///<summary>The insplan that's passed in need not be properly updated to the database first.</summary>
public static void RequestBenefits(Clearinghouse clearhouse, InsPlan plan, long patNum, Carrier carrier, List <Benefit> benList, long patPlanNum, InsSub insSub)
{
Patient pat = Patients.GetPat(patNum);
Patient subsc = Patients.GetPat(insSub.Subscriber);
Clinic clinic = Clinics.GetClinic(pat.ClinicNum);
Provider billProv = Providers.GetProv(Providers.GetBillingProvNum(pat.PriProv, pat.ClinicNum));
//validation. Throw exception if missing info----------------------------------------
string validationResult = X270.Validate(clearhouse, carrier, billProv, clinic, plan, subsc, insSub);
if (validationResult != "")
{
throw new Exception(Lan.g("FormInsPlan", "Please fix the following errors first:") + "\r\n" + validationResult);
}
//create a 270 message---------------------------------------------------------------
string x12message = X270.GenerateMessageText(clearhouse, carrier, billProv, clinic, plan, subsc, insSub);
EtransMessageText etransMessageText = new EtransMessageText();
etransMessageText.MessageText = x12message;
EtransMessageTexts.Insert(etransMessageText);
//attach it to an etrans-------------------------------------------------------------
Etrans etrans = new Etrans();
etrans.DateTimeTrans = DateTime.Now;
etrans.ClearingHouseNum = clearhouse.ClearinghouseNum;
etrans.Etype = EtransType.BenefitInquiry270;
etrans.PlanNum = plan.PlanNum;
etrans.InsSubNum = insSub.InsSubNum;
etrans.EtransMessageTextNum = etransMessageText.EtransMessageTextNum;
Etranss.Insert(etrans);
//send the 270----------------------------------------------------------------------
string x12response = "";
//a connection error here needs to bubble up
try {
if (clearhouse.CommBridge == EclaimsCommBridge.ClaimConnect)
{
x12response = ClaimConnect.Benefits270(clearhouse, x12message);
}
}
catch (Exception ex) {
EtransMessageTexts.Delete(etrans.EtransMessageTextNum);
Etranss.Delete(etrans.EtransNum);
throw new ApplicationException(Lan.g("FormInsPlan", "Connection Error:") + "\r\n" + ex.GetType().Name + "\r\n" + ex.Message);
}
//start to process the 271----------------------------------------------------------
X271 x271 = null;
if (X12object.IsX12(x12response))
{
X12object x12obj = new X12object(x12response);
if (x12obj.Is271())
{
x271 = new X271(x12response);
}
}
else //neither a 997 nor a 271
{
EtransMessageTexts.Delete(etrans.EtransMessageTextNum);
Etranss.Delete(etrans.EtransNum);
throw new ApplicationException(Lan.g("FormInsPlan", "Error:") + "\r\n" + x12response);
}
/*
* //In realtime mode, X12 limits the request to one patient.
* //We will always use the subscriber.
* //So all EB segments are for the subscriber.
* List<EB271> listEB=new List<EB271>();
* EB271 eb;
* if(x271 != null) {
* for(int i=0;i<x271.Segments.Count;i++) {
* if(x271.Segments[i].SegmentID != "EB") {
* continue;
* }
* eb=new EB271(x271.Segments[i]);
* listEB.Add(eb);
* }
* }*/
//create an etrans for the 271------------------------------------------------------
etransMessageText = new EtransMessageText();
etransMessageText.MessageText = x12response;
EtransMessageTexts.Insert(etransMessageText);
Etrans etrans271 = new Etrans();
etrans271.DateTimeTrans = DateTime.Now;
etrans271.ClearingHouseNum = clearhouse.ClearinghouseNum;
etrans271.Etype = EtransType.TextReport;
if (X12object.IsX12(x12response)) //this shouldn't need to be tested because it was tested above.
{
if (x271 == null)
{
etrans271.Etype = EtransType.Acknowledge_997;
}
else
{
etrans271.Etype = EtransType.BenefitResponse271;
}
}
etrans271.PlanNum = plan.PlanNum;
etrans271.InsSubNum = insSub.InsSubNum;
etrans271.EtransMessageTextNum = etransMessageText.EtransMessageTextNum;
Etranss.Insert(etrans271);
etrans.AckEtransNum = etrans271.EtransNum;
if (etrans271.Etype == EtransType.Acknowledge_997)
{
X997 x997 = new X997(x12response);
string error997 = x997.GetHumanReadable();
etrans.Note = "Error: " + error997; //"Malformed document sent. 997 error returned.";
Etranss.Update(etrans);
MessageBox.Show(etrans.Note);
//CodeBase.MsgBoxCopyPaste msgbox=new CodeBase.MsgBoxCopyPaste(etrans.Note);
//msgbox.ShowDialog();
//don't show the 270 interface.
return;
}
else
{
string processingerror = x271.GetProcessingError();
if (processingerror != "")
{
etrans.Note = processingerror;
Etranss.Update(etrans);
MessageBox.Show(etrans.Note);
//CodeBase.MsgBoxCopyPaste msgbox=new CodeBase.MsgBoxCopyPaste(etrans.Note);
//msgbox.ShowDialog();
//don't show the 270 interface.
return;
}
else
{
etrans.Note = "Normal 271 response."; //change this later to be explanatory of content.
