static void Main(string[] args)
{
string inputFilename = args[0];
string outputFilename = args[1];
string isaControlNumber = args.Length > 2 ? args[2] : "999";
string gsControlNumber = args.Length > 3 ? args[3] : "99";
var service = new X12AcknowledgmentService();
using (FileStream fs = new FileStream(inputFilename, FileMode.Open, FileAccess.Read))
{
using (X12StreamReader reader = new X12StreamReader(fs, Encoding.UTF8))
{
var firstTrans = reader.ReadNextTransaction();
if (reader.LastTransactionCode == "837")
{
if (reader.TransactionContainsSegment(firstTrans.Transactions[0], "SV2"))
{
service = new InstitutionalClaimAcknowledgmentService();
}
if (reader.TransactionContainsSegment(firstTrans.Transactions[0], "SV1"))
{
service = new X12AcknowledgmentService(new ProfessionalClaimSpecificationFinder());
}
}
}
}
using (FileStream fs = new FileStream(inputFilename, FileMode.Open, FileAccess.Read))
{
// Create aknowledgements and identify errors
var responses = service.AcknowledgeTransactions(fs);
// Change any acknowledgment codes here to reject transactions with errors
// CUSTOM BUSINESS LOGIC HERE
// Transform to outbound interchange for serialization
var interchange = new Interchange(DateTime.Now, int.Parse(isaControlNumber), true);
interchange.AuthorInfoQualifier = ConfigurationManager.AppSettings["AuthorInfoQualifier"];
interchange.AuthorInfo = ConfigurationManager.AppSettings["AuthorInfo"];
interchange.SecurityInfoQualifier = ConfigurationManager.AppSettings["SecurityInfoQualifier"];
interchange.SecurityInfo = ConfigurationManager.AppSettings["SecurityInfo"];
interchange.InterchangeSenderIdQualifier = ConfigurationManager.AppSettings["InterchangeSenderIdQualifier"];
interchange.InterchangeSenderId = ConfigurationManager.AppSettings["InterchangeSenderId"];
interchange.InterchangeReceiverIdQualifier = responses.First().SenderIdQualifier;
interchange.InterchangeReceiverId = responses.First().SenderId;
interchange.SetElement(12, "00501");
var group = interchange.AddFunctionGroup("FA", DateTime.Now, int.Parse(gsControlNumber));
group.ApplicationSendersCode = ConfigurationManager.AppSettings["InterchangeSenderId"];
group.VersionIdentifierCode = "005010X231A1";
group.Add999Transaction(responses);
// This is a demonstration example only, change true to false to create continous x12 without line feeds.
File.WriteAllText(outputFilename, interchange.SerializeToX12(true));
}
}
public void TransactionCreationTest()
{
Interchange interchange = CreateSample1WithFunctionGroup();
interchange.FunctionGroups.First().AddTransaction("837", "0034");
Assert.AreEqual(TransactionSample1, interchange.SerializeToX12(true));
}
public void TransactionCreationWithSegmentFromStringTest()
{
Interchange interchange = CreateSample1WithFunctionGroup();
Transaction transaction = interchange.FunctionGroups.First().AddTransaction("837", "0034");
Segment bht = transaction.AddSegment("BHT*0019*00*3920394930203*20070816*1615*CH");
Assert.AreEqual("0019", bht.GetElement(1));
Trace.Write(interchange.SerializeToX12(true));
}
public void OutlineIsSameAsOriginal()
{
var parser = new X12Parser();
Interchange interchange = parser.ParseMultiple(new MemoryStream(Encoding.ASCII.GetBytes(this.inquiry))).First();
Interchange interchangeFromOutline = parser.ParseMultiple(new MemoryStream(Encoding.ASCII.GetBytes(this.inquiryOutline))).First();
Assert.AreEqual(interchange.SerializeToX12(false), interchangeFromOutline.SerializeToX12(false));
}
public void CreatePurchaseOrder850()
{
string expected = @"ISA*00* *00* *01*828513080 *01*001903202U *100817*0850*U*00401*000000245*0*P*:~
GS*PO*828513080*001903202U*20100817*0850*245*X*005010X222~
ST*850*0001~
BEG*05*SA*S41000439**20100810~
CUR*BY*USD~
PER*IC*Doe,Jane******Doe,Jane~
SE*5*0001~
GE*1*1~
IEA*1*000000245~";
var purcaseOrderDate = new DateTime(2010, 8, 17, 08, 50, 0);
var interchange = new Interchange(purcaseOrderDate, 245, true)
{
InterchangeSenderIdQualifier = "01",
InterchangeSenderId = "828513080",
InterchangeReceiverIdQualifier = "01",
InterchangeReceiverId = "001903202U",
InterchangeDate = purcaseOrderDate,
};
interchange.SetElement(14, "0");
FunctionGroup group = interchange.AddFunctionGroup("PO", purcaseOrderDate, 1, "005010X222");
group.ApplicationSendersCode = "828513080";
group.ApplicationReceiversCode = "001903202U";
group.Date = purcaseOrderDate;
group.ControlNumber = 245;
Transaction transaction = group.AddTransaction("850", "0001");
Segment bhtSegment = transaction.AddSegment("BEG");
bhtSegment.SetElement(1, "05");
bhtSegment.SetElement(2, "SA");
bhtSegment.SetElement(3, "S41000439");
bhtSegment.SetElement(5, "20100810");
bhtSegment = transaction.AddSegment("CUR");
bhtSegment.SetElement(1, "BY");
bhtSegment.SetElement(2, "USD");
bhtSegment = transaction.AddSegment("PER");
bhtSegment.SetElement(1, "IC");
bhtSegment.SetElement(2, "Doe,Jane");
bhtSegment.SetElement(8, "Doe,Jane");
var x12 = interchange.SerializeToX12(true);
Assert.AreEqual(expected, x12);
}
public void InterchangeCreationTest()
{
DateTime date = DateTime.Parse("2002-08-16 11:44AM");
Interchange interchange = CreateSample1InterChange(date);
string actualX12 = interchange.SerializeToX12(true);
Assert.AreEqual(InterchangeSample1, actualX12);
Assert.AreEqual("00", interchange.AuthorInfoQualifier);
Assert.AreEqual("00", interchange.SecurityInfoQualifier);
Assert.AreEqual("01", interchange.InterchangeSenderIdQualifier);
Assert.AreEqual("01", interchange.InterchangeReceiverIdQualifier);
Assert.AreEqual(date, interchange.InterchangeDate);
}
public void TransactionCreationWithSegmentToStringTest()
{
Interchange interchange = CreateSample1WithFunctionGroup();
Transaction transaction = interchange.FunctionGroups.First().AddTransaction("837", "0034");
Segment bht = transaction.AddSegment("BHT");
bht.SetElement(1, "0019");
bht.SetElement(2, "00");
bht.SetElement(3, "3920394930203");
bht.SetElement(4, "20070816");
bht.SetElement(5, "1615");
bht.SetElement(6, "CH");
Assert.AreEqual("BHT*0019*00*3920394930203*20070816*1615*CH", bht.SegmentString);
Trace.Write(interchange.SerializeToX12(false));
}
public void Acknowledge837ITest()
{
var service = new InstitutionalClaimAcknowledgmentService();
var responses = service.AcknowledgeTransactions(GetEdi("837I_4010_Batch1.txt"));
Assert.AreEqual(1, responses.Count);
var response = responses.First();
Assert.AreEqual("612200041", response.GroupControlNumber);
Assert.AreEqual(54, response.TransactionSetResponses.Count);
var interchange = new Interchange(DateTime.Now, 1, true);
var group = interchange.AddFunctionGroup("FA", DateTime.Now, 1);
group.VersionIdentifierCode = "005010X231A1";
group.Add999Transaction(responses);
Trace.WriteLine(interchange.SerializeToX12(true));
}
public void CreatePurchaseOrder850()
{
DateTime purcaseOrderDate = new DateTime(2010, 8, 17, 08, 50, 0);
Interchange interchange = new Interchange(purcaseOrderDate, 245, true)
{
InterchangeSenderIdQualifier = "01",
InterchangeSenderId = "828513080",
InterchangeReceiverIdQualifier = "01",
InterchangeReceiverId = "001903202U",
InterchangeDate = purcaseOrderDate,
};
interchange.SetElement(14, "0"); //No Aknowlegement is 0
FunctionGroup group = interchange.AddFunctionGroup("PO", purcaseOrderDate, 1, "005010X222");
group.ApplicationSendersCode = "828513080";
group.ApplicationReceiversCode = "001903202U";
group.Date = purcaseOrderDate;
group.ControlNumber = 245;
Transaction transaction = group.AddTransaction("850", "0001");
Segment bhtSegment = transaction.AddSegment("BEG");
bhtSegment.SetElement(1, "05");
bhtSegment.SetElement(2, "SA");
bhtSegment.SetElement(3, "S41000439");
bhtSegment.SetElement(5, "20100810");
bhtSegment = transaction.AddSegment("CUR");
bhtSegment.SetElement(1, "BY");
bhtSegment.SetElement(2, "USD");
bhtSegment = transaction.AddSegment("PER");
bhtSegment.SetElement(1, "IC");
bhtSegment.SetElement(2, "Doe,Jane");
bhtSegment.SetElement(8, "Doe,Jane");
var x12 = interchange.SerializeToX12(true);
System.Diagnostics.Trace.Write(x12);
}
public void ParseModifyAndTransformBackToX12()
{
var stream = GetEdi("INS._270._4010.Example1_DHHS.txt");
var parser = new X12Parser();
Interchange interchange = parser.ParseMultiple(stream).First();
string originalX12 = interchange.SerializeToX12(true);
string xml = interchange.Serialize();
XmlDocument doc = new XmlDocument();
doc.PreserveWhitespace = true;
doc.LoadXml(xml);
XmlElement dmgElement = (XmlElement)(doc.GetElementsByTagName("DMG")[0]);
dmgElement.ParentNode.RemoveChild(dmgElement);
Console.WriteLine(doc.OuterXml);
string x12 = parser.TransformToX12(doc.OuterXml);
Console.WriteLine("ISA Segmemt:");
Console.WriteLine(x12.Substring(0, 106));
Console.WriteLine("Directly from XML:");
Console.WriteLine(x12);
var modifiedInterchange = parser.ParseMultiple(x12).First();
string newX12 = modifiedInterchange.SerializeToX12(true);
Console.WriteLine("After passing through interchange object:");
Console.WriteLine(newX12);
var seSegment = modifiedInterchange.FunctionGroups.First().Transactions.First().TrailerSegments.FirstOrDefault(ts => ts.SegmentId == "SE");
Assert.IsNotNull(seSegment);
Assert.AreEqual("0001", seSegment.GetElement(2));
Assert.AreEqual("15", seSegment.GetElement(1));
}
public void ParseAndTransformToX12()
{
string resourcePath = Convert.ToString(TestContext.DataRow["ResourcePath"]); // "INS._837P._4010.Spec_4.1.1_PatientIsSubscriber.txt";
if (!resourcePath.Contains("_0x1D"))
{
Trace.WriteLine(resourcePath);
Stream stream = GetEdi(resourcePath);
var parser = new X12Parser();
Interchange interchange = parser.ParseMultiple(stream).First();
string originalX12 = interchange.SerializeToX12(true);
string xml = interchange.Serialize();
string x12 = parser.TransformToX12(xml);
Interchange newInterchange = parser.ParseMultiple(x12).First();
string newX12 = newInterchange.SerializeToX12(true);
Assert.AreEqual(originalX12, newX12);
Trace.Write(x12);
}
}
public void ParseAndTransformToX12(
[ValueSource(typeof(ResourcePathManager), nameof(ResourcePathManager.ResourcePaths))]
string resourcePath)
{
if (!resourcePath.Contains("_0x1D"))
{
// arrange
Stream stream = GetEdi(resourcePath);
// act
var parser = new X12Parser();
Interchange interchange = parser.ParseMultiple(stream).First();
string originalX12 = interchange.SerializeToX12(true);
string xml = interchange.Serialize();
string x12 = parser.TransformToX12(xml);
Interchange newInterchange = parser.ParseMultiple(x12).First();
string newX12 = newInterchange.SerializeToX12(true);
// assert
Assert.AreEqual(originalX12, newX12);
}
}
public void Create810_4010Version()
{
