|
@@ -0,0 +1,284 @@
|
|
|
+Determine which client->primaryCoverage to use
|
|
|
+
|
|
|
+if there is latest_manual_client_primary_coverage_id and its not cancelled use it
|
|
|
+else:
|
|
|
+ if there is latest_auto_refresh_client_primary_coverage_id and latest_new_client_primary_coverage_id use the latest
|
|
|
+ else use whichever is there
|
|
|
+ else
|
|
|
+ no coverage
|
|
|
+
|
|
|
+TEST CASE
|
|
|
+ - create a new client
|
|
|
+ - add manual coverage
|
|
|
+ - cancel manual coverage
|
|
|
+ - add new coverage
|
|
|
+ - auto refresh the new coverage
|
|
|
+ - add another new
|
|
|
+
|
|
|
+
|
|
|
+=====================
|
|
|
+- add new (automatically when you create a client ), or when you go Primary Coverage -> Add +
|
|
|
+- go primary coverage, on an exising coverage, do manual determination
|
|
|
+- go to primary coverage, on an existing coverage, click refresh
|
|
|
+
|
|
|
+
|
|
|
+client->getPrimaryCoverage(); //Already done
|
|
|
+TODO: use this everywhere on the ui NO $client->latestClientPrimaryCoverage
|
|
|
+
|
|
|
+1. header blade
|
|
|
+2. thin blade to be used for tables
|
|
|
+
|
|
|
+How to display on the header and table columns
|
|
|
+- is client covered
|
|
|
+ $coverage->is_covered
|
|
|
+ - Medicare
|
|
|
+ IF AUTO/NEW
|
|
|
+ autoMedicareIsPartBActive;
|
|
|
+ autoMedicareIsPartBPrimary;
|
|
|
+ autoMedicareIsPartCActive;
|
|
|
+ autoMedicareIsInpatient;
|
|
|
+ autoMedicareIsHospiceOrHomeHealth;
|
|
|
+ autoMedicareMpbRemaining
|
|
|
+ IF MANUAL
|
|
|
+ manualDeterminationCategory
|
|
|
+ manualMedicareIsPartBActive;
|
|
|
+ manualMedicareIsPartBPrimary;
|
|
|
+ manualMedicareIsPartCActive;
|
|
|
+ manualMedicareIsInpatient;
|
|
|
+ manualMedicareIsHospiceOrHomeHealth;
|
|
|
+ manualMedicareIsMsp;
|
|
|
+ manualMedicareMspMemo;
|
|
|
+ - Commercial
|
|
|
+ commercialPayerUid;
|
|
|
+ commercialPayerName;
|
|
|
+ **commercialMemberIdentifier;
|
|
|
+ **commercialGroupNumber;
|
|
|
+ **mcrNumber;
|
|
|
+ mcdPayerName;
|
|
|
+ **mcdNumber;
|
|
|
+ IF AUTO/NEW
|
|
|
+ autoCommercialIsMatchFound;
|
|
|
+ autoCommercialMoreSpecificPayerId; //gives official commerical name
|
|
|
+ if has medicare
|
|
|
+ autoMedicareIsMatchFound
|
|
|
+ autoMedicareIsPartBActive;
|
|
|
+ autoMedicareIsPartBPrimary;
|
|
|
+ autoMedicareIsPartCActive;
|
|
|
+ autoMedicareIsInpatient;
|
|
|
+ autoMedicareIsHospiceOrHomeHealth;
|
|
|
+ mpbRemaining
|
|
|
+ if has medicaid
|
|
|
+ autoMedicaidIsMatchFound
|
|
|
+
|
|
|
+ IF MANUAL
|
|
|
+ manualDeterminationCategory
|
|
|
+ manualCommercialIsMatched
|
|
|
+ if has medicare
|
|
|
+ manualMedicareIsMatched;
|
|
|
+ manualMedicareIsPartBActive;
|
|
|
+ manualMedicareIsPartBPrimary;
|
|
|
+ manualMedicareIsPartCActive;
|
|
|
+ manualMedicareIsInpatient;
|
|
|
+ manualMedicareIsHospiceOrHomeHealth;
|
|
|
+ manualMedicareIsMsp;
|
|
|
+ manualMedicareMspMemo;
|
|
|
+ if has medicaid
|
|
|
+ manualMedicaidIsMatched;
|
|
|
+
|
|
|
+ - Medicaid
|
|
|
+ mcdPayerName;
|
|
|
+ mcdNumber;
|
|
|
+ IF AUTO/NEW
|
|
|
