public void ProcedureCodes_GetSubstituteCodeNum_InsPlanOverrideAlways()
{
//First, setup the test scenario.
string suffix = MethodBase.GetCurrentMethod().Name;
Patient pat = PatientT.CreatePatient(suffix);
Carrier carrier = CarrierT.CreateCarrier(MethodBase.GetCurrentMethod().Name);
InsPlan plan = new InsPlan();
plan.CarrierNum = carrier.CarrierNum;
plan.PlanType = "";
plan.CobRule = EnumCobRule.Basic;
plan.PlanNum = InsPlans.Insert(plan);
//Add a substitution code on the procedure level.
ProcedureCode originalProcCode = ProcedureCodes.GetProcCode("D2330");
ProcedureCode downgradeProcCode = ProcedureCodes.GetProcCode("D2140");
originalProcCode.SubstitutionCode = "D2140";
originalProcCode.SubstOnlyIf = SubstitutionCondition.Always;
ProcedureCodeT.Update(originalProcCode);
//Add an override for the inplan above for the originalProcCode
ProcedureCode downgradeProcCodeForIns = ProcedureCodes.GetProcCode("D2150");
SubstitutionLinkT.CreateSubstitutionLink(originalProcCode.CodeNum, downgradeProcCodeForIns.ProcCode, SubstitutionCondition.Always, plan.PlanNum);
//Next, perform the thing you're trying to test.
Procedure proc = ProcedureT.CreateProcedure(pat, originalProcCode.ProcCode, ProcStat.C, "9", 100);//Tooth 9
long subCodeNum = ProcedureCodes.GetSubstituteCodeNum(originalProcCode.ProcCode, proc.ToothNum, plan.PlanNum);
//Finally, use one or more asserts to verify the results.
Assert.AreEqual(downgradeProcCodeForIns.CodeNum, subCodeNum);
}
public void ProcedureCodes_GetSubstituteCodeNum_InsPlanOverrideNever()
{
//First, setup the test scenario.
string suffix = MethodBase.GetCurrentMethod().Name;
Patient pat = PatientT.CreatePatient(suffix);
Carrier carrier = CarrierT.CreateCarrier(MethodBase.GetCurrentMethod().Name);
InsPlan plan = new InsPlan();
plan.CarrierNum = carrier.CarrierNum;
plan.PlanType = "";
plan.CobRule = EnumCobRule.Basic;
plan.PlanNum = InsPlans.Insert(plan);
//Add a substitution code on the procedure level that has SubstitutionCondition.Never.
ProcedureCode originalProcCode = ProcedureCodes.GetProcCode("D2330");
//clear out any substitution codes on this procedure
originalProcCode.SubstitutionCode = "";
ProcedureCodeT.Update(originalProcCode);
//Add an override for the inplan above for the originalProcCode to never substitute
ProcedureCode downgradeProcCodeForIns = ProcedureCodes.GetProcCode("D2150");
SubstitutionLinkT.CreateSubstitutionLink(originalProcCode.CodeNum, downgradeProcCodeForIns.ProcCode, SubstitutionCondition.Never, plan.PlanNum);
//Next, perform the thing you're trying to test.
Procedure proc = ProcedureT.CreateProcedure(pat, originalProcCode.ProcCode, ProcStat.C, "9", 100);//Tooth 9
long subCodeNum = ProcedureCodes.GetSubstituteCodeNum(originalProcCode.ProcCode, proc.ToothNum, plan.PlanNum);
//The procedure level and ins override is set SubstitutionCondition.Never so it should use originalProcCode.CodeNum
Assert.AreEqual(originalProcCode.CodeNum, subCodeNum);
}
public void ProcedureCodes_GetSubstituteCodeNum_InsPlanOverridePosterior()
{
//First, setup the test scenario.
string suffix = MethodBase.GetCurrentMethod().Name;
Patient pat = PatientT.CreatePatient(suffix);
Carrier carrier = CarrierT.CreateCarrier(MethodBase.GetCurrentMethod().Name);
InsPlan plan = new InsPlan();
plan.CarrierNum = carrier.CarrierNum;
plan.PlanType = "";
plan.CobRule = EnumCobRule.Basic;
plan.PlanNum = InsPlans.Insert(plan);
//Procedure code does not have a substitution code
ProcedureCode originalProcCode = ProcedureCodes.GetProcCode("D2740");
//clear out any substitution codes on this procedure
originalProcCode.SubstitutionCode = "";
ProcedureCodeT.Update(originalProcCode);
//Add an override for the inplan above for the originalProcCode to substitute if posterior
ProcedureCode downgradeProcCodeForIns = ProcedureCodes.GetProcCode("D2750");
SubstitutionLinkT.CreateSubstitutionLink(originalProcCode.CodeNum, downgradeProcCodeForIns.ProcCode, SubstitutionCondition.Posterior, plan.PlanNum);
//Posterior procedure
Procedure proc = ProcedureT.CreateProcedure(pat, originalProcCode.ProcCode, ProcStat.C, "4", 100);//Tooth 4
long subCodeNum = ProcedureCodes.GetSubstituteCodeNum(originalProcCode.ProcCode, proc.ToothNum, plan.PlanNum);
//The ins override is set to substitute only if posterior.
Assert.AreEqual(downgradeProcCodeForIns.CodeNum, subCodeNum);
}
public void TearDownTest()
{
BenefitT.ClearBenefitTable();
CarrierT.ClearCarrierTable();
ClaimT.ClearClaimTable();
ClaimProcT.ClearClaimProcTable();
EtransT.ClearEtransTable();
InsPlanT.ClearInsPlanTable();
InsSubT.ClearInsSubTable();
PatientT.ClearPatientTable();
PatPlanT.ClearPatPlanTable();
ProcedureT.ClearProcedureTable();
SubstitutionLinkT.ClearSubstitutionLinkTable();
}
