71 Commits

Author SHA1 Message Date
a08cdd56c8 feat(hospitalportal): implement ProviderOnline bridging endpoints 2026-05-13 16:35:01 +07:00
cf831c4602 feat(hospitalportal): add provider and request log schema 2026-05-13 16:34:54 +07:00
5042cd7800 Merge branch 'staging' 2023-05-10 11:50:22 +07:00
70b0d880fc update harga 2023-05-10 11:50:02 +07:00
6c65b58481 update enrolement benefit 2023-05-10 11:02:00 +07:00
6a94e46f52 update harga 2023-05-08 11:19:30 +07:00
b3e78850d3 Merge branch 'staging' 2023-05-08 08:59:43 +07:00
5df1a85e7c add filter ketika klik all 2023-05-08 08:47:36 +07:00
pajri
c8b06f67d1 Table Component Alarm Center 2023-05-05 17:02:40 +07:00
pajri
49f3a8558d view table alarm-center 2023-05-04 16:59:18 +07:00
12fbef2a12 update biaya 2023-05-04 09:19:47 +07:00
e455fbfbea update 2023-05-04 09:14:37 +07:00
a55b7f4148 update tarif rs awal bros 2023-05-04 08:43:28 +07:00
4f8745d726 Merge branch 'staging' 2023-05-02 14:43:09 +07:00
f5de316768 add filter corporate benefit active 2023-05-02 14:41:10 +07:00
Linksehat Staging Server
d22fa1848f merge 2023-05-02 09:21:30 +07:00
Linksehat Staging Server
cc5201ca3e merge with staging 2023-05-02 09:12:26 +07:00
bb925503f0 Merge branch 'staging' 2023-05-02 09:04:09 +07:00
be5e8950c1 update limit go 2023-05-02 09:03:30 +07:00
Linksehat Staging Server
aefddcbff2 build dashboard fronted & config wkhtmltopdf 2023-04-28 16:16:12 +07:00
5333a65495 Merge branch 'staging' 2023-04-28 14:24:01 +07:00
91be43263a add image di log 2023-04-28 14:23:09 +07:00
947952340d Merge branch 'staging' 2023-04-28 11:04:12 +07:00
affb54b62d update deskripsi 2023-04-28 11:01:56 +07:00
67cd7cdce0 Merge branch 'staging' 2023-04-28 10:08:59 +07:00
27c1bfd6e3 update composer 2023-04-28 09:54:08 +07:00
5c6e7f3122 update 2023-04-26 15:15:19 +07:00
pajri
83e3ff6345 fix bugs Card Policy 2023-04-25 14:47:22 +07:00
3e2c9015ed update validasi 2023-04-20 08:52:59 +07:00
3a5fd67778 update import plans and benefit 2023-04-18 16:15:07 +07:00
0d73222a04 menambah validasi saat input corporate 2023-04-18 15:28:54 +07:00
85f7eeda18 add endpoint member alarm center 2023-04-13 14:17:26 +07:00
R
e91304bb4b Merge branch 'master' of itcorp.primaya.id:rajif/aso 2023-04-06 17:23:46 +07:00
R
da87a53623 Sementara Fix Filter Date 2023-04-06 17:23:25 +07:00
Fajar
70a2cbff9e Merge remote-tracking branch 'origin/master' into feature/client-portal 2023-04-06 15:31:34 +07:00
Fajar
85039893a8 Change Permission & WIP Dashboard Client Portal 2023-04-06 15:30:22 +07:00
R
7d198583a4 Fix Commision 2023-04-06 07:32:47 +07:00
R
3ff0cc1b29 Fix Komisi 2023-04-06 06:49:04 +07:00
R
97486da90f Fix Komisi 2023-04-06 06:25:52 +07:00
R
53075d0ce8 Add Accounting dummy password 2023-04-06 05:06:35 +07:00
R
a2cbc0a270 Merge branch 'master' of itcorp.primaya.id:rajif/aso 2023-04-06 05:04:18 +07:00
R
cca2310f54 [WIP] Add Linksehat Payment Report 2023-04-06 05:03:38 +07:00
R
d54288106b Remove Unused Files 2023-04-04 16:41:59 +07:00
Fajar
4a7c3ebdda [WIP] Claim Report & Dashboard 2023-03-25 16:15:26 +07:00
Fajar
59e7394d13 Merge branch 'feature/client-portal-dashboard' into staging 2023-03-24 15:25:05 +07:00
Fajar
127cdf8708 fixing table filter and search on dashboard 2023-03-24 15:23:41 +07:00
R
c2d084b4ea Merge branch 'staging' of itcorp.primaya.id:rajif/aso into staging 2023-03-24 14:41:29 +07:00
R
7b9a341ccd [WIP] Claim Encounters 2023-03-24 14:41:02 +07:00
Fajar
606b3c871a refactoring member model 2023-03-24 10:33:59 +07:00
Fajar
5fd33b3784 Merge branch 'feature/client-portal-claim-reports' into staging 2023-03-24 09:23:27 +07:00
Fajar
588b66c050 Merge branch 'feature/client-portal-dashboard' into staging 2023-03-24 09:22:32 +07:00
Fajar
86bb5860f3 create table for claim report from component 2023-03-24 09:20:03 +07:00
Fajar
677a349d4c remove old table dashboard 2023-03-24 09:15:37 +07:00
Fajar
3c5f06ef26 create table component & connect api for dashboard 2023-03-24 09:14:49 +07:00
Fajar
d5dfc7d36c update package and install pusher-js 2023-03-24 09:11:14 +07:00
R
229908e492 [WIP] Encounter 2023-03-16 14:27:53 +07:00
R
f65b28107c [WIP] Encounter 2023-03-16 14:27:25 +07:00
R
e06447bf00 [WIP] Add Diagnosa 2023-03-14 18:19:57 +07:00
R
c35442e652 Add Remove User Insurance 2023-03-12 18:50:07 +07:00
R
26290912ef [WIP] Hotfix Claim Coverage Limit 2023-03-12 14:25:56 +07:00
R
53b35e86c2 [WIP] Copy Claims Pages from Dashboard 2023-03-08 03:13:13 +07:00
R
254420bdae [Hotfix] Date Parsing 2023-03-08 02:23:57 +07:00
R
8c86794340 [Hotfix] Handle undefined relation 2023-03-08 02:22:41 +07:00
R
2b1f5c97df [Hotfix] Final LOG Gender 2023-03-08 02:19:59 +07:00
R
b587178c85 [WIP] Update Dashboard Claim Final LOG 2023-03-08 02:02:15 +07:00
R
ed96878dda [WIP] Update Show Hide Button 2023-03-06 02:22:11 +07:00
R
35119ee8ec [WIP] Update Claim 2023-03-06 02:10:08 +07:00
R
91ba718a50 [WIP] Update 2023-03-03 08:44:08 +07:00
R
9e322c4ee5 Change LOG Detail Benefit 2023-03-01 14:50:07 +07:00
R
5741789ddb Change LOG Detail Benefit 2023-03-01 14:48:51 +07:00
R
d0ee09a6e4 [Hotfix] Create Claim 2023-03-01 12:16:27 +07:00
1684 changed files with 14788 additions and 6509 deletions

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Modules/Client/Http/Controllers/Api/AuthController.php Executable file → Normal file
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@@ -0,0 +1,136 @@
<?php
namespace Modules\Client\Http\Controllers\Api;
use App\Helpers\Helper;
use App\Models\Claim;
use App\Services\ClaimService;
use Illuminate\Contracts\Support\Renderable;
use Illuminate\Http\Request;
use Illuminate\Routing\Controller;
use Modules\Client\Transformers\ClaimShowResource;
class ClaimController extends Controller
{
public function __construct(public ClaimService $claimService)
{
}
public function status($corporate_id)
{
$claims = $this->claimService->getCountClaimRequestPerStatus($corporate_id);
dd($claims);
return Helper::responseJson([
'count_requested' => 0,
'count_approval' => 0,
'count_disbrushment' => 0,
'count_rejected' => 0,
]);
}
/**
* Display a listing of the resource.
* @return Renderable
*/
public function index(Request $request, $corporate_id)
{
$claims = Claim::query()
->when($request->search ?? null, function ($query, $search) {
$query->where('code', 'LIKE', '%' . $search . '%');
})
->with([
'member',
'diagnoses' => function ($diagnosis) {
return $diagnosis->where('type', 'primary');
},
'diagnoses.icd',
'plan',
'benefit',
'claimRequest',
'claimRequest.service'
])
->paginate(10);
return Helper::responseJson($claims);
}
/**
* Show the form for creating a new resource.
* @return Renderable
*/
public function create()
{
return view('client::create');
}
/**
* Store a newly created resource in storage.
* @param Request $request
* @return Renderable
*/
public function store(Request $request)
{
//
}
/**
* Show the specified resource.
* @param int $id
* @return Renderable
*/
public function show($id)
{
$claim = Claim::query()
->with([
'member',
'member.currentPlan',
'member.currentPlan.benefits',
'member.currentCorporate',
'member.currentPolicy',
'diagnosis',
'diagnoses',
'benefit',
'files',
'claimRequest',
'claimRequest.files',
'items',
'items.claim_itemable',
])
->findOrFail($id);
return Helper::responseJson(ClaimShowResource::make($claim));
}
/**
* Show the form for editing the specified resource.
* @param int $id
* @return Renderable
*/
public function edit($id)
{
return view('client::edit');
}
/**
* Update the specified resource in storage.
* @param Request $request
* @param int $id
* @return Renderable
*/
public function update(Request $request, $id)
{
//
}
/**
* Remove the specified resource from storage.
* @param int $id
* @return Renderable
*/
public function destroy($id)
{
//
}
}

