GetRtaDataByClaim(EvaluateableClaim evaluateableClaim)
{
RtaData rtaData = new RtaData {
EvaluateableClaim = evaluateableClaim, Contracts = new List <Contract>()
};
if (evaluateableClaim != null)
{
// Initialize the Stored Procedure
_databaseCommandObj = _databaseObj.GetStoredProcCommand("RTA_GetDataByClaim");
// Pass parameters to Stored Procedure(i.e., @ParamName), add values for
_databaseObj.AddInParameter(_databaseCommandObj, "@SsiNumber", DbType.Int32, evaluateableClaim.Ssinumber);
_databaseObj.AddInParameter(_databaseCommandObj, "@Hcpcs", DbType.String, string.Join(",", evaluateableClaim.ClaimCharges.Select(q => q.HcpcsCode)));
_databaseObj.AddInParameter(_databaseCommandObj, "@ZipCode", DbType.String, evaluateableClaim.ProviderZip);
_databaseObj.AddInParameter(_databaseCommandObj, "@StatementFrom", DbType.DateTime, evaluateableClaim.StatementFrom);
_databaseObj.AddInParameter(_databaseCommandObj, "@StatementThru", DbType.DateTime, evaluateableClaim.StatementThru);
_databaseObj.AddInParameter(_databaseCommandObj, "@PayerName", DbType.String, evaluateableClaim.PriPayerName);
_databaseObj.AddInParameter(_databaseCommandObj, "@IsInstitutional", DbType.Boolean, evaluateableClaim.ClaimType.ToLower().Contains(Constants.ClaimTypeInstitutionalContract));
// Retrieve the results of the Stored Procedure in Data table
DataSet dataSet = _databaseObj.ExecuteDataSet(_databaseCommandObj);
if (dataSet.Tables.Count > 0)
{
rtaData.FacilityId = dataSet.Tables[0].Rows[0]["FacilityID"] == DBNull.Value
? (long?)null
: Convert.ToInt64(dataSet.Tables[0].Rows[0]["FacilityID"]);
if (rtaData.FacilityId != null)
{
rtaData.EvaluateableClaim.MedicareLabFeeSchedules = GetMedicareLabFeeSchedules(dataSet);
//Remove RTA related Tables from dataSet and than pass dataSet to CMS logic to build List<Contract>
dataSet.Tables.RemoveAt(MedicareTablePosition); //Remove Medicare Lab Fee Schedule Table
dataSet.Tables.RemoveAt(FacilityTablePosition); //Remove Facility Table
DataTable contractBasicInfo = dataSet.Tables[0];
dataSet.Tables.RemoveAt(ContractBasicInfoTablePosition); //Remove Contract Basic Info Table.
rtaData.Contracts = ContractRepository.GetContracts(dataSet);
rtaData.Contracts.AddRange(ContractRepository.GetContracts(contractBasicInfo));
}
}
}
return(rtaData);
}
public Dictionary <long, List <PaymentResult> > Adjudicate(RtaData rtaData)
{
return(_rtaLogic.AdjudicateClaimData(new List <EvaluateableClaim> {
rtaData.EvaluateableClaim
}, rtaData.Contracts));
}
public void GetRtaDataByClaimIsNotNull()
{
//Mock Input
EvaluateableClaim evaluateableClaim = new EvaluateableClaim
{
ClaimId = 123,
ClaimTotal = 100,
SmartBox = new SmartBox
{
CAA = 5,
LOS = 10,
TCC = 15
},
ClaimCharges = new List <ClaimCharge>
{
new ClaimCharge
{
Line = 1,
Amount = 20,
RevCode = "300"
}
}
};
RtaData rtaData = new RtaData
{
Contracts = new List <Contract>
{
new Contract
{
ContractId = 111,
ContractName = "Contract1"
}
},
EvaluateableClaim = new EvaluateableClaim
{
ClaimId = 123,
ClaimTotal = 100,
SmartBox = new SmartBox
{
CAA = 5,
LOS = 10,
TCC = 15
},
ClaimCharges = new List <ClaimCharge>
{
new ClaimCharge
{
Line = 1,
Amount = 20,
RevCode = "300"
}
}
}
};
_mockRtaRepository = new Mock <IRtaRepository>();
_mockAdjudicationEngine = new Mock <IAdjudicationEngine>();
_mockRtaRepository.Setup(f => f.GetRtaDataByClaim(It.IsAny <EvaluateableClaim>())).Returns(rtaData);
_target = new RtaLogic(_mockRtaRepository.Object, _mockAdjudicationEngine.Object);
RtaData actual = _target.GetRtaDataByClaim(evaluateableClaim);
Assert.AreEqual(rtaData, actual);
}
