/// <summary>
/// Builds response transmission.
/// Original from http://www.x12.org/examples/005010X212/claim-level-status/x212-277-claim-response/
/// Claim 1
/// Response: ABC Insurance assigned a payer claim control number of 05347006051 to Mr. Smith's claim.
/// The claim was pending waiting on additional information that had already been requested.
/// Claim 2
/// Response: ABC Insurance assigned a payer claim control number of 0529675341 to Mrs. Jones' claim.
/// The claim completed adjudication and is awaiting the payment cycle.
/// Claim 3
/// Response: ABC Insurance assigned a payer internal control number of 051681010827 to Joseph Mann's claim.
/// The service was denied because the dependent was not eligible for benefits at the time of service.
/// </summary>
static TS277 BuildResponseTransmission(string controlNumber)
{
var result = new TS277();
result.ST = new ST();
result.ST.TransactionSetIdentifierCode_01 = "277";
result.ST.TransactionSetControlNumber_02 = controlNumber.PadLeft(9, '0');
result.ST.ImplementationConventionPreference_03 = "005010X212";
result.BHT_BeginningOfHierarchicalTransaction = new BHT_BeginningOfHierarchicalTransaction_4();
result.BHT_BeginningOfHierarchicalTransaction.HierarchicalStructureCode_01 = "0010";
result.BHT_BeginningOfHierarchicalTransaction.TransactionSetPurposeCode_02 = "08";
result.BHT_BeginningOfHierarchicalTransaction.SubmitterTransactionIdentifier_03 = "277X212";
result.BHT_BeginningOfHierarchicalTransaction.TransactionSetCreationDate_04 = "20050916";
result.BHT_BeginningOfHierarchicalTransaction.TransactionSetCreationTime_05 = "0810";
result.BHT_BeginningOfHierarchicalTransaction.TransactionTypeCode_06 = "DG";
// Repeating 2000A Loops
result.Loop2000A = new List <Loop_2000A_277>();
// Begin 2000A Loop
var loop2000A = new Loop_2000A_277();
loop2000A.HL_InformationSourceLevel = new HL_BillingProviderHierarchicalLevel();
loop2000A.HL_InformationSourceLevel.HierarchicalIDNumber_01 = "1";
loop2000A.HL_InformationSourceLevel.HierarchicalLevelCode_03 = "20";
loop2000A.HL_InformationSourceLevel.HierarchicalChildCode_04 = "1";
// Begin 2100A Loop
loop2000A.Loop2100A = new Loop_2100A_277();
loop2000A.Loop2100A.NM1_PayerName = new NM1_OtherPayerName();
loop2000A.Loop2100A.NM1_PayerName.EntityIdentifierCode_01 = "PR";
loop2000A.Loop2100A.NM1_PayerName.EntityTypeQualifier_02 = "2";
loop2000A.Loop2100A.NM1_PayerName.ResponseContactLastorOrganizationName_03 = "ABC INSURANCE";
loop2000A.Loop2100A.NM1_PayerName.IdentificationCodeQualifier_08 = "PI";
loop2000A.Loop2100A.NM1_PayerName.ResponseContactIdentifier_09 = "12345";
// End 2100A Loop
// Repeating 2000B Loops
loop2000A.Loop2000B = new List <Loop_2000B_277>();
// Begin 2000B Loop
var loop2000B = new Loop_2000B_277();
loop2000B.HL_InformationReceiverLevel = new HL_InformationReceiverLevel_2();
