FIX_SYNC
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15
.env.sample
15
.env.sample
@ -116,6 +116,21 @@ VIDAL_PRIMARY_KEY_CONSTANT =
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MEDI_ASSIST_PRIMARY_KEY_CONSTANT =
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#--------------------------------------------------------------------
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# TPA PRIMARY KEY CONSTANTS LIVE
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#--------------------------------------------------------------------
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MEDI_ASSIST_PRIMARY_KEY_CONSTANT_LIVE =
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ICICI_PRIMARY_KEY_CONSTANT_LIVE =
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ABHI_PRIMARY_KEY_CONSTANT_LIVE =
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R_CARE_PRIMARY_KEY_CONSTANT_LIVE =
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FHPL_PRIMARY_KEY_CONSTANT_LIVE =
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VIDAL_PRIMARY_KEY_CONSTANT_LIVE =
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VOLO_PRIMARY_KEY_CONSTANT_LIVE =
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# When true, claims-collection-report falls back to ticket_master only if the
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# policy TPA has no mapped dump table (or dump table missing). Dump TPAs always use claim_report.
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CLAIM_REPORT_FALLBACK_TO_TICKET_MASTER = false
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FHPL_TOKEN_URL =
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FHPL_BASE_URL =
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@ -1,200 +0,0 @@
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<?php
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namespace App\Commands;
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use CodeIgniter\CLI\BaseCommand;
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use CodeIgniter\CLI\CLI;
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/**
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* Seed claim_report from existing dump-sourced ticket_master rows.
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*
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* Usage:
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* php spark claim:backfill-report
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* php spark claim:backfill-report --policy=4687
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* php spark claim:backfill-report --limit=5000
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*/
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class BackfillClaimReport extends BaseCommand
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{
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protected $group = 'Claims';
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protected $name = 'claim:backfill-report';
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protected $description = 'Backfill claim_report from ticket_master dump claims';
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protected $usage = 'claim:backfill-report [--policy=ID] [--limit=N]';
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protected $options = [
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'--policy' => 'Optional client_policy_id to limit backfill',
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'--limit' => 'Batch size (default 1000)',
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];
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public function run(array $params)
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{
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$db = db_connect();
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if (!$db->tableExists('claim_report')) {
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CLI::error('Table claim_report does not exist. Run migrations first.');
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return EXIT_ERROR;
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}
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if (!$db->tableExists('ticket_master')) {
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CLI::error('Table ticket_master does not exist.');
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return EXIT_ERROR;
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}
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$policyId = (int) (CLI::getOption('policy') ?? 0);
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$limit = (int) (CLI::getOption('limit') ?? 1000);
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if ($limit <= 0) {
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$limit = 1000;
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}
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$offset = 0;
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$totalInserted = 0;
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$totalUpdated = 0;
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$totalSkipped = 0;
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$now = date('Y-m-d H:i:s');
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CLI::write('Backfilling claim_report from ticket_master (dump-sourced claims)...', 'yellow');
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while (true) {
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$builder = $db->table('ticket_master')
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->where('is_active', 1)
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->groupStart()
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->where('claim_dump_ref_id IS NOT NULL', null, false)
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->orWhere('file_id IS NOT NULL', null, false)
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->groupEnd()
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->where("claim_number IS NOT NULL AND TRIM(claim_number) != ''", null, false)
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->orderBy('id', 'ASC')
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->limit($limit, $offset);
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if ($policyId > 0) {
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$builder->where('client_policy_id', $policyId);
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}
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$tickets = $builder->get()->getResultArray();
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if ($tickets === []) {
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break;
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}
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$rows = [];
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foreach ($tickets as $tm) {
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$claimNumber = trim((string) ($tm['claim_number'] ?? ''));
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$clientPolicyId = (int) ($tm['client_policy_id'] ?? 0);
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if ($claimNumber === '' || $clientPolicyId <= 0) {
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$totalSkipped++;
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continue;
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}
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$rows[] = [
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'tpa_id' => $tm['tpa_id'] ?? null,
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'client_id' => $tm['client_id'] ?? null,
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'client_policy_id' => $clientPolicyId,
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'file_id' => $tm['file_id'] ?? null,
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'ticket_id' => $tm['id'] ?? null,
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'source_table' => null,
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'source_row_id' => $tm['claim_dump_ref_id'] ?? null,
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'claim_number' => $claimNumber,
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'emp_code' => $tm['emp_code'] ?? null,
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'tpa_no' => $tm['tpa_no'] ?? null,
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'emp_id' => $tm['emp_id'] ?? null,
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'insured_emp_id' => $tm['insured_emp_id'] ?? null,
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'claim_amount' => $tm['claim_amount'] ?? null,
