public void X834_ImportInsurancePlans_ReplaceSecondaryPatPlan()
{
Patient pat = Createx834Patient();
string suffix = MethodBase.GetCurrentMethod().Name;
//Create primary insurance plan that appears in the 834.
InsuranceInfo insurancePrimary = InsuranceT.AddInsurance(pat, "Old Carrier" + suffix, subscriberID: "CG00000B");
//Create secondary insurance that does not appear in the 834.
InsuranceInfo insuranceSecondary = InsuranceT.AddInsurance(pat, "Secondary Carrier" + suffix);
//Get the pat plans for this patient from the database.
List <PatPlan> listPatPlans = PatPlans.GetPatPlansForPat(pat.PatNum);
Assert.AreEqual(2, listPatPlans.Count);
//Create x834
X834 x834 = new X834(new X12object(Properties.Resources.x834Test));
int createdPatsCount, updatedPatsCount, skippedPatsCount, createdCarrierCount, createdInsPlanCount, updatedInsPlanCount, createdInsSubCount,
updatedInsSubCount, createdPatPlanCount, droppedPatPlanCount, updatedPatPlanCount;
StringBuilder sbErrorMessages;
//Pass in true for dropExistingInsurance
EtransL.ImportInsurancePlans(x834, new List <Patient> {
pat
}, true, true, out createdPatsCount,
out updatedPatsCount, out skippedPatsCount, out createdCarrierCount, out createdInsPlanCount, out updatedInsPlanCount, out createdInsSubCount,
out updatedInsSubCount, out createdPatPlanCount, out droppedPatPlanCount, out updatedPatPlanCount, out sbErrorMessages);
//Get the pat plans for this patient from the database.
listPatPlans = PatPlans.GetPatPlansForPat(pat.PatNum);
Assert.AreEqual(1, listPatPlans.Count);
Assert.AreEqual(1, droppedPatPlanCount);
//These should be different as a new plan was created and the old plan was dropped.
Assert.AreEqual(insurancePrimary.ListPatPlans[0].PatPlanNum, listPatPlans[0].PatPlanNum);
}
private void gridMain_DoubleClick(object sender, EventArgs e)
{
int index = gridMain.GetSelectedIndex();
if (index == -1) //Clicked in empty space.
{
return;
}
//Mimics FormClaimsSend.gridHistory_CellDoubleClick(...)
Cursor = Cursors.WaitCursor;
Etrans et = (Etrans)gridMain.ListGridRows[index].Tag;
//Sadly this is needed due to FormEtrans835Edit calling Etranss.Update .
//See Etranss.RefreshHistory(...), this query does not select all etrans columns.
//Mimics FormClaimsSend.gridHistory_CellDoubleClick(...)
et = Etranss.GetEtrans(et.EtransNum);
if (et == null)
{
Cursor = Cursors.Default;
MsgBox.Show(this, "ERA could not be found, it was most likely deleted.");
RefreshAndFillGrid();
return;
}
EtransL.ViewFormForEra(et, this);
Cursor = Cursors.Default;
}
public void X834_ImportInsurancePlans_ReplacePatPlan()
{
Patient pat = Createx834Patient();
string suffix = MethodBase.GetCurrentMethod().Name;
//Create old insurance plan and associate it to them.
InsuranceInfo insuranceOld = InsuranceT.AddInsurance(pat, "Old Carrier" + suffix);
//Create x834
X834 x834 = new X834(new X12object(Properties.Resources.x834Test));
int createdPatsCount, updatedPatsCount, skippedPatsCount, createdCarrierCount, createdInsPlanCount, updatedInsPlanCount, createdInsSubCount,
updatedInsSubCount, createdPatPlanCount, droppedPatPlanCount, updatedPatPlanCount;
StringBuilder sbErrorMessages;
//Pass in true for dropExistingInsurance
EtransL.ImportInsurancePlans(x834, new List <Patient> {
pat
}, true, true, out createdPatsCount,
out updatedPatsCount, out skippedPatsCount, out createdCarrierCount, out createdInsPlanCount, out updatedInsPlanCount, out createdInsSubCount,
out updatedInsSubCount, out createdPatPlanCount, out droppedPatPlanCount, out updatedPatPlanCount, out sbErrorMessages);
//Get the pat plans for this patient from the database.
