Skip to content

Instantly share code, notes, and snippets.

@amponce
Created July 1, 2024 21:58
Show Gist options
  • Save amponce/28181e89c9ec2d90377d4737146e2b42 to your computer and use it in GitHub Desktop.
Save amponce/28181e89c9ec2d90377d4737146e2b42 to your computer and use it in GitHub Desktop.
21:56:06 web.1 | I am PARAMS!!!! {"personal_identification"=>{"ssn"=>"3018", "file_number"=>"3018", "fsr_reason"=>""}, "personal_data"=>{"veteran_full_name"=>{"first"=>"Travis", "middle"=>"D", "last"=>"Jones"}, "address"=>{"addressline_one"=>"1200 Park Ave", "addressline_two"=>"c/o Pixar", "addressline_three"=>"", "city"=>"Emeryville", "state_or_province"=>"CA", "zip_or_postal_code"=>"94608", "country_name"=>"US"}, "telephone_number"=>"(510) 922-4444", "date_of_birth"=>"09/06/1950", "married"=>false, "spouse_full_name"=>{"first"=>"", "middle"=>"", "last"=>""}, "ages_of_other_dependents"=>[], "employment_history"=>[{"veteran_or_spouse"=>"VETERAN", "occupation_name"=>"Full time", "from"=>"01/2020", "to"=>"", "present"=>true, "employer_name"=>"Testing", "employer_address"=>{"addressline_one"=>"", "addressline_two"=>"", "addressline_three"=>"", "city"=>"", "state_or_province"=>"", "zip_or_postal_code"=>"", "country_name"=>""}}]}, "income"=>[{"veteran_or_spouse"=>"VETERAN", "monthly_gross_salary"=>"5366.66", "deductions"=>{"taxes"=>"620.60", "retirement"=>"0.00", "social_security"=>"0.00", "other_deductions"=>{"name"=>"", "amount"=>"0.00"}}, "total_deductions"=>"620.60", "net_take_home_pay"=>"4746.06", "other_income"=>{"name"=>"", "amount"=>"0.00"}, "total_monthly_net_income"=>"4746.06"}, {"veteran_or_spouse"=>"SPOUSE", "monthly_gross_salary"=>"0.00", "deductions"=>{"taxes"=>"0.00", "retirement"=>"0.00", "social_security"=>"0.00", "other_deductions"=>{"name"=>"", "amount"=>"0.00"}}, "total_deductions"=>"0.00", "net_take_home_pay"=>"0.00", "other_income"=>{"name"=>"", "amount"=>"0.00"}, "total_monthly_net_income"=>"0.00"}], "expenses"=>{"rent_or_mortgage"=>"0.00", "food"=>"0.00", "utilities"=>"0.00", "other_living_expenses"=>{"name"=>"", "amount"=>"0.00"}, "expenses_installment_contracts_and_other_debts"=>"0.00", "total_monthly_expenses"=>"0.00"}, "discretionary_income"=>{"net_monthly_income_less_expenses"=>"4746.06", "amount_can_be_paid_toward_debt"=>"0.00"}, "assets"=>{"cash_in_bank"=>"100.00", "cash_on_hand"=>"100.00", "us_savings_bonds"=>"0.00", "stocks_and_other_bonds"=>"0.00", "real_estate_owned"=>"0.00", "total_assets"=>"200.00"}, "installment_contracts_and_other_debts"=>[], "total_of_installment_contracts_and_other_debts"=>{"original_amount"=>"0.00", "unpaid_balance"=>"0.00", "amount_due_monthly"=>"0.00", "amount_past_due"=>"0.00"}, "additional_data"=>{"bankruptcy"=>{}}, "applicant_certifications"=>{"veteran_signature"=>"Travis D Jones", "veteran_date_signed"=>"07/01/2024"}, "selected_debts_and_copays"=>[{"id"=>"f4385298-08a6-42f8-a86f-50e97033fb85", "p_s_seq_num"=>"506.00", "p_s_tot_seq_num"=>"588.00", "p_s_facility_num"=>"534", "p_s_fac_phone_num"=>nil, "p_s_tot_statement"=>"27.00", "p_s_statement_val"=>"0000018255H", "p_s_statement_date"=>"11152019", "p_s_statement_date_output"=>"11/15/2019", "p_s_process_date"=>"11112019", "p_s_process_date_output"=>"11/11/2019", "p_h_patient_lst_nme"=>"JONES", "p_h_patient_fst_nme"=>"TRAVIS", "p_h_patient_mid_nme"=>"D", "p_h_address1"=>"1885 