public static CaseAuthDTO Create(Authorization caseAuth)
{
var obj = new CaseAuthDTO()
{
Id = caseAuth.ID,
Code = caseAuth.AuthorizationCode?.Code,
AuthStartDate = caseAuth.StartDate,
AuthEndDate = caseAuth.EndDate
};
return(obj);
}
private List <AuthorizationBreakdown> getAuthBreakdowns(Domain2.Hours.Hours entry)
{
var providerType = entry.Provider.ProviderType;
var service = entry.Service;
var insurance = ResolutionServiceRepository.GetActiveInsurance(entry.CaseID, entry.Date);
if (insurance == null)
{
Log(new HoursResolutionLoggingEntry
{
WasResolved = false,
HoursID = entry.ID,
HoursDate = entry.Date,
ServiceID = service.ID,
BillableHours = entry.BillableHours,
ProviderTypeID = providerType.ID,
InsuranceID = 0,
AuthMatchRuleDetailJSON = Serialize(new { Message = "No insurance" })
});
return(null);
}
var rules = insurance.AuthorizationMatchRules;
if (rules == null || rules.Count == 0)
{
Log(new HoursResolutionLoggingEntry
{
WasResolved = false,
HoursID = entry.ID,
HoursDate = entry.Date,
ServiceID = service.ID,
BillableHours = entry.BillableHours,
ProviderTypeID = providerType.ID,
InsuranceID = insurance.ID,
AuthMatchRuleDetailJSON = Serialize(new { Message = "No rules" })
});
return(null);
}
var matchedRule = rules.Where(x => x.ServiceID == service.ID && x.ProviderTypeID == providerType.ID).FirstOrDefault();
if (matchedRule == null)
{
Log(new HoursResolutionLoggingEntry
{
WasResolved = false,
HoursID = entry.ID,
HoursDate = entry.Date,
ServiceID = service.ID,
BillableHours = entry.BillableHours,
ProviderTypeID = providerType.ID,
InsuranceID = insurance.ID,
AuthMatchRuleDetailJSON = Serialize(rules.Select(m => RuleDTO.Create(m)))
});
return(null);
}
var breakdowns = getBreakdownsForRule(entry, matchedRule);
if (breakdowns == null)
{
Log(new HoursResolutionLoggingEntry
{
WasResolved = false,
HoursID = entry.ID,
HoursDate = entry.Date,
ServiceID = service.ID,
BillableHours = entry.BillableHours,
ProviderTypeID = providerType.ID,
InsuranceID = insurance.ID,
AuthMatchRuleDetailJSON = Serialize(RuleDTO.Create(matchedRule)),
ActiveAuthorizationsJSON = Serialize(entry.Case.GetActiveAuthorizations()?.Select(m => CaseAuthDTO.Create(m)))
});
}
else
{
foreach (var b in breakdowns)
{
Log(new HoursResolutionLoggingEntry
{
WasResolved = true,
HoursID = entry.ID,
HoursDate = entry.Date,
ServiceID = service.ID,
BillableHours = entry.BillableHours,
ProviderTypeID = providerType.ID,
InsuranceID = insurance.ID,
AuthMatchRuleDetailJSON = Serialize(RuleDTO.Create(matchedRule)),
ResolvedAuthID = b.Authorization?.AuthorizationCode?.ID,
ResolvedAuthCode = b.Authorization?.AuthorizationCode?.Code,
ResolvedCaseAuthID = b.Authorization?.ID,
ResolvedCaseAuthStart = b.Authorization?.StartDate,
ResolvedCaseAuthEndDate = b.Authorization?.EndDate,
ResolvedAuthMatchRuleID = matchedRule.ID,
ResolvedMinutes = b.Minutes
});
}
}
return(breakdowns);
}
