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Cloud Cray
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Adds 5010 versions of 837 parsers for Professional and Institutional claims
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8 files changed

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‎tests/5010-837-institutional-example.txt‎

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ISA*00* *00* *ZZ*1234567 *ZZ*11111 *170508*1141*^*00501*000000101*1*P*:~
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GS*HC*XXXXXXX*XXXXX*20170617*1741*101*X*005010X223A2~
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ST*837*987654*005010X223A2~
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BHT*0019*00*0123*19960918*0932*CH~
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NM1*41*2*JONES HOSPITAL*****46*12345~
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PER*IC*JANE DOE*TE*9005555555~
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NM1*40*2*MEDICARE*****46*00120~
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HL*1**20*1~
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PRV*BI*PXC*203BA0200N~
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NM1*85*2*JONES HOSPITAL*****XX*9876540809~
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N3*225 MAIN STREET BARKLEY BUILDING~
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N4*CENTERVILLE*PA*17111~
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REF*EI*567891234~
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PER*IC*CONNIE*TE*3055551234~
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HL*2*1*22*0~
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SBR*P*18*******MB~
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NM1*IL*1*DOE*JOHN*T***MI*030005074A~
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N3*125 CITY AVENUE~
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N4*CENTERVILLE*PA*17111~
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DMG*D8*19261111*M~
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NM1*PR*2*MEDICARE B*****PI*00435~
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REF*G2*330127~
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CLM*756048Q*89.93**14:A:1*A*Y*Y~
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DTP*434*RD8*19960911~
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CL1*3**01~
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HI*BK:3669~
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HI*BF:4019*BF:79431~
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HI*BH:A1:D8:19261111*BH:A2:D8:19911101*BH:B1:D8:19261111*BH:B2:D8:19870101~
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HI*BE:A2:::15.31~
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HI*BG:09~
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NM1*71*1*JONES*JOHN*J~
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REF*1G*B99937~
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SBR*S*01*351630*STATE TEACHERS*****CI~
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OI***Y***Y~
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NM1*IL*1*DOE*JANE*S***MI*222004433~
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N3*125 CITY AVENUE~
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N4*CENTERVILLE*PA*17111~
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NM1*PR*2*STATE TEACHERS*****PI*1135~
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LX*1~
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SV2*0305*HC:85025*13.39*UN*1~
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DTP*472*D8*19960911~
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LX*2~
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SV2*0730*HC:93005*76.54*UN*3~
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DTP*472*D8*19960911~
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SE*42*987654~
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GE*1*101~
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GS*HC*XXXXXXX*XXXXX*20170617*1741*101*X*005010X223A2~
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ST*837*987654*005010X223A2~
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BHT*0019*00*0123*19960918*0932*CH~
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NM1*41*2*JONES HOSPITAL*****46*12345~
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PER*IC*JANE DOE*TE*9005555555~
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NM1*40*2*MEDICARE*****46*00120~
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HL*1**20*1~
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PRV*BI*PXC*203BA0200N~
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NM1*85*2*JONES HOSPITAL*****XX*9876540809~
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N3*225 MAIN STREET BARKLEY BUILDING~
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N4*CENTERVILLE*PA*17111~
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REF*EI*567891234~
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PER*IC*CONNIE*TE*3055551234~
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HL*2*1*22*0~
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SBR*P*18*******MB~
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NM1*IL*1*DOE*JOHN*T***MI*030005074A~
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N3*125 CITY AVENUE~
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N4*CENTERVILLE*PA*17111~
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DMG*D8*19261111*M~
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NM1*PR*2*MEDICARE B*****PI*00435~
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REF*G2*330127~
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CLM*756048Q*89.93**14:A:1*A*Y*Y~
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DTP*434*RD8*19960911~
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CL1*3**01~
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HI*BK:3669~
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HI*BF:4019*BF:79431~
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HI*BH:A1:D8:19261111*BH:A2:D8:19911101*BH:B1:D8:19261111*BH:B2:D8:19870101~
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HI*BE:A2:::15.31~
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HI*BG:09~
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NM1*71*1*JONES*JOHN*J~
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REF*1G*B99937~
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SBR*S*01*351630*STATE TEACHERS*****CI~
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OI***Y***Y~
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NM1*IL*1*DOE*JANE*S***MI*222004433~
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N3*125 CITY AVENUE~
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N4*CENTERVILLE*PA*17111~
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NM1*PR*2*STATE TEACHERS*****PI*1135~
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LX*1~
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SV2*0305*HC:85025*13.39*UN*1~
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DTP*472*D8*19960911~
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LX*2~
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SV2*0730*HC:93005*76.54*UN*3~
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DTP*472*D8*19960911~
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SE*42*987654~
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GE*1*101~
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IEA*1*000000101~