loop2000B.HL_InformationReceiverLevel.HierarchicalIDNumber_01 = "2";
loop2000B.HL_InformationReceiverLevel.HierarchicalParentIDNumber_02 = "1";
loop2000B.HL_InformationReceiverLevel.HierarchicalLevelCode_03 = "21";
loop2000B.HL_InformationReceiverLevel.HierarchicalChildCode_04 = "1";
// Begin 2100B Loop
loop2000B.Loop2100B = new Loop_2100B_277();
loop2000B.Loop2100B.NM1_InformationReceiverName = new NM1_InformationReceiverName_3();
loop2000B.Loop2100B.NM1_InformationReceiverName.EntityIdentifierCode_01 = "41";
loop2000B.Loop2100B.NM1_InformationReceiverName.EntityTypeQualifier_02 = "2";
loop2000B.Loop2100B.NM1_InformationReceiverName.ResponseContactLastorOrganizationName_03 = "XYZ SERVICE";
loop2000B.Loop2100B.NM1_InformationReceiverName.IdentificationCodeQualifier_08 = "46";
loop2000B.Loop2100B.NM1_InformationReceiverName.ResponseContactIdentifier_09 = "X67E";
// End 2100B Loop
// Repeating 2000C Loops
loop2000B.Loop2000C = new List <Loop_2000C_277>();
// Begin 2000C Loop 1
var loop2000C1 = new Loop_2000C_277();
loop2000C1.HL_ServiceProviderLevel = new HL_BillingProviderOfServiceLevel();
loop2000C1.HL_ServiceProviderLevel.HierarchicalIDNumber_01 = "3";
loop2000C1.HL_ServiceProviderLevel.HierarchicalParentIDNumber_02 = "2";
loop2000C1.HL_ServiceProviderLevel.HierarchicalLevelCode_03 = "19";
loop2000C1.HL_ServiceProviderLevel.HierarchicalChildCode_04 = "1";
// Repeating 2100C Loops
loop2000C1.Loop2100C = new List <Loop_2100C_277>();
// Begin 2100C Loop
var loop2100C = new Loop_2100C_277();
loop2100C.NM1_ProviderName = new NM1_ProviderName();
loop2100C.NM1_ProviderName.EntityIdentifierCode_01 = "1P";
loop2100C.NM1_ProviderName.EntityTypeQualifier_02 = "2";
loop2100C.NM1_ProviderName.ResponseContactLastorOrganizationName_03 = "HOME HOSPITAL";
loop2100C.NM1_ProviderName.IdentificationCodeQualifier_08 = "XX";
loop2100C.NM1_ProviderName.ResponseContactIdentifier_09 = "1666666661";
// End 2100C Loop
loop2000C1.Loop2100C.Add(loop2100C);
// Repeating 2000D Loops
loop2000C1.Loop2000D = new List <Loop_2000D_277>();
// Begin 2000D Loop 1
var loop2000D1 = new Loop_2000D_277();
loop2000D1.HL_SubscriberLevel = new HL_SubscriberHierarchicalLevel();
loop2000D1.HL_SubscriberLevel.HierarchicalIDNumber_01 = "4";
loop2000D1.HL_SubscriberLevel.HierarchicalParentIDNumber_02 = "3";
loop2000D1.HL_SubscriberLevel.HierarchicalLevelCode_03 = "22";
loop2000D1.HL_SubscriberLevel.HierarchicalChildCode_04 = "0";
// Begin 2100D Loop
loop2000D1.Loop2100D = new Loop_2100D_277();
loop2000D1.Loop2100D.NM1_SubscriberName = new NM1_SubscriberName_2();
loop2000D1.Loop2100D.NM1_SubscriberName.EntityIdentifierCode_01 = "IL";
loop2000D1.Loop2100D.NM1_SubscriberName.EntityTypeQualifier_02 = "1";
loop2000D1.Loop2100D.NM1_SubscriberName.ResponseContactLastorOrganizationName_03 = "SMITH";
