SQL-019: AuditQueryProvider.GetServices¶
This statement is a read operation invoked through ORM (NHibernate LINQ). Executed by AuditQueryProvider.GetServices.
Classification¶
| Field | Value |
|---|---|
| SQL ID | SQL-019 |
| 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 | GetServices |
Parameters¶
| Parameter | Direction | Type | Max length | Description |
|---|---|---|---|---|
claimId |
Input | long | N/A | Method argument of AuditQueryProvider.GetServices bound into the ORM expression; NHibernate generates the bind variable at runtime |
billIdToExclude |
Input | long | N/A | Method argument of AuditQueryProvider.GetServices bound into the ORM expression; NHibernate generates the bind variable at runtime |
fromDate |
Input | DateTime | N/A | Method argument of AuditQueryProvider.GetServices bound into the ORM expression; NHibernate generates the bind variable at runtime |
thruDate |
Input | DateTime | N/A | Method argument of AuditQueryProvider.GetServices bound into the ORM expression; NHibernate generates the bind variable at runtime |
Tables¶
| Table | Access | Columns used |
|---|---|---|
| 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 | JOIN | BILL_ID |
| CBP_BILL | JOIN | BILL_ID, CLAIM_ID |
LINQ statement¶
Source: Data/SAIF.Data/Queries/AuditQueryProvider.cs:74-78. The repository is a class field initialised from Factory.GetRepository<CbpAuditedService>().Query() at Data/SAIF.Data/Queries/AuditQueryProvider.cs:24.
if (thruDate == DateTime.MinValue) thruDate = DateTime.MaxValue;
return serviceRepository.Where(x => x.Audit.Bill.ClaimId == claimId
&& x.Audit.Bill.Id != billIdToExclude
&& x.ServiceDate >= fromDate
&& x.ServiceDate <= thruDate).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.
-- 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
INNER JOIN CBP_BILL CB
ON CB.BILL_ID = CA.BILL_ID
WHERE CB.CLAIM_ID = :claimId
AND CA.BILL_ID <> :billIdToExclude
AND CAS.SERVICE_DATE >= :fromDate
AND CAS.SERVICE_DATE <= :thruDate
Translation notes:
- x.Audit.Bill.ClaimId reads a non-identifier Map on CbpBill (CbpBillMap.cs, CLAIM_ID), so both the CBP_AUDIT and CBP_BILL joins are genuine.
- x.Audit.Bill.Id reuses CA.BILL_ID.
- Client-side default: when thruDate is DateTime.MinValue, C# replaces it with DateTime.MaxValue before the query runs.
Operations and processes¶
Business rules¶
- SD-BR-030 Nurse review required if any audited service code flags it
- SD-BR-031 Duplicate services excluded from count
- SD-BR-032 Unset thru-date treated as open-ended
Sources¶
Data/SAIF.Data/Queries/AuditQueryProvider.cs:75