String,
    repriced_approved_ambulatory_patient_group_amount: :String,
    repriced_approved_ambulatory_patient_group_code: :String,
    repriced_saving_amount: :String,
    repricing_organization_identifier: :String,
    repricing_per_diem_or_flat_rate_amoung: :String
  }
end

Public Instance Methods

==(other) click to toggle source

Checks equality by comparing each attribute. @param [Object] Object to be compared

# File lib/change_healthcare/professional_claims/swagger_client/models/claim_pricing_repricing_information.rb, line 224
def ==(other)
  return true if equal?(other)

  self.class == other.class &&
    exception_code == other.exception_code &&
    policy_compliance_code == other.policy_compliance_code &&
    pricing_methodology_code == other.pricing_methodology_code &&
    reject_reason_code == other.reject_reason_code &&
    repriced_allowed_amount == other.repriced_allowed_amount &&
    repriced_approved_ambulatory_patient_group_amount == other.repriced_approved_ambulatory_patient_group_amount &&
    repriced_approved_ambulatory_patient_group_code == other.repriced_approved_ambulatory_patient_group_code &&
    repriced_saving_amount == other.repriced_saving_amount &&
    repricing_organization_identifier == other.repricing_organization_identifier &&
    repricing_per_diem_or_flat_rate_amoung == other.repricing_per_diem_or_flat_rate_amoung
end
_deserialize(type, value) click to toggle source

Deserializes the data based on type @param string type Data type @param string value Value to be deserialized @return [Object] Deserialized data

# File lib/change_healthcare/professional_claims/swagger_client/models/claim_pricing_repricing_information.rb, line 280
def _deserialize(type, value)
  case type.to_sym
  when :DateTime
    DateTime.parse(value)
  when :Date
    Date.parse(value)
  when :String
    value.to_s
  when :Integer
    value.to_i
  when :Float
    value.to_f
  when :BOOLEAN
    if value.to_s =~ /\A(true|t|yes|y|1)\z/i
      true
    else
      false
    end
  when :Object
    # generic object (usually a Hash), return directly
    value
  when /\AArray<(?<inner_type>.+)>\z/
    inner_type = Regexp.last_match[:inner_type]
    value.map { |v| _deserialize(inner_type, v) }
  when /\AHash<(?<k_type>.+?), (?<v_type>.+)>\z/
    k_type = Regexp.last_match[:k_type]
    v_type = Regexp.last_match[:v_type]
    {}.tap do |hash|
      value.each do |k, v|
        hash[_deserialize(k_type, k)] = _deserialize(v_type, v)
      end
    end
  else # model
    temp_model = SwaggerClient.const_get(type).new
    temp_model.build_from_hash(value)
  end
end
_to_hash(value) click to toggle source

Outputs non-array value in the form of hash For object, use to_hash. Otherwise, just return the value @param [Object] value Any valid value @return [Hash] Returns the value in the form of hash

# File lib/change_healthcare/professional_claims/swagger_client/models/claim_pricing_repricing_information.rb, line 347
def _to_hash(value)
  if value.is_a?(Array)
    value.compact.map { |v| _to_hash(v) }
  elsif value.is_a?(Hash)
    {}.tap do |hash|
      value.each { |k, v| hash[k] = _to_hash(v) }
    end
  elsif value.respond_to? :to_hash
    value.to_hash
  else
    value
  end
end
build_from_hash(attributes) click to toggle source

Builds the object from hash @param [Hash] attributes Model attributes in the form of hash @return [Object] Returns the model itself

# File lib/change_healthcare/professional_claims/swagger_client/models/claim_pricing_repricing_information.rb, line 256
def build_from_hash(attributes)
  return nil unless attributes.is_a?(Hash)

  self.class.swagger_types.each_pair do |key, type|
    if type =~ /\AArray<(.*)>/i
      # check to ensure the input is an array given that the attribute
      # is documented as an array but the input is not
      if attributes[self.class.attribute_map[key]].is_a?(Array)
        send("#{key}=", attributes[self.class.attribute_map[key]].map do |v|
                          _deserialize(Regexp.last_match(1), v)
                        end)
      end
    elsif !attributes[self.class.attribute_map[key]].nil?
      send("#{key}=", _deserialize(type, attributes[self.class.attribute_map[key]]))
    end
  end

  self
end
eql?(other) click to toggle source

@see the `==` method @param [Object] Object to be compared

# File lib/change_healthcare/professional_claims/swagger_client/models/claim_pricing_repricing_information.rb, line 242
def eql?(other)
  self == other
end
exception_code=(exception_code) click to toggle source

Custom attribute writer method checking allowed values (enum). @param [Object] exception_code Object to be assigned

# File lib/change_healthcare/professional_claims/swagger_client/models/claim_pricing_repricing_information.rb, line 175
def exception_code=(exception_code)
  validator = EnumAttributeValidator.new('String', %w[1 2 3 4 5 6])
  unless validator.valid?(exception_code)
    raise ArgumentError,
          %(invalid value for "exception_code", must be one of #{validator.allowable_values}.)
  end

