public GetChargesResp GetClaim(BillingAccount billingAccount, long eventId, DateTime eventDate)
{
var client = new KareoServicesClient();
var requestHeader = new RequestHeader
{
ClientVersion = ClientVersion,
CustomerKey = billingAccount.CustomerKey,
User = billingAccount.UserName,
Password = billingAccount.Password
};
var getChargesReq = new GetChargesReq
{
RequestHeader = requestHeader,
Filter = new ChargeFilter()
{
PracticeName = billingAccount.Name,
BatchNumber = eventId.ToString(),
FromServiceDate = eventDate.AddDays(-1).ToShortDateString(),
ToServiceDate = eventDate.AddDays(1).ToShortDateString()
},
Fields = new ChargeFieldsToReturn()
{
ID = true,
EncounterID = true,
PatientID = true,
ProcedureCode = true,
ProcedureName = true,
Units = true,
TotalCharges = true,
AdjustedCharges = true,
Receipts = true,
PatientBalance = true,
InsuranceBalance = true,
TotalBalance = true,
Status = true,
PatientFirstBillDate = true,
PatientLastBillDate = true
}
};
var getChargesResp = client.GetCharges(getChargesReq);
if (getChargesResp.ErrorResponse.IsError)
{
throw new Exception(getChargesResp.ErrorResponse.ErrorMessage);
}
if (!getChargesResp.SecurityResponse.SecurityResultSuccess)
{
throw new Exception(getChargesResp.SecurityResponse.SecurityResult);
}
client.Close();
return(getChargesResp);
}
public GetPatientsResp GetPatients(string firstName, string lastName, DateTime dateOfBirth, BillingAccount billingAccount)
{
try
{
var client = new KareoServicesClient();
var requestHeader = new RequestHeader
{
ClientVersion = ClientVersion,
CustomerKey = billingAccount.CustomerKey,
User = billingAccount.UserName,
Password = billingAccount.Password
};
var getPatientsReq = new GetPatientsReq
{
RequestHeader = requestHeader,
Filter = new PatientFilter
{
FirstName = firstName,
LastName = lastName,
FromDateOfBirth = dateOfBirth.ToString("MM/dd/yyyy"),
ToDateOfBirth = dateOfBirth.AddDays(1).ToString("MM/dd/yyyy")
}
};
var getPatientsResp = client.GetPatients(getPatientsReq);
client.Close();
return(getPatientsResp);
}
catch (Exception ex)
{
throw new Exception(ex.Message);
}
}
public ModifyPatientResp UpdatePatient(long patientId, Customer customer, PrimaryCarePhysician pcp, BillingAccount billingAccount)
{
try
{
var client = new KareoServicesClient();
var requestHeader = new RequestHeader
{
ClientVersion = ClientVersion,
CustomerKey = billingAccount.CustomerKey,
User = billingAccount.UserName,
Password = billingAccount.Password
};
// Create the patient to insert.
var updatePatient = new PatientUpdate
{
PatientID = Convert.ToInt32(patientId),
FirstName = customer.Name.FirstName,
MiddleName = customer.Name.MiddleName,
LastName = customer.Name.LastName,
DateofBirth = customer.DateOfBirth,
Gender = customer.Gender == Gender.Male ? GenderCode.Male : customer.Gender == Gender.Female ? GenderCode.Female : GenderCode.Unknown,
MedicalRecordNumber = customer.CustomerId.ToString(),
AddressLine1 = customer.Address.StreetAddressLine1,
AddressLine2 = customer.Address.StreetAddressLine2,
City = customer.Address.City,
State = customer.Address.StateCode,
ZipCode = customer.Address.ZipCode.Zip,
HomePhone = customer.HomePhoneNumber != null ? customer.HomePhoneNumber.FormatPhoneNumber : string.Empty,
WorkPhone = customer.OfficePhoneNumber != null ? customer.OfficePhoneNumber.FormatPhoneNumber : string.Empty,
MobilePhone = customer.MobilePhoneNumber != null ? customer.MobilePhoneNumber.FormatPhoneNumber : string.Empty,
EmailAddress = customer.Email != null?customer.Email.ToString() : string.Empty,
PatientExternalID = customer.CustomerId.ToString()
};
// Set the practice we want to add this patient to
var practice = new PracticeIdentifierReq
{
PracticeName = billingAccount.Name
};
updatePatient.Practice = practice;
// Create the case details for the patient
var patientCase = new PatientCaseUpdateReq
{
