GWM : API Swagger for TAP
This commit is contained in:
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697e9ad874
@ -42,6 +42,7 @@ class Acl
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'#^/sales#' => ['roles' => [ADMIN_ROLE_ID, HEAD_ROLE_ID, STAFF_ROLE_ID]],
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'#^/sales#' => ['roles' => [ADMIN_ROLE_ID, HEAD_ROLE_ID, STAFF_ROLE_ID]],
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'#^/expense#' => ['roles' => [ADMIN_ROLE_ID, HEAD_ROLE_ID, STAFF_ROLE_ID]],
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'#^/expense#' => ['roles' => [ADMIN_ROLE_ID, HEAD_ROLE_ID, STAFF_ROLE_ID]],
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'#^/sendDataToTPA#' => ['roles' => [ADMIN_ROLE_ID, HEAD_ROLE_ID, ACCOUNT_MANAGER_ROLE_ID, MANAGER_ROLE_ID]],
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'#^/sendDataToTPA#' => ['roles' => [ADMIN_ROLE_ID, HEAD_ROLE_ID, ACCOUNT_MANAGER_ROLE_ID, MANAGER_ROLE_ID]],
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'#^/swagger#' => ['roles' => [ADMIN_ROLE_ID, HEAD_ROLE_ID, ACCOUNT_MANAGER_ROLE_ID, MANAGER_ROLE_ID]],
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@ -29,6 +29,8 @@ $routes->get('/chatbottest', 'ChatbotControllerNew::chatbotest');
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$routes->get('/chatbot', 'ChatbotControllerNew::chatbot');
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$routes->get('/chatbot', 'ChatbotControllerNew::chatbot');
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$routes->get('/swagger', 'SwaggerController::index', ['filter' => 'authMVC']);
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$routes->get('/swagger', 'SwaggerController::index', ['filter' => 'authMVC']);
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$routes->get('/swagger/tpa', 'SwaggerController::tpa', ['filter' => 'authMVC']);
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$routes->get('/swagger/tpa-spec', 'SwaggerController::tpaSpec', ['filter' => 'authMVC']);
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$routes->get('/fedeploy', 'DeployController::fedeploy_view', ['filter' => 'authMVC']);
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$routes->get('/fedeploy', 'DeployController::fedeploy_view', ['filter' => 'authMVC']);
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$routes->post('/fedeploy', 'DeployController::fedeploy', ['filter' => 'authMVC']);
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$routes->post('/fedeploy', 'DeployController::fedeploy', ['filter' => 'authMVC']);
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$routes->get('/visitOffBoardCheck', 'EmployeeController::visitOffBoardCheck');
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$routes->get('/visitOffBoardCheck', 'EmployeeController::visitOffBoardCheck');
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@ -1,10 +1,84 @@
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<?php namespace App\Controllers;
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<?php namespace App\Controllers;
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use App\Controllers\BaseController;
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use App\Controllers\BaseController;
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use CodeIgniter\Exceptions\PageNotFoundException;
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class SwaggerController extends BaseController
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class SwaggerController extends BaseController
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{
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{
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public function index(){
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public function index()
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return view('swagger/index');
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{
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}
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return view('swagger/index', [
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'specUrl' => base_url('assets/api.yaml'),
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'pageTitle' => 'Swagger UI',
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'swaggerPreauthorize' => [],
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]);
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}
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/**
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* Swagger UI for TPA external integrations OpenAPI spec (openapi/tpa-external-integrations.yaml).
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* Pre-fills Authorize from the same `.env` keys the API controllers use (`getenv`).
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*/
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public function tpa()
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{
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return view('swagger/index', [
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'specUrl' => base_url('swagger/tpa-spec'),
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'pageTitle' => 'TPA external APIs — Swagger UI',
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'swaggerPreauthorize' => $this->buildTpaSwaggerPreauthorize(),
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]);
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}
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/**
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* Values for Swagger UI Authorize (apiKey / basic). Uses runtime env — keep `/swagger/tpa` access-controlled.
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*
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* @return list<array<string, string>>
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*/
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protected function buildTpaSwaggerPreauthorize(): array
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{
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return [
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['kind' => 'apiKey', 'scheme' => 'MediAssistUsername', 'value' => $this->readEnvString('MEDI_ASSIST_API_USERNAME')],
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['kind' => 'apiKey', 'scheme' => 'MediAssistPassword', 'value' => $this->readEnvString('MEDI_ASSIST_API_PASSWORD')],
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['kind' => 'apiKey', 'scheme' => 'VidalSubscriptionKey', 'value' => $this->readEnvString('VIDAL_API_SUBSCRIPTION_KEY')],
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['kind' => 'apiKey', 'scheme' => 'VidalIrSubscriptionKey', 'value' => $this->readEnvString('VIDAL_SUBSCRIPTION_KEY')],
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['kind' => 'apiKey', 'scheme' => 'VidalWellnessSubscriptionKey', 'value' => $this->readEnvString('VIDAL_WELLNESS_SUBSCRIPTION_KEY')],
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[
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'kind' => 'basic',
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'scheme' => 'HealthIndiaTokenBasic',
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'username' => $this->readEnvString('HEALTH_INDIA_USERNAME'),
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'password' => $this->readEnvString('HEALTH_INDIA_PASSWORD'),
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],
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];
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}
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/**
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* Read `.env` the same way as the rest of CodeIgniter (`env()` then `getenv()`).
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*/
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protected function readEnvString(string $key): string
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{
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if (function_exists('env')) {
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$v = \env($key);
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if ($v !== null) {
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return \is_bool($v) ? '' : (string) $v;
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}
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}
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$g = \getenv($key);
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return $g === false ? '' : (string) $g;
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}
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/**
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* Serves the OpenAPI YAML from project root /openapi (not under public/).
