feat(hospitalportal): implement ProviderOnline bridging endpoints

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

@@ -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();
+    }
+}

Modules/HospitalPortal/Routes/api.php

@@ -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']);
+});

app/Models/Provider.php

@@ -0,0 +1,39 @@
+<?php
+
+namespace App\Models;
+
+use App\Traits\Blameable;
+use Illuminate\Database\Eloquent\Factories\HasFactory;
+use Illuminate\Database\Eloquent\Model;
+use Illuminate\Database\Eloquent\SoftDeletes;
+
+class Provider extends Model
+{
+    use HasFactory, SoftDeletes, Blameable;
+
+    protected $fillable = [
+        'organization_id',
+        'username',
+        'password',
+        'code',
+        'status',
+        'header_token',
+        'token',
+    ];
+
+    protected $hidden = [
+        'password',
+        'created_at',
+        'updated_at',
+        'deleted_at',
+        'created_by',
+        'updated_by',
+        'deleted_by',
+    ];
+
+    public function organization()
+    {
+        return $this->belongsTo(Organization::class, 'organization_id');
+    }
+}
+

app/Models/RequestLog.php

@@ -0,0 +1,106 @@
+<?php
+
+namespace App\Models;
+
+use App\Traits\Blameable;
+use Illuminate\Database\Eloquent\Factories\HasFactory;
+use Illuminate\Database\Eloquent\Model;
+use Illuminate\Database\Eloquent\SoftDeletes;
+use Illuminate\Support\Str;
+
+class RequestLog extends Model
+{
+    use HasFactory, SoftDeletes, Blameable;
+
+    protected static $codePrefix = 'RLG';
+
+    protected $fillable = [
+        'uuid',
+        'code',
+        'organization_id',
+        'member_id',
+        'plan_id',
+        'policy_id',
+        'payment_type',
+        'submission_date',
+        'service_code',
+        'type_of_member',
+        'status',
+        'final_log',
+        'status_final_log',
+        'source',
+        'keterangan',
+        'penempatan_kamar',
+        'total_cob',
+        'nominal',
+        'import_system',
+        'nomor_sep',
+        'inacbgs_code',
+        'inacbgs_amount',
+        'no_transaksi_provider',
+        'admission_date',
+        'discharge_date',
+        'diagnosis',
+        'reason',
+        'reason_final',
+        'hak_kamar_pasien',
+        'catatan',
+        'nomor_rujukan',
+        'status_rujukan',
+    ];
+
+    protected $casts = [
+        'final_log' => 'boolean',
+        'admission_date' => 'datetime',
+        'discharge_date' => 'datetime',
+    ];
+
+    protected static function boot()
+    {
+        parent::boot();
+
+        static::creating(function (self $model) {
+            if (empty($model->uuid)) {
+                $model->uuid = (string) Str::orderedUuid();
+            }
+
+            if (empty($model->code)) {
+                $model->code = self::getNextCode();
+            }
+        });
+    }
+
+    public static function getNextCode(): string
+    {
+        $lastCode = (string) self::withTrashed()->max('code');
+        preg_match('/(\d+)$/', $lastCode, $matches);
+        $nextNumber = isset($matches[1]) ? ((int) $matches[1] + 1) : (self::withTrashed()->count() + 1);
+
+        return self::makeCode($nextNumber);
+    }
+
+    public static function makeCode(int $nextNumber): string
+    {
+        return self::$codePrefix . '-' . str_pad((string) $nextNumber, 5, '0', STR_PAD_LEFT);
+    }
+
+    public function organization()
+    {
+        return $this->belongsTo(Organization::class, 'organization_id');
+    }
+
+    public function member()
+    {
+        return $this->belongsTo(Member::class, 'member_id');
+    }
+
+    public function plan()
+    {
+        return $this->belongsTo(Plan::class, 'plan_id');
+    }
+
+    public function requestLogBenefits()
+    {
+        return $this->hasMany(RequestLogBenefit::class, 'request_log_id');
+    }
+}

