17. EPMO Open Source Coordination Office Redaction File Detail Report

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17.1 Files compared

# Location File Last Modified
1 PC_CP4_CiF.zip\FPPS_Backend\fpps_app\src\test\java\gov\va\med\fee\controller ClaimDetailsControllerTest.java Fri Dec 8 17:51:36 2017 UTC
2 PC_CP4_CiF.zip\FPPS_Backend\fpps_app\src\test\java\gov\va\med\fee\controller ClaimDetailsControllerTest.java Fri Dec 8 18:54:34 2017 UTC

17.2 Comparison summary

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Changed 7 14
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17.3 Comparison options

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Character case Differences in character case are significant
Line endings Differences in line endings (CR and LF characters) are ignored
CR/LF characters Not shown in the comparison detail

17.4 Active regular expressions

No regular expressions were active.

17.5 Comparison detail

  1   package go v.va.med.f ee.control ler;
  2  
  3   import sta tic org.ha mcrest.Mat chers.is;
  4   import sta tic org.mo ckito.Mock ito.times;
  5   import sta tic org.mo ckito.Mock ito.verify ;
  6   import sta tic org.mo ckito.Mock ito.verify NoMoreInte ractions;
  7   import sta tic org.mo ckito.Mock ito.when;
  8   import sta tic org.sp ringframew ork.test.w eb.servlet .request.M ockMvcRequ estBuilder s.get;
  9   import sta tic org.sp ringframew ork.test.w eb.servlet .result.Mo ckMvcResul tHandlers. print;
  10   import sta tic org.sp ringframew ork.test.w eb.servlet .result.Mo ckMvcResul tMatchers. content;
  11   import sta tic org.sp ringframew ork.test.w eb.servlet .result.Mo ckMvcResul tMatchers. jsonPath;
  12   import sta tic org.sp ringframew ork.test.w eb.servlet .result.Mo ckMvcResul tMatchers. status;
  13  
  14   import jav a.math.Big Decimal;
  15   import jav a.sql.Time stamp;
  16   import jav a.text.Sim pleDateFor mat;
  17   import jav a.util.Arr ayList;
  18   import jav a.util.Cal endar;
  19   import jav a.util.Dat e;
  20   import jav a.util.Gre gorianCale ndar;
  21   import jav a.util.Lis t;
  22  
  23   import org .junit.Bef ore;
  24   import org .junit.Tes t;
  25   import org .junit.run ner.RunWit h;
  26   import org .mockito.I njectMocks ;
  27   import org .mockito.M ock;
  28   import org .mockito.M ockitoAnno tations;
  29   import org .mockito.r unners.Moc kitoJUnitR unner;
  30   import org .springfra mework.htt p.HttpStat us;
  31   import org .springfra mework.htt p.MediaTyp e;
  32   import org .springfra mework.tes t.web.serv let.MockMv c;
  33   import org .springfra mework.tes t.web.serv let.setup. MockMvcBui lders;
  34  
  35   import gov .va.med.fe e.constant s.ClaimDet ailsConsta nts;
  36   import gov .va.med.fe e.exceptio ns.Generic Exception;
  37   import gov .va.med.fe e.filter.C ORSFilter;
  38   import gov .va.med.fe e.model.re sponse.Add itionalInf oResponse;
  39   import gov .va.med.fe e.model.re sponse.Cla imDetailsR esponse;
  40   import gov .va.med.fe e.model.re sponse.Cla imRejectio nHistoryRe sponse;
  41   import gov .va.med.fe e.model.re sponse.Dia gnosisCode Response;
  42   import gov .va.med.fe e.model.re sponse.Dia gnosisCode s;
  43   import gov .va.med.fe e.model.re sponse.Lin eItemRespo nse;
  44   import gov .va.med.fe e.model.re sponse.Ohi InfoRespon se;
  45   import gov .va.med.fe e.model.re sponse.Pro viderInfoR esponse;
  46   import gov .va.med.fe e.model.re sponse.ReR outingHist ory;
  47   import gov .va.med.fe e.model.re sponse.Vet eranInfoRe sponse;
  48   import gov .va.med.fe e.service. IClaimDeta ilsService ;
  49  
  50   /**
  51    * 
  52    * @author   DN S      SUNH
  53    * @versio n 1.0 This  Class Tes t the Clai m Controll er.