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@@ -3,110 +3,39 @@
namespace Modules\Client\Http\Controllers\Api;
use App\Helpers\Helper;
use App\Models\Member;
use App\Services\CorporateMemberService;
use Illuminate\Contracts\Support\Renderable;
use Illuminate\Http\Request;
use Illuminate\Routing\Controller;
use Modules\Client\Transformers\MemberResources;
use Modules\Client\Transformers\ClaimReport\MemberResources as ClaimReportMemberResources;
use Modules\Client\Transformers\Dashboard\MemberResources as DashboardMemberResources;
use Modules\Client\Transformers\Dashboard\MemberAlarmCenterResources as DashboardMemberAlarmResources;
class CorporateMemberController extends Controller
{
public function __construct(public CorporateMemberService $corporateMemberService)
{
}
/**
* Display a listing of the resource.
* @return Renderable
*/
public function index(Request $request, $corporate_id)
{
$limit = $request->has('per_page') ? $request->per_page : 10;
$members = Member::query()
->whereHas('employeds', function ($corporateEmployee) use ($corporate_id) {
$corporateEmployee->where('corporate_id', $corporate_id);
})->when($request->input('search'), function ($query, $search) {
$query->where('member_id', 'like', "%" . $search . "%")
->orWhere('name', 'like', "%" . $search . "%");
});
if ($request->input('claimMember') === 'false') {
$members = $members->when($request->input('division'), function ($division, $division_id) {
$division->whereHas('division', function ($corporateEmployee) use ($division_id) {
$corporateEmployee->where('division_id', $division_id);
});
})->when($request->has('orderBy'), function ($query) use ($request) {
$query->orderBy($request->orderBy, $request->order);
});
switch ($request->input('type')) {
case 'claim-report':
$members = $this->corporateMemberService->getAllMemberClaimReports($corporate_id, $request);
return response()->json(Helper::paginateResources(ClaimReportMemberResources::collection($members)));
case 'claim-submit':
$members = $this->corporateMemberService->getAllMemberClaimReports($corporate_id, $request);
return response()->json(Helper::paginateResources(ClaimReportMemberResources::collection($members)));
case 'alarm-center':
$members = $this->corporateMemberService->getAllMemberAlarmCenter($corporate_id, $request);
return response()->json(Helper::paginateResources(DashboardMemberAlarmResources::collection($members)));
default:
$members = $this->corporateMemberService->getAllMemberDashboards($corporate_id, $request);
return response()->json(Helper::paginateResources(DashboardMemberResources::collection($members)));
}
// else {
// $members = $members->get();
// return response()->json(MemberResources::collection($members));
// }
$members->with('currentPlan');
$members->withSum('claims', 'total_claim');
$members = $members->paginate($limit);
// return $members;
return response()->json(Helper::paginateResources(MemberResources::collection($members)));
}
/**
* Show the form for creating a new resource.
* @return Renderable
*/
public function create()
{
return view('client::create');
}
/**
* Store a newly created resource in storage.
* @param Request $request
* @return Renderable
*/
public function store(Request $request)
{
//
}
/**
* Show the specified resource.
* @param int $id
* @return Renderable
*/
public function show($id)
{
return view('client::show');
}
/**
* Show the form for editing the specified resource.
* @param int $id
* @return Renderable
*/
public function edit($id)
{
return view('client::edit');
}
/**
* Update the specified resource in storage.
* @param Request $request
* @param int $id
* @return Renderable
*/
public function update(Request $request, $id)
{
//
}
/**
* Remove the specified resource from storage.
* @param int $id
* @return Renderable
*/
public function destroy($id)
{
//
}
}

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@@ -2,11 +2,12 @@
namespace Modules\Client\Http\Controllers\Api;
use App\Helpers\Helper;
use Illuminate\Contracts\Support\Renderable;
use Illuminate\Http\Request;
use Illuminate\Routing\Controller;
use Illuminate\Support\Facades\Auth;
use Modules\Client\Transformers\DashboardResources;
use Modules\Client\Transformers\Dashboard\LimitResources;
class CorporatePolicyController extends Controller
{
@@ -14,25 +15,15 @@ class CorporatePolicyController extends Controller
* Display a listing of the resource.
* @return Renderable
*/
public function index(Request $request, $corporate_id)
public function index($corporate_id)
{
$user = Auth::user();
$currentCorporate = $user->managedCorporates()
$currentCorporate = Auth::user()->managedCorporates()
->with(['currentPolicy', 'employees'])
->find($corporate_id);
$data = DashboardResources::make($currentCorporate);
$data = LimitResources::make($currentCorporate);
return response()->json($data);
}
/**
* Show the form for creating a new resource.
* @return Renderable
*/
public function create()
{
return view('client::create');
return Helper::responseJson($data);
}
/**

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@@ -0,0 +1,71 @@
<?php
namespace Modules\Client\Http\Controllers\Api;
use App\Helpers\Helper;
use Illuminate\Contracts\Support\Renderable;
use Illuminate\Http\Request;
use Illuminate\Routing\Controller;
use Illuminate\Support\Facades\Auth;
use Modules\Client\Transformers\Dashboard\TopUpLimitResources;
class TopUpController extends Controller
{
/**
* Display a listing of the resource.
* @return Renderable
*/
public function index($corporate_id)
{
$data = Auth::user()
->managedCorporates()
->with(['currentPolicy', 'employees'])
->withCount(['employees', 'claims' => function ($query) {
$query->where('claims.status', 'paid');
}])
->find($corporate_id);
return Helper::responseJson(TopUpLimitResources::make($data));
}
/**
* Store a newly created resource in storage.
* @param Request $request
* @return Renderable
*/
public function store(Request $request)
{
//
}
/**
* Show the specified resource.
* @param int $id
* @return Renderable
*/
public function show($id)
{
return view('client::show');
}
/**
* Update the specified resource in storage.
* @param Request $request
* @param int $id
* @return Renderable
*/
public function update(Request $request, $id)
{
//
}
/**
* Remove the specified resource from storage.
* @param int $id
* @return Renderable
*/
public function destroy($id)
{
//
}
}

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Modules/Client/Http/Controllers/ClientController.php Executable file → Normal file
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@@ -6,6 +6,8 @@ use Modules\Client\Http\Controllers\Api\CorporateManageController;
use Modules\Client\Http\Controllers\Api\CorporateMemberController;
use Modules\Client\Http\Controllers\Api\CorporatePolicyController;
use Modules\Client\Http\Controllers\Api\UserController;
use Modules\Client\Http\Controllers\Api\ClaimController;
use Modules\Client\Http\Controllers\Api\TopUpController;
/*
|--------------------------------------------------------------------------
@@ -34,6 +36,13 @@ Route::prefix('client')->group(function () {
Route::get('policy', [CorporatePolicyController::class, 'index']);
Route::get('division', [CorporateDivisionController::class, 'index']);
Route::get('members', [CorporateMemberController::class, 'index']);
Route::get('claims/status', [ClaimController::class, 'status']);
Route::get('claims', [ClaimController::class, 'index']);
Route::get('topup', [TopUpController::class, 'index']);
Route::post('topup', [TopUpController::class, 'store']);
});
Route::get('claims/{id}', [ClaimController::class, 'show']);
});
});

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@@ -0,0 +1,26 @@
<?php
namespace Modules\Client\Transformers\ClaimReport;
use Illuminate\Http\Resources\Json\JsonResource;
class MemberResources extends JsonResource
{
/**
* Transform the resource into an array.
*
* @param \Illuminate\Http\Request
* @return array
*/
public function toArray($request)
{
return [
'id' => $this->id,
'memberId' => $this->member_id,
'fullName' => $this->full_name,
'division' => $this->division_name ?? '',
'submission_date' => '',
'status' => $this->active,
];
}
}

