1048 lines
45 KiB
PHP
Executable File
1048 lines
45 KiB
PHP
Executable File
<?php
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namespace Modules\Internal\Http\Controllers\Api;
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use App\Helpers\Helper;
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use App\Models\ClaimRequest;
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use App\Models\Organization;
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use App\Services\ClaimService;
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use App\Services\ImportService;
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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\Internal\Transformers\ClaimRequestResource;
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use Modules\Internal\Transformers\ClaimRequestShowResource;
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use Illuminate\Support\Facades\Storage;
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use App\Services\ClaimRequestService;
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use App\Exceptions\ImportRowException;
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use App\Events\ClaimRequested;
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use Box\Spout\Reader\Common\Creator\ReaderEntityFactory;
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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 App\Models\File;
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use App\Models\FilesMcu;
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use Illuminate\Support\Facades\DB;
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use App\Models\Member;
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use App\Models\MemberPlan;
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use App\Models\Plan;
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use App\Models\RequestLogBenefit;
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use Carbon\Carbon;
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class ClaimRequestController extends Controller
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{
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private static $code_prefix = 'CLAIM';
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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 $request)
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{
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$claimRequests = ClaimRequest::with(['requestLog', 'member', 'files', 'service', 'member.currentPolicy'])
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->when($request->search, function ($q, $search) {
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$q->where(function ($query) use ($search) {
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$query->where('code', 'LIKE', "%".$search."%")
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->orWhereHas('member', function ($subQuery) use ($search) {
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$subQuery->where('name', 'LIKE', "%".$search."%");
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})
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->orWhereHas('requestLog', function ($subQuery) use ($search) {
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$subQuery->where('code', 'LIKE', "%".$search."%");
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});
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});
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})
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->when($request->start_date, function ($q, $startDate) {
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$q->where('submission_date', '>=', Carbon::parse($startDate));
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})
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->when($request->end_date, function ($q, $endDate) {
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$q->where('submission_date', '<=', Carbon::parse($endDate));
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})
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->when($request->service_code, function ($q, $serviceCode) {
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$q->whereIn('service_code', (array) $serviceCode);
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})
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->when($request->orderBy, function ($q, $orderBy) use ($request) {
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$order = in_array($request->order, ['asc', 'desc']) ? $request->order : 'desc';
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if (in_array($orderBy, ['submission_date', 'code'])) {
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$q->orderBy($orderBy, $order);
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}
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}, function ($q) {
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$q->orderBy('created_at', 'desc');
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})
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->when($request->status, function($q, $status) {
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$q->where('status', $status);
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})
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->paginate();
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return Helper::paginateResources(ClaimRequestResource::collection($claimRequests));
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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('internal::create');
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}
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/**
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* Create New Calim Request
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*
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* Bagaskoro, BSD 03 November 2023
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*/
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public function createNew(Request $request)
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{
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$request->validate([
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'member_id' => 'required|array',
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'member_id.*' => 'required',
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'service_code.*' => 'required|in:OP,IP'
