public static string Validate(Clearinghouse clearhouse, Carrier carrier, Provider billProv, Clinic clinic, InsPlan insPlan, Patient subscriber, InsSub insSub)
{
StringBuilder strb = new StringBuilder();
X12Validate.ISA(clearhouse, strb);
X12Validate.Carrier(carrier, strb);
if (carrier.ElectID.Length < 2)
{
if (strb.Length != 0)
{
strb.Append(",");
}
strb.Append("Electronic ID");
}
if (billProv.SSN.Length != 9)
{
if (strb.Length != 0)
{
strb.Append(",");
}
strb.Append("Prov TIN 9 digits");
}
X12Validate.BillProv(billProv, strb);
if (clinic == null)
{
X12Validate.PracticeAddress(strb);
}
else
{
X12Validate.Clinic(clinic, strb);
}
if (insSub.SubscriberID.Length < 2)
{
if (strb.Length != 0)
{
strb.Append(",");
}
strb.Append("SubscriberID");
}
if (subscriber.Birthdate.Year < 1880)
{
if (strb.Length != 0)
{
strb.Append(",");
}
strb.Append("Subscriber Birthdate");
}
if (insPlan.GroupNum == "")
{
if (strb.Length != 0)
{
strb.Append(",");
}
strb.Append("Group Number");
}
return(strb.ToString());
}
public static string Validate(Clearinghouse clearinghouseClin, Carrier carrier, Provider billProv, Clinic clinic, InsPlan insPlan, Patient subscriber, InsSub insSub, Patient patForRequest)
{
StringBuilder strb = new StringBuilder();
X12Validate.ISA(clearinghouseClin, strb);
X12Validate.Carrier(carrier, strb);
if (carrier.ElectID.Length < 2)
{
if (strb.Length != 0)
{
strb.Append(",");
}
strb.Append("Electronic ID");
}
if (billProv.SSN.Length != 9)
{
if (strb.Length != 0)
{
strb.Append(",");
}
strb.Append("Prov TIN 9 digits");
}
X12Validate.BillProv(billProv, strb);
if (PrefC.GetBool(PrefName.UseBillingAddressOnClaims))
{
X12Validate.BillingAddress(strb);
}
else if (clinic == null)
{
X12Validate.PracticeAddress(strb);
}
else
{
X12Validate.Clinic(clinic, strb);
}
if (insSub.SubscriberID.Length < 2)
{
if (strb.Length != 0)
{
strb.Append(",");
}
strb.Append("SubscriberID");
}
if (subscriber.Birthdate.Year < 1880)
{
if (strb.Length != 0)
{
strb.Append(",");
}
strb.Append("Subscriber Birthdate");
}
if (patForRequest.PatNum != subscriber.PatNum) //Dependent validation.
{
if (patForRequest.Birthdate.Year < 1880) //Dependent level validation.
{
if (strb.Length != 0)
{
strb.Append(",");
}
strb.Append("Dependent Birthdate");
}
}
ElectID eID = ElectIDs.GetID(carrier.ElectID);
//Medicaid uses the patient First/Last/DOB to get benefits, not group number, so skip this validation if this is medicaid
bool isMedicaid = (eID != null && eID.IsMedicaid) || carrier.CarrierName.ToLower().Contains("medicaid");
if (!isMedicaid)
{
if (insPlan.GroupNum == "")
{
if (strb.Length != 0)
{
strb.Append(",");
}
strb.Append("Group Number");
}
}
//Darien at Dentalxchange helped us resolve one issue where the Group Number included a dash and was failing.
//The fix suggested by Darien was to only include the numbers before the dash... See task #705773
if (IsClaimConnect(clearinghouseClin) && insPlan.GroupNum.Contains("-"))
{
if (strb.Length != 0)
{
strb.Append(",");
}
strb.Append("Group Number: Only include the group number prior to the '-'");
}
return(strb.ToString());
}
