612 lines
25 KiB
PHP
612 lines
25 KiB
PHP
<?php
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namespace Modules\Client\Http\Controllers\Api;
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use Illuminate\Support\Facades\DB;
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use App\Helpers\Helper;
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use App\Models\Claim;
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use App\Models\CorporateEmployee;
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use App\Models\Icd;
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use App\Models\ClaimHistoryCare;
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use App\Models\Corporate;
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use App\Services\ClaimService;
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use Illuminate\Contracts\Support\Renderable;
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use Illuminate\Http\Request;
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use Illuminate\Routing\Controller;
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use Modules\Client\Transformers\ClaimShowResource;
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use PhpOffice\PhpSpreadsheet\Spreadsheet;
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use Illuminate\Support\Facades\Storage;
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use PhpOffice\PhpSpreadsheet\Writer\Xlsx;
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use Box\Spout\Writer\Common\Creator\WriterEntityFactory;
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use Box\Spout\Writer\Common\Creator\Style\StyleBuilder;
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use Box\Spout\Common\Entity\Style\CellAlignment;
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use Box\Spout\Common\Entity\Style\Color;
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use Carbon\Carbon;
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class ClaimController extends Controller
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{
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public function __construct(public ClaimService $claimService)
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{
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}
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public function status($corporate_id)
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{
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$claims = $this->claimService->getCountClaimRequestPerStatus($corporate_id);
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// dd($claims);
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return Helper::responseJson([
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'count_requested' => 0,
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'count_approval' => 0,
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'count_disbrushment' => 0,
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'count_rejected' => 0,
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]);
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}
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/**
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* Display a listing of the resource.
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* @return Renderable
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*/
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public function index(Request $request, $corporate_id)
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{
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$claims = Claim::query()
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->when($request->search ?? null, function ($query, $search) {
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$query->where('code', 'LIKE', '%' . $search . '%');
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})
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->with([
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'member',
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'diagnoses' => function ($diagnosis) {
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return $diagnosis->where('type', 'primary');
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},
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'diagnoses.icd',
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'plan',
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'benefit',
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'claimRequest',
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'claimRequest.service'
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])
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->paginate(10);
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return Helper::responseJson($claims);
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}
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/**
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* Show the form for creating a new resource.
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* @return Renderable
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*/
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public function create()
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{
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return view('client::create');
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}
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/**
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* Store a newly created resource in storage.
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* @param Request $request
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* @return Renderable
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*/
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public function store(Request $request)
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{
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//
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}
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/**
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* Show the specified resource.
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* @param int $id
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* @return Renderable
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*/
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public function show($id)
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{
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$claim = Claim::query()
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->with([
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'member',
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'member.currentPlan',
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'member.currentPlan.benefits',
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'member.currentCorporate',
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'member.currentPolicy',
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'diagnosis',
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'diagnoses',
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'benefit',
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'files',
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'claimRequest',
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'claimRequest.files',
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'items',
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'items.claim_itemable',
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])
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->findOrFail($id);
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return Helper::responseJson(ClaimShowResource::make($claim));
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}
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/**
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* Show the form for editing the specified resource.
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* @param int $id
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* @return Renderable
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*/
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public function edit($id)
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{
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return view('client::edit');
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}
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/**
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* Update the specified resource in storage.
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* @param Request $request
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* @param int $id
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* @return Renderable
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*/
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public function update(Request $request, $id)
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{
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//
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}
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/**
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* Remove the specified resource from storage.
