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Mocking claims packages and interventions endpoints #504

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merged 2 commits into from
Dec 4, 2024
Merged

Mocking claims packages and interventions endpoints #504

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634b842
mocked fetch of interventions and packages from api
Omoshlawi Dec 3, 2024
2773912
Merge branch 'main' into claims-mock
Omoshlawi Dec 3, 2024
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391 changes: 391 additions & 0 deletions packages/esm-billing-app/src/hooks/benefits.mock.ts
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Original file line number Diff line number Diff line change
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export const category = [
{
id: 1,
code: 'SHA-01',
categoryName: 'Ambulance and Emergency Services',
},
{
id: 2,
code: 'SHA-02',
categoryName: 'Assistive Devices',
},
{
id: 3,
code: 'SHA-03',
categoryName: 'Critical Care Services',
},
{
id: 4,
code: 'SHA-04',
categoryName: 'End of Life services',
},
{
id: 5,
code: 'SHA-05',
categoryName: 'Optical Health Services',
},
{
id: 6,
code: 'SHA-06',
categoryName: 'Hematology and Oncology Services',
},
{
id: 7,
code: 'SHA-07',
categoryName: 'Inpatient Services',
},
{
id: 8,
code: 'SHA-08',
categoryName: 'Maternity and Child Health Services',
},
{
id: 9,
code: 'SHA-09',
categoryName: 'Medical Imaging & Other Investigations ',
},
{
id: 10,
code: 'SHA-10',
categoryName: 'Mental Wellness Services',
},
{
id: 11,
code: 'SHA-11',
categoryName: 'Oral Health Services',
},
{
id: 12,
code: 'SHA-12',
categoryName: 'Outpatient Services',
},
{
id: 13,
code: 'SHA-13',
categoryName: 'Palliative Care services',
},
{
id: 14,
code: 'SHA-14',
categoryName: 'Pharmacy Services',
},
{
id: 15,
code: 'SHA-15',
categoryName: 'Rehabilation Services',
},
{
id: 16,
code: 'SHA-16',
categoryName: 'Renal Care Services',
},
{
id: 17,
code: 'SHA-17',
categoryName: 'Screening',
},
{
id: 18,
code: 'SHA-18',
categoryName: 'Essential Diagnostic Laboratory listing for NCDs',
},
{
id: 19,
code: 'SHA-19',
categoryName: 'Surgical Services',
},
{
id: 20,
code: 'SHA-20',
categoryName: 'Overseas treatment',
},
];