SHORE DR S APT 327", "p_h_address2"=>nil, "p_h_address3"=>nil, "p_h_city"=>"SAVANNAH", "p_h_state"=>"FL", "p_h_zip_cde"=>"314104413", "p_h_zip_cde_output"=>"31410-4413", "p_h_ctry_nme"=>nil, "p_h_amt_due"=>"15.00", "p_h_amt_due_output"=>"15.00  ", "p_h_prev_bal"=>"135.00", "p_h_prev_bal_output"=>"135.00  ", "p_h_tot_charges"=>"15.00", "p_h_tot_charges_output"=>"15.00  ", "p_h_tot_credits"=>"-135.00", "p_h_tot_credits_output"=>"135.00- ", "p_h_new_balance"=>"15.00", "p_h_new_balance_output"=>"15.00  ", "p_h_special_notes"=>"To pay your statement online, go to www.pay.gov or call 1-888-827-4817.", "p_hro_para_cdes"=>"304050556065708085", "p_h_num_of_lines"=>"10.00", "p_h_dfn_number"=>"346310.00", "p_h_cerner_statement_number"=>"1005154223.00", "p_h_cerner_patient_id"=>"1005154223", "p_h_cerner_account_number"=>"1005154223", "p_h_icn_number"=>"1012845638V677813", "p_h_account_number"=>"0.00", "p_h_large_font_indcator"=>"0.00", "details"=>[{"p_d_date_posted"=>"10072019", "p_d_date_posted_output"=>"10/07/2019", "p_d_trans_desc"=>"OUTPATIENT CARE(NSC)", "p_d_trans_desc_output"=>"OUTPATIENT CARE", "p_d_trans_amt"=>"-15.00", "p_d_trans_amt_output"=>"15.00- ", "p_d_ref_no"=>"534-K90HEWN"}, {"p_d_date_posted"=>"10072019", "p_d_date_posted_output"=>"10/07/2019", "p_d_trans_desc"=>"OUTPATIENT CARE(NSC)", "p_d_trans_desc_output"=>"OUTPATIENT CARE", "p_d_trans_amt"=>"-15.00", "p_d_trans_amt_output"=>"15.00- ", "p_d_ref_no"=>"534-K90HEWN"}, {"p_d_date_posted"=>"10072019", "p_d_date_posted_output"=>"10/07/2019", "p_d_trans_desc"=>"OUTPATIENT CARE(NSC)", "p_d_trans_desc_output"=>"OUTPATIENT CARE", "p_d_trans_amt"=>"-15.00", "p_d_trans_amt_output"=>"15.00- ", "p_d_ref_no"=>"534-K90HEWN"}, {"p_d_date_posted"=>"10072019", "p_d_date_posted_output"=>"10/07/2019", "p_d_trans_desc"=>"OUTPATIENT CARE(NSC)", "p_d_trans_desc_output"=>"OUTPATIENT CARE", "p_d_trans_amt"=>"-15.00", "p_d_trans_amt_output"=>"15.00- ", "p_d_ref_no"=>"534-K90HEWN"}, {"p_d_date_posted"=>"10072019", "p_d_date_posted_output"=>"10/07/2019", "p_d_trans_desc"=>"OUTPATIENT CARE(NSC)", "p_d_trans_desc_output"=>"OUTPATIENT CARE", "p_d_trans_amt"=>"-15.00", "p_d_trans_amt_output"=>"15.00- ", "p_d_ref_no"=>"534-K90HEWN"}, {"p_d_date_posted"=>"10072019", "p_d_date_posted_output"=>"10/07/2019", "p_d_trans_desc"=>"OUTPATIENT CARE(NSC)", "p_d_trans_desc_output"=>"OUTPATIENT CARE", "p_d_trans_amt"=>"-15.00", "p_d_trans_amt_output"=>"15.00- ", "p_d_ref_no"=>"534-K90HEWN"}, {"p_d_date_posted"=>"10072019", "p_d_date_posted_output"=>"10/07/2019", "p_d_trans_desc"=>"OUTPATIENT CARE(NSC)", "p_d_trans_desc_output"=>"OUTPATIENT CARE", "p_d_trans_amt"=>"-15.00", "p_d_trans_amt_output"=>"15.00- ", "p_d_ref_no"=>"534-K90HEWN"}, {"p_d_date_posted"=>"10072019", "p_d_date_posted_output"=>"10/07/2019", "p_d_trans_desc"=>"OUTPATIENT CARE(NSC)", "p_d_trans_desc_output"=>"OUTPATIENT