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* @param int $id
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* @return Renderable
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*/
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public function destroy($id)
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{
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//
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}
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public function export($corporate_id){
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$corporate = Corporate::where('id', $corporate_id)->with(['currentPolicy'])->first();
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$member_id = CorporateEmployee::where('corporate_id', $corporate_id)->get('member_id')->toArray();
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// dd($member_id);
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$claim = Claim::whereIn('member_id', $member_id)->with(['member', 'member.plans'])->get();
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$data = [];
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if (count( $claim) > 0){
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$temp = [];
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foreach($claim as $c) {
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$diagnosis = ClaimHistoryCare::where('claim_id', 34)->with('icd')->get();
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$diagnosisName = '';
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if (count($diagnosis) > 0){
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$tempDiagnosis = [];
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foreach($diagnosis as $key => $d){
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$diagnosis = Icd::where('id', $d['main_diagnosis_id'])->first();
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array_push($tempDiagnosis, $diagnosis->name);
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}
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$diagnosisName = implode(", ", $tempDiagnosis);
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}
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$temp['id'] = $c['id'];
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$temp['plan_id'] = $c['member']['plans'][0]['code'];
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$temp['payor_id'] = $c['member']['payor_id'];
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$temp['corporate_id'] = $corporate->name;
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$temp['policy_number'] = $corporate->currentPolicy->code;
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$temp['member_id'] = $c['member']['member_id'];
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$temp['benefit_code'] = $c['benefit_code'];
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$temp['benefit_desc'] = $c['benefit_desc'];
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$temp['amount_incurred'] = $c['amount_incurred'];
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$temp['amount_approved'] = $c['amount_approved'];
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$temp['amount_not_approved'] = $c['amount_not_approved'];
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$temp['excess_paid'] = $c['excess_paid'];
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$temp['diganosis'] = $diagnosisName;
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array_push($data, $temp);
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}
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$headers = [
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['value' => 'Plan ID', 'cell' => 'A1', 'mergeCell' => false, 'mergeToCell' => ''],
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['value' => 'Payor ID', 'cell' => 'B1', 'mergeCell' => false, 'mergeToCell' => ''],
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['value' => 'Corporate ID', 'cell' => 'C1', 'mergeCell' => false, 'mergeToCell' => ''],
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['value' => 'Policy Number', 'cell' => 'D1', 'mergeCell' => false, 'mergeToCell' => ''],
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['value' => 'Member ID', 'cell' => 'E1', 'mergeCell' => false, 'mergeToCell' => ''],
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['value' => 'Benefit Code', 'cell' => 'F1', 'mergeCell' => false, 'mergeToCell' => ''],
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['value' => 'Benefit Desc', 'cell' => 'G1', 'mergeCell' => false, 'mergeToCell' => ''],
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['value' => 'Amt Incurred', 'cell' => 'H1', 'mergeCell' => false, 'mergeToCell' => ''],
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['value' => 'Amt Approved', 'cell' => 'I1', 'mergeCell' => false, 'mergeToCell' => ''],
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['value' => 'Amt Not Approved', 'cell' => 'J1', 'mergeCell' => false, 'mergeToCell' => ''],
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['value' => 'Excess Paid', 'cell' => 'K1', 'mergeCell' => false, 'mergeToCell' => ''],
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['value' => 'Diagnosis', 'cell' => 'L1', 'mergeCell' => false, 'mergeToCell' => 'J2'],
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];
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$spreadsheet = new Spreadsheet();
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$sheet = $spreadsheet->getActiveSheet();
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foreach ($headers as $header) {
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$sheet->setCellValue($header['cell'], $header['value']);
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if ($header['mergeCell'] === true) {
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$sheet->mergeCells($header['cell'] . ':' . $header['mergeToCell']);
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}
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$sheet->getStyle($header['cell'])->getFont()->setBold(true);
