/// <summary>
/// Evaluates the type of the payment.
/// </summary>
/// <param name="paymentResult">The payment result.</param>
/// <param name="claimCharge">The claim charge.</param>
/// <returns></returns>
private void EvaluateLine(PaymentResult paymentResult, ClaimCharge claimCharge)
{
//Update PaymentResult and set matching ServiceTypeId,PaymentTypeDetailId & PaymentTypeId
Utilities.UpdatePaymentResult(paymentResult, PaymentTypeFeeSchedule.ServiceTypeId,
PaymentTypeFeeSchedule.PaymentTypeDetailId, PaymentTypeFeeSchedule.PaymentTypeId);
if (PaymentTypeFeeSchedule.ClaimFieldDoc != null &&
PaymentTypeFeeSchedule.ClaimFieldDoc.ClaimFieldValues != null &&
PaymentTypeFeeSchedule.ClaimFieldDoc.ClaimFieldValues.Count > 0)
{
string hcpcsCode = claimCharge.HcpcsCodeWithModifier.ToUpper();
ClaimFieldValue claimFieldValue =
PaymentTypeFeeSchedule.ClaimFieldDoc.ClaimFieldValues.FirstOrDefault(
currentClaimFieldValue =>
(currentClaimFieldValue.Identifier.ToUpper() == hcpcsCode));
if (claimFieldValue == null && hcpcsCode.Trim().Length != 5)
{
claimFieldValue = PaymentTypeFeeSchedule.ClaimFieldDoc.ClaimFieldValues.FirstOrDefault(
currentClaimFieldValue =>
(currentClaimFieldValue.Identifier.ToUpper() == hcpcsCode.Substring(0, 5)));
}
if (claimFieldValue != null)
{
ApplyFeeSchedule(paymentResult, claimFieldValue, claimCharge);
}
else
{
ApplyNonFeeSchedule(paymentResult, claimCharge);
}
}
}
private void GetValidChargeAdjudicatedValue(ClaimFieldValue validCode, IEnumerable <ClaimCharge> validCharges, List <PaymentResult> validPaymentResults, ref int order)
{
foreach (var charge in validCharges)
{
PaymentResult paymentResult =
validPaymentResults.FirstOrDefault(
currentPaymentResult =>
currentPaymentResult.Line == charge.Line && validCode.Line == charge.Line && currentPaymentResult.AdjudicatedValue == null);
if (paymentResult != null)
{
//Update PaymentResult and set matching ServiceTypeId,PaymentTypeDetailId & PaymentTypeId
Utilities.UpdatePaymentResult(paymentResult, PaymentTypeAscFeeSchedule.ServiceTypeId,
PaymentTypeAscFeeSchedule.PaymentTypeDetailId, PaymentTypeAscFeeSchedule.PaymentTypeId);
string hcpcsCode = charge.HcpcsCode.ToUpper();
if ((hcpcsCode == validCode.Identifier || hcpcsCode.Substring(0, 5) == validCode.Identifier.Substring(0, 5)) && validCode.Line == charge.Line)
{
string amount = validCode.Value;
switch (order)
{
case 0:
GetAdjudicatedValue(PaymentTypeAscFeeSchedule.Primary, amount, paymentResult);
break;
case 1:
GetAdjudicatedValue(PaymentTypeAscFeeSchedule.Secondary, amount, paymentResult);
break;
case 2:
GetAdjudicatedValue(PaymentTypeAscFeeSchedule.Tertiary, amount, paymentResult);
break;
case 3:
GetAdjudicatedValue(PaymentTypeAscFeeSchedule.Quaternary, amount, paymentResult);
break;
default:
GetAdjudicatedValue(PaymentTypeAscFeeSchedule.Others, amount, paymentResult);
break;
}
order++;
break;
}
}
}
}
//TODO: This method is referring to an SP "AddEditCAPPayment" not present, so I assume this method is not in use. Please verify.
