示例#1
0
        protected static PaymentResult GetPaymentResult(List <PaymentResult> paymentResults, bool isCarveOut, int lineId)
        {
            PaymentResult paymentResult = null;

            PaymentResult claimChargePaymentResult = paymentResults.FirstOrDefault(
                currentPaymentResult => currentPaymentResult.Line == lineId && currentPaymentResult.AdjudicatedValue != null);

            //If service type is CarveOut and matching line already adjudicated (AdjudicatedValue != null) then clone(add) charge line and set AdjudicatedValue = null
            if (paymentResults != null && (isCarveOut && !paymentResults.Exists(result => result.Line == lineId && result.AdjudicatedValue == null)))
            {
                if (claimChargePaymentResult != null)
                {
                    //For carve out service type we need to add clone payment result object with adjudicated value, status, service type to null ( using Utilities.ResetPaymentResult())
                    paymentResult = claimChargePaymentResult.Clone();

                    //Reset clone fields Adj amount, payment type id , adj status and service type id
                    Utilities.ResetPaymentResult(paymentResult);

                    //Add updated result into Payment result list
                    paymentResults.Add(paymentResult);
                }
            }
            else if (paymentResults != null)
            {
                paymentResult = paymentResults.FirstOrDefault(
                    currentPaymentResult => currentPaymentResult.Line == lineId && currentPaymentResult.AdjudicatedValue == null);
            }

            return(paymentResult);
        }
示例#2
0
        protected static PaymentResult GetClaimLevelPaymentResult(List <PaymentResult> paymentResults, bool isCarveOut)
        {
            PaymentResult paymentResult = null;

            if (paymentResults != null)
            {
                if (paymentResults.Count(currentPaymentResult => currentPaymentResult.Line == null) == 1)
                {
                    PaymentResult claimPaymentResult = paymentResults.FirstOrDefault();
                    if (claimPaymentResult != null)
                    {
                        paymentResult = claimPaymentResult.Clone();
                        paymentResult.IsInitialEntry = false;
                        paymentResults.Add(paymentResult);
                    }
                }
                else
                {
                    paymentResult =
                        paymentResults.FirstOrDefault(
                            a => a.ServiceTypeId != null && a.Line == null && a.AdjudicatedValue == null);

                    if (paymentResult == null && isCarveOut)
                    {
                        PaymentResult claimPaymentResult = paymentResults.FirstOrDefault();
                        if (claimPaymentResult != null)
                        {
                            paymentResult = claimPaymentResult.Clone();
                            paymentResult.IsInitialEntry = false;
                            paymentResults.Add(paymentResult);
                        }
                    }
                }
            }
            return(paymentResult);
        }