clsBill¶
Represents a medical bill claim record, including claimant and provider details, current bill status, and bill-level financial amounts. It also exposes the bill's procedures, diagnoses, services, status history, and related audit when one exists.
Purpose¶
- Stores the bill header, participant, provider, and financial fields for a claim bill.
- Exposes child collections for bill procedures, diagnoses, services, and status history.
- Exposes the related audit object for bills that have already been audited.
Context¶
- Namespace:
SAIF.Business.Claim.Bill - Assembly/package:
SAIF.Business.Claim.Bill
Public members¶
| Member | Signature | Purpose |
|---|---|---|
| BillID | ReadOnly Property BillID() As Decimal |
Returns the unique ID associated with this bill. |
| IsAudited | ReadOnly Property IsAudited() As Boolean |
Returns true if this Bill has been previously audited. |
| BillEntrySourceCode | Property BillEntrySourceCode As String |
Gets or Sets the Entry Source of the bill. |
| EntrySource | ReadOnly Property EntrySource As BillEntrySource |
Returns the enumerated Entry Source. |
| AuditReceiptDate | ReadOnly Property AuditReceiptDate() As Date |
Returns the receipt date of the previous Audit. |
| TotalChargedAmount | ReadOnly Property TotalChargedAmount() As Decimal |
Returns the total charged amount from the previous audit. |
| TotalAllowedAmount | ReadOnly Property TotalAllowedAmount() As Decimal |
Returnst he total allowed amount from the previous audit. |
| TotalMcoAdminFeeAmount | ReadOnly Property TotalMcoAdminFeeAmount() As Decimal |
Returns the total amount of the mco administrative fee from the previous audit. |
| BillTypeCode | Property BillTypeCode() As String |
Returns the string code value associated with this type of Audit. |
| BillType | ReadOnly Property BillType() As ClaimBillTypes |
Returns the enumerated ClaimBillType value associated with this bill. |
| IsRebill | ReadOnly Property IsRebill() As Boolean |
Returns True if rebill flag has been set to yes. |
| RebillFlag | Property RebillFlag() As String |
Gets or sets the RebillFlag value. |
| PriorityNumber | Property PriorityNumber() As Decimal |
Gets or sets the PriorityNumber value. |
| BillTotalAmount | Property BillTotalAmount() As Decimal |
Gets or sets the BillTotalAmount value. |
| ProviderLocationID | Property ProviderLocationID() As Decimal |
Gets or sets the ProviderLocationID value. |
| ClaimID | Property ClaimID() As Decimal |
Gets or sets the ClaimID value. |
| PatientReferenceNumber | Property PatientReferenceNumber() As String |
Gets or sets the PatientReferenceNumber value. |
| MailRoomReceivedDate | Property MailRoomReceivedDate() As Date |
Gets or sets the MailRoomReceivedDate value. |
| ClaimNumber | Property ClaimNumber() As String |
Gets or sets the ClaimNumber value. |
| ClaimCheckValue | Property ClaimCheckValue() As String |
Gets or sets the ClaimCheckValue value. |
| WorkerFirstName | Property WorkerFirstName() As String |
Gets or sets the WorkerFirstName value. |
| WorkerMiddleInitial | Property WorkerMiddleInitial() As String |
Gets or sets the WorkerMiddleInitial value. |
| WorkerLastName | Property WorkerLastName() As String |
Gets or sets the WorkerLastName value. |
| WorkerPhoneNum | Property WorkerPhoneNum() As String |
Gets or sets the WorkerPhoneNum value. |
| WorkerBirthDate | Property WorkerBirthDate() As Date |
