public void FeeSchedTools_GlobalUpdateWriteoffEstimates_SubscriberInDifferentFamily() { string suffix = MethodBase.GetCurrentMethod().Name; string procStr = "D0145"; double procFee = 100; ProcedureCode procCode = ProcedureCodes.GetProcCode(procStr); //Set up clinic, prov, pat Clinic clinic = ClinicT.CreateClinic(suffix); long feeSchedNum = FeeSchedT.CreateFeeSched(FeeScheduleType.Normal, suffix); long provNum = ProviderT.CreateProvider(suffix, feeSchedNum: feeSchedNum); Fee fee = FeeT.GetNewFee(feeSchedNum, procCode.CodeNum, procFee, clinic.ClinicNum, provNum); Patient pat = PatientT.CreatePatient(suffix, provNum, clinic.ClinicNum); Patient patSubscriber = PatientT.CreatePatient(suffix + "_Subscriber", provNum, clinic.ClinicNum); //Set up insurance InsuranceInfo info = InsuranceT.AddInsurance(pat, suffix, "p", feeSchedNum); info.PriInsSub.Subscriber = patSubscriber.PatNum; InsSubs.Update(info.PriInsSub); info.ListBenefits.Add(BenefitT.CreatePercentForProc(info.PriInsPlan.PlanNum, procCode.CodeNum, 100)); //Create the procedure and claimproc Procedure proc = ProcedureT.CreateProcedure(pat, procStr, ProcStat.TP, "", procFee); ClaimProc priClaimProc = ClaimProcT.CreateClaimProc(pat.PatNum, proc.ProcNum, info.PriInsPlan.PlanNum, info.PriInsSub.InsSubNum, DateTime.Today, -1, -1, -1, ClaimProcStatus.CapEstimate); Procedures.ComputeEstimates(proc, pat.PatNum, new List <ClaimProc>(), true, info.ListInsPlans, info.ListPatPlans, info.ListBenefits, pat.Age, info.ListInsSubs); priClaimProc = ClaimProcs.Refresh(pat.PatNum).FirstOrDefault(x => x.ProcNum == proc.ProcNum); Assert.AreEqual(procFee, priClaimProc.InsPayEst); GlobalUpdateWriteoffs(clinic.ClinicNum); priClaimProc = ClaimProcs.Refresh(pat.PatNum).FirstOrDefault(x => x.ClaimProcNum == priClaimProc.ClaimProcNum); Assert.AreEqual(procFee, priClaimProc.InsPayEst); }
public void FeeSchedTools_GlobalUpdateWriteoffEstimates() { string suffix = MethodBase.GetCurrentMethod().Name; string procStr = "D0145"; double procFee = 100; ProcedureCode procCode = ProcedureCodes.GetProcCode(procStr); //Set up clinic, prov, pat Clinic clinic = ClinicT.CreateClinic(suffix); long feeSchedNum = FeeSchedT.CreateFeeSched(FeeScheduleType.FixedBenefit, suffix); long provNum = ProviderT.CreateProvider(suffix, feeSchedNum: feeSchedNum); Fee fee = FeeT.GetNewFee(feeSchedNum, procCode.CodeNum, procFee, clinic.ClinicNum, provNum); Patient pat = PatientT.CreatePatient(suffix, provNum, clinic.ClinicNum); //Set up insurance InsuranceInfo info = InsuranceT.AddInsurance(pat, suffix, "c", feeSchedNum); List <InsSub> listSubs = info.ListInsSubs; List <InsPlan> listPlans = info.ListInsPlans; List <PatPlan> listPatPlans = info.ListPatPlans; InsPlan priPlan = info.PriInsPlan; InsSub priSub = info.PriInsSub; info.ListBenefits.Add(BenefitT.CreatePercentForProc(priPlan.PlanNum, procCode.CodeNum, 90)); //Create the procedure and claimproc Procedure proc = ProcedureT.CreateProcedure(pat, procStr, ProcStat.TP, "", procFee); ClaimProc priClaimProc = ClaimProcT.CreateClaimProc(pat.PatNum, proc.ProcNum, priPlan.PlanNum, priSub.InsSubNum, DateTime.Today, -1, -1, -1, ClaimProcStatus.CapEstimate); Procedures.ComputeEstimates(proc, pat.PatNum, new List <ClaimProc>(), true, listPlans, listPatPlans, info.ListBenefits, pat.Age, info.ListInsSubs); priClaimProc = ClaimProcs.Refresh(pat.PatNum).FirstOrDefault(x => x.ProcNum == proc.ProcNum); Assert.AreEqual(procFee, priClaimProc.WriteOff); procFee = 50; Procedure procNew = proc.Copy(); procNew.ProcFee = procFee; Procedures.Update(procNew, proc); //GlobalUpdate long updated = GlobalUpdateWriteoffs(clinic.ClinicNum); Assert.AreEqual(1, updated); ClaimProc priClaimProcDb = ClaimProcs.Refresh(pat.PatNum).FirstOrDefault(x => x.ClaimProcNum == priClaimProc.ClaimProcNum); Assert.AreEqual(procFee, priClaimProcDb.WriteOff); }
