///<summary>Returns number of subscribers affected. Can throw an exception if user clicks cancel in a note box.</summary>
private static int ProcessTrojanPlan(string trojanPlan, bool updateBenefits, bool updateNoteAutomatic)
{
TrojanObject troj = ProcessTextToObject(trojanPlan);
Carrier carrier = new Carrier();
carrier.Phone = troj.ELIGPHONE;
carrier.ElectID = troj.PAYERID;
carrier.CarrierName = troj.MAILTO;
carrier.Address = troj.MAILTOST;
carrier.City = troj.MAILCITYONLY;
carrier.State = troj.MAILSTATEONLY;
carrier.Zip = troj.MAILZIPONLY;
carrier.NoSendElect = false; //regardless of what Trojan says. Nobody sends paper anymore.
if (carrier.CarrierName == null || carrier.CarrierName == "")
{
//if, for some reason, carrier is absent from the file, we can't do a thing with it.
return(0);
}
carrier = Carriers.GetIndentical(carrier);
//now, save this all to the database.
troj.CarrierNum = carrier.CarrierNum;
InsPlan plan = TrojanQueries.GetPlanWithTrojanID(troj.TROJANID);
if (plan == null)
{
return(0);
}
TrojanQueries.UpdatePlan(troj, plan.PlanNum, updateBenefits);
plan = InsPlans.RefreshOne(plan.PlanNum);
if (updateNoteAutomatic)
{
if (plan.PlanNote != troj.PlanNote)
{
plan.PlanNote = troj.PlanNote;
InsPlans.Update(plan);
}
}
else
{
//let user pick note
if (plan.PlanNote != troj.PlanNote)
{
string[] notes = new string[2];
notes[0] = plan.PlanNote;
notes[1] = troj.PlanNote;
FormNotePick FormN = new FormNotePick(notes);
FormN.ShowDialog();
if (FormN.DialogResult == DialogResult.OK)
{
if (plan.PlanNote != FormN.SelectedNote)
{
plan.PlanNote = FormN.SelectedNote;
InsPlans.Update(plan);
}
}
}
}
return(1);
}
///<summary>Converts the text for one plan into an object which will then be processed as needed.</summary>
public static TrojanObject ProcessTextToObject(string text)
{
string[] lines = text.Split(new string[] { "\r\n" }, StringSplitOptions.RemoveEmptyEntries);
string line;
string[] fields;
int percent;
double amt;
string rowVal;
TrojanObject troj = new TrojanObject();
troj.BenefitList = new List <Benefit>();
troj.BenefitNotes = "";
bool usesAnnivers = false;
Benefit ben;
Benefit benCrownMajor = null;
Benefit benCrownOnly = null;
for (int i = 0; i < lines.Length; i++)
{
line = lines[i];
fields = line.Split(new char[] { '\t' });
if (fields.Length != 3)
{
continue;
}
//remove any trailing or leading spaces:
fields[0] = fields[0].Trim();
fields[1] = fields[1].Trim();
fields[2] = fields[2].Trim();
rowVal = fields[2].Trim();
if (fields[2] == "")
{
continue;
}
else //as long as there is data, add it to the notes
{
if (troj.BenefitNotes != "")
{
troj.BenefitNotes += "\r\n";
}
troj.BenefitNotes += fields[1] + ": " + fields[2];
if (fields.Length == 4)
{
troj.BenefitNotes += " " + fields[3];
}
}
switch (fields[0])
{
//default://for all rows that are not handled below
case "TROJANID":
troj.TROJANID = fields[2];
break;
case "ENAME":
troj.ENAME = fields[2];
break;
case "PLANDESC":
troj.PLANDESC = fields[2];
break;
case "ELIGPHONE":
troj.ELIGPHONE = fields[2];
break;
case "POLICYNO":
troj.POLICYNO = fields[2];
break;
case "ECLAIMS":
if (fields[2] == "YES") //accepts eclaims
{
troj.ECLAIMS = true;
}
else
{
troj.ECLAIMS = false;
}
break;
case "PAYERID":
troj.PAYERID = fields[2];
break;
case "MAILTO":
troj.MAILTO = fields[2];
break;
case "MAILTOST":
troj.MAILTOST = fields[2];
break;
case "MAILCITYONLY":
troj.MAILCITYONLY = fields[2];
break;
case "MAILSTATEONLY":
troj.MAILSTATEONLY = fields[2];
break;
case "MAILZIPONLY":
troj.MAILZIPONLY = fields[2];
break;
case "PLANMAX": //eg $3000 per person per year