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'approved_amount' => $tm['approved_amount'] ?? null,
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'incurred_amount' => $tm['approved_amount'] ?? $tm['claim_amount'] ?? null,
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'si_amt' => $tm['si_amt'] ?? null,
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'tpa_claim_status' => $tm['tpa_claim_status'] ?? null,
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'claim_status_id' => $tm['claim_status_id'] ?? null,
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'tpa_claim_type' => $tm['tpa_claim_type'] ?? null,
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'tpa_ailments' => $tm['tpa_ailments'] ?? null,
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'doa' => $tm['doa'] ?? null,
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'dod' => $tm['dod'] ?? null,
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'date_of_intimat' => $tm['date_of_intimat'] ?? null,
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'settled_date' => $tm['settled_date'] ?? null,
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'approved_date' => $tm['approved_date'] ?? null,
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'claim_dump_date' => $tm['claim_dump_date'] ?? null,
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'hospital_name' => $tm['hospital_name'] ?? null,
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'hospital_city' => $tm['hospital_city'] ?? null,
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'hospital_state' => $tm['hospital_state'] ?? null,
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'hospital_pin_code'=> $tm['hospital_pin_code'] ?? null,
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'hospital_address' => $tm['hospital_address'] ?? null,
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'gender' => null,
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'age' => null,
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'relation' => $tm['relationship'] ?? null,
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'is_active' => 1,
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'created_at' => $now,
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'updated_at' => $now,
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];
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}
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if ($rows !== []) {
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$result = $this->upsertRows($db, $rows);
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if ($result === false) {
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CLI::error('Upsert failed at offset ' . $offset);
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return EXIT_ERROR;
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}
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$totalInserted += $result['inserted'];
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$totalUpdated += $result['updated'];
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}
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$offset += count($tickets);
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CLI::write("Processed {$offset} ticket_master rows...", 'green');
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if (count($tickets) < $limit) {
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break;
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}
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}
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CLI::write("Done. inserted≈{$totalInserted}, updated≈{$totalUpdated}, skipped={$totalSkipped}", 'green');
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return EXIT_SUCCESS;
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}
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/**
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* @param list<array<string, mixed>> $rows
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* @return array{inserted:int,updated:int}|false
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*/
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private function upsertRows($db, array $rows)
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{
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$columns = [
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'tpa_id', 'client_id', 'client_policy_id', 'file_id', 'ticket_id',
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'source_table', 'source_row_id', 'claim_number', 'emp_code', 'tpa_no',
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'emp_id', 'insured_emp_id', 'claim_amount', 'approved_amount', 'incurred_amount',
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'si_amt', 'tpa_claim_status', 'claim_status_id', 'tpa_claim_type', 'tpa_ailments',
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'doa', 'dod', 'date_of_intimat', 'settled_date', 'approved_date', 'claim_dump_date',
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'hospital_name', 'hospital_city', 'hospital_state', 'hospital_pin_code', 'hospital_address',
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'gender', 'age', 'relation', 'is_active', 'created_at', 'updated_at',
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];
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$updateCols = array_values(array_diff($columns, ['client_policy_id', 'claim_number', 'created_at']));
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$inserted = 0;
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$updated = 0;
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foreach (array_chunk($rows, 100) as $chunk) {
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$placeholders = [];
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$binds = [];
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foreach ($chunk as $row) {
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$rowPlaceholders = [];
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foreach ($columns as $col) {
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$rowPlaceholders[] = '?';
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$binds[] = $row[$col] ?? null;
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}
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$placeholders[] = '(' . implode(', ', $rowPlaceholders) . ')';
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}
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$updates = [];
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foreach ($updateCols as $col) {
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$updates[] = '`' . $col . '` = VALUES(`' . $col . '`)';
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}
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$sql = 'INSERT INTO `claim_report` (`' . implode('`, `', $columns) . '`) VALUES '
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. implode(', ', $placeholders)
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. ' ON DUPLICATE KEY UPDATE ' . implode(', ', $updates);
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if ($db->query($sql, $binds) === false) {
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return false;
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}
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$affected = $db->affectedRows();
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// MySQL: 1 = insert, 2 = update existing
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$updated += (int) floor($affected / 2);
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$inserted += max(0, $affected - (2 * (int) floor($affected / 2)));
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}
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return ['inserted' => $inserted, 'updated' => $updated];
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}
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}
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@ -1,63 +0,0 @@
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<?php
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namespace App\Commands;
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use App\Libraries\ClaimReportSyncService;
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use CodeIgniter\CLI\BaseCommand;
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use CodeIgniter\CLI\CLI;
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/**
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* Copy linked TPA dump (+ optional ticket_master) claims into claim_report.