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*/
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public function tpaSpec()
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{
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$path = ROOTPATH . 'openapi/tpa-external-integrations.yaml';
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if (! is_readable($path)) {
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throw PageNotFoundException::forPageNotFound('OpenAPI spec not found.');
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}
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return $this->response
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->setHeader('Content-Type', 'application/yaml; charset=UTF-8')
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->setHeader('Cache-Control', 'public, max-age=300')
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->setBody(file_get_contents($path));
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}
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}
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}
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@ -4,7 +4,7 @@
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<head>
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<head>
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<meta charset="UTF-8">
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<meta charset="UTF-8">
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<title>Swagger UI</title>
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<title><?= esc($pageTitle ?? 'Swagger UI') ?></title>
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<link rel="stylesheet" type="text/css" href="<?= base_url('assets/swagger/swagger-ui.css') ?>">
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<link rel="stylesheet" type="text/css" href="<?= base_url('assets/swagger/swagger-ui.css') ?>">
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<link rel="icon" type="image/png" href="<?= base_url('assets/swagger/favicon-32x32.png') ?> sizes=" 32x32" />
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<link rel="icon" type="image/png" href="<?= base_url('assets/swagger/favicon-32x32.png') ?> sizes=" 32x32" />
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<link rel="icon" type="image/png" href="<?= base_url('assets/swagger/favicon-16x16.png') ?> sizes=" 16x16" />
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<link rel="icon" type="image/png" href="<?= base_url('assets/swagger/favicon-16x16.png') ?> sizes=" 16x16" />
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@ -31,15 +31,15 @@
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<body>
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<body>
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<div id="swagger-ui"></div>
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<div id="swagger-ui"></div>
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<script src="<?= base_url('assets/swagger/swagger-ui-bundle.js') ?>">console.log(base_url); </script>
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<script src="<?= base_url('assets/swagger/swagger-ui-bundle.js') ?>"></script>
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<script src="<?= base_url('assets/swagger/swagger-ui-standalone-preset.js') ?>"> </script>
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<script src="<?= base_url('assets/swagger/swagger-ui-standalone-preset.js') ?>"></script>
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<script>
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<script>
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window.onload = function() {
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window.onload = function() {
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// Begin Swagger UI call region
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const ui = SwaggerUIBundle({
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const ui = SwaggerUIBundle({
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url: "<?= base_url('assets/api.yaml') ?>",
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url: "<?= esc($specUrl ?? base_url('assets/api.yaml'), 'js') ?>",
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dom_id: '#swagger-ui',
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dom_id: '#swagger-ui',
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deepLinking: true,
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deepLinking: true,
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persistAuthorization: true,
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presets: [
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presets: [
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SwaggerUIBundle.presets.apis,
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SwaggerUIBundle.presets.apis,
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SwaggerUIStandalonePreset
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SwaggerUIStandalonePreset
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@ -48,12 +48,28 @@
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SwaggerUIBundle.plugins.DownloadUrl
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SwaggerUIBundle.plugins.DownloadUrl
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],
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],
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layout: "StandaloneLayout"
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layout: "StandaloneLayout"
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})
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});
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// End Swagger UI call region
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window.ui = ui
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window.ui = ui;
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}
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<?php if (! empty($swaggerPreauthorize)): ?>
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try {
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<?php foreach ($swaggerPreauthorize as $row): ?>
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<?php if (($row['kind'] ?? '') === 'apiKey'): ?>
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if (typeof ui.preauthorizeApiKey === 'function') {
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ui.preauthorizeApiKey(<?= json_encode($row['scheme'] ?? '') ?>, <?= json_encode($row['value'] ?? '') ?>);
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}
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<?php elseif (($row['kind'] ?? '') === 'basic'): ?>
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if (typeof ui.preauthorizeBasic === 'function') {
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ui.preauthorizeBasic(<?= json_encode($row['scheme'] ?? '') ?>, <?= json_encode($row['username'] ?? '') ?>, <?= json_encode($row['password'] ?? '') ?>);
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}
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<?php endif; ?>
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<?php endforeach; ?>
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} catch (e) {
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console.warn('Swagger preauthorize', e);
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}
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<?php endif; ?>
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};
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</script>
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</script>
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</body>
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</body>
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922
openapi/tpa-external-integrations.yaml
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922
openapi/tpa-external-integrations.yaml
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@ -0,0 +1,922 @@
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openapi: 3.0.3
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info:
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title: Nhance — TPA external API integrations
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description: |
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OpenAPI description of **outbound** HTTP calls made by Nhance to third-party TPA systems.
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Base URLs and credentials come from environment variables (see **Authorize** / security schemes below).
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This is **not** the public REST API of the Nhance application itself.
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Controllers: `MediAssistApiController`, `VidalApiController`, `VoloApiController`,
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`FhplApiController`, `HealthIndiaApiController`.
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**Credentials (.env)** — use the same variable names as `getenv()` / `env()` in PHP:
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MediAssist: `MEDI_ASSIST_API_USERNAME`, `MEDI_ASSIST_API_PASSWORD`; URLs: `MEDI_ASSIST_API_BASE_URL_*`.
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Vidal: `VIDAL_API_SUBSCRIPTION_KEY`, `VIDAL_SUBSCRIPTION_KEY` (IR only), `VIDAL_WELLNESS_SUBSCRIPTION_KEY`; base `VIDAL_API_BASE_URL`.
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Volo login: `VOLO_API_EMAIL`, `VOLO_API_PASSWORD`, `VOLO_LOGGED_IN_PORTAL`; bases `VOLO_API_ADMIN_BASE_URL`, `VOLO_API_CONSUMER_BASE_URL`.
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FHPL: `FHPL_TOKEN_URL`, `FHPL_USER_NAME`, `FHPL_PASSWORD`, `FHPL_GRANT_TYPE`; API `FHPL_BASE_URL`.
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Health India: `HEALTH_INDIA_TOKEN_URL`, `HEALTH_INDIA_USERNAME`, `HEALTH_INDIA_PASSWORD`; API `HEALTH_INDIA_BASE_URL`.
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version: 1.0.0
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tags:
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- name: MediAssist
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- name: Vidal
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- name: Volo
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- name: FHPL
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- name: HealthIndia
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servers:
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- url: https://example.invalid
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description: >
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Default placeholder only. Each TPA uses its own base URL from environment variables;
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many MediAssist endpoints use a full URL per env var (see operation descriptions).
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# ----------------------------------------------------------------------------
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# MediAssist — servers vary per env var (often full URL including path).
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# Default hosts shown are illustrative; override via env.
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# ----------------------------------------------------------------------------
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paths:
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/mediassist/claim-submit:
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post:
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tags: [MediAssist]
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security:
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- MediAssistUsername: []
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MediAssistPassword: []
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summary: Submit claim (claim push)
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description: |
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URL from `MEDI_ASSIST_API_BASE_URL_CLAIMSUBMIT` (full URL).
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Headers `Username` / `Password` from `MEDI_ASSIST_API_USERNAME` / `MEDI_ASSIST_API_PASSWORD`.
