///<summary>Supply the transaction header(ST) when creating this object.</summary>
public X12Transaction(X12Segment header)
{
}
///<summary>Supply the functional group header(GS) when creating this object.</summary>
public X12FunctionalGroup(X12Segment header)
{
Header = header.Copy();
}
private static string SegmentToString(X12Segment segment)
{
string retVal = "";
string rn = "\r\n";
//HL
if (segment.SegmentID == "HL")
{
retVal += rn; //insert a blank line before each loop
switch (segment.Get(3))
{
case "20":
retVal += "Information Source:";
break;
case "21":
retVal += "Information Receiver:";
break;
case "19":
retVal += "Service Provider:";
break;
case "22":
retVal += "Subscriber:";
break;
case "23":
retVal += "Dependent:";
break;
}
retVal += rn;
}
//NM1
else if (segment.SegmentID == "NM1")
{
switch (segment.Get(1)) //payer ID code
{
case "PR":
retVal = "Payer: ";
break;
case "41":
retVal = "Submitter: ";
break;
case "1P":
retVal = "Provider: ";
break;
case "IL":
retVal = "Insured or Subscriber: ";
break;
case "QC":
retVal = "Patient: ";
break;
case "85":
retVal = "Billing Provider: ";
break;
}
retVal += segment.Get(3) + ", " //LName
+ segment.Get(4) + " " //Fname
+ segment.Get(5) + " " //MiddleName
+ segment.Get(7) + ", " //Suffix
+ "ID code: " + segment.Get(9) + rn; //ID code
}
//PER
else if (segment.SegmentID == "PER")
{
retVal = "Information Contact: "
+ segment.Get(2) + " " //Name
+ GetPERqualifier(segment.Get(3)) + " "
+ segment.Get(4) + " "
+ GetPERqualifier(segment.Get(5)) + " "
+ segment.Get(6) + " "
+ GetPERqualifier(segment.Get(7)) + " "
+ segment.Get(8) + rn;
}
//TRN
else if (segment.SegmentID == "TRN")
{
retVal = "Trace Number: "
+ segment.Get(2) + rn;
}
//STC-Status information
else if (segment.SegmentID == "STC")
{
retVal = "ClaimStatus :"
//+segment.Get(1,1)+" "//Industry R code
+ "LOINC:" + segment.Get(1, 2) + ", " //LOINC code
+ "DATE: " + ConvertDate(segment.Get(2)) + " "
+ ConvertCurrency(segment.Get(4)) + " " //monetary amount
+ segment.Get(10, 2) + " " //LOINC code 2
+ segment.Get(11, 2) + rn; //LOINC code 3
}
//REF
else if (segment.SegmentID == "REF")
{
switch (segment.Get(1))
{
case "EJ":
retVal = "Patient Account Number: ";
break;
case "BLT":
retVal = "Billing Type: ";
break;
case "EA":
retVal = "Medical Record ID Number: ";
break;
case "D9":
retVal = "Claim Number: ";
break;
case "FJ":
retVal = "Line Item Control Number: ";
break;
case "87":
//functional category irrelevant
return("");
case "9F":
retVal = "Referral Number: ";
break;
case "6R":
retVal = "Provider Control Number: ";
break;
case "G5":
retVal = "Provider Site Number: ";
break;
case "1B":
retVal = "Blue Shield Provider Number: ";
break;
}
retVal += segment.Get(2) + rn;
}
//DTP(x2)-Date or Time period
else if (segment.SegmentID == "DTP")
{
switch (segment.Get(1))
{
case "434":
retVal = "Statement date: ";
break;
case "106":
retVal = "Required by: ";
break;
case "472":
retVal = "Service date: ";
break;
}
if (segment.Get(2) == "D8") //Date eight char
{
retVal += ConvertDate(segment.Get(3)) + rn;
}
else if (segment.Get(2) == "RD8") //Range Date eight char
{
retVal += ConvertDateRange(segment.Get(3)) + rn;
}
}
//PWK-not very useful here
//N1
else if (segment.SegmentID == "N1")
{
switch (segment.Get(1)) //
{
case "PR":
retVal = "Payer: ";
break;
}
retVal += segment.Get(2) + rn;
}
//N3
else if (segment.SegmentID == "N3")
{
retVal = segment.Get(1) + " " //address
+ segment.Get(2) + rn; //address2
}
//N4-CityStateZip
else if (segment.SegmentID == "N4")
{
retVal = segment.Get(1) + ", " //City
+ segment.Get(2) + " " //State
+ segment.Get(3) + " "; //Zip
if (segment.Get(5) == "B1") //branch
{
retVal += "Branch " + segment.Get(6);
}
else if (segment.Get(5) == "DP") //department
{
retVal += "Department " + segment.Get(6);
}
retVal += rn;
}
//SVC-Service Line Information
else if (segment.SegmentID == "SVC")
{
retVal = segment.Get(1, 2) + " " //procedure code
+ ConvertCurrency(segment.Get(2)) + " " //amount
+ segment.Get(4) + rn; //national Uniform Billing Code??? on institutional claims.
}
//SBR-subscriber on 837
//DMG-birthdate,gender on 837
//CLM-claim on 837
//DN2-tooth status on 837
//LX-line counter not needed
//SV3-Dental service on 837
//TOO-Tooth info on 837
return(retVal);
}
