class EligibilityOrBenefitInformation(X12SegmentBridge):
"""Eligibility Information."""
information_type = ElementAccess("EB", 1, x12type=enum(
eligibility_or_benefit_code))
coverage_level = ElementAccess("EB", 2, x12type=enum(
coverage_level))
service_type = ElementAccess("EB", 3, x12type=enum(
service_type_codes))
insurance_type = ElementAccess("EB", 4, x12type=enum(
insurance_type))
description = ElementAccess("EB", 5)
time_period_type = ElementAccess("EB", 6,
x12type=enum(time_period_qualifier))
benefit_amount = ElementAccess("EB", 7, x12type=Money)
benefit_percent = ElementAccess("EB", 8, x12type=XDecimal)
quantity_type = ElementAccess("EB", 9, x12type=enum(quantity_qualifier))
quantity = ElementAccess("EB", 10)
authorization_or_certification = ElementAccess("EB", 11,
x12type=boolean("Y"))
in_plan_network = ElementAccess("EB", 12, x12type=boolean("Y"))
both_in_out_network = ElementAccess("EB", 12, x12type=boolean("W"))
ada_code = CompositeAccess("EB", "AD", 13)
cpt_code = CompositeAccess("EB", "CJ", 13)
hcpcs_code = CompositeAccess("EB", "HC", 13)
icd_9_cm_code = CompositeAccess("EB", "ID", 13)
ndc_code = CompositeAccess("EB", "ND", 13)
zz_code = CompositeAccess("EB", "ZZ", 13)
class Relationship(X12SegmentBridge):
is_insured = ElementAccess("INS", 1, x12type=boolean('Y'))
relationship = ElementAccess("INS",
2,
x12type=enum(
{
"01": "Spouse",
"18": "Self",
"19": "Child",
"21": "Unknown",
"34": "Other Adult"
},
raw_unknowns=True))
maintenance_type = ElementAccess("INS",
3,
x12type=enum({"001": "Change"},
raw_unknowns=True))
maintenance_reason = ElementAccess(
"INS",
4,
x12type=enum({"25": "Change in Identifying Data Elements"},
raw_unknowns=True))
student_status = ElementAccess("INS",
9,
x12type=enum({
"F": "Full-time",
"N": "Not a Student",
"P": "Part-time"
}))
handicapped = ElementAccess("INS", 10, x12type=boolean("Y"))
birth_sequence_number = ElementAccess("INS", 17)
class RequestValidation(X12SegmentBridge):
valid_request = ElementAccess("AAA", 1, x12type=boolean("Y"))
reject_reason = ElementAccess("AAA", 3, x12type=enum(reject_reason_code))
follow_up_action_code = ElementAccess(
"AAA",
4,
x12type=enum({
"C":
"Please Correct and Resubmit",
"N":
"Resubmission Not Allowed",
"P":
"Please Resubmit Original Transaction",
"R":
"Resubmission Allowed",
"S":
"Do Not Resubmit; Inquiry Initiated to a Third Party",
"W":
"Please Wait 30 Days and Resubmit",
"X":
"Please Wait 10 Days and Resubmit",
"Y":
"Do Not Resubmit; We Will Hold Your Request and Respond Again "
"Shortly"
}))
class Hierarchy(X12SegmentBridge):
id = ElementAccess("HL", 1)
parent_id = ElementAccess("HL", 2)
level = ElementAccess("HL",
3,
x12type=enum({
"20": "Information Source",
"21": "Information Receiver",
"22": "Subscriber",
"23": "Dependent",
}))
has_children = ElementAccess("HL", 4, x12type=boolean("1"))