SQL-026: BillQueryProvider.GetBillsForClaim

This statement is a read operation invoked through ORM (NHibernate LINQ). Executed by BillQueryProvider.GetBillsForClaim.

Classification

Field	Value
SQL ID	SQL-026
Operation type	Read
Execution method	ORM (NHibernate LINQ)
Database	Oracle*
Schema	[unqualified]**
Command type	N/A (ORM-generated)
Business object	BillQueryProvider
Criteria property	N/A — ORM
Lifecycle method	GetBillsForClaim

Parameters

Parameter	Direction	Type	Max length	Description
claimId	Input	long	N/A	Method argument of BillQueryProvider.GetBillsForClaim bound into the ORM expression; NHibernate generates the bind variable at runtime

Tables

Table	Access	Columns used
CBP_BILL**	SELECT	full CbpBill column list (same as SQL-025); predicate column unresolved (Claim)

LINQ statement

Source: Data/SAIF.Data/Queries/Claims/BillQueryProvider.cs:45. The repository is a class field initialised from Factory.GetRepository<CbpBill>().Query() at Data/SAIF.Data/Queries/Claims/BillQueryProvider.cs:26.

return repository.Where(x => x.Claim.Id == claimId).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
  CB.BILL_ID,
  CB.UPDATE_NUM,
  CB.PATIENT_REFERENCE_NUM,
  CB.MAIL_ROOM_RECEIVED_DATE,
  CB.SAIF_CLAIM_NUM,
  CB.SAIF_CLAIM_CHK_VALUE,
  CB.WORKER_FIRST_NAME,
  CB.WORKER_MIDDLE_INITIAL,
  CB.WORKER_LAST_NAME,
  CB.WORKER_PHONE_NUM,
  CB.WORKER_BIRTH_DATE,
  CB.WORKER_ADDRESS_LINE1,
  CB.WORKER_ADDRESS_LINE2,
  CB.WORKER_ADDRESS_LINE3,
  CB.WORKER_ADDRESS_LINE4,
  CB.GENDER_CODE,
  CB.PATIENT_ACCOUNT_NUM,
  CB.PROVIDER_TAX_ID,
  CB.PROVIDER_ADDRESS_LINE1,
  CB.PROVIDER_ADDRESS_LINE2,
  CB.PROVIDER_CITY_NAME,
  CB.PROVIDER_STATE_CODE,
  CB.PROVIDER_ZIP_CODE,
  CB.PROVIDER_LICENSE_NUM,
  CB.ADMISSION_DATE,
  CB.DISCHARGE_DATE,
  CB.STATEMENT_FROM_DATE,
  CB.STATEMENT_THRU_DATE,
  CB.WORKER_TAX_ID,
  CB.TOWID,
  CB.REBILL_FLAG,
  CB.CURRENT_BILL_STATUS_ID,
  CB.PRIORITY_NUM,
  CB.UPDATE_USER,
  CB.UPDATE_DATE,
  CB.REFERRING_PROVIDER_NAME,
  CB.BILL_TOTAL_AMT,
  CB.DRG_CODE,
  CB.BILL_PACKAGE_QUANTITY,
  CB.WORKFLOW_BYPASS_CODE,
  CB.CURRENT_RESPONSIBLE_PARTY_ID,
  CB.CURRENT_STATUS_EFF_DATE,
  CB.CURRENT_UPDATE_USER,
  CB.CURRENT_NEXT_REVIEW_DATE,
  CB.UB_BILL_TYPE_CODE,
  CB.CBP_ADMISSION_TYPE_CODE,
  CB.IMAGE_SEQ_NUM,
  CB.CLAIM_ID,
  CB.BILL_TYPE_CODE,
  CB.PROVIDER_LOCATION_SEQ_NUM,
  CB.CURRENT_BILL_STATUS_CODE,
  CB.CBP_BILL_ENTRY_SOURCE_CODE
FROM CBP_BILL CB
WHERE CB.Claim.Id = :claimId -- unresolved mapping: CbpBill.Claim

Translation notes: - Unresolved mapping CbpBill.Claim: the model declares public virtual InjuryClaim Claim { get; set; }, but CbpBillMap has no References(x => x.Claim) — only Map(x => x.ClaimId).Column("CLAIM_ID"). The property is rendered with its C# path because no mapping resolves it; this query is expected to fail at runtime with an NHibernate QueryException. - Likely intent: if the mapping is fixed to References(x => x.Claim).Column("CLAIM_ID"), this becomes CB.CLAIM_ID = :claimId with no join, because .Id is the identifier. - CL_INJURY_CLAIM is not included, because no mapping links CbpBill to InjuryClaim.

Operations and processes

• Bill queries

Business rules

• SD-BR-034 Bill entry source classification
• SD-BR-035 Bill allowed total treats null as zero
• SD-BR-036 Service code current only when expiration date is null

Sources

• Data/SAIF.Data/Queries/Claims/BillQueryProvider.cs:45