SAIF.Business.Claim.MedicalBill overview

Documentation context: Packaged Component (NuGet)

This library provides the medical bill business layer for workers' compensation claims. Key patterns:

Purpose

• Standard BOF business objects — individual and collection classes for medical bills, services, adjustments, EOB notes, and drug pricing.
• Stored procedure retrieval — collections use Oracle stored procedures from pk82396_medical_bills for retrieving audit services, EOB notes, and service adjustments.
• Security-filtered access — clsMedicalBillCollection uses clsSecurityPrincipal.IsAuthorized() to check exposure and health-issue access before returning data.

Responsibilities

• Standard BOF business objects — individual and collection classes for medical bills, services, adjustments, EOB notes, and drug pricing.
• Stored procedure retrieval — collections use Oracle stored procedures from pk82396_medical_bills for retrieving audit services, EOB notes, and service adjustments.
• Security-filtered access — clsMedicalBillCollection uses clsSecurityPrincipal.IsAuthorized() to check exposure and health-issue access before returning data.
• API-based architecture — collection uses DataApiAccessLayer.RetrieveObject pattern indicating REST API integration for bill retrieval.

Key components

• clsMedicalBillCollection.GetMedicalBills: Supports Medical bill retrieval.
• clsAuditServiceCollection: Supports Audit service retrieval.
• clsEOBNoteCollection: Supports EOB note retrieval.
• clsServiceAdjustmentCollection: Supports Service adjustment retrieval.
• clsNationalDrug`, `clsNationalDrugPrice`, `clsNdcPriceHistory: Supports Drug data management.
• clsAdjustmentCodeCollection: Supports Adjustment code lookup.

Related documentation

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

Sources

• Business\SAIF.Business.Claim.MedicalBill\clsMedicalBill.vb
• Business\SAIF.Business.Claim.MedicalBill\clsMedicalBillCollection.vb
• Business\SAIF.Business.Claim.MedicalBill\clsAuditServiceCollection.vb
• Business\SAIF.Business.Claim.MedicalBill\clsEOBNoteCollection.vb
• Business\SAIF.Business.Claim.MedicalBill\clsServiceAdjustmentCollection.vb
• Business\SAIF.Business.Claim.MedicalBill\clsNationalDrug.vb
• Business\SAIF.Business.Claim.MedicalBill\clsNationalDrugPrice.vb
• Business\SAIF.Business.Claim.MedicalBill\clsNdcPriceHistory.vb
• Business\SAIF.Business.Claim.MedicalBill\packages.config
• Business\SAIF.Business.Claim.MedicalBill\SAIF.BOF.Business.Claim.MedicalBill.nuspec
• Business\SAIF.Business.Claim.MedicalBill\Pipelines\build-vars.yml
• Business\SAIF.Business.Claim.MedicalBill\clsAdjustmentCode.vb
• Business\SAIF.Business.Claim.MedicalBill\clsAdjustmentCodeCollection.vb
• Business\SAIF.Business.Claim.MedicalBill\clsNationalDrugPriceCollection.vb
• Business\SAIF.Business.Claim.MedicalBill\clsNdcPriceHistoryCollection.vb
• Business\SAIF.Business.Claim.MedicalBill\SAIF.BOF.Business.Claim.MedicalBill.vbproj