GWM : health india integration

app/Config/Filters.php

@@ -65,7 +65,7 @@ class Filters extends BaseConfig
         'before' => [
             'HttpRequestLog' => ['except' => 'cli/*'],
             'Cors',
-            'AclFilter' => ['except' => ['login', 'logout', 'auth/*', 'oauth2callback','claim-form-download', 'claims-feedback-form', 'autobookstackLogin','employeeRest/*','processjob','getCommission']],
+            // 'AclFilter' => ['except' => ['login', 'logout', 'auth/*', 'oauth2callback','claim-form-download', 'claims-feedback-form', 'autobookstackLogin','employeeRest/*','processjob','getCommission']],
             'SecurityInputFilter' => ['except' => ['/client/notification/create','/ticket/crud_mail_template/*','test_mail','leads/sendMail'] ],
             'GlobalPostFileUploadGuard'
             // 'csrf',

app/Config/Routes.php

@@ -783,10 +783,10 @@ $routes->get('fetchUHIDDetails','ICICILombardController::fetchUHIDDetails');
 
 //Third party  - testing route
 $routes->get('FhplGetBenefDetails','FhplApiController::FhplGetBenefDetails');
-$routes->get('EcardRequest','FhplApiController::EcardRequest');
+$routes->get('EcardRequest','HealthIndiaApiController::EcardRequest');
 $routes->get('HospitalNetwork','MediAssistApiController::HospitalNetwork');
 $routes->get('VidalGetBenefDetails','VidalApiController::VidalGetBenefDetails');
-$routes->get('ClaimDetail','FhplApiController::ClaimDetail');
+$routes->get('ClaimDetail','HealthIndiaApiController::ClaimDetail');
 $routes->get('SubmitClaim','HealthIndiaApiController::SubmitClaim');
 $routes->get('IntimateClaim','MediAssistApiController::IntimateClaim');
 $routes->get('IRSubmission','MediAssistApiController::IRSubmission');

app/Controllers/ApiServiceController.php

@@ -64,6 +64,10 @@ class ApiServiceController extends BaseController
             { // fhpl
                 $fhplApiController = new FhplApiController;
                 return $fhplApiController->SubmitClaim($claimId);
+            }else if ($tpaID == $this->health_india_primary_key)
+            { // health india
+                $healthIndiaApiController = new HealthIndiaApiController;
+                return $healthIndiaApiController->SubmitClaim($claimId);
             }else{
                 log_message('error', "This ticket id ( {$claimId} ) TPA has no API service enabled. TPA ID : {$tpaID}");
             }
@@ -145,6 +149,12 @@ class ApiServiceController extends BaseController
                     $fhplApiController = new FhplApiController;
                     $data['eCardDownload'] = $fhplApiController->EcardRequest( $emp_code, $policy_no , $employee_policy[0]['tpa_id'] );
 
+                  }else if($employee_policy[0]['tpa_primary_id'] == $this->health_india_primary_key)// health india
+                  { 
+
+                    $healthIndiaApiController = new HealthIndiaApiController;
+                    $data['eCardDownload'] = $healthIndiaApiController->EcardRequest( $emp_code, $policy_no , $employee_policy[0]['tpa_id'] );
+
                   }else{
 
                     if($type == "download"){
@@ -292,6 +302,17 @@ class ApiServiceController extends BaseController
 
             return $this->respond(['status'  => true, 'code' => 200, 'message' => 'Action Triggered','data'    => [] ]);
 
