private (TS277, long) Get277(Edi.Templates.Hipaa5010.TS837P ts837Data = null)
{
TS277 input277Data = new TS277();
input277Data = FetchData277(ts837Data);
long cntlNum = _cAERepository.GetNextSequence("trnId");
var transaction = HipaaTransactionBuilders.Build277ResponseTransmission(cntlNum.ToString(), input277Data);
//using (var stream = new MemoryStream())
//{
// using (var writer = new X12Writer(stream))
// {
// writer.Write(SegmentBuilders.BuildIsa("1"));
// writer.Write(SegmentBuilders.BuildGs("1"));
// writer.Write(transaction);
// }
// var ediString = stream.LoadToString();
// return ediString;
//}
return(transaction, cntlNum);
}
private TS277 FetchData277(Edi.Templates.Hipaa5010.TS837P data = null)
{
TS277 ts277Data = new TS277();
ts277Data.Loop2000A = new List <Loop_2000A_277>();
var loop2000A = new Loop_2000A_277();
loop2000A.Loop2100A = new Loop_2100A_277();
loop2000A.Loop2100A.NM1_PayerName = new NM1_CorrectedPriorityPayerName();
// End 2000A Loop
ts277Data.Loop2000A.Add(loop2000A);
ts277Data.Loop2000A[0].Loop2100A.NM1_PayerName.ResponseContactLastorOrganizationName_03 = data.Loop2000A[0].Loop2000B[0].AllNM1.Loop2010BB.NM1_PayerName.ResponseContactLastorOrganizationName_03;
ts277Data.Loop2000A[0].Loop2100A.NM1_PayerName.ResponseContactIdentifier_09 = data.Loop2000A[0].Loop2000B[0].AllNM1.Loop2010BB.NM1_PayerName.ResponseContactIdentifier_09;
loop2000A.Loop2000B = new List <Loop_2000B_277>();
var loop2000B = new Loop_2000B_277();
loop2000B.Loop2100B = new Loop_2100B_277();
loop2000B.Loop2100B.NM1_InformationReceiverName = new NM1_InformationReceiverName_2();
// End 2000B Loop
loop2000A.Loop2000B.Add(loop2000B);
ts277Data.Loop2000A[0].Loop2000B[0].Loop2100B.NM1_InformationReceiverName.ResponseContactLastorOrganizationName_03 = data.Loop2000A[0].AllNM1.Loop2010AA.NM1_BillingProviderName.ResponseContactLastorOrganizationName_03;
ts277Data.Loop2000A[0].Loop2000B[0].Loop2100B.NM1_InformationReceiverName.ResponseContactIdentifier_09 = data.Loop2000A[0].AllNM1.Loop2010AA.NM1_BillingProviderName.ResponseContactIdentifier_09;
loop2000B.Loop2000C = new List <Loop_2000C_277>();
// Begin 2000C Loop 1
var loop2000C1 = new Loop_2000C_277();
loop2000C1.Loop2100C = new List <Loop_2100C_277>();
// Begin 2100C Loop
var loop2100C = new Loop_2100C_277();
loop2000C1.Loop2100C.Add(loop2100C);
// Repeating 2000D Loops
loop2000C1.Loop2000D = new List <Loop_2000D_277>();
// Begin 2000D Loop 1
var loop2000D1 = new Loop_2000D_277();
// Begin 2100D Loop
loop2000D1.Loop2100D = new Loop_2100D_277();
loop2000D1.Loop2100D.NM1_SubscriberName = new NM1_InsuredName();
loop2000C1.Loop2000D.Add(loop2000D1);
loop2000B.Loop2000C.Add(loop2000C1);
ts277Data.Loop2000A[0].Loop2000B[0].Loop2000C[0].Loop2000D[0].Loop2100D.NM1_SubscriberName.ResponseContactLastorOrganizationName_03 = data.Loop2000A[0].Loop2000B[0].AllNM1.Loop2010BA.NM1_SubscriberName.ResponseContactLastorOrganizationName_03;//"SMITH";
ts277Data.Loop2000A[0].Loop2000B[0].Loop2000C[0].Loop2000D[0].Loop2100D.NM1_SubscriberName.ResponseContactFirstName_04 = data.Loop2000A[0].Loop2000B[0].AllNM1.Loop2010BA.NM1_SubscriberName.ResponseContactFirstName_04;
ts277Data.Loop2000A[0].Loop2000B[0].Loop2000C[0].Loop2000D[0].Loop2100D.NM1_SubscriberName.IdentificationCodeQualifier_08 = data.Loop2000A[0].Loop2000B[0].AllNM1.Loop2010BA.NM1_SubscriberName.IdentificationCodeQualifier_08;
ts277Data.Loop2000A[0].Loop2000B[0].Loop2000C[0].Loop2000D[0].Loop2100D.NM1_SubscriberName.ResponseContactIdentifier_09 = data.Loop2000A[0].Loop2000B[0].AllNM1.Loop2010BA.NM1_SubscriberName.ResponseContactIdentifier_09;
loop2000D1.Loop2200D = new List <Loop_2200D_277>();
// Begin 2200D Loop
var loop2200D = new Loop_2200D_277();
loop2000D1.Loop2200D.Add(loop2200D);
loop2200D.STC_ClaimLevelStatusInformation = new List <STC_BillingProviderStatusInformation>();
//get the list of LOINC codes and add a request for each
foreach (string reqCode in GetRequestCodes(data.Loop2000A[0].Loop2000B[0].Loop2300[0].Loop2400[0].SV1_ProfessionalService.CompositeMedicalProcedureIdentifier_01.ProcedureCode_02).Result.Distinct())
{
var stc1 = new STC_BillingProviderStatusInformation();
stc1.HealthCareClaimStatus_01 = new C043_HealthCareClaimStatus();
loop2200D.STC_ClaimLevelStatusInformation.Add(stc1);
//ex STC*R4:18657-7::LOI*2*3*4*5*6*7*8*9*R4:18803-7::LOI~
stc1.HealthCareClaimStatus_01.HealthCareClaimStatusCategoryCode_01 = "R4";
stc1.HealthCareClaimStatus_01.StatusCode_02 = reqCode;// GetCPT2Loinc(data.Loop2000A[0].Loop2000B[0].Loop2300[0].Loop2400[0].SV1_ProfessionalService.CompositeMedicalProcedureIdentifier_01.ProcedureCode_02);//"19016-5";// 18657-7";
stc1.HealthCareClaimStatus_01.CodeListQualifierCode_04 = "LOI";
stc1.Date_02 = String.Format("{0:yyyyMMdd}", System.DateTime.UtcNow.AddDays(30));
stc1.HealthCareClaimStatus_10 = new C043_HealthCareClaimStatus();
stc1.HealthCareClaimStatus_10.HealthCareClaimStatusCategoryCode_01 = "R4";
stc1.HealthCareClaimStatus_10.StatusCode_02 = "18594-2";//"18803-7";
stc1.HealthCareClaimStatus_10.CodeListQualifierCode_04 = "LOI";
}
//end of the list request
// stc1.HealthCareClaimStatus_11 = "";
loop2200D.AllREF = new All_REF_277();
loop2200D.AllREF.REF_PatientControlNumber = new REF_PatientControlNumber();
loop2200D.AllREF.REF_PatientControlNumber.MemberGrouporPolicyNumber_02 = data.Loop2000A[0].Loop2000B[0].Loop2300[0].CLM_ClaimInformation.PatientControlNumber_01;
return(ts277Data);
}