var message = new Interchange(new DateTime(1999, 1, 4, 15, 32, 0), 35, false, '~', '*', '>')
{
SecurityInfoQualifier = "00",
InterchangeSenderIdQualifier = "30",
InterchangeSenderId = "943274043",
InterchangeReceiverIdQualifier = "16",
InterchangeReceiverId = "0069088189999"
};
var fg = message.AddFunctionGroup("IN", new DateTime(1999, 1, 4, 15, 32, 0), 1);
fg.ApplicationSendersCode = "943274043TO";
fg.ApplicationReceiversCode = "0069088189999";
fg.ResponsibleAgencyCode = "X";
fg.VersionIdentifierCode = "004010";
var trans = fg.AddTransaction("810", "0001");
var big = trans.AddSegment(new TypedSegmentBIG());
big.BIG01_InvoiceDate = new DateTime(1998, 10, 14);
big.BIG02_InvoiceNumber = "3662";
big.BIG07_TransactionTypeCode = "N6";
var billTo = trans.AddLoop(new TypedLoopN1());
billTo.N101_EntityIdentifierCodeEnum = EntityIdentifierCode.BillToParty;
billTo.N102_Name = "The Scheduling Coordinator, Inc";
var billToAddress = billTo.AddSegment(new TypedSegmentN3());
billToAddress.N301_AddressInformation = "53241 Hamilton Dr";
var billToLocale = billTo.AddSegment(new TypedSegmentN4());
billToLocale.N401_CityName = "Palo Alto";
billToLocale.N402_StateOrProvinceCode = "CA";
billToLocale.N403_PostalCode = "95622";
billToLocale.N404_CountryCode = "US";
var remitTo = trans.AddLoop(new TypedLoopN1());
remitTo.N101_EntityIdentifierCodeEnum = EntityIdentifierCode.PartyToReceiveCommercialInvoiceRemittance;
remitTo.N102_Name = "Bank of America- (Mkt and GMC)";
var remitToAddress = remitTo.AddSegment(new TypedSegmentN3());
remitToAddress.N301_AddressInformation = "1850 Gateway Boulevard";
var remitToLocale = remitTo.AddSegment(new TypedSegmentN4());
remitToLocale.N401_CityName = "Concord";
remitToLocale.N402_StateOrProvinceCode = "CA";
remitToLocale.N403_PostalCode = "94520";
remitToLocale.N404_CountryCode = "US";
var remitToRef1 = remitTo.AddSegment(new TypedSegmentREF());
remitToRef1.REF01_ReferenceIdQualifier = "11";
remitToRef1.REF02_ReferenceId = "1233626208";
var remitToRef2 = remitTo.AddSegment(new TypedSegmentREF());
remitToRef2.REF01_ReferenceIdQualifier = "01";
remitToRef2.REF02_ReferenceId = "026009593";
var itd = trans.AddSegment(new TypedSegmentITD());
itd.ITD01_TermsTypeCode = "03";
itd.ITD06_TermsNetDueDate = new DateTime(1998, 10, 20);
var it1 = trans.AddLoop(new TypedLoopIT1());
it1.IT101_AssignedIdentification = "1";
it1.IT102_QuantityInvoiced = 1;
it1.IT103_UnitOrBasisForMeasurementCode = UnitOrBasisOfMeasurementCode.Each;
it1.IT104_UnitPrice = 2896035.3m;
var pid = it1.AddLoop(new TypedLoopPID());
pid.PID01_ItemDescriptionType = "X";
pid.PID05_Description = "RMR Scheduling Coordinator - Estimated RMR";
var tds = trans.AddSegment(new TypedSegmentTDS());
tds.TDS01_AmountN2 = 289603530;
var ctt = trans.AddSegment(new TypedSegmentCTT());
ctt.CTT01_NumberOfLineItems = 1;
var x12 = message.SerializeToX12(true);
Trace.Write(x12);
Assert.AreEqual(ExpectedX12, x12);
}
public void CreatePurchaseOrderChangeNotice860()
{
DateTime purcaseOrderDate = new DateTime(2010, 8, 17, 08, 50, 0);
DateTime changeOrderDate = DateTime.Now;
DateTime requestedShipDate = DateTime.Now.AddDays(2d);
Interchange interchange = new Interchange(changeOrderDate, 245, true)
{
InterchangeSenderIdQualifier = "01",
InterchangeSenderId = "828513080",
InterchangeReceiverIdQualifier = "01",
InterchangeReceiverId = "001903202U",
InterchangeDate = changeOrderDate,
};
interchange.SetElement(14, "0"); //No Aknowlegement is 0
FunctionGroup group = interchange.AddFunctionGroup("PO", changeOrderDate, 1, "005010X222");
group.ApplicationSendersCode = "828513080";
group.ApplicationReceiversCode = "001903202U";
group.Date = changeOrderDate;
group.ControlNumber = 245;
Transaction transaction = group.AddTransaction("860", "0001");
//BCH - Beginning Segment for Purchase Order Change
//Mandatory / Max Use=1 time
Segment bhtSegment = transaction.AddSegment("BCH");
bhtSegment.SetElement((int)BeginningSegmentPurchaseOrderChangeIndex.TransactionSetPurpose, "01"); //01 is cancelllation 04 is change
bhtSegment.SetElement((int)BeginningSegmentPurchaseOrderChangeIndex.TransactionSetTypeCode, "SA");
bhtSegment.SetElement((int)BeginningSegmentPurchaseOrderChangeIndex.PurchaseOrderDate, purcaseOrderDate.ToString("yyyyMMdd"));
bhtSegment.SetElement((int)BeginningSegmentPurchaseOrderChangeIndex.ChangeRequestDate, changeOrderDate.ToString("yyyyMMdd"));
//REF- Reference Identification
//Optional / Max Use=1 time
bhtSegment = transaction.AddSegment("REF");
bhtSegment.SetElement((int)ReferenceIdentificationIndex.ReferenceIdentificationQualifier, "IA");
bhtSegment.SetElement((int)ReferenceIdentificationIndex.ReferenceNumber, "1to30chars");
//DTM – Date/Time Reference
//Optional/ Max Use=1 time
bhtSegment = transaction.AddSegment("DTM");
bhtSegment.SetElement((int)DateTimeReferenceIndex.TermsTypeCode, "010");
bhtSegment.SetElement((int)DateTimeReferenceIndex.RequestedShipDate, requestedShipDate.ToString("yyyyMMdd"));
//Add to test
//N1 – Name
//Optional / Max Use=1
//N3 – Address Information
//Conditional – use if N1 used/ Max Use=2
//N4 – Geographic Location
//Conditional – use if N3 used / Max Use=1 time
//POC – Line Item Change
//Mandatory / Max Use=1 times per loop / Max Loop=99 times
//DTM – Date/Time Reference
//Mandatory / Max Use=1 times per loop
//CTT – Transaction Totals
//Mandatory / Max Use=1 time
var x12 = interchange.SerializeToX12(true);
System.Diagnostics.Trace.Write(x12);
}
public void Create270Test()
{
/*Good documentation sources for understanding X12
* http://docs.oracle.com/cd/E19398-01/820-1275/agdaw/index.html
* https://www.empireblue.com/provider/noapplication/f4/s3/t2/pw_ad086848.pdf?refer=ehpprovider
*/
//Create the top level interchange
#region Create Interchange
var Message = new Interchange(DateTime.Now, 31, false)
{
AuthorInfoQualifier = "00", //ISA01 - Authorization Info Qual - 00(No Auth present)
AuthorInfo = String.Format("{0,-10}", " "), //ISA02 - Authorization Info Must be 10 spaces if ISA01 = 00
SecurityInfoQualifier = "00", //ISA03 - Security Info Qual (00 no password)
SecurityInfo = String.Format("{0,-10}", " "), //ISA04 - Password, 10 spaces if no password
InterchangeSenderIdQualifier = "01", //ISA05 01=Duns 14=Duns plus suffix 20=Health insurance number (HIN) 27=CMS carrier ID number 28=CMS fiscal intermediary ID number 29=CMS Medicare provider /supplier ID 30 U.S. federal tax ID 33=NAIC ID ZZ=Mutually defined.
InterchangeSenderId = "9012345720000 ", //ISA06 Registration information for sender
InterchangeReceiverIdQualifier = "01", //ISA07 Mutually defined
InterchangeReceiverId = "9088877320000 ", //ISA08 - Depends on who is processing it. Variable by company. We need to get a table of these values
InterchangeDate = DateTime.Parse("2002/08/16") //ISA09 - Date we sent this
};
Message.SetElement(10, "1144"); //ISA10 Interchange time Format HHMM
Message.SetElement(11, "U"); //ISA11 Interchange Control standards ID
Message.SetElement(12, "00401"); //ISA12 Interchange control version number - set by receiver
Message.SetElement(13, "000000031"); //ISA13 Interchange control number - Must be unique within 180 days
Message.SetElement(14, "0"); //ISA14 Interchange Ack requested - For 270 must be 0
Message.SetElement(15, "T"); //ISA15 Usage (T=Test, P=Production)
//Message.SetElement(16, "^"); //ISA16 Component Element sep - Can't be in any value in document
Debug.WriteLine("Interchange level:");
Debug.WriteLine("ISA*00* *00* *01*9012345720000 *01*9088877320000 *020816*1144*U*00401*000000031*0*T*:~IEA*0*000000031~");
Debug.WriteLine(Message.SerializeToX12(false));
Assert.AreEqual("ISA*00* *00* *01*9012345720000 *01*9088877320000 *020816*1144*U*00401*000000031*0*T*:~IEA*0*000000031~", Message.SerializeToX12(false));
#endregion
#region Create GS - Function Group
//GS - First record of a functional group
var Group = Message.AddFunctionGroup("HS", DateTime.Now, 31, "00501X092A1");
Group.FunctionalIdentifierCode = "HS"; //GS01 FA=999, HS=270, HB=271
Group.ApplicationSendersCode = "901234572000"; //GS02 - RegistationCode given by receiver organization
Group.ApplicationReceiversCode = "908887732000"; //GS03 - Recievers code (Get from the receiver organization)
Group.Date = DateTime.Parse("2007/08/16"); //GS04 - Date sent from us
Group.SetElement(5, "1615"); //GS05 - HHMM time from sending system
Group.ControlNumber = 31; //GS06 Must equal following GE02 and be unique to each functional group in message
Group.ResponsibleAgencyCode = "X"; //GS07 X=ASCX12
Group.VersionIdentifierCode = "00501X092A1"; //GS08 00501X092A1 for 270/271, 005010 for 999
Debug.WriteLine("Function Group level:");
Debug.WriteLine("GS*HS*901234572000*908887732000*20070816*1615*31*X*00501X092A1~GE*0*31~");
Debug.WriteLine(Group.SerializeToX12(false));
Assert.AreEqual("GS*HS*901234572000*908887732000*20070816*1615*31*X*00501X092A1~GE*0*31~", Group.SerializeToX12(false));
#endregion
#region Create Transaction
var TransactionSet = Group.AddTransaction("270", "1234"); //1234 is the ST02 control number
#endregion
#region Create BHT - Beginning of Hierarchal Transaction
// Beginning of Hierarchical Transaction
var BHTSegment = TransactionSet.AddSegment(new TypedSegmentBHT());
BHTSegment.BHT01_HierarchicalStructureCode = "0022"; //BHT01 - Order for structure: 22 - Information Source, Information Reciever, Subscriber, Dependent
BHTSegment.BHT02_TransactionSetPurposeCode = "13"; //BHT02 - Transaction Set purpose 01- Cancel (Cancel a previous 270), 13 - Request
BHTSegment.BHT03_ReferenceIdentification = "10001234"; //BHT03 - Value used to track this request (From our side) Max 50 char
BHTSegment.BHT04_Date = DateTime.Parse("2007/08/16"); //BHT04 - CCYYMMDD (CC = First two digits of year 20..) - When transaction was created
BHTSegment.BHT05_Time = "1319"; //BHT05 - Time Transaction created HHMM
BHTSegment.BHT06_TransactionTypeCode = "00"; //BHT06 - Transaction Type - RT for getting Medicaid SpendDown info
Debug.WriteLine("BHT - Beginning of Hierarchal Transaction:");
Debug.WriteLine("ST*270*1234~BHT*0022*13*10001234*20070816*1319*00~SE*3*1234~");
Debug.WriteLine(TransactionSet.SerializeToX12(false));
Assert.AreEqual("ST*270*1234~BHT*0022*13*10001234*20070816*1319*00~SE*3*1234~", TransactionSet.SerializeToX12(false));
#endregion
/* Note on the following HL levels
* HL1 - Information Source level - Payer that maintains the info regarding the patient's coverage
* HL2 - Information Receiver Level - The Entity requesting info regarding the patient's coverage
* HL3 - Subscriber level - the subscriber, who may or may not be the patient - the member.