loop2000D1.Loop2100D.NM1_SubscriberName.ResponseContactFirstName_04 = "FRED";
loop2000D1.Loop2100D.NM1_SubscriberName.IdentificationCodeQualifier_08 = "MI";
loop2000D1.Loop2100D.NM1_SubscriberName.ResponseContactIdentifier_09 = "123456789A";
// End 2100D Loop
// Repeating 2200D Loops
loop2000D1.Loop2200D = new List <Loop_2200D_277>();
// Begin 2200D Loop
var loop2200D = new Loop_2200D_277();
loop2200D.TRN_ClaimStatusTrackingNumber = new TRN_ClaimStatusTrackingNumber_2();
loop2200D.TRN_ClaimStatusTrackingNumber.TraceTypeCode_01 = "2";
loop2200D.TRN_ClaimStatusTrackingNumber.CurrentTransactionTraceNumber_02 = "ABCXYZ1";
// Repeating STC
loop2200D.STC_ClaimLevelStatusInformation = new List <STC_ClaimLevelStatusInformation>();
var stc1 = new STC_ClaimLevelStatusInformation();
stc1.HealthCareClaimStatus_01 = new C043_HealthCareClaimStatus();
stc1.HealthCareClaimStatus_01.HealthCareClaimStatusCategoryCode_01 = "P3";
stc1.HealthCareClaimStatus_01.StatusCode_02 = "317";
stc1.Date_02 = "20050913";
stc1.TotalSubmittedChargesForUnitWork_04 = "8513.88";
loop2200D.STC_ClaimLevelStatusInformation.Add(stc1);
// Occurrence of REF Segments in any order
loop2200D.AllREF = new All_REF_277();
loop2200D.AllREF.REF_PayerClaimControlNumber = new REF_PayerClaimControlNumber();
loop2200D.AllREF.REF_PayerClaimControlNumber.ReferenceIdentificationQualifier_01 = "1K";
loop2200D.AllREF.REF_PayerClaimControlNumber.MemberGrouporPolicyNumber_02 = "05347006051";
loop2200D.AllREF.REF_InstitutionalBillTypeIdentification = new REF_InstitutionalBillTypeIdentification();
loop2200D.AllREF.REF_InstitutionalBillTypeIdentification.ReferenceIdentificationQualifier_01 = "BLT";
loop2200D.AllREF.REF_InstitutionalBillTypeIdentification.MemberGrouporPolicyNumber_02 = "111";
loop2200D.AllREF.REF_PatientControlNumber = new REF_PatientControlNumber();
loop2200D.AllREF.REF_PatientControlNumber.ReferenceIdentificationQualifier_01 = "EJ";
loop2200D.AllREF.REF_PatientControlNumber.MemberGrouporPolicyNumber_02 = "SM123456";
loop2200D.DTP_ClaimServiceDate = new DTP_ClaimLevelServiceDate();
loop2200D.DTP_ClaimServiceDate.DateTimeQualifier_01 = "472";
loop2200D.DTP_ClaimServiceDate.DateTimePeriodFormatQualifier_02 = "RD8";
loop2200D.DTP_ClaimServiceDate.DateTimePeriod_03 = "20050831-20050906";
// End 2200D Loop
loop2000D1.Loop2200D.Add(loop2200D);
// End 2000D Loop 1
loop2000C1.Loop2000D.Add(loop2000D1);
// Begin 2000D Loop 2
var loop2000D2 = new Loop_2000D_277();
loop2000D2.HL_SubscriberLevel = new HL_SubscriberHierarchicalLevel();
loop2000D2.HL_SubscriberLevel.HierarchicalIDNumber_01 = "5";
loop2000D2.HL_SubscriberLevel.HierarchicalParentIDNumber_02 = "3";
loop2000D2.HL_SubscriberLevel.HierarchicalLevelCode_03 = "22";
loop2000D2.HL_SubscriberLevel.HierarchicalChildCode_04 = "0";
