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clsConditionDecision

clsConditionDecision represents a decision recorded against a medical condition, including decision and denial dates, decision codes, and denial reason or status fields.

Purpose

  • Store one decision record attached to a medical condition on a claim.
  • Expose the decision and denial metadata used to maintain condition outcomes.

Context

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

Public members

Member Signature Purpose
UpdateUser Public ReadOnly Property UpdateUser() As String Returns update user.
UpdateNum Public ReadOnly Property UpdateNum() As Decimal Returns update num.
UpdateDate Public ReadOnly Property UpdateDate() As Date Returns update date.
MedicalConditionID Public Property MedicalConditionID() As Decimal Gets or sets medical condition i d.
DecisionID Public ReadOnly Property DecisionID() As Decimal Returns decision i d.
DecisionDate Public Property DecisionDate() As Date Gets or sets decision date.
DecisionCode Public Property DecisionCode() As String Gets or sets decision code.
ClaimID Public ReadOnly Property ClaimID() As Decimal Returns claim i d.
DenialStatusEffDate Public Property DenialStatusEffDate() As Date Gets or sets denial status eff date.
DenialStatusCode Public Property DenialStatusCode() As String Gets or sets denial status code.
DenialReasonCode Public Property DenialReasonCode() As String Gets or sets denial reason code.
DenialFinalReasonCode Public Property DenialFinalReasonCode() As String Gets or sets denial final reason code.
MyCriteria Public ReadOnly Property MyCriteria() As Criteria Returns my criteria.
IsValid Public Overrides ReadOnly Property IsValid() As Boolean Returns is valid.
IsDirty Public Overrides ReadOnly Property IsDirty() As Boolean Returns is dirty.
Copy Public Shadows Function Copy() As clsConditionDecision Exposes the public member.
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 clsConditionDecision) 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.
NewConditionDecision Public Shared Function NewConditionDecision(ByVal inDataportal As IDataPortalInfo, ByVal inMedicalConditionID As Decimal, ByVal inClaimID As Decimal) As clsConditionDecision Executes the NewConditionDecision operation.
GetConditionDecision Public Shared Function GetConditionDecision(ByVal inDataportal As IDataPortalInfo, ByVal inMedicalConditionID As Decimal, ByVal inClaimID As Decimal) As clsConditionDecision Retrieves the GetConditionDecision operation.
ValidDecisionCode Public Function ValidDecisionCode(ByVal target As Object, ByVal e As clsRuleArgs) As Boolean Exposes the public member.
ValidDecisionDate Public Function ValidDecisionDate(ByVal target As Object, ByVal e As clsRuleArgs) As Boolean Exposes the public member.
DecisionDateRequired Public Function DecisionDateRequired(ByVal target As Object, ByVal e As clsRuleArgs) As Boolean Exposes the public member.
ValidDenialStatusDate Public Function ValidDenialStatusDate(ByVal target As Object, ByVal e As clsRuleArgs) As Boolean Exposes the public member.
DecisionDateDOI Public Function DecisionDateDOI(ByVal target As Object, ByVal e As clsRuleArgs) As Boolean Exposes the public member.
ValidDenialStatus Public Function ValidDenialStatus(ByVal target As Object, ByVal e As clsRuleArgs) As Boolean Exposes the public member.
ValidDenialEffDate Public Function ValidDenialEffDate(ByVal target As Object, ByVal e As clsRuleArgs) As Boolean Exposes the public member.
ValidDenialReason Public Function ValidDenialReason(ByVal target As Object, ByVal e As clsRuleArgs) As Boolean Exposes the public member.
ValidDenialFinalReason Public Function ValidDenialFinalReason(ByVal target As Object, ByVal e As clsRuleArgs) As Boolean Exposes the public member.

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
Save Public Overridable Function Save() As Boolean Persists the object through the BOF save pipeline.* 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\clsConditionDecision.vb
  • Legacy\BusinessObjectFramework\clsBusinessBase.vb