  54    * 
  55    * @author  Vamsi Kri shna Ganga rapu Added  {@link Di agnosisCod eResponse}  to the
  56    *          test case
  57    * @versio n 1.1
  58    *
  59    */
  60  
  61   @RunWith(M ockitoJUni tRunner.cl ass)
  62   public cla ss ClaimDe tailsContr ollerTest  {
  63           pr ivate Mock Mvc mockMv c;
  64  
  65           @M ock
  66           pr ivate ICla imDetailsS ervice cla imDetailsS erviceMock ;
  67  
  68           @I njectMocks
  69           pr ivate Clai mDetailsCo ntroller c laimDetail sControlle r;
  70  
  71           Si mpleDateFo rmat forma tter = new  SimpleDat eFormat("M M/dd/yyyy" );
  72  
  73           /* *
  74            *  @throws E xception
  75            * /
  76           @B efore
  77           pu blic void  init() thr ows Except ion {
  78                    Mock itoAnnotat ions.initM ocks(this) ;
  79                    mock Mvc = Mock MvcBuilder s.standalo neSetup(cl aimDetails Controller ).addFilte rs(new COR SFilter()) .build();
  80           }
  81  
  82           /* *
  83            *  @throws E xception
  84            * /
  85           @T est
  86           pu blic void  testGetIns tClaimDeta ilsByIndex _success()  throws Ex ception {
  87  
  88                    // B igDecimal  number = n ew BigDeci mal(1234);
  89                    Date  discharge Date = new  Gregorian Calendar(2 009, Calen dar.JANUAR Y, 22).get Time();
  90                    Date  admission Date = new  Gregorian Calendar(1 990, Calen dar.APRIL,  30).getTi me();
  91  
  92                    Vete ranInfoRes ponse pers onInfoResp onse = new  VeteranIn foResponse (1L, "Doe" , "John",  "", "Sarno  Road",
  93                                      "Sarno P laza", "Me lbourne",  "Florida",  "32935",  "Male", "0 5-JUN-45",  "");
  94                    Prov iderInfoRe sponse bil lingProvid erResponse  = new Pro viderInfoR esponse("T est", "FTC ", "Sarno" , "Melbour ne",
  95                                       "FL", "329 35", "9999 999999", " 1234567",  "Team-9 Ba ckend", "1 23456789",  "john.doe @ DOMAIN ", "123765 4");
  96                    Prov iderInfoRe sponse pay ToProvider Response =  new Provi derInfoRes ponse("Tes t", "FTC",  "Sarno",  "Melbourne ", "FL",
  97                                       "32935", " 9999999999 ", "123456 78", "Team -9 Backend ", "123456 78", "john .doe@ DOMAIN ", "123765 5");
  98                    Prov iderInfoRe sponse ser viceProvid erResponse  = new Pro viderInfoR esponse("T est", "FTC ", "Sarno" , "Melbour ne",
  99                                       "FL", "329 35", "9999 999990", " 12345677",  "Team-9 B ackend", " 12345677",  "john.doe @ DOMAIN ", "123765 6");
  100  
  101                    List <Diagnosis Codes> dia gnosisCode List = new  ArrayList <>();
  102                    diag nosisCodeL ist.add(ne w Diagnosi sCodes(1,  "D1", "DQ1 ", "A", "d iagnosisDe scription  1"));
  103                    diag nosisCodeL ist.add(ne w Diagnosi sCodes(2,  "D2", "DQ2 ", "J", "d iagnosisDe scription  2"));
  104                    // D iagnosisCo des diagno sisCodes =  new Diagn osisCod(di agnosisCod eList);
  105                    List <ClaimReje ctionHisto ryResponse > claimRej ectionHist oryRespons eList = ne w ArrayLis t<>();
  106                    clai mRejection HistoryRes ponseList. add(new Cl aimRejecti onHistoryR esponse(ad missionDat e, "Janiya  Howe",
  107                                      "DESCRIP TION", "ZX C", "Janiy a Howe", " ZXC", "ZXC "));
  108  
  109                    Addi tionalInfo Response a dditionalI nfo = new  Additional InfoRespon se("1000",  "Test", " 1000", "Te st", "Simp ly",
