protected void ValidateField(string fieldName, List <string> values, Validations validations, Func <UniverseField, Validation> func)
{
var field = Fields[fieldName];
if (field != null)
{
var newField = new UniverseField(field);
newField.Value = values[field.FieldOrder - 1];
validations.Add(func(newField));
}
}
/// <summary>
//
/// </summary>
/// <param name="values"></param>
/// <returns></returns>
public override Validations ValidateFields(List <string> values)
{
var v = new Validations();
ValidateOrgDeterminationFields(v, values);
ValidateField(UniverseFieldNames.CleanClaim, values, v, ValidateFieldWithPossibleValues, yesNoNotApplicable);
ValidateField(UniverseFieldNames.ClaimPaidDate, values, v, ValidateDate);
ValidateField(UniverseFieldNames.ClaimInterestPaid, values, v, ValidateFieldWithPossibleValues, yesNo);
ValidateField(UniverseFieldNames.ProviderWrittenNotifiationDate, values, v, ValidateDate);
v.RemoveAll(v => v.Field.Name == UniverseFieldNames.RequestDisposition);
ValidateField(UniverseFieldNames.RequestDisposition, values, v,
ValidateFieldWithPossibleValues, this.approvedDeniedIRE);
Validation tmpV;
///If this is BR then Column S should have a data and not be NA
var tmpRequestor = v.Find(UniverseFieldNames.PersonMakingRequest);
var tmpAORReceiptDate = v.Find(UniverseFieldNames.AORReceiptDate);
if (tmpAORReceiptDate.IsValid &&
tmpRequestor.IsValid)
{
if (tmpAORReceiptDate.Field.Value.Equals("NA") &&
tmpRequestor.Field.Value.Equals("BR"))
{
tmpV = new Validation();
tmpV.Field = tmpAORReceiptDate.Field;
tmpV.AdditionalFields.Add(tmpRequestor.Field);
tmpV.IsValid = false;
tmpV.Message = string.Format("{0} cannot be NA and needs to be a valid date",
tmpAORReceiptDate.Field.Name);
v.Add(tmpV);
}
}
//If this is denied with IRE auto forward, or IRE auto-forward due
//to untimely decision then columns Q and R should not be NA
var tmpDisposition = v.Find(UniverseFieldNames.RequestDisposition);
var tmpIREDate = v.Find(UniverseFieldNames.IREForwardedDate);
var tmpIRENotifiedDate = v.Find(UniverseFieldNames.EnrolleeRequestForwardedIREDate);
if (tmpDisposition.IsValid && tmpDisposition.Field.Value.Equals(deniedIREAutoForward) ||
tmpDisposition.Field.Value.Equals(IREUntimelyDecision))
{
if (tmpIREDate.Field.Equals("NA"))
{
tmpV = new Validation();
tmpV.Field = tmpIREDate.Field;
tmpV.IsValid = false;
tmpV.AdditionalFields.Add(tmpDisposition.Field);
tmpV.Message = "This field cannot be NA";
v.Add(tmpV);
}
if (tmpIRENotifiedDate.Field.Equals("NA"))
{
tmpV = new Validation();
tmpV.Field = tmpIRENotifiedDate.Field;
tmpV.IsValid = false;
tmpV.AdditionalFields.Add(tmpDisposition.Field);
tmpV.Message = "This field cannot be NA";
v.Add(tmpV);
}
}
//If column P is untimely, then this should be auto - forward due to untimely decision
tmpDisposition = v.Find(UniverseFieldNames.RequestDisposition);
var tmpWrittenNotification = v.Find(UniverseFieldNames.IREForwardedDate);
if (tmpWrittenNotification.IsValid && tmpWrittenNotification.Field.Value.Equals("Untimely"))
{
if (!tmpDisposition.Field.Equals(deniedIREAutoForward))
{
tmpV = new Validation();
tmpV.Field = tmpIREDate.Field;
tmpV.IsValid = false;
tmpV.AdditionalFields.Add(tmpDisposition.Field);
tmpV.Message = string.Format("This field has to be {0}", deniedIREAutoForward);
v.Add(tmpV);
}
}
//If column M is denied, this should be denied as well
var tmpDateReimPaid = v.Find(UniverseFieldNames.ReimbursementPaidDate);
if (tmpDateReimPaid.IsValid && tmpDisposition.IsValid &&
!tmpDateReimPaid.Field.Value.ToLower().Equals("denied") &&
tmpDisposition.Field.Value.Equals("denied"))
{
tmpV = new Validation();
tmpV.Field = tmpDateReimPaid.Field;
tmpV.AdditionalFields.Add(tmpDisposition.Field);
tmpV.Message = string.Format("Field also needs to be denied");
v.Add(tmpV);
}
//If column M is IRE auto - forward due to untimely decsion, then this should be denied.