}
}
Etranss.Update(etrans);
//show the user a list of benefits to pick from for import--------------------------
FormEtrans270Edit formE = new FormEtrans270Edit(patPlanNum, plan.PlanNum, insSub.InsSubNum);
formE.EtransCur = etrans;
formE.IsInitialResponse = true;
formE.benList = benList;
formE.ShowDialog();
}
///<summary>Supply a list of ClaimSendQueueItems. Called from FormClaimSend. Can only send to one clearinghouse at a time. Able to send just send one claim. Cannot include Canadian.</summary>
public static void SendBatch(List <ClaimSendQueueItem> queueItems, Clearinghouse clearhouse, EnumClaimMedType medType)
{
string messageText = "";
if (clearhouse.Eformat == ElectronicClaimFormat.Canadian)
{
MsgBox.Show("Eclaims", "Cannot send Canadian claims as part of Eclaims.SendBatch.");
return;
}
//get next batch number for this clearinghouse
int batchNum = Clearinghouses.GetNextBatchNumber(clearhouse);
//---------------------------------------------------------------------------------------
//Create the claim file for this clearinghouse
if (clearhouse.Eformat == ElectronicClaimFormat.x837D_4010 ||
clearhouse.Eformat == ElectronicClaimFormat.x837D_5010_dental ||
clearhouse.Eformat == ElectronicClaimFormat.x837_5010_med_inst)
{
messageText = x837Controller.SendBatch(queueItems, batchNum, clearhouse, medType);
}
else if (clearhouse.Eformat == ElectronicClaimFormat.Renaissance)
{
messageText = Renaissance.SendBatch(queueItems, batchNum);
}
else if (clearhouse.Eformat == ElectronicClaimFormat.Dutch)
{
messageText = Dutch.SendBatch(queueItems, batchNum);
}
else
{
messageText = ""; //(ElectronicClaimFormat.None does not get sent)
}
if (messageText == "") //if failed to create claim file properly,
{
return; //don't launch program or change claim status
}
//----------------------------------------------------------------------------------------
//Launch Client Program for this clearinghouse if applicable
if (clearhouse.CommBridge == EclaimsCommBridge.None)
{
AttemptLaunch(clearhouse, batchNum);
}
else if (clearhouse.CommBridge == EclaimsCommBridge.WebMD)
{
if (!WebMD.Launch(clearhouse, batchNum))
{
MessageBox.Show(Lan.g("Eclaims", "Error sending."));
return;
}
}
else if (clearhouse.CommBridge == EclaimsCommBridge.BCBSGA)
{
if (!BCBSGA.Launch(clearhouse, batchNum))
{
MessageBox.Show(Lan.g("Eclaims", "Error sending."));
return;
}
}
else if (clearhouse.CommBridge == EclaimsCommBridge.Renaissance)
{
AttemptLaunch(clearhouse, batchNum);
}
else if (clearhouse.CommBridge == EclaimsCommBridge.ClaimConnect)
{
if (!ClaimConnect.Launch(clearhouse, batchNum))
{
MessageBox.Show(Lan.g("Eclaims", "Error sending."));
return;
}
}
else if (clearhouse.CommBridge == EclaimsCommBridge.RECS)
{
if (!RECS.Launch(clearhouse, batchNum))
{
MessageBox.Show("Claim file created, but could not launch RECS client.");
//continue;
}
}
else if (clearhouse.CommBridge == EclaimsCommBridge.Inmediata)
{
if (!Inmediata.Launch(clearhouse, batchNum))
{
MessageBox.Show("Claim file created, but could not launch Inmediata client.");
//continue;
}
}
else if (clearhouse.CommBridge == EclaimsCommBridge.AOS) // added by SPK 7/13/05
{
if (!AOS.Launch(clearhouse, batchNum))
{
MessageBox.Show("Claim file created, but could not launch AOS Communicator.");
//continue;
}
}
else if (clearhouse.CommBridge == EclaimsCommBridge.PostnTrack)
{
AttemptLaunch(clearhouse, batchNum);
}
else if (clearhouse.CommBridge == EclaimsCommBridge.MercuryDE)
{
if (!MercuryDE.Launch(clearhouse, batchNum))
{
MsgBox.Show("Eclaims", "Error sending.");
return;
}
}
else if (clearhouse.CommBridge == EclaimsCommBridge.ClaimX)
{
if (!ClaimX.Launch(clearhouse, batchNum))
{
MessageBox.Show("Claim file created, but encountered an error while launching ClaimX Client.");
}
}
else if (clearhouse.CommBridge == EclaimsCommBridge.EmdeonMedical)
{
if (!EmdeonMedical.Launch(clearhouse, batchNum, medType))
{
MessageBox.Show(Lan.g("Eclaims", "Error sending."));
return;
}
}
//----------------------------------------------------------------------------------------
//finally, mark the claims sent. (only if not Canadian)
EtransType etype = EtransType.ClaimSent;
if (clearhouse.Eformat == ElectronicClaimFormat.Renaissance)
{
etype = EtransType.Claim_Ren;
}
if (clearhouse.Eformat != ElectronicClaimFormat.Canadian)
{
for (int j = 0; j < queueItems.Count; j++)
{
Etrans etrans = Etranss.SetClaimSentOrPrinted(queueItems[j].ClaimNum, queueItems[j].PatNum, clearhouse.ClearinghouseNum, etype, batchNum);
Etranss.SetMessage(etrans.EtransNum, messageText);
}
}
}
