Beispiel #1
0
        ///<summary>Etrans type will be figured out by this class.  Either TextReport, Acknowledge_997, Acknowledge_999, or StatusNotify_277.</summary>
        public static void ProcessIncomingReport(DateTime dateTimeTrans, long clearinghouseNum, string messageText)
        {
            if (RemotingClient.RemotingRole == RemotingRole.ClientWeb)
            {
                Meth.GetVoid(MethodBase.GetCurrentMethod(), dateTimeTrans, clearinghouseNum, messageText);
                return;
            }
            Etrans etrans = new Etrans();

            etrans.DateTimeTrans    = dateTimeTrans;
            etrans.ClearingHouseNum = clearinghouseNum;
            EtransMessageText etransMessageText = new EtransMessageText();

            etransMessageText.MessageText = messageText;
            EtransMessageTexts.Insert(etransMessageText);
            etrans.EtransMessageTextNum = etransMessageText.EtransMessageTextNum;
            string command;

            if (X12object.IsX12(messageText))
            {
                X12object Xobj = new X12object(messageText);
                if (Xobj.IsAckInterchange())
                {
                    etrans.Etype = EtransType.Ack_Interchange;
                    Etranss.Insert(etrans);
                    //At some point in the future, we should use TA101 to match to batch number and TA104 to get the ack code,
                    //then update historic etrans entries like we do for 997s, 999s and 277s.
                }
                else if (Xobj.Is997())
                {
                    X997 x997 = new X997(messageText);
                    etrans.Etype       = EtransType.Acknowledge_997;
                    etrans.BatchNumber = x997.GetBatchNumber();
                    Etranss.Insert(etrans);
                    string batchack = x997.GetBatchAckCode();
                    if (batchack == "A" || batchack == "R")               //accepted or rejected
                    {
                        command = "UPDATE etrans SET AckCode='" + batchack + "', "
                                  + "AckEtransNum=" + POut.Long(etrans.EtransNum)
                                  + " WHERE BatchNumber=" + POut.Long(etrans.BatchNumber)
                                  + " AND ClearinghouseNum=" + POut.Long(clearinghouseNum)
                                  + " AND DateTimeTrans > " + POut.DateT(dateTimeTrans.AddDays(-14))
                                  + " AND DateTimeTrans < " + POut.DateT(dateTimeTrans.AddDays(1))
                                  + " AND AckEtransNum=0";
                        Db.NonQ(command);
                    }
                    else                      //partially accepted
                    {
                        List <int> transNums = x997.GetTransNums();
                        string     ack;
                        for (int i = 0; i < transNums.Count; i++)
                        {
                            ack = x997.GetAckForTrans(transNums[i]);
                            if (ack == "A" || ack == "R")                       //accepted or rejected
                            {
                                command = "UPDATE etrans SET AckCode='" + ack + "', "
                                          + "AckEtransNum=" + POut.Long(etrans.EtransNum)
                                          + " WHERE BatchNumber=" + POut.Long(etrans.BatchNumber)
                                          + " AND TransSetNum=" + POut.Long(transNums[i])
                                          + " AND ClearinghouseNum=" + POut.Long(clearinghouseNum)
                                          + " AND DateTimeTrans > " + POut.DateT(dateTimeTrans.AddDays(-14))
                                          + " AND DateTimeTrans < " + POut.DateT(dateTimeTrans.AddDays(1))
                                          + " AND AckEtransNum=0";
                                Db.NonQ(command);
                            }
                        }
                    }
                    //none of the other fields make sense, because this ack could refer to many claims.
                }
                else if (Xobj.Is999())
                {
                    X999 x999 = new X999(messageText);
                    etrans.Etype       = EtransType.Acknowledge_999;
                    etrans.BatchNumber = x999.GetBatchNumber();
                    Etranss.Insert(etrans);
                    string batchack = x999.GetBatchAckCode();
                    if (batchack == "A" || batchack == "R")               //accepted or rejected
                    {
                        command = "UPDATE etrans SET AckCode='" + batchack + "', "
                                  + "AckEtransNum=" + POut.Long(etrans.EtransNum)
                                  + " WHERE BatchNumber=" + POut.Long(etrans.BatchNumber)
                                  + " AND ClearinghouseNum=" + POut.Long(clearinghouseNum)
                                  + " AND DateTimeTrans > " + POut.DateT(dateTimeTrans.AddDays(-14))
                                  + " AND DateTimeTrans < " + POut.DateT(dateTimeTrans.AddDays(1))
                                  + " AND AckEtransNum=0";
                        Db.NonQ(command);
                    }
                    else                      //partially accepted
                    {
                        List <int> transNums = x999.GetTransNums();
                        string     ack;
                        for (int i = 0; i < transNums.Count; i++)
                        {
                            ack = x999.GetAckForTrans(transNums[i]);
                            if (ack == "A" || ack == "R")           //accepted or rejected
                            {
                                command = "UPDATE etrans SET AckCode='" + ack + "', "
                                          + "AckEtransNum=" + POut.Long(etrans.EtransNum)
                                          + " WHERE BatchNumber=" + POut.Long(etrans.BatchNumber)
                                          + " AND TransSetNum=" + POut.Long(transNums[i])
                                          + " AND ClearinghouseNum=" + POut.Long(clearinghouseNum)
                                          + " AND DateTimeTrans > " + POut.DateT(dateTimeTrans.AddDays(-14))
                                          + " AND DateTimeTrans < " + POut.DateT(dateTimeTrans.AddDays(1))
                                          + " AND AckEtransNum=0";
                                Db.NonQ(command);
                            }
                        }
                    }
                    //none of the other fields make sense, because this ack could refer to many claims.