if (tmpDateReimPaid.IsValid && tmpDisposition.IsValid &&
!tmpDateReimPaid.Field.Value.ToLower().Equals("denied") &&
tmpDisposition.Field.Value.Equals(IREUntimelyDecision))
{
tmpV = new Validation();
tmpV.Field = tmpDateReimPaid.Field;
tmpV.AdditionalFields.Add(tmpDisposition.Field);
tmpV.Message = string.Format("Field needs to be denied");
v.Add(tmpV);
}
//This should always be N if the request was paid within 60 days or Column I and S calculation
var tmpInterestOnTime = v.Find(UniverseFieldNames.ReimbursementInterestPaid);
var tmpReqRecDate = v.Find(UniverseFieldNames.RequestReceivedDate);
tmpAORReceiptDate = v.Find(UniverseFieldNames.AORReceiptDate);
if (tmpInterestOnTime.IsValid &&
tmpReqRecDate.IsValid &&
tmpReqRecDate.Field.DateValue.HasValue &&
tmpAORReceiptDate.IsValid)
{
if (!tmpAORReceiptDate.Field.DateValue.HasValue)
{
tmpV = new Validation();
tmpV.Field = tmpAORReceiptDate.Field;
tmpV.AdditionalFields.Add(tmpInterestOnTime.Field);
tmpV.AdditionalFields.Add(tmpReqRecDate.Field);
tmpV.IsValid = false;
tmpV.Message = "Field is required";
v.Add(tmpV);
}
else
{
var ReqRecDate = tmpReqRecDate.Field.DateValue.Value;
var aorDate = tmpAORReceiptDate.Field.DateValue.Value;
if (aorDate.Subtract(ReqRecDate).TotalDays <= 60 && tmpInterestOnTime.Field.Value.Equals('Y'))
{
tmpV = new Validation();
tmpV.Field = tmpInterestOnTime.Field;
tmpV.AdditionalFields.Add(tmpReqRecDate.Field);
tmpV.AdditionalFields.Add(tmpAORReceiptDate.Field);
tmpV.Message = "This field should be N since request was paid within 60 days";
v.Add(tmpV);
}
else if (aorDate.Subtract(ReqRecDate).TotalDays > 60 && tmpInterestOnTime.Field.Value.Equals('N'))
{
tmpV = new Validation();
tmpV.Field = tmpInterestOnTime.Field;
tmpV.AdditionalFields.Add(tmpReqRecDate.Field);
tmpV.AdditionalFields.Add(tmpAORReceiptDate.Field);
tmpV.Message = "This should be Y since request was paid after 60 days";
v.Add(tmpV);
}
}
}
//If this is Untimely, then column Q and R should not be NA
//If this is untimely, then Column M should be IRE auto-forward due to untimely decision.