CARE", "p_d_trans_amt"=>"-15.00", "p_d_trans_amt_output"=>"15.00- ", "p_d_ref_no"=>"534-K90HEWN"}, {"p_d_date_posted"=>"10072019", "p_d_date_posted_output"=>"10/07/2019", "p_d_trans_desc"=>"OUTPATIENT CARE(NSC)", "p_d_trans_desc_output"=>"OUTPATIENT CARE", "p_d_trans_amt"=>"-15.00", "p_d_trans_amt_output"=>"15.00- ", "p_d_ref_no"=>"534-K90HEWN"}, {"p_d_date_posted"=>"10152019", "p_d_date_posted_output"=>"10/15/2019", "p_d_trans_desc"=>"OUTPATIENT CARE(NSC) VISIT DATE: 09/07/2018", "p_d_trans_desc_output"=>"OUTPATIENT CARE VISIT DATE: 09/07/2018", "p_d_trans_amt"=>"15.00", "p_d_trans_amt_output"=>"15.00  ", "p_d_ref_no"=>"534-K009FK8"}], "station"=>{"facilit_y_num"=>"534", "vis_n_num"=>"07", "facilit_y_desc"=>"RALPH H. JOHNSON VA MEDICAL CENTER (534)", "cycl_e_num"=>"012", "remi_t_to_flag"=>"L", "mai_l_insert_flag"=>"0", "sta_t_address1"=>"ACCOUNTS RECEIVABLE (04AR)", "sta_t_address2"=>"109 BEE ST", "sta_t_address3"=>nil, "city"=>"Charleston", "state"=>"SC", "zi_p_cde"=>"294015703", "zi_p_cde_output"=>"29401-5703", "ba_r_cde"=>"*294015703090*", "te_l_num_flag"=>"P", "te_l_num"=>"1-866-258-2772", "te_l_num2"=>nil, "contac_t_info"=>nil, "d_m2_tel_num"=>nil, "contac_t_info2"=>nil, "to_p_tel_num"=>nil, "lb_x_fedex_address1"=>nil, "lb_x_fedex_address2"=>nil, "lb_x_fedex_address3"=>nil, "lb_x_fedex_city"=>nil, "lb_x_fedex_state"=>nil, "lb_x_fedex_zip_cde"=>nil, "lb_x_fedex_bar_cde"=>nil, "lb_x_fedex_contact"=>nil, "lb_x_fedex_contact_tel_num"=>nil, "facility_name"=>"Ralph H. Johnson Department of Veterans Affairs Medical Center"}, "debt_type"=>"COPAY"}], "streamlined"=>{"value"=>true, "type"=>"short"}, "format"=>:json, "controller"=>"debts_api/v0/financial_status_reports", "action"=>"create", "financial_status_report"=>{"personal_identification"=>{"ssn"=>"3018", "file_number"=>"3018", "fsr_reason"=>""}, "personal_data"=>{"veteran_full_name"=>{"first"=>"Travis", "middle"=>"D", "last"=>"Jones"}, "address"=>{"addressline_one"=>"1200 Park Ave", "addressline_two"=>"c/o Pixar", "addressline_three"=>"", "city"=>"Emeryville", "state_or_province"=>"CA", "zip_or_postal_code"=>"94608", "country_name"=>"US"}, "telephone_number"=>"(510) 922-4444", "date_of_birth"=>"09/06/1950", "married"=>false, "spouse_full_name"=>{"first"=>"", "middle"=>"", "last"=>""}, "ages_of_other_dependents"=>[], "employment_history"=>[{"veteran_or_spouse"=>"VETERAN", "occupation_name"=>"Full time", "from"=>"01/2020", "to"=>"", "present"=>true, "employer_name"=>"Testing", "employer_address"=>{"addressline_one"=>"", "addressline_two"=>"", "addressline_three"=>"", "city"=>"", "state_or_province"=>"", "zip_or_postal_code"=>"", "country_name"=>""}}]}, "income"=>[{"veteran_or_spouse"=>"VETERAN", "monthly_gross_salary"=>"5366.66", "deductions"=>{"taxes"=>"620.60", "retirement"=>"0.00", "social_security"=>"0.00", "other_deductions"=>{"name"=>"", "amount"=>"0.00"}}, "total_deductions"=>"620.60", "net_take_home_pay"=>"4746.06", "other_income"=>{"name"=>"", "amount"=>"0.00"}, "total_monthly_net_income"=>"4746.06"}, {"veteran_or_spouse"=>"SPOUSE", "monthly_gross_salary"=>"0.00", "deductions