  @exception_code = exception_code
end
hash() click to toggle source

Calculates hash code according to all attributes. @return [Fixnum] Hash code

# File lib/change_healthcare/professional_claims/swagger_client/models/claim_pricing_repricing_information.rb, line 248
def hash
  [exception_code, policy_compliance_code, pricing_methodology_code, reject_reason_code, repriced_allowed_amount,
   repriced_approved_ambulatory_patient_group_amount, repriced_approved_ambulatory_patient_group_code, repriced_saving_amount, repricing_organization_identifier, repricing_per_diem_or_flat_rate_amoung].hash
end
list_invalid_properties() click to toggle source

Show invalid properties with the reasons. Usually used together with valid? @return Array for valid properties with the reasons

# File lib/change_healthcare/professional_claims/swagger_client/models/claim_pricing_repricing_information.rb, line 149
def list_invalid_properties
  []
end
policy_compliance_code=(policy_compliance_code) click to toggle source

Custom attribute writer method checking allowed values (enum). @param [Object] policy_compliance_code Object to be assigned

# File lib/change_healthcare/professional_claims/swagger_client/models/claim_pricing_repricing_information.rb, line 187
def policy_compliance_code=(policy_compliance_code)
  validator = EnumAttributeValidator.new('String', %w[1 2 3 4 5])
  unless validator.valid?(policy_compliance_code)
    raise ArgumentError,
          %(invalid value for "policy_compliance_code", must be one of #{validator.allowable_values}.)
  end

  @policy_compliance_code = policy_compliance_code
end
pricing_methodology_code=(pricing_methodology_code) click to toggle source

Custom attribute writer method checking allowed values (enum). @param [Object] pricing_methodology_code Object to be assigned

# File lib/change_healthcare/professional_claims/swagger_client/models/claim_pricing_repricing_information.rb, line 199
def pricing_methodology_code=(pricing_methodology_code)
  validator = EnumAttributeValidator.new('String',
                                         %w[00 01 02 03 04 05 06 07 08 09 10 11 12 13 14])
  unless validator.valid?(pricing_methodology_code)
    raise ArgumentError,
          %(invalid value for "pricing_methodology_code", must be one of #{validator.allowable_values}.)
  end

  @pricing_methodology_code = pricing_methodology_code
end
reject_reason_code=(reject_reason_code) click to toggle source

Custom attribute writer method checking allowed values (enum). @param [Object] reject_reason_code Object to be assigned

# File lib/change_healthcare/professional_claims/swagger_client/models/claim_pricing_repricing_information.rb, line 212
def reject_reason_code=(reject_reason_code)
  validator = EnumAttributeValidator.new('String', %w[T1 T2 T3 T4 T5 T6])
  unless validator.valid?(reject_reason_code)
    raise ArgumentError,
          %(invalid value for "reject_reason_code", must be one of #{validator.allowable_values}.)
  end

  @reject_reason_code = reject_reason_code
end
to_body() click to toggle source

to_body is an alias to to_hash (backward compatibility) @return [Hash] Returns the object in the form of hash

# File lib/change_healthcare/professional_claims/swagger_client/models/claim_pricing_repricing_information.rb, line 326
def to_body
  to_hash
end
to_hash() click to toggle source

Returns the object in the form of hash @return [Hash] Returns the object in the form of hash

# File lib/change_healthcare/professional_claims/swagger_client/models/claim_pricing_repricing_information.rb, line 332
def to_hash
  hash = {}
  self.class.attribute_map.each_pair do |attr, param|
    value = send(attr)
    next if value.nil?

    hash[param] = _to_hash(value)
  end
  hash
end
to_s() click to toggle source

Returns the string representation of the object @return [String] String presentation of the object

# File lib/change_healthcare/professional_claims/swagger_client/models/claim_pricing_repricing_information.rb, line 320
def to_s
  to_hash.to_s
end
valid?() click to toggle source

Check to see if the all the properties in the model are valid @return true if the model is valid

# File lib/change_healthcare/professional_claims/swagger_client/models/claim_pricing_repricing_information.rb, line 155
def valid?
  exception_code_validator = EnumAttributeValidator.new('String', %w[1 2 3 4 5 6])
  return false unless exception_code_validator.valid?(@exception_code)

  policy_compliance_code_validator = EnumAttributeValidator.new('String', %w[1 2 3 4 5])
  return false unless policy_compliance_code_validator.valid?(@policy_compliance_code)

  pricing_methodology_code_validator = EnumAttributeValidator.new('String',
                                                                  %w[00 01 02 03 04 05 06 07 08 09 10 11 12 13
                                                                     14])
  return false unless pricing_methodology_code_validator.valid?(@pricing_methodology_code)

  reject_reason_code_validator = EnumAttributeValidator.new('String', %w[T1 T2 T3 T4 T5 T6])
  return false unless reject_reason_code_validator.valid?(@reject_reason_code)

  true
end