* HL4 - Dependent level - The dependent of the member, who may or may not be the patient, is related to the subscriber/mnember
*/
#region HL1 Level - Information Source - Loop 2100A
var HL1InformationSourceLevel = TransactionSet.AddHLoop("1", "20", true); //"1" is HL01 the Id number for this loop, "20" is HL02 - "20" means it is an info source
//Billing info HL1 level
var HL1SourceLoop = HL1InformationSourceLevel.AddLoop(new TypedLoopNM1("PR"));
//InformationSourceLoop.NM101_EntityIdCode = "PR"; //2B Third-Party Administrator, 36 Employer, GP Gateway Provider, P5 Plan Sponsor, PR Payer
HL1SourceLoop.NM102_EntityTypeQualifier = EntityTypeQualifier.NonPersonEntity;
HL1SourceLoop.NM103_NameLastOrOrganizationName = "ABC BILLING SERVICE";
HL1SourceLoop.NM104_NameFirst = "";
HL1SourceLoop.NM105_NameMiddle = "";
HL1SourceLoop.NM106_NamePrefix = "";
HL1SourceLoop.NM107_NameSuffix = "";
HL1SourceLoop.NM108_IdCodeQualifier = "PI"; //code describing what the NM109 is
/*
* 24 Employer's Identification Number
* 46 Electronic Transmitter Identification Number (ETIN)
* FI Federal Taxpayer's Identification Number
* NI National Association of Insurance Commissioners (NAIC) Identification
* PI Payor Identification
* XV Centers for Medicare and Medicaid Services PlanID
* CODE SOURCE: CODE SOURCE:
* 540: Centers for Medicare and Medicaid Services PlanID Centers for Medicare and Medicaid Services PlanID
* XX Centers for Medicare and Medicaid Services National Provider Identifier
* CODE SOURCE: CODE SOURCE:
* 537: Centers for Medicare and Medicaid Services National Provider Identifier Centers for Medicare and Medicaid Services National Provider Identifier
*/
HL1SourceLoop.NM109_IdCode = "842610001"; //Code defining a party or other value lookup from external code list
Debug.WriteLine("HL1 level:");
Debug.WriteLine(HL1InformationSourceLevel.SerializeToX12(false));
Debug.WriteLine("HL*1**20*1~NM1*PR*2*ABC BILLING SERVICE*****PI*842610001~");
Assert.AreEqual("HL*1**20*1~NM1*PR*2*ABC BILLING SERVICE*****PI*842610001~", HL1InformationSourceLevel.SerializeToX12(false));
#endregion
#region HL2 Level - Information Receiver - Loop 2100B
var HL2SourceLoop = HL1InformationSourceLevel.AddHLoop("2", "21", true);//This is the 2100 Loop - The receiver information
var HL2Info = HL2SourceLoop.AddLoop(new TypedLoopNM1("1P"));
HL2Info.NM102_EntityTypeQualifier = EntityTypeQualifier.NonPersonEntity;
HL2Info.NM103_NameLastOrOrganizationName = "BONE AND JOINT CLINIC";
HL2Info.NM104_NameFirst = "";
HL2Info.NM105_NameMiddle = "";
HL2Info.NM106_NamePrefix = "";
HL2Info.NM107_NameSuffix = "";
HL2Info.NM108_IdCodeQualifier = "SV"; //code describing what the NM109 is
//HL2Info.NM108_IdCodeQualifierEnum = IdentificationCodeQualifier.CanadianPetroleumAssociation;
HL2Info.NM109_IdCode = "2000035";
Debug.WriteLine("HL2 Level:");
Debug.WriteLine(HL2SourceLoop.SerializeToX12(false));
Debug.WriteLine("HL*2*1*21*1~NM1*1P*2*BONE AND JOINT CLINIC*****SV*2000035~");
Assert.AreEqual("HL*2*1*21*1~NM1*1P*2*BONE AND JOINT CLINIC*****SV*2000035~", HL2SourceLoop.SerializeToX12(false));
#endregion
#region HL3 Level - Member info level
var HL3Info = HL2SourceLoop.AddHLoop("3", "22", false);
//We need to create a TypedLoopTRN
HL3Info.AddSegment("TRN*1*93175-012547*9877281234");
var Member = HL3Info.AddLoop(new TypedLoopNM1("IL"));
Member.NM102_EntityTypeQualifier = EntityTypeQualifier.Person;
Member.NM103_NameLastOrOrganizationName = "SMITH";
Member.NM104_NameFirst = "ROBERT";
Member.NM105_NameMiddle = "MI";
Member.NM109_IdCode = "11122333301";
TypedSegmentDMG Birthday = Member.AddSegment(new TypedSegmentDMG());
Birthday.DMG02_DateOfBirth = DateTime.Parse("05/19/1943");
TypedSegmentDTP SubscribeDate = Member.AddSegment(new TypedSegmentDTP());
SubscribeDate.DTP01_DateTimeQualifier = DTPQualifier.Plan;
SubscribeDate.DTP02_DateTimePeriodFormatQualifier = DTPFormatQualifier.CCYYMMDD;
SubscribeDate.DTP03_Date = new DateTimePeriod(DateTime.Parse("05/01/2006"));
//Need to create enumeration of the EQ categories, so not just asking for the general 30 information.
Member.AddLoop("EQ*30");
Debug.WriteLine("HL3 Test:");
Debug.WriteLine(HL3Info.SerializeToX12(false));
Debug.WriteLine("HL*3*2*22*0~TRN*1*93175-012547*9877281234~NM1*IL*1*SMITH*ROBERT*MI****11122333301~DMG*D8*19430519~DTP*291*D8*20060501~EQ*30~");
Assert.AreEqual("HL*3*2*22*0~TRN*1*93175-012547*9877281234~NM1*IL*1*SMITH*ROBERT*MI****11122333301~DMG*D8*19430519~DTP*291*D8*20060501~EQ*30~", HL3Info.SerializeToX12(false));
#endregion
//Test entire 270
Debug.WriteLine("");
Debug.WriteLine("Overall Whole:");
Debug.WriteLine(Message.SerializeToX12(false));
Debug.WriteLine(inquiry);
Debug.WriteLine("Outlined Result:");
Debug.WriteLine(Message.SerializeToX12(true));
Debug.WriteLine("XML version of the above to help in understanding layout.");
Debug.WriteLine(Message.Serialize());
Assert.AreEqual(inquiry, Message.SerializeToX12(false));
}
public void Create837_5010Version()
{
var message = new Interchange(Convert.ToDateTime("01/01/03"), 000905, false)
{
InterchangeSenderIdQualifier = "ZZ",
InterchangeSenderId = "SUBMITTERS.ID",
InterchangeReceiverIdQualifier = "ZZ",
InterchangeReceiverId = "RECEIVERS.ID",
SecurityInfo = "SECRET",
SecurityInfoQualifier = "01",
};
message.SetElement(12, "00501");
message.SetElement(10, "1253");
message.SetElement(11, "^");
var group = message.AddFunctionGroup("HC", DateTime.Now, 1, "005010X222");
group.ApplicationSendersCode = "SENDER CODE";
group.ApplicationReceiversCode = "RECEIVER CODE";
group.Date = Convert.ToDateTime("12/31/1999");
group.ControlNumber = 1;
group.SetElement(5, "0802");
var transaction = group.AddTransaction("837", "0021");
transaction.SetElement(2, "0021");
transaction.SetElement(3, "005010X222");
var bhtSegment = transaction.AddSegment(new TypedSegmentBHT());
bhtSegment.BHT01_HierarchicalStructureCode = "0019";
bhtSegment.BHT02_TransactionSetPurposeCode = "00";
bhtSegment.BHT03_ReferenceIdentification = "244579";
bhtSegment.BHT04_Date = DateTime.Parse("2006-10-15");
bhtSegment.BHT05_Time = "1023";
bhtSegment.BHT06_TransactionTypeCode = "CH";
var submitterLoop = transaction.AddLoop(new TypedLoopNM1("41")); //submitter identifier code
submitterLoop.NM102_EntityTypeQualifier = EntityTypeQualifier.NonPersonEntity;
submitterLoop.NM103_NameLastOrOrganizationName = "PREMIER BILLING SERVICE";
submitterLoop.NM104_NameFirst = "";
submitterLoop.NM109_IdCode = "TGJ23";
submitterLoop.NM108_IdCodeQualifier = "46";
var perSegment = submitterLoop.AddSegment(new TypedSegmentPER());
perSegment.PER01_ContactFunctionCode = "IC"; //information contact function code
perSegment.PER02_Name = "JERRY";
perSegment.PER03_CommunicationNumberQualifier = CommunicationNumberQualifer.Telephone;
perSegment.PER04_CommunicationNumber = "3055552222";
perSegment.PER05_CommunicationNumberQualifier = CommunicationNumberQualifer.TelephoneExtension;
perSegment.PER06_CommunicationNumber = "231";
var submitterLoop2 = transaction.AddLoop(new TypedLoopNM1("40"));
submitterLoop2.NM102_EntityTypeQualifier = EntityTypeQualifier.NonPersonEntity;
submitterLoop2.NM103_NameLastOrOrganizationName = "KEY INSURANCE COMPANY";
submitterLoop2.NM104_NameFirst = "";
submitterLoop2.NM109_IdCode = "66783JJT";
submitterLoop2.NM108_IdCodeQualifier = "46";
var provider2000AHLoop = transaction.AddHLoop("1", "20", true); //*********HL 1 ******
var prvSegment = provider2000AHLoop.AddSegment(new TypedSegmentPRV()); //Specialty Segment
prvSegment.PRV01_ProviderCode = "BI";
prvSegment.PRV02_ReferenceIdQualifier = "PXC";
prvSegment.PRV03_ProviderTaxonomyCode = "203BF0100Y";
var provider2010ACLoop = provider2000AHLoop.AddLoop(new TypedLoopNM1("85"));
provider2010ACLoop.NM102_EntityTypeQualifier = EntityTypeQualifier.NonPersonEntity;
provider2010ACLoop.NM103_NameLastOrOrganizationName = "BEN KILDARE SERVICE";
provider2010ACLoop.NM109_IdCode = "9876543210";
provider2010ACLoop.NM108_IdCodeQualifier = "XX";
var provider2010AC_N3Segment = provider2010ACLoop.AddSegment(new TypedSegmentN3());
provider2010AC_N3Segment.N301_AddressInformation = "234 SEAWAY ST";
var provider2010AC_N4Segment = provider2010ACLoop.AddSegment(new TypedSegmentN4());
provider2010AC_N4Segment.N401_CityName = "MIAMI";
provider2010AC_N4Segment.N402_StateOrProvinceCode = "FL";
provider2010AC_N4Segment.N403_PostalCode = "33111";
var provider2010AC_REFSegment = provider2010ACLoop.AddSegment(new TypedSegmentREF());
provider2010AC_REFSegment.REF01_ReferenceIdQualifier = "EI";
provider2010AC_REFSegment.REF02_ReferenceId = "587654321";