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@@ -0,0 +1,41 @@
c<?php
namespace Modules\Client\Transformers;
use Illuminate\Http\Resources\Json\JsonResource;
class ClaimShowResource extends JsonResource
{
/**
* Transform the resource into an array.
*
* @param \Illuminate\Http\Request
* @return array
*/
public function toArray($request)
{
$data = parent::toArray($request);
// $data['']
$data['benefit_items'] = $this->items
->filter(function ($item) {
return $item->claim_itemable_type == Benefit::class;
})
->map(function ($item) {
$itemData = $item->claim_itemable->toArray();
$itemData['nominal_dicover'] = $item['nominal_dicover'] ?? 0;
$itemData['nominal_ditagihkan'] = $item['nominal_ditagihkan'] ?? 0;
$itemData['nominal_total'] = $item['nominal_total'] ?? 0;
// For React Frotnend
$itemData['biaya_diajukan'] = $itemData['nominal_ditagihkan'];
$itemData['biaya_disetujui'] = $itemData['nominal_dicover'];
return $itemData;
});
$data['primary_diagnosis'] = $this->diagnoses->filter(function($diagnosis){ return $diagnosis->type == 'primary';})->values();
$data['secondary_diagnosis'] = $this->diagnoses->filter(function($diagnosis){ return $diagnosis->type == 'secondary';})->values();
return $data;
}
}

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@@ -1,11 +1,10 @@
<?php
namespace Modules\Client\Transformers;
namespace Modules\Client\Transformers\Dashboard;
use App\Helpers\Helper;
use Illuminate\Http\Resources\Json\JsonResource;
class DashboardResources extends JsonResource
class LimitResources extends JsonResource
{
/**
* Transform the resource into an array.
@@ -22,17 +21,15 @@ class DashboardResources extends JsonResource
$lockPercentage = (int)$this->currentPolicy->minimal_stop_service_percentage;
return [
'policy' => [
'myLimit' => [
'balance' => $myLimitBalance,
'total' => $myLimitTotal,
'percentage' => $myLimitTotal ? (($myLimitBalance / $myLimitTotal) * 100) : 0,
],
'lockLimit' => [
'balance' => $lockBalance,
'percentage' => $lockPercentage
]
'myLimit' => [
'balance' => $myLimitBalance,
'total' => $myLimitTotal,
'percentage' => $myLimitTotal ? round(($myLimitBalance / $myLimitTotal) * 100, 2) : 0,
],
'lockLimit' => [
'balance' => $lockBalance,
'percentage' => $lockPercentage
]
];
}
}

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@@ -0,0 +1,26 @@
<?php
namespace Modules\Client\Transformers\Dashboard;
use Illuminate\Http\Resources\Json\JsonResource;
class MemberAlarmCenterResources extends JsonResource
{
/**
* Transform the resource into an array.
*
* @param \Illuminate\Http\Request $request
* @return array|\Illuminate\Contracts\Support\Arrayable|\JsonSerializable
*/
public function toArray($request)
{
return [
'id' => $this->id,
'memberId' => $this->member_id,
'fullName' => $this->full_name,
'service' => $this->service_code,
'start_date' => $this->start_date,
'end_date' => $this->end_date,
'status' => $this->active,
];
}
}

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@@ -1,6 +1,6 @@
<?php
namespace Modules\Client\Transformers;
namespace Modules\Client\Transformers\Dashboard;
use Illuminate\Http\Resources\Json\JsonResource;
@@ -18,15 +18,13 @@ class MemberResources extends JsonResource
'id' => $this->id,
'memberId' => $this->member_id,
'fullName' => $this->full_name,
$this->mergeWhen($request->input('claimMember') === 'false', [
'division' => $this->division->name ?? '',
'status' => $this->active
]),
'division' => $this->division_name ?? '',
'limit' => [
'current' => $this->claims_sum_total_claim,
'current' => $this->claims_sum_total_claim ?? 0,
'total' => $this->currentPlan->limit_rules ?? 0,
'percentage' => (!empty($this->currentPlan->limit_rules ?? 0)) ? (($this->claims_sum_total_claim / $this->currentPlan->limit_rules) * 100) : 0
],
'status' => $this->active,
];
}
}

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@@ -0,0 +1,33 @@
<?php
namespace Modules\Client\Transformers\Dashboard;
use Illuminate\Http\Resources\Json\JsonResource;
class TopUpLimitResources extends JsonResource
{
/**
* Transform the resource into an array.
*
* @param \Illuminate\Http\Request
* @return array
*/
public function toArray($request)
{
$myLimitBalance = (int)$this->currentPolicy->limit_balance;
$myLimitTotal = (int)$this->currentPolicy->total_premi;
return [
'companyName' => $this->name,
'policyNumber' => $this->currentPolicy->code,
'totalMembers' => $this->employees_count,
'totalCases' => $this->claims_count,
'myLimit' => [
'balance' => $myLimitBalance,
'total' => $myLimitTotal,
'percentage' => $myLimitTotal ? round(($myLimitBalance / $myLimitTotal) * 100, 2) : 0,
],
'maxTopUp' => ($myLimitTotal - $myLimitBalance)
];
}
}

0
Modules/Client/composer.json Executable file → Normal file
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0
Modules/Client/module.json Executable file → Normal file
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0
Modules/Client/package.json Executable file → Normal file
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0
Modules/Client/webpack.mix.js Executable file → Normal file
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@@ -62,10 +62,11 @@ class ClaimRequestController extends Controller
{
$request->validate([
'member_id' => 'required',
'service_code' => 'required|in:OP,IP'
]);
$member = Member::find($request->member_id);
$newClaimRequest = ClaimRequestService::storeClaimRequest(member: $member);
$newClaimRequest = ClaimRequestService::storeClaimRequest(member: $member, paymentType: 'reimbursement', serviceCode: $request->service_code);
ClaimRequested::dispatch($newClaimRequest);
@@ -93,7 +94,7 @@ class ClaimRequestController extends Controller
}
if ($request->hasFile('diagnosa_files')) {
foreach ($request->result_files as $file) {
foreach ($request->diagnosa_files as $file) {
$pathFile = File::storeFile('claim-diagnosis', $newClaimRequest->id, $file);
$newClaimRequest->files()->updateOrCreate([
'type' => 'claim-diagnosis',
@@ -107,7 +108,7 @@ class ClaimRequestController extends Controller
}
}
if ($request->hasFile('kondisi_files')) {
if ($request->hasFile('result_files')) {
foreach ($request->result_files as $file) {
$pathFile = File::storeFile('claim-kondisi', $newClaimRequest->id, $file);
$newClaimRequest->files()->updateOrCreate([

