Exemple #1
0
		///<summary>The insplan that's passed in need not be properly updated to the database first.</summary>
		public static void RequestBenefits(Clearinghouse clearhouse,InsPlan plan,long patNum,Carrier carrier,List<Benefit> benList,long patPlanNum,InsSub insSub) {
			Patient pat=Patients.GetPat(patNum);
			Patient subsc=Patients.GetPat(insSub.Subscriber);
			Clinic clinic=Clinics.GetClinic(pat.ClinicNum);
			Provider billProv=Providers.GetProv(Providers.GetBillingProvNum(pat.PriProv,pat.ClinicNum));
			//validation.  Throw exception if missing info----------------------------------------
			string validationResult=X270.Validate(clearhouse,carrier,billProv,clinic,plan,subsc,insSub);
			if(validationResult != "") {
				throw new Exception(Lan.g("FormInsPlan","Please fix the following errors first:")+"\r\n"+validationResult);
			}
			//create a 270 message---------------------------------------------------------------
			string x12message=X270.GenerateMessageText(clearhouse,carrier,billProv,clinic,plan,subsc,insSub);
			EtransMessageText etransMessageText=new EtransMessageText();
			etransMessageText.MessageText=x12message;
			EtransMessageTexts.Insert(etransMessageText);
			//attach it to an etrans-------------------------------------------------------------
			Etrans etrans=new Etrans();
			etrans.DateTimeTrans=DateTime.Now;
			etrans.ClearingHouseNum=clearhouse.ClearinghouseNum;
			etrans.Etype=EtransType.BenefitInquiry270;
			etrans.PlanNum=plan.PlanNum;
			etrans.InsSubNum=insSub.InsSubNum;
			etrans.EtransMessageTextNum=etransMessageText.EtransMessageTextNum;
			Etranss.Insert(etrans);
			//send the 270----------------------------------------------------------------------
			string x12response="";
			//a connection error here needs to bubble up
			try {
				if(clearhouse.CommBridge==EclaimsCommBridge.ClaimConnect) {
					x12response=ClaimConnect.Benefits270(clearhouse,x12message);
				}
				if(clearhouse.CommBridge==EclaimsCommBridge.EDS) {
					x12response=EDS.Benefits270(clearhouse,x12message);
				}
			}
			catch(Exception ex) {
				EtransMessageTexts.Delete(etrans.EtransMessageTextNum);
				Etranss.Delete(etrans.EtransNum);
				throw new ApplicationException(Lan.g("FormInsPlan","Connection Error:")+"\r\n"+ex.GetType().Name+"\r\n"+ex.Message);
			}
			//start to process the 271----------------------------------------------------------
			X271 x271=null;
			if(X12object.IsX12(x12response)) {
				X12object x12obj=new X12object(x12response);
				if(x12obj.Is271()) {
					x271=new X271(x12response);
				}
			}
			else {//not a 997, 999, 277 or 271
				EtransMessageTexts.Delete(etrans.EtransMessageTextNum);
				Etranss.Delete(etrans.EtransNum);
				throw new ApplicationException(Lan.g("FormInsPlan","Error:")+"\r\n"+x12response);
			}
			/*
			//In realtime mode, X12 limits the request to one patient.
			//We will always use the subscriber.
			//So all EB segments are for the subscriber.
			List<EB271> listEB=new List<EB271>();
			EB271 eb;
			if(x271 != null) {
				for(int i=0;i<x271.Segments.Count;i++) {
					if(x271.Segments[i].SegmentID != "EB") {
						continue;
					}
					eb=new EB271(x271.Segments[i]);
					listEB.Add(eb);
				}
			}*/
			//create an etrans for the 271------------------------------------------------------
			etransMessageText=new EtransMessageText();
			etransMessageText.MessageText=x12response;
			EtransMessageTexts.Insert(etransMessageText);
			Etrans etrans271=new Etrans();
			etrans271.DateTimeTrans=DateTime.Now;
			etrans271.ClearingHouseNum=clearhouse.ClearinghouseNum;
			etrans271.Etype=EtransType.TextReport;
			if(X12object.IsX12(x12response)) {//this shouldn't need to be tested because it was tested above.
				if(x271==null){
					X12object Xobj=new X12object(x12response);
					if(Xobj.Is997()) {
						etrans271.Etype=EtransType.Acknowledge_997;
					}
					else if(Xobj.Is999()) {