var provider2010ACLoop2 = provider2000AHLoop.AddLoop(new TypedLoopNM1("87"));
provider2010ACLoop2.NM102_EntityTypeQualifier = EntityTypeQualifier.NonPersonEntity;
var provider2010AC_N3Segment2 = provider2010ACLoop2.AddSegment(new TypedSegmentN3());
provider2010AC_N3Segment2.N301_AddressInformation = "2345 OCEAN BLVD";
var provider2010AC_N4Segment2 = provider2010ACLoop2.AddSegment(new TypedSegmentN4());
provider2010AC_N4Segment2.N401_CityName = "MAIMI"; // MISSPELLED IN COMPARETO DOC
provider2010AC_N4Segment2.N402_StateOrProvinceCode = "FL";
provider2010AC_N4Segment2.N403_PostalCode = "33111";
var subscriber2000BHLoop = provider2000AHLoop.AddHLoop("2", "22", true); // **** HL 2 ******
var segmentSBR = subscriber2000BHLoop.AddSegment(new TypedSegmentSBR());
segmentSBR.SBR01_PayerResponsibilitySequenceNumberCode = "P";
segmentSBR.SBR03_PolicyOrGroupNumber = "2222-SJ";
segmentSBR.SBR09_ClaimFilingIndicatorCode = "CI";
var subscriberName2010BALoop = subscriber2000BHLoop.AddLoop(new TypedLoopNM1("IL"));
subscriberName2010BALoop.NM102_EntityTypeQualifier = EntityTypeQualifier.Person;
subscriberName2010BALoop.NM104_NameFirst = "JANE";
subscriberName2010BALoop.NM103_NameLastOrOrganizationName = "SMITH";
subscriberName2010BALoop.NM109_IdCode = "JS00111223333";
subscriberName2010BALoop.NM108_IdCodeQualifier = "MI";
var subscriber_DMGSegment = subscriberName2010BALoop.AddSegment(new TypedSegmentDMG());
subscriber_DMGSegment.DMG01_DateTimePeriodFormatQualifier = "D8";
subscriber_DMGSegment.DMG02_DateOfBirth = DateTime.Parse("5/1/1943");
subscriber_DMGSegment.DMG03_Gender = Gender.Female;
var subscriberName2010BALoop2 = subscriber2000BHLoop.AddLoop(new TypedLoopNM1("PR"));
subscriberName2010BALoop2.NM102_EntityTypeQualifier = EntityTypeQualifier.NonPersonEntity;
subscriberName2010BALoop2.NM103_NameLastOrOrganizationName = "KEY INSURANCE COMPANY";
subscriberName2010BALoop2.NM108_IdCodeQualifier = "PI";
subscriberName2010BALoop2.NM109_IdCode = "999996666";
var refSegment2 = subscriberName2010BALoop2.AddSegment(new TypedSegmentREF());
refSegment2.REF01_ReferenceIdQualifier = "G2";
refSegment2.REF02_ReferenceId = "KA6663";
var HL3Loop = subscriber2000BHLoop.AddHLoop("3", "23", false); // **** HL 3 ******
var HL3PATSegment = HL3Loop.AddSegment(new TypedSegmentPAT());
HL3PATSegment.PAT01_IndividualRelationshipCode = "19";
var HL3NM1Segment = HL3Loop.AddLoop(new TypedLoopNM1("QC"));
HL3NM1Segment.NM102_EntityTypeQualifier = EntityTypeQualifier.Person;
HL3NM1Segment.NM104_NameFirst = "TED";
HL3NM1Segment.NM103_NameLastOrOrganizationName = "SMITH";
// add N3 and N4 segments under the above NM1 loop
var HL3NM1_N3_Segment = HL3NM1Segment.AddSegment(new TypedSegmentN3());
HL3NM1_N3_Segment.N301_AddressInformation = "236 N MAIN ST";
var HL3NM1_N4_Segment = HL3NM1Segment.AddSegment(new TypedSegmentN4());
HL3NM1_N4_Segment.N401_CityName = "MIAMI";
HL3NM1_N4_Segment.N402_StateOrProvinceCode = "FL";
HL3NM1_N4_Segment.N403_PostalCode = "33413";
var HL3NM1_DMG_Segment = HL3NM1Segment.AddSegment(new TypedSegmentDMG());
HL3NM1_DMG_Segment.DMG01_DateTimePeriodFormatQualifier = "D8";
HL3NM1_DMG_Segment.DMG02_DateOfBirth = Convert.ToDateTime("5/1/1973");
HL3NM1_DMG_Segment.DMG03_Gender = Gender.Male;
var claim2300Loop = HL3Loop.AddLoop(new TypedLoopCLM());
claim2300Loop.CLM01_PatientControlNumber = "26463774";
claim2300Loop.CLM02_TotalClaimChargeAmount = Convert.ToDecimal(100);
claim2300Loop.CLM05 = claim2300Loop.CreateTypedElementServiceLocationInfo(PlaceOfServiceCodes.Office, "B", "1");
claim2300Loop.CLM06_ProviderOrSupplierSignatureIndicator = YesNoConditionOrResponseCode.Yes;
claim2300Loop.CLM07_ProviderAcceptAssignmentCode = "A";
claim2300Loop.CLM08_BenefitsAssignmentCerficationIndicator = YesNoConditionOrResponseCode.Yes;
claim2300Loop.CLM09_ReleaseOfInformationCode = "I";
var refSegment = claim2300Loop.AddSegment(new TypedSegmentREF());
refSegment.REF01_ReferenceIdQualifier = "D9";
refSegment.REF02_ReferenceId = "17312345600006351";
var hiSegment = claim2300Loop.AddSegment(new TypedSegmentHI());
hiSegment.HI01_HealthCareCodeInformation = hiSegment.CreateNewTypedElementHealthCareCodeInformation(1, CodeListQualifierCode.PrincipalDiagnosis, "0340");
hiSegment.HI02_HealthCareCodeInformation = hiSegment.CreateNewTypedElementHealthCareCodeInformation(2, CodeListQualifierCode.Diagnosis, "V7389");
var lxLoop = claim2300Loop.AddLoop(new TypedLoopLX()
{
LX01_AssignedNumber = 1
});
lxLoop.LX01_AssignedNumber = 1;
var sv1Segment = lxLoop.AddSegment(new TypedSegmentSV1());
sv1Segment.SV101_CompositeMedicalProcedure = sv1Segment.CreateTypedElementCompositeMedicalProcedureIdentifier(
ProductOrServiceIdQualifiers.HealthCareFinancingAdministrationCommonProceduralCodingSystem, "99213");
sv1Segment.SV102_MonetaryAmount = 40;
sv1Segment.SV103_UnitBasisMeasCode = UnitOrBasisOfMeasurementCode.Unit;
sv1Segment.SV104_Quantity = 1;
sv1Segment.SV107_CompDiagCodePoint = sv1Segment.CreateTypedElementCompositDiagnosisCodePointer(1);
var dtpSegment = lxLoop.AddSegment(new TypedSegmentDTP());
dtpSegment.DTP01_DateTimeQualifier = DTPQualifier.Service;
dtpSegment.DTP02_DateTimePeriodFormatQualifier = DTPFormatQualifier.CCYYMMDD;
DateTime theDate = DateTime.ParseExact("20061003", "yyyyMMdd", null);
dtpSegment.DTP03_Date = new DateTimePeriod(theDate);
var lxLoop2 = claim2300Loop.AddLoop(new TypedLoopLX());
lxLoop2.LX01_AssignedNumber = 2;
var sv1Segment2 = lxLoop2.AddSegment(new TypedSegmentSV1());
sv1Segment2.SV101_CompositeMedicalProcedure = sv1Segment2.CreateTypedElementCompositeMedicalProcedureIdentifier(
ProductOrServiceIdQualifiers.HealthCareFinancingAdministrationCommonProceduralCodingSystem, "87070");
sv1Segment2.SV102_MonetaryAmount = 15;
sv1Segment2.SV103_UnitBasisMeasCode = UnitOrBasisOfMeasurementCode.Unit;
sv1Segment2.SV104_Quantity = 1;
sv1Segment2.SV107_CompDiagCodePoint = sv1Segment.CreateTypedElementCompositDiagnosisCodePointer(1);
var dtpSegment2 = lxLoop2.AddSegment(new TypedSegmentDTP());
dtpSegment2.DTP01_DateTimeQualifier = DTPQualifier.Service;
dtpSegment2.DTP02_DateTimePeriodFormatQualifier = DTPFormatQualifier.CCYYMMDD;
DateTime theDate2 = DateTime.ParseExact("20061003", "yyyyMMdd", null);
dtpSegment2.DTP03_Date = new DateTimePeriod(theDate2);
var lxLoop3 = claim2300Loop.AddLoop(new TypedLoopLX());
lxLoop3.LX01_AssignedNumber = 3;
var sv1Segment3 = lxLoop3.AddSegment(new TypedSegmentSV1());
sv1Segment3.SV101_CompositeMedicalProcedure = sv1Segment3.CreateTypedElementCompositeMedicalProcedureIdentifier(
ProductOrServiceIdQualifiers.HealthCareFinancingAdministrationCommonProceduralCodingSystem, "99214");
sv1Segment3.SV102_MonetaryAmount = 35;
sv1Segment3.SV103_UnitBasisMeasCode = UnitOrBasisOfMeasurementCode.Unit;
sv1Segment3.SV104_Quantity = 1;
sv1Segment3.SV107_CompDiagCodePoint = sv1Segment3.CreateTypedElementCompositDiagnosisCodePointer(2);
var dtpSegment3 = lxLoop3.AddSegment(new TypedSegmentDTP());
dtpSegment3.DTP01_DateTimeQualifier = DTPQualifier.Service;
dtpSegment3.DTP02_DateTimePeriodFormatQualifier = DTPFormatQualifier.CCYYMMDD;
DateTime theDate3 = DateTime.ParseExact("20061010", "yyyyMMdd", null);
dtpSegment3.DTP03_Date = new DateTimePeriod(theDate3);
var lxLoop4 = claim2300Loop.AddLoop(new TypedLoopLX());
lxLoop4.LX01_AssignedNumber = 4;
var sv1Segment4 = lxLoop4.AddSegment(new TypedSegmentSV1());
sv1Segment4.SV101_CompositeMedicalProcedure = sv1Segment4.CreateTypedElementCompositeMedicalProcedureIdentifier(
ProductOrServiceIdQualifiers.HealthCareFinancingAdministrationCommonProceduralCodingSystem, "86663");
sv1Segment4.SV102_MonetaryAmount = 10;
sv1Segment4.SV103_UnitBasisMeasCode = UnitOrBasisOfMeasurementCode.Unit;
sv1Segment4.SV104_Quantity = 1;
sv1Segment4.SV107_CompDiagCodePoint = sv1Segment3.SV107_CompDiagCodePoint = sv1Segment3.CreateTypedElementCompositDiagnosisCodePointer(2);
var dtpSegment4 = lxLoop4.AddSegment(new TypedSegmentDTP());
dtpSegment4.DTP01_DateTimeQualifier = DTPQualifier.Service;
dtpSegment4.DTP02_DateTimePeriodFormatQualifier = DTPFormatQualifier.CCYYMMDD_CCYYMMDD;
DateTime theDate4 = DateTime.ParseExact("20061010", "yyyyMMdd", null);
dtpSegment4.DTP03_Date = new DateTimePeriod(theDate4, DateTime.ParseExact("20061025", "yyyyMMdd", null));
var x12 = message.SerializeToX12(true);
Assert.AreEqual(new StreamReader(Extensions.GetEdi("INS._837P._5010.Example1_HealthInsurance.txt")).ReadToEnd(), message.SerializeToX12(true));
//Trace.Write(new StreamReader(Extensions.GetEdi("INS._837P._5010.Example1_HealthInsurance.txt")).ReadToEnd());
//Trace.Write(x12);
}
/// <summary>
/// Generates the health care claim837 professional.