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$sheet->getStyle($header['cell'])->getAlignment()->setHorizontal(\PhpOffice\PhpSpreadsheet\Style\Alignment::HORIZONTAL_CENTER)->setVertical(\PhpOffice\PhpSpreadsheet\Style\Alignment::VERTICAL_CENTER);
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}
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$startFrom = 2;
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foreach($data as $i => $d){
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$sheet->setCellValue('A' . $startFrom, $d['plan_id'] ?? '-');
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$sheet->setCellValue('B' . $startFrom, $d['payor_id'] ?? '-');
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$sheet->setCellValue('C' . $startFrom, $d['corporate_id'] ?? '-');
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$sheet->setCellValue('D' . $startFrom, $d['policy_number'] ?? '-');
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$sheet->setCellValue('E' . $startFrom, $d['member_id'] ?? '-');
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$sheet->setCellValue('F' . $startFrom, $d['benefit_code'] ?? '-');
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$sheet->setCellValue('G' . $startFrom, $d['benefit_desc'] ?? '-');
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$sheet->setCellValue('H' . $startFrom, $d['amount_incurred'] ?? '-');
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$sheet->setCellValue('I' . $startFrom, $d['amount_approved'] ?? '-');
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$sheet->setCellValue('J' . $startFrom, $d['amount_not_approved'] ?? '-');
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$sheet->setCellValue('K' . $startFrom, $d['excess_paid'] ?? '-');
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$sheet->setCellValue('L' . $startFrom, $d['diganosis'] ?? '-');
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$startFrom++;
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}
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foreach (['A', 'B', 'C', 'D', 'E', 'F', 'G', 'H', 'I', 'J','K'] as $header) {
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if ($header === 'A') {
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$spreadsheet->getActiveSheet()->getColumnDimension($header)->setWidth(35, 'px');
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} elseif ($header === 'H' || $header === 'I') {
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$spreadsheet->getActiveSheet()->getColumnDimension($header)->setWidth(100, 'px');
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} else {
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$spreadsheet->getActiveSheet()->getColumnDimension($header)->setAutoSize(true);
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}
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}
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$spreadsheet->getActiveSheet()->getStyle('A2:A' . $startFrom)->getAlignment()->setHorizontal(\PhpOffice\PhpSpreadsheet\Style\Alignment::HORIZONTAL_CENTER)->setVertical(\PhpOffice\PhpSpreadsheet\Style\Alignment::VERTICAL_CENTER);
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$sheet->getDefaultRowDimension()->setRowHeight(-1);
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$sheet->setTitle('Alarm Center Report');
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$writer = new Xlsx($spreadsheet);
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ob_start();
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$writer->save('php://output');
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$content = ob_get_contents();
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ob_end_clean();
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$fileName = 'result-' . now()->getPreciseTimestamp(3) . '-alarm-center-report.xlsx';
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Storage::disk('public')->put('temp/' . $fileName, $content);
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$fileUrl = url('storage/temp/' . $fileName);
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return Helper::responseJson([
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"file_url" => $fileUrl
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]);
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}
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}
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public function exportAlrmCenter($corporate_id, $start, $end)
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{
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$writer = WriterEntityFactory::createXLSXWriter();
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$writer->openToFile(public_path('files/Report-Data-Alarm-Center-'.$start.'-'.$end.'.xlsx'));
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$header = [
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'No',
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'Code',
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'Date Submission',
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'Date Admission',
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'Date Discharge',
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'Provider',
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'Member ID (BN)',
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'Member Name',
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'Member Name Principal',
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'Plan Code',
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'Payor ID',
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'Corporate name',
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'Policy Number',
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'Total Billing',
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'Benefit Code',
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'Benefit Desc',
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'Amt Incurred',
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'Amt Approved',
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'Amt Not Approved',
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'Excess Paid',