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*
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* Usage:
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* php spark claim:sync-report
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* php spark claim:sync-report --phase1
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* php spark claim:sync-report --policy=12 --phase1
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* php spark claim:sync-report --tpa=mediassist --policy=12
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* php spark claim:sync-report --ticket-only
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*/
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class SyncClaimReportFromDump extends BaseCommand
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{
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protected $group = 'Claims';
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protected $name = 'claim:sync-report';
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protected $description = 'Sync claim_report from TPA dump tables + ticket_master';
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protected $usage = 'claim:sync-report [--policy=ID] [--tpa=NAME|all] [--limit=N] [--phase1] [--ticket-only]';
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protected $options = [
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'--policy' => 'Optional client_policy_id',
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'--tpa' => 'icici|abhi|mediassist|fhpl|rcare|vidal|all (default: all)',
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'--limit' => 'Batch size per dump query (default 500)',
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'--phase1' => 'TPA dump tables only (skip ticket_master)',
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'--ticket-only' => 'Skip dump tables; copy only from ticket_master',
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];
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public function run(array $params)
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{
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$policyId = (int) ($params['policy'] ?? CLI::getOption('policy') ?? 0);
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$limit = (int) ($params['limit'] ?? CLI::getOption('limit') ?? 500);
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$ticketOnly = array_key_exists('ticket-only', $params) || CLI::getOption('ticket-only') !== null;
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$phase1Only = array_key_exists('phase1', $params) || CLI::getOption('phase1') !== null;
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$tpaOpt = strtolower(trim((string) ($params['tpa'] ?? CLI::getOption('tpa') ?? 'all')));
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if ($limit <= 0) {
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$limit = 500;
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}
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$result = (new ClaimReportSyncService())->sync($policyId, $tpaOpt, $limit, $ticketOnly, $phase1Only);
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foreach ($result['logs'] as $line) {
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$color = 'white';
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if (str_starts_with($line, '[FAIL]')) {
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$color = 'red';
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} elseif (str_starts_with($line, '[DONE]') || str_starts_with($line, 'Done.')) {
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$color = 'green';
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} elseif (str_starts_with($line, '[SKIP]') || str_starts_with($line, 'Phase') || str_starts_with($line, 'Skipping')) {
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$color = 'yellow';
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} elseif (str_starts_with($line, ' ')) {
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$color = 'green';
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}
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CLI::write($line, $color);
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}
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return ! empty($result['status']) ? EXIT_SUCCESS : EXIT_ERROR;
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}
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}
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@ -510,7 +510,7 @@ $routes->group("/util", ["filter" => "authMVC"], function ($routes) {
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$routes->get('all', 'ClaimReportDashboardController::all');
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$routes->get('debug', 'ClaimReportDashboardController::debug');
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$routes->get('debug/(:num)', 'ClaimReportDashboardController::debug/$1');
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$routes->match(['get', 'post'], 'sync', 'ClaimReportDashboardController::sync');
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$routes->get('sync', 'ClaimReportDashboardController::sync');
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});
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$routes->group('enrollment-collection-v1', static function ($routes) {
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@ -865,7 +865,6 @@ $routes->group("employeeRest", ["filter" => ['GlobalPostFileUploadGuard', 'ratel
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$routes->get('all', 'ClaimReportDashboardController::all');
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$routes->get('debug', 'ClaimReportDashboardController::debug');
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$routes->get('debug/(:num)', 'ClaimReportDashboardController::debug/$1');
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$routes->match(['get', 'post'], 'sync', 'ClaimReportDashboardController::sync');
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});
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$routes->group('enrollment-collection-v1', static function ($routes) {
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@ -5,11 +5,12 @@ namespace App\Controllers;
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use App\Models\ClaimReportDashboardModel;
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use App\Models\ClaimsCollectionV2DashboardModel;
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use App\Models\ClaimDumpFileModel;
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use App\Libraries\ClaimReportSyncService;
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use CodeIgniter\API\ResponseTrait;
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/**