var tmpEnrolleeWrittenDate = v.Find(UniverseFieldNames.EnrolleeWrittenNotificationDate);
var tmpIREForwardDate = v.Find(UniverseFieldNames.IREForwardedDate);
var tmpEnrolleeNotifiedIRE = v.Find(UniverseFieldNames.EnrolleeRequestForwardedIREDate);
if (tmpEnrolleeWrittenDate.IsValid &&
tmpIREForwardDate.IsValid &&
tmpEnrolleeNotifiedIRE.IsValid)
{
}
return(v);
}
/// <summary>
//
/// </summary>
/// <param name="values"></param>
/// <returns></returns>
public override Validations ValidateFields(List <string> values)
{
var v = new Validations();
UniverseField field = null;
ValidateOrgDeterminationFields(v, values);
ValidateField(UniverseFieldNames.PersonMakingRequest, values, v,
ValidateFieldWithPossibleValues, personWhoMadeRequestPossibleValues);
ValidateField(UniverseFieldNames.ExpeditedOrStandardTimeFrame, values, v,
ValidateFieldWithPossibleValues, yesNo);
ValidateField(UniverseFieldNames.RequestExpedited, values, v,
ValidateFieldWithPossibleValues, requestExpeditedTimeFrame);
//Logical Errors
//If this is BR then column X should have a date that is not more than a year from column I
var tmpValidation =
v.Find(f => f.Field.Name == UniverseFieldNames.PersonMakingRequest);
if (tmpValidation.IsValid &&
field.Value.Equals("BR"))
{
var tmprequestReceivedValidation =
v.Find(f => f.Field.Name == UniverseFieldNames.RequestReceivedDate);
var tmprequestAORValidation =
v.Find(f => f.Field.Name == UniverseFieldNames.AORReceiptDate);
if (tmprequestReceivedValidation.IsValid &&
tmprequestAORValidation.IsValid)
{
DateTime requesteReceived =
Convert.ToDateTime(tmprequestReceivedValidation.Field.Value);
DateTime AORRequest =
Convert.ToDateTime(tmprequestAORValidation.Field.Value);
if (AORRequest.Subtract(requesteReceived).TotalDays > 365)
{
var tmpV = new Validation();
tmpV.Field = tmpValidation.Field;
tmpV.IsValid = false;
tmpV.AdditionalFields.Add(tmprequestReceivedValidation.Field);
tmpV.AdditionalFields.Add(tmprequestAORValidation.Field);
tmpV.Message = String.Format("Fields {0} and {1} have to be 1 year apart",
tmprequestAORValidation.Field.Name,
tmprequestReceivedValidation.Field.Name);
tmpV.ValidationType = ValidationType.Field;
v.Add(tmpV);
}
}
}
DateTime tmpDate;
//Request for Expedited time frame
//If value is BR then AORDate should be a date.
tmpValidation = v.Find(f => f.Field.Name == UniverseFieldNames.RequestExpedited);
if (tmpValidation.IsValid && tmpValidation.Field.Value.Equals("BR"))
{
var tmprequestAORValidation =
v.Find(f => f.Field.Name == UniverseFieldNames.AORReceiptDate);
if (!DateTime.TryParse(tmprequestAORValidation.Field.Value,
out tmpDate))
{
var tmpV = new Validation();
tmpV.Field = tmpValidation.Field;
tmpV.IsValid = false;
tmpV.AdditionalFields.Add(tmprequestAORValidation.Field);
tmpV.Message = string.Format("{0} needs to be a valid date", tmprequestAORValidation.Field.Name);
v.Add(tmpV);
}
}
//If column O is Y then this cannot be NA.
tmpValidation = v.Find(UniverseFieldNames.TimeframeExtensionTaken);
if (tmpValidation.IsValid && tmpValidation.Field.Value.Equals("Y"))
{
var tmprequestSponsorNotificationDelay = v.Find(UniverseFieldNames.SponsorNotificationDelay);
if (!DateTime.TryParse(tmprequestSponsorNotificationDelay.Field.Value, out tmpDate))
{
var tmpV = new Validation();
tmpV.Field = tmpValidation.Field;
tmpV.IsValid = false;
tmpV.AdditionalFields.Add(tmprequestSponsorNotificationDelay.Field);
tmpV.Message = string.Format("{0} needs to be a valid date", tmprequestSponsorNotificationDelay.Field.Name);
v.Add(tmpV);
}
}
//if request disposition is approved
//request denied for lack of necessity should be NA
//review completed for denial should be NA
tmpValidation = v.Find(UniverseFieldNames.RequestDisposition);
var tmpRequestDenied = v.Find(UniverseFieldNames.RequestDeniedNecessity);
var tmpRequestReviewed = v.Find(UniverseFieldNames.RequestDeniedReviewd);
if (tmpValidation.IsValid && tmpValidation.Field.Value.ToLower().Equals("approved"))
{
if (!tmpRequestDenied.Field.Value.ToUpper().Equals("NA") ||
!tmpRequestReviewed.Field.Value.ToUpper().Equals("NA"))
{
var tmpV = new Validation();
tmpV.Field = tmpValidation.Field;
