/// <summary>
/// Search the policy deductibles and excess records to see if there are any deductible reason codes
/// and attach them to the Transaction context in the form of the new DeductibleReasonCode data class.
/// </summary>
/// <param name="pluginHelper">Plugin Helper</param>
private void LoadReasonCodes(PluginHelper<ClaimHeader> pluginHelper)
{
ClaimHeader claimHeader = pluginHelper.Component;
// Only process if our Policy Product links to an external system (e.g. Genius)
// AND a Deductible Reason Code (ClaimHeaderAnalysisCode08) isn't already set
if (!string.IsNullOrEmpty(claimHeader.PolicyExternalDataSource) && string.IsNullOrEmpty(claimHeader.ClaimHeaderAnalysisCode08))
{
ProductClaimDefinition productClaimDef = claimHeader.GetProduct().ProductClaimDefinition;
// Check if we have Automatic Deductible Processing on the claim header set as Standard
if (productClaimDef.ClaimHeaderAutomaticDeductibleProcessingMethod == (short)StaticValues.ClaimHeaderAutomaticDeductibleProcessingMethod.StandardClaimHeaderDeductible)
{
IAXAClaimsQuery query = new AXAClaimsQueries();
// Get the reason codes for the Generic Data Type of "AND2" (Deductible) using the Policy Reference
Dictionary<string, List<CodeRow>> reasonCodes = query.GetPolicyReasonCodes(claimHeader.ProposedPolicyReference, "AND2");
if (reasonCodes.Count == 0)
{
// No Deductible Reason Codes found? Check for reason codes on AD Excess (AND3)
reasonCodes = query.GetPolicyReasonCodes(claimHeader.ProposedPolicyReference, "AND3");
}
if (reasonCodes.Count > 0)
{
// Add to the transaction context for the claim header.
DeductibleReasonCode deductibleReasonCode = new DeductibleReasonCode(reasonCodes);
claimHeader.Context.AddAttachedData(deductibleReasonCode);
claimHeader.Context.RegisterComponentChange(claimHeader.DataId, Xiap.Framework.Data.BusinessDataState.Modified);
}
}
}
}
/// <summary>
/// Update Excess and Deductable data from Genius
/// </summary>
/// <param name="claimDetail">claim Detail</param>
/// <param name="policyCoverageID">Policy Coverage ID</param>
private void UpdateEDData(ClaimDetail claimDetail, long? policyCoverageID)
{
ClaimHeader claimHeader = claimDetail.ClaimHeader;
// Extract of E&D data will only occur once. If another uncancelled CD already exists which is linked to policy component, then it is assumed that E&D data has already been retrieved
if (claimHeader.ClaimDetails.Where(a => a.PolicyLinkLevel > 0 && a.DataId != claimDetail.DataId && a.PolicyCoverageID!=null
&& a.ClaimDetailInternalStatus
!= (short?)StaticValues.ClaimDetailInternalStatus.ClosedCreatedinError && a.ClaimDetailInternalStatus != (short?)StaticValues.ClaimDetailInternalStatus.Finalized).Any())
{
return;
}
ProductClaimDefinition productClaimDef = claimHeader.GetProduct().ProductClaimDefinition;
if (productClaimDef.ClaimHeaderAutomaticDeductibleProcessingMethod == (short)StaticValues.ClaimHeaderAutomaticDeductibleProcessingMethod.StandardClaimHeaderDeductible
&& claimHeader.PolicyHeaderID > 0)
{
if (policyCoverageID > 0)
{
bool updateTerms = false;
// Retrieve the policy data onto the claim
IAXAClaimsQuery query = new AXAClaimsQueries();
IEnumerable<IGenericDataItem> deductibleGDItems = query.GetPolicyDeductibles(policyCoverageID.Value, claimDetail.PolicyLinkLevel.Value, claimHeader.ClaimHeaderAnalysisCode09, claimHeader.ClaimHeaderAnalysisCode04, claimHeader.ClaimHeaderAnalysisCode08, "AND2");
if (deductibleGDItems != null && deductibleGDItems.Count() > 0)
{
// Assumed that ClaimHeader Generic data set for AND4 is set to default on creation
string[] policyRefs = new string[5];
ClaimGenericDataItem policyRefData = null;
if (claimHeader.GenericDataSet != null)
{
policyRefData = (ClaimGenericDataItem)claimHeader.GenericDataSet.GenericDataItems.Where(a => a.GenericDataTypeCode == "AND4").FirstOrDefault();
if (policyRefData != null)
{
policyRefs = query.GetPolicyReferences(claimHeader.ProposedPolicyReference);
}
}
this.UpdateClaimDeductibleData(claimHeader, deductibleGDItems, policyRefData, policyRefs);
updateTerms = true;