  110                                      "$10.00" , "06/09/2 017", "$10 .00", "123 48ABC", ad missionDat e.toString (), discha rgeDate.to String(),  "28",
  111                                      "11", "M ICHAEL KUH U DAVID MR ");
  112                    List <LineItemR esponse> l ineItemsIn fo = getIn stitutiona lLineItemR esponseLis t();
  113  
  114                    List <ReRouting History> r eRoutingHi storyList  = new Arra yList<ReRo utingHisto ry>();
  115                    List <OhiInfoRe sponse> oh iInfo = ne w ArrayLis t<OhiInfoR esponse>() ;
  116  
  117                    Stri ngBuilder  transferre dFrom = ne w StringBu ilder();
  118                    tran sferredFro m.append(" VISN:01/FA C:station2 /USER:VHAI S_USER2");
  119                    Stri ngBuilder  transferre dTo = new  StringBuil der();
  120                    tran sferredTo. append("VI SN:00/FAC: 100/USER:V HAIS_USER1 ");
  121  
  122                    reRo utingHisto ryList.add (
  123                                      new ReRo utingHisto ry("07/07/ 2017", "Re ason1", tr ansferredT o, transfe rredFrom,  "transferr ed", "CCSE "));
  124  
  125                    Clai mDetailsRe sponse cla imResponse  = new Cla imDetailsR esponse(1,  "2.0.1.ST D", "INPRO CESS", "11 1111",
  126                                      personIn foResponse , serviceP roviderRes ponse, bil lingProvid erResponse , payToPro viderRespo nse,
  127                                      addition alInfo, di agnosisCod eList, lin eItemsInfo , reRoutin gHistoryLi st,
  128                                      claimRej ectionHist oryRespons eList, ohi Info);
  129  
  130                    when (claimDeta ilsService Mock.getCl aimDetails ByClaimInd ex((long)  1)).thenRe turn(claim Response);
  131                    mock Mvc.perfor m(get("/ap i/v1/claim /{claimInd ex}", (lon g) 1)).and Do(print() ).andExpec t(status() .isOk())
  132                                      .andExpe ct(content ().content Type(Media Type.APPLI CATION_JSO N_UTF8_VAL UE))
  133                                      .andExpe ct(jsonPat h("$.claim Id", is(1) )).andExpe ct(jsonPat h("$.patie ntControlN umber", is ("2.0.1.ST D")))
  134                                      .andExpe ct(jsonPat h("$.claim Status", i s("INPROCE SS")))
  135                                      .andExpe ct(jsonPat h("$.preAu thorizatio n", is("11 1111")))
  136                                      .andExpe ct(jsonPat h("$.veter anInfo.fir stName", i s("John")) )
  137                                      .andExpe ct(jsonPat h("$.veter anInfo.mid dleName",  is("")))
  138                                      .andExpe ct(jsonPat h("$.veter anInfo.add ressLine1" , is("Sarn o Road")))
  139                                      .andExpe ct(jsonPat h("$.veter anInfo.add ressLine2" , is("Sarn o Plaza")) )
  140                                      .andExpe ct(jsonPat h("$.veter anInfo.cit y", is("Me lbourne")) )
  141                                      .andExpe ct(jsonPat h("$.veter anInfo.sta te", is("F lorida")))
  142                                      .andExpe ct(jsonPat h("$.veter anInfo.zip Code", is( "32935")))
  143                                      .andExpe ct(jsonPat h("$.veter anInfo.gen der", is(" Male")))
  144                                      .andExpe ct(jsonPat h("$.billi ngProvider Info.lastN ame", is(" Test")))
  145                                      .andExpe ct(jsonPat h("$.billi ngProvider Info.addre ssLine1",  is("FTC")) )
  146                                      .andExpe ct(jsonPat h("$.billi ngProvider Info.addre ssLine2",  is("Sarno" )))
