private string BuildUrl(string url, EligibilityRequestEditModel eligbleRequest, InsuranceCompany insuranceCompany, InsuranceServiceType insuranceServiceType)
{
if (_settings.EligibilityTestMode)
{
url = AddUrlParameter(url, @"test", "true");
}
url = AddUrlParameter(url, @"payer_id", insuranceCompany.Code);
url = AddUrlParameter(url, @"provider_last_name", _settings.EligibilityProviderLastName);
url = AddUrlParameter(url, @"provider_first_name", _settings.EligibilityProviderFirstName);
url = AddUrlParameter(url, @"provider_npi", _settings.EligibilityProviderNpi);
url = AddUrlParameter(url, @"service_type", insuranceServiceType.Code);
url = AddUrlParameter(url, @"network", (insuranceCompany.InNetwork ? "IN" : "OUT"));
url = AddUrlParameter(url, @"member_id", eligbleRequest.MemberId);
url = AddUrlParameter(url, @"member_last_name", eligbleRequest.LastName);
url = AddUrlParameter(url, @"member_first_name", eligbleRequest.FirstName);
if (eligbleRequest.Dob.HasValue)
{
url = AddUrlParameter(url, @"member_dob", eligbleRequest.Dob.Value.ToString("yyyy-MM-dd"));
}
return(url);
}
public EligibleResponse GetCoverage(EligibilityRequestEditModel eligbleRequest, InsuranceCompany insuranceCompany, InsuranceServiceType insuranceServiceType)
{
// Init the URL
string url = string.Format(RootApi, "coverage", "all.json", _settings.EligibilityApiKey);
// Update the URL
url = BuildUrl(url, eligbleRequest, insuranceCompany, insuranceServiceType);
try
{
// Grab the response
string responseBody = PostRequest(url);
// Parse the response object
var response = JsonConvert.DeserializeObject <EligibleResponse>(responseBody);
// Save the JSON, may want it later
response.RawResponse = responseBody;
return(response);
}
catch (Exception)
{
return(new EligibleResponse
{
Error = new EligibleError
{
ResponseDescription = "Unauthorized",
RejectionReasonDescription = "Authorization/Access Restrictions",
FollowUpActionDescription = "Please Correct and Resubmit"
}
});
}
}