tmpV.IsValid = false;
tmpV.AdditionalFields.Add(tmpRequestDenied.Field);
tmpV.AdditionalFields.Add(tmpRequestReviewed.Field);
tmpV.Message = string.Format("{0} and {1} fields both need to be NA",
tmpRequestDenied.Field.Name, tmpRequestReviewed.Field.Name);
v.Add(tmpV);
}
}
if (tmpRequestReviewed.IsValid &&
(tmpRequestReviewed.Field.Value.Equals("Y") ||
tmpRequestReviewed.Field.Value.Equals("N")) &&
tmpRequestDenied.IsValid &&
tmpRequestDenied.Field.Value.Equals("NA"))
{
var tmpV = new Validation();
tmpV.Field = tmpRequestDenied.Field;
tmpV.IsValid = false;
tmpV.AdditionalFields.Add(tmpRequestReviewed.Field);
tmpV.Message = string.Format("{0} cannot be NA", tmpRequestDenied.Field.Name);
v.Add(tmpV);
}
if (tmpRequestReviewed.IsValid &&
tmpRequestReviewed.Field.Value.Equals("NA") &&
tmpRequestDenied.IsValid &&
tmpRequestDenied.Field.Value.Equals("Y"))
{
var tmpV = new Validation();
tmpV.Field = tmpRequestReviewed.Field;
tmpV.IsValid = false;
tmpV.AdditionalFields.Add(tmpRequestDenied.Field);
tmpV.Message = string.Format("{0} cannot be NA", tmpRequestReviewed.Field.Name);
v.Add(tmpV);
}
var tmpOralNotification = v.Find(UniverseFieldNames.OralNotificationDate);
var tmpWrittenNotfication = v.Find(UniverseFieldNames.EnrolleeWrittenNotificationDate);
if (tmpOralNotification.IsValid && tmpWrittenNotfication.IsValid)
{
DateTime dateOralNotification;
DateTime dateWrittenNotification;
if (DateTime.TryParse(tmpOralNotification.Field.Value, out dateOralNotification))
{
if (DateTime.TryParse(tmpWrittenNotfication.Field.Value, out dateWrittenNotification))
{
var timeSpan = dateWrittenNotification.Subtract(dateOralNotification);
if (timeSpan.TotalHours > 72)
{
var tmpV = new Validation();
tmpV.Field = tmpOralNotification.Field;
String.Format("{0} field must be within 72 hours of {1}",
tmpOralNotification.Field.Name, tmpWrittenNotfication.Field.Name);
tmpV.IsValid = false;
v.Add(tmpV);
}
}
else
{
var tmpV = new Validation();
tmpV.Field = tmpOralNotification.Field;
tmpV.AdditionalFields.Add(tmpWrittenNotfication.Field);
tmpV.IsValid = false;
tmpV.Message = string.Format("{0} field must be a valid date",
tmpOralNotification.Field.Value);
v.Add(tmpV);
}
}
}
var tmpAORReceiptDate = v.Find(UniverseFieldNames.AORReceiptDate);
var tmpPersonMadeRequest = v.Find(UniverseFieldNames.PersonMakingRequest);
var tmpRequestExpedited = v.Find(UniverseFieldNames.RequestExpedited);
if (tmpAORReceiptDate.IsValid &&
tmpPersonMadeRequest.IsValid &&
tmpRequestExpedited.IsValid)
{
if (tmpAORReceiptDate.Field.Value.Equals("NA") &&
(tmpPersonMadeRequest.Field.Value.Equals("BR") ||
tmpRequestExpedited.Field.Value.Equals("BR")
))
{
var tmpV = new Validation();
tmpV.Field = tmpAORReceiptDate.Field;
tmpV.AdditionalFields.Add(tmpPersonMadeRequest.Field);
tmpV.AdditionalFields.Add(tmpRequestExpedited.Field);
tmpV.IsValid = false;
tmpV.Message = string.Format("{0} cannot be NA and needs to be a valid date",
tmpAORReceiptDate.Field.Name);
v.Add(tmpV);
}
}
return(v);
}
/// <summary>
//
/// </summary>
/// <param name="values"></param>
/// <returns></returns>
public override Validations ValidateFields(List <string> values)
{
var validations = new Validations();
ValidateOrgDeterminationFields(validations, values);
ValidateField(UniverseFieldNames.PersonMakingRequest, values, validations,
ValidateFieldWithPossibleValues, personWhoMadeRequestPossibleValues);
ValidateField(UniverseFieldNames.RequestReceivedTime, values, validations, ValidateTime);
ValidateField(UniverseFieldNames.SubsequentRequest, values, validations,
ValidateFieldWithPossibleValues, subsequentRequestPossibleValues);
ValidateField(UniverseFieldNames.SponsorDecisionTime, values, validations, ValidateTime);
ValidateField(UniverseFieldNames.OralNotificationTime, values, validations, ValidateTime);
ValidateField(UniverseFieldNames.WrittenNotificationTime, values, validations, ValidateTime);
ValidateField(UniverseFieldNames.SponsorEffectuatedTime, values, validations, ValidateTime);
var errors = validations.FindAll(v => !v.IsValid);
//Logical Errors
//If this is BR then Column AORReceiptDate should not be NA and Subsequent Request should also be BR.