CaseName = CaseName,
//patientCase.PayerScenario
Active = true,
SendPatientStatements = true
};
updatePatient.Cases = new[] { patientCase };
if (pcp != null)
{
updatePatient.PrimaryCarePhysician = new PhysicianIdentifierReq
{
FullName = pcp.Name.FullName
};
}
// Create the create patient request object
var request = new UpdatePatientReq
{
RequestHeader = requestHeader,
Patient = updatePatient
};
// Call the Create Patient method
var response = client.UpdatePatient(request);
// Check the response for an error
if (response.ErrorResponse.IsError)
{
throw new Exception(response.ErrorResponse.ErrorMessage);
}
if (!response.SecurityResponse.SecurityResultSuccess)
{
throw new Exception(response.SecurityResponse.SecurityResult);
}
client.Close();
return(response);
}
catch (Exception ex)
{
throw new Exception(ex.Message);
}
}
public ModifyPatientResp CreatePatient(Customer customer, Eligibility eligibility, IEnumerable <InsuranceCompany> insuranceCompanies, PrimaryCarePhysician pcp, BillingAccount billingAccount)
{
try
{
var client = new KareoServicesClient();
var requestHeader = new RequestHeader
{
ClientVersion = ClientVersion,
CustomerKey = billingAccount.CustomerKey,
User = billingAccount.UserName,
Password = billingAccount.Password
};
// Create the patient to insert.
var newPatient = new PatientCreate
{
FirstName = customer.Name.FirstName,
MiddleName = customer.Name.MiddleName,
LastName = customer.Name.MiddleName,
DateofBirth = customer.DateOfBirth,
Gender = customer.Gender == Gender.Male ? GenderCode.Male : customer.Gender == Gender.Female ? GenderCode.Female : GenderCode.Unknown,
MedicalRecordNumber = customer.CustomerId.ToString(),
AddressLine1 = customer.Address.StreetAddressLine1,
AddressLine2 = customer.Address.StreetAddressLine2,
City = customer.Address.City,
State = customer.Address.StateCode,
ZipCode = customer.Address.ZipCode.Zip,
HomePhone = customer.HomePhoneNumber != null ? customer.HomePhoneNumber.FormatPhoneNumber : string.Empty,
WorkPhone = customer.OfficePhoneNumber != null ? customer.OfficePhoneNumber.FormatPhoneNumber : string.Empty,
MobilePhone = customer.MobilePhoneNumber != null ? customer.MobilePhoneNumber.FormatPhoneNumber : string.Empty,
EmailAddress = customer.Email != null?customer.Email.ToString() : string.Empty,
PatientExternalID = customer.CustomerId.ToString()
};
// Set the practice we want to add this patient to
var practice = new PracticeIdentifierReq
{
PracticeName = billingAccount.Name
};
// Create the case details for the patient
var patientCase = new PatientCaseCreateReq
{
CaseName = CaseName,
//patientCase.PayerScenario
Active = true,
SendPatientStatements = true
};
var eligibleResponse = JsonConvert.DeserializeObject <EligibleResponse>(eligibility.Response);
InsuranceCompany insuranceCompany = null;
if (eligibleResponse.PrimaryInsurance != null)
{
insuranceCompany = insuranceCompanies.FirstOrDefault(ic => ic.Code == eligibleResponse.PrimaryInsurance.Id);
}
else if (eligibleResponse.Insurance != null)
{
insuranceCompany = insuranceCompanies.FirstOrDefault(ic => ic.Code == eligibleResponse.Insurance.Id);
}
if (insuranceCompany == null)
{
insuranceCompany = insuranceCompanies.First(ic => ic.Id == eligibility.InsuranceCompanyId);
}
// Create the insurance policies for the patient case
var primaryPolicy = new InsurancePolicyCreateReq
{
CompanyName = insuranceCompany.Name,
PlanName = eligibleResponse.Plan.PlanName,
PolicyNumber = eligibleResponse.Demographics.Subscriber.MemberId,
PolicyGroupNumber = eligibleResponse.Demographics.Subscriber.GroupId,
Copay = eligibility.CoPayment.ToString("0.00")
};
//primaryPolicy.PlanID = eligibleResponse.Plan.PlanNumber;
patientCase.Policies = new InsurancePolicyCreateReq[] { primaryPolicy };
newPatient.Practice = practice;
newPatient.Cases = new PatientCaseCreateReq[] { patientCase };
if (pcp != null)
