implementasi provider online

Modules/HospitalPortal/Http/Controllers/Api/ProviderOnlineController.php

@@ -0,0 +1,695 @@
+<?php
+
+namespace Modules\HospitalPortal\Http\Controllers\Api;
+
+use App\Models\Benefit;
+use App\Models\Member;
+use App\Models\MemberPlan;
+use App\Models\Organization;
+use App\Models\Plan;
+use App\Models\Provider;
+use App\Models\RequestLog;
+use App\Models\RequestLogBenefit;
+use Carbon\Carbon;
+use Illuminate\Http\JsonResponse;
+use Illuminate\Http\Request;
+use Illuminate\Routing\Controller;
+use Illuminate\Support\Facades\DB;
+use Illuminate\Support\Facades\Validator;
+use Illuminate\Support\Str;
+
+class ProviderOnlineController extends Controller
+{
+    public function addHeaderKey(Request $request): JsonResponse
+    {
+        $validator = Validator::make($request->all(), [
+            'kodeprovider' => 'required|string|exists:organizations,code',
+            'username' => 'required|string',
+            'password' => 'required|string',
+            'status' => 'nullable|in:active,inactive',
+            'header_token' => 'nullable|string',
+            'namaprovider' => 'nullable|string',
+        ]);
+
+        if ($validator->fails()) {
+            return response()->json([
+                'Status' => [
+                    'errornumber' => 1,
+                    'messagestring' => $validator->errors()->first(),
+                ],
+                'Data' => (object) [],
+            ], 400);
+        }
+
+        $organization = Organization::query()->where('code', $request->kodeprovider)->first();
+        if (!$organization) {
+            return response()->json([
+                'Status' => [
+                    'errornumber' => 1,
+                    'messagestring' => 'Organization dengan kodeprovider tidak ditemukan',
+                ],
+                'Data' => (object) [],
+            ], 404);
+        }
+
+        $provider = Provider::query()->updateOrCreate(
+            ['organization_id' => $organization->id, 'code' => $request->kodeprovider],
+            [
+                'name' => $request->namaprovider ?: $organization->name,
+                'username' => $request->username,
+                'password' => $request->password,
+                'status' => $request->status ?? 'active',
+                'header_token' => $request->header_token ?: ('bearer_' . Str::lower(Str::random(24))),
+            ]
+        );
+
+        return response()->json([
+            'Status' => [
+                'errornumber' => 0,
+                'messagestring' => 'HeaderKey berhasil disimpan',
+            ],
+            'Data' => [
+                'provider_id' => (int) $provider->id,
+                'organization_id' => (int) $provider->organization_id,
+                'kodeprovider' => (string) $provider->code,
+                'namaprovider' => (string) ($provider->name ?? ''),
+                'username' => (string) $provider->username,
+                'status' => (string) $provider->status,
+                'header_token' => (string) ($provider->header_token ?? ''),
+            ],
+        ]);
+    }
+
+    public function getHeaderKey(Request $request): JsonResponse
+    {
+        $validator = Validator::make($request->all(), [
+            'username' => 'required|string',
+            'password' => 'required|string',
+            'kodeprovider' => 'required|string|exists:organizations,code',
+        ]);
+
+        if ($validator->fails()) {
+            return response()->json([
+                'header-token' => '',
+                'userid' => 0,
+                'usertoken' => '',
+                'kodeprovider' => $request->input('kodeprovider', ''),
+                'namaprovider' => '',
+                'errornumber' => 1,
+                'messagestring' => $validator->errors()->first(),
+            ], 400);
+        }
+
+        $provider = Provider::query()
+            ->with('organization')
+            ->where('code', $request->kodeprovider)
+            ->where('username', $request->username)
+            ->where('status', 'active')
+            ->first();
+
+        if (!$provider || !hash_equals((string) $provider->password, (string) $request->password)) {
+            return response()->json([
+                'header-token' => '',
+                'userid' => 0,
+                'usertoken' => '',
+                'kodeprovider' => $request->kodeprovider,
+                'namaprovider' => '',
+                'errornumber' => 1,
