SQL-063: ClaimQueryProvider.GetOriginalAcceptance¶
This statement is a read operation invoked through ORM (NHibernate LINQ). Executed by ClaimQueryProvider.GetOriginalAcceptance.
Classification¶
| Field | Value |
|---|---|
| SQL ID | SQL-063 |
| Operation type | Read |
| Execution method | ORM (NHibernate LINQ) |
| Database | Oracle* |
| Schema | [unqualified]** |
| Command type | N/A (ORM-generated) |
| Business object | ClaimQueryProvider |
| Criteria property | N/A — ORM |
| Lifecycle method | GetOriginalAcceptance |
Parameters¶
| Parameter | Direction | Type | Max length | Description |
|---|---|---|---|---|
claimId |
Input | long | N/A | Method argument of ClaimQueryProvider.GetOriginalAcceptance bound into the ORM expression; NHibernate generates the bind variable at runtime |
Tables¶
| Table | Access | Columns used |
|---|---|---|
| CL_CLAIM_REQUEST_DECISION | SELECT | CLAIM_ID, PRIMARY_KEY_SEQ_NUM, REQUEST_DATE, REQUEST_DENIAL_REASON_CODE, REQUEST_DECISION_EFF_DATE, UPDATE_DATE, UPDATE_USER, UPDATE_NUM, REQUEST_DECISION_CODE, REQUEST_TYPE_CODE |
LINQ statement¶
Source: Data/SAIF.Data/Queries/Claims/ClaimQueryProvider.cs:296-298.
// Data/SAIF.Data/Queries/Claims/ClaimQueryProvider.cs:296
var repo = Factory.GetRepository<ClaimRequestDecision>();
return repo.Query().OrderBy(x => x.SubId)
.FirstOrDefault(x => x.ClaimId == claimId && x.RequestType.Code == "I" && x.RequestDecision.Code == "A");
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 *
FROM (
SELECT
CCRD.CLAIM_ID,
CCRD.PRIMARY_KEY_SEQ_NUM,
CCRD.REQUEST_DATE,
CCRD.REQUEST_DENIAL_REASON_CODE,
CCRD.REQUEST_DECISION_EFF_DATE,
CCRD.UPDATE_DATE,
CCRD.UPDATE_USER,
CCRD.UPDATE_NUM,
CCRD.REQUEST_DECISION_CODE,
CCRD.REQUEST_TYPE_CODE
FROM CL_CLAIM_REQUEST_DECISION CCRD
WHERE CCRD.CLAIM_ID = :claimId
AND CCRD.REQUEST_TYPE_CODE = 'I'
AND CCRD.REQUEST_DECISION_CODE = 'A'
ORDER BY CCRD.PRIMARY_KEY_SEQ_NUM
)
WHERE ROWNUM <= 1
Translation notes:
- x.RequestType.Code is the Id of RequestTypeCode, so it resolves to the owner column CCRD.REQUEST_TYPE_CODE with no join; CL_REQUEST_TYPE_CODE is not accessed as a separate table.
- x.RequestDecision.Code is the Id of ClaimDecisionCode, so it resolves to the owner column CCRD.REQUEST_DECISION_CODE with no join; CLAIM_DECISION_CODE is not accessed as a separate table.
- FirstOrDefault is applied after OrderBy, so the ROWNUM wrapper goes outside the ordered subquery, returning the earliest (lowest PRIMARY_KEY_SEQ_NUM) initial-request acceptance decision.
Operations and processes¶
Business rules¶
- SD-BR-041 Latest claim status falls back to WCD status when no history
- SD-BR-042 Compensability status mapping
- SD-BR-043 Original acceptance requires request type I with decision A
Sources¶
Data/SAIF.Data/Queries/Claims/ClaimQueryProvider.cs:296