						etrans271.Etype=EtransType.Acknowledge_999;
					}
					else if(X277.Is277(Xobj)) {
						etrans271.Etype=EtransType.StatusNotify_277;
					}
					else if(X835.Is835(Xobj)) {
						etrans271.Etype=EtransType.ERA_835;
					}
				}
				else{
					etrans271.Etype=EtransType.BenefitResponse271;
				}
			}
			etrans271.PlanNum=plan.PlanNum;
			etrans271.InsSubNum=insSub.InsSubNum;
			etrans271.EtransMessageTextNum=etransMessageText.EtransMessageTextNum;
			Etranss.Insert(etrans271);
			etrans.AckEtransNum=etrans271.EtransNum;
			if(etrans271.Etype==EtransType.Acknowledge_997) {
				X997 x997=new X997(x12response);
				string error997=x997.GetHumanReadable();
				etrans.Note="Error: "+error997;//"Malformed document sent.  997 error returned.";
				Etranss.Update(etrans);
				MessageBox.Show(etrans.Note);
				//CodeBase.MsgBoxCopyPaste msgbox=new CodeBase.MsgBoxCopyPaste(etrans.Note);
				//msgbox.ShowDialog();
				//don't show the 270 interface.
				return;
			}
			else if(etrans271.Etype==EtransType.Acknowledge_999) {
				X999 x999=new X999(x12response);
				string error999=x999.GetHumanReadable();
				etrans.Note="Error: "+error999;//"Malformed document sent.  999 error returned.";
				Etranss.Update(etrans);
				MessageBox.Show(etrans.Note);
				//CodeBase.MsgBoxCopyPaste msgbox=new CodeBase.MsgBoxCopyPaste(etrans.Note);
				//msgbox.ShowDialog();
				//don't show the 270 interface.
				return;
			}
			else if(etrans271.Etype==EtransType.StatusNotify_277) { 
				X277 x277=new X277(x12response);
				string error277=x277.GetHumanReadable();
				etrans.Note="Error: "+error277;//"Malformed document sent.  277 error returned.";
				Etranss.Update(etrans);
				MessageBox.Show(etrans.Note);
				//CodeBase.MsgBoxCopyPaste msgbox=new CodeBase.MsgBoxCopyPaste(etrans.Note);
				//msgbox.ShowDialog();
				//don't show the 277 interface.
				return;
			}
			else if(etrans271.Etype==EtransType.ERA_835) {
				X835 x835=new X835(x12response,"");
				string error835=x835.GetHumanReadable();
				etrans.Note="Error: "+error835;//"Malformed document sent.  835 error returned.";
				Etranss.Update(etrans);
				MessageBox.Show(etrans.Note);
				//CodeBase.MsgBoxCopyPaste msgbox=new CodeBase.MsgBoxCopyPaste(etrans.Note);
				//msgbox.ShowDialog();
				//don't show the 835 interface.
				return;
			}
			else { //271
				string processingerror=x271.GetProcessingError();
				if(processingerror != "") {
					etrans.Note=processingerror;
					Etranss.Update(etrans);
					MessageBox.Show(etrans.Note);
					//CodeBase.MsgBoxCopyPaste msgbox=new CodeBase.MsgBoxCopyPaste(etrans.Note);
					//msgbox.ShowDialog();
					//don't show the 270 interface.
					return;
				}
				else {
					etrans.Note="Normal 271 response.";//change this later to be explanatory of content.
				}
			}
			Etranss.Update(etrans);
			//show the user a list of benefits to pick from for import--------------------------
			FormEtrans270Edit formE=new FormEtrans270Edit(patPlanNum,plan.PlanNum,insSub.InsSubNum);
			formE.EtransCur=etrans;
			formE.IsInitialResponse=true;
			formE.benList=benList;
			formE.ShowDialog();
		}
Exemple #2
0
        ///<summary>The insplan that's passed in need not be properly updated to the database first.</summary>
        public static void RequestBenefits(Clearinghouse clearhouse, InsPlan plan, long patNum, Carrier carrier, List <Benefit> benList, long patPlanNum, InsSub insSub)
        {
            Patient  pat      = Patients.GetPat(patNum);
            Patient  subsc    = Patients.GetPat(insSub.Subscriber);
            Clinic   clinic   = Clinics.GetClinic(pat.ClinicNum);
            Provider billProv = Providers.GetProv(Providers.GetBillingProvNum(pat.PriProv, pat.ClinicNum));
            //validation.  Throw exception if missing info----------------------------------------
            string validationResult = X270.Validate(clearhouse, carrier, billProv, clinic, plan, subsc, insSub);