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operationId: mediassistSubmitClaim
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servers:
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- url: https://apiintegration.mediassist.in
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description: Example host — replace with env URL
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requestBody:
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required: true
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content:
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application/json:
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schema:
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$ref: '#/components/schemas/MediAssistSubmitClaimBody'
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responses:
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'200':
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description: Wrapped by app helper; success includes `claimReferenceNo` in nested payload
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/mediassist/ecard:
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post:
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tags: [MediAssist]
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security:
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- MediAssistUsername: []
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MediAssistPassword: []
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summary: E-card URL request
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description: URL from `MEDI_ASSIST_API_BASE_URL_ECARDREQUEST`.
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operationId: mediassistEcardRequest
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servers:
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- url: https://apiintegration.mediassist.in
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requestBody:
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content:
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application/json:
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schema:
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type: object
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required: [employeeId, policyNo]
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properties:
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employeeId: { type: string }
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policyNo: { type: string }
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responses:
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'200':
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description: Response includes `ecardUrl` when successful
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/mediassist/benef-details:
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post:
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tags: [MediAssist]
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security:
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- MediAssistUsername: []
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MediAssistPassword: []
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summary: Get beneficiary / enrollment (TPA ID pull)
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description: URL from `MEDI_ASSIST_API_BASE_URL_FETCHTPA`. Paginated with `startIndex` / `range`.
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operationId: mediassistGetBenefDetails
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requestBody:
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content:
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application/json:
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schema:
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type: object
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required: [policyNo]
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properties:
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policyNo: { type: string }
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startDate: { type: string, default: "" }
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endDate: { type: string, default: "" }
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isDeActivedata: { type: boolean, default: false }
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startIndex: { type: integer }
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range: { type: integer, example: 100 }
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employeeId: { type: string, default: "" }
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responses:
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'200':
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description: Expects `benefDetails` and `count` in data
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/mediassist/claim-status:
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post:
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tags: [MediAssist]
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security:
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- MediAssistUsername: []
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MediAssistPassword: []
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summary: Claim status / claims data
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description: URL from `MEDI_ASSIST_API_BASE_URL_CLAIMSTATUS`.
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operationId: mediassistClaimStatus
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requestBody:
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content:
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application/json:
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schema:
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$ref: '#/components/schemas/MediAssistClaimStatusBody'
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responses:
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'200':
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description: Expects `claimsData` array in response data
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/mediassist/ir-submission:
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post:
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tags: [MediAssist]
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security:
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- MediAssistUsername: []
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MediAssistPassword: []
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summary: IR (information) submission with attachment URLs
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description: URL from `MEDI_ASSIST_API_BASE_URL_IRSUBMISSION`.
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operationId: mediassistIRSubmission
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requestBody:
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content:
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application/json:
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schema:
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type: object
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required: [ClaimID, Attachments]
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properties:
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ClaimID: { type: string }
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Attachments:
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type: array
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items:
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type: object
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properties:
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AttachmentName: { type: string }
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AttachmentPath: { type: string, description: Public download URL }
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responses:
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'200':
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description: App treats `status` from helper as success/failure
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/mediassist/network-hospital:
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post:
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tags: [MediAssist]
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security:
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- MediAssistUsername: []
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MediAssistPassword: []
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summary: Network hospital list
|
||||||
|
description: |
|
||||||
|
Built as `{MEDI_ASSIST_API_BASE_URL}/NetworkHospital` (env base + path).
|
||||||
|
operationId: mediassistNetworkHospital
|
||||||
|
requestBody:
|
||||||
|
content:
|
||||||
|
application/json:
|
||||||
|
example:
|
||||||
|
startIndex: 0
|
||||||
|
endIndex: 10
|
||||||
|
policyNumber: "97000063250400000031"
|
||||||
|
responses:
|
||||||
|
'200':
|
||||||
|
description: Third-party response passed through
|
||||||
|
|
||||||
|
/mediassist/intimate-claim:
|
||||||
|
post:
|
||||||
|
tags: [MediAssist]
|
||||||
|
security:
|
||||||
|
- MediAssistUsername: []
|
||||||
|
MediAssistPassword: []
|
||||||
|
summary: Intimate claim (UAT sample in code)
|
||||||
|
description: |
|
||||||
|
**Note:** `IntimateClaim()` in code uses a hardcoded URL and test credentials;
|
||||||
|
production should use env-driven URL and secrets.
|
||||||
|
operationId: mediassistIntimateClaimDev
|
||||||
|
deprecated: true
|
||||||
|
requestBody:
|
||||||
|
content:
|
||||||
|
application/json:
|
||||||
|
schema:
|
||||||
|
type: object
|
||||||
|
properties:
|
||||||
|
Username: { type: string }
|
||||||
|
Password: { type: string }
|
||||||
|
policyNo: { type: string }
|
||||||
|
memberId: { type: number }
|
||||||
|
DateOfAdmisssion: { type: string, format: date }
|
||||||
|
HospitalName: { type: string }
|
||||||
|
AilmentDescription: { type: string }
|
||||||
|
ContactNo: { type: string }
|
||||||
|
|
||||||
|
# --------------------------------------------------------------------------
|
||||||
|
# Vidal Health TPA (Azure APIM)
|
||||||
|
# --------------------------------------------------------------------------
|
||||||
|
/partner-integration/api/files/upload-url:
|
||||||
|
post:
|
||||||
|
tags: [Vidal]
|
||||||
|
security:
|
||||||
|
- VidalSubscriptionKey: []
|
||||||
|
summary: Get signed URL for document upload
|
||||||
|
description: |
|
||||||
|
`VIDAL_API_BASE_URL` + `/files/upload-url`.
|
||||||
|
Header `Ocp-Apim-Subscription-Key` = `VIDAL_API_SUBSCRIPTION_KEY`.
|
||||||
|
Second step uploads file via PUT to returned `signedUrl` (Azure Blob).