"=>{"taxes"=>"0.00", "retirement"=>"0.00", "social_security"=>"0.00", "other_deductions"=>{"name"=>"", "amount"=>"0.00"}}, "total_deductions"=>"0.00", "net_take_home_pay"=>"0.00", "other_income"=>{"name"=>"", "amount"=>"0.00"}, "total_monthly_net_income"=>"0.00"}], "expenses"=>{"rent_or_mortgage"=>"0.00", "food"=>"0.00", "utilities"=>"0.00", "other_living_expenses"=>{"name"=>"", "amount"=>"0.00"}, "expenses_installment_contracts_and_other_debts"=>"0.00", "total_monthly_expenses"=>"0.00"}, "discretionary_income"=>{"net_monthly_income_less_expenses"=>"4746.06", "amount_can_be_paid_toward_debt"=>"0.00"}, "assets"=>{"cash_in_bank"=>"100.00", "cash_on_hand"=>"100.00", "us_savings_bonds"=>"0.00", "stocks_and_other_bonds"=>"0.00", "real_estate_owned"=>"0.00", "total_assets"=>"200.00"}, "installment_contracts_and_other_debts"=>[], "total_of_installment_contracts_and_other_debts"=>{"original_amount"=>"0.00", "unpaid_balance"=>"0.00", "amount_due_monthly"=>"0.00", "amount_past_due"=>"0.00"}, "additional_data"=>{"bankruptcy"=>{}}, "applicant_certifications"=>{"veteran_signature"=>"Travis D Jones", "veteran_date_signed"=>"07/01/2024"}, "selected_debts_and_copays"=>[{"id"=>"f4385298-08a6-42f8-a86f-50e97033fb85", "p_s_seq_num"=>"506.00", "p_s_tot_seq_num"=>"588.00", "p_s_facility_num"=>"534", "p_s_fac_phone_num"=>nil, "p_s_tot_statement"=>"27.00", "p_s_statement_val"=>"0000018255H", "p_s_statement_date"=>"11152019", "p_s_statement_date_output"=>"11/15/2019", "p_s_process_date"=>"11112019", "p_s_process_date_output"=>"11/11/2019", "p_h_patient_lst_nme"=>"JONES", "p_h_patient_fst_nme"=>"TRAVIS", "p_h_patient_mid_nme"=>"D", "p_h_address1"=>"1885 SHORE DR S APT 327", "p_h_address2"=>nil, "p_h_address3"=>nil, "p_h_city"=>"SAVANNAH", "p_h_state"=>"FL", "p_h_zip_cde"=>"314104413", "p_h_zip_cde_output"=>"31410-4413", "p_h_ctry_nme"=>nil, "p_h_amt_due"=>"15.00", "p_h_amt_due_output"=>"15.00  ", "p_h_prev_bal"=>"135.00", "p_h_prev_bal_output"=>"135.00  ", "p_h_tot_charges"=>"15.00", "p_h_tot_charges_output"=>"15.00  ", "p_h_tot_credits"=>"-135.00", "p_h_tot_credits_output"=>"135.00- ", "p_h_new_balance"=>"15.00", "p_h_new_balance_output"=>"15.00  ", "p_h_special_notes"=>"To pay your statement online, go to www.pay.gov or call 1-888-827-4817.", "p_hro_para_cdes"=>"304050556065708085", "p_h_num_of_lines"=>"10.00", "p_h_dfn_number"=>"346310.00", "p_h_cerner_statement_number"=>"1005154223.00", "p_h_cerner_patient_id"=>"1005154223", "p_h_cerner_account_number"=>"1005154223", "p_h_icn_number"=>"1012845638V677813", "p_h_account_number"=>"0.00", "p_h_large_font_indcator"=>"0.00", "details"=>[{"p_d_date_posted"=>"10072019", "p_d_date_posted_output"=>"10/07/2019", "p_d_trans_desc"=>"OUTPATIENT CARE(NSC)", "p_d_trans_desc_output"=>"OUTPATIENT CARE", "p_d_trans_amt"=>"-15.00", "p_d_trans_amt_output"=>"15.00- ", "p_d_ref_no"=>"534-K90HEWN"}, {"p_d_date_posted"=>"10072019", "p_d_date_posted_output"=>"10/07/2019", "p_d_trans_desc"=>"OUTPATIENT CARE(NSC)", "p_d_trans_desc_output"=>"OUTPATIENT