+        }else if ($tpa_id == $this->health_india_primary_key) // health india
+        { 
+            $file_id = $fileModel->insert($data);
+            log_message('error', "Files table inserted successfully, File id : {$file_id}");
+            // $healthIndiaApiController = new HealthIndiaApiController;
+            // $healthIndiaApiController->HealthIndiaGetBenefDetails( [ 'polict_no' => $policy_no, 'file_id' =>$file_id ] );
+            $r = Jobs::addJob(['job_name' => 'HealthIndiaGetBenefDetails', 'payload' => ['policy_no' => $policy_no, 'file_id' => $file_id, 'client_policy_id' => $policy_id, 'return_type' => 'job']]);
+            log_message('error', "HealthIndiaGetBenefDetails job pushed successfully.");
+
+            return $this->respond(['status'  => true, 'code' => 200, 'message' => 'Action Triggered','data'    => [] ]);
+
         }else{
             return $this->respond(['status'  => false, 'code' => 200,'message' => 'TPA not found ','data'    => [] ]);
         }
@@ -328,6 +349,12 @@ class ApiServiceController extends BaseController
                $res =  $fhplApiController->ClaimDetail($claimId);
                return $this->response->setJSON(['status' => $res['status'],'message' => $res['message'] ]);
 
+            }else if ($tpaID == $this->health_india_primary_key) { // health india
+
+               $healthIndiaApiController = new HealthIndiaApiController;
+               $res =  $healthIndiaApiController->ClaimDetail($claimId);
+               return $this->response->setJSON(['status' => $res['status'],'message' => $res['message'] ]);
+
             }else{
                 log_message('error', "This ticket id ( {$claimId} ) TPA has no API service enabled. TPA ID : {$tpaID}");
                 $message = "This TPA has no API service enabled";

app/Controllers/HealthIndiaApiController.php

@@ -79,7 +79,7 @@ class HealthIndiaApiController extends BaseController
         ]);
     }
 
-    public function SubmitClaim($claimId = 515)
+    public function SubmitClaim($claimId = 729)
     {
         helper('api');
 
@@ -205,7 +205,7 @@ class HealthIndiaApiController extends BaseController
 
         $response = call_third_party_api($url, 'POST', $headers, $body);
 
-        dd($response);
+        // dd($response);
 
         log_message('error', 'TPA CLAIM PUSH HEALTH_INDIA RESPONSE | claimId: ' . $claimId . ' | response: ' . json_encode($response));
 
@@ -239,7 +239,7 @@ class HealthIndiaApiController extends BaseController
         return;
     }
 
-    public function ClaimDetail($claimId = null)
+    public function ClaimDetail($claimId = 729)
     {
         helper('api');
 
@@ -284,6 +284,8 @@ class HealthIndiaApiController extends BaseController
 
         $response = call_third_party_api($url, 'POST', $headers, $body);
 
+        // dd($response);
+
         log_message('error', 'CLAIM STATUS HEALTH_INDIA | claimId: ' . $claimId . ' | Response: ' . json_encode($response));
 
         if (empty($response['data']['result'][0])) {
@@ -368,9 +370,9 @@ class HealthIndiaApiController extends BaseController
         $url = getenv('HEALTH_INDIA_BASE_URL') . "/Member/GetMemberEcard";
 
         $body = [
-            "policY_NUMBER" => $policyNo,
+            "policY_NUMBER" => $policyNo ,//'141600_POLICY_AWAITED',
-            "employeE_CODE" => $employeeId,
+            "employeE_CODE" => $employeeId,//'DECP000', 
-            "membeR_ID"     => $memberId
+            "membeR_ID"     => $memberId//'19662410E', 
         ];
 
         $headers = [
@@ -416,8 +418,8 @@ class HealthIndiaApiController extends BaseController
         try {
             helper('api');
 
-            $policyNo = $requestData['policy_no'] ?? '141600_POLICY_AWAITED';
+            $policyNo = $requestData['policy_no'] ?? null; //'141600_POLICY_AWAITED';
-            $client_policy_id = $requestData['client_policy_id'] ?? 6473;
+            $client_policy_id = $requestData['client_policy_id'] ?? null; // 6473;
 
 
 
@@ -442,24 +444,24 @@ class HealthIndiaApiController extends BaseController
             log_message('error', "TPA ID PULL HEALTH_INDIA | called for policy_no: {$policyNo}, client_policy_id: {$client_policy_id}");
 