|
||||||
|
operationId: vidalFileUploadUrl
|
||||||
|
servers:
|
||||||
|
- url: https://devapigw.vidalhealthtpa.com
|
||||||
|
requestBody:
|
||||||
|
content:
|
||||||
|
application/json:
|
||||||
|
schema:
|
||||||
|
type: object
|
||||||
|
properties:
|
||||||
|
scope: { type: string, example: document type }
|
||||||
|
fileName: { type: string }
|
||||||
|
responses:
|
||||||
|
'200':
|
||||||
|
description: Expects `data.signedUrl`, `data.fileId`
|
||||||
|
|
||||||
|
/partner-integration/api/claims/submit:
|
||||||
|
post:
|
||||||
|
tags: [Vidal]
|
||||||
|
security:
|
||||||
|
- VidalSubscriptionKey: []
|
||||||
|
summary: Submit claim
|
||||||
|
operationId: vidalClaimsSubmit
|
||||||
|
servers:
|
||||||
|
- url: https://devapigw.vidalhealthtpa.com
|
||||||
|
requestBody:
|
||||||
|
content:
|
||||||
|
application/json:
|
||||||
|
schema:
|
||||||
|
$ref: '#/components/schemas/VidalClaimSubmitBody'
|
||||||
|
responses:
|
||||||
|
'200':
|
||||||
|
description: Success path checks `data.status == SUCCESS` and nested claim numbers
|
||||||
|
|
||||||
|
/partner-integration/api/claims/claim-dependent-info:
|
||||||
|
post:
|
||||||
|
tags: [Vidal]
|
||||||
|
security:
|
||||||
|
- VidalSubscriptionKey: []
|
||||||
|
summary: Claim dependent info / status poll
|
||||||
|
operationId: vidalClaimDependentInfo
|
||||||
|
servers:
|
||||||
|
- url: https://devapigw.vidalhealthtpa.com
|
||||||
|
requestBody:
|
||||||
|
content:
|
||||||
|
application/json:
|
||||||
|
schema:
|
||||||
|
type: object
|
||||||
|
properties:
|
||||||
|
empNO: { type: string, default: "" }
|
||||||
|
tpaCardID: { type: string, default: "" }
|
||||||
|
claimID: { type: string, description: Set when known }
|
||||||
|
emailID: { type: string, default: "" }
|
||||||
|
mobileNO: { type: string, default: "" }
|
||||||
|
responses:
|
||||||
|
'200':
|
||||||
|
description: Expects `data.data.claims[]`
|
||||||
|
|
||||||
|
/partner-integration/enrollment/info:
|
||||||
|
post:
|
||||||
|
tags: [Vidal]
|
||||||
|
security:
|
||||||
|
- VidalSubscriptionKey: []
|
||||||
|
summary: Enrollment / beneficiary pull (Vidal V2)
|
||||||
|
description: |
|
||||||
|
URL from `vidalEnrollmentInfoApiUrl()`: strips trailing `/api` from `VIDAL_API_BASE_URL`
|
||||||
|
and appends `/enrollment/info`, or falls back to dev URL.
|
||||||
|
Paginates with `startIndex` / `endIndex`.
|
||||||
|
operationId: vidalEnrollmentInfo
|
||||||
|
servers:
|
||||||
|
- url: https://devapigw.vidalhealthtpa.com
|
||||||
|
requestBody:
|
||||||
|
content:
|
||||||
|
application/json:
|
||||||
|
schema:
|
||||||
|
type: object
|
||||||
|
properties:
|
||||||
|
policyNo: { type: string }
|
||||||
|
startIndex: { type: integer, example: 1 }
|
||||||
|
endIndex: { type: integer, example: 100 }
|
||||||
|
|
||||||
|
/vidal/wellness-sso:
|
||||||
|
post:
|
||||||
|
tags: [Vidal]
|
||||||
|
security:
|
||||||
|
- VidalWellnessSubscriptionKey: []
|
||||||
|
summary: Wellness SSO (encrypted payload)
|
||||||
|
description: |
|
||||||
|
`VIDAL_WELLNESS_BASE_URL`. Headers include `Ocp-Apim-Subscription-Key`,
|
||||||
|
`apiver`, `mode: encrypt`. Body uses AES-encrypted payload + `source` / `subPartnerId`.
|
||||||
|
operationId: vidalWellnessSSO
|
||||||
|
requestBody:
|
||||||
|
content:
|
||||||
|
application/json:
|
||||||
|
schema:
|
||||||
|
type: object
|
||||||
|
properties:
|
||||||
|
payload: { type: string, description: iv:ciphertext base64 format }
|
||||||
|
source: { type: string }
|
||||||
|
subPartnerId: { type: string }
|
||||||
|
|
||||||
|
/vidal/ir-submission:
|
||||||
|
post:
|
||||||
|
tags: [Vidal]
|
||||||
|
security:
|
||||||
|
- VidalIrSubscriptionKey: []
|
||||||
|
summary: IR submission (shortfall documents)
|
||||||
|
description: |
|
||||||
|
Full URL from `VIDAL_API_BASE_URL_IRSUBMISSION`.
|
||||||
|
Uses `VIDAL_SUBSCRIPTION_KEY` (note distinct from `VIDAL_API_SUBSCRIPTION_KEY` in code).
|
||||||
|
Body sent as JSON string in some call paths.
|
||||||
|
operationId: vidalIRSubmission
|
||||||
|
requestBody:
|
||||||
|
content:
|
||||||
|
application/json:
|
||||||
|
schema:
|
||||||
|
type: object
|
||||||
|
properties:
|
||||||
|
shortFallNo: { type: string }
|
||||||
|
fileId: { type: string, description: Single file }
|
||||||
|
fileIdList:
|
||||||
|
type: array
|
||||||
|
items: { type: string }
|
||||||
|
description: Multiple files
|
||||||
|
|
||||||
|
# --------------------------------------------------------------------------
|
||||||
|
# Volo / TrueCover (admin + consumer bases)
|
||||||
|
# --------------------------------------------------------------------------
|
||||||
|
/external/login:
|
||||||
|
post:
|
||||||
|
tags: [Volo]
|
||||||
|
security: []
|
||||||
|
summary: Login — obtain access token
|
||||||
|
description: |
|
||||||
|
`VOLO_API_ADMIN_BASE_URL` + `/external/login`.
|
||||||
|
Body uses `VOLO_API_EMAIL`, `VOLO_API_PASSWORD`, `VOLO_LOGGED_IN_PORTAL`.
