Class X12Loop

Inheritance
System.Object
X12Disposable
X12Loop
Inherited Members
Namespace: Bishop.X12
Assembly: Bishop.X12.dll
Syntax
public class X12Loop : X12Disposable, IDisposable

Properties

ID

Declaration
public string ID { get; }
Property Value
Type Description
System.String

Methods

AddLoop(String)

Declaration
public X12Loop AddLoop(string loopId)
Parameters
Type Name Description
System.String loopId
Returns
Type Description
X12Loop

AddSegment(String, String)

Declaration
public X12Segment AddSegment(string segId, string code)
Parameters
Type Name Description
System.String segId
System.String code
Returns
Type Description
X12Segment

GetLoop(String)

Declaration
public X12Loop GetLoop(string loopId)
Parameters
Type Name Description
System.String loopId
Returns
Type Description
X12Loop

SetAddress(String, String, String, String, String)

Declaration
public bool SetAddress(string address, string addr2, string city, string state, string zipCode)
Parameters
Type Name Description
System.String address
System.String addr2
System.String city
System.String state
System.String zipCode
Returns
Type Description
System.Boolean

SetClaim(String, Int32, X12FacilityCode, X12ClaimFreqCode, X12YesNo, X12PlanParticipationCode, X12YesNoNA, X12YesNo, X12YesNo, X12RelatedCause)

Declaration
public bool SetClaim(string billNumber, int claimCharge, X12FacilityCode facility, X12ClaimFreqCode frequency, X12YesNo providerSig, X12PlanParticipationCode planPartCode, X12YesNoNA benefitsAssigned, X12YesNo releaseOfInfo, X12YesNo patientSigSource, X12RelatedCause relatedCause)
Parameters
Type Name Description
System.String billNumber

a unique number for each individual claim that is returned to the submitter in the remittance transactions to enable the submitter to match this claim to the remittance.
System.Int32 claimCharge

Total Claim Charge Amount must be greater than or equal to zero and must also balance to the sum of all service line charge amounts reported in the Service segments for this claim.
X12FacilityCode facility

Code identifying where services were, or may be, performed; the first and second positions of the Uniform Bill Type Code for Institutional Services or the Place of Service Codes for Professional or Dental Services.
X12ClaimFreqCode frequency

Claim Frequency Type Code
X12YesNo providerSig

Provider or Supplier Signature Indicator where Yes indicates the provider signature is on file.
X12PlanParticipationCode planPartCode

Assignment or Plan Participation Code.
X12YesNoNA benefitsAssigned

Benefits Assignment Certification Indicator where Yes indicates insured or authorized person authorizes benefits to be assigned to the provider
X12YesNo releaseOfInfo

Release of Information Code. Yes, Provider has a Signed Statement Permitting Release of Medical Billing Data Related to a Claim. No means the provider has NOT collected a signature AND state or federal laws do not require a signature be collected.
X12YesNo patientSigSource

Patient Signature Source Code. Yes if Signature generated by provider because the patient was not physically present for services.
X12RelatedCause relatedCause

Related Causes to this claim.
Returns
Type Description
System.Boolean

SetFileInfo(String)

Declaration
public bool SetFileInfo(string value)
Parameters
Type Name Description
System.String value
Returns
Type Description
System.Boolean

SetHealthInfo(X12HICode, String, X12YesNoNA)

Declaration
public bool SetHealthInfo(X12HICode type, string code, X12YesNoNA indicator)
Parameters
Type Name Description
X12HICode type
System.String code
X12YesNoNA indicator
Returns
Type Description
System.Boolean

SetHealthInfo(X12HICode, String, DateTime, DateTime, Int32, X12YesNoNA)

Declaration
public bool SetHealthInfo(X12HICode type, string code, DateTime from, DateTime to, int amount, X12YesNoNA indicator)
Parameters
Type Name Description
X12HICode type
System.String code
System.DateTime from
System.DateTime to
System.Int32 amount
X12YesNoNA indicator
Returns
Type Description
System.Boolean

SetHealthInfo(X12HICode, String, DateTime, DateTime)

Declaration
public bool SetHealthInfo(X12HICode type, string code, DateTime from, DateTime to)
Parameters
Type Name Description
X12HICode type
System.String code
System.DateTime from
System.DateTime to
Returns
Type Description
System.Boolean

SetHealthInfo(X12HICode, String, DateTime, Int32, X12YesNoNA)

Declaration
public bool SetHealthInfo(X12HICode type, string code, DateTime date, int amount, X12YesNoNA indicator)
Parameters
Type Name Description
X12HICode type
System.String code
System.DateTime date
System.Int32 amount
X12YesNoNA indicator
Returns
Type Description
System.Boolean