+ autoMedicaidIsMatchFound
|
|
|
+ IF MANUAL
|
|
|
+ manualDeterminationCategory
|
|
|
+ manualMedicareIsMatched
|
|
|
+
|
|
|
+
|
|
|
+
|
|
|
+ latest_auto_refresh_client_primary_coverage_id //latest after refresh
|
|
|
+ latest_client_primary_coverage_id //lastest after manual or refresh
|
|
|
+ latest_manual_client_primary_coverage_id //latest after manual
|
|
|
+ latest_new_client_primary_coverage_id /latest after a client has just been created, always the latest client_primary_coverage,
|
|
|
+
|
|
|
+How to display on client primary coverage section
|
|
|
+on coverage section show 3 tabs with all the columns
|
|
|
+ latest_manual_client_primary_coverage_id //latest after manual
|
|
|
+ latest_auto_refresh_client_primary_coverage_id //latest after refresh
|
|
|
+ latest_new_client_primary_coverage_id
|
|
|
+- Highlight the one that is currently in use
|
|
|
+
|
|
|
+auto_medicare_detail_json
|
|
|
+auto_commercial_detail_json
|
|
|
+auto_medicaid_detail_json
|
|
|
+
|
|
|
+
|
|
|
+
|
|
|
+client
|
|
|
+ is_hospice
|
|
|
+ is_mcn_valid_number
|
|
|
+ is_medicare_advantage
|
|
|
+ is_part_b_primary
|
|
|
+ mcn
|
|
|
+ mcn_address_city
|
|
|
+ mcn_address_state
|
|
|
+ mcn_address_street_line1
|
|
|
+ mcn_address_street_line2
|
|
|
+ mcn_address_zip
|
|
|
+ mcn_error_details
|
|
|
+ mcn_follow_up_action_code
|
|
|
+ mcn_follow_up_action_description
|
|
|
+ mcn_reject_reason_code
|
|
|
+ mcn_reject_reason_description
|
|
|
+ mcn_response_detail
|
|
|
+ medicare_advantage_plan
|
|
|
+ mother_maiden_name
|
|
|
+ was_medicare_validation_successful
|
|
|
+ is_coverage_manually_verified
|
|
|
+ coverage_manual_verification_memo
|
|
|
+ latest_eligible_refresh_id
|
|
|
+ latest_eligible_refresh_at
|
|
|
+ mpb_active
|
|
|
+ mpb_start_date
|
|
|
+ mpb_end_date
|
|
|
+ mpb_deductible
|
|
|
+ mpb_remaining
|
|
|
+ mpb_insurance_type
|
|
|
+ mpb_insurance_type_label
|
|
|
+ mpb_coinsurance_percent
|
|
|
+ mpb_info_valid_until
|
|
|
+ mpb_info_valid_till
|
|
|
+ mpb_last_refreshed_atpayer_name
|
|
|
+ payer_name
|
|
|
+ payer_member_id
|
|
|
+ non_mc_primary_payer_id
|
|
|
+ non_mc_secondary_payer_id
|
|
|
+ latest_auto_refresh_client_primary_coverage_id
|
|
|
+ latest_client_primary_coverage_id
|
|
|
+ latest_manual_client_primary_coverage_id
|
|
|
+ latest_new_client_primary_coverage_id
|
|
|
+ temporary_outsider_new_client_primary_coverage_id
|
|
|
+ is_auto_part_b_primary
|
|
|
+
|
|
|
+
|
|
|
+
|
|
|
+client_primary_coverage
|
|
|
+ client_id
|
|
|
+ creation_strategy
|
|
|
+ auto_refresh_of_client_primary_coverage_id
|
|
|
+ manual_determination_of_client_primary_coverage_id
|
|
|
+ plan_type
|
|
|
+ is_partbprimary
|
|
|
+ is_manually_determined
|
|
|
+ is_entry_error
|
|
|
+ subscriber_name_first
|
|
|
+ subscriber_name_last
|
|
|
+ subscriber_sex
|
|
|
+ subscriber_dob
|
|
|
+ date_of_service
|
|
|
+ auto_medicare_is_partbprimary
|
|
|
+ auto_medicare_is_partbactive
|
|
|
+ auto_medicare_is_partcactive
|
|
|
+ auto_medicare_is_inpatient
|
|
|
+ auto_medicare_is_hospice_or_home_health
