///<summary>In realtime mode, X12 limits the request to one patient. We will always use the subscriber. So all EB segments are for the subscriber.</summary>
public List<EB271> GetListEB(bool isInNetwork) {
List<EB271> retVal=new List<EB271>();
EB271 eb=null;
for(int i=0;i<Segments.Count;i++) {
//loop until we encounter the first EB
if(Segments[i].SegmentID!="EB" && eb==null) {
continue;
}
if(Segments[i].SegmentID=="EB") {
//add the previous eb
if(eb!=null) {
retVal.Add(eb);
}
//then, start the next one
eb=new EB271(Segments[i],isInNetwork);
continue;
}
else if(Segments[i].SegmentID=="SE") {//end of benefits
retVal.Add(eb);
break;
}
else {//add to existing eb
eb.SupplementalSegments.Add(Segments[i]);
continue;
}
}
return retVal;
}
internal bool IsValidForBatchVerification(List <EB271> listBenefits, bool isCoinsuranceInverted, out string errorMsg)
{
errorMsg = this.GetProcessingError();
if (errorMsg != "")
{
return(false);
}
if (listBenefits.Count == 0)
{
errorMsg = "No benefits reported.";
return(false);
}
else if (listBenefits.Count == 1)
{
EB271 eb271 = listBenefits[0];
switch (eb271.Segment.Elements[1])
{
case "U": //Contact Following Entity for Information for Eligibility or Benefit Information
errorMsg = "Contact carrier for more information."; //There will be an MSG segment following this.
X12Segment msgSegment = eb271.SupplementalSegments.FirstOrDefault(x => x.SegmentID == "MSG");
if (msgSegment != null)
{
errorMsg += "\r\n" + msgSegment.Get(1);
}
break;
//The following codes have not been reported as of yet.
case "6": //Inactive
case "7": //Inactive - Pending Eligibility Update
case "8": //Inactive - Pending Investigation
case "T": //Card(s) Reported Lost/Stolen
case "V": //Cannot Process
errorMsg = eb271.GetEB01Description(eb271.Segment.Elements[1]); //Returns null if given code is not known.
break;
default:
//Intentionally blank, most other EB01 codes are not easily identified as errors.
break;
}
}
return(errorMsg.IsNullOrEmpty());
}
///<summary>In realtime mode, X12 limits the request to one patient. We will always use the subscriber. So all EB segments are for the subscriber.</summary>
public List <EB271> GetListEB(bool isInNetwork, bool isCoinsuranceInverted)
{
List <EB271> retVal = new List <EB271>();
EB271 eb = null;
for (int i = 0; i < Segments.Count; i++)
{
//loop until we encounter the first EB
if (Segments[i].SegmentID != "EB" && eb == null)
{
continue;
}
if (Segments[i].SegmentID == "EB")
{
//add the previous eb
if (eb != null)
{
retVal.Add(eb);
}
X12Segment hsdSeg = null;
if (Segments[i + 1].SegmentID == "HSD")
{
hsdSeg = Segments[i + 1];
}
//then, start the next one
eb = new EB271(Segments[i], isInNetwork, isCoinsuranceInverted, hsdSeg);
continue;
}
else if (Segments[i].SegmentID == "SE") //end of benefits
{
retVal.Add(eb);
break;
}
else //add to existing eb
{
eb.SupplementalSegments.Add(Segments[i]);
continue;
}
}
return(retVal);
}