  147                                      .andExpe ct(jsonPat h("$.billi ngProvider Info.city" , is("Melb ourne")))
  148                                      .andExpe ct(jsonPat h("$.billi ngProvider Info.state ", is("FL" )))
  149                                      .andExpe ct(jsonPat h("$.billi ngProvider Info.zipCo de", is("3 2935")))
  150                                      .andExpe ct(jsonPat h("$.billi ngProvider Info.phone Number", i s("9999999 999")))
  151                                      .andExpe ct(jsonPat h("$.billi ngProvider Info.taxId ", is("123 4567")))
  152                                      .andExpe ct(jsonPat h("$.billi ngProvider Info.conta ctName", i s("Team-9  Backend")) )
  153                                      .andExpe ct(jsonPat h("$.billi ngProvider Info.faxNu mber", is( "123456789 ")))
  154                                       .andExpect (jsonPath( "$.billing ProviderIn fo.email",  is("john. doe@ DOMAIN ")))
  155                                      .andExpe ct(jsonPat h("$.billi ngProvider Info.provi derNpi", i s("1237654 ")))
  156                                      .andExpe ct(jsonPat h("$.payTo ProviderIn fo.lastNam e", is("Te st")))
  157                                      .andExpe ct(jsonPat h("$.payTo ProviderIn fo.address Line1", is ("FTC")))
  158                                      .andExpe ct(jsonPat h("$.payTo ProviderIn fo.address Line2", is ("Sarno")) )
  159                                      .andExpe ct(jsonPat h("$.payTo ProviderIn fo.city",  is("Melbou rne")))
  160                                      .andExpe ct(jsonPat h("$.payTo ProviderIn fo.state",  is("FL")) )
  161                                      .andExpe ct(jsonPat h("$.payTo ProviderIn fo.zipCode ", is("329 35")))
  162                                      .andExpe ct(jsonPat h("$.payTo ProviderIn fo.phoneNu mber", is( "999999999 9")))
  163                                      .andExpe ct(jsonPat h("$.payTo ProviderIn fo.taxId",  is("12345 678")))
  164                                      .andExpe ct(jsonPat h("$.payTo ProviderIn fo.contact Name", is( "Team-9 Ba ckend")))
  165                                      .andExpe ct(jsonPat h("$.payTo ProviderIn fo.faxNumb er", is("1 2345678")) )
  166                                       .andExpect (jsonPath( "$.payToPr oviderInfo .email", i s("john.do e@ DOMAIN ")))
  167                                      .andExpe ct(jsonPat h("$.payTo ProviderIn fo.provide rNpi", is( "1237655") ))
  168                                      .andExpe ct(jsonPat h("$.servi ceProvider Info.lastN ame", is(" Test")))
  169                                      .andExpe ct(jsonPat h("$.servi ceProvider Info.addre ssLine1",  is("FTC")) )
  170                                      .andExpe ct(jsonPat h("$.servi ceProvider Info.addre ssLine2",  is("Sarno" )))
  171                                      .andExpe ct(jsonPat h("$.servi ceProvider Info.city" , is("Melb ourne")))
  172                                      .andExpe ct(jsonPat h("$.servi ceProvider Info.state ", is("FL" )))
  173                                      .andExpe ct(jsonPat h("$.servi ceProvider Info.zipCo de", is("3 2935")))
  174                                      .andExpe ct(jsonPat h("$.servi ceProvider Info.phone Number", i s("9999999 990")))
  175                                      .andExpe ct(jsonPat h("$.servi ceProvider Info.taxId ", is("123 45677")))
  176                                      .andExpe ct(jsonPat h("$.servi ceProvider Info.conta ctName", i s("Team-9  Backend")) )
  177                                      .andExpe ct(jsonPat h("$.servi ceProvider Info.faxNu mber", is( "12345677" )))