CARE", "p_d_trans_amt"=>"-15.00", "p_d_trans_amt_output"=>"15.00- ", "p_d_ref_no"=>"534-K90HEWN"}, {"p_d_date_posted"=>"10072019", "p_d_date_posted_output"=>"10/07/2019", "p_d_trans_desc"=>"OUTPATIENT CARE(NSC)", "p_d_trans_desc_output"=>"OUTPATIENT CARE", "p_d_trans_amt"=>"-15.00", "p_d_trans_amt_output"=>"15.00- ", "p_d_ref_no"=>"534-K90HEWN"}, {"p_d_date_posted"=>"10072019", "p_d_date_posted_output"=>"10/07/2019", "p_d_trans_desc"=>"OUTPATIENT CARE(NSC)", "p_d_trans_desc_output"=>"OUTPATIENT CARE", "p_d_trans_amt"=>"-15.00", "p_d_trans_amt_output"=>"15.00- ", "p_d_ref_no"=>"534-K90HEWN"}, {"p_d_date_posted"=>"10072019", "p_d_date_posted_output"=>"10/07/2019", "p_d_trans_desc"=>"OUTPATIENT CARE(NSC)", "p_d_trans_desc_output"=>"OUTPATIENT CARE", "p_d_trans_amt"=>"-15.00", "p_d_trans_amt_output"=>"15.00- ", "p_d_ref_no"=>"534-K90HEWN"}, {"p_d_date_posted"=>"10072019", "p_d_date_posted_output"=>"10/07/2019", "p_d_trans_desc"=>"OUTPATIENT CARE(NSC)", "p_d_trans_desc_output"=>"OUTPATIENT CARE", "p_d_trans_amt"=>"-15.00", "p_d_trans_amt_output"=>"15.00- ", "p_d_ref_no"=>"534-K90HEWN"}, {"p_d_date_posted"=>"10072019", "p_d_date_posted_output"=>"10/07/2019", "p_d_trans_desc"=>"OUTPATIENT CARE(NSC)", "p_d_trans_desc_output"=>"OUTPATIENT CARE", "p_d_trans_amt"=>"-15.00", "p_d_trans_amt_output"=>"15.00- ", "p_d_ref_no"=>"534-K90HEWN"}, {"p_d_date_posted"=>"10072019", "p_d_date_posted_output"=>"10/07/2019", "p_d_trans_desc"=>"OUTPATIENT CARE(NSC)", "p_d_trans_desc_output"=>"OUTPATIENT CARE", "p_d_trans_amt"=>"-15.00", "p_d_trans_amt_output"=>"15.00- ", "p_d_ref_no"=>"534-K90HEWN"}, {"p_d_date_posted"=>"10072019", "p_d_date_posted_output"=>"10/07/2019", "p_d_trans_desc"=>"OUTPATIENT CARE(NSC)", "p_d_trans_desc_output"=>"OUTPATIENT CARE", "p_d_trans_amt"=>"-15.00", "p_d_trans_amt_output"=>"15.00- ", "p_d_ref_no"=>"534-K90HEWN"}, {"p_d_date_posted"=>"10152019", "p_d_date_posted_output"=>"10/15/2019", "p_d_trans_desc"=>"OUTPATIENT CARE(NSC) VISIT DATE: 09/07/2018", "p_d_trans_desc_output"=>"OUTPATIENT CARE VISIT DATE: 09/07/2018", "p_d_trans_amt"=>"15.00", "p_d_trans_amt_output"=>"15.00  ", "p_d_ref_no"=>"534-K009FK8"}], "station"=>{"facilit_y_num"=>"534", "vis_n_num"=>"07", "facilit_y_desc"=>"RALPH H. JOHNSON VA MEDICAL CENTER (534)", "cycl_e_num"=>"012", "remi_t_to_flag"=>"L", "mai_l_insert_flag"=>"0", "sta_t_address1"=>"ACCOUNTS RECEIVABLE (04AR)", "sta_t_address2"=>"109 BEE ST", "sta_t_address3"=>nil, "city"=>"Charleston", "state"=>"SC", "zi_p_cde"=>"294015703", "zi_p_cde_output"=>"29401-5703", "ba_r_cde"=>"*294015703090*", "te_l_num_flag"=>"P", "te_l_num"=>"1-866-258-2772", "te_l_num2"=>nil, "contac_t_info"=>nil, "d_m2_tel_num"=>nil, "contac_t_info2"=>nil, "to_p_tel_num"=>nil, "lb_x_fedex_address1"=>nil, "lb_x_fedex_address2"=>nil, "lb_x_fedex_address3"=>nil, "lb_x_fedex_city"=>nil, "lb_x_fedex_state"=>nil, "lb_x_fedex_zip_cde"=>nil, "lb_x_fedex_bar_cde"=>nil, "lb_x_fedex_contact"=>nil, "lb_x_fedex_contact_tel_num"=>nil, "facility_name"=>"Ralph H. Johnson Department of Veterans Affairs Medical Center"}, "debt_type"=>"COPAY"}], "streamlined"=>{"value"=>true, "type"=>"short"}}}