app/Models/RequestLogBenefit.php

@@ -0,0 +1,33 @@
+<?php
+
+namespace App\Models;
+
+use App\Traits\Blameable;
+use Illuminate\Database\Eloquent\Factories\HasFactory;
+use Illuminate\Database\Eloquent\Model;
+use Illuminate\Database\Eloquent\SoftDeletes;
+
+class RequestLogBenefit extends Model
+{
+    use HasFactory, SoftDeletes, Blameable;
+
+    protected $fillable = [
+        'request_log_id',
+        'benefit_id',
+        'amount_incurred',
+        'amount_approved',
+        'amount_not_approved',
+        'excess_paid',
+        'keterangan',
+    ];
+
+    public function requestLog()
+    {
+        return $this->belongsTo(RequestLog::class, 'request_log_id');
+    }
+
+    public function benefit()
+    {
+        return $this->belongsTo(Benefit::class, 'benefit_id');
+    }
+}

database/migrations/2026_05_13_150000_create_providers_table.php

@@ -0,0 +1,48 @@
+<?php
+
+use Illuminate\Database\Migrations\Migration;
+use Illuminate\Database\Schema\Blueprint;
+use Illuminate\Support\Facades\Schema;
+
+return new class extends Migration
+{
+    /**
+     * Run the migrations.
+     *
+     * @return void
+     */
+    public function up()
+    {
+        Schema::create('providers', function (Blueprint $table) {
+            $table->id();
+            $table->foreignId('organization_id')->nullable()->index();
+            $table->string('username')->index();
+            $table->string('password');
+            $table->string('code')->index();
+            $table->string('status')->default('active');
+            $table->text('header_token')->nullable();
+            $table->text('token')->nullable();
+
+            $table->timestamps();
+            $table->softDeletes();
+
+            $table->unsignedBigInteger('created_by')->nullable()->index();
+            $table->unsignedBigInteger('updated_by')->nullable()->index();
+            $table->unsignedBigInteger('deleted_by')->nullable()->index();
+
+            $table->unique(['organization_id', 'username']);
+            $table->unique(['organization_id', 'code']);
+        });
+    }
+
+    /**
+     * Reverse the migrations.
+     *
+     * @return void
+     */
+    public function down()
+    {
+        Schema::dropIfExists('providers');
+    }
+};
+

