from .common import X12DOCUMENT from .header import HEADER import numpy as np class BODY (HEADER): """ This class will contain functions that will parse elements associated with the claim body """ def BHT (self,**_args): """ Expected Element BHT This functiion will process header submitted (receiver,claim_type,) """ _columns= ['receiver_id','submitted_date','submitted_time','claim_type'] return self.parse(_columns,[3,7],**_args) def NM1 (self,**_args): """ Expected Element NM1 ref IL,40,41,82,85,PR ... Information about entities (doctors, clearing house, provider). we should be mindful of the references """ _CODE_INDEX = 1 CONTEXT_MAP = { '2':{'field':'payer'}, 'PR':{'field':'payer'}, '41':{'field':'header'}, '45':{'field':'ambulance_location'}, 'IL':{'field':'patient','map':{'type':2,'first_name':4,'last_name':3}}, 'P5':{'field':'plan_sponsor'}, '82':{'field':'rendering_provider','map':{'type':2,'first_name':4,'last_name':3}}, '85':{'field':'billing_provider'}, } _args ['plugin-context'] = {'@ref':CONTEXT_MAP} # _map = {_CODE_INDEX:{'41':'submitter','40':'receiver','PR':'payer'}} _columns = ['type','name','id'] _indexes = [1,3,-1] # _info = [{'index':'40','field':'receiver'},{'index':'41','field':'submitter'},{'index':'PR','field':'payer'}] _info = self.parse(_columns,_indexes,**_args) self.lastelement = _info return _info def N3 (self,**_args): """ Expected Element N3 """ _columns = ['address_line_1'] return self.parse(_columns,[1,2],**_args) def N4(self,**_args): """ Expected Element N4 """ _columns = ['city','state','zip'] return self.parse(_columns,[1,2,3],**_args) def HI(self,**_args): """ Expected Element HI This function will parse diagnosis codes ICD 9/10 """ _columns = ['code','type'] return self.parse(_columns,[2,1],**_args) def AMT (self,**_args): """ Expected Element AMT """ _columns = ['amount','qualifier'] return self.parse(_columns,[2,1],**_args) def SBR (self,**_args): """ Expected Element SBR """ _index = [9,1] _columns = ['vendor','individual_code','type'] return self.parse(_columns,[9,2,1],**_args) def DMG (self,**_args): """ Expected Element DMG, these need to be stored in a patient object """ _columns = ['dob','gender','format'] _info = self.parse(_columns,[2,3,1],**_args) return {'patient':_info} def DTP (self,**_args): """ Expected Element DTP """ _columns = ['to','from','type'] return self.parse(_columns,[3],**_args) def PER (self,**_args): """ Expected Element PER """ _CODE_INDEX = 1 _map = {_CODE_INDEX:{'IC':'submitter'}} # attribute to store the data in _columns = ['contact_name','phone','email'] _info = self.parse (_columns,[2,4,8],**_args) # # @TODO: Inspect the configuration file for the attribute information # return _info def CLM (self,**_args): """ Expected Element CLM """ _columns = ['claim_id','claim_amount','facility_code','facility_qualifier','frequency_code'] return self.parse(_columns,[1,2,5,5,5],**_args) def REF (self,**_args): _columns = ['identifier','qualifier',''] _CODE_INDEX = 1 # -- according to x12 standard _map = {_CODE_INDEX:{'EA':'patient','EI':'provider','6R':'','D9':''}} return self.parse(_columns,[2],**_args) def HI (self,**_args): """ Expected Element HI """ _columns = ['code','type'] return self.parse(_columns,[1,2],**_args) def SV1 (self,**_args): """ Expected Element SV1 """ _row = _args['row'] if type(_args['row']) == list else _args['row'].split('*') _columns = ['type','code','amount','modifier_1','modifier_2','modifier_3','modifier_4','place_of_service','units','measurement'] return self.parse(_columns,[1,1,2,1,1,1,1,5,4,3],**_args) def SV3 (self,**_args): return self.SV1(**_args) def HL (self,**_args) : """, Expected Element HL The expected block is supposed to be unprocessed (to make things simple) """ # _row = _args['row'] if type(_args['row']) == list else _args['row'].split('~') # _attr = self.elements() #[_name for _name in dir() if not _name.islower() and not _name.startswith('_')] # _pointers = [getattr(self,_name) for _name in _attr] # _map = dict(zip(_attr,_pointers)) _map = self.pointers() # # The index here tells us what we are processing i.e index == 1 something about header # _columns = ['_index','parent','code','child'] # _args['row'] = _row[0] _info = self.parse (_columns,[1,2,3,4],**_args) # _field = 'billing_provider' if _info['_index'] == '1' else 'patient' # _config ={'field':_field} return _info