public void RpProcNotBilledIns_GetProcsNotBilled_MedicalInsOnly()
{
string suffix = MethodBase.GetCurrentMethod().Name;
Patient patient = PatientT.CreatePatient(suffix);
Carrier carrier = CarrierT.CreateCarrier(suffix);
ProcedureCode procedureCode = ProcedureCodeT.CreateProcCode("T7782");
//Create a primary medical insurance plan
InsuranceInfo insuranceInfo = InsuranceT.AddInsurance(patient, carrier.CarrierName, ordinal: 1, isMedical: true);
insuranceInfo.AddBenefit(BenefitT.CreatePercentForProc(insuranceInfo.MedInsPlan.PlanNum, procedureCode.CodeNum, 80));
Procedure procedure = ProcedureT.CreateProcedure(patient, procedureCode.ProcCode, ProcStat.TP, "", 55, procDate: DateTime.Now.AddDays(-3));
ProcedureT.ComputeEstimates(patient, insuranceInfo);
ProcedureT.SetComplete(procedure, patient, insuranceInfo);
//Run the procs not billed report with "includeMedProcs" set to false.
//The patient should not be returned due to not having any dental insurance estimates.
DataTable table = RpProcNotBilledIns.GetProcsNotBilled(new List <long>(), false, DateTime.Now.AddDays(-10), DateTime.Now, false, false);
Assert.IsNotNull(table);
Assert.IsFalse(table.Select().Select(x => PIn.Long(x["PatNum"].ToString())).Contains(patient.PatNum));
//Run the procs not billed report with "includeMedProcs" set to true.
//The patient should be returned due to the medical insurance estimates.
table = RpProcNotBilledIns.GetProcsNotBilled(new List <long>(), true, DateTime.Now.AddDays(-10), DateTime.Now, false, false);
Assert.IsNotNull(table);
Assert.IsTrue(table.Rows.Count > 0);
Assert.IsTrue(table.Select().Select(x => PIn.Long(x["PatNum"].ToString())).Contains(patient.PatNum));
}
public void Claims_CalculateAndUpdate_Allowed1Allowed2CompletedProcedures()
{
string suffix = "8";
Patient pat = PatientT.CreatePatient(suffix);
long patNum = pat.PatNum;
long feeSchedNum1 = FeeSchedT.CreateFeeSched(FeeScheduleType.Normal, suffix);
long feeSchedNum2 = FeeSchedT.CreateFeeSched(FeeScheduleType.Normal, suffix + "b");
//Standard Fee
long codeNum = ProcedureCodes.GetCodeNum("D2750");
Fee fee = Fees.GetFee(codeNum, 53, 0, 0);
if (fee == null)
{
fee = new Fee();
fee.CodeNum = codeNum;
fee.FeeSched = 53;
fee.Amount = 1200;
Fees.Insert(fee);
}
else
{
fee.Amount = 1200;
Fees.Update(fee);
}
//PPO fees
fee = new Fee();
fee.CodeNum = codeNum;
fee.FeeSched = feeSchedNum1;
fee.Amount = 600;
Fees.Insert(fee);
fee = new Fee();
fee.CodeNum = codeNum;
fee.FeeSched = feeSchedNum2;
fee.Amount = 800;
Fees.Insert(fee);
//Carrier
Carrier carrier = CarrierT.CreateCarrier(suffix);
long planNum1 = InsPlanT.CreateInsPlanPPO(carrier.CarrierNum, feeSchedNum1).PlanNum;
long planNum2 = InsPlanT.CreateInsPlanPPO(carrier.CarrierNum, feeSchedNum2).PlanNum;
InsSub sub1 = InsSubT.CreateInsSub(pat.PatNum, planNum1);
long subNum1 = sub1.InsSubNum;
InsSub sub2 = InsSubT.CreateInsSub(pat.PatNum, planNum2);
long subNum2 = sub2.InsSubNum;
BenefitT.CreateCategoryPercent(planNum1, EbenefitCategory.Crowns, 50);
BenefitT.CreateCategoryPercent(planNum2, EbenefitCategory.Crowns, 50);
BenefitT.CreateAnnualMax(planNum1, 1000);
BenefitT.CreateAnnualMax(planNum2, 1000);
PatPlanT.CreatePatPlan(1, patNum, subNum1);
PatPlanT.CreatePatPlan(2, patNum, subNum2);
Procedure proc = ProcedureT.CreateProcedure(pat, "D2750", ProcStat.TP, "8", Fees.GetAmount0(codeNum, 53)); //crown on 8
long procNum = proc.ProcNum;
//Lists
List <ClaimProc> claimProcs = ClaimProcs.Refresh(patNum);
Family fam = Patients.GetFamily(patNum);
List <InsSub> subList = InsSubs.RefreshForFam(fam);
List <InsPlan> planList = InsPlans.RefreshForSubList(subList);
List <PatPlan> patPlans = PatPlans.Refresh(patNum);
List <Benefit> benefitList = Benefits.Refresh(patPlans, subList);
List <Procedure> procList = Procedures.Refresh(patNum);
//Set complete and attach to claim
ProcedureT.SetComplete(proc, pat, planList, patPlans, claimProcs, benefitList, subList);
claimProcs = ClaimProcs.Refresh(patNum);
List <Procedure> procsForClaim = new List <Procedure>();
procsForClaim.Add(proc);
Claim claim = ClaimT.CreateClaim("P", patPlans, planList, claimProcs, procList, pat, procsForClaim, benefitList, subList);
//Validate
Assert.AreEqual(500, claim.WriteOff);
}