clsClaimDetail¶

clsClaimDetail represents the main claim maintenance record for a claim, combining claim-level status and change indicators with related activity collections, counts, and pharmacy or MCO support data.

Purpose¶

Expose the claim-level maintenance fields and modified-state indicators used when updating a claim.
Surface related child data such as MCO eligibility, claim type or status activity, disability activity, request decisions, and pharmacy eligibility.

Context¶

Namespace: SAIF.Business.Claim.Maintenance
Assembly/package: SAIF.Business.Claim.Maintenance

Public members¶

Member	Signature	Purpose
`McoPlanID`	`Public ReadOnly Property McoPlanID() As String`	Returns mco plan i d.
`JurisdictionModified`	`Public ReadOnly Property JurisdictionModified() As Boolean`	Returns jurisdiction modified.
`ClaimStatusCodeModified`	`Public ReadOnly Property ClaimStatusCodeModified() As Boolean`	Returns claim status code modified.
`ClaimTypeCodeModified`	`Public ReadOnly Property ClaimTypeCodeModified() As Boolean`	Returns claim type code modified.
`ClaimTypeChangedToDisabling`	`Public ReadOnly Property ClaimTypeChangedToDisabling() As Boolean`	Returns claim type changed to disabling.
`DisabilityDateModified`	`Public ReadOnly Property DisabilityDateModified() As Boolean`	Returns disability date modified.
`KnowledgeDateModified`	`Public ReadOnly Property KnowledgeDateModified() As Boolean`	Returns knowledge date modified.
`MyCriteria`	`Public ReadOnly Property MyCriteria() As Criteria`	Returns my criteria.
`MergedClaimNum`	`Public ReadOnly Property MergedClaimNum() As String`	Returns merged claim num.
`RespAdjName`	`Public ReadOnly Property RespAdjName() As String`	Returns resp adj name.
`CompAdjName`	`Public ReadOnly Property CompAdjName() As String`	Returns comp adj name.
`AggRightsStartDate`	`Public Property AggRightsStartDate() As Date`	Gets or sets agg rights start date.
`AggRightsEndDate`	`Public Property AggRightsEndDate() As Date`	Gets or sets agg rights end date.
`DateofDeath`	`Public Property DateofDeath() As Date`	Gets or sets dateof death.
`WCDClaimCount`	`Public ReadOnly Property WCDClaimCount() As Integer`	Returns w c d claim count.
`OWCPClaimCount`	`Public ReadOnly Property OWCPClaimCount() As Integer`	Returns o w c p claim count.
`PMAWorkerCount`	`Public ReadOnly Property PMAWorkerCount() As Integer`	Returns p m a worker count.
`AcceptCondNoStatDateCount`	`Public ReadOnly Property AcceptCondNoStatDateCount() As Integer`	Returns accept cond no stat date count.
`ConditionsCount`	`Public ReadOnly Property ConditionsCount() As Integer`	Returns conditions count.
`InjuryBlankCount`	`Public ReadOnly Property InjuryBlankCount() As Integer`	Returns injury blank count.
`InjurySymptomsCount`	`Public ReadOnly Property InjurySymptomsCount() As Integer`	Returns injury symptoms count.
`LegalRepEffDate`	`Public ReadOnly Property LegalRepEffDate() As Date`	Returns legal rep eff date.
`LegalRepEndDate`	`Public Property LegalRepEndDate() As Date`	Gets or sets legal rep end date.
`LegalRepEndReasonCodeCode`	`Public Property LegalRepEndReasonCodeCode() As String`	Gets or sets legal rep end reason code code.
`ClaimMcoEligibility`	`Public ReadOnly Property ClaimMcoEligibility() As clsClaimMcoEligibilityCollection`	Returns claim mco eligibility.
`ClaimTypeActivity`	`Public ReadOnly Property ClaimTypeActivity() As clsClaimTypeActivityCollection`	Returns claim type activity.
`ClaimStatusActivity`	`Public ReadOnly Property ClaimStatusActivity() As clsClaimStatusActivityCollection`	Returns claim status activity.
`ClaimDisabilityActivity`	`Public ReadOnly Property ClaimDisabilityActivity() As clsClaimDisabilityActivityCollection`	Returns claim disability activity.
`ClaimRequestDecision`	`Public ReadOnly Property ClaimRequestDecision() As clsClaimRequestDecisionCollection`	Returns claim request decision.
`DisabilityAuthActivity`	`Public ReadOnly Property DisabilityAuthActivity() As clsDisabilityAuthActivityCollection`	Returns disability auth activity.
`ClaimResponsibilityData`	`Public ReadOnly Property ClaimResponsibilityData() As clsClaimResponsibilityData`	Returns claim responsibility data.
`WorkerPharmacyEligibilityReport`	`Public ReadOnly Property WorkerPharmacyEligibilityReport() As clsWorkerPharmacyEligibilityReport`	Returns worker pharmacy eligibility report.
`IsValid`	`Public Overrides ReadOnly Property IsValid() As Boolean`	Returns is valid.
`IsSavable`	`Public Overrides ReadOnly Property IsSavable() As Boolean`	Returns is savable.
`GetAdjusterName`	`Public Sub GetAdjusterName(ByVal inRespCode As String)`	Retrieves the `GetAdjusterName` operation.
`GetWCDClaimNumberCount`	`Public Function GetWCDClaimNumberCount() As Boolean`	Retrieves the `GetWCDClaimNumberCount` operation.
`GetOWCPClaimNumberCount`	`Public Function GetOWCPClaimNumberCount() As Boolean`	Retrieves the `GetOWCPClaimNumberCount` operation.
`GetPMAWorkerNumberCount`	`Public Function GetPMAWorkerNumberCount(ByVal inPMAWorkerNum As Decimal) As Boolean`	Retrieves the `GetPMAWorkerNumberCount` operation.
`GetAcceptCondMedStationaryCount`	`Public Sub GetAcceptCondMedStationaryCount()`	Retrieves the `GetAcceptCondMedStationaryCount` operation.