List <PatPlan> listPatPlans = PatPlans.GetPatPlansForPat(pat.PatNum);
Assert.AreEqual(1, listPatPlans.Count);
Assert.AreEqual(1, droppedPatPlanCount);
InsSub subForPatPlan = InsSubs.GetOne(listPatPlans[0].InsSubNum);
//These should be different as a new plan was created and the old plan was dropped.
Assert.AreNotEqual(insuranceOld.PriInsPlan.PlanNum, subForPatPlan.PlanNum);
}
public void X834_ImportInsurancePlans_DoNotReplacePatPlan()
{
Patient pat = Createx834Patient();
string suffix = MethodBase.GetCurrentMethod().Name;
//Create old insurance plan and associate it to them.
InsuranceInfo insuranceOld = InsuranceT.AddInsurance(pat, "Old Carrier" + suffix);
//Create x834
X834 x834 = new X834(new X12object(Properties.Resources.x834Test));
int createdPatsCount, updatedPatsCount, skippedPatsCount, createdCarrierCount, createdInsPlanCount, updatedInsPlanCount, createdInsSubCount,
updatedInsSubCount, createdPatPlanCount, droppedPatPlanCount, updatedPatPlanCount;
StringBuilder sbErrorMessages;
EtransL.ImportInsurancePlans(x834, new List <Patient> {
pat
}, true, false, out createdPatsCount,
out updatedPatsCount, out skippedPatsCount, out createdCarrierCount, out createdInsPlanCount, out updatedInsPlanCount, out createdInsSubCount,
out updatedInsSubCount, out createdPatPlanCount, out droppedPatPlanCount, out updatedPatPlanCount, out sbErrorMessages);
//Get the pat plans for this patient from the database.
List <PatPlan> listPatPlans = PatPlans.GetPatPlansForPat(pat.PatNum);
//No patient was created. Should have matched the one we created.
Assert.AreEqual(0, createdPatsCount);
//There should be two now as the old was kept.
Assert.AreEqual(2, listPatPlans.Count);
Assert.AreEqual(1, createdPatPlanCount);
}
public void X835_GetStatus_Finalized()
{
//Finalized => Some or all ERA claims are attached and have financial payment entered with claim payment.
//Other claims must be manually detached.
_x835.ListClaimsPaid[0].IsAttachedToClaim = true;
_x835.ListClaimsPaid[0].ClaimNum = _claimPrimaryJustinSmith.ClaimNum;
_x835.ListClaimsPaid[1].IsAttachedToClaim = true;
_x835.ListClaimsPaid[1].ClaimNum = _claimPrimaryJacobJones.ClaimNum;
_x835.ListClaimsPaid[2].IsAttachedToClaim = true;
_x835.ListClaimsPaid[2].ClaimNum = _claimPrimaryStephanieMayer.ClaimNum;
//TryEnterPayment returns if claim is recieved or payment already entered (no supplemental).