var tmpPersonRequestValidation =
validations.Find(UniverseFieldNames.PersonMakingRequest);
if (tmpPersonRequestValidation.IsValid &&
tmpPersonRequestValidation.Field.Value.Equals("BR"))
{
var tmprequestSubsequentRequest =
validations.Find(UniverseFieldNames.SubsequentRequest);
var tmprequestAORValidation =
validations.Find(UniverseFieldNames.AORReceiptDate);
if (tmprequestSubsequentRequest.IsValid &&
!tmprequestSubsequentRequest.Field.Value.Equals("BR"))
{
var v = new Validation();
v.IsValid = false;
v.Field = tmprequestSubsequentRequest.Field;
v.AdditionalFields.Add(tmpPersonRequestValidation.Field);
v.Message = string.Format("{0} needs to have a value of BR", tmprequestSubsequentRequest.Field.Name);
validations.Add(v);
}
if (tmprequestAORValidation.IsValid && tmprequestAORValidation.Field.Value.Equals("NA"))
{
var v = new Validation();
v.IsValid = false;
v.Field = tmprequestAORValidation.Field;
v.AdditionalFields.Add(tmpPersonRequestValidation.Field);
v.Message = string.Format("{0} cannot have a value of NA", tmprequestSubsequentRequest.Field.Name);
validations.Add(v);
}
}
//If this is BR then Person Making request and AOR Receipt date cannot be NA
var tmpValidation = validations.Find(UniverseFieldNames.SubsequentRequest);
if (tmpValidation.IsValid && tmpValidation.Field.Value.Equals("BR"))
{
var tmprequestAORValidation =
validations.Find(UniverseFieldNames.AORReceiptDate);
var tmprequestPersonRequest =
validations.Find(UniverseFieldNames.PersonMakingRequest);
if (tmprequestPersonRequest.IsValid &&
tmprequestPersonRequest.Field.Value.Equals("NA"))
{
var v = new Validation();
v.IsValid = false;
v.Field = tmpPersonRequestValidation.Field;
v.AdditionalFields.Add(tmpValidation.Field);
v.Message = string.Format("{0} cannot have a value of NA", tmpPersonRequestValidation.Field.Name);
validations.Add(v);
}
if (tmprequestAORValidation.IsValid &&
tmprequestAORValidation.Field.Value.Equals("NA"))
{
var v = new Validation();
v.IsValid = false;
v.Field = tmprequestAORValidation.Field;
v.AdditionalFields.Add(tmpValidation.Field);
v.Message = string.Format("{0} cannot have a value of NA", tmprequestAORValidation.Field.Name);
validations.Add(v);
}
}
//If column O is Y then this cannot be NA.
