public void EvaluateIfClaimHasNoPayerTest()
{
// Arrange
_target = new EvaluateableClaimLogic();
IEvaluateableClaim claim = new EvaluateableClaim();
claim.ClaimId = 123;
List <PaymentResult> paymentResults = new List <PaymentResult>();
PaymentResult paymentResult = new PaymentResult {
ClaimId = 123
};
paymentResults.Add(paymentResult);
PaymentResult paymentResultForLine = new PaymentResult {
ClaimId = 123, Line = 1
};
paymentResults.Add(paymentResultForLine);
//Act
List <PaymentResult> actual = _target.Evaluate(claim, paymentResults, false, false);
// Assert
PaymentResult overAllClaimPaymentResult = actual.FirstOrDefault(
payment => payment.Line == null && payment.ServiceTypeId == null);
if (overAllClaimPaymentResult != null)
{
Assert.AreEqual(overAllClaimPaymentResult.ClaimStatus, (byte)Enums.AdjudicationOrVarianceStatuses.ClaimDataError);
}
}
public void EvaluateIfClaimHasNoLineTest()
{
// Arrange
_target = new EvaluateableClaimLogic();
IEvaluateableClaim claim = new EvaluateableClaim();
claim.ClaimId = 123;
claim.PriPayerName = "Blue Cross";
claim.BillType = "141";
claim.ClaimState = "Billed";
claim.ClaimType = "hosp";
claim.StatementFrom = DateTime.Now;
claim.StatementThru = DateTime.Now;
claim.ClaimTotal = 200;
List <PaymentResult> paymentResults = new List <PaymentResult>();
PaymentResult paymentResult = new PaymentResult {
ClaimId = 123
};
paymentResults.Add(paymentResult);
PaymentResult paymentResultForLine = new PaymentResult {
ClaimId = 123, Line = 1
};
paymentResults.Add(paymentResultForLine);
// Act
List <PaymentResult> actual = _target.Evaluate(claim, paymentResults, false, false);
// Assert
PaymentResult overAllClaimPaymentResult = actual.FirstOrDefault(
payment => payment.Line == null && payment.ServiceTypeId == null);
if (overAllClaimPaymentResult != null)
{
Assert.AreEqual(overAllClaimPaymentResult.ClaimStatus, (byte)Enums.AdjudicationOrVarianceStatuses.AdjudicationErrorMissingServiceLine);
}
}