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'Diagnosis',
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'Keterangan',
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'Catatan'
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];
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$style = (new StyleBuilder())
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->setFontBold()
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// ->setFontSize(15)
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// ->setFontColor(Color::BLUE)
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// ->setShouldWrapText()
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->setCellAlignment(CellAlignment::LEFT)
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// ->setBackgroundColor(Color::YELLOW)
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->build();
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$headerRow = WriterEntityFactory::createRowFromArray($header, $style);
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$writer->addRow($headerRow);
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$data = DB::table('request_logs')
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->leftJoin('members', 'members.id', '=', 'request_logs.member_id')
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->leftJoin('corporate_employees','corporate_employees.member_id','=','members.id')
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->where('corporate_employees.corporate_id', '=', $corporate_id)
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// ->where('request_logs.status_final_log', '=', 'approved')
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->where('request_logs.deleted_at', '=', null)
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->when($start != 'all' && $end != 'all', function ($query) use ($start, $end) {
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$query->where('request_logs.submission_date', '>=',Carbon::parse($start)->subDay())
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->where('request_logs.submission_date', '<=',Carbon::parse($end)->addDay());
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})
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->select(
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DB::raw('1 AS no'),
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'request_logs.submission_date',
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'request_logs.created_at',
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'request_logs.discharge_date',
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'request_logs.organization_id',
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'request_logs.id',
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'request_logs.member_id',
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'request_logs.service_code',
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'request_logs.code',
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'request_logs.diagnosis',
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'request_logs.keterangan',
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'request_logs.catatan',
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DB::raw('
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(Select SUM(request_log_benefits.amount_approved) as tot_bill FROM request_log_benefits
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WHERE request_log_benefits.request_log_id = request_logs.id LIMIT 1) AS tot_bill
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')
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)
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->groupBy(
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'request_logs.submission_date',
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'request_logs.created_at',
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'request_logs.discharge_date',
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'request_logs.organization_id',
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'request_logs.id',
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'request_logs.member_id',
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'request_logs.service_code',
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'request_logs.code',
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'request_logs.diagnosis',
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'request_logs.keterangan',
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'request_logs.catatan',
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'tot_bill'
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)
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->orderBy('request_logs.submission_date', 'desc')
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->get();
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if (isset($data) && count($data) > 0)
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{
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$dataRow = array();
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$no = 0;
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foreach ($data as $item)
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{
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//Provider
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$dataRumahSakit = DB::table('organizations')
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->leftJoin('addresses', 'addresses.addressable_id', '=', 'organizations.id')
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->where('organizations.id', '=', $item->organization_id)
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->where('addresses.addressable_type', '=', 'App\Models\Organization')
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->select('organizations.name AS nama_rumahsakit', 'addresses.text AS alamat_rumahsakit', 'organizations.corporate_id_partner')
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->first();
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//Data Member
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$dataMember = DB::table('members')