TryEnterPayment(_x835, _eraJustinSmithClaim, _claimPrimaryJustinSmith, true);
TryEnterPayment(_x835, _eraJacobJonesClaim, _claimPrimaryJacobJones, true);
TryEnterPayment(_x835, _eraStephanieMayerClaim, _claimPrimaryStephanieMayer, true);
X835Status status;
if (!EtransL.TryFinalizeBatchPayment(_x835, true, true))
{
status = X835Status.None;
}
else
{
List <Claim> listClaims = new List <Claim>()
{
_claimPrimaryJustinSmith, _claimPrimaryJacobJones, _claimPrimaryStephanieMayer
};
List <long> listPatNums = new List <long>()
{
_claimPrimaryJustinSmith.PatNum, _claimPrimaryJacobJones.PatNum, _claimPrimaryStephanieMayer.PatNum
};
status = _x835.GetStatus(listClaims, ClaimProcs.Refresh(listPatNums), _listEtrans835Attaches);
}
Assert.AreEqual(X835Status.Finalized, status);
}
public void X835_GetStatus_FinalizedSomeDetached()
{
//FinalizedSomeDetached => Some ERA claims has financial information entered and claim payment.
//Others are manually detached.
_x835.ListClaimsPaid[0].IsAttachedToClaim = true;
_x835.ListClaimsPaid[0].ClaimNum = _eraJustinSmithClaim.ClaimNum;
_x835.ListClaimsPaid[1].IsAttachedToClaim = true;
_x835.ListClaimsPaid[1].ClaimNum = 0;
_x835.ListClaimsPaid[2].IsAttachedToClaim = true;
_x835.ListClaimsPaid[2].ClaimNum = 0;
//Returns if claim is recieved or payment already entered (no supplemental).
TryEnterPayment(_x835, _eraJustinSmithClaim, _claimPrimaryJustinSmith, true);
EtransL.TryFinalizeBatchPayment(_x835, true, true);
//jsalmon - No, you should not situationally return out of a unit test without an explanation.
//if(!EtransL.TryFinalizeBatchPayment(_x835,true,true)) {
// return;
//}
List <Claim> listClaims = new List <Claim>()
{
_claimPrimaryJustinSmith, new Claim(), new Claim()
}; //Spoof manually detached claims.
List <ClaimProc> listClaimProcs = ClaimProcs.Refresh(_claimPrimaryJustinSmith.PatNum);
X835Status status = _x835.GetStatus(listClaims, listClaimProcs, _listEtrans835Attaches);
Assert.AreEqual(X835Status.FinalizedSomeDetached, status);
}
private void FormEtrans835Edit_Shown(object sender, EventArgs e)
{
if (_hasPrintPreviewOnLoad)
{
//This way the form will fully load visually before showing the print preview.
EtransL.PrintPreview835(_x835, _preLoadedPrintPreviewClaimNum);
}
}
///<summary>Returns if given claim is already recieved. Currently ERA test do not consider supplemental.</summary>
public static void TryEnterPayment(X835 x835, Hx835_Claim claimPaid, Claim claim, bool isAutomatic)
{
if (claim.ClaimStatus == "R") //Currently we do not have test for supplemental payments.
{
return;
}
EtransL.ImportEraClaimData(x835, claimPaid, claim, isAutomatic);
}
private void butDelete_Click(object sender, EventArgs e)
{
if (!EtransL.TryDeleteEra(_x835, _x835.RefreshClaims(), _listClaimProcs, _listAttaches))
{
return;
}
DialogResult = DialogResult.OK;
Close();
}
///<summary>Since ERAs are only used in the United States, we do not need to translate any text shown to the user.</summary>
private void butBatch_Click(object sender, EventArgs e)
{
if (gridClaimDetails.ListGridRows.Count == 0)
{
return;
}
Cursor = Cursors.WaitCursor;
if (!EtransL.TryFinalizeBatchPayment(_x835))
{
Cursor = Cursors.Default;
return;
}
Cursor = Cursors.Default;
DialogResult = DialogResult.OK;
Close();
}
private void gridClaimDetails_CellDoubleClick(object sender, ODGridClickEventArgs e)
{
Hx835_Claim claimPaid = (Hx835_Claim)gridClaimDetails.ListGridRows[e.Row].Tag;
Claim claim = claimPaid.GetClaimFromDb();
bool isAttachNeeded = (!claimPaid.IsAttachedToClaim);
if (claim == null) //Not found in db.
