public FormEtrans835Print(X835 x835) {
InitializeComponent();
Lan.F(this);
_x835=x835;
}
private void FormEtrans835Edit_Load(object sender,EventArgs e) {
MessageText=EtransMessageTexts.GetMessageText(EtransCur.EtransMessageTextNum);
x835=new X835(MessageText);
FillAll();
}
private void FormEtrans835Edit_Load(object sender,EventArgs e) {
_x835=new X835(MessageText835,TranSetId835);
FillAll();
}
///<summary>The insplan that's passed in need not be properly updated to the database first.</summary>
public static void RequestBenefits(Clearinghouse clearhouse,InsPlan plan,long patNum,Carrier carrier,List<Benefit> benList,long patPlanNum,InsSub insSub) {
Patient pat=Patients.GetPat(patNum);
Patient subsc=Patients.GetPat(insSub.Subscriber);
Clinic clinic=Clinics.GetClinic(pat.ClinicNum);
Provider billProv=Providers.GetProv(Providers.GetBillingProvNum(pat.PriProv,pat.ClinicNum));
//validation. Throw exception if missing info----------------------------------------
string validationResult=X270.Validate(clearhouse,carrier,billProv,clinic,plan,subsc,insSub);
if(validationResult != "") {
throw new Exception(Lan.g("FormInsPlan","Please fix the following errors first:")+"\r\n"+validationResult);
}
//create a 270 message---------------------------------------------------------------
string x12message=X270.GenerateMessageText(clearhouse,carrier,billProv,clinic,plan,subsc,insSub);
EtransMessageText etransMessageText=new EtransMessageText();
etransMessageText.MessageText=x12message;
EtransMessageTexts.Insert(etransMessageText);
//attach it to an etrans-------------------------------------------------------------
Etrans etrans=new Etrans();
etrans.DateTimeTrans=DateTime.Now;
etrans.ClearingHouseNum=clearhouse.ClearinghouseNum;
etrans.Etype=EtransType.BenefitInquiry270;
etrans.PlanNum=plan.PlanNum;
etrans.InsSubNum=insSub.InsSubNum;
etrans.EtransMessageTextNum=etransMessageText.EtransMessageTextNum;
Etranss.Insert(etrans);
//send the 270----------------------------------------------------------------------
string x12response="";
//a connection error here needs to bubble up
try {
if(clearhouse.CommBridge==EclaimsCommBridge.ClaimConnect) {
x12response=ClaimConnect.Benefits270(clearhouse,x12message);
}
if(clearhouse.CommBridge==EclaimsCommBridge.EDS) {
x12response=EDS.Benefits270(clearhouse,x12message);
}
}
catch(Exception ex) {
EtransMessageTexts.Delete(etrans.EtransMessageTextNum);
Etranss.Delete(etrans.EtransNum);
throw new ApplicationException(Lan.g("FormInsPlan","Connection Error:")+"\r\n"+ex.GetType().Name+"\r\n"+ex.Message);
}
//start to process the 271----------------------------------------------------------
X271 x271=null;
if(X12object.IsX12(x12response)) {
X12object x12obj=new X12object(x12response);
if(x12obj.Is271()) {
x271=new X271(x12response);
}
}
else {//not a 997, 999, 277 or 271
EtransMessageTexts.Delete(etrans.EtransMessageTextNum);
Etranss.Delete(etrans.EtransNum);
throw new ApplicationException(Lan.g("FormInsPlan","Error:")+"\r\n"+x12response);
}
/*
//In realtime mode, X12 limits the request to one patient.
//We will always use the subscriber.
//So all EB segments are for the subscriber.
List<EB271> listEB=new List<EB271>();
EB271 eb;
if(x271 != null) {
for(int i=0;i<x271.Segments.Count;i++) {
if(x271.Segments[i].SegmentID != "EB") {
continue;
}
eb=new EB271(x271.Segments[i]);
listEB.Add(eb);
}
}*/
//create an etrans for the 271------------------------------------------------------
etransMessageText=new EtransMessageText();
etransMessageText.MessageText=x12response;
EtransMessageTexts.Insert(etransMessageText);
Etrans etrans271=new Etrans();
etrans271.DateTimeTrans=DateTime.Now;
etrans271.ClearingHouseNum=clearhouse.ClearinghouseNum;
etrans271.Etype=EtransType.TextReport;
if(X12object.IsX12(x12response)) {//this shouldn't need to be tested because it was tested above.