Gets or sets the WorkerBirthDate value. |
| WorkerAddressLine1 | Property WorkerAddressLine1() As String |
Gets or sets the WorkerAddressLine1 value. |
| WorkerAddressLine2 | Property WorkerAddressLine2() As String |
Gets or sets the WorkerAddressLine2 value. |
| WorkerAddressLine3 | Property WorkerAddressLine3() As String |
Gets or sets the WorkerAddressLine3 value. |
| WorkerAddressLine4 | Property WorkerAddressLine4() As String |
Gets or sets the WorkerAddressLine4 value. |
| GenderCode | Property GenderCode() As String |
Gets or sets the GenderCode value. |
| PatientAccountNumber | Property PatientAccountNumber() As String |
Gets or sets the PatientAccountNumber value. |
| ProviderTaxID | Property ProviderTaxID() As String |
Gets or sets the ProviderTaxID value. |
| ProviderAddressLine1 | Property ProviderAddressLine1() As String |
Gets or sets the ProviderAddressLine1 value. |
| ProviderAddressLine2 | Property ProviderAddressLine2() As String |
Gets or sets the ProviderAddressLine2 value. |
| ProviderCityName | Property ProviderCityName() As String |
Gets or sets the ProviderCityName value. |
| ProviderStateCode | Property ProviderStateCode() As String |
Gets or sets the ProviderStateCode value. |
| ProviderZipCode | Property ProviderZipCode() As Decimal |
Gets or sets the ProviderZipCode value. |
| ProviderLicenseNumber | Property ProviderLicenseNumber() As String |
Gets or sets the ProviderLicenseNumber value. |
| AdmissionDate | Property AdmissionDate() As Date |
Gets or sets the AdmissionDate value. |
| DischargeDate | Property DischargeDate() As Date |
Gets or sets the DischargeDate value. |
| StatementFromDate | Property StatementFromDate() As Date |
Gets or sets the StatementFromDate value. |
| StatementThruDate | Property StatementThruDate() As Date |
Gets or sets the StatementThruDate value. |
| WorkerTaxID | Property WorkerTaxID() As String |
Gets or sets the WorkerTaxID value. |
| Towid | Property Towid() As Decimal |
Gets or sets the Towid value. |
| CurrentBillStatusID | Property CurrentBillStatusID() As Decimal |
Gets or sets the CurrentBillStatusID value. |
| ReferringProviderName | Property ReferringProviderName() As String |
Gets or sets the ReferringProviderName value. |
| DRGCode | Property DRGCode() As String |
Gets or sets the DRGCode value. |
| BillPackageQuantity | Property BillPackageQuantity() As Decimal |
Gets or sets the BillPackageQuantity value. |
| CurrentBillStatus | ReadOnly Property CurrentBillStatus() As ClaimBillStatus |
Returns the CurrentBillStatus value. |
| WorkflowBypassCode | Property WorkflowBypassCode() As String |
Gets or sets the WorkflowBypassCode value. |
| CurrentStatus | ReadOnly Property CurrentStatus() As clsBillStatus |
Returns the latest status for this Bill (Based on Effective Date and highest Status ID). |
| CurrentBillStatusCode | Property CurrentBillStatusCode() As String |
Gets or sets the CurrentBillStatusCode value. |
| CurrentResponsiblePartyID | Property CurrentResponsiblePartyID() As String |
Gets or sets the CurrentResponsiblePartyID value. |
| CurrentStatusEffectiveDate | Property CurrentStatusEffectiveDate() As Date |
Gets or sets the CurrentStatusEffectiveDate value. |
| CurrentUpdateUser | Property CurrentUpdateUser() As String |
Gets or sets the CurrentUpdateUser value. |
| CurrentNextReviewDate | Property CurrentNextReviewDate() As Date |
Gets or sets the CurrentNextReviewDate value. |
