gistfile1.rb

require 'spreadsheet'

def help
  print "
    You must pass in the path to the file to launch.
    Usage: ruby #{__FILE__} path/to/target_file
  "
end

class Claim
  @@no_of_claims = 0
  attr_accessor :payor
  attr_accessor :patient
  attr_accessor :total
  attr_accessor :date_range
  attr_accessor :sent_date
  attr_accessor :comments
  attr_accessor :loc
  attr_accessor :units
  attr_accessor :number
  def initialize(claim_array, claim_ext)
    @payor = payor_name(claim_array, claim_ext).to_s
    @patient = patient_name(claim_array, claim_ext).to_s
    @total = get_total(claim_array, claim_ext).to_s
    @date_range = get_range(claim_array, claim_ext).to_s
    @sent_date = get_sent_date(claim_array, claim_ext).to_s
    @comments = get_comments(claim_array, claim_ext).to_s
    @loc = get_loc(claim_array, claim_ext).to_s
    @units = get_units(claim_array, claim_ext).to_s
    @@no_of_claims += 1
    @number = @@no_of_claims
  end

  def show
  	print "(#@number)" + @payor + ' - ' + @patient + ' - ' + @total + ' - ' + @date_range + ' - ' + @sent_date + ' - ' + @comments + ' - ' + @loc + ' - ' + @units
  end
end

def payor_name(claim_array, claim_ext)
  if claim_ext == '.ub4'
    claim_array[92]
  else
    claim_array[198]
  end
end

def patient_name(claim_array, claim_ext)
  if claim_ext == '.ub4'
    full_name = claim_array[429]
    first_name = full_name.split(/, /)[1].capitalize
    last_name = full_name.split(/, /)[0].capitalize
    first_name + ' ' + last_name
  else
    full_name = claim_array[0]
    first_name = full_name.split(/, /)[1].capitalize
    last_name = full_name.split(/, /)[0].capitalize
    first_name + ' ' + last_name
  end
end

def get_total(claim_array, claim_ext)
  if claim_ext == '.ub4'
    claim_array[146] + '.' + claim_array[145]
  else
    claim_array[184] + '.' + claim_array[185]
  end
end

def get_range(claim_array, claim_ext)
  if claim_ext == '.ub4'
    claim_array[4] + '-' + claim_array[5]
  else
    first_date = claim_array[68] + '/' + claim_array[69] + '/' + claim_array[70]
    second_date = claim_array[87] + '/' + claim_array[88] + '/' + claim_array[89]
    third_date = claim_array[106] + '/' + claim_array[107] + '/' + claim_array[108]
    fourth_date = claim_array[125] + '/' + claim_array[126] + '/' + claim_array[127]
    fifth_date = claim_array[144] + '/' + claim_array[145] + '/' + claim_array[146]
    sixth_date = claim_array[163] + '/' + claim_array[164] + '/' + claim_array[165]
    date_array = first_date, second_date, third_date, fourth_date, fifth_date, sixth_date
    clean_date_array = date_array.delete_if {|obj| obj == "//"}
    date_array.min + '-' + date_array.max
  end
end

def get_sent_date(claim_array, claim_ext)
  if claim_ext == '.ub4'
    claim_array[148]
  else
    claim_array[191]
  end
end

def get_comments(claim_array, claim_ext)
  if claim_ext == '.ub4'
    "Sent on " + claim_array[148]
  else
    "Sent on " + claim_array[191]
  end
end

def get_loc(claim_array, claim_ext)
  if claim_ext == '.ub4'
    rev_hash = {"0116" => "DTX", "0126" => "DTX", "1002" => "RTC", "1001" => "RTC", "0913" => "PHP", "0912" => "PHP", "0906" => "IOP", "0905" => "IOP", "0915" => "GOP", "9014" => "GOP", "0300" => "POC"}
    rev_code = claim_array[421]
    rev_hash.fetch(rev_code, "unknown")
  else
    rev_hash = {'90853' => 'GOP', '90837' => 'GOP', '90834'  => 'GOP', '90832'  => 'GOP', '80301'  => 'POC', '99205' => 'MM', '99204' => 'MM', '99215'  => 'MM', '99214' => 'MM', '99213'  => 'MM', 'J2315' => 'VIV', '96372' => 'VIV', '80365' => 'HCT', '80346' => 'HCT', '80353' => 'HCT', '80371' => 'HCT', '99220' => 'EVAL', '99225' => 'EVAL'}
    rev_code = claim_array[79]
    rev_hash.fetch(rev_code, "unknown")
  end
end

def get_units(claim_array, claim_ext)
  if claim_ext == '.ub4'
    rev_code_array = claim_array[421], claim_array[111], claim_array[112], claim_array[131], claim_array[152], claim_array[171], claim_array[172], claim_array[191],  claim_array[192], claim_array[211], claim_array[212], claim_array[231], claim_array[232], claim_array[251], claim_array[252], claim_array[271], claim_array[272], claim_array[291], claim_array[292],
    claim_array[311], claim_array[312], claim_array[132]
    clean_code_array = rev_code_array.reject(&:empty?)
    clean_code_array.count
  else
    rev_hash = {'90853' => 'GOP', '90837' => 'GOP', '90834'  => 'GOP', '90832'  => 'GOP', '80301'  => 'POC', '99205' => 'MM', '99204' => 'MM', '99215'  => 'MM', '99214' => 'MM', '99213'  => 'MM', 'J2315' => 'VIV', '96372' => 'VIV', '80365' => 'HCT', '80346' => 'HCT', '80353' => 'HCT', '80371' => 'HCT', '99220' => 'EVAL', '99225' => 'EVAL'}
    rev_code = claim_array[79]
    loc_code = rev_hash.fetch(rev_code, "unknown")
    if loc_code == 'HCT'
      1
    else
      rev_code_array = claim_array[79], claim_array[95], claim_array[114], claim_array[133], claim_array[152], claim_array[171]
      clean_code_array = rev_code_array.reject(&:empty?)
      clean_code_array.count
    end
  end
end

def file_operation
  dir = Dir.open(__dir__)
  claims = []
  newbook = Spreadsheet::Workbook.new
  newsheet1 = newbook.create_worksheet
  dir.each do |file|
    claim_ext = File.extname(file)
    if claim_ext != '.ub4'
      next if claim_ext != '.npi'
    end
    claim_array = File.readlines(file).map(&:chomp)
    claim = Claim.new(claim_array, claim_ext)
    claims << claim
  end
  claims.sort_by!{ |c| c.date_range }
  claims.each_with_index { |claim, index|
    newsheet1.row(index)[2] = claim.payor
    newsheet1.row(index)[3] = claim.patient
    newsheet1.row(index)[5] = claim.total
    newsheet1.row(index)[8] = claim.date_range
    newsheet1.row(index)[9] = claim.sent_date
    newsheet1.row(index)[13] = claim.comments
    newsheet1.row(index)[15] = claim.loc
    newsheet1.row(index)[16] = claim.units
  }
  newbook.write('output.xls')
end

def file_move
  dir = Dir.open(__dir__)
  dir.each do |file|
    if File.extname(file) != '.ub4'
      next if File.extname(file) != '.npi'
    end
    w = File.basename(file)
    x = w.split(/ /)[0..1].join(' ')
    y = '../' + x
    z = y + '/' + w
    FileUtils.mkdir_p(y)
    FileUtils.mv(file, z)
  end
end

if ARGV == 'help'
  help
  exit
else
  file_operation
  file_move
end