}
IEnumerable<IGenericDataItem> excessGDItems = query.GetPolicyDeductibles(policyCoverageID.Value, claimDetail.PolicyLinkLevel.Value, claimHeader.ClaimHeaderAnalysisCode09, claimHeader.ClaimHeaderAnalysisCode04, claimHeader.ClaimHeaderAnalysisCode08, "AND3");
if (excessGDItems != null && excessGDItems.Count() > 0)
{
this.UpdateClaimADExcessData(claimHeader, excessGDItems);
updateTerms = true;
}
if (updateTerms)
{
this.UpdateTermsData(claimHeader);
}
else
{
if (claimHeader.UWHeader != null && claimHeader.UWHeader.ITerms != null && claimHeader.UWHeader.ITerms.Count > 0)
{
IUWTerms uwTerm = claimHeader.UWHeader.ITerms.OrderByDescending(x => x.VersionNumber).FirstOrDefault();
if (!string.IsNullOrWhiteSpace(uwTerm.MainOriginalCurrencyCode))
{
claimHeader.ClaimCurrencyCode = uwTerm.MainOriginalCurrencyCode;
}
else
{
claimHeader.ClaimCurrencyCode = ClaimConstants.DEFAULT_CURRENCY_CODE;
}
}
}
}
}
}
/// <summary>
/// Update Term Data Claim Currency Code From Genius
/// </summary>
/// <param name="claimHeader">Claim Header</param>
private void UpdateTermsData(ClaimHeader claimHeader)
{
IAXAClaimsQuery query = new AXAClaimsQueries();
IUWTerms term = query.GetlatestTerm(claimHeader.PolicyHeaderID.Value);
if (term != null && !string.IsNullOrEmpty(term.MainOriginalCurrencyCode))
{
claimHeader.ClaimCurrencyCode = term.MainOriginalCurrencyCode;
}
}
/// <summary>
/// Load policy deductibles
/// </summary>
/// <param name="claimHeader">Claim Header</param>
/// <returns>AXA policy excess and deductible data</returns>
private AXAPolicyEDData LoadPolicyDeductibles(ClaimHeader claimHeader)
{
// Initialise to false
AXAPolicyEDData policyEDData = new AXAPolicyEDData(false, false);
// If policy is attached or changed, set context level flag to identify whether policy deductibles exist
ProductClaimDefinition productClaimDef = claimHeader.GetProduct().ProductClaimDefinition;
if (productClaimDef.ClaimHeaderAutomaticDeductibleProcessingMethod == (short)StaticValues.ClaimHeaderAutomaticDeductibleProcessingMethod.StandardClaimHeaderDeductible)
{
IAXAClaimsQuery query = new AXAClaimsQueries();
bool deductibleExist = false;
bool EDExcessExist = false;
query.PolicyDeductiblesExist(claimHeader.PolicyHeaderID.Value, "AND2", "AND3", out deductibleExist, out EDExcessExist);
policyEDData.DeductiblesExist = deductibleExist;
policyEDData.EDExcessExist = EDExcessExist;
}
return policyEDData;
}
private void UpdateTermsData(ClaimHeader claimHeader)
{
IAXAClaimsQuery query = new AXAClaimsQueries();
IUWTerms term = query.GetlatestTerm(claimHeader.PolicyHeaderID.Value);
claimHeader.ClaimCurrencyCode = ClaimConstants.DEFAULT_CURRENCY_CODE;
//if (term != null && !string.IsNullOrEmpty(term.MainOriginalCurrencyCode))
//{
// claimHeader.ClaimCurrencyCode = term.MainOriginalCurrencyCode;
//}
}
public bool UpdateEDData(ClaimDetail claimDetail, long? policyCoverageID)
{
ClaimHeader claimHeader = claimDetail.ClaimHeader;
// Extract of E&D data will only occur once. If another uncancelled CD already exists which is linked to policy component, then it is assumed that E&D data has already been retrieved
if (claimHeader.ClaimDetails.Where(a => a.PolicyLinkLevel > 0 && a.DataId != claimDetail.DataId && a.PolicyCoverageID != null
&& a.ClaimDetailInternalStatus
!= (short?)StaticValues.ClaimDetailInternalStatus.ClosedCreatedinError && a.ClaimDetailInternalStatus != (short?)StaticValues.ClaimDetailInternalStatus.Finalized).Any())
{
Logger.WarnFormat("This ClaimDetail does not satisfy the E&D update criteria; there could be an uncancelled CD linked to the Policy component\r\n{0}",
JObject.FromObject(new
{
claimDetail.ClaimHeader.ClaimReference,
claimDetail.ClaimDetailReference,
PolicyLinkLevel = ((StaticValues.PolicyLinkLevel)claimDetail.PolicyLinkLevel).ToString(),
ClaimDetailInternalStatus = ((StaticValues.ClaimDetailInternalStatus)claimDetail.ClaimDetailInternalStatus).ToString()
}));
return false;
}
Logger.InfoFormat("Attempting update of Excess and Deductibles values\r\n[\r\n\t{{ClaimRefernece:{0}}}\r\n]", claimHeader.ClaimReference);