tmpValidation = validations.Find(UniverseFieldNames.TimeframeExtensionTaken);
if (tmpValidation.IsValid && tmpValidation.Field.Value.Equals("Y"))
{
var tmprequestSponsorNotificationDelay =
validations.Find(UniverseFieldNames.SponsorNotificationDelay);
if (tmprequestSponsorNotificationDelay.IsValid &&
tmprequestSponsorNotificationDelay.Field.Value.Equals("NA"))
{
var v = new Validation();
v.Field = tmprequestSponsorNotificationDelay.Field;
v.IsValid = false;
v.AdditionalFields.Add(tmpValidation.Field);
v.Message = string.Format("{0} cannot be NA", tmprequestSponsorNotificationDelay.Field.Name);
validations.Add(v);
}
}
//if request disposition is approved
//request denied for lack of necessity should be NA
//review completed for denial should be NA
var tmpRequestDisposition = validations.Find(UniverseFieldNames.RequestDisposition);
var tmpRequestDenied = validations.Find(UniverseFieldNames.RequestDeniedNecessity);
var tmpRequestReviewed = validations.Find(UniverseFieldNames.RequestDeniedReviewd);
if (tmpRequestDisposition.IsValid && tmpRequestDisposition.Field.Value.ToLower().Equals("approved"))
{
if (!tmpRequestDenied.Field.Value.ToUpper().Equals("NA") ||
!tmpRequestReviewed.Field.Value.ToUpper().Equals("NA"))
{
var v = new Validation();
v.Field = tmpValidation.Field;
v.IsValid = false;
v.AdditionalFields.Add(tmpRequestDenied.Field);
v.AdditionalFields.Add(tmpRequestReviewed.Field);
v.Message = string.Format("{0} and {1} fields both need to be NA",
tmpRequestDenied.Field.Name, tmpRequestReviewed.Field.Name);
validations.Add(v);
}
}
if (tmpRequestReviewed.IsValid &&
(tmpRequestReviewed.Field.Value.Equals("Y") ||
tmpRequestReviewed.Field.Value.Equals("N")) &&
tmpRequestDenied.IsValid &&
tmpRequestDenied.Field.Value.Equals("NA") &&
tmpRequestDisposition.IsValid &&
!tmpRequestDisposition.Field.Value.ToLower().Equals("approved"))
{
var v = new Validation();
v.Field = tmpRequestDenied.Field;
v.IsValid = false;
v.AdditionalFields.Add(tmpRequestReviewed.Field);
v.Message = string.Format("{0} cannot be NA", tmpRequestDenied.Field.Name);
validations.Add(v);
}
if (tmpRequestReviewed.IsValid &&
tmpRequestReviewed.Field.Value.Equals("NA") &&
tmpRequestDenied.IsValid &&
tmpRequestDenied.Field.Value.Equals("Y") &&
tmpRequestDisposition.IsValid &&
!tmpRequestDisposition.Field.Value.ToLower().Equals("approved"))
{
var v = new Validation();
v.Field = tmpRequestReviewed.Field;
v.IsValid = false;
v.AdditionalFields.Add(tmpRequestDenied.Field);
v.Message = string.Format("{0} cannot be NA", tmpRequestReviewed.Field.Name);
validations.Add(v);
}
//Oral Notification should be within 24 hours of Sponsor Decision Date
var tmpSponsorDecisionDate = validations.Find(UniverseFieldNames.SponsorDecisionDate);
var tmpSponsorDecisionTime = validations.Find(UniverseFieldNames.SponsorDecisionTime);
var tmpOralNotificationDate = validations.Find(UniverseFieldNames.OralNotificationDate);
var tmpOralNotificationTime = validations.Find(UniverseFieldNames.OralNotificationTime);
if (tmpSponsorDecisionDate.IsValid &&
tmpSponsorDecisionDate.Field.DateValue.HasValue &&
tmpSponsorDecisionTime.IsValid &&
tmpSponsorDecisionTime.Field.DateValue.HasValue &&
tmpOralNotificationDate.IsValid &&
tmpOralNotificationDate.Field.DateValue.HasValue &&
tmpOralNotificationTime.IsValid &&