/// <summary>
/// Adds the claim field values.
/// </summary>
/// <param name="claimFieldValues">The claim field values.</param>
/// <returns></returns>
public long AddClaimFieldValues(ClaimFieldValue claimFieldValues)
{
//Checks if input request is not null
if (claimFieldValues != null)
{
// Initialize the Stored Procedure
_databaseCommandObj = _databaseObj.GetStoredProcCommand("AddEditClaimFieldvalues");
// Pass parameters to Stored Procedure(i.e., @ParamName), add values for
// Retrieve the results of the Stored Procedure in Dataset
long claimFieldValueId;
long returnValue = long.TryParse(_databaseObj.ExecuteScalar(_databaseCommandObj).ToString(), out claimFieldValueId) ? claimFieldValueId : 0;
//returns response to Business layer
return(returnValue);
}
return(0);
}
/// <summary>
/// prepares a dictionary of variables and values present in excel sheet
/// </summary>
/// <param name="uploadedValue">uploaded values</param>
/// <returns>a dictionary with variables and values</returns>
private Dictionary <string, string> PrepareClaimFieldDocValueDictionary(ClaimFieldValue uploadedValue)
{
Dictionary <string, string> claimFieldDocValueDictionary = new Dictionary <string, string>();
List <string> headers = Utilities.SplitCsvRowToArray(PaymentTypeCustomTable.ClaimFieldDoc.ColumnHeaderSecond);
List <string> values = Utilities.SplitCsvRowToArrayForAdjudication(uploadedValue.Value);
for (int index = 0; index < headers.Count; index++)
{
string value = Regex.Replace(
values == null || values.Count == 0 || values.Count < index - 1 ? string.Empty : values[index],
Constants.RegExPatternDoubleUnderscore, string.Empty);
claimFieldDocValueDictionary.Add(
Constants.ReferenceTableTag + Regex.Replace(headers[index], Constants.RegExPatternDoubleUnderscore, Constants.Comma),
Regex.Replace(value, Constants.RegExPatternSpecialCharacter, string.Empty));
}
return(claimFieldDocValueDictionary);
}
/// <summary>
/// Gets the code and occurence value.
/// </summary>
/// <param name="uploadedValue">The uploaded value.</param>
/// <param name="codeDetailsList">The codes.</param>
/// <param name="claimCharge">The claim charge.</param>
/// <param name="codeDetails">The code details.</param>
private void GetCodeAndOccurenceValue(ClaimFieldValue uploadedValue, IEnumerable <CodeDetails> codeDetailsList,
ClaimCharge claimCharge, CodeDetails codeDetails)
{
if (!PaymentTypeCustomTable.IsPerDayOfStay)
{
CodeDetails perCode = codeDetailsList.First(
pday => pday.Code == uploadedValue.Identifier);
codeDetails.Occurence = perCode.Occurence;
codeDetails.Code = perCode.Code;
codeDetails.Limit = perCode.Limit;
}
else
{
CodeDetails perDayOfStay = codeDetailsList.First(
pday => pday.Code == uploadedValue.Identifier && pday.Day == claimCharge.ServiceFromDate);
codeDetails.Occurence = perDayOfStay.Occurence;
codeDetails.Code = perDayOfStay.Code;
codeDetails.Limit = perDayOfStay.Limit;
}
}
/// <summary>
/// Evaluates the claim at claim level
/// </summary>
/// <param name="claim">claim to be adjudicated</param>
/// <param name="paymentResults">payment result out of adjudicated claim</param>
/// <param name="isCarveOut">if the service type is carved out</param>
/// <returns>list of payment results</returns>
private List <PaymentResult> EvaluateClaimLevel(IEvaluateableClaim claim, List <PaymentResult> paymentResults, bool isCarveOut)
{
ClaimFieldValue uploadedValue = GetMatchedClaimFieldValues(claim);
if (uploadedValue != null)
{
PaymentResult claimPaymentResult = GetClaimLevelPaymentResult(paymentResults, isCarveOut);
if (claimPaymentResult != null)
{
EvaluateAdjudicatedValue(claimPaymentResult, uploadedValue, claim);
//Remove PaymentResult if its not satisfied threshold condition
if (claimPaymentResult.AdjudicatedValue == null &&
claimPaymentResult.ClaimStatus == (byte)Enums.AdjudicationOrVarianceStatuses.UnAdjudicated)
{
paymentResults.Remove(claimPaymentResult);
}
}
}
return(paymentResults);
}
/// <summary>
/// Evaluates the type of the payment.