if(x271==null){
X12object Xobj=new X12object(x12response);
if(Xobj.Is997()) {
etrans271.Etype=EtransType.Acknowledge_997;
}
else if(Xobj.Is999()) {
etrans271.Etype=EtransType.Acknowledge_999;
}
else if(X277.Is277(Xobj)) {
etrans271.Etype=EtransType.StatusNotify_277;
}
else if(X835.Is835(Xobj)) {
etrans271.Etype=EtransType.ERA_835;
}
}
else{
etrans271.Etype=EtransType.BenefitResponse271;
}
}
etrans271.PlanNum=plan.PlanNum;
etrans271.InsSubNum=insSub.InsSubNum;
etrans271.EtransMessageTextNum=etransMessageText.EtransMessageTextNum;
Etranss.Insert(etrans271);
etrans.AckEtransNum=etrans271.EtransNum;
if(etrans271.Etype==EtransType.Acknowledge_997) {
X997 x997=new X997(x12response);
string error997=x997.GetHumanReadable();
etrans.Note="Error: "+error997;//"Malformed document sent. 997 error returned.";
Etranss.Update(etrans);
MessageBox.Show(etrans.Note);
//CodeBase.MsgBoxCopyPaste msgbox=new CodeBase.MsgBoxCopyPaste(etrans.Note);
//msgbox.ShowDialog();
//don't show the 270 interface.
return;
}
else if(etrans271.Etype==EtransType.Acknowledge_999) {
X999 x999=new X999(x12response);
string error999=x999.GetHumanReadable();
etrans.Note="Error: "+error999;//"Malformed document sent. 999 error returned.";
Etranss.Update(etrans);
MessageBox.Show(etrans.Note);
//CodeBase.MsgBoxCopyPaste msgbox=new CodeBase.MsgBoxCopyPaste(etrans.Note);
//msgbox.ShowDialog();
//don't show the 270 interface.
return;
}
else if(etrans271.Etype==EtransType.StatusNotify_277) {
X277 x277=new X277(x12response);
string error277=x277.GetHumanReadable();
etrans.Note="Error: "+error277;//"Malformed document sent. 277 error returned.";
Etranss.Update(etrans);
MessageBox.Show(etrans.Note);
//CodeBase.MsgBoxCopyPaste msgbox=new CodeBase.MsgBoxCopyPaste(etrans.Note);
//msgbox.ShowDialog();
//don't show the 277 interface.
return;
}
else if(etrans271.Etype==EtransType.ERA_835) {
X835 x835=new X835(x12response,"");
string error835=x835.GetHumanReadable();
etrans.Note="Error: "+error835;//"Malformed document sent. 835 error returned.";
Etranss.Update(etrans);
MessageBox.Show(etrans.Note);
//CodeBase.MsgBoxCopyPaste msgbox=new CodeBase.MsgBoxCopyPaste(etrans.Note);
//msgbox.ShowDialog();
//don't show the 835 interface.
return;
}
else { //271
string processingerror=x271.GetProcessingError();
if(processingerror != "") {
etrans.Note=processingerror;
Etranss.Update(etrans);
MessageBox.Show(etrans.Note);
//CodeBase.MsgBoxCopyPaste msgbox=new CodeBase.MsgBoxCopyPaste(etrans.Note);
//msgbox.ShowDialog();
//don't show the 270 interface.
return;
}
else {
etrans.Note="Normal 271 response.";//change this later to be explanatory of content.