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@@ -0,0 +1,565 @@
<?php
namespace Modules\HospitalPortal\Http\Controllers\Api;
use App\Models\Benefit;
use App\Models\CorporateBenefit;
use App\Models\Member;
use App\Models\MemberPlan;
use App\Models\Organization;
use App\Models\Provider;
use App\Models\RequestLog;
use App\Models\RequestLogBenefit;
use Carbon\Carbon;
use Illuminate\Http\Request;
use Illuminate\Routing\Controller;
use Illuminate\Support\Facades\Hash;
use Illuminate\Support\Str;
use PDF;
use Throwable;
class ProviderOnlineController extends Controller
{
public function getHeaderKey(Request $request)
{
$request->validate([
'username' => 'required|string',
'password' => 'required|string',
'kodeprovider' => 'required|string',
]);
$organization = Organization::query()->where('code', $request->kodeprovider)->first();
if (!$organization) {
return $this->headerError('Kode provider tidak ditemukan');
}
$provider = Provider::query()->firstOrNew([
'organization_id' => $organization->id,
'username' => $request->username,
]);
if ($provider->exists) {
$isPasswordValid = Hash::check($request->password, $provider->password) || $provider->password === $request->password;
if (!$isPasswordValid) {
return $this->headerError('Username atau password tidak valid');
}
} else {
$provider->password = Hash::make($request->password);
}
$provider->code = $request->kodeprovider;
$provider->status = 'active';
$provider->header_token = Str::random(64);
$provider->token = Str::random(64);
$provider->save();
return response()->json([
'header-token' => $provider->header_token,
'userid' => $provider->id,
'usertoken' => $provider->token,
'kodeprovider' => $organization->code,
'namaprovider' => $organization->name,
'errornumber' => 0,
'messagestring' => 'Success',
]);
}
public function checkEligibilitasPeserta(Request $request)
{
$request->validate([
'nokartu' => 'required|string',
'kodeprovider' => 'required|string',
'p_user_no' => 'required',
'p_token' => 'required|string',
]);
[$provider, $organization, $authError] = $this->resolveProvider($request->kodeprovider, $request->p_user_no, $request->p_token);
if ($authError) {
return $authError;
}
$member = Member::query()
->with(['person', 'currentCorporate', 'currentPolicy', 'memberPlans.plan'])
->where('member_id', $request->nokartu)
->first();
if (!$member) {
return $this->statusError('Peserta tidak ditemukan');
}
$benefits = $member->memberPlans
->map(function (MemberPlan $memberPlan) {
$plan = $memberPlan->plan;
if (!$plan) {
return null;
}
return [
'kodebenefit' => $plan->code,
'namabenefit' => $plan->corporate_plan_id,
'planid' => $plan->code,
];
})
->filter()
->values();
return response()->json([
'Status' => $this->okStatus(),
'Data' => [
'nokartu' => $member->member_id,
'memberid' => (string) $member->id,
'namapeserta' => $member->full_name,
'nomorbpjs' => $member->bpjs_id,
'jeniskelamin' => $member->gender_code,
'tanggallahir' => $this->isoDate($member->birth_date),
'hubungankeluarga' => $member->relation_with_principal,
'namaperusahaan' => optional($member->currentCorporate)->name,
'pesertavip' => 'N',
'namapenjamin' => optional($organization)->name,
'nomorpolis' => optional($member->currentPolicy)->code,
'tglmulaipolis' => $this->isoDate(optional($member->currentPolicy)->start),
'tglberakhirpolis' => $this->isoDate(optional($member->currentPolicy)->end),
'phone' => optional($member->person)->phone,
'email' => $member->email,
],
'Benefit' => $benefits,
]);
}
public function createPendaftaran(Request $request)
{
$request->validate([
'kodeprovider' => 'required|string',
'kodebenefit' => 'required|string',
'statusrujukan' => 'nullable|string',
'nomorrujukan' => 'nullable|string',
'keterangan' => 'nullable|string',
'nomorsep' => 'nullable|string',
'nokartu' => 'required|string',
'kelaskamar' => 'nullable|string',
'cobbpjs' => 'nullable|numeric',
'notransaksiprovider' => 'nullable|string',
'inacbgscode' => 'nullable|string',
'inacbgsamount' => 'nullable|numeric',
'p_user_no' => 'required',
'p_token' => 'required|string',
]);
[$provider, $organization, $authError] = $this->resolveProvider($request->kodeprovider, $request->p_user_no, $request->p_token);
if ($authError) {
return $authError;
}
$member = Member::query()
->with(['person', 'currentCorporate', 'currentPolicy'])
->where('member_id', $request->nokartu)
->first();
if (!$member) {
return $this->statusError('Peserta tidak ditemukan');
}
$plan = $this->resolvePlan($member, $request->kodebenefit);
$requestLog = RequestLog::query()->create([
'organization_id' => $organization->id,
'member_id' => $member->id,
'plan_id' => optional($plan)->id,
'policy_id' => optional($member->currentPolicy)->id ?? 0,
'payment_type' => 'cashless',
'service_code' => $request->kodebenefit,
'type_of_member' => 'member',
'status' => 'approved',
'source' => 'api',
'keterangan' => $request->keterangan,
'hak_kamar_pasien' => $request->kelaskamar ?? '',
'penempatan_kamar' => $request->kelaskamar,
'total_cob' => $request->cobbpjs,
'nominal' => 0,
'import_system' => 0,
'nomor_sep' => $request->nomorsep,
'inacbgs_code' => $request->inacbgscode,
'inacbgs_amount' => $request->inacbgsamount,
'no_transaksi_provider' => $request->notransaksiprovider,
'diagnosis' => '',
'reason' => '',
'reason_final' => '',
'catatan' => '',
'nomor_rujukan' => $request->nomorrujukan,
'status_rujukan' => $request->statusrujukan,
'submission_date' => now(),
'admission_date' => now(),
]);
$limitSubBenefit = collect();
if ($plan) {
$limitSubBenefit = CorporateBenefit::query()
->with('benefit')
->where('plan_id', $plan->id)
->get()
->map(function (CorporateBenefit $corporateBenefit) {
return [
'kodesubbenefit' => optional($corporateBenefit->benefit)->code,
'namasubbenefit' => optional($corporateBenefit->benefit)->description,
'batasan' => (string) ($corporateBenefit->limit_amount ?? 0),
];
});
}
return response()->json([
'Status' => $this->okStatus(),
'Data' => [[
'noklaim' => $requestLog->code,
'namapeserta' => $member->full_name,
'tanggallahir' => $this->isoDate($member->birth_date),
'nokartu' => $member->member_id,
'nopolis' => optional($member->currentPolicy)->code,
'nobpjs' => $member->bpjs_id,
'nosep' => $requestLog->nomor_sep,
'nomorrujukan' => $requestLog->nomor_rujukan,
'planid' => optional($plan)->code,
'masapolis' => optional($member->currentPolicy)->end ? Carbon::parse($member->currentPolicy->end)->format('d/m/Y') : null,
'namaperusahaan' => optional($member->currentCorporate)->name,
'namapenjamin' => $organization->name,
'tanggalmasuk' => $this->isoDate($requestLog->admission_date),
'tanggalkeluar' => $this->isoDate($requestLog->discharge_date),
'hakkamar' => $requestLog->penempatan_kamar,
'hakicu' => null,
'nosuratjaminan' => $requestLog->code,
'namapegawai' => null,
'namabenefit' => optional($plan)->corporate_plan_id,
'kodediagnosa' => $requestLog->diagnosis,
'keterangan' => $requestLog->keterangan,
'catatanTC1' => null,
'catatanTC2' => null,
'catatanTC3' => null,
'catatanTC4' => null,
'catatanTC5' => null,
'catatanTC6' => null,
'catatanTC7' => null,
'catatanTC8' => null,
'catatanTC9' => null,
'catatanTC10' => null,
'statusrujukan' => $requestLog->status_rujukan,
'statusklaim' => 0,
'notransaksiprovider' => $requestLog->no_transaksi_provider,
'inacbgscode' => $requestLog->inacbgs_code,
'inacbgsamount' => (float) ($requestLog->inacbgs_amount ?? 0),
]],
'LimitSubBenefit' => $limitSubBenefit->values(),
]);
}
public function createPengesahan(Request $request)
{
$request->validate([
'noklaim' => 'required|string',
'kodeprovider' => 'required|string',
'tanggalkeluar' => 'nullable|date',
'kodediagnosa' => 'nullable|string',
'inacbgscode' => 'nullable|string',
'inacbgsamount' => 'nullable|numeric',
'daftarbiaya' => 'nullable|array',
'daftarbiaya.*.kodesubbenefit' => 'required_with:daftarbiaya|string',
'daftarbiaya.*.biayaaju' => 'required_with:daftarbiaya|numeric',
'p_user_no' => 'required',
'p_token' => 'required|string',
]);
[$provider, $organization, $authError] = $this->resolveProvider($request->kodeprovider, $request->p_user_no, $request->p_token);
if ($authError) {
return $authError;
}
$requestLog = RequestLog::query()
->with(['member.person', 'member.currentCorporate', 'member.currentPolicy', 'plan'])
->where('code', $request->noklaim)
->where('organization_id', $organization->id)
->first();
if (!$requestLog) {
return $this->statusError('Nomor klaim tidak ditemukan');
}
$requestLog->update([
'status_final_log' => 'approve',
'final_log' => true,
'discharge_date' => $request->tanggalkeluar,
'diagnosis' => $request->kodediagnosa,
'inacbgs_code' => $request->inacbgscode ?? $requestLog->inacbgs_code,
'inacbgs_amount' => $request->inacbgsamount ?? $requestLog->inacbgs_amount,
]);
foreach (($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' => $biaya['biayaaju'],
'amount_approved' => 0,
'amount_not_approved' => 0,
'excess_paid' => 0,
'keterangan' => null,
]
);
}
$requestLog->load(['requestLogBenefits.benefit']);
$biayaResponse = $requestLog->requestLogBenefits->map(function (RequestLogBenefit $requestLogBenefit) use ($requestLog) {
return [
'noklaim' => $requestLog->code,
'kodesubbenefit' => optional($requestLogBenefit->benefit)->code,
'namasubbenefit' => optional($requestLogBenefit->benefit)->description,
'kodebenefit' => optional($requestLog->plan)->code,
'namabenefit' => optional($requestLog->plan)->corporate_plan_id,
'biayaaju' => (float) ($requestLogBenefit->amount_incurred ?? 0),
'jaminanasuransi' => (float) ($requestLogBenefit->amount_approved ?? 0),
'jaminanpeserta' => (float) ($requestLogBenefit->excess_paid ?? 0),
'keterangan' => $requestLogBenefit->keterangan,
];
})->values();
return response()->json([
'Status' => $this->okStatus(),
'Data' => [[
'noklaim' => $requestLog->code,
'namapeserta' => optional($requestLog->member)->full_name,
'tanggallahir' => $this->isoDate(optional($requestLog->member)->birth_date),
'nokartu' => optional($requestLog->member)->member_id,
'nopolis' => optional(optional($requestLog->member)->currentPolicy)->code,
'nobpjs' => optional($requestLog->member)->bpjs_id,
'nosep' => $requestLog->nomor_sep,
'nomorrujukan' => $requestLog->nomor_rujukan,
'planid' => optional($requestLog->plan)->code,
'masapolis' => optional(optional($requestLog->member)->currentPolicy)->end ? Carbon::parse($requestLog->member->currentPolicy->end)->format('d/m/Y') : null,
'namaperusahaan' => optional(optional($requestLog->member)->currentCorporate)->name,
'namapenjamin' => $organization->name,
'tanggalmasuk' => $this->isoDate($requestLog->admission_date),
'tanggalkeluar' => $this->isoDate($requestLog->discharge_date),
'hakkamar' => $requestLog->penempatan_kamar,
'hakicu' => null,
'nosuratjaminan' => $requestLog->code,
'namapegawai' => null,
'namabenefit' => optional($requestLog->plan)->corporate_plan_id,
'kodediagnosa' => $requestLog->diagnosis,
'keterangan' => $requestLog->keterangan,
'catatanTC1' => null,
'catatanTC2' => null,
'catatanTC3' => null,
'catatanTC4' => null,
'catatanTC5' => null,
'catatanTC6' => null,
'catatanTC7' => null,
'catatanTC8' => null,
'catatanTC9' => null,
'catatanTC10' => null,
'statusrujukan' => $requestLog->status_rujukan,
'statusklaim' => 0,
'notransaksiprovider' => $requestLog->no_transaksi_provider,
'inacbgscode' => $requestLog->inacbgs_code,
'inacbgsamount' => (float) ($requestLog->inacbgs_amount ?? 0),
]],
'Biaya' => $biayaResponse,
]);
}
public function getRincianBiayaKlaim(Request $request)
{
$request->validate([
'noklaim' => 'required|string',
'kodeprovider' => 'required|string',
'p_user_no' => 'required',
'p_token' => 'required|string',
]);
[$provider, $organization, $authError] = $this->resolveProvider($request->kodeprovider, $request->p_user_no, $request->p_token);
if ($authError) {
return $authError;
}
$requestLog = RequestLog::query()
->with(['plan', 'requestLogBenefits.benefit'])
->where('code', $request->noklaim)
->where('organization_id', $organization->id)
->first();
if (!$requestLog) {
return $this->statusError('Nomor klaim tidak ditemukan');
}
$biaya = $requestLog->requestLogBenefits->map(function (RequestLogBenefit $requestLogBenefit) use ($requestLog) {
return [
'noklaim' => $requestLog->code,
'kodesubbenefit' => optional($requestLogBenefit->benefit)->code,
'namasubbenefit' => optional($requestLogBenefit->benefit)->description,
'kodebenefit' => optional($requestLog->plan)->code,
'namabenefit' => optional($requestLog->plan)->corporate_plan_id,
'biayaaju' => (float) ($requestLogBenefit->amount_incurred ?? 0),
'jaminanasuransi' => (float) ($requestLogBenefit->amount_approved ?? 0),
'jaminanpeserta' => (float) ($requestLogBenefit->excess_paid ?? 0),
'keterangan' => $requestLogBenefit->keterangan,
];
})->values();
return response()->json([
'Status' => $this->okStatus(),
'Data' => [
'noklaim' => $requestLog->code,
'kodeprovider' => $organization->code,
'nosep' => $requestLog->nomor_sep,
'keterangan' => $requestLog->keterangan,
'statusklaim' => $requestLog->status,
],
'Biaya' => $biaya,
]);
}
public function downloadStrukPendaftaran(Request $request)
{
$request->validate([
'noklaim' => 'required|string',
'kodeprovider' => 'required|string',
'p_user_no' => 'required',
'p_token' => 'required|string',
]);
[$provider, $organization, $authError] = $this->resolveProvider($request->kodeprovider, $request->p_user_no, $request->p_token);
if ($authError) {
return $authError;
}
$requestLog = RequestLog::query()->where('code', $request->noklaim)->where('organization_id', $organization->id)->first();
if (!$requestLog) {
return $this->statusError('Nomor klaim tidak ditemukan');
}
$member = Member::findOrFail($requestLog->member_id)
->load(['currentPlan', 'currentPolicy', 'currentPlan.corporateBenefits', 'currentPlan.corporateBenefits.benefit']);
$dateOfAdmission = $requestLog->admission_date ? Carbon::parse($requestLog->admission_date) : now();
try {
$pdf = PDF::loadView('pdf.guaranted_leter', compact('member', 'dateOfAdmission'));
return $pdf->download('Struk-Pendaftaran-' . $requestLog->code . '.pdf');
} catch (Throwable $e) {
return $this->statusError('Gagal generate PDF struk pendaftaran: ' . $e->getMessage(), 500);
}
}
public function downloadStrukPengesahan(Request $request)
{
$request->validate([
'noklaim' => 'required|string',
'kodeprovider' => 'required|string',
'p_user_no' => 'required',
'p_token' => 'required|string',
]);
[$provider, $organization, $authError] = $this->resolveProvider($request->kodeprovider, $request->p_user_no, $request->p_token);
if ($authError) {
return $authError;
}
$requestLog = RequestLog::query()->where('code', $request->noklaim)->where('organization_id', $organization->id)->first();
if (!$requestLog) {
return $this->statusError('Nomor klaim tidak ditemukan');
}
$member = Member::findOrFail($requestLog->member_id)
->load(['currentPlan', 'currentPolicy', 'currentPlan.corporateBenefits', 'currentPlan.corporateBenefits.benefit']);
$dateOfAdmission = $requestLog->discharge_date ? Carbon::parse($requestLog->discharge_date) : now();
try {
$pdf = PDF::loadView('pdf.guaranted_leter', compact('member', 'dateOfAdmission'));
return $pdf->download('Struk-Pengesahan-' . $requestLog->code . '.pdf');
} catch (Throwable $e) {
return $this->statusError('Gagal generate PDF struk pengesahan: ' . $e->getMessage(), 500);
}
}
private function resolveProvider(string $kodeProvider, $userId, string $token): array
{
$organization = Organization::query()->where('code', $kodeProvider)->first();
if (!$organization) {
return [null, null, $this->statusError('Kode provider tidak ditemukan')];
}
$provider = Provider::query()
->where('id', $userId)
->where('organization_id', $organization->id)
->where('code', $kodeProvider)
->where('status', 'active')
->first();
if (!$provider) {
return [null, null, $this->statusError('User provider tidak ditemukan')];
}
if ((string) $provider->token !== (string) $token) {
return [null, null, $this->statusError('Token tidak valid')];
}
return [$provider, $organization, null];
}
private function resolvePlan(Member $member, string $serviceCode)
{
$memberPlan = $member->memberPlans()->with('plan')
->where('status', 'active')
->orderByDesc('id')
->get()
->first(function (MemberPlan $item) use ($serviceCode) {
return optional($item->plan)->service_code === $serviceCode;
});
if ($memberPlan && $memberPlan->plan) {
return $memberPlan->plan;
}
return optional($member->memberPlans()->with('plan')->orderByDesc('id')->first())->plan;
}
private function okStatus(): array
{
return [
'errornumber' => 0,
'messagestring' => 'Success',
];
}
private function statusError(string $message, int $statusCode = 400)
{
return response()->json([
'Status' => [
'errornumber' => 1,
'messagestring' => $message,
],
'Data' => null,
], $statusCode);
}
private function headerError(string $message, int $statusCode = 400)
{
return response()->json([
'header-token' => null,
'userid' => 0,
'usertoken' => null,
'kodeprovider' => null,
'namaprovider' => null,
'errornumber' => 1,
'messagestring' => $message,
], $statusCode);
}
private function isoDate($date): ?string
{
if (empty($date)) {
return null;
}
return Carbon::parse($date)->toISOString();
}
}