/// </summary>
/// <param name="paymentResults">The payment result.</param>
/// <param name="claim">The claim.</param>
/// <param name="claimCharge">The claim charge.</param>
/// <param name="isCarveOut">if set to <c>true</c> [is carve out].</param>
/// <param name="codeDetailsList">The per day of stays.</param>
private void EvaluateLine(List <PaymentResult> paymentResults, IEvaluateableClaim claim, ClaimCharge claimCharge, bool isCarveOut, List <CodeDetails> codeDetailsList)
{
if (PaymentTypeCustomTable.ClaimFieldDoc != null &&
PaymentTypeCustomTable.ClaimFieldDoc.ClaimFieldValues != null &&
PaymentTypeCustomTable.ClaimFieldDoc.ClaimFieldValues.Count > 0)
{
string limitExpandedExpression = PaymentTypeCustomTable.ObserveServiceUnitLimit;
ClaimFieldValue uploadedValue = GetMatchedClaimFieldValues(claim, claimCharge);
if (uploadedValue != null)
{
PaymentResult paymentResult = GetPaymentResult(paymentResults, isCarveOut, claimCharge.Line);
if (paymentResult != null)
{
claim.SmartBox.LC = claimCharge.Amount;
Dictionary <string, string> claimFieldDocValueDictionary =
PrepareClaimFieldDocValueDictionary(uploadedValue);
int limit = 0;
if (!string.IsNullOrWhiteSpace(PaymentTypeCustomTable.ObserveServiceUnitLimit))
{
limitExpandedExpression = GetExpandedExpression(claimFieldDocValueDictionary, limitExpandedExpression);
limit = (Convert.ToInt32(Utilities.EvaluateExpression(limitExpandedExpression, claim,
PaymentTypeCustomTable, Constants.LimitOccurence)));
}
limit = (limit < 0) ? 0 : limit; //if limit is negative value then making it zero
string code = uploadedValue.Identifier;
if (PaymentTypeCustomTable.IsPerDayOfStay)
{
AddLimitsPerdayOfStay(claimCharge, codeDetailsList, code, limit);
}
else
{
AddLimitByCode(codeDetailsList, code, limit);
}
EvaluateAdjudicatedValue(paymentResult, uploadedValue, claim, codeDetailsList, claimCharge);
}
}
}
}
/// <summary>
/// calculates and adds the result to payment dictionary
/// </summary>
/// <param name="claimPaymentResult">payment result of the claim</param>
/// <param name="uploadedValue">uploaded excel values</param>
/// <param name="claim">claim details</param>
/// <param name="codeDetailsList">The codes.</param>
/// <param name="claimCharge">The claim charge.</param>
private void EvaluateAdjudicatedValue(PaymentResult claimPaymentResult, ClaimFieldValue uploadedValue, IEvaluateableClaim claim, List <CodeDetails> codeDetailsList = null, ClaimCharge claimCharge = null)
{
Utilities.UpdatePaymentResult(claimPaymentResult, PaymentTypeCustomTable.ServiceTypeId,
PaymentTypeCustomTable.PaymentTypeDetailId, PaymentTypeCustomTable.PaymentTypeId);
Dictionary <string, string> claimFieldDocValueDictionary =
PrepareClaimFieldDocValueDictionary(uploadedValue);
double convertedAmount;
string[] expandedExpression = { PaymentTypeCustomTable.Expression };
List <string> validValues = new List <string>();
foreach (KeyValuePair <string, string> pair in claimFieldDocValueDictionary.OrderByDescending(key => key.Key.Length).Where(pair => expandedExpression[0].IndexOf(pair.Key, StringComparison.CurrentCultureIgnoreCase) >= 0))