SetHealthInfo(X12HICode, String, DateTime)

Declaration
public bool SetHealthInfo(X12HICode type, string code, DateTime date)
Parameters
Type Name Description
X12HICode type
System.String code
System.DateTime date
Returns
Type Description
System.Boolean

SetHealthInfo(X12HICode, String, Int32)

Declaration
public bool SetHealthInfo(X12HICode type, string code, int amount)
Parameters
Type Name Description
X12HICode type
System.String code
System.Int32 amount
Returns
Type Description
System.Boolean

SetHealthInfo(X12HICode, String)

Declaration
public bool SetHealthInfo(X12HICode type, string code)
Parameters
Type Name Description
X12HICode type
System.String code
Returns
Type Description
System.Boolean

SetHierarchy(Int32, Int32, String, Boolean)

Declaration
public bool SetHierarchy(int id, int parentId, string level, bool hasSubs)
Parameters
Type Name Description
System.Int32 id
System.Int32 parentId
System.String level
System.Boolean hasSubs
Returns
Type Description
System.Boolean

SetIdentifier(X12RefIdCode, String)

Declaration
public bool SetIdentifier(X12RefIdCode code, string value)
Parameters
Type Name Description
X12RefIdCode code
System.String value
Returns
Type Description
System.Boolean

SetNote(X12NoteCode, String)

Declaration
public bool SetNote(X12NoteCode code, string value)
Parameters
Type Name Description
X12NoteCode code
System.String value
Returns
Type Description
System.Boolean

SetRepricing(X12RepriceMethod, Int32, Int32, String, Int32, String, Int32)

Declaration
public bool SetRepricing(X12RepriceMethod method, int allowedAmount, int savingsAmount, string orgId, int repricedAmount, string ambPatGrpCode, int ambPatGrpAmount)
Parameters
Type Name Description
X12RepriceMethod method

Repricing Method
System.Int32 allowedAmount

Repriced Allowed Amount
System.Int32 savingsAmount

Repriced Savings Amount
System.String orgId

Repricing Organization Identifier
System.Int32 repricedAmount

Repricing Per Diem or Flat Rate Amount
System.String ambPatGrpCode

Repriced Approved Ambulatory Patient Group Code
System.Int32 ambPatGrpAmount

Repriced Approved Ambulatory Patient GroupAmount
Returns
Type Description
System.Boolean

SetService(String, String, String, String, String, String, String, Int32, String, String, String, String, String, String, String, String, String, String, String, String)

Declaration
public bool SetService(string prodSvcIdQual, string hcpcsCode, string mod1, string mod2, string mod3, string mod4, string description, int charge, string facility, string cavity1, string cavity2, string cavity3, string cavity4, string cavity5, string prosCrownInlayCode, string quantity, string dp1, string dp2, string dp3, string dp4)
Parameters
Type Name Description
System.String prodSvcIdQual
System.String hcpcsCode
System.String mod1
System.String mod2
System.String mod3
System.String mod4
System.String description
System.Int32 charge
System.String facility
System.String cavity1
System.String cavity2
System.String cavity3
System.String cavity4
System.String cavity5
System.String prosCrownInlayCode
System.String quantity
System.String dp1
System.String dp2
System.String dp3
System.String dp4
Returns
Type Description
System.Boolean

SetService(String, String, String, String, String, String, String, Int32, String, String, String, String, String, String)

Declaration
public bool SetService(string prodSvcIdQual, string hcpcsCode, string mod1, string mod2, string mod3, string mod4, string description, int charge, string measurement, string quantity, string dp1, string dp2, string dp3, string dp4)
Parameters
Type Name Description
System.String prodSvcIdQual
System.String hcpcsCode
System.String mod1
System.String mod2
System.String mod3
System.String mod4
System.String description
System.Int32 charge
System.String measurement
System.String quantity
System.String dp1
System.String dp2
System.String dp3
System.String dp4
Returns
Type Description
System.Boolean

SetService(String, String, String, String, String, String, String, String, Int32, String, String, Int32)

Declaration
public bool SetService(string revenueCode, string prodSvcIdQual, string hcpcsCode, string mod1, string mod2, string mod3, string mod4, string description, int charge, string measurement, string quantity, int nonCovered)
Parameters
Type Name Description
System.String revenueCode
System.String prodSvcIdQual
System.String hcpcsCode
System.String mod1
System.String mod2
System.String mod3
System.String mod4
System.String description
System.Int32 charge
System.String measurement
System.String quantity
System.Int32 nonCovered
Returns
Type Description
System.Boolean

Extension Methods