| UBBillTypeCode | Property UBBillTypeCode() As String |
Gets or sets the UBBillTypeCode value. |
| AdmitTypeCode | Property AdmitTypeCode() As String |
Gets or sets the AdmitTypeCode value. |
| UpdateUser | ReadOnly Property UpdateUser() As String |
Returns the UpdateUser value. |
| UpdateNumber | ReadOnly Property UpdateNumber() As Decimal |
Returns the UpdateNumber value. |
| UpdateDate | ReadOnly Property UpdateDate() As Date |
Returns the UpdateDate value. |
| Procedures | ReadOnly Property Procedures() As clsBillProcedureCollection |
Returns the Procedures value. |
| Diagnosis | ReadOnly Property Diagnosis() As clsBillDiagnosisCollection |
Returns the Diagnosis value. |
| Services | ReadOnly Property Services() As clsBillServiceCollection |
Returns the Services value. |
| Audit | Property Audit() As clsAudit |
Gets or sets the Audit value. |
| StatusHistory | ReadOnly Property StatusHistory() As clsBillStatusCollection |
Returns the StatusHistory value. |
| IsDirty | ReadOnly Property IsDirty() As Boolean |
Returns the IsDirty value. |
| SetProviderLocationIDNull | Sub SetProviderLocationIDNull() |
Performs the SetProviderLocationIDNull operation. |
| SetClaimIDNull | Sub SetClaimIDNull() |
Performs the SetClaimIDNull operation. |
| SetPatientReferenceNumberNull | Sub SetPatientReferenceNumberNull() |
Performs the SetPatientReferenceNumberNull operation. |
| SetMailRoomReceivedDateNull | Sub SetMailRoomReceivedDateNull() |
Performs the SetMailRoomReceivedDateNull operation. |
| SetClaimNumberNull | Sub SetClaimNumberNull() |
Performs the SetClaimNumberNull operation. |
| SetClaimCheckValueNull | Sub SetClaimCheckValueNull() |
Performs the SetClaimCheckValueNull operation. |
| SetWorkerFirstNameNull | Sub SetWorkerFirstNameNull() |
Performs the SetWorkerFirstNameNull operation. |
| SetWorkerMiddleInitialNull | Sub SetWorkerMiddleInitialNull() |
Performs the SetWorkerMiddleInitialNull operation. |
| SetWorkerLastNameNull | Sub SetWorkerLastNameNull() |
Performs the SetWorkerLastNameNull operation. |
| SetWorkerPhoneNumNull | Sub SetWorkerPhoneNumNull() |
Performs the SetWorkerPhoneNumNull operation. |
| SetWorkerBirthDateNull | Sub SetWorkerBirthDateNull() |
Performs the SetWorkerBirthDateNull operation. |
| SetWorkerAddressLine1Null | Sub SetWorkerAddressLine1Null() |
Performs the SetWorkerAddressLine1Null operation. |
| SetWorkerAddressLine2Null | Sub SetWorkerAddressLine2Null() |
Performs the SetWorkerAddressLine2Null operation. |
| SetWorkerAddressLine3Null | Sub SetWorkerAddressLine3Null() |
Performs the SetWorkerAddressLine3Null operation. |
| SetWorkerAddressLine4Null | Sub SetWorkerAddressLine4Null() |
Performs the SetWorkerAddressLine4Null operation. |
| SetGenderCodeNull | Sub SetGenderCodeNull() |
Performs the SetGenderCodeNull operation. |
| SetPatientAccountNumberNull | Sub SetPatientAccountNumberNull() |
Performs the SetPatientAccountNumberNull operation. |
| SetProviderTaxIDNull | Sub SetProviderTaxIDNull() |
Performs the SetProviderTaxIDNull operation. |
| SetProviderAddressLine1Null | Sub SetProviderAddressLine1Null() |
Performs the SetProviderAddressLine1Null operation. |
| SetProviderAddressLine2Null | Sub SetProviderAddressLine2Null() |
Performs the SetProviderAddressLine2Null operation. |
| SetProviderCityNameNull | Sub SetProviderCityNameNull() |
Performs the SetProviderCityNameNull operation. |
| SetProviderStateCodeNull | Sub SetProviderStateCodeNull() |