{
validValues.Add(pair.Value);
expandedExpression[0] = Regex.Replace(expandedExpression[0], pair.Key, pair.Value, RegexOptions.IgnoreCase);
}
if (claimCharge != null && codeDetailsList != null)
{
double?formula = Utilities.EvaluateExpression(expandedExpression[0], claim,
PaymentTypeCustomTable);
EvaluateLineByOccurence(claimPaymentResult, claim, codeDetailsList, claimCharge, claimFieldDocValueDictionary, formula, uploadedValue);
}
else if (validValues.Any(x => !double.TryParse(x, out convertedAmount)))
{
claimPaymentResult.ClaimStatus = validValues.Any(string.IsNullOrEmpty)
? (byte)Enums.AdjudicationOrVarianceStatuses.AdjudicationErrorInvalidPaymentData
: (byte)Enums.AdjudicationOrVarianceStatuses.UnAdjudicated;
}
else
{
claimPaymentResult.AdjudicatedValue = Utilities.EvaluateExpression(expandedExpression[0], claim,
PaymentTypeCustomTable);
claimPaymentResult.ClaimStatus = (byte)Enums.AdjudicationOrVarianceStatuses.Adjudicated;
Utilities.UpdateCustomTableDetails(claimPaymentResult, claim.SmartBox, PaymentTypeCustomTable);
}
}
/// <summary>
/// Adds the claim field values.
/// </summary>
/// <param name="claimFieldValues">The claim field values.</param>
/// <returns></returns>
public long AddClaimFieldValues(ClaimFieldValue claimFieldValues)
{
return(_claimFieldValuesRepository.AddClaimFieldValues(claimFieldValues));
}
/// <summary>
/// Evaluates the line by occurence.
/// </summary>
/// <param name="claimPaymentResult">The claim payment result.</param>
/// <param name="claim">The claim.</param>
/// <param name="codeDetailsList">The codes.</param>
/// <param name="claimCharge">The claim charge.</param>
/// <param name="claimFieldDocValueDictionary">The claim field document value dictionary.</param>
/// <param name="formula">The formula.</param>
/// <param name="uploadedValue">The uploaded value.</param>
private void EvaluateLineByOccurence(PaymentResult claimPaymentResult, IEvaluateableClaim claim,
List <CodeDetails> codeDetailsList, ClaimCharge claimCharge, Dictionary <string, string> claimFieldDocValueDictionary,
double?formula, ClaimFieldValue uploadedValue)
{
bool isMultiplierexist = PaymentTypeCustomTable.MultiplierFirst != null || PaymentTypeCustomTable.MultiplierSecond != null ||
PaymentTypeCustomTable.MultiplierThird != null || PaymentTypeCustomTable.MultiplierFourth != null ||
PaymentTypeCustomTable.MultiplierOther != null;
for (int unit = 0; unit < ((!PaymentTypeCustomTable.IsObserveServiceUnit && !isMultiplierexist) ? 1 : claimCharge.Units); unit++)
{
CodeDetails codeDetails = new CodeDetails();
GetCodeAndOccurenceValue(uploadedValue, codeDetailsList, claimCharge, codeDetails);
if ((PaymentTypeCustomTable.IsObserveServiceUnit && codeDetails.Limit > 0) ||
(PaymentTypeCustomTable.IsObserveServiceUnit &&
PaymentTypeCustomTable.ObserveServiceUnitLimit == null) || !PaymentTypeCustomTable.IsObserveServiceUnit)
{
switch (codeDetails.Occurence)
{
case 1:
string multiplierFirstExpandedExpression = PaymentTypeCustomTable.MultiplierFirst ??
