/// <summary>
/// Translates the specified clinical payor coverage.
/// </summary>
/// <param name="clinicalPayorCoverage">The clinical payor coverage.</param>
/// <returns>A billing PayorCoverage.</returns>
public PayorCoverage Translate(PayorCoverageCache clinicalPayorCoverage)
{
if (clinicalPayorCoverage == null)
{
return null;
}
var payor = _payorRepository.GetByKey ( clinicalPayorCoverage.PayorCache.Key );
var clinicalPayorSubscriber = clinicalPayorCoverage.PayorSubscriberCache;
var payorSubscriberRelationshipType =
_lookupValueRepository.GetLookupByWellKnownName<PayorSubscriberRelationshipType> (
clinicalPayorSubscriber.PayorSubscriberRelationshipCacheType.WellKnownName );
var payorSubscriber = new PayorSubscriber (
clinicalPayorSubscriber.Address,
clinicalPayorSubscriber.BirthDate,
clinicalPayorSubscriber.AdministrativeGender,
clinicalPayorSubscriber.Name,
payorSubscriberRelationshipType );
var payorCoverageType =
_lookupValueRepository.GetLookupByWellKnownName<PayorCoverageType> ( clinicalPayorCoverage.PayorCoverageCacheType.WellKnownName );
var billingPayorCoverage = new PayorCoverage (
payor, payorSubscriber, clinicalPayorCoverage.MemberNumber, clinicalPayorCoverage.EffectiveDateRange, payorCoverageType);
return billingPayorCoverage;
}
/// <summary>
/// Adds the payor coverage.
/// </summary>
/// <param name="payorCoverage">
/// The payor coverage.
/// </param>
public virtual void AddPayorCoverage(PayorCoverageCache payorCoverage)
{
Check.IsNotNull(payorCoverage, "Payor Coverage is required.");
payorCoverage.RevisePayorCache(this);
_payorCoverages.Add(payorCoverage);
NotifyItemAdded(() => PayorCoverages, payorCoverage);
}
public void ExecuteRules_Duplicate_HasRuleViolations()
{
var payorCoverageTypeMock = new Mock<PayorCoverageCacheType>();
payorCoverageTypeMock.SetupGet(pct => pct.WellKnownName).Returns("Test");
var payorCoverageCache = new PayorCoverageCache(
new Mock<Patient>().Object,
new Mock<PayorCache>().Object,
new DateRange(DateTime.Now, null),
"12345",
new PayorSubscriberCache(
new Address(
"Test",
null,
"City",
new Mock<CountyArea>().Object,
new Mock<StateProvince>().Object,
new Mock<Country>().Object,
new PostalCode("12345")),
null,
new Mock<AdministrativeGender>().Object,
new PersonName(string.Empty, "Fred", null, "Savage", null),
new Mock<PayorSubscriberRelationshipCacheType>().Object),
payorCoverageTypeMock.Object);
var repositoryMock = new Mock<IPayorCoverageCacheRepository>();
repositoryMock.Setup(
rep => rep.AnyPayorCoverageTypeInEffectiveDateRange(It.IsAny<long>(), It.IsAny<long>(), It.IsAny<PayorCoverageCacheType>(), It.IsAny<DateRange>())).Returns(
true);
var ruleCollection = new PayorCoverageCacheRuleCollection(repositoryMock.Object);
var ruleEngine = new RuleEngine<PayorCoverageCache>(ruleCollection);
var ruleContext = new RuleEngineContext<PayorCoverageCache>(payorCoverageCache);
ruleContext.WorkingMemory.AddContextObject(payorCoverageCache.PayorCoverageCacheType);
ruleContext.WorkingMemory.AddContextObject(payorCoverageCache.EffectiveDateRange);
var results = ruleEngine.ExecuteRules(ruleContext);
Assert.IsTrue(results.HasRuleViolation);
}
/// <summary>
/// Creates the payor coverage.