                }
                else if (X277.Is277(Xobj))
                {
                    X277 x277 = new X277(messageText);
                    etrans.Etype = EtransType.StatusNotify_277;
                    Etranss.Insert(etrans);
                    List <string> claimTrackingNumbers = x277.GetClaimTrackingNumbers();
                    for (int i = 0; i < claimTrackingNumbers.Count; i++)
                    {
                        string ack      = x277.GetClaimInfo(claimTrackingNumbers[i])[3];
                        long   claimNum = Claims.GetClaimNumForIdentifier(claimTrackingNumbers[i]);
                        //Locate the latest etrans entries for the claim based on DateTimeTrans with EType of ClaimSent or Claim_Ren and update the AckCode and AckEtransNum.
                        //We overwrite existing acks from 997s, 999s and older 277s.
                        command = "UPDATE etrans SET AckCode='" + ack + "', "
                                  + "AckEtransNum=" + POut.Long(etrans.EtransNum)
                                  + " WHERE EType IN (0,3) "                     //ClaimSent and Claim_Ren
                                  + " AND ClaimNum=" + POut.Long(claimNum)
                                  + " AND ClearinghouseNum=" + POut.Long(clearinghouseNum)
                                  + " AND DateTimeTrans > " + POut.DateT(dateTimeTrans.AddDays(-14))
                                  + " AND DateTimeTrans < " + POut.DateT(dateTimeTrans.AddDays(1));
                        Db.NonQ(command);
                    }
                    ////none of the other fields make sense, because this ack could refer to many claims.
                }
                else                  //unknown type of X12 report.
                {
                    etrans.Etype = EtransType.TextReport;
                    Etranss.Insert(etrans);
                }
            }
            else              //not X12
            {
                etrans.Etype = EtransType.TextReport;
                Etranss.Insert(etrans);
            }
        }
Beispiel #2
0
		///<summary>Etrans type will be figured out by this class.  Either TextReport, Acknowledge_997, Acknowledge_999, or StatusNotify_277.</summary>
		public static void ProcessIncomingReport(DateTime dateTimeTrans,long hqClearinghouseNum,string messageText,long userNum) {
			if(RemotingClient.RemotingRole==RemotingRole.ClientWeb) {
				Meth.GetVoid(MethodBase.GetCurrentMethod(),dateTimeTrans,hqClearinghouseNum,messageText,userNum);
				return;
			}
			Etrans etrans=CreateEtrans(dateTimeTrans,hqClearinghouseNum,messageText,userNum);
			string command;
			X12object Xobj=X12object.ToX12object(messageText);
			if(Xobj!=null) {//Is a correctly formatted X12 message.
				if(Xobj.IsAckInterchange()) {
					etrans.Etype=EtransType.Ack_Interchange;
					Etranss.Insert(etrans);
					//At some point in the future, we should use TA101 to match to batch number and TA104 to get the ack code, 
					//then update historic etrans entries like we do for 997s, 999s and 277s.