Constants.StringOne;
CalculateAdjudicatedValue(claimPaymentResult, claim, codeDetailsList,
claimCharge,
multiplierFirstExpandedExpression, claimFieldDocValueDictionary, codeDetails.Code,
codeDetails.Occurence,
formula, isMultiplierexist);
break;
case 2:
string multiplierSecondExpandedExpression = PaymentTypeCustomTable.MultiplierSecond ??
Constants.StringOne;
CalculateAdjudicatedValue(claimPaymentResult, claim, codeDetailsList,
claimCharge,
multiplierSecondExpandedExpression, claimFieldDocValueDictionary, codeDetails.Code,
codeDetails.Occurence,
formula, isMultiplierexist);
break;
case 3:
string multiplierThirdExpandedExpression = PaymentTypeCustomTable.MultiplierThird ??
Constants.StringOne;
CalculateAdjudicatedValue(claimPaymentResult, claim, codeDetailsList,
claimCharge,
multiplierThirdExpandedExpression, claimFieldDocValueDictionary, codeDetails.Code,
codeDetails.Occurence,
formula, isMultiplierexist);
break;
case 4:
string multiplierFourthExpandedExpression = PaymentTypeCustomTable.MultiplierFourth ??
Constants.StringOne;
CalculateAdjudicatedValue(claimPaymentResult, claim, codeDetailsList,
claimCharge,
multiplierFourthExpandedExpression, claimFieldDocValueDictionary, codeDetails.Code,
codeDetails.Occurence,
formula, isMultiplierexist);
break;
default:
string multiplierOthersExpandedExpression = PaymentTypeCustomTable.MultiplierOther ??
Constants.StringOne;
CalculateAdjudicatedValue(claimPaymentResult, claim, codeDetailsList,
claimCharge,
multiplierOthersExpandedExpression, claimFieldDocValueDictionary, codeDetails.Code,
codeDetails.Occurence,
formula, isMultiplierexist);
break;
}
}
else if (claimPaymentResult.AdjudicatedValue == null)
{
claimPaymentResult.ClaimStatus = (byte)Enums.AdjudicationOrVarianceStatuses.Adjudicated;
claimPaymentResult.AdjudicatedValue = 0.0;
}
}
}
private ClaimFieldValue GetMatchedClaimFieldValues(IEvaluateableClaim claim, ClaimCharge claimCharge = null)
{
ClaimFieldValue claimFieldValue;
switch (PaymentTypeCustomTable.ClaimFieldId)
{
case (byte)Enums.ClaimFieldTypes.Drg:
claimFieldValue = PaymentTypeCustomTable.ClaimFieldDoc.ClaimFieldValues.FirstOrDefault(claimField => PrePendZeros(claimField.Identifier) == PrePendZeros(claim.Drg));
break;
case (byte)Enums.ClaimFieldTypes.BillType:
claimFieldValue = PaymentTypeCustomTable.ClaimFieldDoc.ClaimFieldValues.FirstOrDefault(claimField => claimField.Identifier.ToUpper(CultureInfo.InvariantCulture) == claim.BillType.ToUpper(CultureInfo.InvariantCulture));
break;
case (byte)Enums.ClaimFieldTypes.PatientAccountNumber:
claimFieldValue = PaymentTypeCustomTable.ClaimFieldDoc.ClaimFieldValues.FirstOrDefault(claimField => claimField.Identifier.ToUpper(CultureInfo.InvariantCulture) == claim.PatAcctNum.ToUpper(CultureInfo.InvariantCulture));
break;
case (byte)Enums.ClaimFieldTypes.PayerName:
claimFieldValue = PaymentTypeCustomTable.ClaimFieldDoc.ClaimFieldValues.FirstOrDefault(claimField => claimField.Identifier.ToUpperInvariant() == claim.PriPayerName.ToUpperInvariant());