21:56:06 web.1 | I am FSR FORM PARAMS!!!! {"streamlined"=>{"value"=>true, "type"=>"short"}, "personal_identification"=>{"fsr_reason"=>"", "ssn"=>"3018", "file_number"=>"3018"}, "personal_data"=>{"telephone_number"=>"(510) 922-4444", "date_of_birth"=>"09/06/1950", "married"=>false, "ages_of_other_dependents"=>[], "veteran_full_name"=>{"first"=>"Travis", "middle"=>"D", "last"=>"Jones"}, "address"=>{"addressline_one"=>"1200 Park Ave", "addressline_two"=>"c/o Pixar", "addressline_three"=>"", "city"=>"Emeryville", "state_or_province"=>"CA", "zip_or_postal_code"=>"94608", "country_name"=>"US"}, "spouse_full_name"=>{"first"=>"", "middle"=>"", "last"=>""}, "employment_history"=>[{"veteran_or_spouse"=>"VETERAN", "occupation_name"=>"Full time", "from"=>"01/2020", "to"=>"", "present"=>true, "employer_name"=>"Testing", "employer_address"=>{"addressline_one"=>"", "addressline_two"=>"", "addressline_three"=>"", "city"=>"", "state_or_province"=>"", "zip_or_postal_code"=>"", "country_name"=>""}}]}, "income"=>[{"veteran_or_spouse"=>"VETERAN", "monthly_gross_salary"=>"5366.66", "total_deductions"=>"620.60", "net_take_home_pay"=>"4746.06", "total_monthly_net_income"=>"4746.06", "deductions"=>{"taxes"=>"620.60", "retirement"=>"0.00", "social_security"=>"0.00", "other_deductions"=>{"name"=>"", "amount"=>"0.00"}}, "other_income"=>{"name"=>"", "amount"=>"0.00"}}, {"veteran_or_spouse"=>"SPOUSE", "monthly_gross_salary"=>"0.00", "total_deductions"=>"0.00", "net_take_home_pay"=>"0.00", "total_monthly_net_income"=>"0.00", "deductions"=>{"taxes"=>"0.00", "retirement"=>"0.00", "social_security"=>"0.00", "other_deductions"=>{"name"=>"", "amount"=>"0.00"}}, "other_income"=>{"name"=>"", "amount"=>"0.00"}}], "expenses"=>{"rent_or_mortgage"=>"0.00", "food"=>"0.00", "utilities"=>"0.00", "expenses_installment_contracts_and_other_debts"=>"0.00", "total_monthly_expenses"=>"0.00", "other_living_expenses"=>{"name"=>"", "amount"=>"0.00"}}, "discretionary_income"=>{"net_monthly_income_less_expenses"=>"4746.06", "amount_can_be_paid_toward_debt"=>"0.00"}, "assets"=>{"cash_in_bank"=>"100.00", "cash_on_hand"=>"100.00", "us_savings_bonds"=>"0.00", "stocks_and_other_bonds"=>"0.00", "real_estate_owned"=>"0.00", "total_assets"=>"200.00"}, "installment_contracts_and_other_debts"=>[], "total_of_installment_contracts_and_other_debts"=>{"original_amount"=>"0.00", "unpaid_balance"=>"0.00", "amount_due_monthly"=>"0.00", "amount_past_due"=>"0.00"}, "additional_data"=>{"bankruptcy"=>{}}, "applicant_certifications"=>{"veteran_signature"=>"Travis D Jones"}, "selected_debts_and_copays"=>[{"debt_type"=>"COPAY", "p_h_amt_due"=>"15.00", "p_h_dfn_number"=>"346310.00", "p_h_cerner_patient_id"=>"1005154223", "station"=>{"facilit_y_num"=>"534"}}]}
@amponce
Copy link
Author

amponce commented Jul 1, 2024

