---
title: "SQL-017: AuditQueryProvider.IsNurseReviewRequired"
summary: Read operation for `AuditQueryProvider.IsNurseReviewRequired`
status: draft
owner: SAIF.Core documentation team
last_reviewed: 2026-09-24
library: SAIF.Data
reference_type: package
---

# SQL-017: AuditQueryProvider.IsNurseReviewRequired

This statement is a read operation invoked through ORM (NHibernate LINQ). Executed by `AuditQueryProvider.IsNurseReviewRequired`.

## Classification

| Field | Value |
| --- | --- |
| **SQL ID** | SQL-017 |
| **Operation type** | Read |
| **Execution method** | ORM (NHibernate LINQ) |
| **Database** | Oracle* |
| **Schema** | [unqualified]** |
| **Command type** | N/A (ORM-generated) |
| **Business object** | `AuditQueryProvider` |
| **Criteria property** | N/A — ORM |
| **Lifecycle method** | `IsNurseReviewRequired` |

## Parameters

| Parameter | Direction | Type | Max length | Description |
| --- | --- | --- | --- | --- |
| `billId` | Input | long | N/A | Method argument of `AuditQueryProvider.IsNurseReviewRequired` bound into the ORM expression; NHibernate generates the bind variable at runtime |

## Tables

| Table | Access | Columns used |
| --- | --- | --- |
| [CBP_AUDITED_SERVICE](../database-tables.md#cbp_audited_service) | SELECT | AUDIT_SEQ_NUM, BILL_ID, UPDATE_NUM, AUDIT_LINE_NUM, ORIG_BILL_ID, SERVICE_MODIFIER_CODE1, SERVICE_MODIFIER_CODE2, SERVICE_MODIFIER_CODE3, SERVICE_MODIFIER_CODE4, SERVICE_LOCATION_CODE, CHARGE_AMT, SERVICE_QUANTITY, ALLOWED_AMT, MCO_ADMIN_FEE_AMT, MSRP_INVOICE_AMT, TOTAL_ADJUSTMENT_AMT, REAUDIT_CODE, MCO_ELIGIBILITY_STATUS_CODE, SERVICE_DATE, SERVICE_END_DATE, BILL_SERVICE_CODE, BILL_SERVICE_TYPE_CODE, NATIONAL_DRUG_CODE, UPDATE_USER, UPDATE_DATE, FEE_SCHEDULE_AMT, MCO_ADMIN_FEE_RATE, DIAGNOSIS_POINTER_CODE1, DIAGNOSIS_POINTER_CODE2, DIAGNOSIS_POINTER_CODE3, DIAGNOSIS_POINTER_CODE4, SECONDARY_CBP_SERVICE_CODE, SECONDARY_SERVICE_TYPE_CODE, SERV_PROVIDER_LOC_SEQ_NUM, BILL_ORIG_CODE, BILL_PAYMENT_CATEGORY_CODE |
| [CBP_AUDIT](../database-tables.md#cbp_audit) | JOIN | BILL_ID |

## LINQ statement

Source: `Data/SAIF.Data/Queries/AuditQueryProvider.cs:52`.

```csharp
var svcs = Factory.GetRepository<CbpAuditedService>().Query().Where(x => x.Audit.Bill.Id == billId).ToList();
```

## Sample SQL

> **Inferred SQL:** This SQL was inferred from the LINQ statement above and the NHibernate mappings. It is not concrete SQL from source code; NHibernate generates the executed statement at runtime, so aliases, column order, join syntax, and bind-parameter names may differ.

```sql
-- Inferred from LINQ (NHibernate mapping translation); not concrete SQL
SELECT
  CAS.AUDIT_SEQ_NUM,
  CAS.BILL_ID,
  CAS.UPDATE_NUM,
  CAS.AUDIT_LINE_NUM,
  CAS.ORIG_BILL_ID,
  CAS.SERVICE_MODIFIER_CODE1,
  CAS.SERVICE_MODIFIER_CODE2,
  CAS.SERVICE_MODIFIER_CODE3,
  CAS.SERVICE_MODIFIER_CODE4,
  CAS.SERVICE_LOCATION_CODE,
  CAS.CHARGE_AMT,
  CAS.SERVICE_QUANTITY,
  CAS.ALLOWED_AMT,
  CAS.MCO_ADMIN_FEE_AMT,
  CAS.MSRP_INVOICE_AMT,
  CAS.TOTAL_ADJUSTMENT_AMT,
  CAS.REAUDIT_CODE,
  CAS.MCO_ELIGIBILITY_STATUS_CODE,
  CAS.SERVICE_DATE,
  CAS.SERVICE_END_DATE,
  CAS.BILL_SERVICE_CODE,
  CAS.BILL_SERVICE_TYPE_CODE,
  CAS.NATIONAL_DRUG_CODE,
  CAS.UPDATE_USER,
  CAS.UPDATE_DATE,
  CAS.FEE_SCHEDULE_AMT,
  CAS.MCO_ADMIN_FEE_RATE,
  CAS.DIAGNOSIS_POINTER_CODE1,
  CAS.DIAGNOSIS_POINTER_CODE2,
  CAS.DIAGNOSIS_POINTER_CODE3,
  CAS.DIAGNOSIS_POINTER_CODE4,
  CAS.SECONDARY_CBP_SERVICE_CODE,
  CAS.SECONDARY_SERVICE_TYPE_CODE,
  CAS.SERV_PROVIDER_LOC_SEQ_NUM,
  CAS.BILL_ORIG_CODE,
  CAS.BILL_PAYMENT_CATEGORY_CODE
FROM CBP_AUDITED_SERVICE CAS
  INNER JOIN CBP_AUDIT CA
    ON CA.BILL_ID = CAS.BILL_ID
WHERE CA.BILL_ID = :billId
```

Translation notes:
- **Two-hop navigation:** `x.Audit` is a KeyReference to `CbpAudit`, and `Bill` is a non-identifier property of `CbpAudit`, producing the implicit `INNER JOIN CBP_AUDIT CA ON CA.BILL_ID = CAS.BILL_ID`. `.Id` is then the identifier of `CbpBill`, so it short-circuits to `CA.BILL_ID`; `CBP_BILL` is not accessed as a separate table.
- **Optimization caveat:** because `CA.BILL_ID` and `CAS.BILL_ID` hold the same value, NHibernate's HQL generator may drop the `CBP_AUDIT` join entirely and render `WHERE CAS.BILL_ID = :billId`.

## Operations and processes

- [Bill audit evaluation](../operations/bill-audit-evaluation.md)

## Business rules

- [SD-BR-030 Nurse review required if any audited service code flags it](../business-rules.md#sd-br-030-nurse-review-required-if-any-audited-service-code-flags-it)
- [SD-BR-031 Duplicate services excluded from count](../business-rules.md#sd-br-031-duplicate-services-excluded-from-count)
- [SD-BR-032 Unset thru-date treated as open-ended](../business-rules.md#sd-br-032-unset-thru-date-treated-as-open-ended)

## Sources
- `Data/SAIF.Data/Queries/AuditQueryProvider.cs:52`