/// </summary>
/// <returns>A _healthCareClaim837Professional message.</returns>
public virtual HealthCareClaim837Professional GenerateHealthCareClaim837Professional( )
{
var healthCareClaim837ProfessionalFactory = IoC.CurrentContainer.Resolve <IHealthCareClaim837ProfessionalFactory> ();
var currenDateTime = DateTime.Now;
var autoIncrementedHierarchicalIDNumber = 1; // NOTE: The first HL01 within each ST-SE envelope must begin with "1".
var interchangeCopntrolNumber = GetInterchangeControlNumber(Key);
// Interchange.
var message = new Interchange(
currenDateTime,
interchangeCopntrolNumber,
false, // TODO: Use web.config to set InterchangeUsageIndicator.
PayorType.HealthCareClaim837Setup.X12Delimiters.SegmentDelimiter,
PayorType.HealthCareClaim837Setup.X12Delimiters.ElementDelimiter,
PayorType.HealthCareClaim837Setup.X12Delimiters.CompositeDelimiter)
{
InterchangeSenderIdQualifier = InterchangeIDQualifier.MutuallyDefined,
InterchangeSenderId = PayorType.HealthCareClaim837Setup.InterchangeSenderNumber,
InterchangeReceiverIdQualifier = InterchangeIDQualifier.MutuallyDefined,
InterchangeReceiverId = PayorType.HealthCareClaim837Setup.InterchangeReceiverNumber,
};
message.SetElement(11, PayorType.HealthCareClaim837Setup.X12Delimiters.RepetitionDelimiter.ToString(CultureInfo.InvariantCulture));
message.SetElement(12, InterchangeVersionControlNumber.ApprovedForPublicationByASCX12ProceduresReviewBoardThroughOctober2003);
message.SetElement(14, AcknowledgmentRequested.InterchangeAcknowledgmentRequested);
// Functional group.
var group = message.AddFunctionGroup(FunctionalIdentifierCode.HealthCareClaim, currenDateTime, interchangeCopntrolNumber, ImplementationConventionReference.Version5010);
group.ApplicationSendersCode = PayorType.HealthCareClaim837Setup.InterchangeSenderNumber;
group.ApplicationReceiversCode = PayorType.HealthCareClaim837Setup.InterchangeReceiverNumber;
group.ResponsibleAgencyCode = ResponsibleAgencyCode.AccreditedStandardsCommitteeX12;
var interchangeControlNumberString = interchangeCopntrolNumber.ToString(CultureInfo.InvariantCulture);
var transactionControlIdentifier = interchangeControlNumberString.Length < 4
? interchangeControlNumberString.PadLeft(4, '0')
: interchangeControlNumberString;
// Transaction set.
var transaction = group.AddTransaction(TransactionSetIdentifierCode.HealthCareClaim, transactionControlIdentifier);
transaction.SetElement(3, ImplementationConventionReference.Version5010);
// Beginning of hierarchical transaction.
var bhtSegment = transaction.AddSegment(BeginningOfHierarchicalTransaction);
bhtSegment.SetElement(1, HierarchicalStructureCode.InformationSourceOrSubscriberOrDependent);
bhtSegment.SetElement(2, TransactionSetPurposeCode.Original);
bhtSegment.SetElement(3, BatchControlNumber.ToString(CultureInfo.InvariantCulture));
bhtSegment.SetElement(4, currenDateTime.Date.ToString("yyyyMMdd"));
bhtSegment.SetElement(5, currenDateTime.ToString("HHmm"));
bhtSegment.SetElement(6, TransactionTypeCode.Chargeable);
// Submitter name.
var submitterLoop = transaction.AddLoop(new TypedLoopNM1(EntityIdentifierCode.Submitter));
submitterLoop.NM102_EntityTypeQualifier = EntityTypeQualifier.NonPersonEntity;
submitterLoop.NM103_NameLastOrOrganizationName = PayorType.BillingOffice.Agency.AgencyProfile.AgencyName.LegalName;
submitterLoop.NM108_IdCodeQualifier = IdentificationCodeQualifier.ElectronicTransmitterIdentificationNumber;
submitterLoop.NM109_IdCode = PayorType.BillingOffice.ElectronicTransmitterIdentificationNumber;
// Submitter EDI contact information.
var perSegment = submitterLoop.AddSegment(new TypedSegmentPER());
perSegment.PER01_ContactFunctionCode = ContactFunctionCode.InfromationContact;
// NOTE: PER02_Name is situational. But, as we have provided a nonperson entity for submitter, this field is required.
perSegment.PER02_Name = PayorType.BillingOffice.AdministratorStaff.StaffProfile.StaffName.Complete;
perSegment.PER03_CommunicationNumberQualifier = CommunicationNumberQualifer.Telephone;
var staffPhone =
PayorType.BillingOffice.AdministratorStaff.PhoneNumbers.FirstOrDefault(
phoneNumber => phoneNumber.StaffPhoneType.WellKnownName == StaffPhoneType.Work);
if (staffPhone == null || staffPhone.Phone == null)
{
throw new ArgumentException(
string.Format(
"Unable to find '{0}' staff work phone number",
PayorType.BillingOffice.AdministratorStaff.StaffProfile.StaffName.Complete));
}
perSegment.PER04_CommunicationNumber = staffPhone.Phone.PhoneNumber.RemoveNonAlphanumericChar();
if (!string.IsNullOrEmpty(staffPhone.Phone.PhoneExtensionNumber))
{
perSegment.PER05_CommunicationNumberQualifier = CommunicationNumberQualifer.TelephoneExtension;
perSegment.PER06_CommunicationNumber = staffPhone.Phone.PhoneExtensionNumber;
}
// Receiver name.
var receiverLoop = transaction.AddLoop(new TypedLoopNM1(EntityIdentifierCode.Receiver));
receiverLoop.NM102_EntityTypeQualifier = EntityTypeQualifier.NonPersonEntity;
receiverLoop.NM103_NameLastOrOrganizationName = PayorType.Name;
receiverLoop.NM108_IdCodeQualifier = IdentificationCodeQualifier.ElectronicTransmitterIdentificationNumber;
receiverLoop.NM109_IdCode = PayorType.SubmitterIdentifier;
// Billing provider hierarchical level. ***** HL1 *****
var provider2000AHierachicalLoop = transaction.AddHLoop(
autoIncrementedHierarchicalIDNumber.ToString(CultureInfo.InvariantCulture),
HierarchicalLevelCode.InformationSource,
HierarchicalChildCode.AdditionalSubordinateHLDataSegmentInThisHierarchicalStructure);
// Billing provide specialty information.
var prvSegment = provider2000AHierachicalLoop.AddSegment(new TypedSegmentPRV());
prvSegment.PRV01_ProviderCode = ProviderCode.Billing;
prvSegment.PRV02_ReferenceIdQualifier = ReferenceIdentificationQualifier.HealthCareProviderTaxonomyCode;
prvSegment.PRV03_ProviderTaxonomyCode = ProviderTaxonomyCode;
// Billing provider Name
var provider2010AaLoop = provider2000AHierachicalLoop.AddLoop(new TypedLoopNM1(EntityIdentifierCode.BillingProvider));
provider2010AaLoop.NM102_EntityTypeQualifier = EntityTypeQualifier.NonPersonEntity;
provider2010AaLoop.NM103_NameLastOrOrganizationName = PayorType.BillingOffice.Agency.AgencyProfile.AgencyName.LegalName;
provider2010AaLoop.NM108_IdCodeQualifier = IdentificationCodeQualifier.CentersForMedicareAndMedicaidServicesNationalProviderIdentifier;
var agencyNpi =
PayorType.BillingOffice.Agency.AgencyIdentifiers.FirstOrDefault(
identifier => identifier.AgencyIdentifierType.WellKnownName == AgencyIdentifierType.Npi);
if (agencyNpi == null || agencyNpi.IdentifierNumber == null)
{
throw new ArgumentException(
string.Format(
"Unable to find '{0}' agency NPI identifier number", PayorType.BillingOffice.Agency.AgencyProfile.AgencyName.LegalName));
}
provider2010AaLoop.NM109_IdCode = agencyNpi.IdentifierNumber;
var agencyBillingAddressAndPhone =
PayorType.BillingOffice.Agency.AddressesAndPhones.FirstOrDefault(
address => address.AgencyAddress.AgencyAddressType.WellKnownName == AgencyAddressType.Billing);
if (agencyBillingAddressAndPhone == null || agencyBillingAddressAndPhone.AgencyAddress == null)
{
throw new ArgumentException(
string.Format(
"Unable to find '{0}' agency Billing address", PayorType.BillingOffice.Agency.AgencyProfile.AgencyName.LegalName));
}
// Billing provider address.
var provider2010AaN3Segment = provider2010AaLoop.AddSegment(new TypedSegmentN3());
provider2010AaN3Segment.N301_AddressInformation = agencyBillingAddressAndPhone.AgencyAddress.Address.FirstStreetAddress
+
(string.IsNullOrWhiteSpace(
agencyBillingAddressAndPhone.AgencyAddress.Address.SecondStreetAddress)
? string.Empty
: " "
+ agencyBillingAddressAndPhone.AgencyAddress.Address.SecondStreetAddress);
// Billing provider City,State,Zip code
var provider2010AaN4Segment = provider2010AaLoop.AddSegment(new TypedSegmentN4());
provider2010AaN4Segment.N401_CityName = agencyBillingAddressAndPhone.AgencyAddress.Address.CityName;
provider2010AaN4Segment.N402_StateOrProvinceCode = agencyBillingAddressAndPhone.AgencyAddress.Address.StateProvince.ShortName;
provider2010AaN4Segment.N403_PostalCode = agencyBillingAddressAndPhone.AgencyAddress.Address.PostalCode.Code;
var agencyFederalTaxID =
PayorType.BillingOffice.Agency.AgencyIdentifiers.FirstOrDefault(
identifier => identifier.AgencyIdentifierType.WellKnownName == AgencyIdentifierType.FederalTaxId);
if (agencyFederalTaxID == null || agencyFederalTaxID.IdentifierNumber == null)
{
throw new ArgumentException(
string.Format(
"Unable to find '{0}' agency Federal Tax ID", PayorType.BillingOffice.Agency.AgencyProfile.AgencyName.LegalName));
}
// Billing provider - tax identification
var provider2010AaRefSegment = provider2010AaLoop.AddSegment(new TypedSegmentREF());
provider2010AaRefSegment.REF01_ReferenceIdQualifier = ReferenceIdentificationQualifier.EmployersIdentificationNumber;
provider2010AaRefSegment.REF02_ReferenceId = agencyFederalTaxID.IdentifierNumber;
//If it is the same as Billing provider, no need.
