///<summary>The insplan that's passed in need not be properly updated to the database first.</summary>
public static void RequestBenefits(Clearinghouse clearhouse,InsPlan plan,long patNum,Carrier carrier,List<Benefit> benList,long patPlanNum,InsSub insSub) {
Patient pat=Patients.GetPat(patNum);
Patient subsc=Patients.GetPat(insSub.Subscriber);
Clinic clinic=Clinics.GetClinic(pat.ClinicNum);
Provider billProv=Providers.GetProv(Providers.GetBillingProvNum(pat.PriProv,pat.ClinicNum));
//validation. Throw exception if missing info----------------------------------------
string validationResult=X270.Validate(clearhouse,carrier,billProv,clinic,plan,subsc,insSub);
if(validationResult != "") {
throw new Exception(Lan.g("FormInsPlan","Please fix the following errors first:")+"\r\n"+validationResult);
}
//create a 270 message---------------------------------------------------------------
string x12message=X270.GenerateMessageText(clearhouse,carrier,billProv,clinic,plan,subsc,insSub);
EtransMessageText etransMessageText=new EtransMessageText();
etransMessageText.MessageText=x12message;
EtransMessageTexts.Insert(etransMessageText);
//attach it to an etrans-------------------------------------------------------------
Etrans etrans=new Etrans();
etrans.DateTimeTrans=DateTime.Now;
etrans.ClearingHouseNum=clearhouse.ClearinghouseNum;
etrans.Etype=EtransType.BenefitInquiry270;
etrans.PlanNum=plan.PlanNum;
etrans.InsSubNum=insSub.InsSubNum;
etrans.EtransMessageTextNum=etransMessageText.EtransMessageTextNum;
Etranss.Insert(etrans);
//send the 270----------------------------------------------------------------------
string x12response="";
//a connection error here needs to bubble up
try {
if(clearhouse.CommBridge==EclaimsCommBridge.ClaimConnect) {
x12response=ClaimConnect.Benefits270(clearhouse,x12message);
}
if(clearhouse.CommBridge==EclaimsCommBridge.EDS) {
x12response=EDS.Benefits270(clearhouse,x12message);
}
}
catch(Exception ex) {
EtransMessageTexts.Delete(etrans.EtransMessageTextNum);
Etranss.Delete(etrans.EtransNum);
throw new ApplicationException(Lan.g("FormInsPlan","Connection Error:")+"\r\n"+ex.GetType().Name+"\r\n"+ex.Message);
}
//start to process the 271----------------------------------------------------------
X271 x271=null;
if(X12object.IsX12(x12response)) {
X12object x12obj=new X12object(x12response);
if(x12obj.Is271()) {
x271=new X271(x12response);
}
}
else {//not a 997, 999, 277 or 271
EtransMessageTexts.Delete(etrans.EtransMessageTextNum);
Etranss.Delete(etrans.EtransNum);
throw new ApplicationException(Lan.g("FormInsPlan","Error:")+"\r\n"+x12response);
}
/*
//In realtime mode, X12 limits the request to one patient.
//We will always use the subscriber.
//So all EB segments are for the subscriber.
List<EB271> listEB=new List<EB271>();
EB271 eb;
if(x271 != null) {
for(int i=0;i<x271.Segments.Count;i++) {
if(x271.Segments[i].SegmentID != "EB") {
continue;
}
eb=new EB271(x271.Segments[i]);
listEB.Add(eb);
}
}*/
//create an etrans for the 271------------------------------------------------------
etransMessageText=new EtransMessageText();
etransMessageText.MessageText=x12response;
EtransMessageTexts.Insert(etransMessageText);
Etrans etrans271=new Etrans();
etrans271.DateTimeTrans=DateTime.Now;
etrans271.ClearingHouseNum=clearhouse.ClearinghouseNum;
etrans271.Etype=EtransType.TextReport;
if(X12object.IsX12(x12response)) {//this shouldn't need to be tested because it was tested above.