|
||||||
|
operationId: voloLogin
|
||||||
|
requestBody:
|
||||||
|
content:
|
||||||
|
application/json:
|
||||||
|
schema:
|
||||||
|
type: object
|
||||||
|
properties:
|
||||||
|
emailId: { type: string }
|
||||||
|
password: { type: string }
|
||||||
|
loggedInPortal:
|
||||||
|
type: string
|
||||||
|
example: POLICY_CONFIGURATION_PORTAL
|
||||||
|
responses:
|
||||||
|
'200':
|
||||||
|
description: Expects `accessToken` for Authorization header on subsequent calls
|
||||||
|
|
||||||
|
/trueclaim/tpa/get-Enrollment-dump:
|
||||||
|
get:
|
||||||
|
tags: [Volo]
|
||||||
|
security:
|
||||||
|
- VoloBearerToken: []
|
||||||
|
summary: Enrollment dump by endorsement
|
||||||
|
operationId: voloGetEnrollmentDumpByEndorsement
|
||||||
|
parameters:
|
||||||
|
- in: query
|
||||||
|
name: insurerPolicyNumber
|
||||||
|
required: true
|
||||||
|
schema: { type: string }
|
||||||
|
- in: query
|
||||||
|
name: endorsmentNo
|
||||||
|
required: true
|
||||||
|
schema: { type: string }
|
||||||
|
|
||||||
|
/trueclaim/tpa/getHospitalByInsurerName:
|
||||||
|
get:
|
||||||
|
tags: [Volo]
|
||||||
|
security:
|
||||||
|
- VoloBearerToken: []
|
||||||
|
summary: Hospitals by insurer name
|
||||||
|
operationId: voloGetHospitalByInsurerName
|
||||||
|
parameters:
|
||||||
|
- in: query
|
||||||
|
name: insurerName
|
||||||
|
required: true
|
||||||
|
schema: { type: string }
|
||||||
|
|
||||||
|
/trueclaim/tpa/doc:
|
||||||
|
post:
|
||||||
|
tags: [Volo]
|
||||||
|
security:
|
||||||
|
- VoloBearerToken: []
|
||||||
|
summary: Upload document (body defined by TPA)
|
||||||
|
operationId: voloUploadDocument
|
||||||
|
requestBody:
|
||||||
|
content:
|
||||||
|
application/json:
|
||||||
|
schema:
|
||||||
|
type: object
|
||||||
|
additionalProperties: true
|
||||||
|
|
||||||
|
/trueclaim/tpa/get-Enroll-dump:
|
||||||
|
get:
|
||||||
|
tags: [Volo]
|
||||||
|
security:
|
||||||
|
- VoloBearerToken: []
|
||||||
|
summary: Enrollment dump by insurer policy number
|
||||||
|
operationId: voloGetEnrollmentDump
|
||||||
|
parameters:
|
||||||
|
- in: query
|
||||||
|
name: insurerPolicyNumber
|
||||||
|
required: true
|
||||||
|
schema: { type: string }
|
||||||
|
|
||||||
|
/truecover/external-service/claim-status:
|
||||||
|
post:
|
||||||
|
tags: [Volo]
|
||||||
|
security:
|
||||||
|
- VoloBearerToken: []
|
||||||
|
summary: External claim status (consumer base)
|
||||||
|
description: |
|
||||||
|
`VOLO_API_CONSUMER_BASE_URL` + `/truecover/external-service/claim-status`.
|
||||||
|
operationId: voloFetchExternalClaimStatus
|
||||||
|
servers:
|
||||||
|
- url: https://consumer.example.ewatpa.com
|
||||||
|
description: Replace with VOLO_API_CONSUMER_BASE_URL
|
||||||
|
requestBody:
|
||||||
|
content:
|
||||||
|
application/json:
|
||||||
|
schema:
|
||||||
|
type: object
|
||||||
|
required: [tpaClaimNo]
|
||||||
|
properties:
|
||||||
|
tpaClaimNo: { type: string }
|
||||||
|
|
||||||
|
/trueclaim/tpa/getTpaData:
|
||||||
|
post:
|
||||||
|
tags: [Volo]
|
||||||
|
security:
|
||||||
|
- VoloBearerToken: []
|
||||||
|
summary: TPA data by date range and entity
|
||||||
|
operationId: voloGetTpaData
|
||||||
|
requestBody:
|
||||||
|
content:
|
||||||
|
application/json:
|
||||||
|
schema:
|
||||||
|
type: object
|
||||||
|
required: [startDate, endDate, entityId]
|
||||||
|
properties:
|
||||||
|
startDate: { type: string }
|
||||||
|
endDate: { type: string }
|
||||||
|
entityId: { type: string }
|
||||||
|
|
||||||
|
/trueclaim/create-new-all-member-id-card-pdf:
|
||||||
|
get:
|
||||||
|
tags: [Volo]
|
||||||
|
security:
|
||||||
|
- VoloBearerToken: []
|
||||||
|
summary: E-card PDF (base64 in response body)
|
||||||
|
operationId: voloGetEcardPdf
|
||||||
|
parameters:
|
||||||
|
- in: query
|
||||||
|
name: employeeId
|
||||||
|
required: true
|
||||||
|
schema: { type: string }
|
||||||
|
- in: query
|
||||||
|
name: entityId
|
||||||
|
required: true
|
||||||
|
schema: { type: string }
|
||||||
|
|
||||||
|
/trueclaim/get-entity-from-policy:
|
||||||
|
get:
|
||||||
|
tags: [Volo]
|
||||||
|
security:
|
||||||
|
- VoloBearerToken: []
|
||||||
|
summary: Resolve entity id from policy number
|
||||||
|
operationId: voloGetEntityFromPolicy
|
||||||
|
parameters:
|
||||||
|
- in: query
|
||||||
|
name: policyNumber
|
||||||
|
required: true
|
||||||
|
schema: { type: string }
|
||||||
|
|
||||||
|
/trueclaim/policy-bazaar/intimate-claim:
|
||||||
|
post:
|
||||||
|
tags: [Volo]
|
||||||
|
security:
|
||||||
|
- VoloBearerToken: []
|
||||||
|
summary: Intimate claim (claim push)
|
||||||
|
description: |
|
||||||
|
Built payload includes `hospitalId` (`VOLO_DEFAULT_HOSPITAL_ID`), `memberId`,
|
||||||
|
dates, `potentialClaimAmount`, `claimDocuments` (pdf URL), `entityId`, `insurerPolicyNumber`.