tmpOralNotificationTime.Field.DateValue.HasValue)
{
var sponsorDate = tmpSponsorDecisionDate.Field.DateValue.Value.AddTicks(tmpSponsorDecisionTime.Field.DateValue.Value.Ticks);
var oralDate = tmpOralNotificationDate.Field.DateValue.Value.AddTicks(tmpOralNotificationTime.Field.DateValue.Value.Ticks);
var span = oralDate.Subtract(sponsorDate);
if (span.TotalHours > 24)
{
var v = new Validation();
v.Field = tmpOralNotificationDate.Field;
v.AdditionalFields.Add(tmpOralNotificationTime.Field);
v.AdditionalFields.Add(tmpSponsorDecisionDate.Field);
v.AdditionalFields.Add(tmpSponsorDecisionTime.Field);
v.IsValid = false;
v.Message = string.Format("{0} and {1} need to be within 24 hours of {2} and {3}",
tmpOralNotificationDate.Field.Name, tmpOralNotificationTime.Field.Name,
tmpSponsorDecisionDate.Field.Name, tmpSponsorDecisionTime.Field.Name);
validations.Add(v);
}
}
//Written Notification should be within 72 hours of Oral Notification
//Oral Notification should be within 24 hours of Sponsor Decision Date
var tmpWrittenDate = validations.Find(UniverseFieldNames.EnrolleeWrittenNotificationDate);
var tmpWrittenTime = validations.Find(UniverseFieldNames.WrittenNotificationTime);
tmpOralNotificationDate = validations.Find(UniverseFieldNames.OralNotificationDate);
tmpOralNotificationTime = validations.Find(UniverseFieldNames.OralNotificationTime);
if (tmpSponsorDecisionDate.IsValid &&
tmpSponsorDecisionDate.Field.DateValue.HasValue &&
tmpSponsorDecisionTime.IsValid &&
tmpSponsorDecisionTime.Field.DateValue.HasValue &&
tmpOralNotificationDate.IsValid &&
tmpOralNotificationDate.Field.DateValue.HasValue &&
tmpOralNotificationTime.IsValid &&
tmpOralNotificationTime.Field.DateValue.HasValue)
{
var sponsorDate = tmpSponsorDecisionDate.Field.DateValue.Value.AddTicks(tmpSponsorDecisionTime.Field.DateValue.Value.Ticks);
var oralDate = tmpOralNotificationDate.Field.DateValue.Value.AddTicks(tmpOralNotificationTime.Field.DateValue.Value.Ticks);
var span = oralDate.Subtract(sponsorDate);
if (span.TotalHours > 24)
{
var v = new Validation();
v.Field = tmpOralNotificationDate.Field;
v.AdditionalFields.Add(tmpOralNotificationTime.Field);
v.AdditionalFields.Add(tmpSponsorDecisionDate.Field);
v.AdditionalFields.Add(tmpSponsorDecisionTime.Field);
v.IsValid = false;
v.Message = string.Format("{0} and {1} need to be within 24 hours of {2} and {3}",
tmpOralNotificationDate.Field.Name, tmpOralNotificationTime.Field.Name,
tmpSponsorDecisionDate.Field.Name, tmpSponsorDecisionTime.Field.Name);
validations.Add(v);
}
}
return(validations);
}
/// <summary>
//
/// </summary>
/// <param name="values"></param>
/// <returns></returns>
public override Validations ValidateFields(List <string> values)
{
var v = new Validations();
ValidateOrgDeterminationFields(v, values);
ValidateField(UniverseFieldNames.CleanClaim, values, v, ValidateFieldWithPossibleValues, yesNoNotApplicable);
ValidateField(UniverseFieldNames.ClaimPaidDate, values, v, ValidateDate);
ValidateField(UniverseFieldNames.ClaimInterestPaid, values, v, ValidateFieldWithPossibleValues, yesNo);
ValidateField(UniverseFieldNames.ProviderWrittenNotifiationDate, values, v, ValidateDate);
Validation tmpV;
//If this is Y, then Column I and S should be less than or equal to 30 days.
///If this is N, then column I and S should less than or equal to 60 days.