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* Claims Collection dashboard API using claim_report (falls back to ticket_master).
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* Claims Collection dashboard API using claim_report.
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* ticket_master fallback is env-gated (CLAIM_REPORT_FALLBACK_TO_TICKET_MASTER)
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* and only applies when the policy TPA has no dump table.
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*/
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class ClaimReportDashboardController extends BaseController
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{
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@ -153,6 +154,376 @@ class ClaimReportDashboardController extends BaseController
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]);
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}
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/**
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* Sync TPA dump tables → claim_report.
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* Only rows where ticket_id IS NOT NULL and is_active = 1 are copied.
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* Idempotent: existing (client_policy_id, claim_number) rows are skipped.
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* No request parameters required.
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*
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* GET /util/claims-collection-report/sync
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*/
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public function sync()
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{
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@set_time_limit(0);
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@ini_set('max_execution_time', '0');
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$db = db_connect();
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if (!$db->tableExists('claim_report')) {
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return $this->respond([
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'status' => false,
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'message' => 'Table claim_report does not exist. Run migrations first.',
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], 500);
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}
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// env_key => [dump_table, claim_number_col, dump_col => claim_report_col mapping]
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$tpaTableMap = [
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'VIDAL_PRIMARY_KEY_CONSTANT' => [
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'table' => 'claims_dump_vidal',
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'claim_col' => 'insurer_claim_number',
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'mapping' => [
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'insurer_claim_number' => 'claim_number',
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'employee_number' => 'emp_code',
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'date_of_admission' => 'doa',
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'date_of_discharge' => 'dod',
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'claim_amount' => 'claim_amount',
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'approved_amount' => 'approved_amount',
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'sum_insured' => 'si_amt',
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'claim_status' => 'tpa_claim_status',
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'hospital_name' => 'hospital_name',
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'hospital_address' => 'hospital_address',
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'hospital_city' => 'hospital_city',
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'hospital_state' => 'hospital_state',
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'hospital_pincode' => 'hospital_pin_code',
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'type_of_claim' => 'tpa_claim_type',
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'diagnosis' => 'tpa_ailments',
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'tpa_claim_number' => 'tpa_no',
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],
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],
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'ABHI_PRIMARY_KEY_CONSTANT' => [
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'table' => 'claims_dump_abhi',
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'claim_col' => 'abhi_claim_no',
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'mapping' => [
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'abhi_claim_no' => 'claim_number',
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'member_code' => 'emp_code',
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'doa' => 'doa',
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'dod' => 'dod',
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'intimation_date' => 'date_of_intimat',
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'claim_status' => 'tpa_claim_status',
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'claimed_amount' => 'claim_amount',
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'hospital_name' => 'hospital_name',
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'hospital_city' => 'hospital_city',
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'hospital_state' => 'hospital_state',
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'settled_date' => 'settled_date',
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'healthcard_id' => 'tpa_no',
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'claim_type' => 'tpa_claim_type',
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'diagnosis' => 'tpa_ailments',
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'abhi_amount_less_coins_current_month' => 'approved_amount',
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'patient_age' => 'age',
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'gender' => 'gender',
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'relation' => 'relation',
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],
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],
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'MEDI_ASSIST_PRIMARY_KEY_CONSTANT' => [
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'table' => 'claims_dump_medi_assist',
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'claim_col' => 'claim_id',
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'mapping' => [
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'claim_id' => 'claim_number',