+                'messagestring' => 'Username, password, atau kodeprovider tidak valid',
+            ], 401);
+        }
+
+        if (empty($provider->header_token)) {
+            $provider->header_token = 'bearer_' . Str::lower(Str::random(24));
+        }
+
+        $provider->token = Str::lower(Str::random(40));
+        $provider->save();
+
+        return response()->json([
+            'header-token' => $provider->header_token,
+            'userid' => (int) $provider->id,
+            'usertoken' => $provider->token,
+            'kodeprovider' => $provider->code,
+            'namaprovider' => optional($provider->organization)->name ?? $provider->name,
+            'errornumber' => 0,
+            'messagestring' => 'Success',
+        ]);
+    }
+
+    public function checkEligibilitasPeserta(Request $request): JsonResponse
+    {
+        $validated = $this->validateProviderRequest($request, [
+            'nokartu' => 'required|string',
+        ]);
+
+        if ($validated instanceof JsonResponse) {
+            return $validated;
+        }
+
+        [$provider, $organization] = $validated;
+
+        $member = Member::query()->where('member_id', $request->nokartu)->first();
+        if (!$member) {
+            return $this->statusResponse(1, 'Data peserta tidak ditemukan', [
+                'Data' => (object) [],
+                'Benefit' => [],
+            ], 404);
+        }
+
+        return response()->json([
+            'Status' => [
+                'errornumber' => 0,
+                'messagestring' => 'Success',
+            ],
+            'Data' => [
+                'nokartu' => (string) $member->member_id,
+                'memberid' => (string) $member->id,
+                'namapeserta' => (string) $member->name,
+                'nomorbpjs' => (string) ($member->bpjs_no ?? ''),
+                'jeniskelamin' => (string) ($member->gender ?? ''),
+                'tanggallahir' => $this->toIsoDateTime($member->birth_date ?? null),
+                'hubungankeluarga' => (string) ($member->relationship ?? ''),
+                'namaperusahaan' => (string) optional($member->currentCorporate)->name,
+                'pesertavip' => (string) ($member->vip_status ?? ''),
+                'namapenjamin' => 'LinkSehat',
+                'nomorpolis' => (string) optional($member->currentPolicy)->code,
+                'tglmulaipolis' => $this->toIsoDateTime($member->members_effective_date ?? null),
+                'tglberakhirpolis' => $this->toIsoDateTime($member->members_expire_date ?? null),
+                'phone' => (string) ($member->telephone_mobile ?? ''),
+                'email' => (string) ($member->email ?? ''),
+            ],
+            'Benefit' => $this->buildEligibilitasBenefit($member->id),
+        ]);
+    }
+
+    public function createPendaftaran(Request $request): JsonResponse
+    {
+        $validated = $this->validateProviderRequest($request, [
+            'kodebenefit' => 'required|string',
+            'nokartu' => 'required|string',
+            'keterangan' => 'nullable|string',
+            'kelaskamar' => 'nullable|string',
+            'nomorsep' => 'nullable|string',
+            'notransaksiprovider' => 'nullable|string',
+            'inacbgscode' => 'nullable|string',
+            'inacbgsamount' => 'nullable|numeric',
+            'cobbpjs' => 'nullable|numeric',
+        ]);
+
+        if ($validated instanceof JsonResponse) {
+            return $validated;
+        }
+
+        [, $organization] = $validated;
+
+        $member = Member::query()->where('member_id', $request->nokartu)->first();
+        if (!$member) {
+            return $this->statusResponse(1, 'Data peserta tidak ditemukan', [
+                'Data' => [],
+                'LimitSubBenefit' => [],
+            ], 404);
+        }
+
+        $serviceCode = strtoupper((string) $request->kodebenefit);
+        if (!in_array($serviceCode, ['OP', 'IP'], true)) {
+            $serviceCode = $request->kodebenefit;
+        }
+
+        DB::beginTransaction();
+        try {
+            $requestLog = RequestLog::query()->create([
+                'submission_date' => now(),
+                'member_id' => $member->id,
+                'payment_type' => 'cashless',
+                'service_code' => $serviceCode,
+                'policy_id' => 0,
+                'status' => 'approved',
+                'source' => 'api',
+                'organization_id' => $organization->id,
