public static string RunOne(bool showForms)
{
string retVal = "";
long provNum = ProviderC.ListShort[0].ProvNum; //dentist #1
Patient pat = Patients.GetPat(PatientTC.PatNum1); //patient#1
if (pat.PriProv != provNum)
{
Patient oldPat = pat.Copy();
pat.PriProv = provNum; //this script uses the primary provider for the patient
Patients.Update(pat, oldPat);
}
PatPlan patplan = PatPlans.GetPatPlan(pat.PatNum, 1);
InsSub sub = InsSubs.GetOne(patplan.InsSubNum);
InsPlan plan = InsPlans.GetPlan(sub.PlanNum, new List <InsPlan>());
//the UI would block this due to carrier not supporting this transaction type.
Clearinghouse clearinghouseHq = Clearinghouses.GetDefaultDental();
Clearinghouse clearinghouseClin = Clearinghouses.OverrideFields(clearinghouseHq, Clinics.ClinicNum);
long etransNum = CanadianOutput.SendElegibility(clearinghouseClin, pat.PatNum, plan, new DateTime(1999, 1, 1), patplan.Relationship, patplan.PatID, showForms, sub);
Etrans etrans = Etranss.GetEtrans(etransNum);
string message = EtransMessageTexts.GetMessageText(etrans.EtransMessageTextNum);
CCDFieldInputter formData = new CCDFieldInputter(message);
string responseStatus = formData.GetValue("G05");
if (responseStatus != "R")
{
throw new Exception("Should be R");
}
retVal += "Eligibility #1 successful.\r\n";
return(retVal);
}
///<summary>Attempts to request benefits. If successful the 270 request is returned.
///Otherwise null is returned and the out error string will contain more information. Mimics FormInsPlan.butGetElectronic_Click().</summary>
public static Etrans TryInsVerifyRequest(InsVerify insVerify, InsPlan insPlan, Carrier carrier, InsSub insSub, out string error)
{
error = "";
Etrans etrans270Request = null;
Clearinghouse clearinghouseHq = Clearinghouses.GetDefaultEligibility();
if (clearinghouseHq == null)
{
error = "No clearinghouse is set as default.";
return(null);
}
if (!clearinghouseHq.CommBridge.In(EclaimsCommBridge.ClaimConnect, EclaimsCommBridge.EDS, EclaimsCommBridge.WebMD))
{
error = "So far, eligibility checks only work with ClaimConnect, EDS, WebMD (Emdeon Dental), and CDAnet.";
return(null);
}
error = X271.ValidateSettings();
if (error.IsNullOrEmpty())
{
Clearinghouse clearinghouse = Clearinghouses.OverrideFields(clearinghouseHq, insVerify.ClinicNum); //ClinicNum pulled from appointment.
try {
//Can return null, can throw exceptions
etrans270Request = x270Controller.RequestBenefits(clearinghouse, insPlan, insVerify.PatNum, carrier, insSub, out error);
}
catch (Exception ex) {
error = ex.Message;
}
}
return(etrans270Request);
}
private static string Run(int scriptNum, Carrier carrier, CanadianNetwork network, Provider prov, out Etrans etrans, DateTime reconciliationDate)
{
string retVal = "";
Clearinghouse clearinghouseHq = Canadian.GetCanadianClearinghouseHq(carrier);
Clearinghouse clearinghouseClin = Clearinghouses.OverrideFields(clearinghouseHq, Clinics.ClinicNum);
etrans = CanadianOutput.GetSummaryReconciliation(clearinghouseClin, carrier, network, prov, reconciliationDate);
retVal += "Summary Reconciliation#" + scriptNum.ToString() + " successful.\r\n";
return(retVal);
}
private static string Run(int scriptNum, Carrier carrier, Provider treatProv, Provider billingProv, DateTime reconciliationDate, out List <Etrans> etransAcks)
{
string retVal = "";
Clearinghouse clearinghouseHq = Canadian.GetCanadianClearinghouseHq(carrier);
Clearinghouse clearinghouseClin = Clearinghouses.OverrideFields(clearinghouseHq, Clinics.ClinicNum);
etransAcks = CanadianOutput.GetPaymentReconciliations(clearinghouseClin, carrier, treatProv, billingProv, reconciliationDate, 0);
retVal += "Payment Reconciliation#" + scriptNum.ToString() + " successful.\r\n";
return(retVal);
}
private static string Run(int scriptNum, bool version2, bool sendToItrans, Carrier carrier, out List <Etrans> etransRequests)
{
string retVal = "";
Provider prov = Providers.GetProv(PrefC.GetLong(PrefName.PracticeDefaultProv));
Clearinghouse clearinghouseHq = Canadian.GetCanadianClearinghouseHq(carrier);
Clearinghouse clearinghouseClin = Clearinghouses.OverrideFields(clearinghouseHq, Clinics.ClinicNum);
etransRequests = CanadianOutput.GetOutstandingTransactions(clearinghouseClin, version2, sendToItrans, carrier, prov, false);
retVal += "Outstanding Transactions#" + scriptNum.ToString() + " successful.\r\n";
return(retVal);
}
public static string Run(int scriptNum, string responseExpected, string responseTypeExpected, Claim claim, bool showForms, int pageNumber, int lastPageNumber, double firstExamFee, double diagnosticPhaseFee)
