public bool IsConditionsValid(List <ICondition> conditions, IEvaluateableClaim claim)
{
if (conditions != null && conditions.Any())
{
//Fill LHS oprand of each contract with claim codes
lock (conditions)
{
// ReSharper disable once ForCanBeConvertedToForeach
// for loop is required for multiple threads
for (int index = 0; index < conditions.Count; index++)
{
ICondition condition = conditions[index];
_conditionLogic.Condition = condition;
condition.LeftOperands =
_conditionLogic.GetPropertyValues(claim, _conditionLogic.Condition.PropertyColumnName);
}
}
}
bool isMatch = true;
//Validate each condition in a contract
if (conditions != null)
{
lock (conditions)
{
// ReSharper disable once ForCanBeConvertedToForeach
// for loop is required for multiple threads
for (int index = 0; index < conditions.Count; index++)
{
ICondition condition = conditions[index];
_conditionLogic.Condition = condition;
isMatch = _conditionLogic.IsMatch();
if (!isMatch)
{
break;
}
}
}
}
return(isMatch);
}
/// <summary>
/// Determines whether [is payment type conditions] [the specified payment type].
/// </summary>
/// <param name="paymentType">Type of the payment.</param>
/// <param name="claim">The claim.</param>
/// <returns></returns>
public bool IsPaymentTypeConditions(IPaymentType paymentType, IEvaluateableClaim claim)
{
if (paymentType != null)
{
paymentType.ValidLineIds = new List <int>();
//Fill LHS into Contract's Condition objects
foreach (ICondition condition in paymentType.Conditions)
{
_conditionLogic.Condition = condition;
condition.LeftOperands =
_conditionLogic.GetPropertyValues(claim, _conditionLogic.Condition.PropertyColumnName);
}
if (claim != null)
{
//Match claim charge line codes with Payment Type Conditions
foreach (ClaimCharge claimCharge in claim.ClaimCharges)
{
//If condition is not there than its valid. That's why we are initialization by default as true.
//For Ex - Payment type don't have any rev code or cpt code than all the lines are valid in this case isMatch should be true
bool isMatch = true;
bool isClaimLevel = true;
//Based on condition Operand Identifier fill LHS operand with charge line codes
foreach (ICondition condition in paymentType.Conditions)
{
if (condition.OperandIdentifier != null)
{
switch ((Enums.OperandIdentifier)condition.OperandIdentifier)
{
case Enums.OperandIdentifier.RevCode:
condition.LeftOperands = new List <string> {
claimCharge.RevCode
};
isClaimLevel = false;
break;
case Enums.OperandIdentifier.HcpcsCode:
condition.LeftOperands = new List <string> {
claimCharge.HcpcsCodeWithModifier
};
isClaimLevel = false;
break;
case Enums.OperandIdentifier.PlaceOfService:
condition.LeftOperands = new List <string> {
claimCharge.PlaceOfService
};
isClaimLevel = false;
break;
}
}
_conditionLogic.Condition = condition;
isMatch = _conditionLogic.IsMatch();
if (!isMatch)
{
break;
}
}
paymentType.PayAtClaimLevel = isClaimLevel;
//If Claim charge line codes matches with Payment Type Conditions then build valid charge line list
if (isMatch)
{
paymentType.ValidLineIds.Add(claimCharge.Line);
}
}
}
return(paymentType.ValidLineIds.Any());
}
return(false);
}