{
claim = ClaimSelectionHelper(claimPaid);
if (claim != null) //A claim was selected.
{
isAttachNeeded = true; //Hard attach selected claim to db claim, since user manually picked matching claim.
}
}
if (claim == null) //Claim not found and user did not select one.
{
return;
}
//From this point on claim is not null.
bool isReadOnly = true;
CreateAttachForClaim(claimPaid, claim.ClaimNum, isAttachNeeded);
if (claimPaid.IsSplitClaim)
{
//Sync ClaimNum for all split claims in the same group, based on user selection.
claimPaid.GetOtherNotDetachedSplitClaims()
.ForEach(x => CreateAttachForClaim(x, claim.ClaimNum, isAttachNeeded));
}
if (claimPaid.IsProcessed(_listClaimProcs, _listAttaches))
{
//If the claim is already received, then we do not allow the user to enter payments.
//The user can edit the claim to change the status from received if they wish to enter the payments again.
if (Security.IsAuthorized(Permissions.ClaimView))
{
Patient pat = Patients.GetPat(claim.PatNum);
Family fam = Patients.GetFamily(claim.PatNum);
FormClaimEdit formCE = new FormClaimEdit(claim, pat, fam);
formCE.ShowDialog(); //Modal, because the user could edit information in this window.
}
isReadOnly = false;
}
else if (Security.IsAuthorized(Permissions.InsPayCreate)) //Claim found and is not received. Date not checked here, but it will be checked when actually creating the check.
{
EtransL.ImportEraClaimData(_x835, claimPaid, claim, false);
RefreshFromDb(); //ClaimProcs could have been split, need to refresh both claimProc list and attaches.
isReadOnly = false;
}
if (isReadOnly)
{
FormEtrans835ClaimEdit formC = new FormEtrans835ClaimEdit(_x835, claimPaid);
formC.Show(this); //This window is just used to display information.
}
if (!gridClaimDetails.IsDisposed) //Not sure how the grid is sometimes disposed, perhaps because of it being non-modal.
//Refresh the claim detail row in case something changed above.
{
gridClaimDetails.BeginUpdate();
List <GridRow> listRows = new List <GridRow>()
{
gridClaimDetails.ListGridRows[e.Row]
}; //Row associated to claimPaid
if (claimPaid.IsSplitClaim) //Need to update multiple rows.
{
List <Hx835_Claim> listOtherSplitClaims = claimPaid.GetOtherNotDetachedSplitClaims();
List <GridRow> listAdditionalRows = gridClaimDetails.ListGridRows
.Where(x =>
x != gridClaimDetails.ListGridRows[e.Row] &&
listOtherSplitClaims.Contains((Hx835_Claim)x.Tag)
).ToList();
listRows.AddRange(listAdditionalRows);
}
SetClaimDetailRows(listRows, listRows.Select(x => (Hx835_Claim)x.Tag).ToList(), true);
gridClaimDetails.EndUpdate();
}
}
///<summary>Tries to import the 834. Will return false if the user cancelled out of importing.</summary>
private bool TryImport834()
{
if (checkDropExistingIns.Checked &&
!MsgBox.Show(MsgBoxButtons.YesNo, "Insurance plans for patients will be automatically replaced with the new plans. Continue?"))
{
return(false);
}
if (!MsgBox.Show(this, true, "Importing insurance plans is a database intensive operation and can take 10 minutes or more to run. "
+ "It is best to import insurance plans after hours or during another time period when database usage is otherwise low.\r\n"
+ "Click OK to import insurance plans now, or click Cancel."))
