james.maesandClaude Opus 5.5
ea4c48ad66
- In-house 005010 baseline guides for 837P, 837I, 835, 270/271, 276/277 and 834; 999 for HIPAA documents with IK3/IK4/CTX/IK5. - SNIP 3 balancing (837 claim vs line charges, 835 payment vs claims and PLB, CAS adjustments), SNIP 4 situational rules, SNIP 5 format checks (ICD-10 shape, NPI check digit, ZIP) and an ExternalCodeSetProvider SPI. - PHI classification via the RC.5 stand-in; healthcare keys go to phiBusinessKey; no element values in errors, events, alerts, logs or acks for PHI documents; audited Download Raw Document action. - Healthcare sample maps, canary PHI egress tests, demo clearinghouse. Co-Authored-By: Claude Opus 5.5 <noreply@anthropic.com>
38 lines
1.5 KiB
Java
38 lines
1.5 KiB
Java
/*
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* QQQ - Low-code Application Framework for Engineers.
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* Copyright (C) 2021-2025. Kingsrook, LLC
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* 651 N Broad St Ste 205 # 6917 | Middletown DE 19709 | United States
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* contact@kingsrook.com
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* https://github.com/Kingsrook/
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*
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* Licensed under the Apache License, Version 2.0 (the "License");
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* you may not use this file except in compliance with the License.
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* You may obtain a copy of the License at
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*
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* https://www.apache.org/licenses/LICENSE-2.0
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*
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* Unless required by applicable law or agreed to in writing, software
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* distributed under the License is distributed on an "AS IS" BASIS,
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* WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied.
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* See the License for the specific language governing permissions and
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* limitations under the License.
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*/
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package com.kingsrook.qbits.edi.guide;
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import java.time.LocalDate;
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/*******************************************************************************
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** Host-owned, licensed code sets. Implementations must not log submitted values.
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*******************************************************************************/
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@FunctionalInterface
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public interface ExternalCodeSetProvider
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{
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/*******************************************************************************
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** Check membership on the document's effective service or payment date.
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*******************************************************************************/
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boolean isValid(String codeSet, String code, LocalDate asOf);
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}
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