{"personalIdentification":{"ssn":"3018","fileNumber":"3018","fsrReason":""},"personalData":{"veteranFullName":{"first":"Travis","middle":"D","last":"Jones"},"address":{"addresslineOne":"1200 Park Ave","addresslineTwo":"c/o Pixar","addresslineThree":"","city":"Emeryville","stateOrProvince":"CA","zipOrPostalCode":"94608","countryName":"US"},"telephoneNumber":"(510) 922-4444","dateOfBirth":"09/06/1950","married":false,"spouseFullName":{"first":"","middle":"","last":""},"agesOfOtherDependents":[],"employmentHistory":[{"veteranOrSpouse":"VETERAN","occupationName":"Full time","from":"01/2020","to":"","present":true,"employerName":"Testing","employerAddress":{"addresslineOne":"","addresslineTwo":"","addresslineThree":"","city":"","stateOrProvince":"","zipOrPostalCode":"","countryName":""}}]},"income":[{"veteranOrSpouse":"VETERAN","monthlyGrossSalary":"5366.66","deductions":{"taxes":"620.60","retirement":"0.00","socialSecurity":"0.00","otherDeductions":{"name":"","amount":"0.00"}},"totalDeductions":"620.60","netTakeHomePay":"4746.06","otherIncome":{"name":"","amount":"0.00"},"totalMonthlyNetIncome":"4746.06"},{"veteranOrSpouse":"SPOUSE","monthlyGrossSalary":"0.00","deductions":{"taxes":"0.00","retirement":"0.00","socialSecurity":"0.00","otherDeductions":{"name":"","amount":"0.00"}},"totalDeductions":"0.00","netTakeHomePay":"0.00","otherIncome":{"name":"","amount":"0.00"},"totalMonthlyNetIncome":"0.00"}],"expenses":{"rentOrMortgage":"0.00","food":"0.00","utilities":"0.00","otherLivingExpenses":{"name":"","amount":"0.00"},"expensesInstallmentContractsAndOtherDebts":"0.00","totalMonthlyExpenses":"0.00"},"discretionaryIncome":{"netMonthlyIncomeLessExpenses":"4746.06","amountCanBePaidTowardDebt":"0.00"},"assets":{"cashInBank":"100.00","cashOnHand":"100.00","usSavingsBonds":"0.00","stocksAndOtherBonds":"0.00","realEstateOwned":"0.00","totalAssets":"200.00"},"installmentContractsAndOtherDebts":[],"totalOfInstallmentContractsAndOtherDebts":{"originalAmount":"0.00","unpaidBalance":"0.00","amountDueMonthly":"0.00","amountPastDue":"0.00"},"additionalData":{"bankruptcy":{}},"applicantCertifications":{"veteranSignature":"Travis D Jones","veteranDateSigned":"07/01/2024"},"selectedDebtsAndCopays":[{"id":"f4385298-08a6-42f8-a86f-50e97033fb85","pSSeqNum":"506.00","pSTotSeqNum":"588.00","pSFacilityNum":"534","pSFacPhoneNum":null,"pSTotStatement":"27.00","pSStatementVal":"0000018255H","pSStatementDate":"11152019","pSStatementDateOutput":"11/15/2019","pSProcessDate":"11112019","pSProcessDateOutput":"11/11/2019","pHPatientLstNme":"JONES","pHPatientFstNme":"TRAVIS","pHPatientMidNme":"D","pHAddress1":"1885 SHORE DR S APT 327","pHAddress2":null,"pHAddress3":null,"pHCity":"SAVANNAH","pHState":"FL","pHZipCde":"314104413","pHZipCdeOutput":"31410-4413","pHCtryNme":null,"pHAmtDue":"15.00","pHAmtDueOutput":"15.00  ","pHPrevBal":"135.00","pHPrevBalOutput":"135.00  ","pHTotCharges":"15.00","pHTotChargesOutput":"15.00  ","pHTotCredits":"-135.00","pHTotCreditsOutput":"135.00- ","pHNewBalance":"15.00","pHNewBalanceOutput":"15.00  ","pHSpecialNotes":"To pay your statement online, go to www.pay.gov or call 1-888-827-4817.","pHroParaCdes":"304050556065708085","pHNumOfLines":"10.00","pHDfnNumber":"346310.00","pHCernerStatementNumber":"1005154223.00","pHCernerPatientId":"1005154223","pHCernerAccountNumber":"1005154223","pHIcnNumber":"1012845638V677813","pHAccountNumber":"0.00","pHLargeFontIndcator":"0.00","details":[{"pDDatePosted":"10072019","pDDatePostedOutput":"10/07/2019","pDTransDesc":"OUTPATIENT