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@@ -4,6 +4,7 @@ use Illuminate\Http\Request;
use Modules\HospitalPortal\Http\Controllers\Api\AuthController;
use Modules\HospitalPortal\Http\Controllers\Api\ClaimRequestController;
use Modules\HospitalPortal\Http\Controllers\Api\MemberController;
use Modules\HospitalPortal\Http\Controllers\Api\ProviderOnlineController;
use Modules\HospitalPortal\Http\Controllers\ClaimController;
/*
@@ -42,3 +43,13 @@ Route::prefix('hospitalportal')->group(function () {
Route::get('claim-requests/{id}', [ClaimRequestController::class, 'show'])->name('claim-requests.show');
});
});
Route::prefix('v1/bridging-service/ProviderOnline')->group(function () {
Route::post('HeaderKey', [ProviderOnlineController::class, 'getHeaderKey']);
Route::post('EligibilitasPeserta', [ProviderOnlineController::class, 'checkEligibilitasPeserta']);
Route::post('Pendaftaran', [ProviderOnlineController::class, 'createPendaftaran']);
Route::post('Pengesahan', [ProviderOnlineController::class, 'createPengesahan']);
Route::post('RincianBiayaKlaim', [ProviderOnlineController::class, 'getRincianBiayaKlaim']);
Route::post('StrukPendaftaran', [ProviderOnlineController::class, 'downloadStrukPendaftaran']);
Route::post('StrukPengesahan', [ProviderOnlineController::class, 'downloadStrukPengesahan']);
});

