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Merge commit '23e201d50ca14ecb3cb4dee157304c730062589d'

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R
2026-04-01 20:02:33 +07:00
parent 31b0a7811b 23e201d50c
commit 8b50b8d14a
4 changed files with 423 additions and 69 deletions
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308
Modules/Primaya/Http/Controllers/Api/MemberController.php
View File

@@ -3,7 +3,10 @@
namespace Modules\Primaya\Http\Controllers\Api;
use App\Helpers\Helper;
use App\Models\CorporateBenefit;
use App\Models\Member;
use App\Models\MemberPlan;
use App\Models\Plan;
use Illuminate\Contracts\Support\Renderable;
use Illuminate\Http\Request;
use Illuminate\Routing\Controller;
@@ -38,6 +41,7 @@ class MemberController extends Controller
{
$members = DB::table('members')
->leftJoin('member_policies', 'member_policies.member_id','=', 'members.member_id')
->leftJoin('corporate_employees', 'corporate_employees.member_id','=', 'members.member_id')
->leftJoin('persons', 'persons.id', '=', 'members.person_id')
->where('members.member_id', '=', $request->no_polis)
->where('members.birth_date', '=', $request->birth_date)
@@ -59,49 +63,54 @@ class MemberController extends Controller
{
$res_data['members'] = $members;
// $services = DB::table('member_plans')
// ->leftJoin('plans', 'plans.id', '=', 'member_plans.plan_id')
// ->leftJoin('services', 'services.code', '=', 'plans.service_code')
// ->where('member_plans.member_id', $members->id)
// ->whereNull('member_plans.deleted_at')
// ->select('plans.service_code', 'services.name')
// ->get();
// $res_data['services'] = $services;
$benefits = DB::table('member_plans')
->leftJoin('corporate_benefits','corporate_benefits.plan_id', '=', 'member_plans.plan_id')
->leftJoin('benefits', 'benefits.id', '=', 'corporate_benefits.benefit_id')
->leftJoin('plans', 'plans.id', '=', 'member_plans.plan_id')
->leftJoin('services', 'services.code', '=', 'plans.service_code')
->where('member_plans.member_id', '=', $members->id)
->where('plans.service_code','=', 'OP')
->select(
'benefits.id',
'benefits.description',
'benefits.code',
'corporate_benefits.corporate_id',
'plans.service_code'
'plans.service_code',
'corporate_benefits.cashless_percentage',
'corporate_benefits.reimbursement_percentage',
)
->get();
$res_data['benefits'] = $benefits;
$services = DB::table('member_plans')
->leftJoin('plans', 'plans.id', '=', 'member_plans.plan_id')
->leftJoin('services', 'services.code', '=', 'plans.service_code')
->where('member_plans.member_id', $members->id)
->whereNull('member_plans.deleted_at')
->select('plans.service_code', 'services.name')
->get();
$res_data['services'] = $services;
// Group Services
$groupServices = [];
foreach ($res_data['benefits'] as $benefit) {
$serviceCode = $benefit->service_code;
$groupServices[$serviceCode][] = [
'description' => $benefit->description,
'code' => $benefit->code,
];
}
// $groupServices = [];
// foreach ($res_data['benefits'] as $benefit) {
// $serviceCode = $benefit->service_code;
// $groupServices[$serviceCode][] = [
// 'description' => $benefit->description,
// 'code' => $benefit->code,
// ];
// }
$res_data['groupServices'] = $groupServices;
// $res_data['groupServices'] = $groupServices;
$res_data['type'] = $request->type;
// $res_data['type'] = $request->type;
// Provider
$providers = DB::table('organizations')
->where('organizations.type', '=', 'hospital')
->where('organizations.code', '=', 'LMS')
->where('organizations.corporate_id_partner', '!=', 8)
->orWhere('organizations.corporate_id_partner', NULL)
// ->orWhere('organizations.corporate_id_partner', NULL)
->where('status', '=', 'active')
->orderBy('organizations.name','asc')
->select(