+                'keterangan' => $request->keterangan,
+                'penempatan_kamar' => $request->kelaskamar,
+                'total_cob' => (int) ($request->cobbpjs ?? 0),
+                'nomor_sep' => $request->nomorsep,
+                'inacbgs_code' => $request->inacbgscode,
+                'inacbgs_amount' => (int) ($request->inacbgsamount ?? 0),
+                'invoice_no' => $request->notransaksiprovider,
+            ]);
+
+            $requestLog->code = $this->generateNoLogCode($requestLog);
+            $requestLog->save();
+
+            DB::commit();
+        } catch (\Throwable $e) {
+            DB::rollBack();
+
+            return $this->statusResponse(1, $e->getMessage(), [
+                'Data' => [],
+                'LimitSubBenefit' => [],
+            ], 500);
+        }
+
+        $limitSubBenefit = $this->buildLimitSubBenefit($member->id, $serviceCode);
+
+        return response()->json([
+            'Status' => [
+                'errornumber' => 0,
+                'messagestring' => 'Success',
+            ],
+            'Data' => [[
+                'noklaim' => (string) $requestLog->code,
+                'namapeserta' => (string) $member->name,
+                'tanggallahir' => $this->toIsoDateTime($member->birth_date ?? null),
+                'nokartu' => (string) $member->member_id,
+                'nopolis' => (string) optional($member->currentPolicy)->code,
+                'nobpjs' => (string) ($member->bpjs_no ?? ''),
+                'nosep' => (string) ($requestLog->nomor_sep ?? ''),
+                'nomorrujukan' => (string) ($request->nomorrujukan ?? ''),
+                'planid' => '',
+                'masapolis' => '',
+                'namaperusahaan' => (string) optional($member->currentCorporate)->name,
+                'namapenjamin' => 'LinkSehat',
+                'tanggalmasuk' => $this->toIsoDateTime($requestLog->submission_date ?? null),
+                'tanggalkeluar' => $this->toIsoDateTime($requestLog->discharge_date ?? null),
+                'hakkamar' => (string) ($requestLog->hak_kamar_pasien ?? ''),
+                'hakicu' => '',
+                'nosuratjaminan' => '',
+                'namapegawai' => (string) $member->name,
+                'namabenefit' => (string) $request->kodebenefit,
+                'kodediagnosa' => (string) ($requestLog->diagnosis ?? ''),
+                'keterangan' => (string) ($requestLog->keterangan ?? ''),
+                'catatanTC1' => '',
+                'catatanTC2' => '',
+                'catatanTC3' => '',
+                'catatanTC4' => '',
+                'catatanTC5' => '',
+                'catatanTC6' => '',
+                'catatanTC7' => '',
+                'catatanTC8' => '',
+                'catatanTC9' => '',
+                'catatanTC10' => '',
+                'statusrujukan' => (string) ($request->statusrujukan ?? ''),
+                'statusklaim' => 0,
+                'notransaksiprovider' => (string) ($requestLog->invoice_no ?? ''),
+                'inacbgscode' => (string) ($requestLog->inacbgs_code ?? ''),
+                'inacbgsamount' => (int) ($requestLog->inacbgs_amount ?? 0),
+            ]],
+            'LimitSubBenefit' => $limitSubBenefit,
+        ]);
+    }
+
+    public function createPengesahan(Request $request): JsonResponse
+    {
+        $validated = $this->validateProviderRequest($request, [
+            'noklaim' => 'required|string',
+            'tanggalkeluar' => 'required|date',
+            'kodediagnosa' => 'nullable|string',
+            'daftarbiaya' => 'nullable|array',
+            'daftarbiaya.*.kodesubbenefit' => 'required_with:daftarbiaya|string',
+            'daftarbiaya.*.biayaaju' => 'required_with:daftarbiaya|numeric',
+            'inacbgscode' => 'nullable|string',
+            'inacbgsamount' => 'nullable|numeric',
+        ]);
+
+        if ($validated instanceof JsonResponse) {
+            return $validated;
+        }
+
+        [, $organization] = $validated;
+
+        $requestLog = RequestLog::query()
+            ->where('code', $request->noklaim)
+            ->where('organization_id', $organization->id)
+            ->first();
+
+        if (!$requestLog) {
+            return $this->statusResponse(1, 'Data klaim tidak ditemukan', [
+                'Data' => [],
+                'Biaya' => [],
+            ], 404);
+        }
+
+        DB::beginTransaction();
+        try {
+            $requestLog->update([
