Class: Trizetto::Api::Eligibility::Core2

Inherits:
Object
  • Object
show all
Defined in:
lib/trizetto/api/eligibility/core2.rb

Overview

Ruby Wrapper for the CORE II Eligibility API

Performs a real-time eligibility check using the CORE II SOAP API. This API provides an X12/270 request and receives an X12/271 response.

As of right now, you have to generate the correct X12/271 payload.

<b<References</b>

Instance Method Summary collapse

Constructor Details

#initialize(options = {}) ⇒ Core2

Returns a new instance of Core2.



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# File 'lib/trizetto/api/eligibility/core2.rb', line 18

def initialize(options={})
  @client = Savon.client({
    # We use a local WSDL for 1) speed and 2) the remote wsdl had a target
    # namespace that Savon consumed (SOAP UI did not).  I changed
    # targetNamespace in the WSDL to "http://www.caqh.org/SOAP/WSDL/CORERule2.2.0.xsd"
    # from "http://www.caqh.org/SOAP/WSDL/".  With that one simple change,
    # Savon is able to generate a SOAP requests that Trizetto accepts.
    # without that, you get back a 500 error and no information giving
    # insite into the error.
    wsdl:        File.join( File.dirname(__FILE__), 'core2.wsdl' ),

    endpoint:    Trizetto::Api.configuration.eligibility_core2_endpoint,

    # Digest authentication is not supported :(
    wsse_auth:   [Trizetto::Api.configuration.username, Trizetto::Api.configuration.password],

    # SOAP Version 1 sends the wrong content type header and you get back a 415 response
    soap_version: 2,

    # API maybe case sensitive - im not sure
    convert_request_keys_to: :camelcase,

    # This removes the namespace prefix in the request body nodes
    #   <CORE-XSD:PayloadType>X12_270_Request_005010X279A1</CORE-XSD:PayloadType>
    #   becomes:
    #   <PayloadType>X12_270_Request_005010X279A1</PayloadType>
    # Without this option, you get back erros like: Payload Type Required
    element_form_default: :unqualified,

    # Lots of PHI, so lets not log anything
    log: false,

    # We get back multipart responses.  You have to tell Savon that its
    # multipart, it doesn't just figure it out
    multipart: true,

  }.merge(options))
end

Instance Method Details

#check_eligibility(options = {}) ⇒ Object

Performs an eligiblity check using the CORE II Eligibility API via X12/270

TODO

  • Understand the X12 format and allow options to be passed in, then generate the X12 message



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# File 'lib/trizetto/api/eligibility/core2.rb', line 62

def check_eligibility(options = {})
  @client.call(:real_time_transaction, message: {
    'PayloadType': 'X12_270_Request_005010X279A1',
    'ProcessingMode': 'RealTime',
    'PayloadID': SecureRandom.uuid,
    'TimeStamp': Time.now.utc.xmlschema,
    'SenderID': Trizetto::Api.configuration.username,
    'ReceiverID': 'GATEWAY EDI',
    'CORERuleVersion': '2.2.0',
    'Payload': options[:payload]
  });
end