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->where('members.id', '=', $item->member_id)
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->select(
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'members.nric',
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'members.id',
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'members.principal_id',
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'members.name',
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'members.birth_date',
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'members.member_id',
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'members.gender',
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DB::raw('
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(Select persons.nik FROM persons WHERE persons.id = members.person_id LIMIT 1) AS nik
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'),
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// DB::raw('
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// "LinkSehat" AS penjamin
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// '),
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DB::raw('
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(Select corporates.name FROM corporates
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LEFT JOIN corporate_employees ON corporate_employees.corporate_id = corporates.id
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WHERE corporate_employees.member_id = members.id LIMIT 1) AS nama_perusahaan
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'),
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DB::raw('
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(Select corporates.id FROM corporates
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LEFT JOIN corporate_employees ON corporate_employees.corporate_id = corporates.id
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WHERE corporate_employees.member_id = members.id LIMIT 1) AS id_perusahaan
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'),
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DB::raw('
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(Select corporates.code FROM corporates
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LEFT JOIN corporate_employees ON corporate_employees.corporate_id = corporates.id
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WHERE corporate_employees.member_id = members.id LIMIT 1) AS code_perusahaan
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'),
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DB::raw('
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(Select services.name FROM services
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WHERE services.code = "'.$item->service_code.'" LIMIT 1) AS jenis_perwatan
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'),
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DB::raw('
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(Select member_policies.policy_id FROM member_policies WHERE member_policies.member_id = members.member_id LIMIT 1) AS no_polis
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'),
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DB::raw('
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(Select member_policies.status FROM member_policies WHERE member_policies.member_id = members.member_id LIMIT 1) AS status_polis
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'),
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DB::raw('
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(Select plans.code FROM member_plans
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LEFT JOIN plans ON plans.id = member_plans.plan_id
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WHERE member_plans.member_id = members.id AND plans.service_code = "'.$item->service_code.'" LIMIT 1) AS code_plan
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'),
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DB::raw('
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(Select plans.limit_rules FROM member_plans
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LEFT JOIN plans ON plans.id = member_plans.plan_id
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WHERE member_plans.member_id = members.id LIMIT 1) AS limit_rules
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'),
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DB::raw('
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"IDR" AS mata_uang
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'),
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'members.members_effective_date AS mulai',
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'members.members_expire_date AS akhir'
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)
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->first();
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//get penjamin
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$penjamin = 'LinkSehat';
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if(!empty($dataRumahSakit->corporate_id_partner))
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{
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$corporate_id_partners = explode(',', $dataRumahSakit->corporate_id_partner);
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$valueToCheck = $dataMember->id_perusahaan;
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if (in_array($valueToCheck, $corporate_id_partners)) {
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$penjamin = $dataMember->nama_perusahaan;
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}
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}
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//Nama Karyawan
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$data['namaKaryawan'] = '';
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if($dataMember->principal_id)
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{
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$dataNamaKaryawan = DB::table('members')
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->where('members.member_id', '=', $dataMember->principal_id)