// Begin 2100D Loop
loop2000D2.Loop2100D = new Loop_2100D_277();
loop2000D2.Loop2100D.NM1_SubscriberName = new NM1_SubscriberName_2();
loop2000D2.Loop2100D.NM1_SubscriberName.EntityIdentifierCode_01 = "IL";
loop2000D2.Loop2100D.NM1_SubscriberName.EntityTypeQualifier_02 = "1";
loop2000D2.Loop2100D.NM1_SubscriberName.ResponseContactLastorOrganizationName_03 = "JONES";
loop2000D2.Loop2100D.NM1_SubscriberName.ResponseContactFirstName_04 = "MARY";
loop2000D2.Loop2100D.NM1_SubscriberName.IdentificationCodeQualifier_08 = "MI";
loop2000D2.Loop2100D.NM1_SubscriberName.ResponseContactIdentifier_09 = "234567890A";
// End 2100D Loop
// Repeating 2200D Loops
loop2000D2.Loop2200D = new List <Loop_2200D_277>();
// Begin 2200D Loop
var loop2200D2 = new Loop_2200D_277();
loop2200D2.TRN_ClaimStatusTrackingNumber = new TRN_ClaimStatusTrackingNumber_2();
loop2200D2.TRN_ClaimStatusTrackingNumber.TraceTypeCode_01 = "2";
loop2200D2.TRN_ClaimStatusTrackingNumber.CurrentTransactionTraceNumber_02 = "ABCXYZ2";
// Repeating STC
loop2200D2.STC_ClaimLevelStatusInformation = new List <STC_ClaimLevelStatusInformation>();
var stc2 = new STC_ClaimLevelStatusInformation();
stc2.HealthCareClaimStatus_01 = new C043_HealthCareClaimStatus();
stc2.HealthCareClaimStatus_01.HealthCareClaimStatusCategoryCode_01 = "F0";
stc2.HealthCareClaimStatus_01.StatusCode_02 = "3";
stc2.Date_02 = "20050915";
stc2.TotalSubmittedChargesForUnitWork_04 = "7599";
stc2.MonetaryAmount_05 = "7599";
loop2200D2.STC_ClaimLevelStatusInformation.Add(stc2);
// Occurrence of REF Segments in any order
loop2200D2.AllREF = new All_REF_277();
loop2200D2.AllREF.REF_PayerClaimControlNumber = new REF_PayerClaimControlNumber();
loop2200D2.AllREF.REF_PayerClaimControlNumber.ReferenceIdentificationQualifier_01 = "1K";
loop2200D2.AllREF.REF_PayerClaimControlNumber.MemberGrouporPolicyNumber_02 = "0529675341";
loop2200D2.AllREF.REF_InstitutionalBillTypeIdentification = new REF_InstitutionalBillTypeIdentification();
loop2200D2.AllREF.REF_InstitutionalBillTypeIdentification.ReferenceIdentificationQualifier_01 = "BLT";
loop2200D2.AllREF.REF_InstitutionalBillTypeIdentification.MemberGrouporPolicyNumber_02 = "111";
loop2200D2.AllREF.REF_PatientControlNumber = new REF_PatientControlNumber();
loop2200D2.AllREF.REF_PatientControlNumber.ReferenceIdentificationQualifier_01 = "EJ";
loop2200D2.AllREF.REF_PatientControlNumber.MemberGrouporPolicyNumber_02 = "JO234567";
loop2200D2.DTP_ClaimServiceDate = new DTP_ClaimLevelServiceDate();
loop2200D2.DTP_ClaimServiceDate.DateTimeQualifier_01 = "472";
loop2200D2.DTP_ClaimServiceDate.DateTimePeriodFormatQualifier_02 = "RD8";
loop2200D2.DTP_ClaimServiceDate.DateTimePeriod_03 = "20050731-20050809";
// End 2200D Loop
loop2000D2.Loop2200D.Add(loop2200D2);
// End 2000D Loop 2
loop2000C1.Loop2000D.Add(loop2000D2);
