299 lines
8.1 KiB
PHP
299 lines
8.1 KiB
PHP
<?php
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namespace App\Models;
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use App\Events\ClaimReceived;
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use App\Events\ClaimRequested;
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use App\Traits\Blameable;
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use Illuminate\Database\Eloquent\Factories\HasFactory;
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use Illuminate\Database\Eloquent\Model;
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use Illuminate\Database\Eloquent\SoftDeletes;
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use Altek\Accountant\Contracts\Recordable;
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use Str;
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class RequestLog extends Model
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{
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use HasFactory, SoftDeletes, Blameable;
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// protected static $code_prefix_hospital = 'CRQ-H';
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// protected static $code_prefix_client = 'CRQ-R';
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public $fillable = [
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'uuid',
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'invoice_no',
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'nomor_sep',
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'inacbgs_code',
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'inacbgs_amount',
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'no_transaksi_provider',
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'billing_no',
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'submission_date',
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'discharge_date',
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'member_id',
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'payment_type',
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'service_code',
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'type_of_member',
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'total_cob',
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'policy_id',
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'final_log',
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'status',
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'status_final_log',
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'status_approval',
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'source',
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'claim_id',
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'organization_id',
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'keterangan',
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'hak_kamar_pasien',
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'penempatan_kamar',
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'catatan',
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'import_system',
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'diagnosis',
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'code',
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'reason',
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'reason_final',
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'approved_by',
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'approved_at',
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'approved_final_log_by',
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'approved_final_log_at',
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'created_final_at',
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'created_final_by',
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'specialities_id',
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'dppj',
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'type_of_member',
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'nominal',
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'approval_nominal_by',
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'log_type',
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];
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protected $hidden = [
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// 'created_at',
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'updated_at',
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'deleted_at',
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'created_by',
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'updated_by',
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'deleted_by',
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];
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public $doc_headers_to_field_map = [
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"Record Mode" => "record_mode",
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"Date Addmission" => "submission_date",
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"Date Discharge" => "discharge_date",
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"Member ID Peserta" => "member_id",
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"Service" => "service",
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"Type of Member" => "type_of_member",
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"Provider Code" => "organization_id",
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"End Of Claim Numbers" => "code",
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"Diagnosis" => "diagnosis",
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"Tgl Billing dari RS" => "approved_final_log_at",
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"Total Billing" => "total_billing",
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"Benefit Item" => "benefit_id",
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"Amount Approval" => "amount_approval",
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"Amount Not Approval" => "amount_not_approval",
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"Total COB" => "total_cob",
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"Keterangan IGL" => "keterangan",
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"Catatan FGL" => "catatan",
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"QC 1" => "status_final_log",
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"Ingestion Code" => "ingestion_code",
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"Ingestion Status" => "ingestion_status",
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];
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public static $listing_doc_headers = [
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"Record Mode",
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"Date Addmission",
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"Date Discharge",
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"Member ID Peserta",
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"Service",
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"Type of Member",
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"Provider Code",
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"End Of Claim Numbers",
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"Diagnosis",
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"Tgl Billing dari RS",
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"Total Billing",
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"Benefit Item",
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"Amount Approval",
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"Amount Not Approval",
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"Total COB",
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"Keterangan IGL",
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"Catatan FGL",
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"QC 1",
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"Ingestion Code",
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"Ingestion Status",
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];
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public static $listing_data_doc_headers = [
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"ID REQUEST LOG",
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"CODE",
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"NAME",
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"DATE OF SUBMISSION",
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"SERVICE TYPE",
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"CLAIM METHOD",
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"STATUS",
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];
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public static $status = [
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'draft' => 'Draft',
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'requested' => 'Requested',
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'approved' => 'Approved',
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'declined' => 'Declined'
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];
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public static $payment_types = [
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'cashless' => 'Cashless',
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'reimbursement' => 'Reimbursement'
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];
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public $appends = [
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'payment_type_name'
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];
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protected static function boot()
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{
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parent::boot();
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static::creating(function ($model) {
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try {
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$model->uuid = (string) Str::orderedUuid(); // generate uuid
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// $model->code = self::getNextCode();
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} catch (\Exception $e) {
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abort(500, $e->getMessage());
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}
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});
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static::created(function ($model) {
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// try {
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// if (!empty($model->status) && $model->status == 'requested') {
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// $model->histories()->create([
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// 'title' => 'New Claim Requested',
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// 'description' => "Claim Requested for Member : {$model->member->member_id} - ({$model->member->full_name})",
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// 'type' => 'info'
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// ]);
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// }
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// } catch (\Exception $e) {
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// abort(500, $e->getMessage());
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// }
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});
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static::updated(function ($model) {
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if ($model->hasChanges(['status'])) {
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// if ($model->status == 'requested') {
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// $model->histories()->create([
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// 'title' => 'New Claim Requested',
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// 'description' => "Claim Requested for Member : {$model->member->member_id} - ({$model->member->full_name})",
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// 'type' => 'info'
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// ]);
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// }
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// if ($model->status == 'received') {
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// ClaimReceived::dispatch($model);
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// }
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// if ($model->status == 'approved') {
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// ClaimApproved::dispatch($model);
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// }
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// if ($model->status == 'postpone') {
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// ClaimPostpone::dispatch($model);
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// }
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// if ($model->status == 'paid') {
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// ClaimPaid::dispatch($model);
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// }
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// if ($model->status == 'declined') {
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// ClaimDeclined::dispatch($model);
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// }
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}
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});
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}
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// public static function getNextCode()
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// {
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// $last_number = self::withTrashed()->max('code');
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// $next_number = empty($last_number) ? 1 : ((int) explode('-', $last_number)[1] + 1);
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// return self::makeCode($next_number);
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// }
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// public static function makeCode($next_number)
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// {
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// return (string) self::$code_prefix .'-'. str_pad($next_number, 5, 0, STR_PAD_LEFT);
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// }
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public function claim()
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{
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return $this->belongsTo(Claim::class, 'claim_id');
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}
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public function claims()
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{
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return $this->hasMany(Claim::class, 'claim_request_id');
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}
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public function files()
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{
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return $this->morphMany(File::class, 'fileable')->whereNull('deleted_at');
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}
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public function claimResults()
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{
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return $this->files()->where('type', 'claim-result')->whereNull('deleted_at');
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}
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public function claimConditions()
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{
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return $this->files()->where('type', 'claim-kondisi')->whereNull('deleted_at');
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}
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public function claimDiagnosis()
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{
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return $this->files()->where('type', 'claim-diagnosis')->whereNull('deleted_at');
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}
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public function generatedDocuments()
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{
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return $this->morphMany(GeneratedDocument::class, 'generated_documentable');
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}
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public function histories()
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{
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return $this->morphMany(ClaimHistory::class, 'historiable');
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}
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public function organization()
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{
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return $this->belongsTo(Organization::class, 'organization_id');
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}
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public function member()
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{
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return $this->belongsTo(Member::class, 'member_id', 'id');
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}
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public function service()
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{
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return $this->belongsTo(Service::class, 'service_code', 'code');
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}
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public function requestLogBenefits()
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{
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return $this->hasMany(RequestLogBenefit::class, 'request_log_id');
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}
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public function requestLogDailyMonitorings()
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{
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return $this->hasMany(RequestLogDailyMonitoring::class, 'request_log_id')->whereNull('deleted_at');
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}
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public function getPaymentTypeNameAttribute()
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{
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return self::$payment_types[$this->payment_type] ?? $this->payment_type;
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}
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public function getStatusAttribute($value)
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{
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return self::$payment_types[$value] ?? $value;
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}
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}
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