ProductClaimDefinition productClaimDef = claimHeader.GetProduct().ProductClaimDefinition;
if (productClaimDef.ClaimHeaderAutomaticDeductibleProcessingMethod == (short)StaticValues.ClaimHeaderAutomaticDeductibleProcessingMethod.StandardClaimHeaderDeductible
&& claimHeader.PolicyHeaderID > 0)
{
if (policyCoverageID > 0)
{
Logger.InfoFormat("Coverage Link found\r\n{0}\r\n",
JObject.FromObject(new { claimHeader.ClaimReference, claimDetail.ClaimDetailReference, policyCoverageID }));
bool updateTerms = false;
// Retrieve the policy data onto the claim
IAXAClaimsQuery query = new AXAClaimsQueries();
Logger.InfoFormat("GetPolicyDeductibles query parameters for ClaimReference '{0}'\r\n[\r\n\tcomponentID={1}\r\n\tlinkLevel={2}\r\n\tvehicleType={3}\r\n\tdivision={4}\r\n\treasonCode={5}\r\n\tidentifier={6}\r\n]",
claimHeader.ClaimReference, policyCoverageID.Value, claimDetail.PolicyLinkLevel.Value, claimHeader.ClaimHeaderAnalysisCode09, claimHeader.ClaimHeaderAnalysisCode04, claimHeader.ClaimHeaderAnalysisCode08, "AND2");
IEnumerable<IGenericDataItem> deductibleGDItems = query.GetPolicyDeductibles(policyCoverageID.Value, claimDetail.PolicyLinkLevel.Value, claimHeader.ClaimHeaderAnalysisCode09, claimHeader.ClaimHeaderAnalysisCode04, claimHeader.ClaimHeaderAnalysisCode08, "AND2");
if (deductibleGDItems != null && deductibleGDItems.Count() > 0)
{
Logger.InfoFormat("Deductibles found\r\n{0}\r\n",
JObject.FromObject(new { claimDetail.ClaimDetailReference, DeductibleGenericDataItems = deductibleGDItems.Count() }));
// Assumed that ClaimHeader Generic data set for AND4 is set to default on creation
string[] policyRefs = new string[5];
ClaimGenericDataItem policyRefData = null;
ClaimGenericDataSet dataSet = claimHeader.GenericDataSet;
if (dataSet == null)
{
dataSet = (ClaimGenericDataSet)claimHeader.CreateGenericDataSet(true);
claimHeader.GenericDataSet = dataSet;
}
if (dataSet.ClaimGenericDataItems.All(gdi => gdi.GenericDataTypeCode != "AND4"))
{
IClaimGenericDataSetContainer claimGenericDataSetContainer = claimHeader;
var genericDataDefinitionHeader = claimHeader.GetProductGDDefinitionHeader();
var genericDataDefinitionDetail =
genericDataDefinitionHeader.ProductGDDefinitionDetails.FirstOrDefault(
gd =>
gd.GenericDataTypeCode == "AND4");
if (genericDataDefinitionDetail != null)
{
dataSet.AddGenericDataItem(genericDataDefinitionDetail.ProductGDDefinitionDetailID,
claimGenericDataSetContainer.GDSParentStartDate);
Logger.InfoFormat("Created GDI for AND4\r\n{0}",
JObject.FromObject(new
{
claimHeader.ClaimReference
}));
}
}
policyRefData = dataSet.GenericDataItems.Cast<ClaimGenericDataItem>().FirstOrDefault(a => a.GenericDataTypeCode == "AND4");
if (policyRefData != null)
{
policyRefs = query.GetPolicyReferences(claimHeader.ProposedPolicyReference);
}
Logger.InfoFormat("Claim has been updated with the following Policy References\r\n{0}",
JObject.FromObject(new
{
claimHeader.ClaimReference,
PolicyReferences = policyRefs
}));
this.UpdateClaimDeductibleData(claimHeader, deductibleGDItems, policyRefData, policyRefs);
updateTerms = true;
}
IEnumerable<IGenericDataItem> excessGDItems = query.GetPolicyDeductibles(policyCoverageID.Value, claimDetail.PolicyLinkLevel.Value, claimHeader.ClaimHeaderAnalysisCode09, claimHeader.ClaimHeaderAnalysisCode04, claimHeader.ClaimHeaderAnalysisCode08, "AND3");
if (excessGDItems != null && excessGDItems.Count() > 0)
{
this.UpdateClaimADExcessData(claimHeader, excessGDItems);
updateTerms = true;
}
if (updateTerms)
{
this.UpdateTermsData(claimHeader);
}
else
{
//if (claimHeader.UWHeader != null && claimHeader.UWHeader.ITerms != null && claimHeader.UWHeader.ITerms.Count > 0)
//{
// IUWTerms uwTerm = claimHeader.UWHeader.ITerms.OrderByDescending(x => x.VersionNumber).FirstOrDefault();
//if (!string.IsNullOrWhiteSpace(uwTerm.MainOriginalCurrencyCode))
//{
// claimHeader.ClaimCurrencyCode = uwTerm.MainOriginalCurrencyCode;
//}
//else
//{
claimHeader.ClaimCurrencyCode = ClaimConstants.DEFAULT_CURRENCY_CODE;
//}
//}
}
}
}
return true;
}