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'pribenef_employee_code' => 'emp_code',
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'date_of_admission' => 'doa',
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'date_of_discharge' => 'dod',
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'intimation_date' => 'date_of_intimat',
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'settled_date' => 'settled_date',
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'processed_date' => 'approved_date',
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'claim_status' => 'tpa_claim_status',
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'claim_amount' => 'claim_amount',
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'claim_approved_amount' => 'approved_amount',
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'hospital_name' => 'hospital_name',
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'hospital_address' => 'hospital_address',
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'hospital_city' => 'hospital_city',
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'hospital_state' => 'hospital_state',
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'hospital_pincode' => 'hospital_pin_code',
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'claim_type' => 'tpa_claim_type',
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'primary_ailment_name' => 'tpa_ailments',
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'benef_sum_insured' => 'si_amt',
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'benef_gender' => 'gender',
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'benef_age' => 'age',
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'benef_relation' => 'relation',
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'incurred_amount' => 'incurred_amount',
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],
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],
|
||||
'FHPL_PRIMARY_KEY_CONSTANT' => [
|
||||
'table' => 'claims_dump_fhpl',
|
||||
'claim_col' => 'claim_id',
|
||||
'mapping' => [
|
||||
'claim_id' => 'claim_number',
|
||||
'employee_id' => 'emp_code',
|
||||
'admission_date' => 'doa',
|
||||
'discharge_date' => 'dod',
|
||||
'claim_received_date' => 'date_of_intimat',
|
||||
'claim_passed_date' => 'approved_date',
|
||||
'settled_date' => 'settled_date',
|
||||
'current_claim_status' => 'tpa_claim_status',
|
||||
'claim_amount' => 'claim_amount',
|
||||
'settled_amount' => 'approved_amount',
|
||||
'incurred_amount' => 'incurred_amount',
|
||||
'coverage_amount' => 'si_amt',
|
||||
'provider_name' => 'hospital_name',
|
||||
'provider_address' => 'hospital_address',
|
||||
'provider_state' => 'hospital_state',
|
||||
'provider_place' => 'hospital_city',
|
||||
'provider_pincode' => 'hospital_pin_code',
|
||||
'claim_type' => 'tpa_claim_type',
|
||||
'diagnosis' => 'tpa_ailments',
|
||||
'uhid_no' => 'tpa_no',
|
||||
'gender' => 'gender',
|
||||
'years' => 'age',
|
||||
'relationship' => 'relation',
|
||||
],
|
||||
],
|
||||
'R_CARE_PRIMARY_KEY_CONSTANT' => [
|
||||
'table' => 'claims_dump_reliance',
|
||||
'claim_col' => 'cl_inward_no',
|
||||
'mapping' => [
|
||||
'cl_inward_no' => 'claim_number',
|
||||
'employee_member_id' => 'emp_code',
|
||||
'doa_opd_treatment_from' => 'doa',
|
||||
'dod_opd_treatment_to' => 'dod',
|
||||
'approved_date' => 'approved_date',
|
||||
'cheque_neft_date' => 'settled_date',
|
||||
'claimed_amount' => 'claim_amount',
|
||||
'net_sanction_amount' => 'approved_amount',
|
||||
'final_status' => 'tpa_claim_status',
|
||||
'hospital_name' => 'hospital_name',
|
||||
'hospital_state' => 'hospital_state',
|
||||
'hospital_district' => 'hospital_city',
|
||||
'uhid' => 'tpa_no',
|
||||
'diagnosis' => 'tpa_ailments',
|
||||
'member_reimbursement_cl_type' => 'tpa_claim_type',
|
||||
'gender' => 'gender',
|
||||
'age' => 'age',
|
||||
'relation' => 'relation',
|
||||
'sum_insured' => 'si_amt',
|
||||
],
|
||||
],
|
||||
'ICICI_PRIMARY_KEY_CONSTANT' => [
|
||||
'table' => 'claims_dump_icici',
|
||||
'claim_col' => 'claim_number',
|
||||
'mapping' => [
|
||||
'claim_number' => 'claim_number',
|
||||
'employee_member_id' => 'emp_code',
|
||||
'doa' => 'doa',
|
||||
'dod' => 'dod',
|
||||
'payment_date' => 'settled_date',
|
||||
'claimed_amount' => 'claim_amount',
|
||||
'net_sanct_amt' => 'approved_amount',
|
||||
'updated_status' => 'tpa_claim_status',
|
||||
'hospital_name' => 'hospital_name',
|
||||
'hospital_city' => 'hospital_city',
|
||||
'hospital_state' => 'hospital_state',
|
||||
'type_of_claim' => 'tpa_claim_type',
|
||||
'diagnosis' => 'tpa_ailments',
|
||||
'uhid' => 'tpa_no',
|
||||
'sum_insured' => 'si_amt',
|
||||
'gender' => 'gender',
|
||||
'age' => 'age',
|
||||
'relation' => 'relation',
|
||||
],
|
||||
],
|
||||
];
|
||||
|
||||
// Build tpa_id → config map from env
|
||||
$tpaMap = [];
|
||||
foreach ($tpaTableMap as $envKey => $cfg) {
|
||||
$tpaId = (int) env($envKey);
|
||||
if ($tpaId > 0) {
|
||||
$tpaMap[$tpaId] = $cfg;
|
||||
}
|
||||
}
|
||||
|
||||
$totalFound = 0;
|
||||
$totalInserted = 0;
|
||||
$totalSkipped = 0;
|
||||
$totalFailed = 0;
|
||||
$tpaResults = [];
|
||||
$now = date('Y-m-d H:i:s');
|
||||
|
||||
foreach ($tpaMap as $tpaId => $cfg) {
|
||||
$dumpTable = $cfg['table'];
|
||||
$claimCol = $cfg['claim_col'];
|
||||
$mapping = $cfg['mapping'];
|
||||
|
||||
if (!$db->tableExists($dumpTable)) {
|
||||
$tpaResults[] = [
|
||||
'tpa_id' => $tpaId,
|
||||
'table' => $dumpTable,
|
||||
'status' => 'skipped',
|
||||
'detail' => 'Dump table does not exist.',
|
||||
'found' => 0,
|
||||
'inserted' => 0,
|
||||
'skipped' => 0,
|
||||
'failed' => 0,
|
||||
];
|
||||
continue;
|
||||
}
|
||||
|
||||
// Fetch all active dump rows with a ticket_id (all columns)
|
||||
$dumpRows = $db->table($dumpTable)
|
||||
->where('is_active', 1)
|
||||
->where('ticket_id IS NOT NULL', null, false)
|
||||
->get()
|
||||
->getResultArray();
|
||||
|
||||
// Pre-load all related ticket_master rows in one query
|
||||
$ticketIds = array_filter(array_column($dumpRows, 'ticket_id'));
|
||||
$ticketsById = [];
|
||||
if (!empty($ticketIds)) {
|
||||
$ticketRows = $db->table('ticket_master')
|
||||
->whereIn('id', array_values(array_unique($ticketIds)))
|
||||
->get()
|
||||
->getResultArray();
|
||||
foreach ($ticketRows as $tm) {
|
||||
$ticketsById[(int) $tm['id']] = $tm;
|
||||
}
|
||||
}
|
||||
|
||||
$found = count($dumpRows);
|
||||
$inserted = 0;
|
||||
$skipped = 0;
|
||||
$failed = 0;
|
||||
$totalFound += $found;
|
||||
|
||||
foreach ($dumpRows as $row) {
|
||||
$claimNumber = trim((string) ($row[$claimCol] ?? ''));
|
||||
$clientPolicyId = (int) ($row['client_policy_id'] ?? 0);
|
||||
|
||||
if ($claimNumber === '' || $clientPolicyId <= 0) {
|
||||
$skipped++;
|
||||
$totalSkipped++;
|
||||
continue;
|
||||
}
|
||||
|
||||
// Fetch linked ticket_master row for emp_id / insured_emp_id
|
||||