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]);
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if ($request->member_id){
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foreach($request->member_id as $key => $member_id){
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$code = $this->getNextCode();
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$member = Member::find($member_id);
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DB::beginTransaction();
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try {
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$newClaimRequest = ClaimRequestService::storeClaimRequest(
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row: [],
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code: $code,
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member: $member,
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paymentType: 'reimbursement',
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serviceCode: $request->service_code[$key],
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);
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ClaimRequested::dispatch($newClaimRequest);
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// Log History
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$newClaimRequest->histories()->create([
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'title' => 'New Claim Requested',
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'description' => "Claim Requested for Member : {$member->member_id} - ({$member->full_name})",
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'type' => 'info',
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'system_origin' => 'client-portal'
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]);
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// Claim Log
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DB::table('claim_logs') ->insert([
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'claim_request_id' => $newClaimRequest->id,
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'status' => 'requested',
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'date' => date('Y-m-d H:i:s'),
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'description' => "Claim Requested for Member : {$member->member_id} - ({$member->full_name})",
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'system_origin' => 'hospital-portal',
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'created_by' => auth()->user()->id,
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'created_at' => date('Y-m-d H:i:s'),
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'updated_at'=> date('Y-m-d H:i:s'),
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]);
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$storage_path = storage_path() . "/app/public";
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$folder = "claim/";
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if (is_dir($storage_path . "/" . $folder) == false) {
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mkdir($storage_path . "/" . $folder, 0770, true);
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}
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if (isset($_FILES['file_penunjang'])) {
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foreach ($_FILES['file_penunjang']['error']["member_" .$member_id] as $key => $value) {
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if ($value == 0) {
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$new_file_name = "claim-result-" . time() . "-" . uniqid();
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$ekstension = "." . explode("/", $_FILES['file_penunjang']['type']["member_" .$member_id][$key])[1];
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$pathFile = $folder . $new_file_name . $ekstension;
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$tmp_name = $_FILES['file_penunjang']['tmp_name']["member_" .$member_id][$key];
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$full_path = $_FILES['file_penunjang']['full_path']["member_" .$member_id][$key];
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if (move_uploaded_file($tmp_name, $storage_path . "/" . $pathFile)) {
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$newClaimRequest->files()->updateOrCreate([
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'type' => 'claim-result',
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'name' => $new_file_name,
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'original_name' => $full_path,
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'extension' => $ekstension,
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'source' => env('FILESYSTEM_DISK'),
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'path' => $pathFile,
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'created_by' => auth()->user()->id,
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'updated_by' => auth()->user()->id,
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]);
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}
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}
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}
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}
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if (isset($_FILES['file_diagnosa'])) {
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foreach ($_FILES['file_diagnosa']['error']["member_" .$member_id] as $key => $value) {
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if ($value == 0) {
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$new_file_name = "claim-diagnosis-" . time() . "-" . uniqid();
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$ekstension = "." . explode("/", $_FILES['file_diagnosa']['type']["member_" .$member_id][$key])[1];
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$pathFile = $folder . $new_file_name . $ekstension;
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$tmp_name = $_FILES['file_diagnosa']['tmp_name']["member_" .$member_id][$key];
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$full_path = $_FILES['file_diagnosa']['full_path']["member_" .$member_id][$key];
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if (move_uploaded_file($tmp_name, $storage_path . "/" . $pathFile)) {
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$newClaimRequest->files()->updateOrCreate([
