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clsBillAuditService

Represents one service line as it is being evaluated by the automated bill audit engine. It exposes bill and service identifiers, service coding and date data, auditable-state checks, and conversion/rate lookups used during allowance and adjustment logic.

Purpose

  • Holds audit-time state for an individual bill service line.
  • Exposes the identifiers, coding, service-date, and service metadata needed by audit rules.
  • Provides auditable-state and conversion/rate helpers used by adjustment calculations.

Context

  • Namespace: SAIF.Business.Claim.Bill.AutomatedAudit
  • Assembly/package: SAIF.Business.Claim.Bill.AutomatedAudit

Public members

Member Signature Purpose
GlobalAdjustmentApplied Property GlobalAdjustmentApplied() As Boolean Gets or sets whether this service has had an adjustment for Historical EM Services.
MRPercentageRate Property MRPercentageRate As Decimal Gets or sets the MRPercentageRate value.
IsAuditable ReadOnly Property IsAuditable As Boolean Returns True if the state of this service line is valid and being audited.
DCBSServiceConversionAmount ReadOnly Property DCBSServiceConversionAmount(ByVal ConversionCode As String, ByVal EffectiveDate As Date) As Decimal Returns the DCBSServiceConversionAmount value.
DPI ReadOnly Property DPI() As IDataPortalInfo Returns the DataPortalInfo object.
BillID ReadOnly Property BillID() As Decimal Returns the unique bill id.
ServiceID ReadOnly Property ServiceID() As Decimal Returns the unique service id.
ServiceDate ReadOnly Property ServiceDate() As Date Returns the service date associated with the audited service.
ServiceCode ReadOnly Property ServiceCode() As String Returns The Service Code.
ServiceTypeCode ReadOnly Property ServiceTypeCode() As String Returns the Service Type Code.
ServiceType ReadOnly Property ServiceType() As ServiceTypes Returns the Service type.
Service ReadOnly Property Service() As clsServiceInfo Returns the Service.

Behavioral notes

  • clsBillAuditService is part of the documented SAIF.Business.Claim.Bill.AutomatedAudit public contract.
  • Public members are declared in Business\SAIF.Business.Claim.Bill.AutomatedAudit\clsBillAuditService.vb.

Constraints and usage notes

  • Consumers should use the documented public members directly when integrating this type.

Sources

  • Business\SAIF.Business.Claim.Bill.AutomatedAudit\clsBillAuditService.vb