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[WIP] ASO Payment

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This commit is contained in:
R
2023-01-05 18:28:45 +07:00
parent 0fdad5a6c2
commit 804ac883fa
41 changed files with 882 additions and 177 deletions
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171
app/Http/Controllers/Api/OLDLMS/MembershipController.php
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@@ -15,7 +15,7 @@ class MembershipController extends Controller
{
$request->validate([
'member_id' => 'required',
'birth_date' => 'required',
// 'birth_date' => 'required',
]);
$member = Member::where('member_id', $request->member_id)->first();
@@ -28,7 +28,6 @@ class MembershipController extends Controller
return Helper::responseJson(statusCode: 406, message: 'The Member '.$request->member_id.' is Inactive.', status: 'error');
}
return Helper::responseJson(data: $member, message: 'Member Found');
}
@@ -36,7 +35,8 @@ class MembershipController extends Controller
{
$request->validate([
'member_id' => 'required',
'type' => 'required|in:consultation-gp,consultation-specialist,medicine'
'type' => 'required|in:consultation-gp,consultation-specialist,medicine',
// 'speciality_code' => 'sometimes'
]);
if ($request->type == 'consultation-gp') {
@@ -49,9 +49,170 @@ class MembershipController extends Controller
$benefitCode = 'OPMEDI1';
}
$member = Member::where('member_id', $request->member_id)->with(['currentCorporate', 'currentPolicy', 'currentPlan'])->first();
$member = Member::where('member_id', $request->member_id)->with(['currentCorporate', 'currentPolicy', 'currentPlan', 'postponedClaims'])->first();
$limits = ClaimService::showMemberBenefitLimit($member, $benefitCode);
$limits['postponed_claims'] = $member->postponedClaims;
$limits['postponed_claims_payment_url'] = "http://google.com";
$limits['postponed_claims_unpaid_total'] = $member->postponedClaims->sum('total_claim');
if ($request->has('speciality_code') && !empty($request->speciality_code)) {
$corporateService = $member->currentCorporate
->corporateServices()
->active()
->where('service_code', 'OP')
->with([
'specialities' => function ($speciality) use ($request) {
$speciality->where('code', $request->speciality_code)
->wherePivot('active', 1);
}])
->first();
// $rules = $corporateServiceConfigs->
// dd($corporateServiceConfigs->toArray());
if (empty($corporateService)) {
$limit['coverage'] = [
'benefit' => false,
'admin_fee' => false,
'delivery_fee' => false
];
return Helper::responseJson(data: $limits);
}
if (empty($corporateService->specialities)) {
$limit['coverage'] = [
'benefit' => false,
'admin_fee' => false,
'delivery_fee' => false
];
return Helper::responseJson(data: $limits);
}
$currentSpeciality = $corporateService->specialities->first();
// Load the Relation Data after speciality check is supported
$corporateService->load([
'configs',
// 'configs.exclusions.rules',
'corporateServiceSpecialities' => function ($corporateServiceSpeciality) use ($currentSpeciality) {
$corporateServiceSpeciality->where('speciality_id', $currentSpeciality->id);
},
'corporateServiceSpecialities.exclusions' => function ($exclusion) {
$exclusion->where('service_code', 'OP');
},
'corporateServiceSpecialities.exclusions.rules'
]);
$configs = $corporateService->configs->mapWithKeys(function ($config) {
return [$config->name => $config];
});
$serviceSpeciality = $corporateService->corporateServiceSpecialities->first() ?? null;
$serviceSpecialityRules = $serviceSpeciality->exclusions->first()->rules ?? collect([]);
$serviceSpecialityRules = $serviceSpecialityRules->mapWithKeys(function ($rule) {
return [$rule->name => $rule];
});
$gpSpecialityName = config('aso.general_practitioner_speciality_name', 'Umum');
// dd($serviceSpecialityRules->toArray());
$coverage = [
'benefit' => false,
'admin_fee' => false,
'delivery_fee' => false
];
// dd($configs->toArray());
// dd($gpSpecialityName, $currentSpeciality->name);
if ($gpSpecialityName == $currentSpeciality->name) {
// To General Practitioner
if (($configs['gp_internal_doctor_online']['value'] ?? 1) == 1) {
$coverage['benefit'] = true;
}
if (($configs['general_practitioner_fee']['value'] ?? 1) == 1) {
$coverage['admin_fee'] = true;
}
if ($serviceSpeciality->active == 1) {
$coverage['benefit'] = true;
}
} else {
// To Specialist
if (($configs['sp_internal_doctor_online']['value'] ?? 1) == 1) {
$coverage['benefit'] = true;
}
// dd($configs['specialist_practitioner_fee']['value'], $configs['specialist_practitioner_fee']['value'] ?? 1, ($configs['specialist_practitioner_fee']['value'] ?? 1) == 1);
if (($configs['specialist_practitioner_fee']['value'] ?? 1) == 1) {
$coverage['admin_fee'] = true;
}
if ($serviceSpeciality->active == 1) {
$coverage['benefit'] = true;
}
}
// TODO THIS EXCLUSION IS USED AS INCLUSION NOW, MUST BE CHANGE TO USED AS EXCLUSION AND MAYBE MOVE THE TABLE
$excluded = [];
foreach ($serviceSpecialityRules as $ruleName => $rule) {
if ($ruleName == 'msc') {
$values = explode(',', $rule->values);
if (!in_array(strtolower($member->marital_status), $values)) {
$excluded[] = $rule;
}
}
if ($ruleName == 'gender') {
$values = explode(',', $rule->values);
if (!in_array(strtolower($member->gender), $values)) {
$excluded[] = $rule;
}
}
if ($ruleName == 'min_age') {
if (!empty($rule->values) && $member->age < $rule->values) {
$excluded[] = $rule;
}
}
if ($ruleName == 'max_age') {
if (!empty($rule->values) && $member->age > $rule->values) {
$excluded[] = $rule;
}
}
if ($ruleName == 'plan') {
$values = explode(',', $rule->values);
if (!in_array($member->currentPlan->code, $values)) {
$excluded[] = $rule;
}
}
}
if ( count($excluded) ) {
$coverage['benefit'] = false;
$coverage['benefit_exclusion'] = $excluded;
} else {
$coverage['benefit'] = true;
}
$limits['coverage'] = $coverage;
} else {
$limits['coverage'] = [
'benefit' => true,
'admin_fee' => true,
'delivery_fee' => true
];
}
return Helper::responseJson(data: $limits);
}