Add Basic Claim Scenarios

[farhan5248]

• [x] Deductible: Amount paid out of pocket each year before any claims are paid.
• [x] Co-Payment (Co-pay): Fixed amount at the time of service like $20 for a doctors visit. How does a co-pay work, is it $20 before applying deductible or before applying coverage?
• [x] Coninsurance: Percentage of cost covered after paying the deductible. For $100 cost with $10 deductible, and 80% coverage, customer pays 10 + 18 and insurer pays 80% of $90.
• [x] Dispense Fee: Limit how many times the dispense fee is included in the coverage
• [x] Out of pocket Maximum (limit): Most the customer pays during the policy period, like a year. Once this max is reached the insurer pays 100%? Does this mean deductibles don't matter at that point or is it just the maximum that doesn't count?
• [x] DIN: use this to figure out one of multiple prices, don't take what's submitted. For now send DIN and cost. Setup one price list (Java Map) with the cost of the DIN in the Given step.
• [x] Provider name: Name of pharmacy. Adjudicate for known pharmacies only. Test for reject code.
• [x] Certificate: Need simple ID for now, if the ID doesn't exist, reject the claim

Need non-trivial setup scenarios like

• [ ] #84
• [ ] #85
• [ ] #86
• [ ] #87
• [ ] #88
• [ ] #89
• [ ] #90

[farhan5248]

Convert chapter 6 from https://read.amazon.ca/?asin=B0CDJ2Z9VY&ref_=kwl_kr_iv_rec_3

[farhan5248]

Combined drug-claim-adj with drug-claim-svc and implemented running same scenario as pre vs post tests