break;
case (byte)Enums.ClaimFieldTypes.InsuredId:
claimFieldValue = PaymentTypeCustomTable.ClaimFieldDoc.ClaimFieldValues.FirstOrDefault(claimField => claim.InsuredCodes.Any(x => x.CertificationNumber.ToUpperInvariant() == claimField.Identifier.ToUpperInvariant()));
break;
case (byte)Enums.ClaimFieldTypes.InsuredGroup:
claimFieldValue = PaymentTypeCustomTable.ClaimFieldDoc.ClaimFieldValues.FirstOrDefault(claimField => claim.InsuredCodes.Any(x => x.GroupNumber.ToUpperInvariant() == claimField.Identifier.ToUpperInvariant()));
break;
case (byte)Enums.ClaimFieldTypes.Icn:
claimFieldValue = PaymentTypeCustomTable.ClaimFieldDoc.ClaimFieldValues.FirstOrDefault(claimField => claimField.Identifier.ToUpperInvariant() == claim.Icn.ToUpperInvariant());
break;
case (byte)Enums.ClaimFieldTypes.Mrn:
claimFieldValue = PaymentTypeCustomTable.ClaimFieldDoc.ClaimFieldValues.FirstOrDefault(claimField => claimField.Identifier.ToUpperInvariant() == claim.Mrn.ToUpperInvariant());
break;
case (byte)Enums.ClaimFieldTypes.ReferringPhysician:
claimFieldValue = GetReferringPhysicianClaimFieldValue(claim);
break;
case (byte)Enums.ClaimFieldTypes.RenderingPhysician:
claimFieldValue = GetRenderingPhysicianClaimFieldValue(claim);
break;
case (byte)Enums.ClaimFieldTypes.AttendingPhysician:
claimFieldValue = GetAttendingPhysicianClaimFieldValue(claim);
break;
case (byte)Enums.ClaimFieldTypes.IcdDiagnosis:
claimFieldValue = PaymentTypeCustomTable.ClaimFieldDoc.ClaimFieldValues.FirstOrDefault(claimField => claim.DiagnosisCodes.Any(x => x.IcddCode.ToUpperInvariant() == claimField.Identifier.ToUpperInvariant()));
break;
case (byte)Enums.ClaimFieldTypes.IcdProcedure:
claimFieldValue = PaymentTypeCustomTable.ClaimFieldDoc.ClaimFieldValues.FirstOrDefault(claimField => claim.ProcedureCodes.Any(x => x.IcdpCode.ToUpperInvariant() == claimField.Identifier.ToUpperInvariant()));
break;
case (byte)Enums.ClaimFieldTypes.ValueCodes:
claimFieldValue = PaymentTypeCustomTable.ClaimFieldDoc.ClaimFieldValues.FirstOrDefault(claimField => claim.ValueCodes.Any(x => x.Code.ToUpperInvariant() == claimField.Identifier.ToUpperInvariant()));
break;
case (byte)Enums.ClaimFieldTypes.OccurrenceCode:
claimFieldValue = PaymentTypeCustomTable.ClaimFieldDoc.ClaimFieldValues.FirstOrDefault(claimField => claim.OccurrenceCodes.Any(x => x.Code.ToUpperInvariant() == claimField.Identifier.ToUpperInvariant()));
break;
case (byte)Enums.ClaimFieldTypes.ConditionCodes:
claimFieldValue = PaymentTypeCustomTable.ClaimFieldDoc.ClaimFieldValues.FirstOrDefault(claimField => claim.ConditionCodes.Any(x => x.Code.ToUpperInvariant() == claimField.Identifier.ToUpperInvariant()));
break;
case (byte)Enums.ClaimFieldTypes.CustomField1:
claimFieldValue = PaymentTypeCustomTable.ClaimFieldDoc.ClaimFieldValues.First(claimField => claim.CustomField1 == claimField.Identifier);