/*
* var provider2010ABLoop = provider2000AHierachicalLoop.AddLoop ( new TypedLoopNM1 ( EntityIdentifierCode.PayToProvider ) );
* provider2010ABLoop.NM102_EntityTypeQualifier = EntityTypeQualifier.NonPersonEntity;
*
* // NOTE: Pay-To address is same as Billing provider address ie., same N3 and N4 segments.
* provider2010ABLoop.AddSegment ( provider2010AAN3Segment );
* provider2010ABLoop.AddSegment ( provider2010AAN4Segment );
*/
var claimDictionary = GroupClaimsByPrimaryPayorCoverage(Claims);
//TODO: needs confirm if this loop pulling the correct data *** need bill every insurance or just the primary???
foreach (var keyValuePair in claimDictionary)
{
var payorCoverage = keyValuePair.Key;
var claimList = keyValuePair.Value;
var isPatientTheSubscriber =
payorCoverage.PayorSubscriber.PayorSubscriberRelationshipType.WellKnownName.Equals(PayorSubscriberRelationshipType.Self);
autoIncrementedHierarchicalIDNumber++;
// Subscriber hierarchical level. **** HL 2 ******
var subscriber2000BHierarchicalLoop =
provider2000AHierachicalLoop.AddHLoop(
autoIncrementedHierarchicalIDNumber.ToString(CultureInfo.InvariantCulture),
HierarchicalLevelCode.Subscriber,
isPatientTheSubscriber
? HierarchicalChildCode.NoSubordinateHLSegmentInThisHierarchicalStructure
: HierarchicalChildCode.AdditionalSubordinateHLDataSegmentInThisHierarchicalStructure);
// Subscriber information.
var sbrSegment = subscriber2000BHierarchicalLoop.AddSegment(new TypedSegmentSBR());
sbrSegment.SBR01_PayerResponsibilitySequenceNumberCode = payorCoverage.PayorCoverageType.ShortName;
if (isPatientTheSubscriber)
{
sbrSegment.SBR02_IndividualRelationshipCode = payorCoverage.PayorSubscriber.PayorSubscriberRelationshipType.ShortName;
}
// Subscriber Name
var subscriberName2010BaLoop =
subscriber2000BHierarchicalLoop.AddLoop(new TypedLoopNM1(EntityIdentifierCode.InsuredOrSubscriber));
subscriberName2010BaLoop.NM102_EntityTypeQualifier = EntityTypeQualifier.Person;
subscriberName2010BaLoop.NM104_NameFirst = payorCoverage.PayorSubscriber.Name.First;
subscriberName2010BaLoop.NM103_NameLastOrOrganizationName = payorCoverage.PayorSubscriber.Name.Last;
subscriberName2010BaLoop.NM108_IdCodeQualifier = IdentificationCodeQualifier.MemberIdentificationNumber;
subscriberName2010BaLoop.NM109_IdCode = payorCoverage.MemberNumber;
if (isPatientTheSubscriber)
{
// Subscriber address
var provider2010BaN3Segment = subscriberName2010BaLoop.AddSegment(new TypedSegmentN3());
provider2010BaN3Segment.N301_AddressInformation = payorCoverage.PayorSubscriber.Address.FirstStreetAddress +
(string.IsNullOrWhiteSpace(
payorCoverage.PayorSubscriber.Address.SecondStreetAddress)
? string.Empty
: " "
+ payorCoverage.PayorSubscriber.Address.SecondStreetAddress);
// Subscriber city,state,postal code.
var provider2010BaN4Segment = subscriberName2010BaLoop.AddSegment(new TypedSegmentN4());
provider2010BaN4Segment.N401_CityName = payorCoverage.PayorSubscriber.Address.CityName;
provider2010BaN4Segment.N402_StateOrProvinceCode = payorCoverage.PayorSubscriber.Address.StateProvince.ShortName;
provider2010BaN4Segment.N403_PostalCode = payorCoverage.PayorSubscriber.Address.PostalCode.Code;
// Demographic information
var subscriberDmgSegment = subscriberName2010BaLoop.AddSegment(new TypedSegmentDMG());
subscriberDmgSegment.DMG01_DateTimePeriodFormatQualifier = DateTimePeriodFormatQualifier.DateExpressedAsCCYYMMDD;
subscriberDmgSegment.DMG02_DateOfBirth = payorCoverage.PayorSubscriber.BirthDate;
subscriberDmgSegment.DMG03_Gender =
ConvertToGenderCodeFromAdministrativeGender(payorCoverage.PayorSubscriber.AdministrativeGender);
}
// Loop 2010BB - Payer Name.
var subscriberName2010BbLoop = subscriber2000BHierarchicalLoop.AddLoop(new TypedLoopNM1(EntityIdentifierCode.Payer));
subscriberName2010BbLoop.NM102_EntityTypeQualifier = EntityTypeQualifier.NonPersonEntity;
subscriberName2010BbLoop.NM103_NameLastOrOrganizationName = payorCoverage.Payor.Name;
subscriberName2010BbLoop.NM108_IdCodeQualifier = IdentificationCodeQualifier.PayorIdentification;
subscriberName2010BbLoop.NM109_IdCode = payorCoverage.Payor.ElectronicTransmitterIdentificationNumber;
// TODO: Kate needs to get back on this.
HierarchicalLoop parentHierarchicalLoop = subscriber2000BHierarchicalLoop;
if (!isPatientTheSubscriber)
{
autoIncrementedHierarchicalIDNumber++;
// PATIENT HIERARCHICAL LEVEL Loop Repeat: >1 **** HL 3 ******
var patientDetailLoop2000CLoop =
subscriber2000BHierarchicalLoop.AddHLoop(
autoIncrementedHierarchicalIDNumber.ToString(CultureInfo.InvariantCulture),
HierarchicalLevelCode.Dependent,
HierarchicalChildCode.NoSubordinateHLSegmentInThisHierarchicalStructure);
parentHierarchicalLoop = patientDetailLoop2000CLoop;
var hl3PatSegment = patientDetailLoop2000CLoop.AddSegment(new TypedSegmentPAT());
hl3PatSegment.PAT01_IndividualRelationshipCode =
payorCoverage.PayorSubscriber.PayorSubscriberRelationshipType.ShortName;
var hl3Nm1Segment = patientDetailLoop2000CLoop.AddLoop(new TypedLoopNM1(EntityIdentifierCode.Patient));
hl3Nm1Segment.NM102_EntityTypeQualifier = EntityTypeQualifier.Person;
hl3Nm1Segment.NM104_NameFirst = payorCoverage.PatientAccount.Name.First; //TODO: confirm it comes from primaryPayorCoverage.PatientAccount, not from Claim.PatientAccount, the later make more sense
hl3Nm1Segment.NM103_NameLastOrOrganizationName = payorCoverage.PatientAccount.Name.Last;
var hl3Nm1N3Segment = hl3Nm1Segment.AddSegment(new TypedSegmentN3());
hl3Nm1N3Segment.N301_AddressInformation = payorCoverage.PatientAccount.HomeAddress.FirstStreetAddress
+
(string.IsNullOrWhiteSpace(
payorCoverage.PatientAccount.HomeAddress.SecondStreetAddress)
? string.Empty
: " " + payorCoverage.PatientAccount.HomeAddress.SecondStreetAddress);
var hl3Nm1N4Segment = hl3Nm1Segment.AddSegment(new TypedSegmentN4());
hl3Nm1N4Segment.N401_CityName = payorCoverage.PatientAccount.HomeAddress.CityName;
hl3Nm1N4Segment.N402_StateOrProvinceCode = payorCoverage.PatientAccount.HomeAddress.StateProvince.ShortName;
hl3Nm1N4Segment.N403_PostalCode = payorCoverage.PatientAccount.HomeAddress.PostalCode.Code;
var hl3Nm1DmgSegment = hl3Nm1Segment.AddSegment(new TypedSegmentDMG());
hl3Nm1DmgSegment.DMG01_DateTimePeriodFormatQualifier = DateTimePeriodFormatQualifier.DateExpressedAsCCYYMMDD;
hl3Nm1DmgSegment.DMG02_DateOfBirth = payorCoverage.PatientAccount.BirthDate;
hl3Nm1DmgSegment.DMG03_Gender =
ConvertToGenderCodeFromAdministrativeGender(payorCoverage.PatientAccount.AdministrativeGender);
}
// 2300 Claim Information loop repeat 100
// LX loop repeat 50 => total 5000 claims in a HCC837 message or a Subscriber HL? ( seems the later make more sense)
// TODO: confirm it with Kate and how to handle it if exceed the max loop repeat
foreach (var claim in claimList)
{
var claim2300Loop = parentHierarchicalLoop.AddLoop(new TypedLoopCLM()); // Claim 2300 loop: repeat 100
claim2300Loop.CLM01_PatientControlNumber = claim.Key.ToString(CultureInfo.InvariantCulture);
claim2300Loop.CLM02_TotalClaimChargeAmount = decimal.Parse(X12Utility.ConvertToDecimalString(claim.ChargeAmount.Amount));
claim2300Loop.CLM05._1_FacilityCodeValue = PlaceOfServiceCode.Office;
claim2300Loop.CLM05._2_FacilityCodeQualifier = FacilityCodeQualifier.PlaceOfServiceCodesForProfessionalOrDentalService;
claim2300Loop.CLM05._3_ClaimFrequencyTypeCode = ClaimFrequencyTypeCode.Original;
claim2300Loop.CLM06_ProviderOrSupplierSignatureIndicator = YesOrNoConditionResponseCode.YesIndicator;
claim2300Loop.CLM07_ProviderAcceptAssignmentCode = ProviderAcceptAssignementCode.Assigned;
claim2300Loop.CLM08_BenefitsAssignmentCerficationIndicator = YesOrNoConditionResponseCode.Yes;
claim2300Loop.CLM09_ReleaseOfInformationCode = ReleaseOfInformationCode.Yes;
// TODO: diagnosis code -- Diagnosis is associated with Claim Line Item
// List the principal Dx with BK and others with BF, like HI✽BK:8901✽BF:87200✽BF:5559~, up to 12 diagnosis
// assume the 1st Dx is the principal Dx
var hiSegment = claim2300Loop.AddSegment(new TypedSegmentHI());
var index = 0;
foreach (var claimLineItem in claim.ClaimLineItems)
{
index++;
if (index == 1)
{
hiSegment.HI01_HealthCareCodeInformation =
X12Utility.BuildCompositeElement(
PayorType.HealthCareClaim837Setup.X12Delimiters.CompositeDelimiter,
CodeListQualifierCode.ICD9CMPrincipleDiagnostics,
claimLineItem.Diagnosis.CodedConceptCode);
}
else if (index == 2)
{
hiSegment.HI02_HealthCareCodeInformation =
X12Utility.BuildCompositeElement(
PayorType.HealthCareClaim837Setup.X12Delimiters.CompositeDelimiter,
CodeListQualifierCode.ICD9CMDiagnostics,
claimLineItem.Diagnosis.CodedConceptCode);
}
else if (index == 3)
{
hiSegment.HI03_HealthCareCodeInformation =
X12Utility.BuildCompositeElement(
PayorType.HealthCareClaim837Setup.X12Delimiters.CompositeDelimiter,
CodeListQualifierCode.ICD9CMDiagnostics,
claimLineItem.Diagnosis.CodedConceptCode);
}
else if (index == 4)
{
hiSegment.HI04_HealthCareCodeInformation =
X12Utility.BuildCompositeElement(
PayorType.HealthCareClaim837Setup.X12Delimiters.CompositeDelimiter,
CodeListQualifierCode.ICD9CMDiagnostics,
