/// <summary>
/// Adds the claim line item.
/// </summary>
/// <param name="claimLineItem">The claim line item.</param>
public virtual void AddClaimLineItem(ClaimLineItem claimLineItem)
{
Check.IsNotNull(claimLineItem, "Claim Line Item is required.");
claimLineItem.ReviseClaim(this);
_claimLineItems.Add(claimLineItem);
NotifyItemAdded(() => ClaimLineItems, claimLineItem);
}
/// <summary>
/// Removes the claim line item.
/// </summary>
/// <param name="claimLineItem">The claim line item.</param>
public virtual void RemoveClaimLineItem(ClaimLineItem claimLineItem)
{
Check.IsNotNull(claimLineItem, "Claim Line Item is required.");
_claimLineItems.Remove(claimLineItem);
NotifyItemRemoved(() => ClaimLineItems, claimLineItem);
}
/// <summary>
/// Adds the claim line item.
/// </summary>
/// <param name="claimLineItem">The claim line item.</param>
public virtual void AddClaimLineItem(ClaimLineItem claimLineItem)
{
Check.IsNotNull(claimLineItem, "Claim Line Item is required.");
claimLineItem.ReviseClaim ( this );
_claimLineItems.Add ( claimLineItem );
NotifyItemAdded ( () => ClaimLineItems, claimLineItem );
}
/// <summary>
/// Removes the claim line item.
/// </summary>
/// <param name="claimLineItem">The claim line item.</param>
public virtual void RemoveClaimLineItem(ClaimLineItem claimLineItem)
{
Check.IsNotNull(claimLineItem, "Claim Line Item is required.");
_claimLineItems.Remove ( claimLineItem );
NotifyItemRemoved ( () => ClaimLineItems, claimLineItem );
}
/// <summary>
/// Generates the claim.
/// </summary>
/// <returns>A claim object.</returns>
public virtual Claim GenerateClaim()
{
var claimFactory = IoC.CurrentContainer.Resolve<IClaimFactory> ();
var patientAccount = PatientAccount;
var payor = (from payorCoverage in patientAccount.PayorCoverages
where payorCoverage.PayorCoverageType.WellKnownName == WellKnownNames.PatientAccountModule.PayorCoverageType.Primary &&
(payorCoverage.EffectiveCoverageDateRange.StartDate <= ServiceDate && payorCoverage.EffectiveCoverageDateRange.EndDate >= ServiceDate) //TODO: make sure the endDate is not null
select payorCoverage.Payor).FirstOrDefault();
if (payor == null)
{
throw new InvalidOperationException(string.Format("{0} does not have primary payor coverage.", patientAccount.Name));
}
// Only get the active primary payor coverage in the 1st round
// TODO: implement claims for 2nd or 3rd payor coverage
var claim = claimFactory.CreateClaim(
this, payor, ChargeAmount, PatientAccount, ServiceLocation, ServiceDate);
//Create Claim line item
foreach (var service in Services)
{
var claimLineItem = new ClaimLineItem(
service.BillingUnitCount, service.ChargeAmount, service.Diagnosis, service.MedicalProcedure.ProcedureCode);
claim.AddClaimLineItem(claimLineItem);
}
return claim;
}