break;
case (byte)Enums.ClaimFieldTypes.CustomField2:
claimFieldValue = PaymentTypeCustomTable.ClaimFieldDoc.ClaimFieldValues.First(claimField => claim.CustomField2 == claimField.Identifier);
break;
case (byte)Enums.ClaimFieldTypes.CustomField3:
claimFieldValue = PaymentTypeCustomTable.ClaimFieldDoc.ClaimFieldValues.First(claimField => claim.CustomField4 == claimField.Identifier);
break;
case (byte)Enums.ClaimFieldTypes.CustomField4:
claimFieldValue = PaymentTypeCustomTable.ClaimFieldDoc.ClaimFieldValues.First(claimField => claim.CustomField4 == claimField.Identifier);
break;
case (byte)Enums.ClaimFieldTypes.CustomField5:
claimFieldValue = PaymentTypeCustomTable.ClaimFieldDoc.ClaimFieldValues.First(claimField => claim.CustomField5 == claimField.Identifier);
break;
case (byte)Enums.ClaimFieldTypes.CustomField6:
claimFieldValue = PaymentTypeCustomTable.ClaimFieldDoc.ClaimFieldValues.First(claimField => claim.CustomField6 == claimField.Identifier);
break;
case (byte)Enums.ClaimFieldTypes.RevenueCode:
claimFieldValue = PaymentTypeCustomTable.ClaimFieldDoc.ClaimFieldValues.FirstOrDefault(currentClaimFieldValue => claimCharge != null && ((currentClaimFieldValue.Identifier.Length == 4 ? Regex.Replace(currentClaimFieldValue.Identifier, "^0?", string.Empty) : currentClaimFieldValue.Identifier) == claimCharge.RevCode));
break;
case (byte)Enums.ClaimFieldTypes.HcpcsOrRateOrHipps:
claimFieldValue = PaymentTypeCustomTable.ClaimFieldDoc.ClaimFieldValues.
FirstOrDefault(currentClaimFieldValue => claimCharge != null && (currentClaimFieldValue.Identifier.Equals(claimCharge.HcpcsCodeWithModifier, StringComparison.OrdinalIgnoreCase)));
if (claimCharge != null && (claimFieldValue == null && claimCharge.HcpcsCodeWithModifier.Trim().Length != 5))
{
claimFieldValue = PaymentTypeCustomTable.ClaimFieldDoc.ClaimFieldValues.
FirstOrDefault(currentClaimFieldValue => (currentClaimFieldValue.Identifier.Equals(claimCharge.HcpcsCode, StringComparison.OrdinalIgnoreCase)));
}
break;
case (byte)Enums.ClaimFieldTypes.PlaceOfService:
claimFieldValue = PaymentTypeCustomTable.ClaimFieldDoc.ClaimFieldValues.FirstOrDefault(currentClaimFieldValue => claimCharge != null && currentClaimFieldValue.Identifier.Equals(claimCharge.PlaceOfService, StringComparison.OrdinalIgnoreCase));
break;
case (byte)Enums.ClaimFieldTypes.Los:
claimFieldValue = PaymentTypeCustomTable.ClaimFieldDoc.ClaimFieldValues.FirstOrDefault(claimField => claimField.Identifier == Convert.ToString(claim.Los, CultureInfo.InvariantCulture));
break;
case (byte)Enums.ClaimFieldTypes.Age:
claimFieldValue = PaymentTypeCustomTable.ClaimFieldDoc.ClaimFieldValues.FirstOrDefault(claimField => claimField.Identifier == Convert.ToString(claim.Age, CultureInfo.InvariantCulture));
break;
default:
claimFieldValue = new ClaimFieldValue();
break;
}
return(claimFieldValue);
}
/// <summary>
/// Adds the claim field values.