if (!fields[2].StartsWith("$"))
{
break;
}
fields[2] = fields[2].Remove(0, 1);
fields[2] = fields[2].Split(new char[] { ' ' })[0];
if (CovCats.GetCount(true) > 0)
{
ben = new Benefit();
ben.BenefitType = InsBenefitType.Limitations;
ben.CovCatNum = CovCats.GetForEbenCat(EbenefitCategory.General).CovCatNum;
ben.MonetaryAmt = PIn.Double(fields[2]);
ben.TimePeriod = BenefitTimePeriod.CalendarYear;
ben.CoverageLevel = BenefitCoverageLevel.Individual;
troj.BenefitList.Add(ben.Copy());
}
break;
case "PLANYR": //eg Calendar year or Anniversary year or month renewal
string monthName = fields[2].Split(new char[] { ' ' })[0];
usesAnnivers = true;
if (fields[2] == "Calendar year" || monthName.In(DateTimeFormatInfo.CurrentInfo.MonthNames))
{
usesAnnivers = false;
troj.MonthRenewal = DateTimeFormatInfo.CurrentInfo.MonthNames.ToList().IndexOf(monthName) + 1;
}
//MessageBox.Show("Warning. Plan uses Anniversary year rather than Calendar year. Please verify the Plan Start Date.");
break;
case "DEDUCT": //eg There is no deductible
if (!fields[2].StartsWith("$"))
{
amt = 0;
}
else
{
fields[2] = fields[2].Remove(0, 1);
fields[2] = fields[2].Split(new char[] { ' ' })[0];
amt = PIn.Double(fields[2]);
}
ben = new Benefit();
ben.BenefitType = InsBenefitType.Deductible;
ben.CovCatNum = CovCats.GetForEbenCat(EbenefitCategory.General).CovCatNum;
ben.TimePeriod = BenefitTimePeriod.CalendarYear;
ben.MonetaryAmt = amt;
ben.CoverageLevel = BenefitCoverageLevel.Individual;
troj.BenefitList.Add(ben.Copy());
ben = new Benefit();
ben.BenefitType = InsBenefitType.Deductible;
ben.CovCatNum = CovCats.GetForEbenCat(EbenefitCategory.Diagnostic).CovCatNum;
ben.TimePeriod = BenefitTimePeriod.CalendarYear;
ben.MonetaryAmt = 0; //amt;
ben.CoverageLevel = BenefitCoverageLevel.Individual;
troj.BenefitList.Add(ben.Copy());
ben = new Benefit();
ben.BenefitType = InsBenefitType.Deductible;
ben.CovCatNum = CovCats.GetForEbenCat(EbenefitCategory.RoutinePreventive).CovCatNum;
ben.TimePeriod = BenefitTimePeriod.CalendarYear;
ben.MonetaryAmt = 0; //amt;
ben.CoverageLevel = BenefitCoverageLevel.Individual;
troj.BenefitList.Add(ben.Copy());
break;
case "PREV": //eg 100% or 'Incentive begins at 70%' or '80% Endo Major see notes'
if (rowVal.ToLower() == "not covered")
{
percent = 0;
}
else
{
percent = ConvertPercentToInt(rowVal); //remove %
}
if (percent < 0 || percent > 100)
{
break;
}
ben = new Benefit();
ben.BenefitType = InsBenefitType.CoInsurance;
ben.CovCatNum = CovCats.GetForEbenCat(EbenefitCategory.Diagnostic).CovCatNum;
ben.Percent = percent;
ben.TimePeriod = BenefitTimePeriod.CalendarYear;
troj.BenefitList.Add(ben.Copy());
ben = new Benefit();
ben.BenefitType = InsBenefitType.CoInsurance;
ben.CovCatNum = CovCats.GetForEbenCat(EbenefitCategory.RoutinePreventive).CovCatNum;
ben.Percent = percent;
ben.TimePeriod = BenefitTimePeriod.CalendarYear;
troj.BenefitList.Add(ben.Copy());
break;
case "BASIC":
if (rowVal.ToLower() == "not covered")
{
percent = 0;
}
else
{
percent = ConvertPercentToInt(rowVal); //remove %
}
if (percent < 0 || percent > 100)
{
break;
}
ben = new Benefit();
ben.BenefitType = InsBenefitType.CoInsurance;
ben.CovCatNum = CovCats.GetForEbenCat(EbenefitCategory.Restorative).CovCatNum;
ben.Percent = percent;
ben.TimePeriod = BenefitTimePeriod.CalendarYear;
troj.BenefitList.Add(ben.Copy());
ben = new Benefit();
ben.BenefitType = InsBenefitType.CoInsurance;
ben.CovCatNum = CovCats.GetForEbenCat(EbenefitCategory.Endodontics).CovCatNum;
ben.Percent = percent;
ben.TimePeriod = BenefitTimePeriod.CalendarYear;
troj.BenefitList.Add(ben.Copy());
ben = new Benefit();