            if (validationResult != "")
            {
                throw new Exception(Lan.g("FormInsPlan", "Please fix the following errors first:") + "\r\n" + validationResult);
            }
            //create a 270 message---------------------------------------------------------------
            string            x12message        = X270.GenerateMessageText(clearhouse, carrier, billProv, clinic, plan, subsc, insSub);
            EtransMessageText etransMessageText = new EtransMessageText();

            etransMessageText.MessageText = x12message;
            EtransMessageTexts.Insert(etransMessageText);
            //attach it to an etrans-------------------------------------------------------------
            Etrans etrans = new Etrans();

            etrans.DateTimeTrans        = DateTime.Now;
            etrans.ClearingHouseNum     = clearhouse.ClearinghouseNum;
            etrans.Etype                = EtransType.BenefitInquiry270;
            etrans.PlanNum              = plan.PlanNum;
            etrans.InsSubNum            = insSub.InsSubNum;
            etrans.EtransMessageTextNum = etransMessageText.EtransMessageTextNum;
            Etranss.Insert(etrans);
            //send the 270----------------------------------------------------------------------
            string x12response = "";

            //a connection error here needs to bubble up
            try {
                if (clearhouse.CommBridge == EclaimsCommBridge.ClaimConnect)
                {
                    x12response = ClaimConnect.Benefits270(clearhouse, x12message);
                }
            }
            catch (Exception ex) {
                EtransMessageTexts.Delete(etrans.EtransMessageTextNum);
                Etranss.Delete(etrans.EtransNum);
                throw new ApplicationException(Lan.g("FormInsPlan", "Connection Error:") + "\r\n" + ex.GetType().Name + "\r\n" + ex.Message);
            }
            //start to process the 271----------------------------------------------------------
            X271 x271 = null;

            if (X12object.IsX12(x12response))
            {
                X12object x12obj = new X12object(x12response);
                if (x12obj.Is271())
                {
                    x271 = new X271(x12response);
                }
            }
            else              //neither a 997 nor a 271
            {
                EtransMessageTexts.Delete(etrans.EtransMessageTextNum);
                Etranss.Delete(etrans.EtransNum);
                throw new ApplicationException(Lan.g("FormInsPlan", "Error:") + "\r\n" + x12response);
            }

            /*
             * //In realtime mode, X12 limits the request to one patient.
             * //We will always use the subscriber.
             * //So all EB segments are for the subscriber.
             * List<EB271> listEB=new List<EB271>();
             * EB271 eb;
             * if(x271 != null) {
             *      for(int i=0;i<x271.Segments.Count;i++) {
             *              if(x271.Segments[i].SegmentID != "EB") {
             *                      continue;
             *              }
             *              eb=new EB271(x271.Segments[i]);
             *              listEB.Add(eb);
             *      }
             * }*/
            //create an etrans for the 271------------------------------------------------------
            etransMessageText             = new EtransMessageText();
            etransMessageText.MessageText = x12response;
            EtransMessageTexts.Insert(etransMessageText);
            Etrans etrans271 = new Etrans();

            etrans271.DateTimeTrans    = DateTime.Now;
            etrans271.ClearingHouseNum = clearhouse.ClearinghouseNum;
            etrans271.Etype            = EtransType.TextReport;
            if (X12object.IsX12(x12response))             //this shouldn't need to be tested because it was tested above.
            {
                if (x271 == null)
                {
                    etrans271.Etype = EtransType.Acknowledge_997;
                }
                else
                {
                    etrans271.Etype = EtransType.BenefitResponse271;
                }
            }
            etrans271.PlanNum              = plan.PlanNum;
            etrans271.InsSubNum            = insSub.InsSubNum;
            etrans271.EtransMessageTextNum = etransMessageText.EtransMessageTextNum;
            Etranss.Insert(etrans271);
            etrans.AckEtransNum = etrans271.EtransNum;
            if (etrans271.Etype == EtransType.Acknowledge_997)
            {
                X997   x997     = new X997(x12response);
                string error997 = x997.GetHumanReadable();
                etrans.Note = "Error: " + error997;            //"Malformed document sent.  997 error returned.";
                Etranss.Update(etrans);
                MessageBox.Show(etrans.Note);
                //CodeBase.MsgBoxCopyPaste msgbox=new CodeBase.MsgBoxCopyPaste(etrans.Note);
                //msgbox.ShowDialog();
                //don't show the 270 interface.
                return;
            }
            else
            {
                string processingerror = x271.GetProcessingError();
                if (processingerror != "")
                {
                    etrans.Note = processingerror;
                    Etranss.Update(etrans);
                    MessageBox.Show(etrans.Note);
                    //CodeBase.MsgBoxCopyPaste msgbox=new CodeBase.MsgBoxCopyPaste(etrans.Note);
                    //msgbox.ShowDialog();
                    //don't show the 270 interface.
                    return;
                }
                else
                {
                    etrans.Note = "Normal 271 response.";                  //change this later to be explanatory of content.
                }
            }
            Etranss.Update(etrans);
            //show the user a list of benefits to pick from for import--------------------------
            FormEtrans270Edit formE = new FormEtrans270Edit(patPlanNum, plan.PlanNum, insSub.InsSubNum);

            formE.EtransCur         = etrans;
            formE.IsInitialResponse = true;
            formE.benList           = benList;
            formE.ShowDialog();
        }