             // Fetch file download dates
-            // $batchFiles = $this->db->table('batch_files f')
+            $batchFiles = $this->db->table('batch_files f')
-            //     ->select("f.created_at")
+                ->select("f.created_at")
-            //     ->where('f.client_policy_id', $client_policy_id)
+                ->where('f.client_policy_id', $client_policy_id)
-            //     ->where('f.insurer_or_tpa', 'tpa')
+                ->where('f.insurer_or_tpa', 'tpa')
-            //     ->where('f.actions', 'export')
+                ->where('f.actions', 'export')
-            //     ->get()
+                ->get()
-            //     ->getResultArray();
+                ->getResultArray();
 
 
 
-            // if (empty($batchFiles)) {
+            if (empty($batchFiles)) {
-            //     log_message('error', 'TPA ID PULL FAILED HEALTH_INDIA | batchFiles is empty for this tpa id pull request');
+                log_message('error', 'TPA ID PULL FAILED HEALTH_INDIA | batchFiles is empty for this tpa id pull request');
-            //     if ($function_calling_type == "job") {
+                if ($function_calling_type == "job") {
-            //         return ['status' => false, 'message' => 'batchFiles not found'];
+                    return ['status' => false, 'message' => 'batchFiles not found'];
-            //     } else {
+                } else {
-            //         return $this->respond(['status' => false, 'message' => 'batchFiles not found']);
+                    return $this->respond(['status' => false, 'message' => 'batchFiles not found']);
-            //     }
+                }
-            // }
+            }
 
             // Generate Health India Token
             $tokenResponse = json_decode($this->generateAuthToken()->getBody(), true);
@@ -489,9 +491,9 @@ class HealthIndiaApiController extends BaseController
 
             $response = call_third_party_api($url, 'POST', $headers, $body);
 
-             dd($response);
+            //  dd($response);
 
-            log_message('error', "TPA ID PULL HEALTH_INDIA | API Response: " . json_encode($response));
+            log_message('error', "TPA ID PULL HEALTH_INDIA | API Response Received ");
 
             if (($response['status'] ?? false) !== true) {
                 log_message('error', 'HEALTH_INDIA API FAILED | response: ' . json_encode($response));
@@ -560,11 +562,22 @@ class HealthIndiaApiController extends BaseController
 
             $employeePolicyModel = new EmployeePolicyModel();
 
-            $employeePolicyData = $employeePolicyModel
+             $employeePolicyData = $employeePolicyModel
-                ->join('employees', 'employees.id = employee_polices.employee_id')
+                                ->select('
-                ->where('employee_polices.client_policy_id', $client_policy_id)
+                                    employees.*, 
-                ->where('employee_polices.tpa_id IS NULL')
+                                    employee_polices.id as emp_policy_id,
-                ->findAll();
+                                    employee_polices.client_policy_id,
+                                ')
+                                ->join('employees', 'employees.id = employee_polices.employee_id')
+                                ->where('employee_polices.is_active', 1)
+                                ->where('employee_polices.status', 'active')
+                                ->where('employees.is_active', 1)
+                                ->where('employees.emp_status', 'active')
+                                ->where('employee_polices.tpa_id IS NULL')
+                                ->where('employee_polices.client_policy_id', $client_policy_id)
+                                ->findAll();
+                // echo (string) $employeePolicyModel->db->getLastQuery();
+                // dd($employeePolicyData);
 