// End 2000C Loop 1
loop2000B.Loop2000C.Add(loop2000C1);
// Begin 2000C Loop 2
var loop2000C2 = new Loop_2000C_277();
loop2000C2.HL_ServiceProviderLevel = new HL_BillingProviderOfServiceLevel();
loop2000C2.HL_ServiceProviderLevel.HierarchicalIDNumber_01 = "6";
loop2000C2.HL_ServiceProviderLevel.HierarchicalParentIDNumber_02 = "2";
loop2000C2.HL_ServiceProviderLevel.HierarchicalLevelCode_03 = "19";
loop2000C2.HL_ServiceProviderLevel.HierarchicalChildCode_04 = "1";
// Repeating 2100C Loops
loop2000C2.Loop2100C = new List <Loop_2100C_277>();
// Begin 2100C Loop
var loop2100C2 = new Loop_2100C_277();
loop2100C2.NM1_ProviderName = new NM1_ProviderName();
loop2100C2.NM1_ProviderName.EntityIdentifierCode_01 = "1P";
loop2100C2.NM1_ProviderName.EntityTypeQualifier_02 = "2";
loop2100C2.NM1_ProviderName.ResponseContactLastorOrganizationName_03 = "HOME HOSPITAL PHYSICIANS";
loop2100C2.NM1_ProviderName.IdentificationCodeQualifier_08 = "XX";
loop2100C2.NM1_ProviderName.ResponseContactIdentifier_09 = "1666666666";
// End 2100C Loop
loop2000C2.Loop2100C.Add(loop2100C2);
// Repeating 2000D Loops
loop2000C2.Loop2000D = new List <Loop_2000D_277>();
// Begin 2000D Loop 1
var loop2000D3 = new Loop_2000D_277();
loop2000D3.HL_SubscriberLevel = new HL_SubscriberHierarchicalLevel();
loop2000D3.HL_SubscriberLevel.HierarchicalIDNumber_01 = "7";
loop2000D3.HL_SubscriberLevel.HierarchicalParentIDNumber_02 = "6";
loop2000D3.HL_SubscriberLevel.HierarchicalLevelCode_03 = "22";
loop2000D3.HL_SubscriberLevel.HierarchicalChildCode_04 = "1";
// Begin 2100D Loop
loop2000D3.Loop2100D = new Loop_2100D_277();
loop2000D3.Loop2100D.NM1_SubscriberName = new NM1_SubscriberName_2();
loop2000D3.Loop2100D.NM1_SubscriberName.EntityIdentifierCode_01 = "IL";
loop2000D3.Loop2100D.NM1_SubscriberName.EntityTypeQualifier_02 = "1";
loop2000D3.Loop2100D.NM1_SubscriberName.ResponseContactLastorOrganizationName_03 = "MANN";
loop2000D3.Loop2100D.NM1_SubscriberName.ResponseContactFirstName_04 = "JOHN";
loop2000D3.Loop2100D.NM1_SubscriberName.IdentificationCodeQualifier_08 = "MI";
loop2000D3.Loop2100D.NM1_SubscriberName.ResponseContactIdentifier_09 = "345678901";
// End 2100D Loop
// Repeating 2000E Loops
loop2000D3.Loop2000E = new List <Loop_2000E_277>();
// Begin 2000E Loop
var loop2000E = new Loop_2000E_277();
loop2000E.HL_DependentLevel = new HL_DependentLevel_2();
loop2000E.HL_DependentLevel.HierarchicalIDNumber_01 = "8";
loop2000E.HL_DependentLevel.HierarchicalParentIDNumber_02 = "7";
loop2000E.HL_DependentLevel.HierarchicalLevelCode_03 = "23";
// Begin 2100E Loop
loop2000E.Loop2100E = new Loop_2100E_277();
loop2000E.Loop2100E.NM1_DependentName = new NM1_DependentName_2();
loop2000E.Loop2100E.NM1_DependentName.EntityIdentifierCode_01 = "QC";
loop2000E.Loop2100E.NM1_DependentName.EntityTypeQualifier_02 = "1";