+                'status_final_log' => 'approve',
+                'final_log' => 1,
+                'discharge_date' => $request->tanggalkeluar,
+                'diagnosis' => $request->kodediagnosa,
+                'inacbgs_code' => $request->inacbgscode,
+                'inacbgs_amount' => (int) ($request->inacbgsamount ?? $requestLog->inacbgs_amount ?? 0),
+            ]);
+
+            foreach (($request->daftarbiaya ?? []) as $biaya) {
+                $benefit = Benefit::query()->where('code', $biaya['kodesubbenefit'])->first();
+                if (!$benefit) {
+                    continue;
+                }
+
+                RequestLogBenefit::query()->updateOrCreate(
+                    [
+                        'request_log_id' => $requestLog->id,
+                        'benefit_id' => $benefit->id,
+                    ],
+                    [
+                        'amount_incurred' => (int) $biaya['biayaaju'],
+                        'amount_approved' => 0,
+                        'amount_not_approved' => 0,
+                        'excess_paid' => 0,
+                        'keterangan' => '',
+                    ]
+                );
+            }
+
+            DB::commit();
+        } catch (\Throwable $e) {
+            DB::rollBack();
+            return $this->statusResponse(1, $e->getMessage(), [
+                'Data' => [],
+                'Biaya' => [],
+            ], 500);
+        }
+
+        return $this->buildRincianBiayaResponse($requestLog, 'Success');
+    }
+
+    public function getRincianBiayaKlaim(Request $request): JsonResponse
+    {
+        $validated = $this->validateProviderRequest($request, [
+            'noklaim' => 'required|string',
+        ]);
+
+        if ($validated instanceof JsonResponse) {
+            return $validated;
+        }
+
+        [, $organization] = $validated;
+
+        $requestLog = RequestLog::query()
+            ->where('code', $request->noklaim)
+            ->where('organization_id', $organization->id)
+            ->first();
+
+        if (!$requestLog) {
+            return $this->statusResponse(1, 'Data klaim tidak ditemukan', [
+                'Data' => [],
+                'Biaya' => [],
+            ], 404);
+        }
+
+        return $this->buildRincianBiayaResponse($requestLog, 'Success');
+    }
+
+    public function downloadStrukPendaftaran(Request $request)
+    {
+        $validated = $this->validateProviderRequest($request, [
+            'noklaim' => 'required|string',
+        ]);
+
+        if ($validated instanceof JsonResponse) {
+            return $validated;
+        }
+
+        [, $organization] = $validated;
+
+        $requestLog = RequestLog::query()
+            ->where('code', $request->noklaim)
+            ->where('organization_id', $organization->id)
+            ->first();
+
+        if (!$requestLog) {
+            return $this->statusResponse(1, 'Data klaim tidak ditemukan', (object) [], 404);
+        }
+
+        return app(RequestLogController::class)->downlodLog($requestLog->id);
+    }
+
+    public function downloadStrukPengesahan(Request $request)
+    {
+        $validated = $this->validateProviderRequest($request, [
+            'noklaim' => 'required|string',
+        ]);
+
+        if ($validated instanceof JsonResponse) {
+            return $validated;
+        }
+
+        [, $organization] = $validated;
+
+        $requestLog = RequestLog::query()
+            ->where('code', $request->noklaim)
+            ->where('organization_id', $organization->id)
+            ->first();
+
+        if (!$requestLog) {
+            return $this->statusResponse(1, 'Data klaim tidak ditemukan', (object) [], 404);
+        }
+
+        return app(RequestLogController::class)->downlodFinalLog($requestLog->id);
+    }
+
+    private function validateProviderRequest(Request $request, array $rules)
+    {
+        $baseRules = [
+            'kodeprovider' => 'required|string|exists:organizations,code',
+            'p_user_no' => 'required|numeric',
+            'p_token' => 'required|string',
+        ];
+
+        $validator = Validator::make($request->all(), array_merge($baseRules, $rules));
+        if ($validator->fails()) {
+            return $this->statusResponse(1, $validator->errors()->first(), (object) [], 400);
+        }
+
+        $provider = Provider::query()
+            ->where('code', $request->kodeprovider)
+            ->where('status', 'active')
+            ->first();
+
+        if (!$provider) {
