Ejemplo n.º 1
0
 private static void TransformBillingProviderLoopTo837(XmlNode billingProviderLoop, Claim claim, TransformBillingProviderHLoopTo837State state)
 {
     var nameTypeNode = billingProviderLoop.SelectSingleNode("NM1/NM101");
     if (nameTypeNode != null)
     {
         switch (nameTypeNode.InnerText)
         {
             case "87":if (state.FirstType87 == null) state.FirstType87 = billingProviderLoop;break;
             case "85": if (state.FirstType85 == null) state.FirstType85 = billingProviderLoop; break;
         }
     }
 }
        public void SerializationTest1()
        {
            var document = new ClaimDocument();

            var claim = new Claim
            {
                Type = ClaimTypeEnum.Institutional,
                PatientControlNumber = "756048Q",
                TotalClaimChargeAmount = 89.93M
            };

            document.Claims.Add(claim);
            string xml = document.Serialize();

            Trace.Write(xml);
        }
Ejemplo n.º 3
0
 private static void TransformBillingProviderHLoopTo837(XmlNodeList xmlNodeList, Claim claim)
 {
     TransformBillingProviderHLoopTo837State state = new TransformBillingProviderHLoopTo837State();
     foreach (XmlNode item in xmlNodeList)
     {
         TransformBillingProviderHLoopTo837(item, claim, state);
     }
     if (claim.PayToProvider != null )
     {
         if (state.FirstType87 != null)
         {
             TransformPayToProvider(state.FirstType87, claim);
         }
         else if (state.FirstType85 != null)
         {
             TransformPayToProvider(state.FirstType85, claim);
         }
     }
 }
Ejemplo n.º 4
0
 //reverse engineer from https://raw.githubusercontent.com/mmooney/MMDB.DataService/master/ThirdParty/x12parser/trunk/src/OopFactory.X12.Hipaa/Claims/Services/Xsl/X12-837-To-ClaimDocument.xslt
 private static XmlDocument TransformClaimDocumentTo837(Interchange interchange, Claim claim)
 {
     XmlDocument document = new XmlDocument() { PreserveWhitespace = true } ;
     document.LoadXml(interchange.Serialize());
     var claimLoop2300 = document.SelectNodes("//Loop");
     for (int i = 0; i < claimLoop2300.Count; i++)
     {
         TransformLoopTo837(claimLoop2300[i],claim);
     }
     return document;
 }
Ejemplo n.º 5
0
 private static void TransformBillingProviderHLoopTo837(XmlNode xmlNode, Claim claim, TransformBillingProviderHLoopTo837State state)
 {
     var billingProviderLoop= xmlNode.SelectSingleNode("Loop");
     TransformBillingProviderLoopTo837(billingProviderLoop, claim,state);
 }
Ejemplo n.º 6
0
 private static void TransformAMTTo837(XmlNodeList xmlNodeList, Claim claim)
 {
 }
Ejemplo n.º 7
0
 private static void TransformSubscriberHLoopTo837(XmlNode hloop, Claim claim)
 {
     TransformSBRTo837(hloop.SelectSingleNode("SBR"),  claim.SubscriberInformation);
 }
Ejemplo n.º 8
0
 private static void TransformSubscriberHLoopTo837(XmlNodeList xmlNodeList, Claim claim)
 {
     foreach (XmlNode item in xmlNodeList)
     {
         TransformSubscriberHLoopTo837(item,claim);
     }
 }
Ejemplo n.º 9
0
        private static void TransformPayToProvider(XmlNode billingProvider, Claim claim)
        {
            XmlNode name = billingProvider.SelectSingleNode("REF");
            XmlNode taxId = null;
            if (name != null)
            {
                XmlNode nameId = name.SelectSingleNode("REF02");
                XmlNode nameQualifier = name.SelectSingleNode("REF01");