  178                                       .andExpect (jsonPath( "$.service ProviderIn fo.email",  is("john. doe@ DOMAIN ")))
  179                                      .andExpe ct(jsonPat h("$.servi ceProvider Info.provi derNpi", i s("1237656 ")))
  180                                      .andExpe ct(jsonPat h("$.diagn osisCodes[ 0].sequenc eNumber",  is(1)))
  181                                      .andExpe ct(jsonPat h("$.diagn osisCodes[ 0].diagnos isCode", i s("D1")))
  182                                      .andExpe ct(jsonPat h("$.diagn osisCodes[ 0].diagnos isCodeQual ifier", is ("DQ1")))
  183                                      .andExpe ct(jsonPat h("$.diagn osisCodes[ 0].poaIndi cator", is ("A")))
  184                                      .andExpe ct(jsonPat h("$.diagn osisCodes[ 0].diagnos isDescript ion", is(" diagnosisD escription  1")))
  185                                      .andExpe ct(jsonPat h("$.diagn osisCodes[ 1].sequenc eNumber",  is(2)))
  186                                      .andExpe ct(jsonPat h("$.diagn osisCodes[ 1].diagnos isCode", i s("D2")))
  187                                      .andExpe ct(jsonPat h("$.diagn osisCodes[ 1].diagnos isCodeQual ifier", is ("DQ2")))
  188                                      .andExpe ct(jsonPat h("$.diagn osisCodes[ 1].poaIndi cator", is ("J")))
  189                                      .andExpe ct(jsonPat h("$.diagn osisCodes[ 1].diagnos isDescript ion", is(" diagnosisD escription  2")))
  190                                      .andExpe ct(jsonPat h("$.lineI temsInfo[0 ].line_id" , is(12345 67)))
  191                                      .andExpe ct(jsonPat h("$.lineI temsInfo[0 ].medical_ code", is( "Test103") ))
  192                                      .andExpe ct(jsonPat h("$.lineI temsInfo[0 ].revenue_ code", is( "Test103") ))
  193                                      .andExpe ct(jsonPat h("$.lineI temsInfo[0 ].service_ from_date" , is(forma tter.forma t(new Time stamp(new  Date().get Time())))) )
  194                                      .andExpe ct(jsonPat h("$.lineI temsInfo[0 ].service_ to_date",  is(formatt er.format( new Timest amp(new Da te().getTi me())))))
  195                                      .andExpe ct(jsonPat h("$.lineI temsInfo[0 ].billed_a mount", is ("$100.00" )))
  196                                      .andExpe ct(jsonPat h("$.lineI temsInfo[0 ].line_sta tus", is(" test103")) )
  197                                      .andExpe ct(jsonPat h("$.lineI temsInfo[0 ].treasury _payment_d ate", is(f ormatter.f ormat(new  Timestamp( new Date() .getTime() )))))
  198                                      .andExpe ct(jsonPat h("$.lineI temsInfo[0 ].adjustme nt_amount" , is("$0.0 0")))
  199                                      .andExpe ct(jsonPat h("$.lineI temsInfo[0 ].paid_amo unt", is(" $10.00")))
  200                                      .andExpe ct(jsonPat h("$.lineI temsInfo[0 ].check_ef t_trn", is ("1234567" )))
  201                                      .andExpe ct(jsonPat h("$.lineI temsInfo[0 ].reason_c ode", is(" 97")))
  202                                      .andExpe ct(jsonPat h("$.addit ionalInfo. otherInsur anceNumber _Secondary Payer", is ("1000")))
  203                                      .andExpe ct(jsonPat h("$.addit ionalInfo. otherInsur ancePlan_S econdaryPa yer", is(" Test")))
  204                                      .andExpe ct(jsonPat h("$.addit ionalInfo. otherInsur anceNumber _TertiaryP ayer", is( "1000")))
  205                                      .andExpe ct(jsonPat h("$.addit ionalInfo. otherInsur ancePlan_T ertiaryPay er", is("T est")))