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'type' => 'claim-diagnosis',
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'name' => $new_file_name,
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'original_name' => $full_path,
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'extension' => $ekstension,
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'source' => env('FILESYSTEM_DISK'),
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'path' => $pathFile,
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'created_by' => auth()->user()->id,
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'updated_by' => auth()->user()->id,
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]);
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}
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}
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}
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}
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if (isset($_FILES['file_kondisi'])) {
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foreach ($_FILES['file_kondisi']['error']["member_" .$member_id] as $key => $value) {
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if ($value == 0) {
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$new_file_name = "claim-kondisi-" . time() . "-" . uniqid();
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$ekstension = "." . explode("/", $_FILES['file_kondisi']['type']["member_" .$member_id][$key])[1];
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$pathFile = $folder . $new_file_name . $ekstension;
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$tmp_name = $_FILES['file_kondisi']['tmp_name']["member_" .$member_id][$key];
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$full_path = $_FILES['file_kondisi']['full_path']["member_" .$member_id][$key];
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if (move_uploaded_file($tmp_name, $storage_path . "/" . $pathFile)) {
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$newClaimRequest->files()->updateOrCreate([
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'type' => 'claim-kondisi',
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'name' => $new_file_name,
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'original_name' => $full_path,
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'extension' => $ekstension,
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'source' => env('FILESYSTEM_DISK'),
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'path' => $pathFile,
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'created_by' => auth()->user()->id,
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'updated_by' => auth()->user()->id,
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]);
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}
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}
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}
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}
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DB::commit();
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}
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catch (\Throwable $th) {
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DB::rollBack();
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return Helper::responseJson(status: 'failed', statusCode: 500, message: $th->getMessage());
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}
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}
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}
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return Helper::responseJson(status: 'success', statusCode: 201, message: 'Claim Request berhasil ajukan!', data: $request->toArray());
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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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$claimRequest = ClaimRequest::findOrFail($id);
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$claimRequest->load([
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'requestLog',
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'requestLog.organization',
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'requestLog.member',
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'member.currentPlan' => function($memberPlan) {
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$memberPlan->join('claim_requests', 'claim_requests.service_code', '=', 'plans.service_code');
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},
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'requestLog.files',
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]);
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return Helper::responseJson(data: ClaimRequestShowResource::make($claimRequest));
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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('internal::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, $id)
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{
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$claimRequest = ClaimRequest::findOrFail($id);
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$claimRequest->load([
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'histories' => function ($history) {
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$history->latest();
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},
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'files',
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'member',
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'claim',
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'organization',
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]);
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$updateClaimRequest = ClaimRequestService::updateClaimRequest(reason: $request->reason, submission_date: $request->date, claim_request_id: $id);
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ClaimRequested::dispatch($updateClaimRequest);
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// Log History
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$updateClaimRequest->histories()->create([
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'title' => 'Update Claim Requested',
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'description' => "Update Claim Requested for Member : {$claimRequest->member->member_id} - ({$claimRequest->member->full_name})",