$ticket = $ticketsById[(int) ($row['ticket_id'] ?? 0)] ?? null;
|
||||
|
||||
// Check if already exists in claim_report
|
||||
$existing = $db->table('claim_report')
|
||||
->where('client_policy_id', $clientPolicyId)
|
||||
->where('claim_number', $claimNumber)
|
||||
->get()
|
||||
->getRowArray();
|
||||
|
||||
// Base row metadata from dump; employee/system IDs always from ticket_master
|
||||
$reportRow = [
|
||||
'tpa_id' => $tpaId,
|
||||
'client_id' => $row['client_id'] ?? ($ticket['client_id'] ?? null),
|
||||
'file_id' => $row['file_id'] ?? ($ticket['file_id'] ?? null),
|
||||
'ticket_id' => $row['ticket_id'],
|
||||
'source_table' => $dumpTable,
|
||||
'source_row_id' => $row['id'],
|
||||
'is_active' => 1,
|
||||
'updated_at' => $now,
|
||||
'emp_id' => $ticket['emp_id'] ?? null,
|
||||
'insured_emp_id' => $ticket['insured_emp_id'] ?? null,
|
||||
'claim_status_id' => $ticket['claim_status_id'] ?? null,
|
||||
];
|
||||
|
||||
// 1) Fill ALL claim_report data fields from ticket_master first
|
||||
$ticketCols = [
|
||||
'emp_code', 'tpa_no',
|
||||
'gender', 'age', 'relation',
|
||||
'claim_amount', 'approved_amount', 'si_amt', 'incurred_amount',
|
||||
'tpa_claim_status', 'tpa_claim_type', 'tpa_ailments',
|
||||
'doa', 'dod', 'date_of_intimat', 'settled_date', 'approved_date',
|
||||
'hospital_name', 'hospital_city', 'hospital_state',
|
||||
'hospital_pin_code', 'hospital_address',
|
||||
'claim_dump_date',
|
||||
];
|
||||
if ($ticket) {
|
||||
foreach ($ticketCols as $col) {
|
||||
$ticketVal = $ticket[$col] ?? null;
|
||||
// ticket_master uses "relationship"; claim_report uses "relation"
|
||||
if ($col === 'relation' && ($ticketVal === null || $ticketVal === '')) {
|
||||
$ticketVal = $ticket['relationship'] ?? null;
|
||||
}
|
||||
if ($ticketVal !== null && $ticketVal !== '') {
|
||||
$reportRow[$col] = $ticketVal;
|
||||
}
|
||||
}
|
||||
}
|
||||
|
||||
// 2) Dump table fills only fields still null/empty after ticket_master
|
||||
foreach ($mapping as $dumpCol => $reportCol) {
|
||||
$current = $reportRow[$reportCol] ?? null;
|
||||
if ($current !== null && $current !== '') {
|
||||
continue;
|
||||
}
|
||||
if (array_key_exists($dumpCol, $row) && $row[$dumpCol] !== null && $row[$dumpCol] !== '') {
|
||||
$reportRow[$reportCol] = $row[$dumpCol];
|
||||
}
|
||||
}
|
||||
|
||||
// incurred_amount final fallback
|
||||
if (empty($reportRow['incurred_amount'])) {
|
||||
$reportRow['incurred_amount'] = $reportRow['approved_amount'] ?? $reportRow['claim_amount'] ?? null;
|
||||
}
|
||||
|
||||
if ($existing) {
|
||||
// Update existing row with full data
|
||||
$ok = $db->table('claim_report')
|
||||
->where('client_policy_id', $clientPolicyId)
|
||||
->where('claim_number', $claimNumber)
|
||||
->update($reportRow);
|
||||
if ($ok) {
|
||||
$skipped++;
|
||||
$totalSkipped++;
|
||||
} else {
|
||||
$failed++;
|
||||
$totalFailed++;
|
||||
}
|
||||
continue;
|
||||
}
|
||||
|
||||
// New insert
|
||||
$reportRow['client_policy_id'] = $clientPolicyId;
|
||||
$reportRow['claim_number'] = $claimNumber;
|
||||
$reportRow['created_at'] = $now;
|
||||
|
||||
$ok = $db->table('claim_report')->insert($reportRow);
|
||||
|
||||
if ($ok) {
|
||||
$inserted++;
|
||||
$totalInserted++;
|
||||
} else {
|
||||
$failed++;
|
||||
$totalFailed++;
|
||||
}
|
||||
}
|
||||
|
||||
$tpaResults[] = [
|
||||
'tpa_id' => $tpaId,
|
||||
'table' => $dumpTable,
|
||||
'status' => 'done',
|
||||
'found' => $found,
|
||||
'inserted' => $inserted,
|
||||
'skipped' => $skipped,
|
||||
'failed' => $failed,
|
||||
];
|
||||
}
|
||||
|
||||
return $this->respond([
|
||||
'status' => $totalFailed === 0,
|
||||
'message' => $totalFailed === 0 ? 'Sync completed successfully.' : 'Sync completed with some failures.',
|
||||
'summary' => [
|
||||
'total_found' => $totalFound,
|
||||
'total_inserted' => $totalInserted,
|
||||
'total_skipped' => $totalSkipped,
|
||||
'total_failed' => $totalFailed,
|
||||
],
|
||||
'tpa_results' => $tpaResults,
|
||||
]);
|
||||
}
|
||||
|
||||
/**
|
||||
* Admin check only: raw JSON on screen (no dashboard UI).
|
||||
*/
|
||||
@ -183,95 +554,4 @@ class ClaimReportDashboardController extends BaseController
|
||||
->setBody($body);
|
||||
}
|
||||
|
||||
/**
|
||||
* Run claim report sync via URL (authMVC / JWT).
|
||||
* Uses ClaimReportSyncService directly (no spark/CLI).
|
||||
*
|
||||
* Query params (all optional):
|
||||
* client_policy / client_policy_id
|
||||
* tpa=icici|abhi|mediassist|fhpl|rcare|vidal|all
|
||||
* limit=500
|
||||
* phase1=true → TPA dump tables only (skip ticket_master)
|
||||
* ticket_only=1 → ticket_master only (ignored if phase1=true)
|
||||
*/
|
||||
public function sync()
|
||||
{
|
||||
@set_time_limit(0);
|
||||
@ini_set('max_execution_time', '0');
|
||||
|
||||
$policyId = $this->resolvePolicyId();
|
||||
$tpa = strtolower(trim((string) ($this->request->getGet('tpa') ?? $this->request->getPost('tpa') ?? 'all')));
|
||||
$limit = (int) ($this->request->getGet('limit') ?? $this->request->getPost('limit') ?? 500);
|
||||
$ticketOnly = $this->isTruthyParam('ticket_only');
|
||||
$phase1Only = $this->isTruthyParam('phase1');
|
||||
|
||||
$allowedTpa = ['all', 'vidal', 'abhi', 'mediassist', 'fhpl', 'rcare', 'icici'];
|
||||
if ($tpa === '' || ! in_array($tpa, $allowedTpa, true)) {
|
||||
return $this->respond([
|
||||
'status' => false,
|
||||
'message' => 'Invalid tpa. Allowed: ' . implode(', ', $allowedTpa),
|
||||
], 422);
|
||||
}
|
||||
|
||||
if ($limit <= 0) {
|
||||
$limit = 500;
|
||||
}
|
||||
if ($limit > 5000) {
|
||||
$limit = 5000;
|
||||
}
|
||||
|
||||
$startedAt = date('Y-m-d H:i:s');
|
||||
|
||||
try {
|
||||
$result = (new ClaimReportSyncService())->sync(
|
||||
$policyId,
|
||||
$tpa,
|
||||
$limit,
|
||||
$ticketOnly,
|
||||
$phase1Only
|
||||
);
|
||||
} catch (\Throwable $e) {
|
||||
return $this->respond([
|
||||
'status' => false,
|
||||
'message' => 'Sync failed: ' . $e->getMessage(),
|
||||
'policy_id' => $policyId > 0 ? $policyId : null,
|
||||
'tpa' => $tpa,
|
||||
'limit' => $limit,
|
||||
'phase1' => $phase1Only,
|
||||
'ticket_only' => $ticketOnly,
|
||||
'started_at' => $startedAt,
|
||||
], 500);
|
||||
}
|
||||
|
||||
$ok = ! empty($result['status']);
|
||||
|
||||
return $this->respond([
|
||||
'status' => $ok,
|
||||
'message' => $result['message'] ?? ($ok ? 'Sync completed.' : 'Sync failed.'),
|
||||
'policy_id' => $policyId > 0 ? $policyId : null,
|
||||
'tpa' => $tpa,
|
||||
'limit' => $limit,
|
||||
'phase1' => $phase1Only,
|
||||
'ticket_only' => $ticketOnly && ! $phase1Only,
|
||||
'started_at' => $startedAt,
|
||||
'finished_at' => date('Y-m-d H:i:s'),
|
||||
'summary' => $result['summary'] ?? null,
|
||||
'phases' => $result['phases'] ?? [],
|
||||
'tpa_results' => $result['tpa_results'] ?? [],
|
||||
'logs' => $result['logs'] ?? [],
|
||||
], $ok ? 200 : 500);
|
||||
}
|
||||
|
||||
/**
|
||||
* True when GET/POST param is 1/true/yes (case-insensitive).