+            return $this->statusResponse(1, 'Provider tidak ditemukan', (object) [], 404);
+        }
+
+        $headerToken = $request->header('header-token');
+        if (!empty($provider->header_token) && $headerToken !== $provider->header_token) {
+            return $this->statusResponse(1, 'Header token tidak valid', (object) [], 401);
+        }
+
+        if ((int) $request->p_user_no !== (int) $provider->id || (string) $request->p_token !== (string) $provider->token) {
+            return $this->statusResponse(1, 'Token user tidak valid', (object) [], 401);
+        }
+
+        $organization = Organization::query()->where('id', $provider->organization_id)->first();
+        if (!$organization) {
+            return $this->statusResponse(1, 'Organization provider tidak ditemukan', (object) [], 404);
+        }
+
+        return [$provider, $organization];
+    }
+
+    private function statusResponse(int $errorNumber, string $message, $extra = [], int $statusCode = 200): JsonResponse
+    {
+        $payload = [
+            'Status' => [
+                'errornumber' => $errorNumber,
+                'messagestring' => $message,
+            ],
+        ];
+
+        if (is_array($extra)) {
+            $payload = array_merge($payload, $extra);
+        }
+
+        return response()->json($payload, $statusCode);
+    }
+
+    private function buildRincianBiayaResponse(RequestLog $requestLog, string $message): JsonResponse
+    {
+        $member = Member::query()->find($requestLog->member_id);
+        $benefits = RequestLogBenefit::query()
+            ->with('benefit')
+            ->where('request_log_id', $requestLog->id)
+            ->get();
+        $plan = $this->resolvePlanByRequestLog($requestLog);
+
+        return response()->json([
+            'Status' => [
+                'errornumber' => 0,
+                'messagestring' => $message,
+            ],
+            'Data' => [[
+                'noklaim' => (string) $requestLog->code,
+                'namapeserta' => (string) optional($member)->name,
+                'tanggallahir' => $this->toIsoDateTime(optional($member)->birth_date ?? null),
+                'nokartu' => (string) optional($member)->member_id,
+                'nopolis' => (string) optional(optional($member)->currentPolicy)->code,
+                'nobpjs' => (string) (optional($member)->bpjs_no ?? ''),
+                'nosep' => (string) ($requestLog->nomor_sep ?? ''),
+                'nomorrujukan' => '',
+                'planid' => '',
+                'masapolis' => '',
+                'namaperusahaan' => (string) optional(optional($member)->currentCorporate)->name,
+                'namapenjamin' => 'LinkSehat',
+                'tanggalmasuk' => $this->toIsoDateTime($requestLog->submission_date ?? null),
+                'tanggalkeluar' => $this->toIsoDateTime($requestLog->discharge_date ?? null),
+                'hakkamar' => (string) ($requestLog->hak_kamar_pasien ?? ''),
+                'hakicu' => '',
+                'nosuratjaminan' => '',
+                'namapegawai' => (string) optional($member)->name,
+                'namabenefit' => '',
+                'kodediagnosa' => (string) ($requestLog->diagnosis ?? ''),
+                'keterangan' => (string) ($requestLog->keterangan ?? ''),
+                'catatanTC1' => '',
+                'catatanTC2' => '',
+                'catatanTC3' => '',
+                'catatanTC4' => '',
+                'catatanTC5' => '',
+                'catatanTC6' => '',
+                'catatanTC7' => '',
+                'catatanTC8' => '',
+                'catatanTC9' => '',
+                'catatanTC10' => '',
+                'statusrujukan' => '',
+                'statusklaim' => 0,
+                'notransaksiprovider' => (string) ($requestLog->invoice_no ?? ''),
+                'inacbgscode' => (string) ($requestLog->inacbgs_code ?? ''),
+                'inacbgsamount' => (int) ($requestLog->inacbgs_amount ?? 0),
+            ]],
+            'Biaya' => $benefits->map(function (RequestLogBenefit $item) use ($requestLog, $plan) {
+                $planCode = '';
+                $planName = '';
+                if (!empty($plan)) {
+                    $planCode = (string) ($plan->code ?? '');
+                    $planName = (string) ($plan->corporate_plan_id ?? $plan->code ?? '');
+                }
+
+                return [
+                    'noklaim' => (string) $requestLog->code,