Performs the SetProviderStateCodeNull operation. |
| SetProviderZipCodeNull | Sub SetProviderZipCodeNull() |
Performs the SetProviderZipCodeNull operation. |
| SetProviderLicenseNumberNull | Sub SetProviderLicenseNumberNull() |
Performs the SetProviderLicenseNumberNull operation. |
| SetAdmissionDateNull | Sub SetAdmissionDateNull() |
Performs the SetAdmissionDateNull operation. |
| SetDischargeDateNull | Sub SetDischargeDateNull() |
Performs the SetDischargeDateNull operation. |
| SetStatementFromDateNull | Sub SetStatementFromDateNull() |
Performs the SetStatementFromDateNull operation. |
| SetStatementThruDateNull | Sub SetStatementThruDateNull() |
Performs the SetStatementThruDateNull operation. |
| SetWorkerTaxIDNull | Sub SetWorkerTaxIDNull() |
Performs the SetWorkerTaxIDNull operation. |
| SetTowidNull | Sub SetTowidNull() |
Performs the SetTowidNull operation. |
| SetCurrentBillStatusIDNull | Sub SetCurrentBillStatusIDNull() |
Performs the SetCurrentBillStatusIDNull operation. |
| SetReferringProviderNameNull | Sub SetReferringProviderNameNull() |
Performs the SetReferringProviderNameNull operation. |
| SetDRGCodeNull | Sub SetDRGCodeNull() |
Performs the SetDRGCodeNull operation. |
| SetBillPackageQuantityNull | Sub SetBillPackageQuantityNull() |
Performs the SetBillPackageQuantityNull operation. |
| SetWorkflowBypassCodeNull | Sub SetWorkflowBypassCodeNull() |
Performs the SetWorkflowBypassCodeNull operation. |
| SetCurrentBillStatusCodeNull | Sub SetCurrentBillStatusCodeNull() |
Performs the SetCurrentBillStatusCodeNull operation. |
| SetCurrentResponsiblePartyIDNull | Sub SetCurrentResponsiblePartyIDNull() |
Performs the SetCurrentResponsiblePartyIDNull operation. |
| SetCurrentStatusEffectiveDateNull | Sub SetCurrentStatusEffectiveDateNull() |
Performs the SetCurrentStatusEffectiveDateNull operation. |
| SetCurrentUpdateUserNull | Sub SetCurrentUpdateUserNull() |
Performs the SetCurrentUpdateUserNull operation. |
| SetCurrentNextReviewDateNull | Sub SetCurrentNextReviewDateNull() |
Performs the SetCurrentNextReviewDateNull operation. |
| SetUBBillTypeCodeNull | Sub SetUBBillTypeCodeNull() |
Performs the SetUBBillTypeCodeNull operation. |
| SetAdmitTypeCodeNull | Sub SetAdmitTypeCodeNull() |
Performs the SetAdmitTypeCodeNull operation. |
| IsProviderLocationIDNull | Function IsProviderLocationIDNull() As Boolean |
Executes IsProviderLocationIDNull and returns the result. |
| IsClaimIDNull | Function IsClaimIDNull() As Boolean |
Executes IsClaimIDNull and returns the result. |
| IsPatientReferenceNumberNull | Function IsPatientReferenceNumberNull() As Boolean |
Executes IsPatientReferenceNumberNull and returns the result. |
| IsMailRoomReceivedDateNull | Function IsMailRoomReceivedDateNull() As Boolean |
Executes IsMailRoomReceivedDateNull and returns the result. |
| IsClaimNumberNull | Function IsClaimNumberNull() As Boolean |
Executes IsClaimNumberNull and returns the result. |
| IsClaimCheckValueNull | Function IsClaimCheckValueNull() As Boolean |
Executes IsClaimCheckValueNull and returns the result. |
| IsWorkerFirstNameNull | Function IsWorkerFirstNameNull() As Boolean |
Executes IsWorkerFirstNameNull and returns the result. |
| IsWorkerMiddleInitialNull | Function IsWorkerMiddleInitialNull() As Boolean |
Executes IsWorkerMiddleInitialNull and returns the result. |
| IsWorkerLastNameNull | Function IsWorkerLastNameNull() As Boolean |