@@ -113,57 +122,104 @@ class MemberController extends Controller
$res_data['providers'] = $providers;
//company
$companies = DB::table('corporates')
->where('corporates.active', '=', 1)
// $companies = DB::table('corporates')
// ->where('corporates.active', '=', 1)
// ->select(
// 'corporates.id',
// 'corporates.name'
// )
// ->get();
// $res_data['companies'] = $companies;
$corporateEmployee = DB::table('corporate_employees')
->leftJoin('corporates', 'corporates.id', '=', 'corporate_employees.corporate_id')
->leftJoin('corporate_policies', 'corporate_policies.corporate_id', '=', 'corporates.id')
// ->where('corporate_employees.status', 'ACTIVE')
->where('corporates.active', 1)
->where('corporate_policies.active', 1)
->where('corporate_employees.member_id', $members->id)
->select(
'corporates.id',
'corporates.name'
'corporate_policies.total_premi',
'corporate_employees.corporate_id'
)
->get();
$res_data['companies'] = $companies;
//company
$companies = DB::table('corporates')
->where('corporates.active', '=', 1)
->select(
'corporates.id',
'corporates.name'
)
->get();
$res_data['companies'] = $companies;
$corporateEmployeePremi = DB::table('corporate_employees')
->leftJoin('corporates', 'corporates.id', '=', 'corporate_employees.corporate_id')
->leftJoin('corporate_policies', 'corporate_policies.corporate_id', '=', 'corporates.id')
->where('corporate_employees.status', 'ACTIVE')
->where('corporates.active', 1)
->where('corporate_policies.active', 1)
->where('corporate_employees.member_id', $members->id)
->value('corporate_policies.total_premi');
$res_data['total_premi'] = $corporateEmployeePremi ?? 0;
->first();
$res_data['total_premi'] = $corporateEmployee->total_premi ?? 0;
$limitRules = DB::table('member_plans')
->leftJoin('plans', 'plans.id', '=', 'member_plans.plan_id')
->where('member_plans.member_id', $members->id)
->where('member_plans.status', 'active')
->where('plans.active', 1)
->value('plans.limit_rules');
->value('plans.limit_rules') ?? 0;
$res_data['limit_rules'] = $limitRules ?? 0;
// specialities
$specialities = DB::table('specialities')
->select(
'specialities.id',
'specialities.name'
)
->orderBy('specialities.name','asc')
->get();
$planMember = MemberPlan::where('member_id', $members->id)->get('plan_id');
$res_data['specialities'] = $specialities;
$planId = Plan::whereIn('id', $planMember)->where('service_code', 'OP')->first();
$benefit = CorporateBenefit::with(['benefit', 'plan'])->where('plan_id', $planId->id)->get()->toArray();
$benefitData = [];
if (count($benefit)){
foreach($benefit as $data){
$data['benefit']['plan_id'] = $data['plan_id'];
$data['benefit']['limit_amount'] = $data['limit_amount'];
$data['benefit']['family_plan'] = $planId->family_plan;
$data['benefit']['max_frequency_period'] = $data['max_frequency_period'];
$data['benefit']['limit_amount_plan'] = $data['plan']['limit_rules'];
$data['benefit']['family_plan_plans'] = $data['plan']['family_plan'];
array_push($benefitData, $data['benefit']);
}
}
$memberUsage = Helper::getUsageMember($corporateEmployee->corporate_id, $members->id, $benefitData);;
$res_data['used_limit'] = json_decode($memberUsage);
$usedLimit = json_decode($memberUsage, true);
$totalUsed = 0;
if (is_array($usedLimit)) {
foreach ($usedLimit as $value) {
$totalUsed += (int) $value;
}
}
$limitRules = (int) $limitRules;
// hitung sisa
$remainingLimit = $limitRules - $totalUsed;
// biar gak minus
if ($remainingLimit < 0) {
$remainingLimit = 0;
}
// set ke response
$res_data['remaining_limit'] = $remainingLimit;
$res_data['total_used_limit'] = $totalUsed;
// company
$companies = DB::table('corporates')
->where('corporates.active', 1)
->where('corporates.id', $corporateEmployee->corporate_id ?? null)
->select(
'corporates.id',
