Application overview¶
ClaimBillEntry is the Claims bill-entry web application. Staff use it to key medical bills (worker, diagnoses, procedures, service lines, notes and providers) against a SAIF claim, to work a personal inbox of bills, and to search bills. It is hosted in IIS under the virtual directory /ClaimBillEntry/ with Windows authentication and runs on .NET Framework 4.6.2 with ASP.NET MVC 5 and Razor views.
Purpose¶
- Key, save, submit, send or pend, and discard medical bills against a SAIF claim on the Bill entry screen.
- Give each user a personal work queue of bills on the Inbox screen.
- Find bills by bill id, tax id, provider id, SSN, claim number or received date on the Search screen.
- Delegate all domain behavior (bill services, query providers, claim and worker lookups) to SAIF internal packages, leaving the application responsible for screens, routing, AJAX endpoints and composition.
Users¶
| User role | Description | Primary use cases |
|---|---|---|
CBPEnterBill |
Claims bill-entry staff; the role required by the Entry, Inbox and Search controllers | Key and submit bills, work the inbox, search bills |
CBEDiscardBill |
Permission checked when the Bill entry screen loads; controls whether the Discard button is shown | Discard a bill (enforced on the client only, see BR-SCR-006) |
ConflictClaim |
Permission checked when a bill is opened | Open bills that belong to conflict claims (see BR-SCR-002) |
Capability matrix¶
The repository has no standalone libraries. Each capability is owned by an application component and performed by a consumed SAIF package. 20 package/framework business rules recovered from those packages are now documented in business rules†. SaifAuthorizeAttribute's role-check behavior is likewise documented via retrieved behavior† in Request pipeline and composition and Security and authorization; the internal mechanics of each service method beyond the recovered rules, and the inherited ClaimControllerBase.CheckSecurity action-filter internals beyond its call site, remain untraced**.
| Capability | Owning component | Consumed package(s) performing the work | Description |
|---|---|---|---|
| Bill header entry, save, submit, discard and queue feed | Bill entry, EntryController |
SAIF.SAIFCode.Core (IBillEntryService) |
Loads, saves, submits and discards bills and pulls the next bill from the queue |
| Send or pend a bill to another mailbox | EntryController |
SAIF.SAIFCode.Core (IBillService.SendPendBill) |
Routes a bill to another user's mail id |
| Worker lookup by claim number | EntryController |
SAIF.SAIFCode.Core (IClaimInformationService) |
Loads worker information when the claim number changes |
| Diagnosis, procedure, service-line and note grids | DiagnosisGridController, ProcedureGridController, ServiceGridController, NoteGridController |
SAIF.SAIFCode.Core (IBillDiagnosisService, IBillProcedureService, IBillServiceService, INoteService) |
Kendo grid create, read, update and delete plus code validation |
| Provider lookup and TIN validation | ProviderController |
SAIF.SAIFCode.Core (IBillEntryService, IProviderQueryProvider) |
Billing and rendering provider lookups and tax id validation |
| Personal inbox | Inbox, InboxController |
SAIF.SAIFCode.Core (IBillEntryService), SAIF.Framework.Core (IUserProfileService) |
Lists bills for a responsible party |
| Bill search | Search, SearchController |
SAIF.SAIFCode.Core (IBillQueryService) |
Searches bills by criteria |
| Grid column preferences | BaseController |
SAIF.Framework.Core (IUserProfileService.Preferences) |
Saves and clears a user's grid column layout |
| Menu, web context and security filter | BaseController, _Bootstrap3 layout |
SAIF.SAIFCode.Web.Mvc (ClaimControllerBase), SAIF.Framework.Web.Mvc |
Renders the SAIF menu and web-context control and applies conflict-claim access |
| Claim document viewing | Client script launchOnBase |
OnBase enabler (client asset) | Opens a claim document in OnBase from the browser |
| Dependency composition | SAIF.DependencyMaps.Web.ClaimBillEntry (companion project) |
Autofac, SAIF.Framework.Data.NHibernate, ImagingApi.Client |
Builds the Autofac container and registers services |
Related documentation¶
- Index
- Architecture
- Dependencies
- Configuration
- Operations and processes
- Business rules
- Security and authorization
- Data model
- Hosted endpoints
- Tech debt
- Screen catalog
Note: Statements marked with
†are derived from dependency library documentation via the Legends CLI. Statements marked with**could not be confirmed; treat as unknown until verified.
Sources¶
- ClaimBillEntry/ClaimBillEntry.csproj
- ClaimBillEntry/Views/_ViewStart.cshtml
- ClaimBillEntry/Controllers/HomeController.cs
- ClaimBillEntry/Controllers/BaseController.cs
- ClaimBillEntry/Controllers/EntryController.cs
- ClaimBillEntry/Controllers/InboxController.cs
- ClaimBillEntry/Controllers/SearchController.cs
- ClaimBillEntry/Controllers/ProviderController.cs
- ClaimBillEntry/Controllers/NoteGridController.cs
- ClaimBillEntry/Controllers/DiagnosisGridController.cs
- ClaimBillEntry/Controllers/ProcedureGridController.cs
- ClaimBillEntry/Controllers/ServiceGridController.cs
- ClaimBillEntry/js/ClaimBillEntry.entry.js
- SAIF.DependencyMaps.Web.ClaimBillEntry/DependencyMap.cs
- Pipelines/build-vars.yml