claimLineItem.Diagnosis.CodedConceptCode);
}
else if (index == 5)
{
hiSegment.HI05_HealthCareCodeInformation =
X12Utility.BuildCompositeElement(
PayorType.HealthCareClaim837Setup.X12Delimiters.CompositeDelimiter,
CodeListQualifierCode.ICD9CMDiagnostics,
claimLineItem.Diagnosis.CodedConceptCode);
}
else if (index == 6)
{
hiSegment.HI06_HealthCareCodeInformation =
X12Utility.BuildCompositeElement(
PayorType.HealthCareClaim837Setup.X12Delimiters.CompositeDelimiter,
CodeListQualifierCode.ICD9CMDiagnostics,
claimLineItem.Diagnosis.CodedConceptCode);
}
else if (index == 7)
{
hiSegment.HI07_HealthCareCodeInformation =
X12Utility.BuildCompositeElement(
PayorType.HealthCareClaim837Setup.X12Delimiters.CompositeDelimiter,
CodeListQualifierCode.ICD9CMDiagnostics,
claimLineItem.Diagnosis.CodedConceptCode);
}
else if (index == 8)
{
hiSegment.HI08_HealthCareCodeInformation =
X12Utility.BuildCompositeElement(
PayorType.HealthCareClaim837Setup.X12Delimiters.CompositeDelimiter,
CodeListQualifierCode.ICD9CMDiagnostics,
claimLineItem.Diagnosis.CodedConceptCode);
}
else if (index == 9)
{
hiSegment.HI09_HealthCareCodeInformation =
X12Utility.BuildCompositeElement(
PayorType.HealthCareClaim837Setup.X12Delimiters.CompositeDelimiter,
CodeListQualifierCode.ICD9CMDiagnostics,
claimLineItem.Diagnosis.CodedConceptCode);
}
else if (index == 10)
{
hiSegment.HI10_HealthCareCodeInformation =
X12Utility.BuildCompositeElement(
PayorType.HealthCareClaim837Setup.X12Delimiters.CompositeDelimiter,
CodeListQualifierCode.ICD9CMDiagnostics,
claimLineItem.Diagnosis.CodedConceptCode);
}
else if (index == 11)
{
hiSegment.HI11_HealthCareCodeInformation =
X12Utility.BuildCompositeElement(
PayorType.HealthCareClaim837Setup.X12Delimiters.CompositeDelimiter,
CodeListQualifierCode.ICD9CMDiagnostics,
claimLineItem.Diagnosis.CodedConceptCode);
}
else if (index == 12)
{
hiSegment.HI12_HealthCareCodeInformation =
X12Utility.BuildCompositeElement(
PayorType.HealthCareClaim837Setup.X12Delimiters.CompositeDelimiter,
CodeListQualifierCode.ICD9CMDiagnostics,
claimLineItem.Diagnosis.CodedConceptCode);
}
}
var autoIncrementedServiceLineNumber = 0;
foreach (var claimLineItem in claim.ClaimLineItems)
{
autoIncrementedServiceLineNumber++;
var lxLoop = claim2300Loop.AddLoop(new TypedLoopLX(string.Empty)); // LX loop repeat: 50
lxLoop.LX01_AssignedNumber = autoIncrementedServiceLineNumber.ToString(CultureInfo.InvariantCulture);
var sv1Segment = lxLoop.AddSegment(new TypedSegmentSV1());
sv1Segment.SV101_CompositeMedicalProcedure =
X12Utility.BuildCompositeElement(
PayorType.HealthCareClaim837Setup.X12Delimiters.CompositeDelimiter,
ProductOrServiceIDQualifier.HCPCS, //TODO: Confirm with Kate if we can use HCPCS for all procedures.
claimLineItem.Procedure.CodedConceptCode);
sv1Segment.SV102_MonetaryAmount = X12Utility.ConvertToDecimalString(claimLineItem.ChargeAmount.Amount);
sv1Segment.SV103_UnitBasisMeasCode = UnitsOrBasisOfMeasurementCode.Unit;
sv1Segment.SV104_Quantity = claimLineItem.BillingUnitCount.Count.ToString(CultureInfo.InvariantCulture);
sv1Segment.SV107_CompDiagCodePoint = DiagnosisCodePointer;
var dtpSegment = lxLoop.AddSegment(new TypedSegmentDTP());
dtpSegment.DTP01_DateTimeQualifier = DateTimeQualifier.Service;
dtpSegment.DTP02_DateTimePeriodFormatQualifier = DateTimePeriodFormatQualifier.DateExpressedAsCCYYMMDD;
dtpSegment.DTP03_Date = claim.ServiceDate;
}
}
}
var healthCareClaim837ProfessionalX12Message = message.SerializeToX12(true); //TODO: Configure the whitespace option.
var healthCareClaim837Professional = healthCareClaim837ProfessionalFactory.CreateHealthCareClaim837Professional(this, Encoding.ASCII.GetBytes(healthCareClaim837ProfessionalX12Message));
var lookupValueRepository = IoC.CurrentContainer.Resolve <ILookupValueRepository>();
ReviseClaimBatchStatus(lookupValueRepository.GetLookupByWellKnownName <ClaimBatchStatus>(WellKnownNames.ClaimModule.ClaimBatchStatus.Hcc837PGenerated));
return(healthCareClaim837Professional);
}
public void CreatePurchaseOrderChangeNotice860()
{
string expected = @"ISA*00* *00* *01*828513080 *01*001903202U *100818*0850*U*00401*000000245*0*P*:~
GS*PO*828513080*001903202U*20100818*0850*245*X*005010X222~
ST*860*0001~
BCH*01*SA****20100817*****20100818~
REF*IA*1to30chars~
DTM*010*20100819~
SE*5*0001~
GE*1*1~
IEA*1*000000245~";
var purcaseOrderDate = new DateTime(2010, 8, 17, 08, 50, 0);
DateTime changeOrderDate = purcaseOrderDate.AddDays(1d);
DateTime requestedShipDate = purcaseOrderDate.AddDays(2d);
var interchange = new Interchange(changeOrderDate, 245, true)
{
InterchangeSenderIdQualifier = "01",
InterchangeSenderId = "828513080",
InterchangeReceiverIdQualifier = "01",
InterchangeReceiverId = "001903202U",
InterchangeDate = changeOrderDate,
};
interchange.SetElement(14, "0");
FunctionGroup group = interchange.AddFunctionGroup("PO", changeOrderDate, 1, "005010X222");
group.ApplicationSendersCode = "828513080";
group.ApplicationReceiversCode = "001903202U";
group.Date = changeOrderDate;
group.ControlNumber = 245;
Transaction transaction = group.AddTransaction("860", "0001");
Segment bhtSegment = transaction.AddSegment("BCH");
bhtSegment.SetElement((int)BeginningSegmentPurchaseOrderChangeIndex.TransactionSetPurpose, "01"); //01 is cancelllation 04 is change
bhtSegment.SetElement((int)BeginningSegmentPurchaseOrderChangeIndex.TransactionSetTypeCode, "SA");
bhtSegment.SetElement((int)BeginningSegmentPurchaseOrderChangeIndex.PurchaseOrderDate, purcaseOrderDate.ToString("yyyyMMdd"));
bhtSegment.SetElement((int)BeginningSegmentPurchaseOrderChangeIndex.ChangeRequestDate, changeOrderDate.ToString("yyyyMMdd"));
bhtSegment = transaction.AddSegment("REF");
bhtSegment.SetElement((int)ReferenceIdentificationIndex.ReferenceIdentificationQualifier, "IA");
bhtSegment.SetElement((int)ReferenceIdentificationIndex.ReferenceNumber, "1to30chars");
bhtSegment = transaction.AddSegment("DTM");
bhtSegment.SetElement((int)DateTimeReferenceIndex.TermsTypeCode, "010");
bhtSegment.SetElement((int)DateTimeReferenceIndex.RequestedShipDate, requestedShipDate.ToString("yyyyMMdd"));
//Add to test
//N1 – Name
//Optional / Max Use=1
//N3 – Address Information
//Conditional – use if N1 used/ Max Use=2
//N4 – Geographic Location
//Conditional – use if N3 used / Max Use=1 time
//POC – Line Item Change
//Mandatory / Max Use=1 times per loop / Max Loop=99 times
//DTM – Date/Time Reference
//Mandatory / Max Use=1 times per loop
//CTT – Transaction Totals
//Mandatory / Max Use=1 time
var x12 = interchange.SerializeToX12(true);
Assert.AreEqual(expected, x12);
}
public void ExportExcel()
{
CancellationRequested = false;
IsExporting = true;
var config = new FileConfigModel()
{
SenderID = "660001234", SenderIDQualifier = "30"
};
var controlNumber = 1000;
var parts = new List <List <ClaimLine> >();
var allIds = new List <ClaimLine>(ExcelList);
while (allIds.Count > 0)
{
int take = allIds.Count() > FileRecordLimit ? FileRecordLimit : allIds.Count();
List <ClaimLine> part = allIds.Take(take).ToList();
parts.Add(part);
allIds.RemoveRange(0, take);
}
var batchTimeStamp = DateTime.UtcNow.ToString("yyyyMMddhhmmtt");
IsLoading = true;
foreach (var part in parts)
{
var partIndex = parts.IndexOf(part) + 1;
var ix = new Interchange(DateTime.UtcNow, partIndex, true, '~', '*', ':');
ix.SetElement(12, "00501");
ix.SetElement(11, "^");
var fg = ix.AddFunctionGroup("HC", DateTime.UtcNow, partIndex, ClaimTypeProfessional);
ix.InterchangeSenderIdQualifier = "30";
ix.InterchangeSenderId = "660001234";
ix.InterchangeReceiverIdQualifier = "30";
ix.InterchangeReceiverId = "GHP660001234";
fg.ApplicationReceiversCode = ix.InterchangeReceiverId.Clean();
fg.ApplicationSendersCode = ix.InterchangeSenderId.Clean();
foreach (var claim in part)
{
if (claim.IsError)
{
if (claim.Message?.Contains("Skipped") != true)
{
claim.Message = $"Skipped >{claim.Message}";
}
continue;
}
try
{
claim.Message = "Processing...";
CreateProfessionalTransaction(claim, fg, config, controlNumber);
claim.Message = $"OK";
}
catch (Exception ex)
{
claim.Message = $"Error {ex.Message}";
}
controlNumber++;
if (CancellationRequested)
{
LoadingMessage = "Canceling...";
break;
}
}
if (!CancellationRequested)
{
LoadingMessage = $"{controlNumber} of {ExcelList.Count}";
var cursorPosition = $"{partIndex}_of_{parts.Count}";
var fileName = $"EXCEL_837P_" + batchTimeStamp + $"_{cursorPosition}" + ".edi";
var fullPath = Path.Combine(FolderDestination, fileName);
var text = ix.SerializeToX12(false);
var bytes = System.Text.Encoding.ASCII.GetBytes(text);
File.WriteAllBytes(fullPath, bytes);
}
}
LoadingMessage = "Done!";
Task.Delay(500).ContinueWith((a) => { IsLoading = false; });
if (!CancellationRequested)
{
System.Diagnostics.Process.Start(Environment.GetEnvironmentVariable("WINDIR") + @"\explorer.exe", FolderDestination);
}
else
{
CancellationRequested = false;
}
IsExporting = false;
}
public void CreatePurchaseOrder850()
{
DateTime purcaseOrderDate = DateTime.Now;
Interchange interchange = new Interchange(purcaseOrderDate, 245, true)