|
||||
*/
|
||||
protected function isTruthyParam(string $name): bool
|
||||
{
|
||||
$raw = $this->request->getGet($name) ?? $this->request->getPost($name);
|
||||
if ($raw === null) {
|
||||
return false;
|
||||
}
|
||||
|
||||
return in_array(strtolower(trim((string) $raw)), ['1', 'true', 'yes'], true);
|
||||
}
|
||||
}
|
||||
|
||||
@ -1,444 +0,0 @@
|
||||
<?php
|
||||
|
||||
namespace App\Libraries;
|
||||
|
||||
use App\Libraries\TpaClaimsImportFactory;
|
||||
use InvalidArgumentException;
|
||||
|
||||
/**
|
||||
* Sync claim_report from TPA dump tables (+ optional ticket_master).
|
||||
* Safe to call from HTTP or spark (no CLI constants required).
|
||||
*/
|
||||
class ClaimReportSyncService
|
||||
{
|
||||
/**
|
||||
* @return array<string, array{env:string,table:string}>
|
||||
*/
|
||||
public function tpaConfigs(): array
|
||||
{
|
||||
return [
|
||||
'vidal' => [
|
||||
'env' => 'VIDAL_PRIMARY_KEY_CONSTANT',
|
||||
'table' => 'claims_dump_vidal',
|
||||
],
|
||||
'abhi' => [
|
||||
'env' => 'ABHI_PRIMARY_KEY_CONSTANT',
|
||||
'table' => 'claims_dump_abhi',
|
||||
],
|
||||
'mediassist' => [
|
||||
'env' => 'MEDI_ASSIST_PRIMARY_KEY_CONSTANT',
|
||||
'table' => 'claims_dump_medi_assist',
|
||||
],
|
||||
'fhpl' => [
|
||||
'env' => 'FHPL_PRIMARY_KEY_CONSTANT',
|
||||
'table' => 'claims_dump_fhpl',
|
||||
],
|
||||
'rcare' => [
|
||||
'env' => 'R_CARE_PRIMARY_KEY_CONSTANT',
|
||||
'table' => 'claims_dump_reliance',
|
||||
],
|
||||
'icici' => [
|
||||
'env' => 'ICICI_PRIMARY_KEY_CONSTANT',
|
||||
'table' => 'claims_dump_icici',
|
||||
],
|
||||
];
|
||||
}
|
||||
|
||||
/**
|
||||
* @return array{
|
||||
* status: bool,
|
||||
* message: string,
|
||||
* summary: array{mapped:int,skipped:int,errors:int,message:?string},
|
||||
* phases: list<string>,
|
||||
* tpa_results: list<array<string,mixed>>,
|
||||
* logs: list<string>
|
||||
* }
|
||||
*/
|
||||
public function sync(
|
||||
int $policyId = 0,
|
||||
string $tpa = 'all',
|
||||
int $limit = 500,
|
||||
bool $ticketOnly = false,
|
||||
bool $phase1Only = false
|
||||
): array {
|
||||
$logs = [];
|
||||
$phases = [];
|
||||
$tpaResults = [];
|
||||
$db = db_connect();
|
||||
|
||||
$log = static function (string $line) use (&$logs): void {
|
||||
$logs[] = $line;
|
||||
};
|
||||
|
||||
if (!$db->tableExists('claim_report')) {
|
||||
$msg = 'Table claim_report does not exist. Run: php spark migrate';
|
||||
$log($msg);
|
||||
return $this->result(false, $msg, 0, 0, 1, $phases, $tpaResults, $logs);
|
||||
}
|
||||
|
||||
// phase1Only and ticketOnly are mutually exclusive; phase1 wins.
