From 0d636aff709b231e11f176f3af558d7ff29ee865 Mon Sep 17 00:00:00 2001
From: Gowtham M <gowtham.m@venbainfotech.com>
Date: Mon, 23 Feb 2026 14:20:33 +0530
Subject: [PATCH] claim type mapped to all TPA claim push : GWM

---
 app/Controllers/FhplApiController.php        |  2 +-
 app/Controllers/HealthIndiaApiController.php | 25 ++++++++++++--------
 app/Controllers/VidalApiController.php       | 23 ++++++++++++++----
 3 files changed, 34 insertions(+), 16 deletions(-)

diff --git a/app/Controllers/FhplApiController.php b/app/Controllers/FhplApiController.php
index 83786a81..861b0fdc 100644
--- a/app/Controllers/FhplApiController.php
+++ b/app/Controllers/FhplApiController.php
@@ -753,7 +753,7 @@ class FhplApiController extends BaseController
             $response = call_third_party_api($url,'POST',$headers,$body);
 
             if(!empty($response['data'])){
-                log_message('error', 'FHPL - Sync TPA Claims | Exception thrown while calling GetTPA_ClaimsDetails API: ' . json_encode($errorData));
+                log_message('error', 'FHPL - Sync TPA Claims | Exception thrown while calling GetTPA_ClaimsDetails API: ' . json_encode($response));
                 $finalResult = array_merge($finalResult,$response['data']);
             }
         }
diff --git a/app/Controllers/HealthIndiaApiController.php b/app/Controllers/HealthIndiaApiController.php
index 8a27eff1..b14a1e3c 100644
--- a/app/Controllers/HealthIndiaApiController.php
+++ b/app/Controllers/HealthIndiaApiController.php
@@ -3,6 +3,7 @@
 namespace App\Controllers;
 
 use App\Controllers\BaseController;
+use App\Controllers\TicketController;
 use App\Models\BatchFileModel;
 use App\Models\EmployeePolicyModel;
 use App\Models\TpaApiDataModel;
@@ -18,11 +19,15 @@ class HealthIndiaApiController extends BaseController
     use ResponseTrait;
     protected $db;
     protected $healthIndiaTpaId;
+    protected $claim_type_array;
 
     public function __construct()
     {
         $this->db = \Config\Database::connect();
         $this->healthIndiaTpaId = getenv('HEALTH_INDIA_PRIMARY_KEY_CONSTANT');
+
+        $this->ticketController = new TicketController();
+        $this->claim_type_array = $this->ticketController->claimType;
     }
 
     public function generateAuthToken()
@@ -147,25 +152,25 @@ class HealthIndiaApiController extends BaseController
         $token = $tokenResponse['data']['result'][0]['access_token'];
 
         // Map claim type: Reimbursement or Cashless
-        $claimTypeMap = [
-            'reimbursement' => 'Reimbursement',
-            'cashless' => 'Cashless',
-        ];
-        $mappedClaimType = $claimTypeMap[strtolower($data['claimType'] ?? 'reimbursement')] ?? 'Reimbursement';
 
-        // Map benefit type: IPD or OPD
+        // Map claim_type to benefit type (IPD / OPD)
+        $claimTypeValue = $this->claim_type_array[1][$data['claim_type'] ?? null] ?? null;
+
         $benefitTypeMap = [
-            'ipd' => 'IPD',
-            'opd' => 'OPD',
+            'Main Hospitalization' => 'IPD',
+            'Pre / Post'           => 'IPD',
+            'ReOpen'               => 'IPD',
+            'OPD'                  => 'OPD',
         ];
-        $mappedBenefitType = $benefitTypeMap[strtolower($data['benefitType'] ?? 'ipd')] ?? 'IPD';
+
+        $mappedBenefitType = $benefitTypeMap[$claimTypeValue] ?? 'IPD';
 
         // Build Health India Claim Submission Request (API Section 5)
         $body = [
             "policY_NUMBER"         => $data['policyNumber'],
             "employeE_CODE"         => $data['employeeCode'],
             "membeR_ID"             => $data['memberId'],
-            "claiM_TYPE"            => $mappedClaimType,
+            "claiM_TYPE"            => 'Reimbursement',
             "benefiT_TYPE"          => $mappedBenefitType,
             "claimeD_AMOUNT"        => (string) $data['claimedAmount'],
             "datE_OF_ADMISSION"     => date('Y-m-d', strtotime($data['admissionDate'])),
diff --git a/app/Controllers/VidalApiController.php b/app/Controllers/VidalApiController.php
index dfa1635c..75525cd0 100644
--- a/app/Controllers/VidalApiController.php
+++ b/app/Controllers/VidalApiController.php
@@ -23,7 +23,8 @@ class VidalApiController extends BaseController
         $this->db = \Config\Database::connect();
         $this->vidal_primary_key = getenv('VIDAL_PRIMARY_KEY_CONSTANT');
 
-        $this->claim_type_array = new TicketController();
+        $this->ticketController = new TicketController();
+        $this->claim_type_array = $this->ticketController->claimType;
     }
 
     
@@ -121,8 +122,6 @@ class VidalApiController extends BaseController
 
     public function  SubmitClaim ($claimId = null) //515
     {
-
-    // dd($claim_type_array = $this->ticketController->claimType);
         helper('api');
 
         // Fetch the data from DB
@@ -194,11 +193,25 @@ class VidalApiController extends BaseController
             'Ocp-Apim-Subscription-Key:'    .getenv('VIDAL_API_SUBSCRIPTION_KEY').'',       
         ];
 
+        $typeOfClaim = "Main hospitalization claim";
+        $allowedSubTypes = [
+            'Hospitalization',
+            'OPD',
+            'Health check-up',
+            'Dental benefit',
+            'Day care',
+            'Domiciliary'
+        ];
+        $mappedSubType = $this->claim_type_array[1][$data['claim_type'] ?? null] ?? null;
+        $claimSubType = in_array($mappedSubType, $allowedSubTypes, true)
+            ? $mappedSubType
+            : 'Hospitalization'; // safe default
+
          $body = [
             'policyNo'          => $data['policyNo'],
             'dependentUniqueId' => $data['dependentUniqueId'],
-            'typeOfClaim'       => "Main hospitalization claim",
-            'claimSubType'      => null, // "OPD",
+            'typeOfClaim'       => $typeOfClaim,
+            'claimSubType'      => $claimSubType,
             'requestedAmount'   => $data['requestedAmount'],
             'ailmentType'       => "Non covid",
             'admissionDate'     => change_date_format($data['admissionDate'], 'Y-m-d', 'd-m-Y'),