Executes IsWorkerLastNameNull and returns the result. |
| IsWorkerPhoneNumNull | Function IsWorkerPhoneNumNull() As Boolean |
Executes IsWorkerPhoneNumNull and returns the result. |
| IsWorkerBirthDateNull | Function IsWorkerBirthDateNull() As Boolean |
Executes IsWorkerBirthDateNull and returns the result. |
| IsWorkerAddressLine1Null | Function IsWorkerAddressLine1Null() As Boolean |
Executes IsWorkerAddressLine1Null and returns the result. |
| IsWorkerAddressLine2Null | Function IsWorkerAddressLine2Null() As Boolean |
Executes IsWorkerAddressLine2Null and returns the result. |
| IsWorkerAddressLine3Null | Function IsWorkerAddressLine3Null() As Boolean |
Executes IsWorkerAddressLine3Null and returns the result. |
| IsWorkerAddressLine4Null | Function IsWorkerAddressLine4Null() As Boolean |
Executes IsWorkerAddressLine4Null and returns the result. |
| IsGenderCodeNull | Function IsGenderCodeNull() As Boolean |
Executes IsGenderCodeNull and returns the result. |
| IsPatientAccountNumberNull | Function IsPatientAccountNumberNull() As Boolean |
Executes IsPatientAccountNumberNull and returns the result. |
| IsProviderTaxIDNull | Function IsProviderTaxIDNull() As Boolean |
Executes IsProviderTaxIDNull and returns the result. |
| IsProviderAddressLine1Null | Function IsProviderAddressLine1Null() As Boolean |
Executes IsProviderAddressLine1Null and returns the result. |
| IsProviderAddressLine2Null | Function IsProviderAddressLine2Null() As Boolean |
Executes IsProviderAddressLine2Null and returns the result. |
| IsProviderCityNameNull | Function IsProviderCityNameNull() As Boolean |
Executes IsProviderCityNameNull and returns the result. |
| IsProviderStateCodeNull | Function IsProviderStateCodeNull() As Boolean |
Executes IsProviderStateCodeNull and returns the result. |
| IsProviderZipCodeNull | Function IsProviderZipCodeNull() As Boolean |
Executes IsProviderZipCodeNull and returns the result. |
| IsProviderLicenseNumberNull | Function IsProviderLicenseNumberNull() As Boolean |
Executes IsProviderLicenseNumberNull and returns the result. |
| IsAdmissionDateNull | Function IsAdmissionDateNull() As Boolean |
Executes IsAdmissionDateNull and returns the result. |
| IsDischargeDateNull | Function IsDischargeDateNull() As Boolean |
Executes IsDischargeDateNull and returns the result. |
| IsStatementFromDateNull | Function IsStatementFromDateNull() As Boolean |
Executes IsStatementFromDateNull and returns the result. |
| IsStatementThruDateNull | Function IsStatementThruDateNull() As Boolean |
Executes IsStatementThruDateNull and returns the result. |
| IsWorkerTaxIDNull | Function IsWorkerTaxIDNull() As Boolean |
Executes IsWorkerTaxIDNull and returns the result. |
| IsTowidNull | Function IsTowidNull() As Boolean |
Executes IsTowidNull and returns the result. |
| IsCurrentBillStatusIDNull | Function IsCurrentBillStatusIDNull() As Boolean |
Executes IsCurrentBillStatusIDNull and returns the result. |
| IsReferringProviderNameNull | Function IsReferringProviderNameNull() As Boolean |
Executes IsReferringProviderNameNull and returns the result. |
| IsDRGCodeNull | Function IsDRGCodeNull() As Boolean |
Executes IsDRGCodeNull and returns the result. |
| IsBillPackageQuantityNull | Function IsBillPackageQuantityNull() As Boolean |
Executes IsBillPackageQuantityNull and returns the result. |
