private static TypedLoopNM1 AddClmProvider(TypedLoopCLM clm, int providerID, string entityIdentifier, string providerCode, List <ProviderInfo> provList, string providerCodeQualifier = "ZZ")
{
var prov = provList.FirstOrDefault(a => a.ProviderId == providerID);
if (prov == null)
{
return(null);
}
var loop = clm.AddLoop(new TypedLoopNM1(entityIdentifier));
loop.NM102_EntityTypeQualifier = EntityTypeQualifier.Person;
if (prov.ProviderTypeId == 1)
{
loop.NM102_EntityTypeQualifier = EntityTypeQualifier.NonPersonEntity;
loop.NM103_NameLastOrOrganizationName = TypeEx.Clean(prov.FullName, 35);
}
else
{
loop.NM103_NameLastOrOrganizationName = TypeEx.Clean(prov.LastName);
loop.NM104_NameFirst = TypeEx.Clean(prov.FirstName);
}
loop.NM108_IdCodeQualifier = "XX";
loop.NM109_IdCode = prov.ProviderNPI.ToString();
if (!string.IsNullOrWhiteSpace(prov.SpecialtyCode))
{
var clmProvPrv = loop.AddSegment(new TypedSegmentPRV());
//Some business rules wont allow this segment for certain identifiers, hence null check.
if (clmProvPrv != null)
{
clmProvPrv.PRV01_ProviderCode = providerCode;
clmProvPrv.PRV02_ReferenceIdQualifier = providerCodeQualifier;
clmProvPrv.PRV03_ProviderTaxonomyCode = prov.SpecialtyCode;//system specialty taxonomy code
}
}
return(loop);
}
private static TypedLoopNM1 AddClmProvider(TypedLoopCLM clm, ClaimLine claim, string entityIdentifier, string providerCode, string providerCodeQualifier = "ZZ")
{
var loop = clm.AddLoop(new TypedLoopNM1(entityIdentifier));
loop.NM102_EntityTypeQualifier = EntityTypeQualifier.Person;
//if (prov.ProviderTypeId == 1)
//{
// loop.NM102_EntityTypeQualifier = EntityTypeQualifier.NonPersonEntity;
// loop.NM103_NameLastOrOrganizationName = TypeEx.Clean(prov.FullName, 35);
//}
//else
//{
loop.NM103_NameLastOrOrganizationName = TypeEx.Clean(claim.RenderProvider);
loop.NM104_NameFirst = TypeEx.Clean(claim.RenderProvider);
//}
loop.NM108_IdCodeQualifier = "XX";
loop.NM109_IdCode = claim.RenderNPI.Clean();
return(loop);
}