  206                                      .andExpe ct(jsonPat h("$.addit ionalInfo. ambulanceT ransportRe ason", is( "Simply")) )
  207                                      .andExpe ct(jsonPat h("$.addit ionalInfo. totalClaim AmountPaid ", is("$10 .00")))
  208                                      .andExpe ct(jsonPat h("$.addit ionalInfo. treasuryPa ymentDate_ Pd", is("0 6/09/2017" )))
  209                                      .andExpe ct(jsonPat h("$.addit ionalInfo. totalPaidA mtPerPD",  is("$10.00 ")))
  210                                      .andExpe ct(jsonPat h("$.addit ionalInfo. check_EFT_ TRN", is(" 12348ABC") ))
  211                                      .andExpe ct(jsonPat h("$.addit ionalInfo. admissionD ate", is(a dmissionDa te.toStrin g())))
  212                                      .andExpe ct(jsonPat h("$.addit ionalInfo. dischargeD ate", is(d ischargeDa te.toStrin g())))
  213                                      .andExpe ct(jsonPat h("$.addit ionalInfo. coveredDay s", is("28 ")))
  214                                      .andExpe ct(jsonPat h("$.addit ionalInfo. providerDr g", is("11 ")))
  215                                      .andExpe ct(jsonPat h("$.addit ionalInfo. attendingP hysician",  is("MICHA EL KUHU DA VID MR")))
  216                                      .andExpe ct(jsonPat h("$.rejec tionHistor y[0].rejec tedBy", is ("Janiya H owe")))
  217                                      .andExpe ct(jsonPat h("$.rejec tionHistor y[0].reaso n", is("DE SCRIPTION" )))
  218                                      .andExpe ct(jsonPat h("$.rejec tionHistor y[0].expla nation", i s("ZXC")))
  219                                      .andExpe ct(jsonPat h("$.rejec tionHistor y[0].revie wedBy", is ("Janiya H owe")))
  220                                      .andExpe ct(jsonPat h("$.rejec tionHistor y[0].outco me", is("Z XC")))
  221                                      .andExpe ct(jsonPat h("$.rejec tionHistor y[0].revie werComment s", is("ZX C")))
  222                                      .andExpe ct(jsonPat h("$.reRou tingHistor y[0].date" , is("07/0 7/2017")))
  223                                      .andExpe ct(jsonPat h("$.reRou tingHistor y[0].reaso n", is("Re ason1")))
  224                                      .andExpe ct(
  225                                                       js onPath("$. reRoutingH istory[0]. transferre dFrom", is ("VISN:01/ FAC:statio n2/USER:VH AIS_USER2" )))
  226                                      .andExpe ct(jsonPat h("$.reRou tingHistor y[0].expla nation", i s("transfe rred")))
  227                                      .andExpe ct(jsonPat h("$.reRou tingHistor y[0].trans ferredTo",  is("VISN: 00/FAC:100 /USER:VHAI S_USER1")) );
  228  
  229                    veri fy(claimDe tailsServi ceMock, ti mes(1)).ge tClaimDeta ilsByClaim Index((lon g) 1);
  230                    veri fyNoMoreIn teractions (claimDeta ilsService Mock);
  231           }
  232  
  233           /* *
  234            *  @throws E xception
  235            * /
  236           @T est(expect ed = Excep tion.class )
  237           pu blic void  testGetCla imDetailsB yIndex_Fai l() throws  Exception  {
  238                    long  claimInde x = 1L;
  239                    when (claimDeta ilsService Mock.getCl aimDetails ByClaimInd ex(claimIn dex)).then Throw(new  GenericExc eption(Cla imDetailsC onstants.C LAIM_NOT_F OUND, "No  claim foun d with cla im id " +  claimIndex ,
  240                                      HttpStat us.NOT_FOU ND));
  241  
  242                    mock Mvc.perfor m(get("/ap i/v1/claim /{claimInd ex}", clai mIndex)).a ndExpect(s tatus().is NotFound() );