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'type' => 'update',
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'system_origin' => 'prime-center'
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]);
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if ($request->hasFile('result_files')) {
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foreach ($request->result_files as $file) {
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$pathFile = File::storeFile('claim-result', $id, $file);
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$updateClaimRequest->files()->updateOrCreate([
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'type' => 'claim-result',
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'name' => File::getFileName('claim-result', $id, $file),
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'original_name' => $file->getClientOriginalName(),
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'extension' => $file->getClientOriginalExtension(),
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'source' => env('FILESYSTEM_DISK'),
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'path' => $pathFile,
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'created_by' => auth()->user()->id,
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'updated_by' => auth()->user()->id,
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]);
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}
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}
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if ($request->hasFile('diagnosa_files')) {
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foreach ($request->diagnosa_files as $file) {
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$pathFile = File::storeFile('claim-diagnosis', $id, $file);
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$updateClaimRequest->files()->updateOrCreate([
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'type' => 'claim-diagnosis',
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'name' => File::getFileName('claim-diagnosis', $id, $file),
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'original_name' => $file->getClientOriginalName(),
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'extension' => $file->getClientOriginalExtension(),
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'source' => env('FILESYSTEM_DISK'),
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'path' => $pathFile,
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'created_by' => auth()->user()->id,
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'updated_by' => auth()->user()->id,
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]);
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}
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}
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if ($request->hasFile('kondisi_files')) {
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foreach ($request->kondisi_files as $file) {
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$pathFile = File::storeFile('claim-kondisi', $id, $file);
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$updateClaimRequest->files()->updateOrCreate([
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'type' => 'claim-kondisi',
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'name' => File::getFileName('claim-kondisi', $id, $file),
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'original_name' => $file->getClientOriginalName(),
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'extension' => $file->getClientOriginalExtension(),
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'source' => env('FILESYSTEM_DISK'),
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'path' => $pathFile,
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'created_by' => auth()->user()->id,
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'updated_by' => auth()->user()->id,
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]);
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}
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}
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return response()->json([
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'error' => false,
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'message' => 'Update succses',
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'data' => $updateClaimRequest],
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200);
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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 approve($id)
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{
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$claimRequest = ClaimRequest::findOrFail($id);
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$member = $claimRequest->member;
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try {
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// Create New Claim
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$newClaim = ClaimService::storeClaim(member: $member, status: 'received', claimRequest: $claimRequest);
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// Update Claim Request Status & Link with Claim
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$claimRequest->status = 'approved';
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$claimRequest->claim_id = $newClaim->id;
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$claimRequest->save();
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// Store Generated Documents LOG
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$logContent = view('pdf.guaranted_leter', compact('member', 'claimRequest'));
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$claimRequest->generatedDocuments()->create([
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'type' => 'guarantee_letter',
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'title' => 'Guarantee Letter for '. $member->full_name,
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'document_type' => 'type',
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'html_content' => $logContent,
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'system_origin' => 'primecenter'
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]);
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// Claim Log
