/// <summary>Returns true if ClaimProcAllowCreditsGreaterThanProcFee preference allows the user to add credits greater than the proc fee. Otherwise returns false </summary>
private bool isClaimProcGreaterThanProcFee()
{
ClaimProcCreditsGreaterThanProcFee creditsGreaterPref = (ClaimProcCreditsGreaterThanProcFee)PrefC.GetInt(PrefName.ClaimProcAllowCreditsGreaterThanProcFee);
if (creditsGreaterPref == ClaimProcCreditsGreaterThanProcFee.Allow)
{
return(true);
}
List <Procedure> listProcs = Procedures.GetManyProc(ClaimProcsToEdit.Select(x => x.ProcNum).ToList(), false);
List <ClaimProc> listClaimProcsForPat = ClaimProcs.Refresh(PatCur.PatNum);
List <PaySplit> listPaySplitForSelectedCP = PaySplits.GetPaySplitsFromProcs(ClaimProcsToEdit.Select(x => x.ProcNum).ToList());
List <Adjustment> listAdjForSelectedCP = Adjustments.GetForProcs(ClaimProcsToEdit.Select(x => x.ProcNum).ToList());
bool isCreditGreater = false;
List <string> listProcDescripts = new List <string>();
for (int i = 0; i < ClaimProcsToEdit.Length; i++)
{
ClaimProc claimProcCur = ClaimProcsToEdit[i];
int insPayIdx = gridMain.ListGridColumns.GetIndex(Lan.g("TableClaimProc", "Ins Pay"));
int writeoffIdx = gridMain.ListGridColumns.GetIndex(Lan.g("TableClaimProc", "Writeoff"));
int feeAcctIdx = gridMain.ListGridColumns.GetIndex(Lan.g("TableClaimProc", "Fee"));
decimal insPayAmt = (decimal)ClaimProcs.ProcInsPay(listClaimProcsForPat.FindAll(x => x.ClaimProcNum != claimProcCur.ClaimProcNum), claimProcCur.ProcNum)
+ PIn.Decimal(gridMain.ListGridRows[i].Cells[insPayIdx].Text);
decimal writeOff = (decimal)ClaimProcs.ProcWriteoff(listClaimProcsForPat.FindAll(x => x.ClaimProcNum != claimProcCur.ClaimProcNum), claimProcCur.ProcNum)
+ PIn.Decimal(gridMain.ListGridRows[i].Cells[writeoffIdx].Text);
decimal feeAcct = PIn.Decimal(gridMain.ListGridRows[i].Cells[feeAcctIdx].Text);
decimal adj = listAdjForSelectedCP.Where(x => x.ProcNum == claimProcCur.ProcNum).Select(x => (decimal)x.AdjAmt).Sum();
decimal patPayAmt = listPaySplitForSelectedCP.Where(x => x.ProcNum == claimProcCur.ProcNum).Select(x => (decimal)x.SplitAmt).Sum();
//Any changes to this calculation should also consider FormClaimProc.IsClaimProcGreaterThanProcFee().
decimal creditRem = feeAcct - patPayAmt - insPayAmt - writeOff + adj;
isCreditGreater |= (creditRem.IsLessThanZero());
if (creditRem.IsLessThanZero())
{
Procedure proc = listProcs.FirstOrDefault(x => x.ProcNum == claimProcCur.ProcNum);
listProcDescripts.Add((proc == null ? "" : ProcedureCodes.GetProcCode(proc.CodeNum).ProcCode)
+ "\t" + Lan.g(this, "Fee") + ": " + feeAcct.ToString("F")
+ "\t" + Lan.g(this, "Credits") + ": " + (Math.Abs(-patPayAmt - insPayAmt - writeOff + adj)).ToString("F")
+ "\t" + Lan.g(this, "Remaining") + ": (" + Math.Abs(creditRem).ToString("F") + ")");
}
}
if (!isCreditGreater)
{
return(true);
}
if (creditsGreaterPref == ClaimProcCreditsGreaterThanProcFee.Block)
{
MsgBoxCopyPaste msgBox = new MsgBoxCopyPaste(Lan.g(this, "Remaining amount is negative for the following procedures") + ":\r\n"
+ string.Join("\r\n", listProcDescripts) + "\r\n" + Lan.g(this, "Not allowed to continue."));
msgBox.Text = Lan.g(this, "Overpaid Procedure Warning");
msgBox.ShowDialog();
return(false);
}
if (creditsGreaterPref == ClaimProcCreditsGreaterThanProcFee.Warn)
{
return(MessageBox.Show(Lan.g(this, "Remaining amount is negative for the following procedures") + ":\r\n"
+ string.Join("\r\n", listProcDescripts.Take(10)) + "\r\n" + (listProcDescripts.Count > 10?"...\r\n":"") + Lan.g(this, "Continue?")
