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update requst dan final log

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Tb Fajri
2023-11-29 14:18:35 +07:00
parent a04153fa2a
commit a208d5f11e
43 changed files with 6756 additions and 47 deletions
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264
app/Models/RequestLog.php Normal file
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<?php
namespace App\Models;
use App\Events\ClaimReceived;
use App\Events\ClaimRequested;
use App\Traits\Blameable;
use Illuminate\Database\Eloquent\Factories\HasFactory;
use Illuminate\Database\Eloquent\Model;
use Illuminate\Database\Eloquent\SoftDeletes;
use Str;
class RequestLog extends Model
{
use HasFactory, SoftDeletes, Blameable;
// protected static $code_prefix_hospital = 'CRQ-H';
// protected static $code_prefix_client = 'CRQ-R';
public $fillable = [
'uuid',
'submission_date',
'member_id',
'payment_type',
'service_code',
'policy_id',
'status',
'source',
'claim_id',
'organization_id',
'code'
];
protected $hidden = [
// 'created_at',
'updated_at',
'deleted_at',
'created_by',
'updated_by',
'deleted_by',
];
public static $doc_headers_to_field_map = [
"PAYOR ID" => "payor_id",
"CORPORATE ID" => "corporate_id",
"POLICY NUMBER" => "policy_number",
"MEMBER ID" => "member_id",
"MEMBER NAME" => "member_name",
"RECORD TYPE (P/D)" => "record_type",
"BENEFIT CODE" => "benefit_code",
"BENEFIT DESC" => "benefit_desc",
"CLAIM TYPE" => "claim_type",
"CLAIM PROCESS STATUS" => "status",
"CLIENT CLAIM ID" => "client_claim_id",
"REFERENCE NO" => "reference_no",
"ADMEDIKA CLAIM ID" => "admika_claim_id",
"PROVIDER CODE" => "provider_code",
"ADMISSION DATE" => "admission_date",
"DISCUTRGE DATE" => "discutrge_date",
"DURATION DAYS" => "duration_days",
"COVERAGE TYPE" => "coverage_type",
"PLAN ID" => "plan_id",
"DIAGNOSIS CODE" => "diagnosis_code",
"DIAGNOSIS DESC" => "diagnosis_desc",
"TOT AMT INCURRED" => "tot_amt_insurred",
"TOT AMT APPROVED" => "tot_amt_approved",
"TOT AMT NOT APPROVED" => "tot_amt_not_approved",
"TOT EXCESS PAID" => "tot_excess_paid",
"REMARKS" => "remarks",
"SECONDARY DIAGNOSIS CODE" => "secondary_diagnosis",
"APPROVED DATE" => "approved_date",
"APPROVED BY" => "approved_by",
"DATE RECEIVED" => "data_received",
"HOSPITAL INVOICE DATE" => "hospital_invoice_date",
];
public static $listing_doc_headers = [
"PAYOR ID",
"CORPORATE ID",
"POLICY NUMBER",
"MEMBER ID",
"MEMBER NAME",
"RECORD TYPE (P/D)",
"CLAIM TYPE",
"CLAIM PROCESS STATUS",
"CLIENT CLAIM ID",
"REFERENCE NO",
"ADMEDIKA CLAIM ID",
"PROVIDER CODE",
"ADMISSION DATE",
"DISCUTRGE DATE",
"DURATION DAYS",
"COVERAGE TYPE",
"PLAN ID",
"DIAGNOSIS CODE",
"DIAGNOSIS DESC",
"TOT AMT INCURRED",
"TOT AMT APPROVED",
"TOT AMT NOT APPROVED",
"TOT EXCESS PAID",
"REMARKS",
"SECONDARY DIAGNOSIS CODE",
"APPROVED DATE",
"APPROVED BY",
"DATE RECEIVED",
"HOSPITAL INVOICE DATE",
];
public static $status = [
'draft' => 'Draft',
'requested' => 'Requested',
'approved' => 'Approved',
'declined' => 'Declined'
];
public static $payment_types = [
'cashless' => 'Cashless',
'reimbursement' => 'Reimbursement'
];
public $appends = [
'payment_type_name'
];
protected static function boot()
{
parent::boot();
static::creating(function ($model) {
try {
$model->uuid = (string) Str::orderedUuid(); // generate uuid
// $model->code = self::getNextCode();
} catch (\Exception $e) {
abort(500, $e->getMessage());
}
});
static::created(function ($model) {
// try {
// if (!empty($model->status) && $model->status == 'requested') {
// $model->histories()->create([
// 'title' => 'New Claim Requested',
// 'description' => "Claim Requested for Member : {$model->member->member_id} - ({$model->member->full_name})",
// 'type' => 'info'
// ]);
// }
// } catch (\Exception $e) {
// abort(500, $e->getMessage());
// }
});
static::updated(function ($model) {
if ($model->hasChanges(['status'])) {
// if ($model->status == 'requested') {
// $model->histories()->create([
// 'title' => 'New Claim Requested',
// 'description' => "Claim Requested for Member : {$model->member->member_id} - ({$model->member->full_name})",
// 'type' => 'info'
// ]);
// }
// if ($model->status == 'received') {
// ClaimReceived::dispatch($model);
// }
// if ($model->status == 'approved') {
// ClaimApproved::dispatch($model);
// }
// if ($model->status == 'postpone') {
// ClaimPostpone::dispatch($model);
// }
// if ($model->status == 'paid') {
// ClaimPaid::dispatch($model);
// }
// if ($model->status == 'declined') {
// ClaimDeclined::dispatch($model);
// }
}
});
}
// public static function getNextCode()
// {
// $last_number = self::withTrashed()->max('code');
// $next_number = empty($last_number) ? 1 : ((int) explode('-', $last_number)[1] + 1);
// return self::makeCode($next_number);
// }
// public static function makeCode($next_number)
// {
// return (string) self::$code_prefix .'-'. str_pad($next_number, 5, 0, STR_PAD_LEFT);
// }
public function claim()
{
return $this->belongsTo(Claim::class, 'claim_id');
}
public function claims()
{
return $this->hasMany(Claim::class, 'claim_request_id');
}
public function files()
{
return $this->morphMany(File::class, 'fileable');
}
public function claimResults()
{
return $this->files()->where('type', 'claim-result')->whereNull('deleted_at');
}
public function claimConditions()
{
return $this->files()->where('type', 'claim-kondisi')->whereNull('deleted_at');
}
public function claimDiagnosis()
{
return $this->files()->where('type', 'claim-diagnosis')->whereNull('deleted_at');
}
public function generatedDocuments()
{
return $this->morphMany(GeneratedDocument::class, 'generated_documentable');
}
public function histories()
{
return $this->morphMany(ClaimHistory::class, 'historiable');
}
public function organization()
{
return $this->belongsTo(Organization::class, 'organization_id');
}
public function member()
{
return $this->belongsTo(Member::class, 'member_id', 'id');
}
public function service()
{
return $this->belongsTo(Service::class, 'service_code', 'code');
}
public function getPaymentTypeNameAttribute()
{
return self::$payment_types[$this->payment_type] ?? $this->payment_type;
}
public function getStatusAttribute($value)
{
return self::$payment_types[$value] ?? $value;
}
}