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Modules/Internal/Config/.gitkeep Executable file → Normal file
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Modules/Internal/Config/config.php Executable file → Normal file
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0
Modules/Internal/Console/.gitkeep Executable file → Normal file
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Modules/Internal/Database/Migrations/.gitkeep Executable file → Normal file
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0
Modules/Internal/Database/Seeders/.gitkeep Executable file → Normal file
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0
Modules/Internal/Database/factories/.gitkeep Executable file → Normal file
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Modules/Internal/Entities/.gitkeep Executable file → Normal file
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Modules/Internal/Http/Controllers/.gitkeep Executable file → Normal file
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@@ -2,14 +2,18 @@
namespace Modules\Internal\Http\Controllers\Api;
use App\Helpers\Helper;
use App\Models\Benefit;
use App\Models\Claim;
use App\Models\Icd;
use App\Models\Member;
use App\Models\Organization;
use App\Services\ClaimService;
use Illuminate\Contracts\Support\Renderable;
use Illuminate\Http\Request;
use Illuminate\Routing\Controller;
use Modules\Internal\Transformers\ClaimShowResource;
use PDF;
class ClaimController extends Controller
{
@@ -21,9 +25,14 @@ class ClaimController extends Controller
{
$claims = Claim::with([
'member',
'diagnosis',
'diagnoses' => function ($diagnosis) {
return $diagnosis->where('type', 'primary');
},
'diagnoses.icd',
'plan',
'benefit'
'benefit',
'claimRequest',
'claimRequest.service'
])
->latest()
->paginate(10);
@@ -87,13 +96,27 @@ class ClaimController extends Controller
->with([
'member',
'member.currentPlan',
'diagnosis',
'member.currentPlan.benefits',
'member.currentCorporate',
'member.currentPolicy',
// 'diagnosis',
'diagnoses',
'diagnoses.icd',
'benefit',
'files'
'files',
'claimRequest',
'claimRequest.files',
'items',
'items.claim_itemable',
'encounters',
'encounters.doctors',
'encounters.primaryDiagnoses',
'encounters.primaryDiagnoses.diagnosis',
'encounters.healthcare'
])
->findOrFail($id);
return response()->json($claim);
return Helper::responseJson(ClaimShowResource::make($claim));
}
/**
@@ -131,4 +154,135 @@ class ClaimController extends Controller
{
return true;
}
public function updateDetails(Request $request, $id)
{
$request->validate([
'healthcare_id' => 'required',
'doctor_id' => 'required',
'start' => 'required',
'end' => 'required'
]);
$claim = Claim::findOrFail($id);
return $claim;
}
public function updateItems(Request $request, $id)
{
$request->validate([]);
$claim = Claim::findOrFail($id);
$order = 1;
$data = [];
$claim->items()->forceDelete();
foreach ($request->benefit_items as $benefitItem) {
$benefit = Benefit::find($benefitItem['id']);
if ($benefit) {
$benefit->claimItem()->create([
'claim_id' => $claim->id,
'order' => $order,
'name' => $benefit->code,
'currency' => 'IDR',
'nominal_ditagihkan' => $benefitItem['biaya_diajukan'] ?? 0,
'nominal_dicover' => $benefitItem['biaya_disetujui'] ?? 0,
'nominal_total' => $benefitItem['biaya_disetujui'] ?? 0,
]);
}
$order++;
}
return Helper::responseJson([], message: "Item Claim berhasil di update");
}
public function updateDiagnosis(Request $request, $id)
{
$request->validate([]);
$claim = Claim::findOrFail($id);
$claim->diagnoses()->forceDelete();
if ($request->primary) {
foreach ($request->primary as $diagnosisId) {
$claim->diagnoses()->create([
'claim_id' => $claim->id,
'type' => 'primary',
'diagnosis_id' => $diagnosisId,
'note' => '',
'description' => '',
]);
}
}
if ($request->secondary) {
foreach ($request->secondary as $diagnosisId) {
$claim->diagnoses()->create([
'claim_id' => $claim->id,
'type' => 'secondary',
'diagnosis_id' => $diagnosisId,
'note' => '',
'description' => '',
]);
}
}
return Helper::responseJson([], message: "Diagnosis berhasil di update");
}
public function decline($id)
{
$claim = Claim::findOrFail($id);
$claim->status = 'declined';
$claim->save();
return Helper::responseJson($claim, message: "Claim berhasil di decline");
}
public function approve($id)
{
$claim = Claim::findOrFail($id);
$claim->status = 'approved';
$claim->save();
return Helper::responseJson($claim, message: "Claim berhasil di approve");
}
public function reOpen($id)
{
$claim = Claim::findOrFail($id);
$claim->status = 'received';
$claim->save();
return Helper::responseJson($claim, message: "Claim berhasil di approve");
}
public function downloadFinalLog($id)
{
$claim = Claim::findOrFail($id);
$hospital = $claim->finalEncounter->healthcare ?? null;
// TODO Fix this tipu tipu
$inpationBenefit = $claim->member->currentPlan->benefits()->first();
$pdf = PDF::loadView('pdf.final_log', [
'claim' => $claim,
'member' => $claim->member,
'dateOfAdmission' => $claim->start,
'hospital' => $hospital,
'inpationBenefit' => $inpationBenefit
]);
return $pdf->download('Final LOG '.$claim->code.'.pdf');
$view = view('pdf.final_log', [
'claim' => $claim,
'member' => $claim->member,
'dateOfAdmission' => $claim->start,
'hospital' => $hospital,
'inpationBenefit' => $inpationBenefit
]);
return $view;
}
}

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@@ -4,12 +4,10 @@ namespace Modules\Internal\Http\Controllers\Api;
use App\Helpers\Helper;
use App\Models\ClaimRequest;
use App\Models\Member;
use Exception;
use App\Services\ClaimService;
use Illuminate\Contracts\Support\Renderable;
use Illuminate\Http\Request;
use Illuminate\Routing\Controller;
use Knp\Snappy\Pdf;
use Modules\Internal\Transformers\ClaimRequestResource;
use Modules\Internal\Transformers\ClaimRequestShowResource;
@@ -36,7 +34,7 @@ class ClaimRequestController extends Controller
->when($request->status, function($q, $status) {
$q->where('status', $status);
})
->with(['member', 'files'])
->with(['member', 'files', 'service'])
->paginate();
return Helper::paginateResources(ClaimRequestResource::collection($claimRequests));
@@ -115,19 +113,31 @@ class ClaimRequestController extends Controller
$claimRequest = ClaimRequest::findOrFail($id);
$member = $claimRequest->member;
$claimRequest->status = 'approved';
$claimRequest->save();
// Store Generated Documents
$logContent = view('pdf.guaranted_leter', compact('member', 'claimRequest'));
$claimRequest->generatedDocuments()->create([
'type' => 'guarantee_letter',
'title' => 'Guarantee Letter for '. $member->full_name,
'document_type' => 'type',
'html_content' => $logContent,
'system_origin' => 'primecenter'
]);
try {
// Create New Claim
$newClaim = ClaimService::storeClaim(member: $member, status: 'received', claimRequest: $claimRequest);
// Update Claim Request Status & Link with Claim
$claimRequest->status = 'approved';
$claimRequest->claim_id = $newClaim->id;
$claimRequest->save();
// Store Generated Documents LOG
$logContent = view('pdf.guaranted_leter', compact('member', 'claimRequest'));
$claimRequest->generatedDocuments()->create([
'type' => 'guarantee_letter',
'title' => 'Guarantee Letter for '. $member->full_name,
'document_type' => 'type',
'html_content' => $logContent,
'system_origin' => 'primecenter'
]);
} catch (\Exception $e) {
}
return $claimRequest;
}
}

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@@ -77,6 +77,7 @@ class CorporateController extends Controller
*/
public function store(Request $request)
{
$request->validate([
'code' => 'required|regex:/^[a-zA-Z0-9]+$/',
'name' => 'required',
@@ -90,7 +91,6 @@ class CorporateController extends Controller
'policy_stop_service_percentage' => 'required_with:policy_code',
'policy_stop_service_net' => 'required_with:policy_code',
]);
try {
DB::beginTransaction();
$corporate_data = $request->all();
@@ -98,7 +98,6 @@ class CorporateController extends Controller
$newCorporate = Corporate::create($request->all());
if ($request->has('policy_code') && !empty($request->policy_code)) {
// dd($request->policy_code, 'fuck you');
$newCorporate->policies()->create([
'code' => $request->policy_code ?? NULL,
'total_premi' => $request->policy_total_premi ?? NULL,
@@ -397,7 +396,6 @@ class CorporateController extends Controller
$request->validate([
'file' => 'required|file|mimes:xls,xlsx,csv,txt',
]);
// dd($request->toArray());
$file_name = now()->getPreciseTimestamp(3) . '-' . $request->file('file')->getClientOriginalName();
$file = $request->file('file')->storeAs('temp', $file_name);
$corporate = Corporate::with(['plans'])->findOrFail($corporate_id);
@@ -521,4 +519,5 @@ class CorporateController extends Controller
break;
}
}
}

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@@ -155,7 +155,7 @@ class CorporateMemberController extends Controller
$result_headers = $this->memberEnrollmentService->result_doc_headers;
$singleRow = WriterEntityFactory::createRow($this->memberEnrollmentService->makeResultRow($result_headers));
$writer->addRow($singleRow);
$imported_member_data = 0;
$failed_member_data = [];
foreach ($reader->getSheetIterator() as $sheet) {
@@ -181,7 +181,7 @@ class CorporateMemberController extends Controller
}
try {
// dd($new_member_data);
$rowResponse = $this->memberEnrollmentService->handleImportRow($corporate, $new_member_data);
// Write Success Result to File