, Lan.g(this, "Overpaid Procedure Warning"), MessageBoxButtons.OKCancel) == DialogResult.OK);
}
return(true); //should never get to this line, only possible if another enum value is added to allow, warn, and block
}
///<summary>Returns true if InsPayNoWriteoffMoreThanProc preference is turned on and the sum of write off amount is greater than the proc fee.
///Otherwise returns false </summary>
private bool IsWriteOffGreaterThanProcFee()
{
if (!PrefC.GetBool(PrefName.InsPayNoWriteoffMoreThanProc))
{
return(false); //InsPayNoWriteoffMoreThanProc preference is off. No need to check.
}
List <ClaimProc> listClaimProcsForPat = ClaimProcs.Refresh(PatCur.PatNum);
List <Adjustment> listAdjustmentsForPat = Adjustments.GetForProcs(ClaimProcsToEdit.Select(x => x.ProcNum).Where(x => x != 0).ToList());
bool isWriteoffGreater = false;
List <string> listProcDescripts = new List <string>();
for (int i = 0; i < ClaimProcsToEdit.Length; i++)
{
ClaimProc claimProcCur = ClaimProcsToEdit[i];
//Fetch all adjustments for the given procedure.
List <Adjustment> listClaimProcAdjustments = listAdjustmentsForPat.Where(x => x.ProcNum == claimProcCur.ProcNum).ToList();
int writeoffIdx = gridMain.ListGridColumns.GetIndex(Lan.g("TableClaimProc", "Writeoff"));
int feeAcctIdx = gridMain.ListGridColumns.GetIndex(Lan.g("TableClaimProc", "Fee"));
decimal writeOff = (decimal)ClaimProcs.ProcWriteoff(listClaimProcsForPat.FindAll(x => x.ClaimProcNum != claimProcCur.ClaimProcNum), claimProcCur.ProcNum)
+ PIn.Decimal(gridMain.ListGridRows[i].Cells[writeoffIdx].Text);
decimal feeAcct = PIn.Decimal(gridMain.ListGridRows[i].Cells[feeAcctIdx].Text);
decimal adjAcct = listClaimProcAdjustments.Sum(x => (decimal)x.AdjAmt);
//Any changes to this calculation should also consider FormClaimProc.IsWriteOffGreaterThanProc().
decimal writeoffRem = feeAcct - writeOff + adjAcct;
isWriteoffGreater |= (writeoffRem.IsLessThanZero() && writeOff.IsGreaterThanZero());
if (writeoffRem.IsLessThanZero() && writeOff.IsGreaterThanZero())
{
Procedure proc = Procedures.GetProcFromList(ProcList, claimProcCur.ProcNum); //will return a new procedure if none found.
