public static InsuranceInfo AddInsurance(Patient pat, string carrierName, string planType = "", long feeSchedNum = 0, int ordinal = 1, bool isMedical = false,
EnumCobRule cobRule = EnumCobRule.Basic, long copayFeeSchedNum = 0, int monthRenew = 0, string subscriberID = "1234",
ExclusionRule exclusionRule = ExclusionRule.PracticeDefault)
{
InsuranceInfo ins = new InsuranceInfo();
ins.AddInsurance(pat, carrierName, planType, feeSchedNum, ordinal, isMedical, cobRule, copayFeeSchedNum, monthRenew, subscriberID, exclusionRule);
return(ins);
}
public static Claim CreateClaim(List <Procedure> listProcsForClaim, InsuranceInfo insInfo, string claimType = "P", string claimIdentifier = "")
{
//In case the tester forgot to add these procs to the insInfo object:
List <Procedure> listProcsAll = insInfo.ListAllProcs.Select(x => x.Copy()).ToList();
listProcsAll.AddRange(listProcsForClaim.FindAll(x => !insInfo.ListAllProcs.Any(y => y.ProcNum == x.ProcNum)));
return(CreateClaim(claimType, insInfo.ListPatPlans, insInfo.ListInsPlans, insInfo.ListAllClaimProcs, listProcsAll, insInfo.Pat, listProcsForClaim,
insInfo.ListBenefits, insInfo.ListInsSubs, claimIdentifier: claimIdentifier));
}
///<summary>Creates insurance and completed procedures prior to creating a claim with given claimType and claimIdentifier.</summary>
public static Claim SetupEraClaim(Patient pat, List <EraTestProcCodeData> listProcCodes, string claimType, string claimIdentifier, out List <InsuranceInfo> listInsuranceInfo)
{
listInsuranceInfo = new List <InsuranceInfo>();
//Create Insurance
InsuranceInfo insuranceInfoPercentage = InsuranceT.AddInsurance(pat, "PrimaryCarrier"); //non-ppo
InsuranceInfo insuranceInfoPPO = InsuranceT.AddInsurance(pat, "SecondaryCarrier", "p", ordinal: 2); //PPO, currently not used.
listInsuranceInfo.Add(insuranceInfoPercentage);
listInsuranceInfo.Add(insuranceInfoPPO);
//Create and complete procedures.
List <Procedure> listProcs = new List <Procedure>();
foreach (EraTestProcCodeData data in listProcCodes)
{
Procedure proc = ProcedureT.CreateProcedure(pat, data.ProcCode, data.ProcStatus, "0", data.ProcFee, data.ProcDateTime);
ProcedureT.SetComplete(proc, pat, insuranceInfoPercentage); //Does not create claimProcs if they are backdated.
listProcs.Add(proc);
}
//Create claim
return(ClaimT.CreateClaim(listProcs, insuranceInfoPercentage, claimType, claimIdentifier)); //Creates missing claimProcs, uses procDate, claimIdentifier from ERA.
}
///<summary>Computes the claimproc estimates for all TP procedures belonging to the specified patient. Returns the claimprocs.</summary>
public static List <ClaimProc> ComputeEstimates(Patient pat, InsuranceInfo insInfo, DateTime dateCalc)
{
return(ComputeEstimates(pat, insInfo.ListPatPlans, insInfo.ListInsPlans, insInfo.ListInsSubs, insInfo.ListBenefits, dateCalc));
}
public static void SetComplete(Procedure proc, Patient pat, InsuranceInfo insuranceInfo)
{
SetComplete(proc, pat, insuranceInfo.ListInsPlans, insuranceInfo.ListPatPlans, insuranceInfo.ListAllClaimProcs, insuranceInfo.ListBenefits, insuranceInfo.ListInsSubs);
}