loop2000E.Loop2100E.NM1_DependentName.ResponseContactLastorOrganizationName_03 = "MANN";
loop2000E.Loop2100E.NM1_DependentName.ResponseContactFirstName_04 = "JOSEPH";
// End 2100E Loop
// Repeating 2200E Loops
loop2000E.Loop2200E = new List <Loop_2200E_277>();
// Begin 2200E Loop
var loop2200E = new Loop_2200E_277();
loop2200E.TRN_ClaimStatusTrackingNumber = new TRN_ClaimStatusTrackingNumber_2();
loop2200E.TRN_ClaimStatusTrackingNumber.TraceTypeCode_01 = "2";
loop2200E.TRN_ClaimStatusTrackingNumber.CurrentTransactionTraceNumber_02 = "ABCXYC3";
// Repeating STC
loop2200E.STC_ClaimLevelStatusInformation = new List <STC_ClaimLevelStatusInformation>();
var stc3 = new STC_ClaimLevelStatusInformation();
stc3.HealthCareClaimStatus_01 = new C043_HealthCareClaimStatus();
stc3.HealthCareClaimStatus_01.HealthCareClaimStatusCategoryCode_01 = "F2";
stc3.HealthCareClaimStatus_01.StatusCode_02 = "88";
stc3.HealthCareClaimStatus_01.EntityIdentifierCode_03 = "QC";
stc3.Date_02 = "20050612";
stc3.TotalSubmittedChargesForUnitWork_04 = "150";
stc3.MonetaryAmount_05 = "0";
loop2200E.STC_ClaimLevelStatusInformation.Add(stc3);
// Occurrence of REF Segments in any order
loop2200E.AllREF = new All_REF_277();
loop2200E.AllREF.REF_PayerClaimControlNumber = new REF_PayerClaimControlNumber();
loop2200E.AllREF.REF_PayerClaimControlNumber.ReferenceIdentificationQualifier_01 = "1K";
loop2200E.AllREF.REF_PayerClaimControlNumber.MemberGrouporPolicyNumber_02 = "051681010827";
loop2200E.AllREF.REF_PatientControlNumber = new REF_PatientControlNumber();
loop2200E.AllREF.REF_PatientControlNumber.ReferenceIdentificationQualifier_01 = "EJ";
loop2200E.AllREF.REF_PatientControlNumber.MemberGrouporPolicyNumber_02 = "MA345678";
// Repeating 2220E Loops
loop2200E.Loop2220E = new List <Loop_2220E_277>();
// Begin 2220E Loop
var loop2220E = new Loop_2220E_277();
loop2220E.SVC_ServiceLineInformation = new SVC_ServiceLineInformation_2();
loop2220E.SVC_ServiceLineInformation.CompositeMedicalProcedureIdentifier_01 = new C003_CompositeMedicalProcedureIdentifier_6();
loop2220E.SVC_ServiceLineInformation.CompositeMedicalProcedureIdentifier_01.ProductorServiceIDQualifier_01 = "HC";
loop2220E.SVC_ServiceLineInformation.CompositeMedicalProcedureIdentifier_01.ProcedureCode_02 = "99203";
loop2220E.SVC_ServiceLineInformation.LineItemChargeAmount_02 = "150";
loop2220E.SVC_ServiceLineInformation.MonetaryAmount_03 = "0";
loop2220E.SVC_ServiceLineInformation.UnitsofServiceCount_07 = "1";
// Repeating STC
loop2220E.STC_ServiceLineStatusInformation = new List <STC_ClaimLevelStatusInformation>();
var stc = new STC_ClaimLevelStatusInformation();
stc.HealthCareClaimStatus_01 = new C043_HealthCareClaimStatus();
stc.HealthCareClaimStatus_01.HealthCareClaimStatusCategoryCode_01 = "F2";