'corporates.name'
)
->get();
$res_data['companies'] = $companies;
// specialities
// $specialities = DB::table('specialities')
// ->select(
// 'specialities.id',
// 'specialities.name'
// )
// ->orderBy('specialities.name','asc')
// ->get();
// $res_data['specialities'] = $specialities;
return ApiResponse::apiResponse("Success", $res_data, trans('Message.success'), 200);
@@ -175,4 +231,134 @@ class MemberController extends Controller
}
}
public function calculateBenefit(Request $request)
{
$request->validate([
'member_id' => 'required|integer',
'benefit_id' => 'required|integer',
'biaya' => 'required|numeric|min:0'
]);
$memberId = $request->member_id;
$benefitId = $request->benefit_id;
$biaya = $request->biaya;
// ===============================
// Ambil member
// ===============================
$member = DB::table('members')->where('id', $memberId)->first();
if (!$member) {
return ApiResponse::apiResponse("Data Not Found", [], "Member not found", 404);
}
// ===============================
// Ambil corporate employee
// ===============================
$corporateEmployee = DB::table('corporate_employees')
->where('member_id', $memberId)
->first();
if (!$corporateEmployee) {
return ApiResponse::apiResponse("Data Not Found", [], "Corporate not found", 404);
}
// ===============================
// Ambil Plan OP
// ===============================
$planMember = MemberPlan::where('member_id', $memberId)->pluck('plan_id');
$plan = Plan::whereIn('id', $planMember)
->where('service_code', 'OP')
->first();
if (!$plan) {
return ApiResponse::apiResponse("Data Not Found", [], "Plan OP not found", 404);
}
// ===============================
// Ambil Benefit
// ===============================
$corporateBenefit = CorporateBenefit::where('plan_id', $plan->id)
->where('benefit_id', $benefitId)
->first();
if (!$corporateBenefit) {
return ApiResponse::apiResponse("Data Not Found", [], "Benefit not found", 404);
}
// ===============================
// Hitung Used Limit (PAKAI HELPER)
// ===============================
$allBenefits = CorporateBenefit::with(['benefit', 'plan'])
->where('plan_id', $plan->id)
->get();
$benefitData = [];
foreach ($allBenefits as $data) {
$benefitData[] = [
'id' => $data->benefit_id,
'limit_amount' => $data->limit_amount ?? 0,
'limit_amount_plan' => $plan->limit_rules ?? 0,
'family_plan' => $plan->family_plan ?? 'S',
'max_frequency_period' => $data->max_frequency_period ?? 0
];
}
$memberUsage = Helper::getUsageMember(
$corporateEmployee->corporate_id,
$memberId,
$benefitData
);
$usedLimitArray = json_decode($memberUsage, true);
// total semua benefit (INI YANG BENAR)
$totalUsedLimit = is_array($usedLimitArray) ? array_sum($usedLimitArray) : 0;
// tetap ambil per benefit (kalau mau ditampilkan)
$usedLimit = $totalUsedLimit;
// ===============================
// Limit Logic
// ===============================
$limitPlan = $plan->limit_rules ?? 0;
$sisaLimit = $limitPlan - $totalUsedLimit;
if ($sisaLimit < 0) {
$sisaLimit = 0;
}
if ($sisaLimit < 0) {
$sisaLimit = 0;
}
// ===============================
// Percentage Logic
// ===============================
$cashlessPercentage = $corporateBenefit->cashless_percentage ?? 0;
$ditanggungPercentage = ($biaya * $cashlessPercentage) / 100;
$ditanggungFinal = min($ditanggungPercentage, $sisaLimit);
$sisaBayar = $biaya - $ditanggungFinal;
// ===============================
// Response
// ===============================
return ApiResponse::apiResponse("Success", [
'member_id' => $memberId,
'benefit_id' => $benefitId,
'biaya' => $biaya,
'cashless_percentage' => $cashlessPercentage,
'limit_plan' => $limitPlan,
'used_limit' => $usedLimit,
'sisa_limit' => $sisaLimit,
'ditanggung_asuransi' => $ditanggungFinal,