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DB::table('claim_logs')
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->insert([
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'claim_request_id' => $id,
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'status' => 'reviewed',
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'date' => date('Y-m-d H:i:s'),
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'description' => "Claim Requested Successfully Reviewed",
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'system_origin' => 'prime-center',
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'created_by' => auth()->user()->id,
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'created_at' => date('Y-m-d H:i:s'),
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'updated_at'=> date('Y-m-d H:i:s'),
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]);
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} catch (\Exception $e) {
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return $e->getMessage();
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}
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return $claimRequest;
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}
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public function filesMcu(Request $request)
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{
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$request->validate([
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'id' => 'required',
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'memberid' => 'required'
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]);
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if ($request->hasFile('result_files')) {
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$pathFile = File::storeFile('claim-result', $request->id, $request->result_files);
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$data = [
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'memberid' => $request->id,
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'original_name' => $request->result_files->getClientOriginalName(),
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'path' => $pathFile,
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'created_by' => auth()->user()->id,
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'updated_by' => auth()->user()->id
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];
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FilesMcu::create($data);
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return Helper::responseJson(data: $request->toArray(), message: 'Berhasil tambah file MemberID '.$request->memberid.', silahkan lihat dilaporan');
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}
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else
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{
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return Helper::responseJson(data: $request->toArray(), message: 'Tidak ada file member yang ditambahkan');
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}
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}
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public function importClaim(Request $request)
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{
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$request->validate([
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'file' => 'required|file|mimes:xls,xlsx,csv,txt',
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]);
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$file_name = now()->getPreciseTimestamp(3) . '-' . $request->file('file')->getClientOriginalName();
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$file = $request->file('file')->storeAs('temp', $file_name);
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$fileWrite = Storage::disk('public')->path('temp/result-' . $file_name);
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$fileRead = Storage::path('temp/' . $file_name);
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$import = new ImportService();
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$import->read($fileRead);
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$import->write($fileWrite, 'xsls');
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foreach ($import->sheetsIterator() as $sheetIndex => $sheet) {
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if ($sheetIndex == 1) { // Rename First Sheet to Writer
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$firstWriterSheet = $import->writer->getCurrentSheet();
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$firstWriterSheet->setName($sheet->getName());
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} else { // Add New Sheet to Writer
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$nextWriterSheet = $import->writer->addNewSheetAndMakeItCurrent();
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$nextWriterSheet->setName($sheet->getName());
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}
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$headers_map_to_table_fields = ClaimRequest::$doc_headers_to_field_map;
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// Write Header to File
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$result_headers = array_keys($headers_map_to_table_fields);
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$result_headers = array_merge($result_headers, ['Ingest Code', 'Ingest Note']);
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$import->addArrayToRow($result_headers);
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$imported_claim_data = 0;
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$failed_claim_data = [];
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$doc_headers_indexes = [];
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foreach ($sheet->getRowIterator() as $index => $row) {
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if ($index == 1) { // First Row Must be Header
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foreach ($row->getCells() as $index => $cell) {
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$title = $cell->getValue();
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$title = preg_replace("/\r|\n/", " ", $title);
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$title = preg_replace('/\xc2\xa0/', " ", $title);