|
||||||
|
operationId: voloIntimateClaim
|
||||||
|
requestBody:
|
||||||
|
content:
|
||||||
|
application/json:
|
||||||
|
schema:
|
||||||
|
$ref: '#/components/schemas/VoloIntimateClaimBody'
|
||||||
|
|
||||||
|
/trueclaim/tpa/getClaimData:
|
||||||
|
post:
|
||||||
|
tags: [Volo]
|
||||||
|
security:
|
||||||
|
- VoloBearerToken: []
|
||||||
|
summary: Get claim data
|
||||||
|
operationId: voloGetClaimData
|
||||||
|
parameters:
|
||||||
|
- in: query
|
||||||
|
name: claimId
|
||||||
|
required: true
|
||||||
|
schema: { type: string }
|
||||||
|
requestBody:
|
||||||
|
content:
|
||||||
|
application/json:
|
||||||
|
schema:
|
||||||
|
type: object
|
||||||
|
description: Empty JSON object sent as body
|
||||||
|
|
||||||
|
# --------------------------------------------------------------------------
|
||||||
|
# FHPL
|
||||||
|
# --------------------------------------------------------------------------
|
||||||
|
/oauth/token:
|
||||||
|
get:
|
||||||
|
tags: [FHPL]
|
||||||
|
security: []
|
||||||
|
summary: Generate OAuth token
|
||||||
|
description: |
|
||||||
|
URL from `FHPL_TOKEN_URL`. **Note:** implementation uses GET with `application/x-www-form-urlencoded`
|
||||||
|
body (`UserName`, `Password`, `grant_type`) — align with FHPL spec / Postman.
|
||||||
|
operationId: fhplGenerateToken
|
||||||
|
requestBody:
|
||||||
|
content:
|
||||||
|
application/x-www-form-urlencoded:
|
||||||
|
schema:
|
||||||
|
type: object
|
||||||
|
properties:
|
||||||
|
UserName: { type: string }
|
||||||
|
Password: { type: string }
|
||||||
|
grant_type: { type: string }
|
||||||
|
|
||||||
|
/api/ClaimSubmission:
|
||||||
|
post:
|
||||||
|
tags: [FHPL]
|
||||||
|
summary: Claim submission
|
||||||
|
description: |
|
||||||
|
`{FHPL_BASE_URL}/api/ClaimSubmission` with Bearer token from token endpoint.
|
||||||
|
operationId: fhplClaimSubmission
|
||||||
|
security:
|
||||||
|
- FhplBearerAuth: []
|
||||||
|
requestBody:
|
||||||
|
content:
|
||||||
|
application/json:
|
||||||
|
schema:
|
||||||
|
$ref: '#/components/schemas/FhplClaimSubmissionBody'
|
||||||
|
|
||||||
|
/api/GetTPA_ClaimsDetails:
|
||||||
|
post:
|
||||||
|
tags: [FHPL]
|
||||||
|
summary: TPA claim details / MIS (status sync)
|
||||||
|
operationId: fhplGetTpaClaimsDetails
|
||||||
|
security:
|
||||||
|
- FhplBearerAuth: []
|
||||||
|
requestBody:
|
||||||
|
content:
|
||||||
|
application/json:
|
||||||
|
schema:
|
||||||
|
type: object
|
||||||
|
properties:
|
||||||
|
UserName: { type: string }
|
||||||
|
Password: { type: string }
|
||||||
|
PolicyNumber: { type: string }
|
||||||
|
Fromdate: { type: string, format: date }
|
||||||
|
Todate: { type: string, format: date }
|
||||||
|
|
||||||
|
/api/GetEcard:
|
||||||
|
post:
|
||||||
|
tags: [FHPL]
|
||||||
|
summary: Get e-card URL
|
||||||
|
operationId: fhplGetEcard
|
||||||
|
security:
|
||||||
|
- FhplBearerAuth: []
|
||||||
|
requestBody:
|
||||||
|
content:
|
||||||
|
application/json:
|
||||||
|
schema:
|
||||||
|
type: object
|
||||||
|
properties:
|
||||||
|
UserName: { type: string }
|
||||||
|
Password: { type: string }
|
||||||
|
PolicyNumber: { type: string }
|
||||||
|
EmployeeID: { type: string }
|
||||||
|
|
||||||
|
/api/GetEnrollmentDetailsPolicy:
|
||||||
|
post:
|
||||||
|
tags: [FHPL]
|
||||||
|
summary: Enrollment details for policy (paginated)
|
||||||
|
operationId: fhplGetEnrollmentDetailsPolicy
|
||||||
|
security:
|
||||||
|
- FhplBearerAuth: []
|
||||||
|
requestBody:
|
||||||
|
content:
|
||||||
|
application/json:
|
||||||
|
schema:
|
||||||
|
type: object
|
||||||
|
properties:
|
||||||
|
UserName: { type: string }
|
||||||
|
Password: { type: string }
|
||||||
|
PolicyNumber: { type: string }
|
||||||
|
StartIndex: { type: integer }
|
||||||
|
Range: { type: integer, example: 100 }
|
||||||
|
|
||||||
|
# --------------------------------------------------------------------------
|
||||||
|
# Health India TPA
|
||||||
|
# --------------------------------------------------------------------------
|
||||||
|
/JWT/GenerateJWTAuth:
|
||||||
|
post:
|
||||||
|
tags: [HealthIndia]
|
||||||
|
summary: Generate JWT (Basic auth)
|
||||||
|
description: |
|
||||||
|
`HEALTH_INDIA_TOKEN_URL`. HTTP Basic with `HEALTH_INDIA_USERNAME` / `HEALTH_INDIA_PASSWORD`.
|
||||||
|
Body is `{}`.