/// </summary>
/// <param name="patient">The patient.</param>
/// <param name="payorCache">The payor cache.</param>
/// <param name="effectiveDateRange">The effective date range.</param>
/// <param name="memberNumber">The member number.</param>
/// <param name="payorSubscriberCache">The payor subscriber cache.</param>
/// <param name="payorCoverageCacheType">Type of the payor coverage cache.</param>
/// <returns>A Payor coverage cache.</returns>
public PayorCoverageCache CreatePayorCoverage(
Patient patient,
PayorCache payorCache,
DateRange effectiveDateRange,
string memberNumber,
PayorSubscriberCache payorSubscriberCache,
PayorCoverageCacheType payorCoverageCacheType )
{
var payorCoverage = new PayorCoverageCache ( patient, payorCache, effectiveDateRange, memberNumber, payorSubscriberCache, payorCoverageCacheType );
PayorCoverageCache createdPayorCoverage = null;
DomainRuleEngine.CreateRuleEngine(payorCoverage, "CreatePayorCoverageRuleSet")
.WithContext ( payorCoverage.PayorCoverageCacheType )
.WithContext ( payorCoverage.EffectiveDateRange )
.Execute(() =>
{
createdPayorCoverage = payorCoverage;
_payorCoverageCacheRepository.MakePersistent(payorCoverage);
});
return createdPayorCoverage;
}
/// <summary>
/// Creates the payor coverage.
/// </summary>
/// <param name="patient">The patient.</param>
/// <param name="payorCache">The payor cache.</param>
/// <param name="effectiveDateRange">The effective date range.</param>
/// <param name="memberNumber">The member number.</param>
/// <param name="payorSubscriberCache">The payor subscriber cache.</param>
/// <param name="payorCoverageCacheType">Type of the payor coverage cache.</param>
/// <returns>A Payor coverage cache.</returns>
public PayorCoverageCache CreatePayorCoverage(
Patient patient,
PayorCache payorCache,
DateRange effectiveDateRange,
string memberNumber,
PayorSubscriberCache payorSubscriberCache,
PayorCoverageCacheType payorCoverageCacheType)
{
var payorCoverage = new PayorCoverageCache(patient, payorCache, effectiveDateRange, memberNumber, payorSubscriberCache, payorCoverageCacheType);
PayorCoverageCache createdPayorCoverage = null;
DomainRuleEngine.CreateRuleEngine(payorCoverage, "CreatePayorCoverageRuleSet")
.WithContext(payorCoverage.PayorCoverageCacheType)
.WithContext(payorCoverage.EffectiveDateRange)
.Execute(() =>
{
createdPayorCoverage = payorCoverage;
_payorCoverageCacheRepository.MakePersistent(payorCoverage);
});
return(createdPayorCoverage);
}
/// <summary>
/// Removes the payor coverage.
/// </summary>
/// <param name="payorCoverage">
/// The payor coverage.
/// </param>
public virtual void RemovePayorCoverage(PayorCoverageCache payorCoverage)
{
_payorCoverages.Delete(payorCoverage);
NotifyItemRemoved(() => PayorCoverages, payorCoverage);
}
/// <summary>
/// Destroys the payor coverage.
/// </summary>
/// <param name="payorCoverageCache">
/// The payor coverage cache.
/// </param>
public void DestroyPayorCoverage( PayorCoverageCache payorCoverageCache )
{
_payorCoverageCacheRepository.MakeTransient ( payorCoverageCache );
}
/// <summary>
/// Removes the payor coverage.
/// </summary>
/// <param name="payorCoverage">
/// The payor coverage.
/// </param>
public virtual void RemovePayorCoverage( PayorCoverageCache payorCoverage )
{
_payorCoverages.Delete ( payorCoverage );
NotifyItemRemoved ( () => PayorCoverages, payorCoverage );
}
/// <summary>
/// Adds the payor coverage.
/// </summary>
/// <param name="payorCoverage">
/// The payor coverage.
/// </param>
public virtual void AddPayorCoverage( PayorCoverageCache payorCoverage )
{
Check.IsNotNull ( payorCoverage, "Payor Coverage is required." );
payorCoverage.RevisePayorCache ( this );
_payorCoverages.Add ( payorCoverage );
NotifyItemAdded ( () => PayorCoverages, payorCoverage );
}
/// <summary>
/// Destroys the payor coverage.
/// </summary>
/// <param name="payorCoverageCache">
/// The payor coverage cache.
/// </param>
public void DestroyPayorCoverage(PayorCoverageCache payorCoverageCache)
{
_payorCoverageCacheRepository.MakeTransient(payorCoverageCache);
}