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->select('members.name')
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->first();
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$data['namaKaryawan'] = $dataNamaKaryawan->name;
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}
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else{
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$data['namaKaryawan'] = $dataMember->name;
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}
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//Data Benefit
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$dataClaimLog = DB::table('request_log_benefits')
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->where('request_log_benefits.request_log_id', '=', $item->id)
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->where('request_log_benefits.deleted_at', null)
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->select(
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'*',
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DB::raw('
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(Select benefits.description FROM benefits
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WHERE benefits.id = request_log_benefits.benefit_id LIMIT 1) AS benfit
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'),
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DB::raw('
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(Select benefits.code FROM benefits
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WHERE benefits.id = request_log_benefits.benefit_id LIMIT 1) AS code
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')
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)
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->get();
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$check_first_id = 0;
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if($check_first_id != $item->id)
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{
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$no += $item->no;
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}
|
|
$total_billing = 0;
|
|
$lastIndex = count($dataClaimLog) - 1;
|
|
$firtIndex = 0;
|
|
if (isset($dataClaimLog) && count($dataClaimLog) > 0)
|
|
{
|
|
foreach ($dataClaimLog as $index => $item_benefit)
|
|
{
|
|
$total_billing += !empty($item_benefit->amount_approved) ? $item_benefit->amount_approved : 0;
|
|
$rowData = [
|
|
$check_first_id != $item->id ? $no : $no,
|
|
!empty($item->code) ? $item->code : '',
|
|
!empty($item->created_at) ? $item->created_at : '',
|
|
!empty($item->submission_date) ? $item->submission_date : '',
|
|
!empty($item->discharge_date) ? $item->discharge_date : '',
|
|
!empty($dataRumahSakit->nama_rumahsakit) ? $dataRumahSakit->nama_rumahsakit : '',
|
|
!empty($dataMember->member_id) ? $dataMember->member_id : '',
|
|
!empty($dataMember->name) ? $dataMember->name : '',
|
|
$data['namaKaryawan'],
|
|
($firtIndex == $index ? (!empty($dataMember->code_plan) ? $dataMember->code_plan : '') : ''),
|
|
$penjamin,
|
|
!empty($dataMember->nama_perusahaan) ? $dataMember->nama_perusahaan : '',
|
|
!empty($dataMember->no_polis) ? $dataMember->no_polis : '',
|
|
($firtIndex == $index ? $item->tot_bill : ''),
|
|
!empty($item_benefit->code) ? $item_benefit->code : '',
|
|
!empty($item_benefit->benfit) ? $item_benefit->benfit : '',
|
|
!empty($item_benefit->amount_incurred) ? $item_benefit->amount_incurred : '',
|
|
!empty($item_benefit->amount_approved) ? $item_benefit->amount_approved : '',
|
|
!empty($item_benefit->amount_not_approved) ? $item_benefit->amount_not_approved : '',
|
|
!empty($item_benefit->excess_paid) ? $item_benefit->excess_paid : '',
|
|
!empty($item->diagnosis) ? $item->diagnosis : '',
|
|
!empty($item->keterangan) ? $item->keterangan : '',
|
|
!empty($item->catatan) ? $item->catatan : '',
|
|
|
|
];
|
|
array_push($dataRow,$rowData);
|
|
|
|
$check_first_id = $item->id;
|
|
}
|
|
}
|
|
else
|
|
{
|
|
$rowData = [
|
|
$check_first_id != $item->id ? $no : '',
|
|
!empty($item->code) ? $item->code : '',
|
|
!empty($item->created_at) ? $item->created_at : '',
|
|
!empty($item->submission_date) ? $item->submission_date : '',
|
|
!empty($item->discharge_date) ? $item->discharge_date : '',
|
|
!empty($dataRumahSakit->nama_rumahsakit) ? $dataRumahSakit->nama_rumahsakit : '',
|
|
!empty($dataMember->member_id) ? $dataMember->member_id : '',
|
|
!empty($dataMember->name) ? $dataMember->name : '',
|
|
$data['namaKaryawan'],
|
|
!empty($dataMember->code_plan) ? $dataMember->code_plan : '',
|
|
$penjamin,
|
|
!empty($dataMember->nama_perusahaan) ? $dataMember->nama_perusahaan : '',
|
|
!empty($dataMember->no_polis) ? $dataMember->no_polis : '',
|
|
'0',
|
|
'',
|
|
'',
|
|
'',
|
|
'',
|
|
'',
|
|
'',
|
|
'',
|
|
'',
|
|
'',
|
|
|
|
];
|
|
array_push($dataRow,$rowData);
|
|
|
|
}
|
|
}
|
|
$style = (new StyleBuilder())
|
|
//->setFontBold()
|
|
// ->setFontSize(15)
|
|
// ->setFontColor(Color::BLUE)
|
|
// ->setShouldWrapText()
|
|
->setCellAlignment(CellAlignment::LEFT)
|
|
// ->setBackgroundColor(Color::YELLOW)
|
|
->build();
|
|
$grand_total_billing = 0;
|
|
foreach ($dataRow as $rowData) {
|
|
if (is_numeric($rowData[13])) {
|
|
// Jumlahkan nilai angka ke total
|
|
$grand_total_billing += $rowData[13];
|
|
}
|
|
$row = WriterEntityFactory::createRowFromArray($rowData, $style);
|
|
$writer->addRow($row);
|
|
}
|
|
//Footer
|
|
$footer = [
|
|
'Total',
|
|
'',
|
|
'',
|
|
'',
|
|
'',
|
|
'',
|
|
'',
|
|
'',
|
|
'',
|
|
'',
|
|
'',
|
|
'',
|
|
'',
|
|
$grand_total_billing,
|
|
'',
|
|
'',
|
|
'',
|
|
'',
|
|
'',
|
|
'',
|
|
'',
|
|
'',
|
|
''
|
|
];
|
|
$style = (new StyleBuilder())
|
|
->setFontBold()
|
|
// ->setFontSize(15)
|
|
// ->setFontColor(Color::BLUE)
|
|
// ->setShouldWrapText()
|
|
->setCellAlignment(CellAlignment::LEFT)
|
|
// ->setBackgroundColor(Color::YELLOW)
|
|
->build();
|
|
|
|
$footerRow = WriterEntityFactory::createRowFromArray($footer, $style);
|
|
$writer->addRow($footerRow);
|
|
}
|
|
$writer->close();
|
|
|
|
return Helper::responseJson([
|
|
'file_name' => 'Report-Data-Alarm-Center-'. $start.'-'.$end,
|
|
"file_url" => url('files/Report-Data-Alarm-Center-'. $start.'-'.$end.'.xlsx')
|
|
]);
|
|
}
|
|
}
|