if(x271==null){
X12object Xobj=new X12object(x12response);
if(Xobj.Is997()) {
etrans271.Etype=EtransType.Acknowledge_997;
}
else if(Xobj.Is999()) {
etrans271.Etype=EtransType.Acknowledge_999;
}
else if(X277.Is277(Xobj)) {
etrans271.Etype=EtransType.StatusNotify_277;
}
else if(X835.Is835(Xobj)) {
etrans271.Etype=EtransType.ERA_835;
}
}
else{
etrans271.Etype=EtransType.BenefitResponse271;
}
}
etrans271.PlanNum=plan.PlanNum;
etrans271.InsSubNum=insSub.InsSubNum;
etrans271.EtransMessageTextNum=etransMessageText.EtransMessageTextNum;
Etranss.Insert(etrans271);
etrans.AckEtransNum=etrans271.EtransNum;
if(etrans271.Etype==EtransType.Acknowledge_997) {
X997 x997=new X997(x12response);
string error997=x997.GetHumanReadable();
etrans.Note="Error: "+error997;//"Malformed document sent. 997 error returned.";
Etranss.Update(etrans);
MessageBox.Show(etrans.Note);
//CodeBase.MsgBoxCopyPaste msgbox=new CodeBase.MsgBoxCopyPaste(etrans.Note);
//msgbox.ShowDialog();
//don't show the 270 interface.
return;
}
else if(etrans271.Etype==EtransType.Acknowledge_999) {
X999 x999=new X999(x12response);
string error999=x999.GetHumanReadable();
etrans.Note="Error: "+error999;//"Malformed document sent. 999 error returned.";
Etranss.Update(etrans);
MessageBox.Show(etrans.Note);
//CodeBase.MsgBoxCopyPaste msgbox=new CodeBase.MsgBoxCopyPaste(etrans.Note);
//msgbox.ShowDialog();
//don't show the 270 interface.
return;
}
else if(etrans271.Etype==EtransType.StatusNotify_277) {
X277 x277=new X277(x12response);
string error277=x277.GetHumanReadable();
etrans.Note="Error: "+error277;//"Malformed document sent. 277 error returned.";
Etranss.Update(etrans);
MessageBox.Show(etrans.Note);
//CodeBase.MsgBoxCopyPaste msgbox=new CodeBase.MsgBoxCopyPaste(etrans.Note);
//msgbox.ShowDialog();
//don't show the 277 interface.
return;
}
else if(etrans271.Etype==EtransType.ERA_835) {
X835 x835=new X835(x12response,"");
string error835=x835.GetHumanReadable();
etrans.Note="Error: "+error835;//"Malformed document sent. 835 error returned.";
Etranss.Update(etrans);
MessageBox.Show(etrans.Note);
//CodeBase.MsgBoxCopyPaste msgbox=new CodeBase.MsgBoxCopyPaste(etrans.Note);
//msgbox.ShowDialog();
//don't show the 835 interface.
return;
}
else { //271
string processingerror=x271.GetProcessingError();
if(processingerror != "") {
etrans.Note=processingerror;
Etranss.Update(etrans);
MessageBox.Show(etrans.Note);
//CodeBase.MsgBoxCopyPaste msgbox=new CodeBase.MsgBoxCopyPaste(etrans.Note);
//msgbox.ShowDialog();
//don't show the 270 interface.
return;
}
else {
etrans.Note="Normal 271 response.";//change this later to be explanatory of content.
}
}
Etranss.Update(etrans);
//show the user a list of benefits to pick from for import--------------------------
FormEtrans270Edit formE=new FormEtrans270Edit(patPlanNum,plan.PlanNum,insSub.InsSubNum);
formE.EtransCur=etrans;
formE.IsInitialResponse=true;
formE.benList=benList;
formE.ShowDialog();
}
///<summary>The insplan that's passed in need not be properly updated to the database first.</summary>
public static void RequestBenefits(Clearinghouse clearhouse, InsPlan plan, long patNum, Carrier carrier, List <Benefit> benList, long patPlanNum, InsSub insSub)
{
Patient pat = Patients.GetPat(patNum);
Patient subsc = Patients.GetPat(insSub.Subscriber);
Clinic clinic = Clinics.GetClinic(pat.ClinicNum);
Provider billProv = Providers.GetProv(Providers.GetBillingProvNum(pat.PriProv, pat.ClinicNum));
//validation. Throw exception if missing info----------------------------------------
string validationResult = X270.Validate(clearhouse, carrier, billProv, clinic, plan, subsc, insSub);
if (validationResult != "")
{
throw new Exception(Lan.g("FormInsPlan", "Please fix the following errors first:") + "\r\n" + validationResult);
}
//create a 270 message---------------------------------------------------------------
string x12message = X270.GenerateMessageText(clearhouse, carrier, billProv, clinic, plan, subsc, insSub);