}
}
Etranss.Update(etrans);
//show the user a list of benefits to pick from for import--------------------------
FormEtrans270Edit formE=new FormEtrans270Edit(patPlanNum,plan.PlanNum,insSub.InsSubNum);
formE.EtransCur=etrans;
formE.IsInitialResponse=true;
formE.benList=benList;
formE.ShowDialog();
}
///<summary>Etrans type will be figured out by this class. Either TextReport, Acknowledge_997, Acknowledge_999, or StatusNotify_277.</summary>
public static void ProcessIncomingReport(DateTime dateTimeTrans,long clearinghouseNum,string messageText) {
if(RemotingClient.RemotingRole==RemotingRole.ClientWeb) {
Meth.GetVoid(MethodBase.GetCurrentMethod(),dateTimeTrans,clearinghouseNum,messageText);
return;
}
Etrans etrans=new Etrans();
etrans.DateTimeTrans=dateTimeTrans;
etrans.ClearingHouseNum=clearinghouseNum;
EtransMessageText etransMessageText=new EtransMessageText();
etransMessageText.MessageText=messageText;
EtransMessageTexts.Insert(etransMessageText);
etrans.EtransMessageTextNum=etransMessageText.EtransMessageTextNum;
string command;
if(X12object.IsX12(messageText)) {
X12object Xobj=new X12object(messageText);
if(Xobj.IsAckInterchange()) {
etrans.Etype=EtransType.Ack_Interchange;
Etranss.Insert(etrans);
//At some point in the future, we should use TA101 to match to batch number and TA104 to get the ack code,
//then update historic etrans entries like we do for 997s, 999s and 277s.
}
else if(Xobj.Is997()) {
X997 x997=new X997(messageText);
etrans.Etype=EtransType.Acknowledge_997;
etrans.BatchNumber=x997.GetBatchNumber();
Etranss.Insert(etrans);
string batchack=x997.GetBatchAckCode();
if(batchack=="A"||batchack=="R") {//accepted or rejected
command="UPDATE etrans SET AckCode='"+batchack+"', "
+"AckEtransNum="+POut.Long(etrans.EtransNum)
+" WHERE BatchNumber="+POut.Long(etrans.BatchNumber)
+" AND ClearinghouseNum="+POut.Long(clearinghouseNum)
+" AND DateTimeTrans > "+POut.DateT(dateTimeTrans.AddDays(-14))
+" AND DateTimeTrans < "+POut.DateT(dateTimeTrans.AddDays(1))
+" AND AckEtransNum=0";
Db.NonQ(command);
}
else {//partially accepted
List<int> transNums=x997.GetTransNums();
string ack;
for(int i=0;i<transNums.Count;i++) {
ack=x997.GetAckForTrans(transNums[i]);
if(ack=="A"||ack=="R") {//accepted or rejected
command="UPDATE etrans SET AckCode='"+ack+"', "
+"AckEtransNum="+POut.Long(etrans.EtransNum)
+" WHERE BatchNumber="+POut.Long(etrans.BatchNumber)
+" AND TransSetNum="+POut.Long(transNums[i])
+" AND ClearinghouseNum="+POut.Long(clearinghouseNum)
+" AND DateTimeTrans > "+POut.DateT(dateTimeTrans.AddDays(-14))
+" AND DateTimeTrans < "+POut.DateT(dateTimeTrans.AddDays(1))
+" AND AckEtransNum=0";
Db.NonQ(command);
}
}
}
//none of the other fields make sense, because this ack could refer to many claims.
}
else if(Xobj.Is999()) {
X999 x999=new X999(messageText);
etrans.Etype=EtransType.Acknowledge_999;
etrans.BatchNumber=x999.GetBatchNumber();
Etranss.Insert(etrans);
string batchack=x999.GetBatchAckCode();
if(batchack=="A"||batchack=="R") {//accepted or rejected
command="UPDATE etrans SET AckCode='"+batchack+"', "
+"AckEtransNum="+POut.Long(etrans.EtransNum)
+" WHERE BatchNumber="+POut.Long(etrans.BatchNumber)
+" AND ClearinghouseNum="+POut.Long(clearinghouseNum)
+" AND DateTimeTrans > "+POut.DateT(dateTimeTrans.AddDays(-14))
+" AND DateTimeTrans < "+POut.DateT(dateTimeTrans.AddDays(1))
+" AND AckEtransNum=0";
Db.NonQ(command);
}
else {//partially accepted
List<int> transNums=x999.GetTransNums();
string ack;
for(int i=0;i<transNums.Count;i++) {
ack=x999.GetAckForTrans(transNums[i]);
if(ack=="A"||ack=="R") {//accepted or rejected
command="UPDATE etrans SET AckCode='"+ack+"', "
+"AckEtransNum="+POut.Long(etrans.EtransNum)
+" WHERE BatchNumber="+POut.Long(etrans.BatchNumber)
+" AND TransSetNum="+POut.Long(transNums[i])
+" AND ClearinghouseNum="+POut.Long(clearinghouseNum)
+" AND DateTimeTrans > "+POut.DateT(dateTimeTrans.AddDays(-14))
+" AND DateTimeTrans < "+POut.DateT(dateTimeTrans.AddDays(1))
+" AND AckEtransNum=0";
Db.NonQ(command);
}
}
}
//none of the other fields make sense, because this ack could refer to many claims.