{
return(false);
}
checkIsPatientCreate.Enabled = false;
checkDropExistingIns.Enabled = false;
gridInsPlans.Enabled = false;
butOK.Enabled = false;
butCancel.Enabled = false;
Cursor = Cursors.WaitCursor;
Prefs.UpdateBool(PrefName.Ins834DropExistingPatPlans, checkDropExistingIns.Checked);
Prefs.UpdateBool(PrefName.Ins834IsPatientCreate, checkIsPatientCreate.Checked);
//Create all of our count variables.
int createdPatsCount, updatedPatsCount, skippedPatsCount, createdCarrierCount, createdInsPlanCount, updatedInsPlanCount, createdInsSubCount,
updatedInsSubCount, createdPatPlanCount, droppedPatPlanCount, updatedPatPlanCount;
StringBuilder sbErrorMessages;
EtransL.ImportInsurancePlans(_x834, _listPatients, checkIsPatientCreate.Checked, checkDropExistingIns.Checked, out createdPatsCount,
out updatedPatsCount, out skippedPatsCount, out createdCarrierCount, out createdInsPlanCount, out updatedInsPlanCount, out createdInsSubCount,
out updatedInsSubCount, out createdPatPlanCount, out droppedPatPlanCount, out updatedPatPlanCount, out sbErrorMessages, (rowIndex, pat) => {
ShowStatus("Progress " + (rowIndex).ToString().PadLeft(6) + "/" + gridInsPlans.ListGridRows.Count.ToString().PadLeft(6)
+ " Importing plans for patient " + pat.GetNameLF());
});
Cursor = Cursors.Default;
#region summary output
string msg = Lan.g(this, "Done.");
if (createdPatsCount > 0)
{
msg += "\r\n" + Lan.g(this, "Number of patients created:") + " " + createdPatsCount;
}
if (updatedPatsCount > 0)
{
msg += "\r\n" + Lan.g(this, "Number of patients updated:") + " " + updatedPatsCount;
}
if (skippedPatsCount > 0)
{
msg += "\r\n" + Lan.g(this, "Number of patients skipped:") + " " + skippedPatsCount;
msg += sbErrorMessages.ToString();
}
if (createdCarrierCount > 0)
{
msg += "\r\n" + Lan.g(this, "Number of carriers created:") + " " + createdCarrierCount;
msg += sbErrorMessages.ToString();
}
if (createdInsPlanCount > 0)
{
msg += "\r\n" + Lan.g(this, "Number of insurance plans created:") + " " + createdInsPlanCount;
msg += sbErrorMessages.ToString();
}
if (updatedInsPlanCount > 0)
{
msg += "\r\n" + Lan.g(this, "Number of insurance plan updates:") + " " + updatedInsPlanCount;
msg += sbErrorMessages.ToString();
}
if (createdInsSubCount > 0)
{
msg += "\r\n" + Lan.g(this, "Number of insurance subscriptions created:") + " " + createdInsSubCount;
msg += sbErrorMessages.ToString();
}
if (updatedInsSubCount > 0)
{
msg += "\r\n" + Lan.g(this, "Number of insurance subscriptions updated:") + " " + updatedInsSubCount;
msg += sbErrorMessages.ToString();
}
if (createdPatPlanCount > 0)
{
msg += "\r\n" + Lan.g(this, "Number of patients added to insurance:") + " " + createdPatPlanCount;
msg += sbErrorMessages.ToString();
}
if (droppedPatPlanCount > 0)
{
msg += "\r\n" + Lan.g(this, "Number of patients dropped from insurance:") + " " + droppedPatPlanCount;
msg += sbErrorMessages.ToString();
}
if (updatedPatPlanCount > 0)
{
msg += "\r\n" + Lan.g(this, "Number of patients insurance information updated:") + " " + updatedPatPlanCount;
msg += sbErrorMessages.ToString();
}
#endregion summary output
MsgBoxCopyPaste msgBox = new MsgBoxCopyPaste(msg);
msgBox.ShowDialog();
return(true);
}
private void gridEras_CellDoubleClick(object sender, UI.ODGridClickEventArgs e)
{
EtransL.ViewFormForEra(_listEtrans[gridEras.SelectedIndices[0]], this, _specificClaimNum);
}