				}
				else if(Xobj.Is997()) {
					X997 x997=new X997(messageText);
					etrans.Etype=EtransType.Acknowledge_997;
					etrans.BatchNumber=x997.GetBatchNumber();
					Etranss.Insert(etrans);
					string batchack=x997.GetBatchAckCode();
					if(batchack=="A"||batchack=="R") {//accepted or rejected
						command="UPDATE etrans SET AckCode='"+batchack+"', "
							+"AckEtransNum="+POut.Long(etrans.EtransNum)
							+" WHERE BatchNumber="+POut.Long(etrans.BatchNumber)
							+" AND ClearinghouseNum="+POut.Long(hqClearinghouseNum)
							+" AND DateTimeTrans > "+POut.DateT(dateTimeTrans.AddDays(-14))
							+" AND DateTimeTrans < "+POut.DateT(dateTimeTrans.AddDays(1))
							+" AND AckEtransNum=0";
						Db.NonQ(command);
					}
					else {//partially accepted
						List<int> transNums=x997.GetTransNums();
						string ack;
						for(int i=0;i<transNums.Count;i++) {
							ack=x997.GetAckForTrans(transNums[i]);
							if(ack=="A"||ack=="R") {//accepted or rejected
								command="UPDATE etrans SET AckCode='"+ack+"', "
									+"AckEtransNum="+POut.Long(etrans.EtransNum)
									+" WHERE BatchNumber="+POut.Long(etrans.BatchNumber)
									+" AND TransSetNum="+POut.Long(transNums[i])
									+" AND ClearinghouseNum="+POut.Long(hqClearinghouseNum)
									+" AND DateTimeTrans > "+POut.DateT(dateTimeTrans.AddDays(-14))
									+" AND DateTimeTrans < "+POut.DateT(dateTimeTrans.AddDays(1))
									+" AND AckEtransNum=0";
								Db.NonQ(command);
							}
						}
					}
					//none of the other fields make sense, because this ack could refer to many claims.
				}
				else if(Xobj.Is999()) {
					X999 x999=new X999(messageText);
					etrans.Etype=EtransType.Acknowledge_999;
					etrans.BatchNumber=x999.GetBatchNumber();
					Etranss.Insert(etrans);
					string batchack=x999.GetBatchAckCode();
					if(batchack=="A"||batchack=="R") {//accepted or rejected
					  command="UPDATE etrans SET AckCode='"+batchack+"', "
					    +"AckEtransNum="+POut.Long(etrans.EtransNum)
					    +" WHERE BatchNumber="+POut.Long(etrans.BatchNumber)
					    +" AND ClearinghouseNum="+POut.Long(hqClearinghouseNum)
					    +" AND DateTimeTrans > "+POut.DateT(dateTimeTrans.AddDays(-14))
					    +" AND DateTimeTrans < "+POut.DateT(dateTimeTrans.AddDays(1))
					    +" AND AckEtransNum=0";
					  Db.NonQ(command);
					}
					else {//partially accepted
					  List<int> transNums=x999.GetTransNums();
					  string ack;
					  for(int i=0;i<transNums.Count;i++) {
					    ack=x999.GetAckForTrans(transNums[i]);
					    if(ack=="A"||ack=="R") {//accepted or rejected
					      command="UPDATE etrans SET AckCode='"+ack+"', "
					        +"AckEtransNum="+POut.Long(etrans.EtransNum)
					        +" WHERE BatchNumber="+POut.Long(etrans.BatchNumber)
					        +" AND TransSetNum="+POut.Long(transNums[i])
					        +" AND ClearinghouseNum="+POut.Long(hqClearinghouseNum)
					        +" AND DateTimeTrans > "+POut.DateT(dateTimeTrans.AddDays(-14))
					        +" AND DateTimeTrans < "+POut.DateT(dateTimeTrans.AddDays(1))
					        +" AND AckEtransNum=0";
					      Db.NonQ(command);
					    }
					  }
					}
					//none of the other fields make sense, because this ack could refer to many claims.
				}
				else if(X277.Is277(Xobj)) {
					X277 x277=new X277(messageText);
					etrans.Etype=EtransType.StatusNotify_277;
					Etranss.Insert(etrans);
					List<string> listClaimIdentifiers=x277.GetClaimTrackingNumbers();
					//Dictionary to run one update command per ack code for many claims.
					Dictionary <string,List<X12ClaimMatch>> dictClaimMatchesByAck=new Dictionary<string,List<X12ClaimMatch>>();
					for(int i=0;i<listClaimIdentifiers.Count;i++) {
						X12ClaimMatch claimMatch=new X12ClaimMatch();
						claimMatch.ClaimIdentifier=listClaimIdentifiers[i];
						string[] arrayClaimInfo=x277.GetClaimInfo(claimMatch.ClaimIdentifier);
						claimMatch.PatFname=PIn.String(arrayClaimInfo[0]);
						claimMatch.PatLname=PIn.String(arrayClaimInfo[1]);
						claimMatch.DateServiceStart=PIn.DateT(arrayClaimInfo[6]);
						claimMatch.DateServiceEnd=PIn.DateT(arrayClaimInfo[7]);
						claimMatch.ClaimFee=PIn.Double(arrayClaimInfo[9]);
						claimMatch.SubscriberId=PIn.String(arrayClaimInfo[10]);
						claimMatch.EtransNum=etrans.EtransNum;
						string ack=arrayClaimInfo[3];
						if(!dictClaimMatchesByAck.ContainsKey(ack)) {
							dictClaimMatchesByAck.Add(ack,new List<X12ClaimMatch>());
						}
						dictClaimMatchesByAck[ack].Add(claimMatch);
					}
					foreach(string ack in dictClaimMatchesByAck.Keys) {
						List <long> listClaimNums=Claims.GetClaimFromX12(dictClaimMatchesByAck[ack]);
						if(listClaimNums!=null) {
							listClaimNums=listClaimNums.Where(x => x!=0).ToList();
							if(listClaimNums.Count > 0) {
								//Locate the latest etrans entries for the claims based on DateTimeTrans with EType of ClaimSent or Claim_Ren and update the AckCode and AckEtransNum.