{
InterchangeSenderIdQualifier = "01",
InterchangeSenderId = "828513080",
InterchangeReceiverIdQualifier = "01",
InterchangeReceiverId = "001903202U",
InterchangeDate = purcaseOrderDate,
};
interchange.SetElement(14, "0"); //No Aknowlegement is 0
FunctionGroup group = interchange.AddFunctionGroup("PO", purcaseOrderDate, 1, "005010X222");
group.ApplicationSendersCode = "828513080";
group.ApplicationReceiversCode = "001903202U";
group.Date = purcaseOrderDate;
group.ControlNumber = 245;
Transaction transaction = group.AddTransaction("850", "0001");
Segment bhtSegment = transaction.AddSegment("BEG");
bhtSegment.SetElement(1, "00");
bhtSegment.SetElement(2, "SA");
bhtSegment.SetElement(3, "S41000439");
bhtSegment.SetElement(5, "20100810");
bhtSegment = transaction.AddSegment("CUR");
bhtSegment.SetElement(1, "BY");
bhtSegment.SetElement(2, "USD");
bhtSegment = transaction.AddSegment("PER");
bhtSegment.SetElement(1, "IC");
bhtSegment.SetElement(2, "Doe,Jane");
bhtSegment.SetElement(8, "Doe,Jane");
// Bill to address
Loop loop = transaction.AddLoop("N1");
loop.SetElement(1, "BT");
loop.SetElement(2, "Doe Jane");
loop.SetElement(3, 92);
loop.SetElement(4, 10001);
Segment segment = loop.AddSegment("N3");
segment.SetElement(1, "Street");
segment.SetElement(2, "City State Pin Country");
segment = loop.AddSegment("N4");
segment.SetElement(1, "City");
segment.SetElement(2, "SS");
segment.SetElement(3, "PIN");
segment.SetElement(4, "SC");
// ship to address
loop = transaction.AddLoop("N1");
loop.SetElement(1, "ST");
loop.SetElement(2, "Doe Jane");
loop.SetElement(3, 92);
loop.SetElement(4, 10001);
segment = loop.AddSegment("N3");
segment.SetElement(1, "Street");
segment.SetElement(2, "City State Pin Country");
segment = loop.AddSegment("N4");
segment.SetElement(1, "City");
segment.SetElement(2, "SS");
segment.SetElement(3, "PIN");
segment.SetElement(4, "SC");
// add products ordered
loop = transaction.AddLoop("PO1");
loop.SetElement(1, "1");
loop.SetElement(2, 10);
loop.SetElement(3, "EA");
loop.SetElement(4, "10.2");
loop.SetElement(6, "IB");
loop.SetElement(7, "100001");
var x12 = interchange.SerializeToX12(true);
Console.WriteLine(x12);
}
public void ClaimCreationTest()
{
Interchange interchange = CreateSample1WithFunctionGroup();
Transaction transaction = interchange.FunctionGroups.First().AddTransaction("837", "0034");
Segment bhtSegment = transaction.AddSegment("BHT*0019*00*3920394930203*20070816*1615*CH");
Segment refSegment = transaction.AddSegment("REF*87*004010X096A1");
Loop senderLoop = transaction.AddLoop("NM1*41*2*HOWDEE HOSPITAL*****XX*0123456789");
senderLoop.AddSegment("PER*IC*BETTY RUBBLE*TE*9195551111");
Loop receiverLoop = transaction.AddLoop("NM1*40*2*BLUE CROSS BLUE SHIELD OF NC*****46*987654321");
HierarchicalLoop providerLoop = transaction.AddHLoop("1", "20", true);
providerLoop.AddSegment("PRV*BI*ZZ*203BA0200N");
var billingProvider = providerLoop.AddLoop("NM1*85*2*HOWDEE HOSPITAL*****XX*0123456789");
billingProvider.AddSegment("N3*123 HOWDEE BOULEVARD");
billingProvider.AddSegment("N4*DURHAM*NC*27701");
billingProvider.AddSegment("REF*1J*654");
billingProvider.AddSegment("PER*IC*BETTY RUBBLE*TE*9195551111*FX*6145551212");
HierarchicalLoop subscriberLoop = providerLoop.AddHLoop("2", "22", false);
subscriberLoop.AddSegment("SBR*P*18*XYZ1234567******BL");
subscriberLoop.AddSegment("PAT*********Y");
var subscriberNameLoop = subscriberLoop.AddLoop("NM1*IL*1*DOUGH*MARY****MI*12312312312");
subscriberNameLoop.AddSegment("N3*BOX 12312");
subscriberNameLoop.AddSegment("N4*DURHAM*NC*27715");
subscriberNameLoop.AddSegment("DMG*D8*19670807*F");
subscriberLoop.AddLoop("NM1*PR*2*BLUE CROSS BLUE SHIELD OF NC*****PI*987654321");
var claimLoop = subscriberLoop.AddLoop("CLM*2235057*200***13:A:1*Y**Y*A*********N");
claimLoop.AddSegment("DTP*434*RD8*20070730-20070730");
claimLoop.AddSegment("CL1*1*9*01");
claimLoop.AddSegment("AMT*C5*160");
claimLoop.AddSegment("REF*F8*ASD0000123");
claimLoop.AddSegment("HI*BK:25000");
claimLoop.AddSegment("HI*BF:78901");
claimLoop.AddSegment("HI*BR:4491:D8:20070730");
claimLoop.AddSegment("HI*BH:41:D8:20070501*BH:27:D8:20070715*BH:33:D8:20070415*BH:C2:D8:20070410");
claimLoop.AddSegment("HI*BE:30:::20");
claimLoop.AddSegment("HI*BG:01");
var physicianLoop = claimLoop.AddLoop("NM1*71*1*SMITH*ELIZABETH*AL***34*243898989");
physicianLoop.AddSegment("REF*1G*P97777");
var claimLineLoop = claimLoop.AddLoop("LX*1");
claimLineLoop.AddSegment("SV2*0300*HC:81000*120*UN*1");
claimLineLoop.AddSegment("DTP*472*D8*20070730");
claimLineLoop = claimLoop.AddLoop("LX*2");
claimLineLoop.AddSegment("SV2*0320*HC:76092*50*UN*1");
claimLineLoop.AddSegment("DTP*472*D8*20070730");
claimLineLoop = claimLoop.AddLoop("LX*3");
claimLineLoop.AddSegment("SV2*0270*HC:J1120*30*UN*1");
claimLineLoop.AddSegment("DTP*472*D8*20070730");
Assert.AreEqual(new StreamReader(Extensions.GetEdi("INS._837I._4010.Example1.txt")).ReadToEnd(), interchange.SerializeToX12(true));
}
public void CreatePurchaseOrder850(PurchaseOrder purchaseOrder, string fileName)
{
DateTime purcaseOrderDate = DateTime.Now;
Interchange interchange = new Interchange(purcaseOrderDate, Convert.ToInt32(purchaseOrder.Number), true)
{
InterchangeSenderIdQualifier = "ZZ",
InterchangeSenderId = InterchangeSenderId,
InterchangeReceiverIdQualifier = "ZZ",
InterchangeReceiverId = InterchangeReceiverId,
InterchangeDate = purcaseOrderDate,
};
interchange.SetElement(14, "0"); //No Aknowlegement is 0
FunctionGroup group = interchange.AddFunctionGroup("PO", purcaseOrderDate, Convert.ToInt32(purchaseOrder.Number), "004010");
group.ApplicationSendersCode = InterchangeSenderId;
group.ApplicationReceiversCode = InterchangeReceiverId;
// group.Date = purcaseOrderDate;
// group.ControlNumber = Convert.ToInt32(purchaseOrder.Number);
Transaction transaction = group.AddTransaction("850", "0001");
Segment bhtSegment = transaction.AddSegment("BEG");
bhtSegment.SetElement(1, "00");
bhtSegment.SetElement(2, "SA");
bhtSegment.SetElement(3, purchaseOrder.Number);
bhtSegment.SetElement(5, purcaseOrderDate.ToString("yyyyMMdd"));
//bhtSegment = transaction.AddSegment("CUR");
//bhtSegment.SetElement(1, "BY");
//bhtSegment.SetElement(2, "USD");
//bhtSegment = transaction.AddSegment("PER");
//bhtSegment.SetElement(1, "IC");
//bhtSegment.SetElement(2, "Doe,Jane");
//bhtSegment.SetElement(8, "Doe,Jane");
//bill to section
Loop loop = transaction.AddLoop("N1");
loop.SetElement(1, "BT");
loop.SetElement(2, purchaseOrder.Customer.BillingName);
loop.SetElement(3, 92);
loop.SetElement(4, purchaseOrder.Customer.BillingAddress.Id);
Segment segment = loop.AddSegment("N3");
segment.SetElement(1, purchaseOrder.Customer.BillingAddress.Street);
segment.SetElement(2, purchaseOrder.Customer.BillingAddress.City + " " + purchaseOrder.Customer.BillingAddress.State + " " + purchaseOrder.Customer.BillingAddress.PostalCode + " " + purchaseOrder.Customer.BillingAddress.Country);
segment = loop.AddSegment("N4");
segment.SetElement(1, purchaseOrder.Customer.BillingAddress.City);
segment.SetElement(2, purchaseOrder.Customer.BillingAddress.ShortState); // short state
segment.SetElement(3, purchaseOrder.Customer.BillingAddress.PostalCode);
segment.SetElement(4, purchaseOrder.Customer.BillingAddress.ShortCountry); //short country
//ship to to section
loop = transaction.AddLoop("N1");
loop.SetElement(1, "ST");
loop.SetElement(2, purchaseOrder.Customer.ShippingName);
loop.SetElement(3, 92);
loop.SetElement(4, purchaseOrder.Customer.ShippingAddress.Id);
segment = loop.AddSegment("N3");
segment.SetElement(1, purchaseOrder.Customer.ShippingAddress.Street);
segment.SetElement(2, purchaseOrder.Customer.ShippingAddress.City + " " + purchaseOrder.Customer.ShippingAddress.State + " " + purchaseOrder.Customer.ShippingAddress.PostalCode + " " + purchaseOrder.Customer.ShippingAddress.Country);
segment = loop.AddSegment("N4");
segment.SetElement(1, purchaseOrder.Customer.ShippingAddress.City);
segment.SetElement(2, purchaseOrder.Customer.BillingAddress.ShortState); // short state
segment.SetElement(3, purchaseOrder.Customer.BillingAddress.PostalCode);
segment.SetElement(4, purchaseOrder.Customer.BillingAddress.ShortCountry); //short country
int count = 1;
foreach (LineItem lineItem in purchaseOrder.Items)
{
loop = transaction.AddLoop("PO1");
loop.SetElement(1, count++);
loop.SetElement(2, lineItem.Quantity);
loop.SetElement(3, "EA");
loop.SetElement(4, lineItem.Price);
loop.SetElement(6, "CGT");
loop.SetElement(7, lineItem.SupplierItemNumber);
}
loop = transaction.AddLoop("CTT");
loop.SetElement(1, --count);
var x12 = interchange.SerializeToX12(true);
Console.WriteLine(x12);
// Write the string to a file.
fileName += purchaseOrder.Number + ".850";
System.IO.StreamWriter file = new System.IO.StreamWriter(fileName);
file.WriteLine(x12);
file.Close();
}
public void FunctionGroupCreationTest()
{
Interchange interchange = CreateSample1WithFunctionGroup();
Assert.AreEqual(FunctionGroupSample1, interchange.SerializeToX12(true));
}