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@@ -91,7 +91,8 @@ class DivisionController extends Controller
$request->validate([
'code' => [
'required',
Rule::unique('corporate_plans')->where('corporate_id', $corporate_id)->ignore($corporatePlan->id)
// Rule::unique('corporate_plans')->where('corporate_id', $corporate_id)->ignore($corporatePlan->id)
Rule::unique('corporate_divisions')->where('corporate_id', $corporate_id)
],
'name' => 'required'
]);

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@@ -0,0 +1,136 @@
<?php
namespace Modules\Internal\Http\Controllers\Api\Linksehat;
use App\Helpers\Helper;
use App\Models\OLDLMS\Appointment;
use Illuminate\Database\Eloquent\Builder;
use Illuminate\Contracts\Support\Renderable;
use Illuminate\Http\Request;
use Illuminate\Routing\Controller;
use Modules\Internal\Transformers\LinksehatPaymentResource;
class PaymentController extends Controller
{
/**
* Display a listing of the resource.
* @return Renderable
*/
public function index(Request $request)
{
// return $request->toArray();
$appointments = Appointment::query()
->where('sPaymentStatus', 'settlement')
->with(['healthCare', 'healthCare.commission', 'detail', 'user', 'doctor', 'doctor.user']);
if ($request->has('search')) {
$appointments->where(function ($query) use ($request) {
$query->where('nID', $request->search)
->orWhere('sBookingCode', $request->search)
->orWhereHas('detail', function (Builder $detail) use ($request) {
$detail->where('sPaymentDetails', 'LIKE', '%' . $request->search . "%");
});
});
}
if (($request->has('appointment_start') || $request->has('appointment_end'))
&& !empty($request->appointment_start)
&& !empty($request->appointment_end)
) {
// $appointments = $appointments->whereHas('detail', function (Builder $detail) use ($request) {
// // Appointment Start
// // if ($request->has('appointment_start')) {
// $detail->where('dTanggalAppointment', '>=', $request->appointment_start);
// // } else {
// // $detail->where('dTanggalAppointment', '>', now()->format('Y-m-d'));
// // }
// // if ($request->has('appointment_end')) {
// $detail->where('dTanggalAppointment', '<=', $request->appointment_end);
// // } else {
// // $detail->where('dTanggalAppointment', '<', now()->addDay(1)->format('Y-m-d'));
// // }
// });
$appointments = $appointments->where(function($q) use ($request) {
$q->where('dAgreeOn', '>=', $request->appointment_start)
->where('dAgreeOn', '<=', $request->appointment_end);
});
}
if ($request->has('payment_status') && $request->payment_status != 'semua') {
$appointments->where('sPaymentStatus', $request->payment_status);
}
if ($request->has('healthcare_id') && !empty($request->healthcare_id)) {
$appointments->where('nIDHealthCare', $request->healthcare_id);
}
$appointments = $appointments->orderBy('dUpdateOn', 'DESC')
->paginate();
return Helper::responseJson(Helper::paginateResources(LinksehatPaymentResource::collection($appointments)));
}
/**
* Show the form for creating a new resource.
* @return Renderable
*/
public function create()
{
return view('internal::create');
}
/**
* Store a newly created resource in storage.
* @param Request $request
* @return Renderable
*/
public function store(Request $request)
{
//
}
/**
* Show the specified resource.
* @param int $id
* @return Renderable
*/
public function show($id)
{
return view('internal::show');
}
/**
* Show the form for editing the specified resource.
* @param int $id
* @return Renderable
*/
public function edit($id)
{
return view('internal::edit');
}
/**
* Update the specified resource in storage.
* @param Request $request
* @param int $id
* @return Renderable
*/
public function update(Request $request, $id)
{
//
}
/**
* Remove the specified resource from storage.
* @param int $id
* @return Renderable
*/
public function destroy($id)
{
//
}
}

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@@ -0,0 +1,141 @@
<?php
namespace Modules\Internal\Http\Controllers\Api;
use App\Models\Icd;
use App\Models\OLDLMS\Healthcare;
use App\Models\Organization;
use App\Models\Practitioner;
use Illuminate\Contracts\Support\Renderable;
use Illuminate\Http\Request;
use Illuminate\Routing\Controller;
class OptionController extends Controller
{
/**
* Display a listing of the resource.
* @return Renderable
*/
public function index(Request $request)
{
$request->validate([
'type' => 'required',
'search' => 'required'
]);
switch ($request->type) {
case 'diagnosis':
$icds = Icd::query()
->where('code', 'LIKE', '%'.$request->search.'%')
->orWhere('name', 'LIKE', '%'.$request->search.'%')
->limit('10')
->get();
return $icds;
break;
case 'doctors':
$doctors = Practitioner::query()
->whereHas('person', function ($person) use ($request) {
$person->where('name', 'LIKE', '%'.$request->search.'%');
})
->limit('10')
->get();
$doctors = $doctors->map(function($doctor) {
$doctorDetail = $doctor->person->toArray();
unset($doctorDetail['id']);
return array_merge([
'id' => $doctor->id,
'code' => $doctor->code
], $doctorDetail);
});
return $doctors;
break;
case 'healthcares':
$healthcares = Organization::query()
->hospital()
->where('name', 'LIKE', '%'.$request->search.'%')
->limit('10')
->get();
return $healthcares;
break;
case 'linksehat-healthcares':
$healthcares = Healthcare::query()
->where('sHealthCare', 'LIKE', '%'.$request->search.'%')
->limit('10')
->get();
return $healthcares;
break;
default:
# code...
break;
}
return view('internal::index');
}
/**
* Show the form for creating a new resource.
* @return Renderable
*/
public function create()
{
return view('internal::create');
}
/**
* Store a newly created resource in storage.
* @param Request $request
* @return Renderable
*/
public function store(Request $request)
{
//
}
/**
* Show the specified resource.
* @param int $id
* @return Renderable
*/
public function show($id)
{
return view('internal::show');
}
/**
* Show the form for editing the specified resource.
* @param int $id
* @return Renderable
*/
public function edit($id)
{
return view('internal::edit');
}
/**
* Update the specified resource in storage.
* @param Request $request
* @param int $id
* @return Renderable
*/
public function update(Request $request, $id)
{
//
}
/**
* Remove the specified resource from storage.
* @param int $id
* @return Renderable
*/
public function destroy($id)
{
//
}
}