CARE(NSC)","pDTransDescOutput":"OUTPATIENT CARE","pDTransAmt":"-15.00","pDTransAmtOutput":"15.00- ","pDRefNo":"534-K90HEWN"},{"pDDatePosted":"10072019","pDDatePostedOutput":"10/07/2019","pDTransDesc":"OUTPATIENT CARE(NSC)","pDTransDescOutput":"OUTPATIENT CARE","pDTransAmt":"-15.00","pDTransAmtOutput":"15.00- ","pDRefNo":"534-K90HEWN"},{"pDDatePosted":"10072019","pDDatePostedOutput":"10/07/2019","pDTransDesc":"OUTPATIENT CARE(NSC)","pDTransDescOutput":"OUTPATIENT CARE","pDTransAmt":"-15.00","pDTransAmtOutput":"15.00- ","pDRefNo":"534-K90HEWN"},{"pDDatePosted":"10072019","pDDatePostedOutput":"10/07/2019","pDTransDesc":"OUTPATIENT CARE(NSC)","pDTransDescOutput":"OUTPATIENT CARE","pDTransAmt":"-15.00","pDTransAmtOutput":"15.00- ","pDRefNo":"534-K90HEWN"},{"pDDatePosted":"10072019","pDDatePostedOutput":"10/07/2019","pDTransDesc":"OUTPATIENT CARE(NSC)","pDTransDescOutput":"OUTPATIENT CARE","pDTransAmt":"-15.00","pDTransAmtOutput":"15.00- ","pDRefNo":"534-K90HEWN"},{"pDDatePosted":"10072019","pDDatePostedOutput":"10/07/2019","pDTransDesc":"OUTPATIENT CARE(NSC)","pDTransDescOutput":"OUTPATIENT CARE","pDTransAmt":"-15.00","pDTransAmtOutput":"15.00- ","pDRefNo":"534-K90HEWN"},{"pDDatePosted":"10072019","pDDatePostedOutput":"10/07/2019","pDTransDesc":"OUTPATIENT CARE(NSC)","pDTransDescOutput":"OUTPATIENT CARE","pDTransAmt":"-15.00","pDTransAmtOutput":"15.00- ","pDRefNo":"534-K90HEWN"},{"pDDatePosted":"10072019","pDDatePostedOutput":"10/07/2019","pDTransDesc":"OUTPATIENT CARE(NSC)","pDTransDescOutput":"OUTPATIENT CARE","pDTransAmt":"-15.00","pDTransAmtOutput":"15.00- ","pDRefNo":"534-K90HEWN"},{"pDDatePosted":"10072019","pDDatePostedOutput":"10/07/2019","pDTransDesc":"OUTPATIENT CARE(NSC)","pDTransDescOutput":"OUTPATIENT CARE","pDTransAmt":"-15.00","pDTransAmtOutput":"15.00- ","pDRefNo":"534-K90HEWN"},{"pDDatePosted":"10152019","pDDatePostedOutput":"10/15/2019","pDTransDesc":"OUTPATIENT CARE(NSC) VISIT DATE: 09/07/2018","pDTransDescOutput":"OUTPATIENT CARE VISIT DATE: 09/07/2018","pDTransAmt":"15.00","pDTransAmtOutput":"15.00  ","pDRefNo":"534-K009FK8"}],"station":{"facilitYNum":"534","visNNum":"07","facilitYDesc":"RALPH H. JOHNSON VA MEDICAL CENTER (534)","cyclENum":"012","remiTToFlag":"L","maiLInsertFlag":"0","staTAddress1":"ACCOUNTS RECEIVABLE (04AR)","staTAddress2":"109 BEE ST","staTAddress3":null,"city":"Charleston","state":"SC","ziPCde":"294015703","ziPCdeOutput":"29401-5703","baRCde":"*294015703090*","teLNumFlag":"P","teLNum":"1-866-258-2772","teLNum2":null,"contacTInfo":null,"dM2TelNum":null,"contacTInfo2":null,"toPTelNum":null,"lbXFedexAddress1":null,"lbXFedexAddress2":null,"lbXFedexAddress3":null,"lbXFedexCity":null,"lbXFedexState":null,"lbXFedexZipCde":null,"lbXFedexBarCde":null,"lbXFedexContact":null,"lbXFedexContactTelNum":null,"facilityName":"Ralph H. Johnson Department of Veterans Affairs Medical Center"},"debtType":"COPAY"}],"streamlined":{"value":true,"type":"short"}}

Sign up for free to join this conversation on GitHub. Already have an account? Sign in to comment