/// </summary>
/// <param name="claimFieldValues">The claim field values.</param>
/// <returns></returns>
public long AddClaimFieldValues(ClaimFieldValue claimFieldValues)
{
return(_claimFieldValuesLogic.AddClaimFieldValues(claimFieldValues));
}
/// <summary>
/// Gets the table look up details by contract unique identifier.
/// </summary>
/// <param name="claimFieldDoc"></param>
/// <returns></returns>
public List <ClaimFieldDoc> GetClaimFieldDocs(ClaimFieldDoc claimFieldDoc)
{
//holds the response data
List <ClaimFieldDoc> claimFieldDocs = new List <ClaimFieldDoc>();
// Initialize the Stored Procedure
_databaseCommandObj = _databaseObj.GetStoredProcCommand("GetTableLookUpDetailsByContractID");
_databaseObj.AddInParameter(_databaseCommandObj, "@ContractId", DbType.Int64, claimFieldDoc.ContractId);
_databaseObj.AddInParameter(_databaseCommandObj, "@ClaimFieldId", DbType.Int64,
claimFieldDoc.ClaimFieldId);
_databaseObj.AddInParameter(_databaseCommandObj, "@ClaimFieldDocId", DbType.Int64,
claimFieldDoc.ClaimFieldDocId);
// Retrieve the results of the Stored Procedure
DataSet claimFieldDocDetails = _databaseObj.ExecuteDataSet(_databaseCommandObj);
//Map datatable to business objects
// sending 0 to insure that table at index is having valid data.
if (claimFieldDocDetails.IsTableDataPopulated(0))
{
DataTable dataTable = claimFieldDocDetails.Tables[0];
for (int indexCount = 0; indexCount < dataTable.Rows.Count; indexCount++)
{
ClaimFieldDoc tempData = new ClaimFieldDoc
{
TableName = Convert.ToString(dataTable.Rows[indexCount]["TableName"]),
ClaimFieldDocId = DBNull.Value != dataTable.Rows[indexCount]["ClaimFieldDocID"]
? long.Parse(dataTable.Rows[indexCount]["ClaimFieldDocID"].ToString()) : 0
};
claimFieldDocs.Add(tempData);
}
if (claimFieldDocs.Any())
{
List <ClaimFieldValue> claimFieldValueList = new List <ClaimFieldValue>();
if (claimFieldDocDetails.IsTableDataPopulated(1))
{
dataTable = claimFieldDocDetails.Tables[1];
for (int indexCount = 0; indexCount < dataTable.Rows.Count; indexCount++)
{
ClaimFieldValue tempData = new ClaimFieldValue
{
ColumnHeaderSecond = Convert.ToString(dataTable.Rows[indexCount]["ColumnHeaderSecond"]),
ColumnHeaderFirst = Convert.ToString(dataTable.Rows[indexCount]["ColumnHeaderFirst"]),
Value = Convert.ToString(dataTable.Rows[indexCount]["Value"]),
Identifier = Convert.ToString(dataTable.Rows[indexCount]["Identifier"]),
ClaimFieldValueId = DBNull.Value == dataTable.Rows[indexCount]["ClaimFieldValueID"]
? long.Parse(dataTable.Rows[indexCount]["ClaimFieldValueID"].ToString()) : 0,
ClaimFieldDocId = DBNull.Value != dataTable.Rows[indexCount]["ClaimFieldDocID"]
? long.Parse(dataTable.Rows[indexCount]["ClaimFieldDocID"].ToString()) : 0
};
claimFieldValueList.Add(tempData);
}
}
if (true & claimFieldDocs.Any() && claimFieldValueList.Any())
{
claimFieldDocs.First().ClaimFieldValues = claimFieldValueList.ToList();
}
}
}
//returns the response to Business layer
return(claimFieldDocs);
}