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@@ -0,0 +1,281 @@
<?php
namespace Modules\Internal\Http\Controllers;
use App\Helpers\Helper;
use App\Models\Claim;
use App\Models\Encounter;
use App\Models\Practitioner;
use Illuminate\Contracts\Support\Renderable;
use Illuminate\Http\Request;
use Illuminate\Routing\Controller;
use Illuminate\Support\Facades\DB;
use Modules\Internal\Transformers\EncounterResource;
class ClaimEncounterController extends Controller
{
/**
* Display a listing of the resource.
* @return Renderable
*/
public function index()
{
return view('internal::index');
}
/**
* Show the form for creating a new resource.
* @return Renderable
*/
public function create()
{
return view('internal::create');
}
/**
* Store a newly created resource in storage.
* @param Request $request
* @return Renderable
*/
public function store(Request $request, $claim_id)
{
$request->validate([
'service_code' => 'required',
'tanggal_masuk' => 'required',
'tanggal_keluar' => 'required'
]);
$claim = Claim::findOrFail($claim_id);
// return ($request->primary_diagnosis['id']);
// die;
// return $request->toArray();
try {
DB::beginTransaction();
$newEncounterData = [
'status' => 'completed',
'class' => $request->service_code,
'type' => 'Consultation',
'patient_id' => $claim->member->person_id,
'start' => $request->tanggal_masuk,
'end' => $request->tanggal_keluar,
'number_of_bed' => $request->number_of_bed,
'duration_day' => $request->duration_day
];
if ($request->has('healthcare')) {
$newEncounterData['healthcare_id'] = $request->healthcare['id'];
}
// Create New Encounter
$newEncounter = $claim->encounters()->create($newEncounterData);
// --------------------------------------------
// Meta
// TODO Handle if healthcare not primaya
$newEncounter->metas()->updateOrCreate([
'type' => 'MEDRECID',
'system' => 'primaya-his'
], [
'type' => 'MEDRECID',
'system' => 'primaya-his',
'value' => $request->medical_record_number
]);
// ---------------------------------------------
// Handle Diagnosis
if ($request->has('primary_diagnosis') && $request->primary_diagnosis) {
$newEncounter->diagnoses()->create([
'diagnosis_id' => $request->primary_diagnosis['id'],
'type' => 'primary',
'use' => 'discharge',
'source' => 'primecenter',
'description' => 'Batching',
]);
}
if ($request->has('secondary_diagnoses')) {
foreach ($request->secondary_diagnoses as $diagnosis) {
if (!isset($diagnosis['id'])) { // Handle Null Values
continue;
}
$newEncounter->diagnoses()->create([
'diagnosis_id' => $diagnosis['id'],
'type' => 'secondary',
'use' => 'discharge',
'source' => 'primecenter',
'description' => 'Batching',
]);
}
}
// ------------------------------------
// Handle Doctors as primary Doctor
if ($request->has('doctor')) {
$newEncounter->participants()->create([
'type' => 'Doctor',
'participantable_type' => Practitioner::class,
'participantable_id' => $request->doctor['id'],
]);
}
DB::commit();
$newEncounter->load(['diagnoses', 'doctors', 'healthcare']);
return Helper::responseJson(data: EncounterResource::make($newEncounter), message: 'Encounter berhasil ditambahkan');
} catch (\Exception $e) {
DB::rollback();
throw $e;
}
}
/**
* Show the specified resource.
* @param int $id
* @return Renderable
*/
public function show($id)
{
return view('internal::show');
}
/**
* Show the form for editing the specified resource.
* @param int $id
* @return Renderable
*/
public function edit($id)
{
return view('internal::edit');
}
/**
* Update the specified resource in storage.
* @param Request $request
* @param int $id
* @return Renderable
*/
public function update(Request $request, $claim_id, $encounter_id)
{
$request->validate([
'service_code' => 'required',
'tanggal_masuk' => 'required',
'tanggal_keluar' => 'required'
]);
// $claim = Claim::findOrFail($claim_id);
// return ($request->primary_diagnosis['id']);
// die;
// return $request->toArray();
try {
DB::beginTransaction();
$encounter = Encounter::findOrFail($encounter_id);
$encounterData = [
'status' => 'completed',
'class' => $request->service_code,
'type' => 'Consultation',
'start' => $request->tanggal_masuk,
'end' => $request->tanggal_keluar,
'number_of_bed' => $request->number_of_bed,
'duration_day' => $request->duration_day
];
if ($request->has('healthcare')) {
$encounterData['healthcare_id'] = $request->healthcare['id'];
}
// Update The Encounter
$encounter->fill($encounterData);
$encounter->save();
// --------------------------------------------
// Meta
// TODO Handle if healthcare not primaya
$encounter->metas()->updateOrCreate([
'type' => 'MEDRECID',
'system' => 'primaya-his'
], [
'type' => 'MEDRECID',
'system' => 'primaya-his',
'value' => $request->medical_record_number
]);
// ---------------------------------------------
// Handle Diagnosis
if ($request->has('primary_diagnosis')) {
$encounter->diagnoses()->where('type', 'primary')->delete();
$encounter->diagnoses()->create([
'diagnosis_id' => $request->primary_diagnosis['id'],
'type' => 'primary',
'use' => 'discharge',
'source' => 'primecenter',
'description' => 'Batching',
]);
}
if ($request->has('secondary_diagnoses')) {
$encounter->diagnoses()->where('type', 'secondary')->delete();
foreach ($request->secondary_diagnoses as $diagnosis) {
if (!isset($diagnosis['id'])) { // Handle Null Values
continue;
}
$encounter->diagnoses()->create([
'diagnosis_id' => $diagnosis['id'],
'type' => 'secondary',
'use' => 'discharge',
'source' => 'primecenter',
'description' => 'Batching',
]);
}
}
// ------------------------------------
// Handle Doctors as primary Doctor
// if ($request->has('doctor')) {
// $encounter->participants()->create([
// 'type' => 'Doctor',
// 'participantable_type' => Practitioner::class,
// 'participantable_id' => $request->doctor['id'],
// ]);
// }
DB::commit();
$encounter->load(['diagnoses', 'doctors', 'healthcare']);
return Helper::responseJson(data: EncounterResource::make($encounter), message: 'Encounter berhasil ditambahkan');
} catch (\Exception $e) {
DB::rollback();
throw $e;
}
}
/**
* Remove the specified resource from storage.
* @param int $id
* @return Renderable
*/
public function destroy($id)
{
//
}
public function setFinalEncounter(Request $request, $claim_id)
{
$request->validate([
'encounter_id' => 'required'
]);
$claim = Claim::findOrFail($claim_id);
$claim->final_encounter_id = $request->encounter_id;
$claim->save();
return Helper::responseJson(data: $claim, message: "Success Update Final Encounter");
}
}

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Modules/Internal/Http/Middleware/.gitkeep Executable file → Normal file
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Modules/Internal/Http/Requests/.gitkeep Executable file → Normal file
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Modules/Internal/Providers/.gitkeep Executable file → Normal file
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Modules/Internal/Providers/RouteServiceProvider.php Executable file → Normal file
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17
Modules/Internal/Routes/api.php Executable file → Normal file
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@@ -21,13 +21,16 @@ use Modules\Internal\Http\Controllers\Api\DivisionController;
use Modules\Internal\Http\Controllers\Api\DoctorController;
use Modules\Internal\Http\Controllers\Api\DrugController;
use Modules\Internal\Http\Controllers\Api\FormulariumController;
use Modules\Internal\Http\Controllers\Api\Linksehat\PaymentController;
use Modules\Internal\Http\Controllers\Api\LivechatController;
use Modules\Internal\Http\Controllers\Api\MemberController;
use Modules\Internal\Http\Controllers\Api\OptionController;
use Modules\Internal\Http\Controllers\Api\OrganizationController;
use Modules\Internal\Http\Controllers\Api\PlanController;
use Modules\Internal\Http\Controllers\Api\ProvinceController;
use Modules\Internal\Http\Controllers\Api\SpecialityController;
use Modules\Internal\Http\Controllers\Api\VillageController;
use Modules\Internal\Http\Controllers\ClaimEncounterController;
/*
|--------------------------------------------------------------------------
@@ -47,6 +50,8 @@ Route::prefix('internal')->group(function () {
Route::post('forget-password', [AuthController::class, 'forgetPassword'])->name('forget-password');
Route::post('verify-email', [AuthController::class, 'verifyEmail'])->name('verify-email');
Route::get('linksehat/payments', [PaymentController::class, 'index']);
Route::middleware('auth:sanctum')->group(function () {
@@ -118,7 +123,16 @@ Route::prefix('internal')->group(function () {
Route::get('members', [MemberController::class, 'index']);
Route::get('members/{member_id}/benefits', [MemberController::class, 'benefits']);
Route::post('claims/{claim_id}/encounters', [ClaimEncounterController::class, 'store']);
Route::post('claims/{claim_id}/encounters/{encounter_id}/update', [ClaimEncounterController::class, 'update']);
Route::post('claims/{claim_id}/set-final-encounter', [ClaimEncounterController::class, 'setFinalEncounter']);
Route::get('claims', [ClaimController::class, 'index']);
Route::post('claims/{id}/update-items', [ClaimController::class, 'updateItems'])->name('claim.update-items');
Route::post('claims/{id}/update-diagnosis', [ClaimController::class, 'updateDiagnosis'])->name('claim.update-diagnosis');
Route::post('claims/{id}/decline', [ClaimController::class, 'decline'])->name('claim.decline');
Route::post('claims/{id}/approve', [ClaimController::class, 'approve'])->name('claim.approve');
Route::post('claims/{id}/re-open', [ClaimController::class, 'reOpen'])->name('claim.re-open');
Route::post('claims', [ClaimController::class, 'store']);
Route::get('claims/{id}', [ClaimController::class, 'show']);
Route::post('check-limit', [ClaimController::class, 'checkLimit']);
@@ -142,4 +156,7 @@ Route::prefix('internal')->group(function () {
Route::get('city', [CityController::class, 'index']);
Route::get('district', [DistrictController::class, 'index']);
Route::get('village', [VillageController::class, 'index']);
Route::get('options', [OptionController::class, 'index']);
Route::get('final-log/{id}', [ClaimController::class, 'downloadFinalLog'])->name('claim.download-final-log');
});

0
Modules/Internal/Routes/web.php Executable file → Normal file
View File

View File

@@ -1,11 +0,0 @@
<?php
namespace Modules\Internal\Services;
use App\Models\Claim;
use Illuminate\Support\Facades\DB;
class ClaimService
{
}

8
Modules/Internal/Services/CorporateService.php Executable file → Normal file
View File

@@ -39,11 +39,10 @@ class CorporateService
try {
$plan_data = $row;
$plan_data["corporate_id"] = $corporate->id;
$this->validatePlanRow($plan_data);
$plan = $corporate->plans()->updateOrCreate([
'service_code' => $plan_data['service_code'],
'corporate_plan_id' => $plan_data['corporate_plan_id'],
// 'active' => 0,
], $plan_data);
return $plan;
@@ -102,7 +101,8 @@ class CorporateService
], [
'code' => $benefit_data['code'],
'service_code' => $plan->service_code,
'active' => true
'active' => 1,
'description' => $benefit_data['description'],
]);
$corporateBenefit = $corporate->corporateBenefits()->updateOrCreate([

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