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$title = rtrim($title);
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$title = ltrim($title);
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$doc_headers_indexes[$index] = $title;
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}
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// TODO Validate if First Row not Header
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} else { // Next Row Should be Data
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$row_data = [];
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foreach ($row->getCells() as $header_index => $cell) {
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if (isset($headers_map_to_table_fields[$doc_headers_indexes[$header_index]]))
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$row_data[$headers_map_to_table_fields[$doc_headers_indexes[$header_index]]] = $cell->getValue();
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}
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try { // Process the Row Data
|
|
$claimRequestService = new ClaimRequestService();
|
|
$claimRequestService->handleClaimRequestRow($row_data);
|
|
// Write Success Result to File
|
|
// $import->read($fileRead);
|
|
// $import->write($fileWrite, 'xsls');
|
|
$result_headers = array_merge($row_data, ['Ingest Code' =>200, 'Ingest Note' => 'Success']);
|
|
// Mengambil tanggal dari objek DateTime
|
|
$dateSubmission = Helper::dateParser($result_headers['date_submission']); // Format tanggal sesuai kebutuhan
|
|
// Mengubah nilai date_submission menjadi string tanggal
|
|
$result_headers['date_submission'] = $dateSubmission;
|
|
// dd($result_headers);
|
|
$import->addArrayToRow($result_headers, $sheet->getName());
|
|
$imported_claim_data++;
|
|
} catch (ImportRowException $e) {
|
|
// Write Data Validation Error to File
|
|
// $import->read($fileRead);
|
|
// $import->write($fileWrite, 'xsls');
|
|
$new_claim_data = $import->addArrayToRow(array_merge($row_data, [
|
|
'Ingest Code' => $e->getCode(),
|
|
'Ingest Note' => $e->getMessage(),
|
|
]), $sheet->getName());
|
|
|
|
$failed_claim_data[] = ['row_number' => $index, 'error' => $e->getMessage(),'data' => $new_claim_data];
|
|
}
|
|
// catch (\Exception $e) {
|
|
// // throw new \Exception($e);
|
|
// // Write Server Error to File
|
|
// // $import->read($fileRead);
|
|
// // $import->write($fileWrite, 'xsls');
|
|
// dd( $e->getMessage());
|
|
// $import->addArrayToRow(array_merge($row_data, [
|
|
// 'Ingest Code' => 500,
|
|
// 'Ingest Note' => env('APP_DEBUG') ? $e->getMessage() : 'Server Error',
|
|
// ]), $sheet->getName());
|
|
// }
|
|
}
|
|
}
|
|
}
|
|
$import->reader->close();
|
|
Storage::delete('temp/' . $file_name);
|
|
$import->writer->close();
|
|
return [
|
|
|
|
'result_file' => [
|
|
'url' => Storage::disk('public')->url('temp/result-' . $file_name),
|
|
'name' => 'result-' . $file_name,
|
|
'total_success_row' => $imported_claim_data,
|
|
'total_failed_row' => count($failed_claim_data),
|
|
'failed_row' => $failed_claim_data,
|
|
]
|
|
];
|
|
}
|
|
|
|
public function claimRequestDetail($claimRequestId)
|
|
{
|
|
$claimRequest = ClaimRequest::findOrFail($claimRequestId);
|
|
$claimRequest->load([
|
|
'requestLog',
|
|
'requestLog.organization',
|
|
'requestLog.member',
|
|
'member.currentPlan' => function($memberPlan) {
|
|
$memberPlan->join('claim_requests', 'claim_requests.service_code', '=', 'plans.service_code');
|
|
},
|
|
'requestLog.files',
|
|
]);
|
|
|
|
return Helper::responseJson(data: ClaimRequestShowResource::make($claimRequest));
|
|
}
|
|
|
|
public function invoiceFiles(Request $request, $claim_id)
|
|
{
|
|
if ($request->hasFile('invoice_files')) {
|
|
foreach ($request->invoice_files as $file) {
|
|
$pathFile = File::storeFile('claim-invoice', $claim_id, $file);
|
|
File::updateOrCreate([
|
|
'fileable_type'=>'App\Models\ClaimRequest',
|
|
'fileable_id' => $claim_id,
|
|
'type' => 'claim-invoice',
|
|
'name' => File::getFileName('claim-invoice', $claim_id, $file),
|
|
'original_name' => $file->getClientOriginalName(),
|
|
'extension' => $file->getClientOriginalExtension(),
|
|
'path' => $pathFile,
|
|
'created_by' => auth()->user()->id,
|
|
'updated_by' => auth()->user()->id,
|
|
]);
|
|
}
|
|
}
|
|
if($request->date)
|
|
{
|
|
DB::table('claim_requests')
|
|
->where('id', $claim_id)
|
|
->update(['invoice_date' => $request->date]);
|
|
|
|
}
|
|
return Helper::responseJson(data: $request->toArray(), message: 'Invoice Success Uploaded');
|
|
}
|
|
|
|
/**
|
|
* Get Claim Member - Infinite Scroll
|
|
*
|
|
* Bagaskoro, BSD 31 Oktober 2023
|
|
*/
|
|
public function getClaimMemberInfiniteScroll(Request $request)
|
|
{
|
|
$offset = 0;
|
|
$limit = 10;
|
|
$page = $request->get('page');
|
|
$keyword = $request->get('keyword');
|
|
|
|
if ($page > 1) {
|
|
$offset = ($page*$limit)-$limit;
|
|
}
|
|
|
|
$memberList = DB::table('members')
|
|
->select('id','member_id','name')
|
|
->where("name", "like", "%$keyword%")
|
|
->orWhere("member_id", "like", "%$keyword%")
|
|
->orderBy('created_at', 'asc')
|
|
->offset($offset)
|
|
->limit($limit)
|
|
->get();
|
|
|
|
$data = [];
|
|
if(count($memberList)>0){
|
|
$temp = [];
|
|
foreach($memberList as $d){
|
|
$serviceType = $this->getServiceMember($d->id);
|
|
$temp['id'] = $d->id;
|
|
$temp['member_id'] = $d->member_id;
|
|
$temp['name'] = $d->name;
|
|
$temp['service_type'] = $serviceType;
|
|
|
|
|
|
array_push($data, $temp);
|
|
}
|
|
|
|
}
|
|
return response()->json([
|
|
'error' => false,
|
|
'message' => "success",
|
|
'data' => [
|
|
'member_list'=> $data,
|
|
]
|
|
],200);
|
|
}
|
|
|
|
public function getServiceMember($id){
|
|
$service = DB::table('member_plans')
|
|
->select('plans.service_code as code', 'services.name')
|
|
->join('plans', 'member_plans.plan_id', '=', 'plans.id')
|
|
->join('services', 'plans.service_code', '=', 'services.code')
|
|
->where('member_id', $id)
|
|
->get()
|
|
->toArray();
|
|
return $service;
|
|
}
|
|
|
|
public static function getNextCode()
|
|
{
|
|
$last_numeric_code = ClaimRequest::select(DB::raw('MAX(CAST(SUBSTRING_INDEX(code, "-", -1) AS SIGNED)) as max_numeric_code'))
|
|
->whereRaw('SUBSTRING_INDEX(code, "-", -1) REGEXP "^[0-9]+$"')
|
|
->value('max_numeric_code');
|
|
// $next_number = 1;
|
|
if ($last_numeric_code) {
|
|
// // Jika ada kode sebelumnya, pecah kode dan tambahkan 1 ke angka terakhir
|
|
// $parts = explode('-', $last_code);
|
|
// $last_number = (int) end($parts);