|
||||||
|
operationId: healthIndiaGenerateJWT
|
||||||
|
security:
|
||||||
|
- HealthIndiaTokenBasic: []
|
||||||
|
requestBody:
|
||||||
|
content:
|
||||||
|
application/json:
|
||||||
|
schema:
|
||||||
|
type: object
|
||||||
|
|
||||||
|
/Intimation/GetClaimIntimation:
|
||||||
|
post:
|
||||||
|
tags: [HealthIndia]
|
||||||
|
summary: Claim intimation / reimbursement submission
|
||||||
|
description: >
|
||||||
|
HEALTH_INDIA_BASE_URL + /Intimation/GetClaimIntimation
|
||||||
|
operationId: healthIndiaClaimIntimation
|
||||||
|
security:
|
||||||
|
- HealthIndiaBearerAuth: []
|
||||||
|
requestBody:
|
||||||
|
content:
|
||||||
|
application/json:
|
||||||
|
schema:
|
||||||
|
$ref: '#/components/schemas/HealthIndiaClaimIntimationBody'
|
||||||
|
|
||||||
|
/Claims/GetClaims:
|
||||||
|
post:
|
||||||
|
tags: [HealthIndia]
|
||||||
|
summary: Get claim(s) by CCN
|
||||||
|
operationId: healthIndiaGetClaims
|
||||||
|
security:
|
||||||
|
- HealthIndiaBearerAuth: []
|
||||||
|
requestBody:
|
||||||
|
content:
|
||||||
|
application/json:
|
||||||
|
schema:
|
||||||
|
type: object
|
||||||
|
properties:
|
||||||
|
policY_NUMBER: { type: string }
|
||||||
|
CCN: { type: string }
|
||||||
|
CCN_EXT: { type: string }
|
||||||
|
|
||||||
|
/Member/GetMemberEcard:
|
||||||
|
post:
|
||||||
|
tags: [HealthIndia]
|
||||||
|
summary: Member e-card
|
||||||
|
operationId: healthIndiaGetMemberEcard
|
||||||
|
security:
|
||||||
|
- HealthIndiaBearerAuth: []
|
||||||
|
requestBody:
|
||||||
|
content:
|
||||||
|
application/json:
|
||||||
|
schema:
|
||||||
|
type: object
|
||||||
|
properties:
|
||||||
|
policY_NUMBER: { type: string }
|
||||||
|
employeE_CODE: { type: string }
|
||||||
|
membeR_ID: { type: string }
|
||||||
|
|
||||||
|
/Enrollment/GetEnrollmentData:
|
||||||
|
post:
|
||||||
|
tags: [HealthIndia]
|
||||||
|
summary: Bulk enrollment data (TPA ID pull)
|
||||||
|
operationId: healthIndiaGetEnrollmentData
|
||||||
|
security:
|
||||||
|
- HealthIndiaBearerAuth: []
|
||||||
|
requestBody:
|
||||||
|
content:
|
||||||
|
application/json:
|
||||||
|
schema:
|
||||||
|
type: object
|
||||||
|
properties:
|
||||||
|
policY_NUMBER: { type: string }
|
||||||
|
|
||||||
|
/ClaimsMIS/GetClaimsMIS:
|
||||||
|
post:
|
||||||
|
tags: [HealthIndia]
|
||||||
|
summary: Claims MIS / sync
|
||||||
|
operationId: healthIndiaGetClaimsMIS
|
||||||
|
security:
|
||||||
|
- HealthIndiaBearerAuth: []
|
||||||
|
requestBody:
|
||||||
|
content:
|
||||||
|
application/json:
|
||||||
|
schema:
|
||||||
|
type: object
|
||||||
|
properties:
|
||||||
|
policY_NUMBER: { type: string }
|
||||||
|
|
||||||
|
components:
|
||||||
|
securitySchemes:
|
||||||
|
MediAssistUsername:
|
||||||
|
type: apiKey
|
||||||
|
in: header
|
||||||
|
name: Username
|
||||||
|
description: |
|
||||||
|
`.env`: `MEDI_ASSIST_API_USERNAME` — same value as `getenv('MEDI_ASSIST_API_USERNAME')` in PHP.
|
||||||
|
|
||||||
|
MediAssistPassword:
|
||||||
|
type: apiKey
|
||||||
|
in: header
|
||||||
|
name: Password
|
||||||
|
description: |
|
||||||
|
`.env`: `MEDI_ASSIST_API_PASSWORD` — same value as `getenv('MEDI_ASSIST_API_PASSWORD')`.
|
||||||
|
|
||||||
|
VidalSubscriptionKey:
|
||||||
|
type: apiKey
|
||||||
|
in: header
|
||||||
|
name: Ocp-Apim-Subscription-Key
|
||||||
|
description: |
|
||||||
|
`.env`: `VIDAL_API_SUBSCRIPTION_KEY` — used for partner-integration APIs (`VIDAL_API_BASE_URL`).
|
||||||
|
|
||||||
|
VidalIrSubscriptionKey:
|
||||||
|
type: apiKey
|
||||||
|
in: header
|
||||||
|
name: Ocp-Apim-Subscription-Key
|
||||||
|
description: |
|
||||||
|
`.env`: `VIDAL_SUBSCRIPTION_KEY` — used **only** for IR submission (`VIDAL_API_BASE_URL_IRSUBMISSION`).
|
||||||
|
Same header name as main Vidal key but different secret.
|
||||||
|
|
||||||
|
VidalWellnessSubscriptionKey:
|
||||||
|
type: apiKey
|
||||||
|
in: header
|
||||||
|
name: Ocp-Apim-Subscription-Key
|
||||||
|
description: |
|
||||||
|
`.env`: `VIDAL_WELLNESS_SUBSCRIPTION_KEY`. Wellness also uses `VIDAL_WELLNESS_BASE_URL`,
|
||||||
|
`VIDAL_WELLNESS_BASE64_KEY`, `VIDAL_WELLNESS_URL_IDENTIFIER`, `VIDAL_WELLNESS_SUB_PARTNER_ID`.
|
||||||
|
|
||||||
|
VoloBearerToken:
|
||||||
|
type: http
|
||||||
|
scheme: bearer
|
||||||
|
bearerFormat: JWT
|
||||||
|
description: |
|
||||||
|
Obtain token from `POST .../external/login` using body fields from `.env`:
|
||||||
|
`VOLO_API_EMAIL`, `VOLO_API_PASSWORD`, `VOLO_LOGGED_IN_PORTAL`.
|
||||||
|
Send the returned `accessToken` as the Bearer value (as required by the API, sometimes including a `Token ` prefix).
|
||||||
|
|
||||||
|
FhplBearerAuth:
|
||||||
|
type: http
|
||||||
|
scheme: bearer
|
||||||
|
bearerFormat: JWT
|
||||||
|
description: |
|
||||||
|
Bearer `access_token` returned from `FHPL_TOKEN_URL` using form fields
|
||||||
|
`UserName`=`FHPL_USER_NAME`, `Password`=`FHPL_PASSWORD`, `grant_type`=`FHPL_GRANT_TYPE`.
|
||||||
|
|
||||||
|
HealthIndiaTokenBasic:
|
||||||
|
type: http
|
||||||
|
scheme: basic
|
||||||
|
description: |
|
||||||
|
For JWT generation call only. `.env`: `HEALTH_INDIA_USERNAME`, `HEALTH_INDIA_PASSWORD`
|
||||||
|
(HTTP Basic to `HEALTH_INDIA_TOKEN_URL`).
|
||||||
|
|
||||||
|
HealthIndiaBearerAuth:
|
||||||
|
type: http
|
||||||
|
scheme: bearer
|
||||||
|
bearerFormat: JWT
|
||||||
|
description: |
|
||||||
|
Bearer JWT from the GenerateJWTAuth response (not a fixed `.env` value).
|
||||||
|
Use `result[0].access_token` after calling token URL with Basic credentials above.
