Trizetto::Api

Ruby wrapper for Trizetto APIs

Installation

Add this line to your application's Gemfile:

gem 'trizetto-api'

And then execute:

$ bundle

Or install it yourself as:

$ gem install trizetto-api

Usage

Use the Eligibility Web Service with an XML payload to check eligibility in realtime

This uses name/value pairs in a request and returns an XML docunment as a response. You can force this API to return an X12 document if you like pain.

require 'trizetto/api'

Trizetto::Api.configure do |config|
  config.username = 'Not the real username'
  config.password = 'Super Top Secret'
end


client = Trizetto::Api::Eligibility::WebService.new({
  pretty_print_xml: true,
  log: true,
  log_level: :debug,
})
response = client.do_inquiry({
  'ProviderLastName': 'BLUE CROSS BLUE SHIELD OF MASSACHUSETTS',
  'NPI':              'YOUR NPI HERE',
  'InsuredFirstName': 'Mickey',
  'InsuredLastName':  'Mouse',
  'InsuredDob':       '19281118',
  'GediPayerId':      'N4222',
})

puts response.to_hash[:do_inquiry_response][:do_inquiry_result][:success_code]

source = response.to_hash[:do_inquiry_response][:do_inquiry_result][:response_as_xml]
puts Nokogiri::XML(source).to_xml

Use the CORE2 API with an X12 payload to check eligibility in realtime

This returns an X12/271 response. You will need to understand how to build X12/270 requests and parse X12/271 responses.

require 'trizetto/api'

Trizetto::Api.configure do |config|
  config.username = 'Not the real username'
  config.password = 'Super Top Secret'
end


client = Trizetto::Api::Eligibility::Core2.new
client.check_eligibility(payload: x12_message)

Ping the Payer List endpoint to see if it is up

require 'trizetto/api'

Trizetto::Api.configure do |config|
  config.username = 'Not the real username'
  config.password = 'Super Top Secret'
end

client = Trizetto::Api::PayerList::WebService.new({
  pretty_print_xml: true,
  log: true,
  log_level: :debug,
})

response = client.ping

Fetch the Payer List

This API times out or errors out on the Trizetto server. But you may get it to work.

require 'trizetto/api'

Trizetto::Api.configure do |config|
  config.username = 'Not the real username'
  config.password = 'Super Top Secret'
end

client = Trizetto::Api::PayerList::WebService.new({
  pretty_print_xml: true,
  log: true,
  log_level: :debug,
  read_timeout: 60*5 # 5 minutes
})

response = client.payer_list

Development

After checking out the repo, run bin/setup to install dependencies. Then, run rake spec to run the tests. You can also run bin/console for an interactive prompt that will allow you to experiment.

To install this gem onto your local machine, run bundle exec rake install. To release a new version, update the version number in version.rb, and then run bundle exec rake release, which will create a git tag for the version, push git commits and tags, and push the .gem file to rubygems.org.

Contributing

Bug reports and pull requests are welcome on GitHub at https://github.com/GoodMeasuresLLC/trizetto-api. This project is intended to be a safe, welcoming space for collaboration, and contributors are expected to adhere to the Contributor Covenant code of conduct.

License

The gem is available as open source under the terms of the MIT License.

Code of Conduct

Everyone interacting in the Trizetto::Api project’s codebases, issue trackers, chat rooms and mailing lists is expected to follow the code of conduct.