var vCleanClaim = v.Find(UniverseFieldNames.CleanClaim);
var vReceivedDate = v.Find(UniverseFieldNames.RequestReceivedDate);
var vWrittenDate = v.Find(UniverseFieldNames.ProviderWrittenNotifiationDate);
var vClaimInterest = v.Find(UniverseFieldNames.ClaimInterestPaid);
if (vCleanClaim.IsValid && vReceivedDate.IsValid && vWrittenDate.IsValid && vClaimInterest.IsValid)
{
if (vWrittenDate.Field.DateValue.HasValue)
{
if (vCleanClaim.Field.Value.Equals("Y"))
{
if (vWrittenDate.Field.DateValue.Value.Subtract(vReceivedDate.Field.DateValue.Value).TotalDays > 30)
{
tmpV = new Validation();
tmpV.Field = vCleanClaim.Field;
tmpV.IsValid = false;
tmpV.AdditionalFields.Add(vReceivedDate.Field);
tmpV.AdditionalFields.Add(vWrittenDate.Field);
tmpV.Message = string.Format("{0} and {1} must be within 30 days", vWrittenDate.Field.Name,
vReceivedDate.Field.Name);
v.Add(tmpV);
}
else if (vClaimInterest.Field.Value.Equals("Y"))
{
tmpV = new Validation();
tmpV.Field = vClaimInterest.Field;
tmpV.IsValid = false;
tmpV.AdditionalFields.Add(vReceivedDate.Field);
tmpV.AdditionalFields.Add(vWrittenDate.Field);
tmpV.Message = string.Format("No Interest should be charged, claim was paid on time");
v.Add(tmpV);
}
}
else if (vCleanClaim.Field.Value.Equals("N"))
{
if (vWrittenDate.Field.DateValue.Value.Subtract(vReceivedDate.Field.DateValue.Value).TotalDays > 60)
{
tmpV = new Validation();
tmpV.Field = vWrittenDate.Field;
tmpV.IsValid = false;
tmpV.AdditionalFields.Add(vReceivedDate.Field);
tmpV.AdditionalFields.Add(vWrittenDate.Field);
tmpV.Message = string.Format("{0} and {1} must be within 60 days", vWrittenDate.Field.Name,
vReceivedDate.Field.Name);
v.Add(tmpV);
}
else if (vClaimInterest.Field.Value.Equals("Y"))
{
tmpV = new Validation();
tmpV.Field = vClaimInterest.Field;
tmpV.IsValid = false;
tmpV.AdditionalFields.Add(vReceivedDate.Field);
tmpV.AdditionalFields.Add(vWrittenDate.Field);
tmpV.Message = string.Format("No Interest should be charged, claim was paid on time");
v.Add(tmpV);
}
}
}
else
{
tmpV = new Validation();
tmpV.Field = vWrittenDate.Field;
tmpV.IsValid = false;
tmpV.Message = String.Format("{0} is required to be a date to compute timeliness", vWrittenDate.Field.Name);
v.Add(tmpV);
}
}
//if request disposition is approved
//request denied for lack of necessity should be NA
//review completed for denial should be NA
var tmpReqDis = v.Find(UniverseFieldNames.RequestDisposition);
var tmpReqDenied = v.Find(UniverseFieldNames.RequestDeniedNecessity);
var tmpReqReviewed = v.Find(UniverseFieldNames.RequestDeniedReviewd);
if (tmpReqDis.IsValid && tmpReqDis.Field.Value.ToLower().Equals("approved"))
{
if (!tmpReqDenied.Field.Value.ToUpper().Equals("NA") ||
!tmpReqReviewed.Field.Value.ToUpper().Equals("NA"))
{
tmpV = new Validation();
tmpV.Field = tmpReqDis.Field;
tmpV.IsValid = false;
tmpV.AdditionalFields.Add(tmpReqDenied.Field);
tmpV.AdditionalFields.Add(tmpReqReviewed.Field);
tmpV.Message = string.Format("{0} and {1} fields both need to be NA",
tmpReqDenied.Field.Name, tmpReqReviewed.Field.Name);
v.Add(tmpV);
}
}
if (tmpReqReviewed.IsValid &&
(tmpReqReviewed.Field.Value.Equals("Y") ||
tmpReqReviewed.Field.Value.Equals("N")) &&
tmpReqDenied.IsValid &&
tmpReqDenied.Field.Value.Equals("NA"))
{
tmpV = new Validation();
tmpV.Field = tmpReqDenied.Field;
tmpV.IsValid = false;
tmpV.AdditionalFields.Add(tmpReqReviewed.Field);
tmpV.Message = string.Format("{0} cannot be NA", tmpReqDenied.Field.Name);
v.Add(tmpV);
}
if (tmpReqReviewed.IsValid &&
tmpReqReviewed.Field.Value.Equals("NA") &&
tmpReqDenied.IsValid &&
tmpReqDenied.Field.Value.Equals("Y"))
{
tmpV = new Validation();
tmpV.Field = tmpReqReviewed.Field;
tmpV.IsValid = false;
tmpV.AdditionalFields.Add(tmpReqDenied.Field);
tmpV.Message = string.Format("{0} cannot be NA", tmpReqReviewed.Field.Name);
v.Add(tmpV);
}
return(v);
}
