SAIF.Business.Claim.Entry overview

Documentation context: Packaged Component (NuGet)

This library implements the Business Object Layer for workers' compensation claim entry — the initial creation and in-progress editing of claims. It follows the SAIF BOF pattern:

Purpose

• Abstract base (clsClaimEntry) — holds all shared claim-entry properties, CRUD data-access logic, and shared validation. Marked MustInherit.
• Jurisdiction-specific subclass (clsStateClaimEntry) — state-specific logic including work-release status, employee work address, county code determination, and multiple-employer letter requests.
• Pharmacy eligibility (clsPharmacyEligibilityReport / collection) — manages pharmacy benefit eligibility reporting tied to claims.

Responsibilities

• Abstract base (clsClaimEntry) — holds all shared claim-entry properties, CRUD data-access logic, and shared validation. Marked MustInherit.
• Jurisdiction-specific subclass (clsStateClaimEntry) — state-specific logic including work-release status, employee work address, county code determination, and multiple-employer letter requests.
• Pharmacy eligibility (clsPharmacyEligibilityReport / collection) — manages pharmacy benefit eligibility reporting tied to claims.
• Online 801 submission (cls801Submission, cls801SubmissionData, cls801Document) — online claim submission workflow with full CRUD backed by Oracle stored procedures in PK82538_ONLINE_801_CLAIM.
• API integration (clsFindWorkerAPI, clsSubmitClaimByAPI, clsClaimSearchApi) — REST API client wrappers inheriting clsBusinessApiBase for worker lookup, claim submission, and claim search.

Key components

• clsClaimEntry.BeforeCreate/AfterCreate, clsStateClaimEntry.AfterCreate: Supports Create new claim.
• clsClaimEntry.BeforeInsert/AfterInsert, AddNewStatusData: Supports Insert claim.
• clsClaimEntry.BeforeUpdate/AfterUpdate: Supports Update claim.
• clsClaimEntry.BeforeDelete/AfterDelete: Supports Delete claim.
• clsClaimEntry.NumberClaim, ValidManualClaim: Supports Number claim.
• clsClaimEntry.CheckForMultipleClaimsForWorker: Supports Check multiple claims.

Related documentation

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

Sources

• Business\SAIF.Business.Claim.Entry\clsClaimEntry.vb
• Business\SAIF.Business.Claim.Entry\clsStateClaimEntry.vb
• Business\SAIF.Business.Claim.Entry\clsClaimEntryBusinessRules.vb
• Business\SAIF.Business.Claim.Entry\clsPharmacyEligibility.vb
• Business\SAIF.Business.Claim.Entry\enums.vb
• Business\SAIF.Business.Claim.Entry\packages.config
• Business\SAIF.Business.Claim.Entry\SAIF.BOF.Business.Claim.Entry.nuspec
• Business\SAIF.Business.Claim.Entry\app.config
• Business\SAIF.Business.Claim.Entry\nuget.config
• Business\SAIF.Business.Claim.Entry\Pipelines\build-vars.yml
• Business\SAIF.Business.Claim.Entry\Pipelines\build.yml
• Business\SAIF.Business.Claim.Entry\Pipelines\release.yml
• Business\SAIF.Business.Claim.Entry\Online801\Submission\cls801Document.vb
• Business\SAIF.Business.Claim.Entry\Online801\Submission\cls801Submission.vb
• Business\SAIF.Business.Claim.Entry\Online801\Submission\cls801SubmissionData.vb
• Business\SAIF.Business.Claim.Entry\Online801\Submission\clsFindWorkerAPI.vb
• Business\SAIF.Business.Claim.Entry\Online801\Submission\clsSubmitClaimByAPI.vb
• Business\SAIF.Business.Claim.Entry\Online801\Search\clsClaimSearchResult.vb
• Business\SAIF.Business.Claim.Entry\Online801\Search\clsClaimSearchCriteria.vb
• Business\SAIF.Business.Claim.Entry\Online801\Search\CCClaimDataApi\clsClaimSearchApi.vb
• Business\SAIF.Business.Claim.Entry\Online801\CCClaimDataAPIResponseData.vb
• Business\SAIF.Business.Claim.Entry\Online801\ClaimCenterAPIResponseData.vb
• Business\SAIF.Business.Claim.Entry\Online801\clsRecordInfo.vb
• Business\SAIF.Business.Claim.Entry\Online801\mdlCodeTables.vb
• Business\SAIF.Business.Claim.Entry\SAIF.BOF.Business.Claim.Entry.vbproj