| IsWorkflowBypassCodeNull | Function IsWorkflowBypassCodeNull() As Boolean |
Executes IsWorkflowBypassCodeNull and returns the result. |
| IsCurrentBillStatusCodeNull | Function IsCurrentBillStatusCodeNull() As Boolean |
Executes IsCurrentBillStatusCodeNull and returns the result. |
| IsCurrentResponsiblePartyIDNull | Function IsCurrentResponsiblePartyIDNull() As Boolean |
Executes IsCurrentResponsiblePartyIDNull and returns the result. |
| IsCurrentStatusEffectiveDateNull | Function IsCurrentStatusEffectiveDateNull() As Boolean |
Executes IsCurrentStatusEffectiveDateNull and returns the result. |
| IsCurrentUpdateUserNull | Function IsCurrentUpdateUserNull() As Boolean |
Executes IsCurrentUpdateUserNull and returns the result. |
| IsCurrentNextReviewDateNull | Function IsCurrentNextReviewDateNull() As Boolean |
Executes IsCurrentNextReviewDateNull and returns the result. |
| IsUBBillTypeCodeNull | Function IsUBBillTypeCodeNull() As Boolean |
Executes IsUBBillTypeCodeNull and returns the result. |
| IsAdmitTypeCodeNull | Function IsAdmitTypeCodeNull() As Boolean |
Executes IsAdmitTypeCodeNull and returns the result. |
| Equals | Shared Function Equals(ByVal objA As Object, ByVal objB As Object) As Boolean |
Executes Equals and returns the result. |
| Equals | Overrides Function Equals(ByVal inObject As Object) As Boolean |
Executes Equals and returns the result. |
| Equals | Overloads Function Equals(ByVal inObject As clsBill) As Boolean |
Executes Equals and returns the result. |
| GetHashCode | Overrides Function GetHashCode() As Integer |
Executes GetHashCode and returns the result. |
| ToString | Overrides Function ToString() As String |
Executes ToString and returns the result. |
| NewBill | Shared Function NewBill(ByVal inDataportal As IDataPortalInfo) As clsBill |
Executes NewBill and returns the result. |
| GetBill | Shared Function GetBill(ByVal inDataportal As IDataPortalInfo, ByVal inBillID As Decimal) As clsBill |
Executes GetBill and returns the result. |
| GenerateAudit | Overridable Function GenerateAudit() As Boolean |
Executes GenerateAudit and returns the result. |
Inherited public members¶
Members in this section are inherited from clsBusinessBase.
| Member | Signature | Purpose | Origin |
| --- | --- | --- | --- |
| Rules | Property Rules As clsRulesManager | Exposes the BOF rules manager used to evaluate object validation rules.* | saif-framework-core — clsBusinessBase |
| BeginEdit | Sub BeginEdit() | Starts an edit session for n-level undo support.* | saif-framework-core — clsBusinessBase |
| CancelEdit | Sub CancelEdit() | Cancels the active edit session and reverts pending changes.* | saif-framework-core — clsBusinessBase |
| ApplyEdit | Sub ApplyEdit() | Commits the active edit session and accepts pending changes.* | saif-framework-core — clsBusinessBase |
Behavioral notes¶
clsBillis part of the documentedSAIF.Business.Claim.Billpublic contract.- Public members are declared in
Business\SAIF.Business.Claim.Bill\Core\clsBill.vb.
Constraints and usage notes¶
- Consumers should use the documented public members directly when integrating this type.
Note: Statements marked with * were inferred from code structure, naming conventions, or contextual evidence where direct confirmation was not available in source artifacts. Statements marked with ** could not be confirmed; treat as unknown until verified.
Sources¶
Business\SAIF.Business.Claim.Bill\Core\clsBill.vb