public void RpProcNotBilledIns_GetProcsNotBilled_MedicalInsOnly()
{
string suffix = MethodBase.GetCurrentMethod().Name;
Patient patient = PatientT.CreatePatient(suffix);
Carrier carrier = CarrierT.CreateCarrier(suffix);
ProcedureCode procedureCode = ProcedureCodeT.CreateProcCode("T7782");
//Create a primary medical insurance plan
InsuranceInfo insuranceInfo = InsuranceT.AddInsurance(patient, carrier.CarrierName, ordinal: 1, isMedical: true);
insuranceInfo.AddBenefit(BenefitT.CreatePercentForProc(insuranceInfo.MedInsPlan.PlanNum, procedureCode.CodeNum, 80));
Procedure procedure = ProcedureT.CreateProcedure(patient, procedureCode.ProcCode, ProcStat.TP, "", 55, procDate: DateTime.Now.AddDays(-3));
ProcedureT.ComputeEstimates(patient, insuranceInfo);
ProcedureT.SetComplete(procedure, patient, insuranceInfo);
//Run the procs not billed report with "includeMedProcs" set to false.
//The patient should not be returned due to not having any dental insurance estimates.
DataTable table = RpProcNotBilledIns.GetProcsNotBilled(new List <long>(), false, DateTime.Now.AddDays(-10), DateTime.Now, false, false);
Assert.IsNotNull(table);
Assert.IsFalse(table.Select().Select(x => PIn.Long(x["PatNum"].ToString())).Contains(patient.PatNum));
//Run the procs not billed report with "includeMedProcs" set to true.
//The patient should be returned due to the medical insurance estimates.
table = RpProcNotBilledIns.GetProcsNotBilled(new List <long>(), true, DateTime.Now.AddDays(-10), DateTime.Now, false, false);
Assert.IsNotNull(table);
Assert.IsTrue(table.Rows.Count > 0);
Assert.IsTrue(table.Select().Select(x => PIn.Long(x["PatNum"].ToString())).Contains(patient.PatNum));
}
public void ProcMultiVisitTests_CrownGroupComplete_ClaimDates()
{
string suffix = MethodBase.GetCurrentMethod().Name;
Patient pat = PatientT.CreatePatient(suffix);
InsuranceInfo insInfo = InsuranceT.AddInsurance(pat, suffix);
List <Procedure> listProcs = new List <Procedure>();
Procedure procBillable = ProcedureT.CreateProcedure(pat, "D2750", ProcStat.TP, "1", 100, new DateTime(2018, 5, 1));//PFM
listProcs.Add(procBillable);
Procedure procDelivery = ProcedureT.CreateProcedure(pat, "N4118", ProcStat.TP, "1", 0, new DateTime(2018, 8, 20)); //Seat - usually completed several months later.
listProcs.Add(procDelivery);
List <ClaimProc> listClaimProcs = ProcedureT.ComputeEstimates(pat, insInfo);
ProcMultiVisits.CreateGroup(listProcs);
Procedure procBillableOld = procBillable.Copy();
procBillable.ProcStatus = ProcStat.C;
Procedures.Update(procBillable, procBillableOld);
Procedure procDeliveryOld = procDelivery.Copy();
procDelivery.ProcStatus = ProcStat.C;
Procedures.Update(procDelivery, procDeliveryOld);
Assert.AreEqual(ProcMultiVisits.IsProcInProcess(procBillable.ProcNum), false); //Both procedures complete means the group is now complete (not In Process).
Assert.AreEqual(ProcMultiVisits.IsProcInProcess(procDelivery.ProcNum), false); //Both procedures complete means the group is now complete (not In Process).
Claim claim = new Claim();
claim.DateSent = DateTimeOD.Today;
claim.DateSentOrig = DateTime.MinValue;
claim.ClaimStatus = "W";
//Dates of service are calculated inside AccountModules.CreateClaim().
//The procDelivery cannot be attached to the claim in the UI, because $0 procs are blocked by UI. Therefore, we only attach the procBilled to the claim here.
ODTuple <bool, Claim, string> clmResult = AccountModules.CreateClaim(claim, "P", insInfo.ListPatPlans, insInfo.ListInsPlans, listClaimProcs, listProcs,
insInfo.ListInsSubs, pat, null, new List <Procedure> {
procBillable
}, "", insInfo.PriInsPlan, insInfo.PriInsSub, Relat.Self);
Assert.AreEqual(clmResult.Item3, ""); //Ensure no validation errors creating the claim. This is to verify the integrity of the unit test design.
Assert.AreEqual(clmResult.Item2.DateService, procDelivery.ProcDate); //Claim date of service must always be the greatest date in the multi visit group.
listClaimProcs = ClaimProcs.RefreshForClaim(clmResult.Item2.ClaimNum);
Assert.AreEqual(listClaimProcs[0].ProcDate, procDelivery.ProcDate); //Proc date of service must always be the greatest date in the multi visit group, even if performed on a different day.
}