database/migrations/2026_05_13_150100_create_request_logs_table.php

@@ -0,0 +1,93 @@
+<?php
+
+use Illuminate\Database\Migrations\Migration;
+use Illuminate\Database\Schema\Blueprint;
+use Illuminate\Support\Facades\Schema;
+
+return new class extends Migration
+{
+    /**
+     * Run the migrations.
+     *
+     * @return void
+     */
+    public function up()
+    {
+        if (!Schema::hasTable('request_logs')) {
+            Schema::create('request_logs', function (Blueprint $table) {
+                $table->id();
+                $table->uuid('uuid');
+                $table->string('code')->index();
+                $table->foreignId('organization_id')->nullable()->index();
+                $table->foreignId('member_id')->nullable()->index();
+                $table->foreignId('plan_id')->nullable()->index();
+
+                $table->string('service_code')->nullable()->comment('IP / OP');
+                $table->string('status')->nullable()->default('approved');
+                $table->boolean('final_log')->default(false);
+                $table->string('status_final_log')->nullable();
+                $table->string('source')->nullable()->default('api');
+
+                $table->text('keterangan')->nullable();
+                $table->string('penempatan_kamar')->nullable();
+                $table->decimal('total_cob', 18, 2)->nullable();
+
+                $table->string('nomor_sep')->nullable();
+                $table->string('inacbgs_code')->nullable();
+                $table->decimal('inacbgs_amount', 18, 2)->nullable();
+                $table->string('no_transaksi_provider')->nullable();
+
+                $table->dateTime('admission_date')->nullable();
+                $table->dateTime('discharge_date')->nullable();
+                $table->string('diagnosis')->nullable();
+                $table->string('nomor_rujukan')->nullable();
+                $table->string('status_rujukan')->nullable();
+
+                $table->timestamps();
+                $table->softDeletes();
+
+                $table->unsignedBigInteger('created_by')->nullable()->index();
+                $table->unsignedBigInteger('updated_by')->nullable()->index();
+                $table->unsignedBigInteger('deleted_by')->nullable()->index();
+            });
+            return;
+        }
+
+        Schema::table('request_logs', function (Blueprint $table) {
+            if (!Schema::hasColumn('request_logs', 'plan_id')) {
+                $table->foreignId('plan_id')->nullable()->index()->after('member_id');
+            }
+            if (!Schema::hasColumn('request_logs', 'nomor_sep')) {
+                $table->string('nomor_sep')->nullable()->after('penempatan_kamar');
+            }
+            if (!Schema::hasColumn('request_logs', 'inacbgs_code')) {
+                $table->string('inacbgs_code')->nullable()->after('nomor_sep');
+            }
+            if (!Schema::hasColumn('request_logs', 'inacbgs_amount')) {
+                $table->decimal('inacbgs_amount', 18, 2)->nullable()->after('inacbgs_code');
+            }
+            if (!Schema::hasColumn('request_logs', 'no_transaksi_provider')) {
+                $table->string('no_transaksi_provider')->nullable()->after('inacbgs_amount');
+            }
+            if (!Schema::hasColumn('request_logs', 'admission_date')) {
+                $table->dateTime('admission_date')->nullable()->after('submission_date');
+            }
+            if (!Schema::hasColumn('request_logs', 'nomor_rujukan')) {
+                $table->string('nomor_rujukan')->nullable()->after('nomor_sep');
+            }
+            if (!Schema::hasColumn('request_logs', 'status_rujukan')) {
+                $table->string('status_rujukan')->nullable()->after('nomor_rujukan');
+            }
+        });
+    }
+
+    /**
+     * Reverse the migrations.
+     *
+     * @return void
+     */
+    public function down()
+    {
+        Schema::dropIfExists('request_logs');
+    }
+};

database/migrations/2026_05_13_150200_create_request_log_benefits_table.php

@@ -0,0 +1,54 @@
+<?php
+
+use Illuminate\Database\Migrations\Migration;
+use Illuminate\Database\Schema\Blueprint;
+use Illuminate\Support\Facades\Schema;
+
+return new class extends Migration
+{
+    /**
+     * Run the migrations.
+     *
+     * @return void
+     */
+    public function up()
+    {
+        if (!Schema::hasTable('request_log_benefits')) {
+            Schema::create('request_log_benefits', function (Blueprint $table) {
+                $table->id();
+                $table->foreignId('request_log_id')->index();
+                $table->foreignId('benefit_id')->index();
+                $table->decimal('amount_incurred', 18, 2)->nullable()->default(0);
+                $table->decimal('amount_approved', 18, 2)->nullable()->default(0);
+                $table->decimal('excess_paid', 18, 2)->nullable()->default(0);
+                $table->string('keterangan')->nullable();
+
+                $table->timestamps();
+                $table->softDeletes();
+
+                $table->unsignedBigInteger('created_by')->nullable()->index();
+                $table->unsignedBigInteger('updated_by')->nullable()->index();
+                $table->unsignedBigInteger('deleted_by')->nullable()->index();
+
+                $table->unique(['request_log_id', 'benefit_id']);
+            });
+            return;
+        }
+
+        Schema::table('request_log_benefits', function (Blueprint $table) {
+            if (!Schema::hasColumn('request_log_benefits', 'keterangan')) {
+                $table->string('keterangan')->nullable()->after('excess_paid');
+            }
+        });
+    }
+
+    /**
+     * Reverse the migrations.
+     *
+     * @return void
+     */
+    public function down()
+    {
+        Schema::dropIfExists('request_log_benefits');
+    }
+};