{
string retVal = "";
ClaimSendQueueItem queueItem = Claims.GetQueueList(claim.ClaimNum, claim.ClinicNum, 0)[0];
Clearinghouse clearinghouseHq = ClearinghouseL.GetClearinghouseHq(queueItem.ClearinghouseNum);
Clearinghouse clearinghouseClin = Clearinghouses.OverrideFields(clearinghouseHq, Clinics.ClinicNum);
Eclaims.GetMissingData(clearinghouseClin, queueItem); //,out warnings);
if (queueItem.MissingData != "")
{
return("Cannot send predetermination until missing data is fixed:\r\n" + queueItem.MissingData + "\r\n");
}
#if DEBUG
Canadian.testNumber = scriptNum;
claim.PreAuthString = "" + pageNumber + "," + lastPageNumber + "," + firstExamFee + "," + diagnosticPhaseFee;
#endif
long etransNum = Canadian.SendClaim(clearinghouseClin, queueItem, showForms);
Etrans etrans = Etranss.GetEtrans(etransNum);
string message = EtransMessageTexts.GetMessageText(etrans.EtransMessageTextNum);
CCDFieldInputter formData = new CCDFieldInputter(message);
string responseType = formData.GetValue("A04");
if (responseType != responseTypeExpected)
{
return("Form type is '" + responseType + "' but should be '" + responseTypeExpected + "'\r\n");
}
string responseStatus = formData.GetValue("G05");
if (responseStatus != responseExpected)
{
return("G05 is '" + responseStatus + "' but should be '" + responseExpected + "'\r\n");
}
if (responseExpected == "R" && responseTypeExpected == "11")
{
//so far, only for #6. We need some other way to test if successful transaction
string errorMsgCount = formData.GetValue("G06");
if (errorMsgCount == "00")
{
return("Wrong message count.\r\n");
}
}
retVal += "Predetermination #" + scriptNum + " page " + pageNumber + " of " + lastPageNumber + " successful.\r\n";
return(retVal);
}
public static string Run(int scriptNum, string responseExpected, string responseTypeExpected, Claim claim, bool showForms)
{
string retVal = "";
ClaimSendQueueItem queueItem = Claims.GetQueueList(claim.ClaimNum, claim.ClinicNum, 0)[0];
Clearinghouse clearinghouseHq = ClearinghouseL.GetClearinghouseHq(queueItem.ClearinghouseNum);
Clearinghouse clearinghouseClin = Clearinghouses.OverrideFields(clearinghouseHq, Clinics.ClinicNum);
Eclaims.GetMissingData(clearinghouseClin, queueItem); //,out warnings);
if (queueItem.MissingData != "")
{
return("Cannot send claim until missing data is fixed:\r\n" + queueItem.MissingData + "\r\n");
}
#if DEBUG
Canadian.testNumber = scriptNum;
#endif
long etransNum = Canadian.SendClaim(clearinghouseClin, queueItem, showForms);
Etrans etrans = Etranss.GetEtrans(etransNum);
string message = EtransMessageTexts.GetMessageText(etrans.EtransMessageTextNum);
CCDFieldInputter formData = new CCDFieldInputter(message);
string responseType = formData.GetValue("A04");
if (responseType != responseTypeExpected)
{
return("Form type should be " + responseTypeExpected + "\r\n");
}
string responseStatus = formData.GetValue("G05");
if (responseStatus != responseExpected)
{
return("G05 should be " + responseExpected + "\r\n");
}
if (responseExpected == "R" && responseTypeExpected == "11")
{
//so far, only for #6. We need some other way to test if successful transaction
string errorMsgCount = formData.GetValue("G06");
if (errorMsgCount == "00")
{
return("Wrong message count.\r\n");
}
}
retVal += "Claim #" + scriptNum.ToString() + " successful.\r\n";
return(retVal);
}
public static string Run(int scriptNum, string responseExpected, Claim claim)
{
string retVal = "";
InsPlan insPlan = InsPlans.GetPlan(claim.PlanNum, null);
InsSub insSub = InsSubs.GetOne(claim.InsSubNum);
Carrier carrier = Carriers.GetCarrier(insPlan.CarrierNum);
Clearinghouse clearinghouseHq =
Clearinghouses.GetClearinghouse(Clearinghouses.AutomateClearinghouseHqSelection(carrier.ElectID, claim.MedType));
Clearinghouse clearinghouseClin = Clearinghouses.OverrideFields(clearinghouseHq, Clinics.ClinicNum);
long etransNum = CanadianOutput.SendClaimReversal(clearinghouseClin, claim, insPlan, insSub);
Etrans etrans = Etranss.GetEtrans(etransNum);
string message = EtransMessageTexts.GetMessageText(etrans.EtransMessageTextNum);
CCDFieldInputter formData = new CCDFieldInputter(message);
string responseStatus = formData.GetValue("G05");
if (responseStatus != responseExpected)
{
return("G05 should be " + responseExpected + "\r\n");
}
retVal += "Reversal #" + scriptNum.ToString() + " successful.\r\n";
return(retVal);
}