|
||||||
|
|
||||||
|
schemas:
|
||||||
|
MediAssistSubmitClaimBody:
|
||||||
|
type: object
|
||||||
|
properties:
|
||||||
|
policyNo: { type: string }
|
||||||
|
memberId: { type: string }
|
||||||
|
mobileNo: { type: string }
|
||||||
|
emailId: { type: string }
|
||||||
|
claimDateOfAdmission: { type: string }
|
||||||
|
claimDateOfDischarge: { type: string }
|
||||||
|
hospName: { type: string }
|
||||||
|
hospAddress: { type: string }
|
||||||
|
reasonForHospitalization: { type: string }
|
||||||
|
disease: { type: string }
|
||||||
|
claimAmount: { type: number }
|
||||||
|
claimType:
|
||||||
|
type: string
|
||||||
|
example: HOSPITALIZATION
|
||||||
|
claimSubmissionAttachments:
|
||||||
|
type: object
|
||||||
|
properties:
|
||||||
|
fileName: { type: string }
|
||||||
|
filePath: { type: string, description: Public URL to PDF }
|
||||||
|
|
||||||
|
MediAssistClaimStatusBody:
|
||||||
|
type: object
|
||||||
|
properties:
|
||||||
|
policyNo: { type: string }
|
||||||
|
startDate: { type: string }
|
||||||
|
endDate: { type: string }
|
||||||
|
employeeCode: { type: string }
|
||||||
|
memberID: { type: string }
|
||||||
|
claimNo: { type: string }
|
||||||
|
claimRefNo: { type: string }
|
||||||
|
|
||||||
|
VidalClaimSubmitBody:
|
||||||
|
type: object
|
||||||
|
properties:
|
||||||
|
policyNo: { type: string }
|
||||||
|
dependentUniqueId: { type: string }
|
||||||
|
typeOfClaim: { type: string, example: Main hospitalization claim }
|
||||||
|
claimSubType: { type: string }
|
||||||
|
requestedAmount: { type: string }
|
||||||
|
ailmentType: { type: string, example: Non covid }
|
||||||
|
admissionDate: { type: string, description: dd-mm-yyyy }
|
||||||
|
dischargeDate: { type: string }
|
||||||
|
hospitalName: { type: string }
|
||||||
|
empanelmentNo: { type: number }
|
||||||
|
ailmentName: { type: string }
|
||||||
|
hospitalAddress: { type: string, nullable: true }
|
||||||
|
hospitalState: { type: string, nullable: true }
|
||||||
|
hospitalCity: { type: string, nullable: true }
|
||||||
|
hospitalPinCode: { type: string, nullable: true }
|
||||||
|
hospitalPhoneNo: { type: string, nullable: true }
|
||||||
|
fileId: { type: string }
|
||||||
|
bankDetails:
|
||||||
|
type: object
|
||||||
|
properties:
|
||||||
|
accountHolderName: { type: string, nullable: true }
|
||||||
|
accountType: { type: string, nullable: true }
|
||||||
|
accountNo: { type: string, nullable: true }
|
||||||
|
ifscCode: { type: string, nullable: true }
|
||||||
|
|
||||||
|
VoloIntimateClaimBody:
|
||||||
|
type: object
|
||||||
|
properties:
|
||||||
|
hospitalId: { type: string }
|
||||||
|
memberId: { type: string }
|
||||||
|
dateOfAdmission: { type: string, format: date }
|
||||||
|
dateOfDischarge: { type: string, format: date }
|
||||||
|
potentialClaimAmount: { type: number }
|
||||||
|
claimDocuments:
|
||||||
|
type: array
|
||||||
|
items:
|
||||||
|
type: object
|
||||||
|
properties:
|
||||||
|
documentName: { type: string }
|
||||||
|
documentType: { type: string, example: medical_report }
|
||||||
|
extension: { type: string, example: pdf }
|
||||||
|
url: { type: string, format: uri }
|
||||||
|
entityId: { type: string }
|
||||||
|
insurerPolicyNumber: { type: string }
|
||||||
|
|
||||||
|
FhplClaimSubmissionBody:
|
||||||
|
type: object
|
||||||
|
properties:
|
||||||
|
IssueID: { type: string }
|
||||||
|
Userid:
|
||||||
|
type: string
|
||||||
|
description: Same as `.env` `FHPL_USER_NAME` where the app sends Userid.
|
||||||
|
PolicyNo: { type: string }
|
||||||
|
UhidNo: { type: string }
|
||||||
|
ClaimID: { type: string }
|
||||||
|
DOA: { type: string, format: date }
|
||||||
|
DateofDischarge: { type: string, format: date, nullable: true }
|
||||||
|
ClaimedAmount: { type: number }
|
||||||
|
DocumentType: { type: integer, example: 20, description: Fresh claim }
|
||||||
|
PayeeName: { type: string }
|
||||||
|
HospitalName: { type: string }
|
||||||
|
MobileNo: { type: string }
|
||||||
|
Documents:
|
||||||
|
type: array
|
||||||
|
items:
|
||||||
|
type: object
|
||||||
|
properties:
|
||||||
|
documentName: { type: string }
|
||||||
|
documentCategory: { type: string, example: IRR }
|
||||||
|
filecontent: { type: string, description: Base64 PDF }
|
||||||
|
|
||||||
|
HealthIndiaClaimIntimationBody:
|
||||||
|
type: object
|
||||||
|
description: Field casing matches Health India API (mixedCase keys).
|
||||||
|
properties:
|
||||||
|
policY_NUMBER: { type: string }
|
||||||
|
employeE_CODE: { type: string }
|
||||||
|
membeR_ID: { type: string }
|
||||||
|
claiM_TYPE: { type: string, example: Reimbursement }
|
||||||
|
benefiT_TYPE: { type: string, enum: [IPD, OPD] }
|
||||||
|
claimeD_AMOUNT: { type: string }
|
||||||
|
datE_OF_ADMISSION: { type: string, format: date }
|
||||||
|
ailmenT_DESCRIPTION: { type: string }
|
||||||
|
hospitaL_CODE: { type: string }
|
||||||
|
hospitaL_NAME: { type: string }
|
||||||
|
hospitaL_ADDRESS: { type: string }
|
||||||
|
hospitaL_NUMBER: { type: string }
|
||||||
|
pdF_BYTES:
|
||||||
|
type: array
|
||||||
|
items: { type: string, description: Base64-encoded PDF }
|
||||||
Loading…
Reference in New Issue
Block a user