|
|
$next_number = $last_numeric_code + 1;
|
|
}
|
|
|
|
return self::makeCode($next_number);
|
|
}
|
|
|
|
|
|
public static function makeCode($next_number)
|
|
{
|
|
// Pastikan $next_number adalah integer positif
|
|
$next_number = max(1, (int) $next_number);
|
|
$requestLogData = RequestLog::where('id', $request_log_id)->first();
|
|
$organization = Organization::where(['id' => $requestLogData->organization_id, 'type' => 'hospital'])->first('code');
|
|
$provideCode = $organization ? $organization->code : '';
|
|
$member = Member::with('currentCorporate')->where(['id' => $requestLogData->member_id])->first();
|
|
$sparator = '.';
|
|
$date = date('ymd');
|
|
// Menghasilkan kode dengan format yang diinginkan
|
|
return self::$code_prefix . $sparator. 'H' . $sparator. $provideCode . $sparator. $date. $sparator . $member->currentPolicy->code . $sparator. $member->member_id . $sparator. str_pad($next_number, 6, '0', STR_PAD_LEFT);
|
|
|
|
}
|
|
|
|
public function requestFiles(Request $request, $claim_id)
|
|
{
|
|
|
|
if ($request->hasFile('fileDiagnosis')) {
|
|
foreach ($request->fileDiagnosis as $file) {
|
|
$pathFile = File::storeFile('claim-diagnosis', $claim_id, $file);
|
|
File::updateOrCreate([
|
|
'fileable_type'=>'App\Models\ClaimRequest',
|
|
'fileable_id' => $claim_id,
|
|
'type' => 'claim-diagnosis',
|
|
'name' => File::getFileName('claim-diagnosis', $claim_id, $file),
|
|
'original_name' => $file->getClientOriginalName(),
|
|
'extension' => $file->getClientOriginalExtension(),
|
|
'path' => $pathFile,
|
|
'created_by' => auth()->user()->id,
|
|
'updated_by' => auth()->user()->id,
|
|
]);
|
|
}
|
|
}
|
|
|
|
if ($request->hasFile('fileKondisis')) {
|
|
foreach ($request->fileKondisis as $file) {
|
|
$pathFile = File::storeFile('claim-kondisi', $claim_id, $file);
|
|
File::updateOrCreate([
|
|
'fileable_type'=>'App\Models\ClaimRequest',
|
|
'fileable_id' => $claim_id,
|
|
'type' => 'claim-kondisi',
|
|
'name' => File::getFileName('claim-kondisi', $claim_id, $file),
|
|
'original_name' => $file->getClientOriginalName(),
|
|
'extension' => $file->getClientOriginalExtension(),
|
|
'path' => $pathFile,
|
|
'created_by' => auth()->user()->id,
|
|
'updated_by' => auth()->user()->id,
|
|
]);
|
|
}
|
|
}
|
|
|
|
if ($request->hasFile('fileResults')) {
|
|
foreach ($request->fileResults as $file) {
|
|
$pathFile = File::storeFile('claim-result', $claim_id, $file);
|
|
File::updateOrCreate([
|
|
'fileable_type'=>'App\Models\ClaimRequest',
|
|
'fileable_id' => $claim_id,
|
|
'type' => 'claim-result',
|
|
'name' => File::getFileName('claim-result', $claim_id, $file),
|
|
'original_name' => $file->getClientOriginalName(),
|
|
'extension' => $file->getClientOriginalExtension(),
|
|
'path' => $pathFile,
|
|
'created_by' => auth()->user()->id,
|
|
'updated_by' => auth()->user()->id,
|
|
]);
|
|
}
|
|
}
|
|
|
|
return Helper::responseJson(data: $request->toArray(), message: 'Invoice Success Uploaded');
|
|
}
|
|
|
|
public function exportClaimRequest(Request $request)
|
|
{
|
|
$claimRequests = ClaimRequest::query()
|
|
->when($request->search, function ($q, $search) {
|
|
$q->where('code', 'LIKE', "%".$search."%");
|
|
$q->orWhereHas('member', function ($subQuery) use ($search) {
|
|
$subQuery->where('name', 'LIKE', "%".$search."%");
|
|
});
|
|
})
|
|
->when($request->start_date, function ($q, $startDate) {
|
|
$q->where('submission_date', '>', Carbon::parse($startDate)->subDay());
|
|
})
|
|
->when($request->end_date, function ($q, $endDate) use ($request) {
|
|
// Jika tanggal akhir diberikan dan tidak sama dengan tanggal mulai
|
|
if ($request->start_date != $request->end_date) {
|
|
$q->where('submission_date', '<', Carbon::parse($endDate)->addDay());
|
|
} else {
|
|
$q->where('submission_date', '<=', Carbon::parse($endDate));
|
|
}
|
|
})
|
|
->when($request->service_code, function ($q, $serviceCode) {
|
|
$q->whereIn('service_code', $serviceCode);
|
|
})
|
|
->when($request->orderBy, function ($q, $orderBy) use ($request) {
|
|
if (in_array($orderBy, ['submission_date', 'code'])) {
|
|
$q->orderBy($orderBy, $request->order);
|
|
}
|
|
})
|
|
->when(empty($request->orderBy), function ($q) {
|
|
$q->orderBy('created_at', 'desc');
|
|
})
|
|
->when($request->status, function($q, $status) {
|
|
$q->where('status', $status);
|
|
})
|
|
->with(['member', 'member.currentCorporate', 'files', 'service', 'member.currentPolicy', 'requestLog', 'requestLog.organization',])
|
|
->addSelect([
|
|
'tot_billing' => function ($query) {
|
|
$query->select(DB::raw('SUM(request_log_benefits.amount_approved)'))
|
|
->from('request_log_benefits')
|
|
->whereColumn('request_log_benefits.request_log_id', 'claim_requests.request_log_id')
|
|
->limit(1);
|
|
}
|
|
])
|
|
->get();
|
|
$writer = WriterEntityFactory::createXLSXWriter();
|
|
$writer->openToFile(public_path('files/Report-Data-Claim-Request.xlsx'));
|
|
$header = [
|
|
'No',
|
|
'Code Claim',
|
|
'Date Claim Submission',
|
|
'Code LOG',
|
|
'Date Submission',
|
|
'Date Admission',
|
|
'Date Discharge',
|
|
'Provider',
|
|
'Member ID (BN)',
|
|
'Member Name',
|
|
'Member Name Principal',
|
|
'Plan Code',
|
|
'Payor ID',
|
|
'Corporate name',
|
|
'Policy Number',
|
|
'Total Billing',
|
|
'Benefit Code',
|
|
'Benefit Desc',
|
|
'Amt Incurred',
|
|
'Amt Approved',
|
|
'Amt Not Approved',
|
|
'Excess Paid',
|
|
// 'Reason',
|
|
'Diagnosis',
|
|
'Keterangan',
|
|
'Catatan',
|
|
'Status',
|
|
'QC'
|
|
];
|
|
$style = (new StyleBuilder())
|
|
->setFontBold()
|
|
// ->setFontSize(15)
|
|
// ->setFontColor(Color::BLUE)
|
|
// ->setShouldWrapText()
|
|
->setCellAlignment(CellAlignment::LEFT)
|
|
// ->setBackgroundColor(Color::YELLOW)
|
|
->build();
|
|
|
|
$headerRow = WriterEntityFactory::createRowFromArray($header, $style);
|
|
$writer->addRow($headerRow);
|
|
|
|
$results = $claimRequests;
|
|
$no=0;
|
|
$gr_total = 0;
|
|
$rowData=[];
|
|
foreach($results as $item)
|
|
{
|
|
// $gr_total += $item->tot_bill;
|
|
// $requestLogData = RequestLogBenefit::selectRaw('*,
|
|
// (SELECT code FROM benefits WHERE benefits.id = request_log_benefits.benefit_id) AS benefit_code,
|
|
// (SELECT description FROM benefits WHERE benefits.id = request_log_benefits.benefit_id) AS benefit_description,
|
|
// sum(amount_incurred) AS total_incurred'
|
|
// )
|
|
// ->where(['request_log_id' => $item->request_log_id, 'deleted_at' => null])
|
|
// ->get()->toArray();
|
|
|
|
//Data Benefit
|
|
$requestLogData = DB::table('request_log_benefits')
|
|