{
newPatient.PrimaryCarePhysician = new PhysicianIdentifierReq
{
FullName = pcp.Name.FullName
};
}
// Create the create patient request object
var request = new CreatePatientReq
{
RequestHeader = requestHeader,
Patient = newPatient
};
// Call the Create Patient method
var response = client.CreatePatient(request);
// Check the response for an error
if (response.ErrorResponse.IsError)
{
throw new Exception(response.ErrorResponse.ErrorMessage);
}
if (!response.SecurityResponse.SecurityResultSuccess)
{
throw new Exception(response.SecurityResponse.SecurityResult);
}
client.Close();
return(response);
}
catch (Exception ex)
{
throw new Exception(ex.Message);
}
}
public CreateEncounterResp CreateEncounter(long patientId, Event eventData, IEnumerable <EventTest> eventTests, BillingAccount billingAccount)
{
try
{
var patientResp = GetPatient(patientId, billingAccount);
var client = new KareoServicesClient();
var requestHeader = new RequestHeader
{
ClientVersion = ClientVersion,
CustomerKey = billingAccount.CustomerKey,
User = billingAccount.UserName,
Password = billingAccount.Password
};
// Create the encounter to insert.
var newEncounter = new EncounterCreate
{
ServiceStartDate = eventData.EventDate,
PostDate = eventData.EventDate.AddDays(1),
BatchNumber = eventData.Id.ToString()
};
// Set the practice we want to add this encounter to
int practiceId;
int.TryParse(patientResp.Patient.PracticeId, out practiceId);
var practice = new PracticeIdentifierReq
{
PracticeID = practiceId,
PracticeName = patientResp.Patient.PracticeName
};
// Create the patient for the encounter
var patient = new PatientIdentifierReq
{
PatientID = Convert.ToInt32(patientId)
};
// Create the patient case for the encounter
int caseId;
int.TryParse(patientResp.Patient.Cases.First().PatientCaseID, out caseId);
var encounterCase = new PatientCaseIdentifierReq
{
CaseID = caseId
};
var provider = new ProviderIdentifierDetailedReq
{
FirstName = ProviderFirstName,
MiddleName = ProviderMiddleName,
LastName = ProviderLastName,
NPI = ProviderNpi
};
// Set the service location
var location = new EncounterServiceLocation
{
LocationName = billingAccount.Name
};
var placeOfService = new EncounterPlaceOfService
{
PlaceOfServiceCode = PlaceOfServiceCode,
PlaceOfServiceName = PlaceOfServiceName
};
// Create the service lines for this encounter
var serviceLines = new List <ServiceLineReq>();
if (eventTests != null && eventTests.Any())
{
foreach (var eventTest in eventTests)
{
serviceLines.Add(new ServiceLineReq
{
ServiceStartDate = eventData.EventDate,
ProcedureCode = eventTest.Test.CPTCode,
DiagnosisCode1 = eventTest.Test.DiagnosisCode,
Units = 1,
UnitCharge = Convert.ToDouble(eventTest.Price)
});
}
}
// Make sure you set the encounter's practice, service location, patient, case, and
// provider (and any other objects you create relating to the encounter)
newEncounter.Practice = practice;
newEncounter.Patient = patient;
newEncounter.Case = encounterCase;
newEncounter.RenderingProvider = provider;
newEncounter.SupervisingProvider = provider;
newEncounter.ServiceLocation = location;
newEncounter.PlaceOfService = placeOfService;
newEncounter.ServiceLines = serviceLines.ToArray();
newEncounter.EncounterStatus = EncounterStatusCode.Submitted;
// Create the create encounter request object
var request = new CreateEncounterReq
{
RequestHeader = requestHeader,
Encounter = newEncounter
};
// Call the Create Encounter method
var response = client.CreateEncounter(request);
// Check the response for an error
if (response.ErrorResponse.IsError)
{
throw new Exception(response.ErrorResponse.ErrorMessage);
}
if (!response.SecurityResponse.SecurityResultSuccess)
{
throw new Exception(response.SecurityResponse.SecurityResult);
}
client.Close();
return(response);
}
catch (Exception ex)
{
throw new Exception(ex.Message);
}
}