  243                    veri fyNoMoreIn teractions (claimDeta ilsControl ler);
  244  
  245           }
  246  
  247           /* *
  248            *  @return l ineItemRes ponses
  249            * /
  250           pr ivate List <LineItemR esponse> g etInstitut ionalLineI temRespons eList() {
  251                    List <LineItemR esponse> l ineItemRes ponses = n ew ArrayLi st<>();
  252                                      
  253                    BigD ecimal cla imProcedur eSequence  = new BigD ecimal(123 4567);
  254                    Long  claimProc edureSeq =  claimProc edureSeque nce.longVa lue();
  255                    Stri ng procCod e = "Test1 03";
  256                    Stri ng revenue Code = "Te st103";
  257                    Stri ng service FromDate =  formatter .format(ne w Timestam p(new Date ().getTime ())) ;
  258                    Stri ng service ToDate = f ormatter.f ormat(new  Timestamp( new Date() .getTime() )) ;
  259                    Stri ng billedA mount = "$ 100.00";
  260                    Stri ng procCod eDesc = "t est103";
  261                    Stri ng diagPoi nter = "te st103";
  262                    Long  billedUni ts = null;
  263                    Stri ng modifie r1 = "test ";
  264                    Stri ng modifie r2 = null;
  265                    Stri ng modifie r3 = null;
  266                    Stri ng modifie r4 = null;
  267                    Time stamp paym entDate =  new Timest amp(new Da te().getTi me());
  268                    Stri ng payment Trackingnu mber = "12 34567";
  269                    Stri ng toothCo de = null;
  270                    Stri ng toothSu rface = nu ll;
  271                    Stri ng toothSu rfaceCd2 =  null;
  272                    Stri ng toothSu rfaceCd3 =  null;
  273                    Stri ng toothSu rfaceCd4 =  null;
  274                    Stri ng toothSu rfaceCd5 =  null;
  275                    //St ring oralC avityCd =  null;
  276                    Stri ng lineSta tus = "tes t103";
  277                    
  278                    Stri ng lineIte mTreasuryP aymentDate Formatted  = formatte r.format(p aymentDate );
  279                    Stri ng lineIte mPaidAmoun tFormatted  = "$10.00 "; 
  280                    Stri ng lineIte mCheckNumb er = payme ntTracking number; 
  281                    Stri ng lineIte mAdjAmts =  "$0.00";
  282                    Stri ng lineIte mCodes = " 97";
  283                    Stri ng lineIte mCagcCodes  = "ABC";
  284                    Stri ng lineIte mRarcCodes  = "EFG";
  285                    
  286                    Line ItemRespon se newReqp onse = new  LineItemR esponse(cl aimProcedu reSeq, too thCode, to othSurface , toothSur faceCd2,
  287                                      toothSur faceCd3, t oothSurfac eCd4, toot hSurfaceCd 5, procCod e, revenue Code,
  288                                      procCode Desc, diag Pointer, s erviceFrom Date, serv iceToDate,
  289                                      billedAm ount, bill edUnits ,  modifier1,  modifier2 , modifier 3,
  290                                      modifier 4, lineSta tus, lineI temTreasur yPaymentDa teFormatte d,
  291                                      lineItem PaidAmount Formatted,  lineItemC heckNumber , lineItem AdjAmts,
  292                                      lineItem Codes, lin eItemCagcC odes, line ItemRarcCo des);
  293                    
  294                    
  295                    line ItemRespon ses.add(ne wReqponse) ;
  296                    
  297                    retu rn lineIte mResponses ;
  298           }
  299   }

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