listProcDescripts.Add((proc == null ? "" : ProcedureCodes.GetProcCode(proc.CodeNum).ProcCode)
+ "\t" + Lan.g(this, "Fee") + ": " + feeAcct.ToString("F")
+ "\t" + Lan.g(this, "Adjustments") + ": " + adjAcct.ToString("F")
+ "\t" + Lan.g(this, "Write-off") + ": " + (Math.Abs(-writeOff)).ToString("F")
+ "\t" + Lan.g(this, "Remaining") + ": (" + Math.Abs(writeoffRem).ToString("F") + ")");
}
}
if (isWriteoffGreater)
{
MsgBoxCopyPaste msgBox = new MsgBoxCopyPaste(Lan.g(this, "Write-off amount is greater than the adjusted procedure fee for the following "
+ "procedure(s)") + ":\r\n" + string.Join("\r\n", listProcDescripts) + "\r\n" + Lan.g(this, "Not allowed to continue."));
msgBox.Text = Lan.g(this, "Excessive Write-off");
msgBox.ShowDialog();
return(true);
}
return(false);
}
private void FillProcedure()
{
if (_adjustmentCur.ProcNum == 0)
{
textProcDate2.Text = "";
textProcProv.Text = "";
textProcTooth.Text = "";
textProcDescription.Text = "";
textProcFee.Text = "";
textProcWriteoff.Text = "";
textProcInsPaid.Text = "";
textProcInsEst.Text = "";
textProcAdj.Text = "";
textProcPatPaid.Text = "";
textProcAdjCur.Text = "";
labelProcRemain.Text = "";
_adjRemAmt = 0;
return;
}
Procedure procCur = Procedures.GetOneProc(_adjustmentCur.ProcNum, false);
List <ClaimProc> listClaimProcs = ClaimProcs.Refresh(procCur.PatNum);
List <Adjustment> listAdjustments = Adjustments.Refresh(procCur.PatNum)
.Where(x => x.ProcNum == procCur.ProcNum && x.AdjNum != _adjustmentCur.AdjNum).ToList();
textProcDate.Text = procCur.ProcDate.ToShortDateString();
textProcDate2.Text = procCur.ProcDate.ToShortDateString();
textProcProv.Text = Providers.GetAbbr(procCur.ProvNum);
textProcTooth.Text = Tooth.ToInternat(procCur.ToothNum);
textProcDescription.Text = ProcedureCodes.GetProcCode(procCur.CodeNum).Descript;
double procWO = -ClaimProcs.ProcWriteoff(listClaimProcs, procCur.ProcNum);
double procInsPaid = -ClaimProcs.ProcInsPay(listClaimProcs, procCur.ProcNum);
double procInsEst = -ClaimProcs.ProcEstNotReceived(listClaimProcs, procCur.ProcNum);
double procAdj = listAdjustments.Sum(x => x.AdjAmt);
double procPatPaid = -PaySplits.GetTotForProc(procCur);
textProcFee.Text = procCur.ProcFeeTotal.ToString("F");
textProcWriteoff.Text = procWO == 0?"":procWO.ToString("F");
textProcInsPaid.Text = procInsPaid == 0?"":procInsPaid.ToString("F");
textProcInsEst.Text = procInsEst == 0?"":procInsEst.ToString("F");
textProcAdj.Text = procAdj == 0?"":procAdj.ToString("F");
textProcPatPaid.Text = procPatPaid == 0?"":procPatPaid.ToString("F");
//Intelligently sum the values above based on statuses instead of blindly adding all of the values together.
//The remaining amount is typically called the "patient portion" so utilze the centralized method that gets the patient portion.
decimal patPort = ClaimProcs.GetPatPortion(procCur, listClaimProcs, listAdjustments);
double procAdjCur = 0;
if (textAmount.errorProvider1.GetError(textAmount) == "")
{
if (listTypePos.SelectedIndex > -1) //pos
{
procAdjCur = PIn.Double(textAmount.Text);
}
else if (listTypeNeg.SelectedIndex > -1 || Defs.GetValue(DefCat.AdjTypes, _adjustmentCur.AdjType) == "dp") //neg or discount plan
{
procAdjCur = -PIn.Double(textAmount.Text);
}
}
textProcAdjCur.Text = procAdjCur == 0?"":procAdjCur.ToString("F");
//Add the current adjustment amount to the patient portion which will give the newly calculated remaining amount.
_adjRemAmt = (decimal)procAdjCur + (decimal)procPatPaid + patPort;
labelProcRemain.Text = _adjRemAmt.ToString("c");
}