`GetConditionsCount`	`Public Sub GetConditionsCount()`	Retrieves the `GetConditionsCount` operation.
`GetClaimBenefitPeriodCount`	`Public Function GetClaimBenefitPeriodCount(ByVal inCondition As String, ByVal inPaymentCategoryCode As String, ByVal inBenefitPaymentSeqNum As Decimal) As Integer`	Retrieves the `GetClaimBenefitPeriodCount` operation.
`GetMCOPlanID`	`Public Function GetMCOPlanID(ByVal inMcoID As String) As String`	Retrieves the `GetMCOPlanID` operation.
`Equals`	`Public Overloads Shared Function Equals(ByVal objA As Object, ByVal objB As Object) As Boolean`	Exposes the public member.
`Equals`	`Public Overloads Overrides Function Equals(ByVal inObject As Object) As Boolean`	Exposes the public member.
`Equals`	`Public Overloads Function Equals(ByVal inObject As clsClaimDetail) As Boolean`	Exposes the public member.
`GetHashCode`	`Public Overrides Function GetHashCode() As Integer`	Retrieves the `GetHashCode` operation.
`ToString`	`Public Overrides Function ToString() As String`	Exposes the public member.
`GetClaimDetail`	`Public Shared Function GetClaimDetail(ByVal inDataportal As IDataPortalInfo, ByVal inClaimID As Decimal) As clsClaimDetail`	Retrieves the `GetClaimDetail` operation.
`InjOccupationalDiseaseCodeValid`	`Public Function InjOccupationalDiseaseCodeValid(ByVal target As Object, ByVal e As clsRuleArgs) As Boolean`	Exposes the public member.
`ActiveClaimFlagValid`	`Public Function ActiveClaimFlagValid(ByVal target As Object, ByVal e As clsRuleArgs) As Boolean`	Exposes the public member.
`KnowledgeDateValid`	`Public Function KnowledgeDateValid(ByVal target As Object, ByVal e As clsRuleArgs) As Boolean`	Exposes the public member.
`DisabilityDateValid`	`Public Function DisabilityDateValid(ByVal target As Object, ByVal e As clsRuleArgs) As Boolean`	Exposes the public member.
`CoverageCodeValid`	`Public Function CoverageCodeValid(ByVal target As Object, ByVal e As clsRuleArgs) As Boolean`	Exposes the public member.
`HandicapWorkerReserveFlagValid`	`Public Function HandicapWorkerReserveFlagValid(ByVal target As Object, ByVal e As clsRuleArgs) As Boolean`	Exposes the public member.
`WCDClaimNumValid`	`Public Function WCDClaimNumValid(ByVal target As Object, ByVal e As clsRuleArgs) As Boolean`	Exposes the public member.
`ClaimStatusCodeValid`	`Public Function ClaimStatusCodeValid(ByVal target As Object, ByVal e As clsRuleArgs) As Boolean`	Exposes the public member.
`DisabilityTreatmentDateValid`	`Public Function DisabilityTreatmentDateValid(ByVal target As Object, ByVal e As clsRuleArgs) As Boolean`	Exposes the public member.
`AggDisablingClosedValid`	`Public Function AggDisablingClosedValid(ByVal target As Object, ByVal e As clsRuleArgs) As Boolean`	Exposes the public member.
`OWCPClaimNumValid`	`Public Function OWCPClaimNumValid(ByVal target As Object, ByVal e As clsRuleArgs) As Boolean`	Exposes the public member.
`ClaimStatusChangedWithoutCondition`	`Public Function ClaimStatusChangedWithoutCondition(ByVal target As Object, ByVal e As clsRuleArgs) As Boolean`	Exposes the public member.
`ClaimStatusClosedAndDeferred`	`Public Function ClaimStatusClosedAndDeferred(ByVal target As Object, ByVal e As clsRuleArgs) As Boolean`	Exposes the public member.
`ORMExpirationDateValid`	`Public Function ORMExpirationDateValid(ByVal target As Object, ByVal e As clsRuleArgs) As Boolean`	Exposes the public member.
`DisabilityDateRequired`	`Public Function DisabilityDateRequired(ByVal target As Object, ByVal e As clsRuleArgs) As Boolean`	Exposes the public member.
`DisabilityDateChanged`	`Public Function DisabilityDateChanged(ByVal target As Object, ByVal e As clsRuleArgs) As Boolean`	Exposes the public member.
`ClaimDecisionChanged`	`Public Function ClaimDecisionChanged(ByVal target As Object, ByVal e As clsRuleArgs) As Boolean`	Exposes the public member.
`NonDisablingToDisabling`	`Public Function NonDisablingToDisabling(ByVal target As Object, ByVal e As clsRuleArgs) As Boolean`	Exposes the public member.
`ClaimStatusClosedWithoutMedStatDate`	`Public Function ClaimStatusClosedWithoutMedStatDate(ByVal target As Object, ByVal e As clsRuleArgs) As Boolean`	Exposes the public member.
`ClaimDecisionAggChanged`	`Public Function ClaimDecisionAggChanged(ByVal target As Object, ByVal e As clsRuleArgs) As Boolean`	Exposes the public member.
`DisabAuthActivityDate_InjuryDate`	`Public Function DisabAuthActivityDate_InjuryDate(ByVal target As Object, ByVal e As clsRuleArgs) As Boolean`	Exposes the public member.
`ClaimHasCDAOrder`	`Public Function ClaimHasCDAOrder(ByVal target As Object, ByVal e As clsRuleArgs) As Boolean`	Exposes the public member.
`PharmacyEligibilityStatusCodeValid`	`Public Function PharmacyEligibilityStatusCodeValid(ByVal target As Object, ByVal e As clsRuleArgs) As Boolean`	Exposes the public member.
`PharmacyEligibilityCaremarkCodeValid`	`Public Function PharmacyEligibilityCaremarkCodeValid(ByVal target As Object, ByVal e As clsRuleArgs) As Boolean`	Exposes the public member.
`Save`	`Public Overrides Function Save() As Boolean`	Executes the `Save` operation.
`IsDirty`	`Public Overrides ReadOnly Property IsDirty() As Boolean`	Returns is dirty.