|
|
|
+ auto_medicare_is_msp
|
|
|
+ auto_medicare_msp_memo
|
|
|
+ auto_medicare_mpb_start_date
|
|
|
+ auto_medicare_mpb_end_date
|
|
|
+ auto_medicare_mpb_deductible
|
|
|
+ auto_medicare_mpb_remaining
|
|
|
+ auto_medicare_mpb_insurance_type
|
|
|
+ auto_medicare_mpb_insurance_type_label
|
|
|
+ auto_medicare_mpb_coinsurance_percent
|
|
|
+ auto_medicare_mpb_info_valid_until
|
|
|
+ auto_medicare_mpb_info_valid_till
|
|
|
+ auto_medicare_mpb_last_refreshed_at
|
|
|
+ was_successful
|
|
|
+ reject_reason_code
|
|
|
+ reject_reason_description
|
|
|
+ follow_up_action_code
|
|
|
+ follow_up_action_description
|
|
|
+ details
|
|
|
+ is_mcn_valid_number
|
|
|
+ address_street_line1
|
|
|
+ address_street_line2
|
|
|
+ address_city
|
|
|
+ address_state
|
|
|
+ address_zip
|
|
|
+ is_hospice
|
|
|
+ mcn_response_detail
|
|
|
+ billing_address
|
|
|
+ reason_not_partb
|
|
|
+ reason_not_partbmemo
|
|
|
+ is_medicare_advantage
|
|
|
+ medicare_advantage_plan
|
|
|
+ mpb_active
|
|
|
+ mpb_start_date
|
|
|
+ mpb_end_date
|
|
|
+ mpb_deductible
|
|
|
+ mpb_remaining
|
|
|
+ mpb_insurance_type
|
|
|
+ mpb_insurance_type_label
|
|
|
+ mpb_coinsurance_percent
|
|
|
+ mpb_info_valid_until
|
|
|
+ mpb_info_valid_till
|
|
|
+ mpb_last_refreshed_at
|
|
|
+ manual_determination_strategy
|
|
|
+ manual_determination_category
|
|
|
+ manual_determination_category_memo
|
|
|
+ manual_medicare_is_partbprimary
|
|
|
+ manual_medicare_is_partbactive
|
|
|
+ manual_medicare_is_partcactive
|
|
|
+ manual_medicare_is_inpatient
|
|
|
+ manual_medicare_is_hospice_or_home_health
|
|
|
+ manual_medicare_is_msp
|
|
|
+ manual_medicare_msp_memo
|
|
|
+ auto_medicare_result_id
|
|
|
+ mcd_number
|
|
|
+ mcr_number
|
|
|
+ subscriber_name_middle
|
|
|
+ subscriber_name_suffix
|
|
|
+ auto_commercial_detail_json
|
|
|
+ auto_commercial_is_match_found
|
|
|
+ auto_commercial_more_specific_payer_id
|
|
|
+ auto_medicaid_detail_json
|
|
|
+ auto_medicaid_is_match_found
|
|
|
+ auto_medicare_is_match_found
|
|
|
+ commercial_member_identifier
|
|
|
+ commercial_payer_id
|
|
|
+ commercial_payer_name
|
|
|
+ is_partcactive
|
|
|
+ is_patient_subscriber
|
|
|
+ manual_medicaid_is_matched
|
|
|
+ manual_medicare_is_matched
|
|
|
+ mcd_payer_id
|
|
|
+ patient_dob
|
|
|
+ patient_name_first
|
|
|
+ patient_name_last
|
|
|
+ patient_name_middle
|
|
|
+ patient_name_suffix
|
|
|
+ patient_relationship_to_subscriber
|
|
|
+ patient_sex
|
|
|
+ commercial_group_number
|
|
|
+ auto_medicare_detail_json
|
|
|
+ is_covered
|
|
|
+ last_updated_at
|
|
|
+ deductible_amount
|
|
|
+ family_deductible
|
|
|
+ member_accumulated_total
|
|
|
+ plan_description
|
|
|
+ plan_effective_date
|
|
|
+ provider_status
|
|
|
+ total_family_balance
|
|
|
+ total_individual_balance
|
|
|
+ mental_health_coverage
|
|
|
+ telehealth_coverage
|
|
|
+ cancellation_memo
|
|
|
+ cancelled_at
|
|
|
+ cancelled_by_session_id
|
|
|
+ is_cancelled
|
|
|
+
|
|
|
+
|
|
|
+ medicare
|
|
|
+ medicaid
|
|
|
+ commercial
|