+                    'kodesubbenefit' => (string) optional($item->benefit)->code,
+                    'namasubbenefit' => (string) optional($item->benefit)->description,
+                    'kodebenefit' => $planCode,
+                    'namabenefit' => $planName,
+                    'biayaaju' => (int) $item->amount_incurred,
+                    'jaminanasuransi' => (int) $item->amount_approved,
+                    'jaminanpeserta' => (int) $item->excess_paid,
+                    'keterangan' => (string) ($item->keterangan ?? ''),
+                ];
+            })->values(),
+        ]);
+    }
+
+    private function toIsoDateTime($value): ?string
+    {
+        if (empty($value)) {
+            return null;
+        }
+
+        try {
+            return Carbon::parse($value)->format('Y-m-d\\TH:i:s.v\\Z');
+        } catch (\Throwable $e) {
+            return null;
+        }
+    }
+
+    private function generateNoLogCode(RequestLog $requestLog): string
+    {
+        $organizationCode = (string) optional($requestLog->organization)->code;
+        $member = Member::query()->with('currentPolicy')->find($requestLog->member_id);
+        $memberCode = (string) optional($member)->member_id;
+        $policyCode = (string) optional(optional($member)->currentPolicy)->code;
+        $dateCode = now()->format('ymd');
+
+        $lastNumericCode = RequestLog::query()
+            ->select(DB::raw('MAX(CAST(SUBSTRING_INDEX(code, ".", -1) AS SIGNED)) as max_numeric_code'))
+            ->whereRaw('SUBSTRING_INDEX(code, ".", -1) REGEXP "^[0-9]+$"')
+            ->value('max_numeric_code');
+
+        $nextNumber = ((int) $lastNumericCode) + 1;
+        if ($nextNumber <= 0) {
+            $nextNumber = 1;
+        }
+
+        return 'LOG' . '.H.' . $organizationCode . '.' . $dateCode . '.' . $policyCode . '.' . $memberCode . '.' . str_pad((string) $nextNumber, 5, '0', STR_PAD_LEFT);
+    }
+
+    private function buildEligibilitasBenefit(int $memberDbId): array
+    {
+        $rows = MemberPlan::query()
+            ->join('plans', 'plans.id', '=', 'member_plans.plan_id')
+            ->where('member_plans.member_id', $memberDbId)
+            ->whereNull('member_plans.deleted_at')
+            ->whereNull('plans.deleted_at')
+            ->select([
+                'plans.code as plan_code',
+                'plans.corporate_plan_id as plan_name',
+            ])
+            ->distinct()
+            ->get();
+
+        return $rows->map(function ($row) {
+            $planCode = (string) ($row->plan_code ?? '');
+            return [
+                'kodebenefit' => $planCode,
+                'namabenefit' => (string) ($planCode ?? $row->plan_name), // tidak ada nama plan
+                'planid' => $planCode,
+            ];
+        })->values()->all();
+    }
+
+    private function buildLimitSubBenefit(int $memberDbId, string $serviceCode): array
+    {
+        $rows = MemberPlan::query()
+            ->join('plans', 'plans.id', '=', 'member_plans.plan_id')
+            ->join('corporate_benefits', 'corporate_benefits.plan_id', '=', 'plans.id')
+            ->join('benefits', 'benefits.id', '=', 'corporate_benefits.benefit_id')
+            ->where('member_plans.member_id', $memberDbId)
+            ->whereNull('member_plans.deleted_at')
+            ->whereNull('plans.deleted_at')
+            ->whereNull('corporate_benefits.deleted_at')
+            ->whereNull('benefits.deleted_at')
+            ->when(!empty($serviceCode), function ($query) use ($serviceCode) {
+                $query->where('plans.service_code', $serviceCode);
+            })
+            ->select([
+                'benefits.code as benefit_code',
+                'benefits.description as benefit_name',
+                'corporate_benefits.limit_amount as benefit_limit',
+            ])
+            ->distinct()
+            ->get();
+
+        return $rows->map(function ($row) {
+            return [
+                'kodesubbenefit' => (string) ($row->benefit_code ?? ''),
+                'namasubbenefit' => (string) ($row->benefit_name ?? ''),
+                'batasan' => (string) ($row->benefit_limit ?? ''),
+            ];
+        })->values()->all();
+    }
+
+    private function resolvePlanByRequestLog(RequestLog $requestLog): ?Plan
+    {
+        $plan = Plan::query()
+            ->join('member_plans', 'member_plans.plan_id', '=', 'plans.id')
+            ->where('member_plans.member_id', $requestLog->member_id)