stc.HealthCareClaimStatus_01.StatusCode_02 = "88";
stc.HealthCareClaimStatus_01.EntityIdentifierCode_03 = "QC";
stc.Date_02 = "20050612";
loop2220E.STC_ServiceLineStatusInformation.Add(stc);
loop2220E.DTP_ServiceLineDate = new DTP_ClaimLevelServiceDate();
loop2220E.DTP_ServiceLineDate.DateTimeQualifier_01 = "472";
loop2220E.DTP_ServiceLineDate.DateTimePeriodFormatQualifier_02 = "D8";
loop2220E.DTP_ServiceLineDate.DateTimePeriod_03 = "20050501";
// End 2220E Loop
loop2200E.Loop2220E.Add(loop2220E);
// End 2200E Loop
loop2000E.Loop2200E.Add(loop2200E);
// End 2000E Loop
loop2000D3.Loop2000E.Add(loop2000E);
// End 2000D Loop 2
loop2000C2.Loop2000D.Add(loop2000D3);
// End 2000C Loop 2
loop2000B.Loop2000C.Add(loop2000C2);
// End 2000B Loop
loop2000A.Loop2000B.Add(loop2000B);
// End 2000A Loop
result.Loop2000A.Add(loop2000A);
return(result);
}
private TS277 FetchData277(Edi.Templates.Hipaa5010.TS837P data = null)
{
TS277 ts277Data = new TS277();
ts277Data.Loop2000A = new List <Loop_2000A_277>();
var loop2000A = new Loop_2000A_277();
loop2000A.Loop2100A = new Loop_2100A_277();
loop2000A.Loop2100A.NM1_PayerName = new NM1_CorrectedPriorityPayerName();
// End 2000A Loop
ts277Data.Loop2000A.Add(loop2000A);
ts277Data.Loop2000A[0].Loop2100A.NM1_PayerName.ResponseContactLastorOrganizationName_03 = data.Loop2000A[0].Loop2000B[0].AllNM1.Loop2010BB.NM1_PayerName.ResponseContactLastorOrganizationName_03;
ts277Data.Loop2000A[0].Loop2100A.NM1_PayerName.ResponseContactIdentifier_09 = data.Loop2000A[0].Loop2000B[0].AllNM1.Loop2010BB.NM1_PayerName.ResponseContactIdentifier_09;
loop2000A.Loop2000B = new List <Loop_2000B_277>();
var loop2000B = new Loop_2000B_277();
loop2000B.Loop2100B = new Loop_2100B_277();
loop2000B.Loop2100B.NM1_InformationReceiverName = new NM1_InformationReceiverName_2();
// End 2000B Loop
loop2000A.Loop2000B.Add(loop2000B);
ts277Data.Loop2000A[0].Loop2000B[0].Loop2100B.NM1_InformationReceiverName.ResponseContactLastorOrganizationName_03 = data.Loop2000A[0].AllNM1.Loop2010AA.NM1_BillingProviderName.ResponseContactLastorOrganizationName_03;
ts277Data.Loop2000A[0].Loop2000B[0].Loop2100B.NM1_InformationReceiverName.ResponseContactIdentifier_09 = data.Loop2000A[0].AllNM1.Loop2010AA.NM1_BillingProviderName.ResponseContactIdentifier_09;
loop2000B.Loop2000C = new List <Loop_2000C_277>();
// Begin 2000C Loop 1
var loop2000C1 = new Loop_2000C_277();
loop2000C1.Loop2100C = new List <Loop_2100C_277>();
// Begin 2100C Loop
var loop2100C = new Loop_2100C_277();
loop2000C1.Loop2100C.Add(loop2100C);
// Repeating 2000D Loops
loop2000C1.Loop2000D = new List <Loop_2000D_277>();
// Begin 2000D Loop 1
var loop2000D1 = new Loop_2000D_277();
// Begin 2100D Loop
loop2000D1.Loop2100D = new Loop_2100D_277();
loop2000D1.Loop2100D.NM1_SubscriberName = new NM1_InsuredName();
