SQL-127: EbillQueryProvider.GetEbill¶
This statement is a read operation invoked through ORM (NHibernate LINQ). Executed by EbillQueryProvider.GetEbill.
Classification¶
| Field | Value |
|---|---|
| SQL ID | SQL-127 |
| Operation type | Read |
| Execution method | ORM (NHibernate LINQ) |
| Database | Oracle* |
| Schema | [unqualified]** |
| Command type | N/A (ORM-generated) |
| Business object | EbillQueryProvider |
| Criteria property | N/A — ORM |
| Lifecycle method | GetEbill |
Parameters¶
| Parameter | Direction | Type | Max length | Description |
|---|---|---|---|---|
batchId |
Input | long | N/A | Method argument of EbillQueryProvider.GetEbill bound into the ORM expression; NHibernate generates the bind variable at runtime |
Tables¶
| Table | Access | Columns used |
|---|---|---|
| EBILL | SELECT | EBILL_SEQ_NUM, UPDATE_NUM, CLEARINGHOUSE_CONTROL_NUM, STATEMENT_FROM_DATE, STATEMENT_THRU_DATE, INJURY_DATE, ADMISSION_DATE, DISCHARGE_DATE, ORIGINAL_BILL_ID, BILL_TOTAL_AMOUNT, UB_BILL_TYPE_CODE, SERVICE_LOCATION_CODE, FACILITY_NPI, SUBMITTER_CONTROL_NUM, TRANSACTION_SET_CONTROL_NUM, UPDATE_USER, UPDATE_DATE, CLEARINGHOUSE_RECEIVED_DATE, CBP_ADMISSION_TYPE_CODE, BILL_ID, EBILL_RECEIPT_BATCH_SEQ_NUM, EBILL_PATIENT_SEQ_NUM, EBILL_STATUS_CODE, FACILITY_ADDRESS_SEQ_NUM, EBILL_SET_TYPE_CODE, EBILL_FIRST_RESPONSE_SEQ_NUM, EBILL_LAST_RESPONSE_SEQ_NUM, EBILL_RESPONSE_SET_SEQ_NUM, EBILL_EOB_SEQ_NUM |
LINQ statement¶
Source: Data/SAIF.Data/Queries/Claims/Ebilling/EbillQueryProvider.cs:160. The repository is obtained at Data/SAIF.Data/Queries/Claims/Ebilling/EbillQueryProvider.cs:29.
// Data/SAIF.Data/Queries/Claims/Ebilling/EbillQueryProvider.cs:29
billRepository = Factory.GetRepository<Ebill>().Query();
// Data/SAIF.Data/Queries/Claims/Ebilling/EbillQueryProvider.cs:160
return billRepository.FirstOrDefault(x => x.Id == batchId);
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
E.EBILL_SEQ_NUM,
E.UPDATE_NUM,
E.CLEARINGHOUSE_CONTROL_NUM,
E.STATEMENT_FROM_DATE,
E.STATEMENT_THRU_DATE,
E.INJURY_DATE,
E.ADMISSION_DATE,
E.DISCHARGE_DATE,
E.ORIGINAL_BILL_ID,
E.BILL_TOTAL_AMOUNT,
E.UB_BILL_TYPE_CODE,
E.SERVICE_LOCATION_CODE,
E.FACILITY_NPI,
E.SUBMITTER_CONTROL_NUM,
E.TRANSACTION_SET_CONTROL_NUM,
E.UPDATE_USER,
E.UPDATE_DATE,
E.CLEARINGHOUSE_RECEIVED_DATE,
E.CBP_ADMISSION_TYPE_CODE,
E.BILL_ID,
E.EBILL_RECEIPT_BATCH_SEQ_NUM,
E.EBILL_PATIENT_SEQ_NUM,
E.EBILL_STATUS_CODE,
E.FACILITY_ADDRESS_SEQ_NUM,
E.EBILL_SET_TYPE_CODE,
E.EBILL_FIRST_RESPONSE_SEQ_NUM,
E.EBILL_LAST_RESPONSE_SEQ_NUM,
E.EBILL_RESPONSE_SET_SEQ_NUM,
E.EBILL_EOB_SEQ_NUM
FROM EBILL E
WHERE E.EBILL_SEQ_NUM = :batchId
)
WHERE ROWNUM <= 1
Translation notes:
- Oracle10 row limit for
FirstOrDefault(): the query (including anyORDER BY) is wrapped inROWNUM <= 1(limit written inline; NHibernate binds it as a parameter at runtime). - The parameter name
batchIdis misleading: the predicate isx.Id == batchIdonEbill, i.e.EBILL_SEQ_NUM.
Operations and processes¶
Business rules¶
- SD-BR-050 E-bill status and assignment-rule code sets
- SD-BR-051 Bill included in clearinghouse response file by response-batch state
- SD-BR-052 Multiple prescription numbers mark all NDC lines as compound drug
Sources¶
Data/SAIF.Data/Queries/Claims/Ebilling/EbillQueryProvider.cs:160