ben.BenefitType = InsBenefitType.CoInsurance;
ben.CovCatNum = CovCats.GetForEbenCat(EbenefitCategory.Periodontics).CovCatNum;
ben.Percent = percent;
ben.TimePeriod = BenefitTimePeriod.CalendarYear;
troj.BenefitList.Add(ben.Copy());
ben = new Benefit();
ben.BenefitType = InsBenefitType.CoInsurance;
ben.CovCatNum = CovCats.GetForEbenCat(EbenefitCategory.OralSurgery).CovCatNum;
ben.Percent = percent;
ben.TimePeriod = BenefitTimePeriod.CalendarYear;
troj.BenefitList.Add(ben.Copy());
break;
case "MAJOR":
if (rowVal.ToLower() == "not covered")
{
percent = 0;
}
else
{
percent = ConvertPercentToInt(rowVal); //remove %
}
if (percent < 0 || percent > 100)
{
break;
}
ben = new Benefit();
ben.BenefitType = InsBenefitType.CoInsurance;
ben.CovCatNum = CovCats.GetForEbenCat(EbenefitCategory.Prosthodontics).CovCatNum;
ben.Percent = percent;
ben.TimePeriod = BenefitTimePeriod.CalendarYear;
troj.BenefitList.Add(ben.Copy());
benCrownMajor = new Benefit();
benCrownMajor.BenefitType = InsBenefitType.CoInsurance;
benCrownMajor.CovCatNum = CovCats.GetForEbenCat(EbenefitCategory.Crowns).CovCatNum;
benCrownMajor.Percent = percent;
benCrownMajor.TimePeriod = BenefitTimePeriod.CalendarYear;
//troj.BenefitList.Add(ben.Copy());//later
break;
case "CROWNS": //Examples: Paid Major, or 80%. We will only process percentages.
if (rowVal.ToLower() == "not covered")
{
percent = 0;
}
else
{
percent = ConvertPercentToInt(rowVal); //remove %
}
if (percent < 0 || percent > 100)
{
break;
}
benCrownOnly = new Benefit();
benCrownOnly.BenefitType = InsBenefitType.CoInsurance;
benCrownOnly.CovCatNum = CovCats.GetForEbenCat(EbenefitCategory.Crowns).CovCatNum;
benCrownOnly.Percent = percent;
benCrownOnly.TimePeriod = BenefitTimePeriod.CalendarYear;
//troj.BenefitList.Add(ben.Copy());
break;
case "ORMAX": //eg $3500 lifetime
if (!fields[2].StartsWith("$"))
{
break;
}
fields[2] = fields[2].Remove(0, 1);
fields[2] = fields[2].Split(new char[] { ' ' })[0];
if (CovCats.GetCount(true) > 0)
{
ben = new Benefit();
ben.BenefitType = InsBenefitType.Limitations;
ben.CovCatNum = CovCats.GetForEbenCat(EbenefitCategory.Orthodontics).CovCatNum;
ben.MonetaryAmt = PIn.Double(fields[2]);
ben.TimePeriod = BenefitTimePeriod.CalendarYear;
troj.BenefitList.Add(ben.Copy());
}
break;
case "ORPCT":
if (rowVal.ToLower() == "not covered")
{
percent = 0;
}
else
{
percent = ConvertPercentToInt(rowVal); //remove %
}
if (percent < 0 || percent > 100)
{
break;
}
ben = new Benefit();
ben.BenefitType = InsBenefitType.CoInsurance;
ben.CovCatNum = CovCats.GetForEbenCat(EbenefitCategory.Orthodontics).CovCatNum;
ben.Percent = percent;
ben.TimePeriod = BenefitTimePeriod.CalendarYear;
troj.BenefitList.Add(ben.Copy());
break;
/*case "FEE":
* if(!ProcedureCodes.IsValidCode(fields[1])) {
* break;//skip
* }
* if(textTrojanID.Text==""){
* break;
* }
* feeSchedNum=Fees.ImportTrojan(fields[1],PIn.PDouble(fields[3]),textTrojanID.Text);
* //the step above probably created a new feeschedule, requiring a reset of the three listboxes.
* resetFeeSched=true;
* break;*/
case "NOTES": //typically multiple instances
if (troj.PlanNote != null && troj.PlanNote != "")
{
troj.PlanNote += "\r\n";
}
troj.PlanNote += fields[2];
break;
} //switch
} //for
//Set crowns
if (benCrownOnly != null)
{
troj.BenefitList.Add(benCrownOnly.Copy());
}
else if (benCrownMajor != null)
{
troj.BenefitList.Add(benCrownMajor.Copy());
}
//set calendar vs serviceyear
if (usesAnnivers)
{
for (int i = 0; i < troj.BenefitList.Count; i++)
{
troj.BenefitList[i].TimePeriod = BenefitTimePeriod.ServiceYear;
}
}
return(troj);
}