+            ->whereNull('member_plans.deleted_at')
+            ->whereNull('plans.deleted_at')
+            ->where('plans.service_code', $requestLog->service_code)
+            ->orderByDesc('member_plans.id')
+            ->select('plans.*')
+            ->first();
+
+        if ($plan) {
+            return $plan;
+        }
+
+        return Plan::query()
+            ->join('member_plans', 'member_plans.plan_id', '=', 'plans.id')
+            ->where('member_plans.member_id', $requestLog->member_id)
+            ->whereNull('member_plans.deleted_at')
+            ->whereNull('plans.deleted_at')
+            ->orderByDesc('member_plans.id')
+            ->select('plans.*')
+            ->first();
+    }
+}

Modules/HospitalPortal/Routes/api.php

@@ -17,6 +17,7 @@ use Modules\HospitalPortal\Http\Middleware\Authorization;
 use Modules\Internal\Http\Controllers\Api\NavigationController;
 use Modules\Linksehat\Http\Controllers\Api\AutocompleteController;
 use Modules\Primaya\Http\Controllers\Api\MasterController;
+use Modules\HospitalPortal\Http\Controllers\Api\ProviderOnlineController;
 
 /*
 |--------------------------------------------------------------------------
@@ -135,4 +136,14 @@ Route::prefix('v1')->group(function() {
 
 
     });
-});
+    Route::prefix('bridging-service/ProviderOnline')->controller(ProviderOnlineController::class)->group(function () {
+        Route::post('AddHeaderKey', 'addHeaderKey');
+        Route::post('HeaderKey', 'getHeaderKey');
+        Route::post('EligibilitasPeserta', 'checkEligibilitasPeserta');
+        Route::post('Pendaftaran', 'createPendaftaran');
+        Route::post('Pengesahan', 'createPengesahan');
+        Route::post('RincianBiayaKlaim', 'getRincianBiayaKlaim');
+        Route::post('StrukPendaftaran', 'downloadStrukPendaftaran');
+        Route::post('StrukPengesahan', 'downloadStrukPengesahan');
+    });
+});

app/Models/Provider.php

@@ -16,6 +16,7 @@ class Provider extends Model
         'name',
         'code',
         'header_token',
+        'token',
         'username',
         'password',
         'status',

app/Models/RequestLog.php

@@ -21,6 +21,10 @@ class RequestLog extends Model
     public $fillable = [
         'uuid',
         'invoice_no',
+        'nomor_sep',
+        'inacbgs_code',
+        'inacbgs_amount',
+        'no_transaksi_provider',
         'billing_no',
         'submission_date',
         'discharge_date',

database/migrations/2026_05_13_120000_add_columns_for_provider_online_to_request_logs_and_providers.php

@@ -0,0 +1,54 @@
+<?php
+
+use Illuminate\Database\Migrations\Migration;
+use Illuminate\Database\Schema\Blueprint;
+use Illuminate\Support\Facades\Schema;
+
+return new class extends Migration
+{
+    public function up()
+    {
+        Schema::table('providers', function (Blueprint $table) {
+            if (!Schema::hasColumn('providers', 'token')) {
+                $table->string('token')->nullable()->after('header_token');
+            }
+        });
+
+        Schema::table('request_logs', function (Blueprint $table) {
+            if (!Schema::hasColumn('request_logs', 'nomor_sep')) {
+                $table->string('nomor_sep')->nullable()->after('invoice_no');
+            }
+            if (!Schema::hasColumn('request_logs', 'inacbgs_code')) {
+                $table->string('inacbgs_code')->nullable()->after('nomor_sep');
+            }
+            if (!Schema::hasColumn('request_logs', 'inacbgs_amount')) {
+                $table->integer('inacbgs_amount')->default(0)->after('inacbgs_code');
+            }
+            if (!Schema::hasColumn('request_logs', 'no_transaksi_provider')) {
+                $table->string('no_transaksi_provider')->nullable()->after('inacbgs_amount');
+            }
+        });
+    }
+
+    public function down()
+    {
+        Schema::table('providers', function (Blueprint $table) {
+            if (Schema::hasColumn('providers', 'token')) {
+                $table->dropColumn('token');
+            }
+        });
+
+        Schema::table('request_logs', function (Blueprint $table) {
+            $dropColumns = [];
+            foreach (['nomor_sep', 'inacbgs_code', 'inacbgs_amount', 'no_transaksi_provider'] as $col) {
+                if (Schema::hasColumn('request_logs', $col)) {
+                    $dropColumns[] = $col;
+                }
+            }
+
+            if (!empty($dropColumns)) {
+                $table->dropColumn($dropColumns);
+            }
+        });
+    }
+};