Inherited public members¶

Member	Signature	Purpose	Origin
`MyGuid`	`Public ReadOnly Property MyGuid() As String`	Returns the object's generated GUID identifier.*	`Legacy\BusinessObjectFramework` — `clsBusinessBase`
`IsNew`	`Public ReadOnly Property IsNew() As Boolean`	Indicates whether the object represents unsaved data.*	`Legacy\BusinessObjectFramework` — `clsBusinessBase`
`IsDeleted`	`Public ReadOnly Property IsDeleted() As Boolean`	Indicates whether the object has been marked for deletion.*	`Legacy\BusinessObjectFramework` — `clsBusinessBase`
`SetValueOnChange`	`Public Function SetValueOnChange(Of T)(ByRef inFieldValue As T, ByVal inSetValue As T, Optional ByVal inMarkDirty As Boolean = True) As Boolean`	Assigns a new field value only when it differs and optionally marks the object dirty.*	`Legacy\BusinessObjectFramework` — `clsBusinessBase`
`Rules`	`Public ReadOnly Property Rules() As clsRulesManager`	Exposes the BOF rules manager for validation and messages.*	`Legacy\BusinessObjectFramework` — `clsBusinessBase`
`SaveChild`	`Public Overridable Function SaveChild() As Boolean`	Persists the object as a BOF child object.*	`Legacy\BusinessObjectFramework` — `clsBusinessBase`
`ToXml`	`Public Function ToXml() As String`	Returns the object's XML representation using the configured default tag name.*	`Legacy\BusinessObjectFramework` — `clsBusinessBase`

Behavioral notes¶

This type is documented from its source declaration.
The type participates in the clsBusinessBase inheritance path used by SAIF.Business.Claim.Maintenance.

Constraints and usage notes¶

Consumers should rely on the public members and BOF lifecycle patterns visible in the source file.

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.Maintenance\clsClaimDetail.vb
Legacy\BusinessObjectFramework\clsBusinessBase.vb