EtransMessageText etransMessageText = new EtransMessageText();
etransMessageText.MessageText = x12message;
EtransMessageTexts.Insert(etransMessageText);
//attach it to an etrans-------------------------------------------------------------
Etrans etrans = new Etrans();
etrans.DateTimeTrans = DateTime.Now;
etrans.ClearingHouseNum = clearhouse.ClearinghouseNum;
etrans.Etype = EtransType.BenefitInquiry270;
etrans.PlanNum = plan.PlanNum;
etrans.InsSubNum = insSub.InsSubNum;
etrans.EtransMessageTextNum = etransMessageText.EtransMessageTextNum;
Etranss.Insert(etrans);
//send the 270----------------------------------------------------------------------
string x12response = "";
//a connection error here needs to bubble up
try {
if (clearhouse.CommBridge == EclaimsCommBridge.ClaimConnect)
{
x12response = ClaimConnect.Benefits270(clearhouse, x12message);
}
}
catch (Exception ex) {
EtransMessageTexts.Delete(etrans.EtransMessageTextNum);
Etranss.Delete(etrans.EtransNum);
throw new ApplicationException(Lan.g("FormInsPlan", "Connection Error:") + "\r\n" + ex.GetType().Name + "\r\n" + ex.Message);
}
//start to process the 271----------------------------------------------------------
X271 x271 = null;
if (X12object.IsX12(x12response))
{
X12object x12obj = new X12object(x12response);
if (x12obj.Is271())
{
x271 = new X271(x12response);
}
}
else //neither a 997 nor a 271
{
EtransMessageTexts.Delete(etrans.EtransMessageTextNum);
Etranss.Delete(etrans.EtransNum);
throw new ApplicationException(Lan.g("FormInsPlan", "Error:") + "\r\n" + x12response);
}
/*
* //In realtime mode, X12 limits the request to one patient.
* //We will always use the subscriber.
* //So all EB segments are for the subscriber.
* List<EB271> listEB=new List<EB271>();
* EB271 eb;
* if(x271 != null) {
* for(int i=0;i<x271.Segments.Count;i++) {
* if(x271.Segments[i].SegmentID != "EB") {
* continue;
* }
* eb=new EB271(x271.Segments[i]);
* listEB.Add(eb);
* }
* }*/
//create an etrans for the 271------------------------------------------------------
etransMessageText = new EtransMessageText();
etransMessageText.MessageText = x12response;
EtransMessageTexts.Insert(etransMessageText);
Etrans etrans271 = new Etrans();
etrans271.DateTimeTrans = DateTime.Now;
etrans271.ClearingHouseNum = clearhouse.ClearinghouseNum;
etrans271.Etype = EtransType.TextReport;
if (X12object.IsX12(x12response)) //this shouldn't need to be tested because it was tested above.
{
if (x271 == null)
{
etrans271.Etype = EtransType.Acknowledge_997;
}
else
{
etrans271.Etype = EtransType.BenefitResponse271;
}
}
etrans271.PlanNum = plan.PlanNum;
etrans271.InsSubNum = insSub.InsSubNum;
etrans271.EtransMessageTextNum = etransMessageText.EtransMessageTextNum;
Etranss.Insert(etrans271);
etrans.AckEtransNum = etrans271.EtransNum;
if (etrans271.Etype == EtransType.Acknowledge_997)
{
X997 x997 = new X997(x12response);
string error997 = x997.GetHumanReadable();
etrans.Note = "Error: " + error997; //"Malformed document sent. 997 error returned.";
Etranss.Update(etrans);
MessageBox.Show(etrans.Note);
//CodeBase.MsgBoxCopyPaste msgbox=new CodeBase.MsgBoxCopyPaste(etrans.Note);
//msgbox.ShowDialog();
//don't show the 270 interface.
return;
}
else
{
string processingerror = x271.GetProcessingError();
if (processingerror != "")
{
etrans.Note = processingerror;
Etranss.Update(etrans);
MessageBox.Show(etrans.Note);
//CodeBase.MsgBoxCopyPaste msgbox=new CodeBase.MsgBoxCopyPaste(etrans.Note);
//msgbox.ShowDialog();
//don't show the 270 interface.
return;
}
else
{
etrans.Note = "Normal 271 response."; //change this later to be explanatory of content.
}
}
Etranss.Update(etrans);
//show the user a list of benefits to pick from for import--------------------------
FormEtrans270Edit formE = new FormEtrans270Edit(patPlanNum, plan.PlanNum, insSub.InsSubNum);
formE.EtransCur = etrans;
formE.IsInitialResponse = true;
formE.benList = benList;
formE.ShowDialog();
}