export const interventions = [
{
interventionCode: 'SHA-01-001',
shaCategory: 'Ambulance & Emergency services',
accessCode: 'outpatient',
subCategoryBenefitsPackage: 'Evacuations',
interventionName: 'Ambulance services (Intra-metro within 25KM radius )',
needsPreAuth: 'NO',
categoryHealthFacility: 'Outsourced',
providerPaymentMechanism: 'FFS',
gender: '',
limitIndividualHousehold: 'None',
interventionQuantityYear: 'LIMITLESS',
tariffs: '',
limitIndividual: '',
minAge: '',
maxAge: '',
limitsIndividualHousehold: '',
phc: '0%',
shif: '0%',
eccif: '0%',
automateManual: 'N/A',
},
{
interventionCode: 'SHA-01-002',
shaCategory: 'Ambulance & Emergency services',
accessCode: '',
subCategoryBenefitsPackage: 'Evacuations',
interventionName: 'Ambulance services (Extra-metro,beyond 25KM )',
needsPreAuth: 'NO',
categoryHealthFacility: 'Outsourced',
providerPaymentMechanism: 'FFS',
gender: '',
limitIndividualHousehold: 'None',
interventionQuantityYear: 'LIMITLESS',
tariffs: '',
limitIndividual: '',
minAge: '',
maxAge: '',
limitsIndividualHousehold: '',
phc: '0%',
shif: '0%',
eccif: '0%',
automateManual: 'N/A',
},
{
interventionCode: 'SHA-01-003',
shaCategory: 'Ambulance & Emergency services',
accessCode: 'inpatient',
subCategoryBenefitsPackage: 'Emergency Room Services',
interventionName: 'Emergency room services',
needsPreAuth: 'YES',
categoryHealthFacility: 'In-network',
providerPaymentMechanism: 'Capitation',
gender: '',
limitIndividualHousehold: 'Individual',
interventionQuantityYear: '1',
tariffs: '10000',
limitIndividual: '10000',
minAge: '18',
maxAge: '65',
limitsIndividualHousehold: '10000',
phc: '20%',
shif: '80%',
eccif: '0%',
automateManual: 'AUTOMATE',
},
{
interventionCode: 'SHA-16-005',
shaCategory: 'Renal Care Package',
accessCode: '',
subCategoryBenefitsPackage: 'Renal Care package',
interventionName: 'Insertion of Continuous Ambulatory Peritoneal Dialysis (CAPD) catheter',
needsPreAuth: 'YES',
categoryHealthFacility: '',
providerPaymentMechanism: '',
gender: '',
limitIndividualHousehold: '',
interventionQuantityYear: '',
tariffs: '33600',
limitIndividual: '',
minAge: '',
maxAge: '',
limitsIndividualHousehold: 'Individual',
phc: '0%',
shif: '100%',
eccif: '0%',
automateManual: 'AUTOMATE',
},
{
interventionCode: 'SHA-02-003',
shaCategory: 'Assistive Devices',
accessCode: 'outpatient',
subCategoryBenefitsPackage: 'Prosthetics',
interventionName: 'Prosthetic limbs',
needsPreAuth: 'YES',
categoryHealthFacility: 'In-network',
providerPaymentMechanism: 'Capitation',
gender: '',
limitIndividualHousehold: 'Individual',
interventionQuantityYear: '1',
tariffs: '5000',
limitIndividual: '5000',
minAge: '18',
maxAge: '65',
limitsIndividualHousehold: '5000',
phc: '20%',
shif: '80%',
eccif: '0%',
automateManual: 'AUTOMATE',
},
{
interventionCode: 'SHA-02-004',
shaCategory: 'Assistive Devices',
accessCode: 'inpatient',
subCategoryBenefitsPackage: 'Orthotics',
interventionName: 'Orthotic devices',
needsPreAuth: 'YES',
categoryHealthFacility: 'In-network',
providerPaymentMechanism: 'Capitation',
gender: '',
limitIndividualHousehold: 'Individual',
interventionQuantityYear: '1',
tariffs: '3000',
limitIndividual: '3000',
minAge: '18',
maxAge: '65',
limitsIndividualHousehold: '3000',
phc: '20%',
shif: '80%',
eccif: '0%',
automateManual: 'AUTOMATE',
},
{
interventionCode: 'SHA-02-005',
shaCategory: 'Assistive Devices',
accessCode: 'outpatient',
subCategoryBenefitsPackage: 'Wheelchairs',
interventionName: 'Wheelchairs',
needsPreAuth: 'NO',
categoryHealthFacility: 'Outsourced',
providerPaymentMechanism: 'FFS',
gender: '',
limitIndividualHousehold: 'None',
interventionQuantityYear: 'LIMITLESS',
tariffs: '',
limitIndividual: '',
minAge: '',
maxAge: '',
limitsIndividualHousehold: '',
phc: '0%',
shif: '0%',
eccif: '0%',
automateManual: 'N/A',
},
{
interventionCode: 'SHA-03-004',
shaCategory: 'Critical Care Services',
accessCode: 'inpatient',
subCategoryBenefitsPackage: 'ICU Care',
interventionName: 'ICU care for critical patients',
needsPreAuth: 'YES',
categoryHealthFacility: 'In-network',
providerPaymentMechanism: 'Capitation',
gender: '',
limitIndividualHousehold: 'Individual',
interventionQuantityYear: '1',
tariffs: '10000',
limitIndividual: '10000',
minAge: '18',
maxAge: '65',
limitsIndividualHousehold: '10000',
phc: '20%',
shif: '80%',
eccif: '0%',
automateManual: 'AUTOMATE',
},
{
interventionCode: 'SHA-03-005',
shaCategory: 'Critical Care Services',
accessCode: 'inpatient',
subCategoryBenefitsPackage: 'CCU Care',
interventionName: 'CCU care for critical patients',
needsPreAuth: 'YES',
categoryHealthFacility: 'In-network',
providerPaymentMechanism: 'Capitation',
gender: '',
limitIndividualHousehold: 'Individual',
interventionQuantityYear: '1',
tariffs: '8000',
limitIndividual: '8000',
minAge: '18',
maxAge: '65',
limitsIndividualHousehold: '8000',
phc: '20%',
shif: '80%',
eccif: '0%',
automateManual: 'AUTOMATE',
},
{
interventionCode: 'SHA-03-006',
shaCategory: 'Critical Care Services',
accessCode: 'outpatient',
subCategoryBenefitsPackage: 'Emergency Response',
interventionName: 'Emergency response services',
needsPreAuth: 'NO',
categoryHealthFacility: 'Outsourced',
providerPaymentMechanism: 'FFS',
gender: '',
limitIndividualHousehold: 'None',
interventionQuantityYear: 'LIMITLESS',
tariffs: '',
limitIndividual: '',
minAge: '',
maxAge: '',
limitsIndividualHousehold: '',
phc: '0%',
shif: '0%',
eccif: '0%',
automateManual: 'N/A',
},
{
interventionCode: 'SHA-04-005',
shaCategory: 'End of Life services',
accessCode: 'outpatient',
subCategoryBenefitsPackage: 'Palliative Care',
interventionName: 'Palliative care services',
needsPreAuth: 'NO',
categoryHealthFacility: 'Outsourced',
providerPaymentMechanism: 'FFS',
gender: '',
limitIndividualHousehold: 'None',
interventionQuantityYear: 'LIMITLESS',
tariffs: '',
limitIndividual: '',
minAge: '',
maxAge: '',
limitsIndividualHousehold: '',
phc: '0%',
shif: '0%',
eccif: '0%',
automateManual: 'N/A',
},
{
interventionCode: 'SHA-04-006',
shaCategory: 'End of Life services',
accessCode: 'inpatient',
subCategoryBenefitsPackage: 'Hospice Care',
interventionName: 'Hospice care services',
needsPreAuth: 'YES',
categoryHealthFacility: 'In-network',
providerPaymentMechanism: 'Capitation',
gender: '',
limitIndividualHousehold: 'Individual',
interventionQuantityYear: '1',
tariffs: '6000',
limitIndividual: '6000',
minAge: '18',
maxAge: '65',
limitsIndividualHousehold: '6000',
phc: '20%',
shif: '80%',
eccif: '0%',
automateManual: 'AUTOMATE',
},
{
interventionCode: 'SHA-04-007',
shaCategory: 'End of Life services',
accessCode: 'outpatient',
subCategoryBenefitsPackage: 'Bereavement Support',
interventionName: 'Bereavement support services',
needsPreAuth: 'NO',
categoryHealthFacility: 'Outsourced',
providerPaymentMechanism: 'FFS',
gender: '',
limitIndividualHousehold: 'None',
interventionQuantityYear: 'LIMITLESS',
tariffs: '',
limitIndividual: '',
minAge: '',
maxAge: '',
limitsIndividualHousehold: '',
phc: '0%',
shif: '0%',
eccif: '0%',
automateManual: 'N/A',
},
];
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