->where('request_log_benefits.request_log_id', '=', $item->request_log_id)
|
|
->select(
|
|
'*',
|
|
// DB::raw('SUM(request_log_benefits.amount_incurred) AS total_incurred'),
|
|
|
|
DB::raw('
|
|
(Select benefits.description FROM benefits
|
|
WHERE benefits.id = request_log_benefits.benefit_id LIMIT 1) AS benefit_description
|
|
'),
|
|
DB::raw('
|
|
(Select benefits.code FROM benefits
|
|
WHERE benefits.id = request_log_benefits.benefit_id LIMIT 1) AS benefit_code
|
|
')
|
|
)
|
|
->get();
|
|
if ($item->member){
|
|
$member = Member::where('member_id', $item->member->principal_id)->first();
|
|
if ($member){
|
|
$memberPrincipal = $member->name;
|
|
} else {
|
|
$memberPrincipal = '-';
|
|
}
|
|
$memberPlan = MemberPlan::where('member_id', $item->member->id)->get('plan_id')->toArray();
|
|
$plan= Plan::whereIn('id', $memberPlan)->where('service_code', $item->requestLog->service_code)->first();
|
|
if ($plan){
|
|
$planCode = $plan->code;
|
|
} else {
|
|
$planCode = '-';
|
|
}
|
|
if ($item->member->currentCorporate->id == $item->requestLog->organization->corporate_id_partner){
|
|
$payor = $item->member->currentCorporate->name;
|
|
} else {
|
|
$payor = 'LinkSehat';
|
|
}
|
|
} else {
|
|
$memberPrincipal = '-';
|
|
$planCode = '-';
|
|
$payor = '-';
|
|
}
|
|
|
|
if (!$requestLogData->isEmpty()){
|
|
foreach($requestLogData as $key => $data){
|
|
$no++;
|
|
if ($key == 0){
|
|
$gr_total += $item->tot_billing;
|
|
}
|
|
$rowItem = [
|
|
$no,
|
|
$item->code,
|
|
$item->submission_date ? $item->submission_date : '',
|
|
$item->requestLog ? $item->requestLog->code : '-',
|
|
$item->requestLog ? Helper::dateParser($item->requestLog->created_at) : '-', // submission = created_at
|
|
$item->requestLog ? $item->requestLog->submission_date : '-',
|
|
$item->requestLog ? $item->requestLog->discharge_date : '-',
|
|
$item->requestLog ? $item->requestLog->organization->name : '-',
|
|
$item->member ? $item->member->member_id : '-',
|
|
$item->member ? $item->member->name : '-',
|
|
$memberPrincipal,
|
|
$key == 0 ? $planCode : '',
|
|
$payor,
|
|
$item->member ? $item->member->currentCorporate->name : '-',
|
|
$item->member ? $item->member->currentPolicy->code : '-',
|
|
$key == 0 ? $item->tot_billing : '',
|
|
$data->benefit_code,
|
|
$data->benefit_description,
|
|
$data->amount_incurred ? $data->amount_incurred : '' ,
|
|
$data->amount_approved ? $data->amount_approved : '',
|
|
$data->amount_not_approved ? $data->amount_not_approved : '',
|
|
$data->excess_paid ? $data->excess_paid : '',
|
|
// $data->reason ? $data->reason : '',
|
|
$item->requestLog ? $item->requestLog->diagnosis : '-',
|
|
$item->requestLog ? $item->requestLog->keterangan : '-',
|
|
$item->requestLog ? $item->requestLog->catatan : '-',
|
|
$item->status ? $item->status : '-'
|
|
];
|
|
array_push($rowData,$rowItem);
|
|
}
|
|
} else {
|
|
$no++;
|
|
if ($item->member){
|
|
$member = Member::where('member_id', $item->member->principal_id)->first();
|
|
$memberPrincipal = $member->name;
|
|
$memberPlan = MemberPlan::where('member_id', $item->member->id)->get('plan_id')->toArray();
|
|
$plan= Plan::whereIn('id', $memberPlan)->where('service_code', $item->requestLog->service_code)->first();
|
|
$planCode = $plan->code;
|
|
if ($item->member->currentCorporate->id == $item->requestLog->organization->corporate_id_partner){
|
|
$payor = $item->member->currentCorporate->name;
|
|
} else {
|
|
$payor = 'LinkSehat';
|
|
}
|
|
} else {
|
|
$memberPrincipal = '-';
|
|
$planCode = '-';
|
|
$payor = '-';
|
|
}
|
|
$rowItem = [
|
|
$no,
|
|
$item->code,
|
|
$item->submission_date ? Helper::dateParser($item->submission_date) : '',
|
|
$item->requestLog ? $item->requestLog->code : '-',
|
|
$item->requestLog ? Helper::dateParser($item->requestLog->created_at) : '-', // submission = created_at
|
|
$item->requestLog ? $item->requestLog->submission_date : '-',
|
|
$item->requestLog ? $item->requestLog->discharge_date : '-',
|
|
$item->requestLog ? $item->requestLog->organization->name : '-',
|
|
$item->member ? $item->member->member_id : '-',
|
|
$item->member ? $item->member->name : '-',
|
|
$memberPrincipal,
|
|
$planCode,
|
|
$payor,
|
|
$item->member ? $item->member->currentCorporate->name : '-',
|
|
$item->member ? $item->member->currentPolicy->code : '-',
|
|
'',
|
|
'',
|
|
'',
|
|
'',
|
|
'',
|
|
'',
|
|
'',
|
|
// '',
|
|
$item->requestLog ? $item->requestLog->diagnosis : '-',
|
|
$item->requestLog ? $item->requestLog->keterangan : '-',
|
|
$item->requestLog ? $item->requestLog->catatan : '-',
|
|
$item->status ? $item->status : '-'
|
|
];
|
|
array_push($rowData,$rowItem);
|
|
}
|
|
|
|
}
|
|
$style = (new StyleBuilder())
|
|
//->setFontBold()
|
|
// ->setFontSize(15)
|
|
// ->setFontColor(Color::BLUE)
|
|
// ->setShouldWrapText()
|
|
->setCellAlignment(CellAlignment::LEFT)
|
|
// ->setBackgroundColor(Color::YELLOW)
|
|
->build();
|
|
foreach ($rowData as $rowItem) {
|
|
// if (is_numeric($rowItem[13])) {
|
|
// // Jumlahkan nilai angka ke total
|
|
// $grand_total_billing += $rowItem[13];
|
|
// }
|
|
$row = WriterEntityFactory::createRowFromArray($rowItem, $style);
|
|
$writer->addRow($row);
|
|
}
|
|
|
|
//Footer
|
|
$footer = [
|
|
'Total',
|
|
'',
|
|
'',
|
|
'',
|
|
'',
|
|
'',
|
|
'',
|
|
'',
|
|
'',
|
|
'',
|
|
'',
|
|
'',
|
|
'',
|
|
'',
|
|
'',
|
|
$gr_total,
|
|
'',
|
|
'',
|
|
'',
|
|
'',
|
|
'',
|
|
'',
|
|
''
|
|
];
|
|
$style = (new StyleBuilder())
|
|
->setFontBold()
|
|
// ->setFontSize(15)
|
|
// ->setFontColor(Color::BLUE)
|
|
// ->setShouldWrapText()
|
|
->setCellAlignment(CellAlignment::LEFT)
|
|
// ->setBackgroundColor(Color::YELLOW)
|
|
->build();
|
|
$grand_total_billing = 0;
|
|
$footerRow = WriterEntityFactory::createRowFromArray($footer, $style);
|
|
$writer->addRow($footerRow);
|
|
|
|
$writer->close();
|
|
return Helper::responseJson([
|
|
'file_name' => 'Report-Data-Claim-Request',
|
|
"file_url" => url('files/Report-Data-Claim-Request.xlsx')
|
|
]);
|
|
}
|
|
|
|
public function submition($id){
|
|
$claimRequest = ClaimRequest::findOrFail($id);
|
|
$claimRequest->status = 'submission';
|
|
$claimRequest->claim_management = 1;
|
|
$claimRequest->status_claim_management = 'received';
|
|
$claimRequest->submission_date_claim_management = date('Y-m-d H:i:s');
|
|
$claimRequest->submission_by_claim_management = auth()->user()->id;
|
|
|
|
$claimRequest->save();
|
|
|
|
return response()->json([
|
|
'error' => false,
|
|
'message' => 'Update succses',
|
|
'data' => $claimRequest],
|
|
200);
|
|
|
|
}
|
|
}
|