SAIF.Business.Claim.Bill overview

Documentation context: Packaged Component (NuGet)

This library is a Business Layer component implementing medical bill processing, auditing, and payment request workflows for workers' compensation claims.

Purpose

• Provides the documented SAIF.Business.Claim.Bill public surface within the claim domain.
• Bill management — CRUD operations for medical bills, services, diagnoses, procedures, and statuses.
• Bill auditing — audit records, audit messages, audited service adjustments.

Responsibilities

• Bill management — CRUD operations for medical bills, services, diagnoses, procedures, and statuses.
• Bill auditing — audit records, audit messages, audited service adjustments.
• MCO support — Managed Care Organization billing.
• CBP payment requests — centralized bill payment request objects.
• National drug code validation — service validation via clsNationalDrug.
• Imaging API integration — clsCallImageApi wraps the imaging API client for bill image operations.

Key components

• clsBill: Business object — medical bill
• clsBillCollection: Collection
• clsBillDiagnosis: Business object — bill diagnosis
• clsBillDiagnosisCollection: Collection
• clsBillProcedure: Business object — bill procedure
• clsBillProcedureCollection: Collection
• clsBillService: Business object — bill service line
• clsBillServiceCollection: Collection

Related documentation

• Index
• Architecture
• Dependencies
• Operations and processes
• Business rules
• Database tables
• SQL catalog
• Procedures
• Configuration
• API reference

Sources

• Business\SAIF.Business.Claim.Bill\SAIF.BOF.Business.Claim.Bill.vbproj
• Business\SAIF.Business.Claim.Bill\SAIF.BOF.Business.Claim.Bill.nuspec
• Business\SAIF.Business.Claim.Bill\packages.config
• Business\SAIF.Business.Claim.Bill\clsCBPBillPaymentRequest.vb
• Business\SAIF.Business.Claim.Bill\clsCallImageApi.vb
• Business\SAIF.Business.Claim.Bill\Core\clsBill.vb
• Business\SAIF.Business.Claim.Bill\Core\clsAudit.vb
• Business\SAIF.Business.Claim.Bill\Core\clsAuditedService.vb
• Business\SAIF.Business.Claim.Bill\Core\clsAuditedServiceAdjustment.vb
• Business\SAIF.Business.Claim.Bill\Core\clsAuditMessage.vb
• Business\SAIF.Business.Claim.Bill\Core\clsBillDiagnosis.vb
• Business\SAIF.Business.Claim.Bill\Core\clsBillProcedure.vb
• Business\SAIF.Business.Claim.Bill\Core\clsBillService.vb
• Business\SAIF.Business.Claim.Bill\Core\clsBillStatus.vb
• Business\SAIF.Business.Claim.Bill\MCOSupport\clsMCOBill.vb
• Business\SAIF.Business.Claim.Bill\AuditSupport\Services\clsNationalDrug.vb
• Business\SAIF.Business.Claim.Bill\AuditSupport\mdlCBPSupportingData.vb