public FormEtrans835ProcEdit(Hx835_Proc proc) {
InitializeComponent();
Lan.F(this);
_proc=proc;
}
private Hx835_Proc ProcessSVC(int segNum,DateTime dateClaimServiceStart,DateTime dateClaimServiceEnd) {
int segNumSVC=segNum;
X12Segment segSVC=_listSegments[segNum];
Hx835_Proc proc=new Hx835_Proc();
proc.ProcCodeAdjudicated=segSVC.Get(1).Split(new string[] { Separators.Subelement },StringSplitOptions.None)[1];//SVC1-2
proc.ProcFee=PIn.Decimal(segSVC.Get(2));//SVC2
proc.InsPaid=PIn.Decimal(segSVC.Get(3));//SVC3
if(segSVC.Get(6)=="") {
proc.ProcCodeBilled=proc.ProcCodeAdjudicated;
}
else {
proc.ProcCodeBilled=segSVC.Get(6).Split(new string[] { Separators.Subelement },StringSplitOptions.None)[1];//SVC6-2
}
segNum++;
//2110 DTM: Service Date. Situational. Repeat 2. Guide page 194.
proc.DateServiceStart=dateClaimServiceStart;
proc.DateServiceEnd=dateClaimServiceEnd;
while(segNum<_listSegments.Count && _listSegments[segNum].SegmentID=="DTM") {
if(_listSegments[segNum].Get(1)=="151") {//Service period end.
proc.DateServiceEnd=DtmToDateTime(_listSegments[segNum].Get(2));
}
else {//_listSegments[segNum].Get(1)=="150" || _listSegments[segNum].Get(1)=="472"//Service period start
proc.DateServiceStart=DtmToDateTime(_listSegments[segNum].Get(2));
}
segNum++;
}
if(proc.DateServiceStart!=DateTime.MinValue && proc.DateServiceEnd==DateTime.MinValue) {//Start date provided, but end date not provided.
proc.DateServiceEnd=proc.DateServiceStart;
}
else if(proc.DateServiceStart==DateTime.MinValue && proc.DateServiceEnd!=DateTime.MinValue) {//Start date not provided, but end date provided. Should not happen. Just in case.
proc.DateServiceStart=proc.DateServiceEnd;
}
proc.ListProcAdjustments=new List<Hx835_Adj>();
//2110 CAS: Service Adjustment. Situational. Repeat 99. Guide page 196.
while(segNum<_listSegments.Count && _listSegments[segNum].SegmentID=="CAS") {
proc.ListProcAdjustments.AddRange(ProcessCAS(segNum));
segNum++;
}
proc.PatientPortion=0;
for(int i=0;i<proc.ListProcAdjustments.Count;i++) {
Hx835_Adj adj=proc.ListProcAdjustments[i];
if(adj.AdjCode=="PR") {
proc.PatientPortion+=adj.AdjAmt;
}
}
//2110 REF: Service Identification. Situational. Repeat 8. Guide page 204. We do not use.
//2110 REF: Line Item Control Number. Situational. Repeat 1. Guide page 206.
//2110 REF: Rendering Provider Information. Situational. Repeat 10. Guide page 207. We do not use.
//2110 REF: HealthCare Policy Identification. Situational. Repeat 5. Guide page 209. We do not use.
while(segNum<_listSegments.Count && _listSegments[segNum].SegmentID=="REF") {//4 segment types clumped together, but we only care about REF*6R.
if(_listSegments[segNum].Get(1)=="6R") {
string strRef02=_listSegments[segNum].Get(2);
if(strRef02.StartsWith("p")) {
//If the control number is prefixed with a "p", then it is a ProcNum.
//Otherwise, for older versions, it will be the Line Counter from LX01 in the 837, which is basically an index. We will ignore these older index based values.
proc.ProcNum=PIn.Long(strRef02.Substring(1));//The entire value excluding the leading "p".
}
}
segNum++;
}
proc.ListSupplementalInfo=new List<Hx835_Info>();
//2110 AMT: Service Supplemental Amount. Situational. Repeat 9. Guide page 211.
while(segNum<_listSegments.Count && _listSegments[segNum].SegmentID=="AMT") {
proc.ListSupplementalInfo.Add(ProcessAMT(segNum));
segNum++;
}
//2110 QTY: Service Supplemental Quantity. Situational. Repeat 6. Guide page 213. We do not use.
while(segNum<_listSegments.Count && _listSegments[segNum].SegmentID=="QTY") {
segNum++;
}
//2110 LQ: Health Care Remark Codes. Repeat 99. Guide page 215.
proc.ListRemarks=new List<string>();
while(segNum<_listSegments.Count && _listSegments[segNum].SegmentID=="LQ") {
proc.ListRemarks.Add(ProcessLQ(segNum));
segNum++;
}
proc.SegmentCount=segNum-segNumSVC;
proc.AllowedAmt=proc.InsPaid+proc.PatientPortion;
proc.Writeoff=proc.ProcFee-proc.InsPaid-proc.PatientPortion;
return proc;
}