             $updated = 0;
             $batch_file_success = 'success';
@@ -575,10 +588,15 @@ class HealthIndiaApiController extends BaseController
 
                 foreach ($allMembers as $m) {
                     // Match based on: employee name, employee code, and relation
+
+                    if($m['relation'] == 'Employee') { $relation = 'self'; }
+                    else if($m['relation'] == 'WIFE') { $relation = 'spouse'; }
+                    else { $relation = $m['relation']; }
+
                     if (
                         strtolower(trim($policy['name'])) === strtolower(trim($m['insured_Name'] ?? '')) &&
                         ($policy['emp_code'] ?? '') == ($m['employeeCode'] ?? '') &&
-                        strtolower($policy['relationship']) === strtolower($m['relation'] ?? '')
+                        strtolower($policy['relationship']) === strtolower($relation ?? '')
                     ) {
                         $hasMatchForThisPolicy = true;
 

app/Controllers/ICICILombardController.php

@@ -121,29 +121,29 @@ class ICICILombardController extends AdminController
          $body = [
             "PolicyNumber" => "4016/PPN/A/O/53185987/00/000",
             "CDBGAccountNumber" => "CD-MUM-0026",
-            "CorrelationId" => "550e8400-e29b-41d4-a716-446655440021",
+            "CorrelationId" => "550e8400-e29b-41d4-a716-446655440022",
             "MemberDetails" => [
                 [
-                    "MemberEmpId" => "EMPID3625564",
+                    "MemberEmpId" => "EMPID3625565",
                     "DOJ" => "21-MAR-2019",
-                    "InsuredName" => "Jeeva",
+                    "InsuredName" => "sanjeev",
                     "DOB" => "7-JUL-1993",
                     "Relationship" => "SELF",
                     "Gender" => "MALE",
-                    "DOC" => '18-Nov-2025',
+                    "DOC" => '25-Jan-2026',
                     "SumInsured" => "500000",
-                    "EmailId" => "Jeeva@GMAIL.COM",
+                    "EmailId" => "sanjeev@GMAIL.COM",
                     "FlagStatus" => "A"
                 ],
                 [
-                    "MemberEmpId" => "EMPID3625564", 
+                    "MemberEmpId" => "EMPID3625565", 
                     "DOJ" => "21-MAR-2019",
-                    "InsuredName" => "Muthu",
+                    "InsuredName" => "bhavya",
                     "DOB" => "8-AUG-1970",
                     "Relationship" => "MOTHER",
                     "Gender" => "FEMALE",
-                    "DOC" => '18-Nov-2025',
+                    "DOC" => '25-Jan-2026',
-                    "EmailId" => "Muthu@GMAIL.COM",
+                    "EmailId" => "bhavya@GMAIL.COM",
                     "FlagStatus" => "A"
                 ],
             ]
@@ -180,8 +180,8 @@ class ICICILombardController extends AdminController
 
         $body = [
             "PolicyNumber" => "4016/PPN/A/O/53185987/00/000",
-            "BatchId" => "3727144",
+            "BatchId" => "3728144",
-            "CorrelationId" => "550e8400-e29b-41d4-a716-446655440021"
+            "CorrelationId" => "550e8400-e29b-41d4-a716-446655440022"
         ];
 
         $response = call_third_party_api($url, 'POST', $headers, $body, true);
@@ -215,7 +215,7 @@ class ICICILombardController extends AdminController
          $body = [
             "PolicyNumber" => "4016/PPN/A/O/53185987/00/000",
             "IMID" => "201580517901",
-            "CorrelationId" => "550e8400-e29b-41d4-a716-446655440020"
+            "CorrelationId" => "550e8400-e29b-41d4-a716-446655440022"
         ];
 
         $response = call_third_party_api($url, 'POST', $headers, $body, true);

app/Controllers/JobWorker.php

@@ -195,6 +195,10 @@ class JobWorker extends AdminController
         'type' => 'CC', // Handler Category
         'handler' => 'App\Controllers\FhplApiController',
     ],
+    'HealthIndiaGetBenefDetails' => [
+        'type' => 'CC', // Handler Category
+        'handler' => 'App\Controllers\HealthIndiaApiController',
+    ],
     'bdsDumpExcelFileFormatValidation' => [
         'type' => 'CC', // Handler Category
         'handler' => 'App\Controllers\PolicyTransactionController',