///<summary>Runs Procedures.ComputeEstimates for given proc and listClaimProcs.
///Does not update existing ClaimProcs or insert new ClaimProcs in the database.
///Outs new ClaimProcs added by Procedures.ComputeEstimates, listClaimProcs will contain any added claimProcs.</summary>
private void RecomputeEstimates(Procedure proc, List <ClaimProc> listClaimProcs, out List <ClaimProc> listNewClaimProcs,
OrthoProcLink orthoProcLink, OrthoCase orthoCase, OrthoSchedule orthoSchedule, List <OrthoProcLink> listOrthoProcLinksForOrthoCase)
{
List <ClaimProc> listOrigClaimProcs = new List <ClaimProc>(listClaimProcs);
Patient pat = Patients.GetPat(proc.PatNum);
List <PatPlan> listPatPlans = PatPlans.GetPatPlansForPat(pat.PatNum);
List <InsSub> listInsSubs = InsSubs.GetMany(listPatPlans.Select(x => x.InsSubNum).ToList());
List <InsPlan> listInsPlans = InsPlans.GetByInsSubs(listInsSubs.Select(x => x.InsSubNum).ToList());
List <Benefit> listBenefits = Benefits.Refresh(listPatPlans, listInsSubs); //Same method used in FormProcEdit.Load()->GetLoadData()
//FormProcEdit uses GetHistList(....,procDate:DateTimeOD.Today,...)
List <ClaimProcHist> listHist = ClaimProcs.GetHistList(pat.PatNum, listBenefits, listPatPlans, listInsPlans, DateTimeOD.Today, listInsSubs);
bool isSaveToDb = false;
//When isSaveToDb is true any estimates that are missing will be inserted into DB and it refreshes listClaimProcs from the Db.
//Refreshing the list results in losing the changes to ProvNum and ProcDate.
Procedures.ComputeEstimates(proc, pat.PatNum, ref listClaimProcs, false, listInsPlans, listPatPlans, listBenefits, listHist,
new List <ClaimProcHist> {
}, isSaveToDb, pat.Age, listInsSubs
, useProcDateOnProc: true,
orthoProcLink: orthoProcLink, orthoCase: orthoCase, orthoSchedule: orthoSchedule, listOrthoProcLinksForOrthoCase: listOrthoProcLinksForOrthoCase);
listNewClaimProcs = listClaimProcs.Except(listOrigClaimProcs).ToList();
}
///<summary>Sets the foreground text to red if any row has a DOS between textDOSFrom and textDOSTo and matches textClaimFee </summary>
private void HighlightRows()
{
DateTime dateFrom = PIn.Date(textDateFrom.Text);
DateTime dateTo = PIn.Date(textDateTo.Text);
double fee = PIn.Double(textClaimFee.Text);
int rowsHighlightCount = 0;
int lastHighlightIndex = 0;
gridClaims.BeginUpdate();
for (int i = 0; i < gridClaims.ListGridRows.Count; i++)
{
gridClaims.ListGridRows[i].ColorText = Color.Black; //reset row highlighting
gridClaims.ListGridRows[i].Bold = false; //reset row highlighting
Claim claim = (Claim)gridClaims.ListGridRows[i].Tag;
YN isFeeMatch = YN.No; //If fee matches then yes, if fee doesnt match then no, if no fee entered then unknown
YN isDateMatch = YN.No; //If both dates match then yes, if both dates dont match then no, if no dates entered then unknown
//Check fee
if (textClaimFee.Text == "") //No fee entered
{
isFeeMatch = YN.Unknown;
}
else
{
if (claim.ClaimFee.ToString("f").Contains(textClaimFee.Text))
{
isFeeMatch = YN.Yes;
}
}
//Check date
if (dateFrom == DateTime.MinValue && dateTo == DateTime.MinValue) //No dates entered
{
isDateMatch = YN.Unknown;
}
else //At least one date entered
{
if ((dateFrom.CompareTo(claim.DateService) <= 0 || dateFrom == DateTime.MinValue) &&
(dateTo.CompareTo(claim.DateService) >= 0 || dateTo == DateTime.MinValue))
{
isDateMatch = YN.Yes;
}
}
Hx835_Proc proc = _x835Claim.ListProcs.FirstOrDefault();
bool isPlanMatch = true; //Assume true for backwards compatiablity, because older 837s did not send out the Ordinal and PlanNum.
bool isBasicMatch = (isFeeMatch == YN.Yes || isDateMatch == YN.Yes) && (isFeeMatch != YN.No && isDateMatch != YN.No); //If either match and neither don't match
if (isBasicMatch && proc != null && proc.PlanNum != 0) //Consider new 837 REF*6R pattern for values starting with 'x'.
{
if (_listPatPlans == null)
{
_listPatPlans = PatPlans.GetPatPlansForPat(_patNum);
}
//Strict PlanNum AND Ordinal match. Users can manually change ordinals easily after sending claims.
//A failure to match here is OK because we will give the user the option to manually select the correct claim from the grid.
if (proc.PlanNum != claim.PlanNum || PatPlans.GetOrdinal(claim.InsSubNum, _listPatPlans) != proc.PlanOrdinal)
{
isPlanMatch = false;
}
}
if (isBasicMatch && isPlanMatch)
{
//Highlight row
gridClaims.ListGridRows[i].ColorText = Color.Red;
gridClaims.ListGridRows[i].Bold = true;
rowsHighlightCount++;
lastHighlightIndex = i;
}
}
gridClaims.EndUpdate();
if (rowsHighlightCount == 1)
{
gridClaims.SetSelected(lastHighlightIndex, true);
FillClaimDetails(lastHighlightIndex);
}
}