                if (nameId != null && nameQualifier != null)
                {
                    switch (nameQualifier.InnerText)
                    {
                        case "FI": taxId =nameId; break;
                        case "24": taxId = nameId; ; break;
                    }
                }
            }
            if (taxId != null)
                taxId.InnerText = claim.PayToProvider.TaxId;
            else
            {
                taxId = GetReferenceId(billingProvider, "EI");
                if (taxId == null)
                    taxId = GetReferenceId(billingProvider, "TJ");
            }
            if (taxId != null)
                taxId.InnerText = claim.PayToProvider.TaxId;
        }
Ejemplo n.º 10
0
 private static void TransformPatientHLoopTo837(XmlNodeList xmlNodeList, Claim claim)
 {
 }
Ejemplo n.º 11
0
 private static void TransformLoopTo837(XmlNode loop, Claim claim)
 {
     var loopId = ((XmlElement)loop).GetAttribute("LoopId");
     switch (loopId)
     {
         case "2300":
             TransformLoop2300To837(loop, claim);break;
         case "2010BA":
             TransformLoop2010BATo837(loop, claim.Subscriber);break;
     }
 }
Ejemplo n.º 12
0
        private static void TransformLoop2300To837(XmlNode loop2300, Claim claim)
        {
            var parentLoopId = loop2300.SelectSingleNode("../@LoopId");
            var parentLoopIdValue= (parentLoopId ==null)?string.Empty:parentLoopId.Value;
            XmlNode transactionCode;
            if (parentLoopIdValue == "2000B")
            {
                transactionCode = loop2300.SelectSingleNode("../../../ST/ST02");
            }
            else
                transactionCode = loop2300.SelectSingleNode("../../../../ST/ST02");
            transactionCode.InnerText= claim.TransactionCode;
            var claimNumber = loop2300.SelectSingleNode("REF[REF01 = 'D9'] / REF02");
            claimNumber.InnerText = claim.ClaimNumber;
            var patientControlNumber= loop2300.SelectSingleNode("CLM/CLM01");
            patientControlNumber.InnerText = claim.PatientControlNumber;
            var totalClaimChargeAmount= loop2300.SelectSingleNode("CLM/CLM02");
            totalClaimChargeAmount.InnerText = claim.TotalClaimChargeAmount.ToString();
            if (!string.IsNullOrWhiteSpace(claim.ProviderSignatureOnFile))
            {
                var providerSignatureOnFile = loop2300.SelectSingleNode("CLM/CLM06");
                providerSignatureOnFile.InnerText = claim.ProviderSignatureOnFile;
            }
            if (!string.IsNullOrWhiteSpace(claim.MedicalRecordNumber))
            {
                var medicalRecordNumber = loop2300.SelectSingleNode("REF[REF01 = 'EA'] / REF02");
                medicalRecordNumber.InnerText = claim.MedicalRecordNumber;
            }
            if(!string.IsNullOrWhiteSpace(claim.PriorAuthorizationNumber))
            {
                var priorAuthorizationNumber = loop2300.SelectSingleNode("REF[REF01 = 'G1'] / REF02");
                priorAuthorizationNumber.Value = claim.PriorAuthorizationNumber;
            }

            if (parentLoopIdValue == "2000B")
            {
                TransformBillingProviderHLoopTo837(loop2300.SelectNodes("../../."), claim);
                TransformSubscriberHLoopTo837(loop2300.SelectNodes("../."), claim);
            }
            else if (parentLoopIdValue == "2000C")
            {
                TransformBillingProviderHLoopTo837(loop2300.SelectNodes("../../../."), claim);
                TransformSubscriberHLoopTo837(loop2300.SelectNodes("../../."), claim);
                TransformPatientHLoopTo837(loop2300.SelectNodes("../."), claim);
            }
            TransformPWKTo837(loop2300.SelectNodes("PWK"), claim);
            TransformDTPTo837(loop2300.SelectNodes("DTP"), claim);
            TransformAMTTo837(loop2300.SelectNodes("AMT"), claim);
            TransformREFTo837(loop2300.SelectNodes("REF"), claim);
            TransformNTETo837(loop2300.SelectNodes("NTE"), claim);
            TransformHITo837(loop2300.SelectNodes("HI"), claim);
            TransformLoopTo837(loop2300.SelectNodes("Loop"), claim);
        }