Files
aso/app/Models/ClaimRequest.php
2024-02-27 10:47:25 +07:00

239 lines
6.6 KiB
PHP

<?php
namespace App\Models;
use App\Events\ClaimReceived;
use App\Events\ClaimRequested;
use App\Traits\Blameable;
use Illuminate\Database\Eloquent\Factories\HasFactory;
use Illuminate\Database\Eloquent\Model;
use Illuminate\Database\Eloquent\SoftDeletes;
use Altek\Accountant\Contracts\Recordable;
use Str;
class ClaimRequest extends Model
{
use HasFactory, SoftDeletes, Blameable;
// protected static $code_prefix_hospital = 'CRQ-H';
// protected static $code_prefix_client = 'CRQ-R';
public $fillable = [
'uuid',
'submission_date',
'member_id',
'payment_type',
'service_code',
'policy_id',
'status',
// New field for claim management
'claim_management',
'status_claim_management',
'submission_date_claim_management',
'submission_by_claim_management',
'approval_date_claim_management',
'approval_by_claim_management',
'reason_decline',
//
'claim_id',
'organization_id',
'code',
'request_log_id',
'reason'
];
protected $hidden = [
// 'created_at',
'updated_at',
'deleted_at',
'created_by',
'updated_by',
'deleted_by',
];
public static $doc_headers_to_field_map = [
"Code" => "code",
"Date Submission" => "date_submission",
"Total Billing" => "total_billing",
"Benefit Code" => "benefit_code",
"Amt Incurred" => "amount_incurred",
"Amt Approved" => "amount_apporve",
"Amt Not Approved" => "amount_not_apporve",
"Excess Paid" => "excess_paid",
"QC" => "qc",
];
public static $listing_doc_headers = [
"Code",
"Date Submission",
"Total Billing",
"Benefit Code",
"Amt Incurred",
"Amt Approved",
"Amt Not Approved",
"Excess Paid",
"QC",
];
public static $status = [
'draft' => 'Draft',
'requested' => 'Requested',
'approved' => 'Approved',
'declined' => 'Declined'
];
public static $payment_types = [
'cashless' => 'Cashless',
'reimbursement' => 'Reimbursement'
];
public $appends = [
'payment_type_name'
];
protected static function boot()
{
parent::boot();
static::creating(function ($model) {
try {
$model->uuid = (string) Str::orderedUuid(); // generate uuid
// $model->code = self::getNextCode();
} catch (\Exception $e) {
abort(500, $e->getMessage());
}
});
static::created(function ($model) {
// try {
// if (!empty($model->status) && $model->status == 'requested') {
// $model->histories()->create([
// 'title' => 'New Claim Requested',
// 'description' => "Claim Requested for Member : {$model->member->member_id} - ({$model->member->full_name})",
// 'type' => 'info'
// ]);
// }
// } catch (\Exception $e) {
// abort(500, $e->getMessage());
// }
});
static::updated(function ($model) {
if ($model->hasChanges(['status'])) {
// if ($model->status == 'requested') {
// $model->histories()->create([
// 'title' => 'New Claim Requested',
// 'description' => "Claim Requested for Member : {$model->member->member_id} - ({$model->member->full_name})",
// 'type' => 'info'
// ]);
// }
// if ($model->status == 'received') {
// ClaimReceived::dispatch($model);
// }
// if ($model->status == 'approved') {
// ClaimApproved::dispatch($model);
// }
// if ($model->status == 'postpone') {
// ClaimPostpone::dispatch($model);
// }
// if ($model->status == 'paid') {
// ClaimPaid::dispatch($model);
// }
// if ($model->status == 'declined') {
// ClaimDeclined::dispatch($model);
// }
}
});
}
// public static function getNextCode()
// {
// $last_number = self::withTrashed()->max('code');
// $next_number = empty($last_number) ? 1 : ((int) explode('-', $last_number)[1] + 1);
// return self::makeCode($next_number);
// }
// public static function makeCode($next_number)
// {
// return (string) self::$code_prefix .'-'. str_pad($next_number, 5, 0, STR_PAD_LEFT);
// }
public function claim()
{
return $this->belongsTo(Claim::class, 'claim_id');
}
public function claims()
{
return $this->hasMany(Claim::class, 'claim_request_id');
}
public function requestLog()
{
return $this->hasOne(RequestLog::class, 'id', 'request_log_id');
}
public function files()
{
return $this->morphMany(File::class, 'fileable');
}
public function claimResults()
{
return $this->files()->where('type', 'claim-result')->whereNull('deleted_at');
}
public function claimConditions()
{
return $this->files()->where('type', 'claim-kondisi')->whereNull('deleted_at');
}
public function claimDiagnosis()
{
return $this->files()->where('type', 'claim-diagnosis')->whereNull('deleted_at');
}
public function generatedDocuments()
{
return $this->morphMany(GeneratedDocument::class, 'generated_documentable');
}
public function histories()
{
return $this->morphMany(ClaimHistory::class, 'historiable');
}
public function organization()
{
return $this->belongsTo(Organization::class, 'organization_id');
}
public function member()
{
return $this->belongsTo(Member::class, 'member_id', 'id');
}
public function service()
{
return $this->belongsTo(Service::class, 'service_code', 'code');
}
public function getPaymentTypeNameAttribute()
{
return self::$payment_types[$this->payment_type] ?? $this->payment_type;
}
public function getStatusAttribute($value)
{
return self::$payment_types[$value] ?? $value;
}
}