}
else if(X277.Is277(Xobj)) {
X277 x277=new X277(messageText);
etrans.Etype=EtransType.StatusNotify_277;
Etranss.Insert(etrans);
List<string> listClaimIdentifiers=x277.GetClaimTrackingNumbers();
for(int i=0;i<listClaimIdentifiers.Count;i++) {
string claimIdentifier=listClaimIdentifiers[i];
string[] arrayClaimInfo=x277.GetClaimInfo(claimIdentifier);
string patFname=PIn.String(arrayClaimInfo[0]);
string patLname=PIn.String(arrayClaimInfo[1]);
DateTime dateServiceStart=PIn.DateT(arrayClaimInfo[6]);
DateTime dateServiceEnd=PIn.DateT(arrayClaimInfo[7]);
double claimFee=PIn.Double(arrayClaimInfo[9]);
string subscriberId=PIn.String(arrayClaimInfo[10]);
Claim claim=Claims.GetClaimFromX12(claimIdentifier,claimFee,dateServiceStart,dateServiceEnd,patFname,patLname,subscriberId);
if(claim==null) {
continue;
}
string ack=arrayClaimInfo[3];
//Locate the latest etrans entries for the claim based on DateTimeTrans with EType of ClaimSent or Claim_Ren and update the AckCode and AckEtransNum.
//We overwrite existing acks from 997s, 999s and older 277s.
command="UPDATE etrans SET AckCode='"+ack+"', "
+"AckEtransNum="+POut.Long(etrans.EtransNum)
+" WHERE EType IN (0,3) "//ClaimSent and Claim_Ren
+" AND ClaimNum="+POut.Long(claim.ClaimNum)
+" AND ClearinghouseNum="+POut.Long(clearinghouseNum)
+" AND DateTimeTrans > "+POut.DateT(dateTimeTrans.AddDays(-14))
+" AND DateTimeTrans < "+POut.DateT(dateTimeTrans.AddDays(1));
Db.NonQ(command);
}
//none of the other fields make sense, because this ack could refer to many claims.
}
else if(X835.Is835(Xobj)) {
etrans.Etype=EtransType.ERA_835;
List <string> listTranSetIds=Xobj.GetTranSetIds();
for(int i=0;i<listTranSetIds.Count;i++) {
etrans.TranSetId835=listTranSetIds[i];
if(i>0) {
etrans.EtransNum=0;//To get a new record to insert.
}
Etranss.Insert(etrans);
X835 x835=new X835(messageText,etrans.TranSetId835);
List<Hx835_Claim> listClaimEOBs=x835.ListClaimsPaid;
for(int j=0;j<listClaimEOBs.Count;j++) {
long claimNum=listClaimEOBs[j].ClaimNum;
//Locate the latest etrans entries for the claim based on DateTimeTrans with EType of ClaimSent or Claim_Ren and update the AckCode and AckEtransNum.
//We overwrite existing acks from 997s, 999s, and 277s.
command="UPDATE etrans SET AckCode='A', "
+"AckEtransNum="+POut.Long(etrans.EtransNum)
+" WHERE EType IN (0,3) "//ClaimSent and Claim_Ren
+" AND ClaimNum="+POut.Long(claimNum)
+" AND ClearinghouseNum="+POut.Long(clearinghouseNum)
+" AND DateTimeTrans > "+POut.DateT(dateTimeTrans.AddDays(-14))
+" AND DateTimeTrans < "+POut.DateT(dateTimeTrans.AddDays(1));
Db.NonQ(command);
}
//none of the other fields make sense, because this ack could refer to many claims.
}
}
else {//unknown type of X12 report.
etrans.Etype=EtransType.TextReport;
Etranss.Insert(etrans);
}
}
else {//not X12
etrans.Etype=EtransType.TextReport;
Etranss.Insert(etrans);
}
}