‎tests/5010-837-professional-example.txt‎

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ISA*00* *00* *ZZ*1234567 *ZZ*11111 *170508*1141*^*00501*000000101*1*P*:~
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GS*HC*XXXXXXX*XXXXX*20170617*1741*101*X*005010X222A1~
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ST*837*1239*005010X222A1~
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BHT*0019*00*010*20170617*1741*CH~
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NM1*41*2*SUBMITTER*****46*ABC123~
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PER*IC*BOB SMITH*TE*4805551212~
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NM1*40*2*RECEIVER*****46*44556~
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HL*1**20*1~
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NM1*85*2*BILLING PROVIDER*****XX*1122334455~
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N3*1234 SOME ROAD~
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N4*CHICAGO*IL*606739999~
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REF*EI*999999999~
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HL*2*1*22*0~
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SBR*P*18*******12~
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NM1*IL*1*BLOGGS*JOE****MI*1234567890~
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N3*1 SOME BLVD~
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N4*CHICAGO*IL*606129998~
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DMG*D8*19570111*M~
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NM1*PR*2*PAYER*****PI*12345~
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N3*1 PAYER WAY~
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N4*ST LOUIS*MO*212441850~
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REF*2U*W1014~
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CLM*1000A*140***19:B:1*Y*A*Y*Y~
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HI*ABK:I10~
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LX*1~
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SV1*HC:99213*140*UN*1***1~
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DTP*472*D8*20151124~
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HL*3*1*22*0~
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SBR*P*18*******12~
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NM1*IL*1*BLOGGS*FRED****MI*9876543201~
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N3*1 ANOTHER STR~
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N4*CHICAGO*IL*606129998~
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DMG*D8*19700601*M~
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NM1*PR*2*PAYER*****PI*12345~
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N3*1 PAYER WAY~
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N4*ST LOUIS*MO*212441850~
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REF*2U*W1014~
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CLM*1001A*140***19:B:1*Y*A*Y*Y~
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HI*ABK:I10~
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LX*1~
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SV1*HC:99213*140*UN*1***1~
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DTP*472*D8*20151124~
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SE*41*1239~
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GE*1*101~
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IEA*1*000000101~

‎tests/test_5010_837I.py‎

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import datetime
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from decimal import Decimal
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import unittest
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from tigershark.parsers.M837_5010_X223_A1 import parsed_837
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7+
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class TestParserX223A1(unittest.TestCase):
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def test_financial_information(self):
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with open('tests/5010-837-institutional-example.txt') as f:
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parsed = parsed_837.unmarshall(f.read().strip())
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segments = parsed.segs()
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self.assertEqual(len(segments), 92)
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self.assertEqual(
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[str(x) for x in segments[1].elements],
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[
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"GS",
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"HC",
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"XXXXXXX",
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"XXXXX",
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"20170617",
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"1741",
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"101",
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"X",
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"005010X223A2"
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]
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)
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segment_first_nm1 = parsed.descendant("segment", "NM1")[0]
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self.assertEqual(
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[str(x) for x in segment_first_nm1.elements],
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[
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"NM1",
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"41",
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"2",
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"JONES HOSPITAL",
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"",
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"",
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"",
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"",
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"46",
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"12345"
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]
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)

‎tests/test_5010_837P.py‎

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import datetime
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from decimal import Decimal
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import unittest
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from tigershark.parsers.M837_5010_X222_A1 import parsed_837
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class TestParserX222A1(unittest.TestCase):
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def test_financial_information(self):
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with open('tests/5010-837-professional-example.txt') as f:
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parsed = parsed_837.unmarshall(f.read().strip())
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segments = parsed.segs()
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self.assertEqual(len(segments), 45)
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self.assertEqual(
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[str(x) for x in segments[1].elements],
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[
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"GS",
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"HC",
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"XXXXXXX",
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"XXXXX",
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"20170617",
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"1741",
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"101",
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"X",
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"005010X222A1"
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]
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)
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segment_first_nm1 = parsed.descendant("segment", "NM1")[0]
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self.assertEqual(
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[str(x) for x in segment_first_nm1.elements],
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[
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"NM1",
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"41",
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"2",
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"SUBMITTER",
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"",
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"",
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"",
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"",
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"46",
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"ABC123"
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]
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)

‎tigershark/__init__.py‎

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Original file line numberDiff line numberDiff line change
@@ -97,3 +97,5 @@ def version_string(self):
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X12_4010_XXXC = X12VersionTuple.for_4010('XXXC')
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X12_5010_X221A1 = X12VersionTuple.for_5010('X221A1')
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X12_5010_X279A1 = X12VersionTuple.for_5010('X279A1')
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X12_5010_X222A1 = X12VersionTuple.for_5010('X222A1')
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X12_5010_X223A1 = X12VersionTuple.for_5010('X223A1')

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