public void ClaimProcs_ComputeEstimatesByOrthoCase_SetClaimProcForEachProcType() { Prefs.UpdateString(PrefName.OrthoBandingCodes, "D8080"); Prefs.UpdateString(PrefName.OrthoDebondCodes, "D8070"); Prefs.UpdateString(PrefName.OrthoVisitCodes, "D8060"); Patient pat = PatientT.CreatePatient(MethodBase.GetCurrentMethod().Name); Procedure bandingProc = ProcedureT.CreateProcedure(pat, "D8080", ProcStat.C, "", 0); PatPlan patPlan = PatPlanT.CreatePatPlan(1, pat.PatNum, 0); ClaimProc bandingClaimProc = ClaimProcT.CreateClaimProc(pat.PatNum, bandingProc.ProcNum, 0, 0, bandingProc.ProcDate, 1, 1, 1); Procedure visitProc = ProcedureT.CreateProcedure(pat, "D8060", ProcStat.C, "", 0); ClaimProc visitClaimProc = ClaimProcT.CreateClaimProc(pat.PatNum, visitProc.ProcNum, 0, 0, visitProc.ProcDate, 1, 1, 1); Procedure debondProc = ProcedureT.CreateProcedure(pat, "D8070", ProcStat.C, "", 0); ClaimProc debondClaimProc = ClaimProcT.CreateClaimProc(pat.PatNum, debondProc.ProcNum, 0, 0, debondProc.ProcDate, 1, 1, 1); long orthoCaseNum = OrthoCaseT.InsertForFormOrthoCase(pat.PatNum, 2000, 1200, 0, 800, DateTime.Today, false, DateTime.Today.AddMonths(12), 1000, 400, 60, bandingProc); OrthoCase orthoCase = OrthoCases.GetOne(orthoCaseNum); OrthoPlanLink schedulePlanLink = OrthoPlanLinks.GetOneForOrthoCaseByType(orthoCaseNum, OrthoPlanLinkType.OrthoSchedule); OrthoSchedule orthoSchedule = OrthoSchedules.GetOne(schedulePlanLink.FKey); OrthoProcLinks.LinkProcForActiveOrthoCase(bandingProc); OrthoProcLinks.LinkProcForActiveOrthoCase(visitProc); OrthoProcLinks.LinkProcForActiveOrthoCase(debondProc); List <OrthoProcLink> allProcLinks = OrthoProcLinks.GetManyByOrthoCase(orthoCaseNum); OrthoProcLink bandingLink = allProcLinks.FirstOrDefault(x => x.ProcLinkType == OrthoProcType.Banding); OrthoProcLink debondLink = allProcLinks.FirstOrDefault(x => x.ProcLinkType == OrthoProcType.Debond); OrthoProcLink visitLink = allProcLinks.FirstOrDefault(x => x.ProcLinkType == OrthoProcType.Visit); List <ClaimProc> listAllClaimProcs = new List <ClaimProc>() { bandingClaimProc, visitClaimProc, debondClaimProc }; List <OrthoProcLink> listAllOrthoProcLinks = new List <OrthoProcLink>() { bandingLink, visitLink, debondLink }; List <PatPlan> listPatPlans = new List <PatPlan>() { patPlan }; ClaimProcs.ComputeEstimatesByOrthoCase(bandingProc, bandingLink, orthoCase, orthoSchedule, true, listAllClaimProcs, new List <ClaimProc>() { bandingClaimProc }, listPatPlans, listAllOrthoProcLinks); ClaimProcs.ComputeEstimatesByOrthoCase(debondProc, debondLink, orthoCase, orthoSchedule, true, listAllClaimProcs, new List <ClaimProc>() { debondClaimProc }, listPatPlans, listAllOrthoProcLinks); ClaimProcs.ComputeEstimatesByOrthoCase(visitProc, visitLink, orthoCase, orthoSchedule, true, listAllClaimProcs, new List <ClaimProc>() { visitClaimProc }, listPatPlans, listAllOrthoProcLinks); Assert.AreEqual(bandingClaimProc.AllowedOverride, 0); Assert.AreEqual(bandingClaimProc.CopayOverride, 0); Assert.AreEqual(bandingClaimProc.PercentOverride, 0); Assert.AreEqual(bandingClaimProc.PaidOtherInsOverride, 0); Assert.AreEqual(bandingClaimProc.WriteOffEstOverride, 0); Assert.AreEqual(bandingClaimProc.InsEstTotalOverride, 600); Assert.AreEqual(debondClaimProc.AllowedOverride, 0); Assert.AreEqual(debondClaimProc.CopayOverride, 0); Assert.AreEqual(debondClaimProc.PercentOverride, 0); Assert.AreEqual(debondClaimProc.PaidOtherInsOverride, 0); Assert.AreEqual(debondClaimProc.WriteOffEstOverride, 0); Assert.AreEqual(debondClaimProc.InsEstTotalOverride, 240); Assert.AreEqual(visitClaimProc.AllowedOverride, 0); Assert.AreEqual(visitClaimProc.CopayOverride, 0); Assert.AreEqual(visitClaimProc.PercentOverride, 0); Assert.AreEqual(visitClaimProc.PaidOtherInsOverride, 0); Assert.AreEqual(visitClaimProc.WriteOffEstOverride, 0); Assert.AreEqual(visitClaimProc.InsEstTotalOverride, 36); }