'sisa_bayar_member' => $sisaBayar
], "Calculation successful", 200);
}
}

162
Modules/Primaya/Http/Controllers/Api/RequestLogController.php
View File

@@ -109,7 +109,7 @@ class RequestLogController extends Controller
'type' => 'hospital',
'corporate_id_partner' => $request->corporate_id_partner ? implode(',', $request->corporate_id_partner) : null,
'created_at' => now(),
'created_by' => auth()->user()->id
// 'created_by' => auth()->user()->id
]);
// Insert data ke tabel addresses
@@ -120,7 +120,7 @@ class RequestLogController extends Controller
'addressable_id' => $organization_id,
'type' => 'hospital',
'created_at' => now(),
'created_by' => auth()->user()->id
// 'created_by' => auth()->user()->id
]);
// Update main_address_id di tabel organizations
@@ -235,7 +235,7 @@ class RequestLogController extends Controller
'amount_not_approved' => $value['amount_not_approved'],
'excess_paid' => $value['excess_paid'],
'keterangan' => $value['keterangan'] ?? '',
'created_by' => auth()->user()->id,
// 'created_by' => auth()->user()->id,
];
RequestLogBenefit::create($data);
@@ -246,4 +246,160 @@ class RequestLogController extends Controller
return true;
}
public function requestLogAwal(Request $request)
{
$data = [
'member_id' => $request->member_id,
'service_code' => $request->service_code,
'organization_id' => $request->organization_id,
'organization_name' => !empty($request->organization_name) ? $request->organization_name : null,
'address_provider' => !empty($request->address_provider) ? $request->address_provider : null,
'submission_date' => $request->submission_date,
'corporate_id_partner' => !empty($request->corporate_id_partner) ? $request->corporate_id_partner : [],
'specialities_id' => $request->specialities_id,
'dppj' => $request->dppj
];
$validator = Validator::make($request->all(), [
'member_id' => 'required',
'service_code' => 'required',
'submission_date' => 'required',
'specialities_id' => 'required',
'dppj' => 'required',
], [
'member_id.required' => trans('Validation.required',['attribute' => 'Member ID']),
'service_code.required' => trans('Validation.required',['attribute' => 'Service Code']),
'submission_date.required' => trans('Validation.required',['attribute' => 'Submission Date']),
'specialities_id.required' => trans('Validation.required',['attribute' => 'Specialities']),
'dppj.required' => trans('Validation.required',['attribute' => 'DPJP']),
]);
if(!empty($request->organization_id))
{
$validator = Validator::make($request->all(), [
'organization_id' => 'required',
'member_id' => 'required',
'service_code' => 'required',
'submission_date' => 'required',
'specialities_id' => 'required',
'dppj' => 'required',
], [
'organization_id.required' => trans('Validation.required',['attribute' => 'Provider ID']),
'member_id.required' => trans('Validation.required',['attribute' => 'Member ID']),
'service_code.required' => trans('Validation.required',['attribute' => 'Service Code']),
'submission_date.required' => trans('Validation.required',['attribute' => 'Submission Date']),
'specialities_id.required' => trans('Validation.required',['attribute' => 'Specialities']),
'dppj.required' => trans('Validation.required',['attribute' => 'DPJP']),
]);
}
if ($validator->fails())
{
return ApiResponse::apiResponse('Bad Request', $data, $validator->errors(), 400);
}
else
{
//insert data to organization
try {
if (!empty($request->organization_name) && !empty($request->address_provider))
{
// Memulai transaksi
DB::beginTransaction();
// Membuat singkatan dari nama rumah sakit
$singkatan = "";
$words = explode(' ', $request->organization_name);
foreach ($words as $word) {
$singkatan .= strtoupper(substr($word, 0, 2));
}
// Membuat kode organisasi
$kodeOrganisasi = "ORG000" . $singkatan;