loop2000C1.Loop2000D.Add(loop2000D1);
loop2000B.Loop2000C.Add(loop2000C1);
ts277Data.Loop2000A[0].Loop2000B[0].Loop2000C[0].Loop2000D[0].Loop2100D.NM1_SubscriberName.ResponseContactLastorOrganizationName_03 = data.Loop2000A[0].Loop2000B[0].AllNM1.Loop2010BA.NM1_SubscriberName.ResponseContactLastorOrganizationName_03;//"SMITH";
ts277Data.Loop2000A[0].Loop2000B[0].Loop2000C[0].Loop2000D[0].Loop2100D.NM1_SubscriberName.ResponseContactFirstName_04 = data.Loop2000A[0].Loop2000B[0].AllNM1.Loop2010BA.NM1_SubscriberName.ResponseContactFirstName_04;
ts277Data.Loop2000A[0].Loop2000B[0].Loop2000C[0].Loop2000D[0].Loop2100D.NM1_SubscriberName.IdentificationCodeQualifier_08 = data.Loop2000A[0].Loop2000B[0].AllNM1.Loop2010BA.NM1_SubscriberName.IdentificationCodeQualifier_08;
ts277Data.Loop2000A[0].Loop2000B[0].Loop2000C[0].Loop2000D[0].Loop2100D.NM1_SubscriberName.ResponseContactIdentifier_09 = data.Loop2000A[0].Loop2000B[0].AllNM1.Loop2010BA.NM1_SubscriberName.ResponseContactIdentifier_09;
loop2000D1.Loop2200D = new List <Loop_2200D_277>();
// Begin 2200D Loop
var loop2200D = new Loop_2200D_277();
loop2000D1.Loop2200D.Add(loop2200D);
loop2200D.STC_ClaimLevelStatusInformation = new List <STC_BillingProviderStatusInformation>();
//get the list of LOINC codes and add a request for each
foreach (string reqCode in GetRequestCodes(data.Loop2000A[0].Loop2000B[0].Loop2300[0].Loop2400[0].SV1_ProfessionalService.CompositeMedicalProcedureIdentifier_01.ProcedureCode_02).Result.Distinct())
{
var stc1 = new STC_BillingProviderStatusInformation();
stc1.HealthCareClaimStatus_01 = new C043_HealthCareClaimStatus();
loop2200D.STC_ClaimLevelStatusInformation.Add(stc1);
//ex STC*R4:18657-7::LOI*2*3*4*5*6*7*8*9*R4:18803-7::LOI~
stc1.HealthCareClaimStatus_01.HealthCareClaimStatusCategoryCode_01 = "R4";
stc1.HealthCareClaimStatus_01.StatusCode_02 = reqCode;// GetCPT2Loinc(data.Loop2000A[0].Loop2000B[0].Loop2300[0].Loop2400[0].SV1_ProfessionalService.CompositeMedicalProcedureIdentifier_01.ProcedureCode_02);//"19016-5";// 18657-7";
stc1.HealthCareClaimStatus_01.CodeListQualifierCode_04 = "LOI";
stc1.Date_02 = String.Format("{0:yyyyMMdd}", System.DateTime.UtcNow.AddDays(30));
stc1.HealthCareClaimStatus_10 = new C043_HealthCareClaimStatus();
stc1.HealthCareClaimStatus_10.HealthCareClaimStatusCategoryCode_01 = "R4";
stc1.HealthCareClaimStatus_10.StatusCode_02 = "18594-2";//"18803-7";
stc1.HealthCareClaimStatus_10.CodeListQualifierCode_04 = "LOI";
}
//end of the list request
// stc1.HealthCareClaimStatus_11 = "";
loop2200D.AllREF = new All_REF_277();
loop2200D.AllREF.REF_PatientControlNumber = new REF_PatientControlNumber();
loop2200D.AllREF.REF_PatientControlNumber.MemberGrouporPolicyNumber_02 = data.Loop2000A[0].Loop2000B[0].Loop2300[0].CLM_ClaimInformation.PatientControlNumber_01;
return(ts277Data);
}