								//We overwrite existing acks from 997s, 999s and older 277s.
								command="UPDATE etrans SET AckCode='"+ack+"', "
									+"AckEtransNum="+POut.Long(etrans.EtransNum)
									+" WHERE EType IN ("+POut.Int((int)EtransType.ClaimSent)+","+POut.Int((int)EtransType.Claim_Ren)+") "
									+" AND ClaimNum IN("+String.Join(",",listClaimNums.Select(x => POut.Long(x)))+")"
									+" AND ClearinghouseNum="+POut.Long(hqClearinghouseNum)
									+" AND DateTimeTrans > "+POut.DateT(dateTimeTrans.AddDays(-14))
									+" AND DateTimeTrans < "+POut.DateT(dateTimeTrans.AddDays(1));
								Db.NonQ(command);
							}
						}
						//none of the other fields make sense, because this ack could refer to many claims.
					}
				}
				else if(X835.Is835(Xobj)) {
					etrans.Etype=EtransType.ERA_835;
					List <string> listTranSetIds=Xobj.GetTranSetIds();
					List <Etrans> listEtrans=new List<Etrans>();
					List <X835> list835s=new List<X835>();
					//We pull in the 835 data in two loops so that we can ensure the 835 is fully parsed before we create any etrans entries.
					for(int i=0;i<listTranSetIds.Count;i++) {
						etrans.TranSetId835=listTranSetIds[i];
						if(i>0) {
							etrans.EtransNum=0;//To get a new record to insert.
						}
						X835 x835=new X835(etrans,messageText,etrans.TranSetId835);//parse. If parsing fails, then no etrans entries will be inserted.
						etrans.CarrierNameRaw=x835.PayerName;
						List<string> listUniquePatientNames=new List<string>();
						for(int j=0;j<x835.ListClaimsPaid.Count;j++) {
							string patName=x835.ListClaimsPaid[j].PatientName.ToString(false);
							if(!listUniquePatientNames.Contains(patName)) {
								listUniquePatientNames.Add(patName);
							}
						}
						if(listUniquePatientNames.Count==1) {
							etrans.PatientNameRaw=listUniquePatientNames[0];
						}
						else {
							etrans.PatientNameRaw="("+listUniquePatientNames.Count+" "+Lans.g("Etranss","patients")+")";
						}
						listEtrans.Add(etrans.Copy());
						list835s.Add(x835);
					}
					//The 835 was completely parsed.  Create etrans entries.
					for(int i=0;i<listEtrans.Count;i++) {
						etrans=listEtrans[i];
						X835 x835=list835s[i];
						Etranss.Insert(etrans);//insert
						List<long> listClaimNums=x835.ListClaimsPaid.Select(x => x.ClaimNum).Where(x => x!=0).ToList();
						if(listClaimNums.Count > 0) {
							//Locate the latest etrans entries for the claim based on DateTimeTrans with EType of ClaimSent or Claim_Ren and update the AckCode and AckEtransNum.
							//We overwrite existing acks from 997s, 999s, and 277s.
							command="UPDATE etrans SET AckCode='A', "
								+"AckEtransNum="+POut.Long(etrans.EtransNum)
								+" WHERE EType IN (0,3) "//ClaimSent and Claim_Ren
								+" AND ClaimNum IN("+String.Join(",",listClaimNums.Select(x => POut.Long(x)))+")"
								+" AND ClearinghouseNum="+POut.Long(hqClearinghouseNum)
								+" AND DateTimeTrans > "+POut.DateT(dateTimeTrans.AddDays(-14))
								+" AND DateTimeTrans < "+POut.DateT(dateTimeTrans.AddDays(1));
							Db.NonQ(command);
						}
						//none of the other fields make sense, because this ack could refer to many claims.
					}
				}
				else {//unknown type of X12 report.
					etrans.Etype=EtransType.TextReport;
					Etranss.Insert(etrans);
				}
			}
			else {//not X12
				etrans.Etype=EtransType.TextReport;
				Etranss.Insert(etrans);
			}
		}