// Insert data ke tabel organizations
$organization_id = DB::table('organizations')
->insertGetId([
'name' => $request->organization_name,
'code' => $kodeOrganisasi,
'type' => 'hospital',
'corporate_id_partner' => $request->corporate_id_partner ? implode(',', $request->corporate_id_partner) : null,
'created_at' => now(),
// 'created_by' => auth()->user()->id
]);
// Insert data ke tabel addresses
$address_id = DB::table('addresses')
->insertGetId([
'text'=> $request->address_provider,
'addressable_type' => 'App\Models\Organization',
'addressable_id' => $organization_id,
'type' => 'hospital',
'created_at' => now(),
// 'created_by' => auth()->user()->id
]);
// Update main_address_id di tabel organizations
DB::table('organizations')
->where('organizations.id', '=', $organization_id)
->update(['main_address_id' => $address_id]);
// Commit transaksi
DB::commit();
$request->merge(['organization_id' => $organization_id]);
}
try {
DB::beginTransaction();
$requestLogControllerInstance = new PrimeCenterRequestLog();
$code = $requestLogControllerInstance->getNextCode($request);
$member = Member::find($request->member_id);
$requestLogData = [
'code' => $code,
'member_id' => $request->member_id,
'submission_date' => $request->submission_date ?? now(),
'status' => 'requested',
'payment_type' => 'cashless',
'service_code' => $request->service_code,
'policy_id' => $member->currentPolicy->id ?? null,
'organization_id' => $request->organization_id ?? 0,
'source' => $request->source,
'specialities_id' => $request->specialities_id,
'dppj' => $request->dppj
];
// SIMPAN LOG
$requestLog = RequestLog::create($requestLogData);
DB::commit();
return ApiResponse::apiResponse(
'Success Create Log',
$requestLog,
'Berhasil create LOG dan Benefit',
200
);
} catch (\Exception $e) {
DB::rollBack();
return ApiResponse::apiResponse(
'Server Error Create Log',
$data,
$e->getMessage(),
500
);
}
} catch (\Exception $e) {
// Rollback transaksi jika terjadi kesalahan
DB::rollBack();
// Handle error, bisa di-log atau dikembalikan sebagai response
return ApiResponse::apiResponse('Server Error 3', $data, $e->getMessage(), 500);
}
}
}
}

5
Modules/Primaya/Routes/api.php
View File

@@ -37,9 +37,14 @@ Route::prefix('v1')->group(function () {
// Request LOG
Route::controller(RequestLogController::class)->group(function () {
//Final
Route::post('request-log', 'requestLog');
//Awal
Route::post('request-log-awal', 'requestLogAwal');
});
Route::post('calculate-benefit', [MemberController::class, 'calculateBenefit']);
Route::prefix('master')->group(function () {
Route::get('specialities', [MasterController::class, 'specialities']);

17
app/Services/AuthService.php
View File

@@ -20,7 +20,7 @@ class AuthService
exec($cmd);
}
}
/**
* Issue JWT access token for the given client
*/
@@ -90,23 +90,30 @@ class AuthService
{
try {
$parts = explode('.', $token);
if (count($parts) !== 3) {
return false;
}
$payload = json_decode(base64_decode(strtr($parts[1], '-_', '+/')));
// $payload = json_decode(base64_decode(strtr($parts[1], '-_', '+/')));
$payloadRaw = $parts[1];
$payloadRaw = strtr($payloadRaw, '-_', '+/');
$padding = strlen($payloadRaw) % 4;
if ($padding) {
$payloadRaw .= str_repeat('=', 4 - $padding);
}
$payload = json_decode(base64_decode($payloadRaw));
$clientId = $payload->sub ?? null;
if (!$clientId) {
return false;
}
$clients = config('api_clients.clients');
$client = collect($clients)->where('api_key', $clientId)->first();
$client = collect($clients)->where('api_key', $clientId)->first();
if (!$client || !isset($client['api_secret'])) {
return false;
}
return \Firebase\JWT\JWT::decode($token, new \Firebase\JWT\Key($client['api_secret'], 'HS256'));
} catch (\Exception $e) {
return false;