|
||||
if ($phase1Only) {
|
||||
$ticketOnly = false;
|
||||
}
|
||||
|
||||
$tpa = strtolower(trim($tpa));
|
||||
if ($tpa === '') {
|
||||
$tpa = 'all';
|
||||
}
|
||||
if ($limit <= 0) {
|
||||
$limit = 500;
|
||||
}
|
||||
|
||||
$totalMapped = 0;
|
||||
$totalSkipped = 0;
|
||||
$errors = 0;
|
||||
|
||||
if (!$ticketOnly) {
|
||||
$phase1 = 'Phase 1: sync from TPA dump tables (linked ticket_id rows)...';
|
||||
$phases[] = $phase1;
|
||||
$log($phase1);
|
||||
|
||||
$configs = $this->tpaConfigs();
|
||||
if ($tpa !== 'all') {
|
||||
if (!isset($configs[$tpa])) {
|
||||
$msg = 'Unknown tpa=' . $tpa . '. Use: ' . implode('|', array_keys($configs)) . '|all';
|
||||
$log($msg);
|
||||
return $this->result(false, $msg, 0, 0, 1, $phases, $tpaResults, $logs);
|
||||
}
|
||||
$configs = [$tpa => $configs[$tpa]];
|
||||
}
|
||||
|
||||
foreach ($configs as $key => $cfg) {
|
||||
$tpaId = (int) env($cfg['env']);
|
||||
$table = $cfg['table'];
|
||||
|
||||
if ($tpaId <= 0) {
|
||||
$detail = "{$key}: env {$cfg['env']} not set";
|
||||
$log('[SKIP] ' . $detail);
|
||||
$tpaResults[] = ['tpa' => $key, 'mapped' => 0, 'status' => 'skipped', 'detail' => $detail];
|
||||
continue;
|
||||
}
|
||||
|
||||
if (!$db->tableExists($table)) {
|
||||
$detail = "{$key}: table {$table} missing";
|
||||
$log('[SKIP] ' . $detail);
|
||||
$tpaResults[] = ['tpa' => $key, 'mapped' => 0, 'status' => 'skipped', 'detail' => $detail];
|
||||
continue;
|
||||
}
|
||||
|
||||
try {
|
||||
$service = TpaClaimsImportFactory::make($tpaId);
|
||||
} catch (InvalidArgumentException $e) {
|
||||
$detail = $key . ': ' . $e->getMessage();
|
||||
$log('[SKIP] ' . $detail);
|
||||
$tpaResults[] = ['tpa' => $key, 'mapped' => 0, 'status' => 'skipped', 'detail' => $detail];
|
||||
continue;
|
||||
}
|
||||
|
||||
$offset = 0;
|
||||
$tpaMapped = 0;
|
||||
|
||||
while (true) {
|
||||
$builder = $db->table($table)
|
||||
->select('id, file_id, ticket_id, client_policy_id')
|
||||
->where('is_active', 1)
|
||||
->where('ticket_id IS NOT NULL', null, false)
|
||||
->orderBy('id', 'ASC')
|
||||
->limit($limit, $offset);
|
||||
|
||||
if ($policyId > 0) {
|
||||
$builder->where('client_policy_id', $policyId);
|
||||
}
|
||||
|
||||
$dumpRows = $builder->get()->getResultArray();
|
||||
if ($dumpRows === []) {
|
||||
break;
|
||||
}
|
||||
|
||||
$byFile = [];
|
||||
foreach ($dumpRows as $row) {
|
||||
$fileId = (int) ($row['file_id'] ?? 0);
|
||||
$dumpId = (int) ($row['id'] ?? 0);
|
||||
if ($fileId <= 0 || $dumpId <= 0) {
|
||||
$totalSkipped++;
|
||||
continue;
|
||||
}
|
||||
$byFile[$fileId][] = $dumpId;
|
||||
}
|
||||
|
||||
foreach ($byFile as $fileId => $dumpIds) {
|
||||
$result = $service->backfillClaimReportByDumpIds((int) $fileId, $dumpIds);
|
||||
if (!$result['status']) {
|
||||
$log("[FAIL] {$key} file_id={$fileId} upsert failed");
|
||||
$errors++;
|
||||
continue;
|
||||
}
|
||||
$tpaMapped += (int) $result['count'];
|
||||
$totalMapped += (int) $result['count'];
|
||||
}
|
||||
|
||||
$offset += count($dumpRows);
|
||||
$log(" {$key}: processed {$offset} dump rows (mapped so far {$tpaMapped})");
|
||||
|
||||
if (count($dumpRows) < $limit) {
|
||||
break;
|
||||
}
|
||||
}
|
||||
|
||||
$done = "[DONE] {$key} mapped≈{$tpaMapped}";
|
||||
$log($done);
|
||||
$tpaResults[] = [
|
||||
'tpa' => $key,
|
||||
'mapped' => $tpaMapped,
|
||||
'status' => 'done',
|
||||
'detail' => $done,
|
||||
];
|
||||
}
|
||||
} else {
|
||||
$phase = 'Skipping dump tables (ticket-only).';
|
||||
$phases[] = $phase;
|
||||
$log($phase);
|
||||
}
|
||||
|
||||
if ($phase1Only) {
|
||||
$skip = 'Phase 2 skipped (phase1=true — TPA dump tables only).';
|
||||
$phases[] = $skip;
|
||||
$log($skip);
|
||||
$doneMsg = "Done. dump mapped≈{$totalMapped}, skipped={$totalSkipped}, errors={$errors}";
|
||||
$log($doneMsg);
|
||||
|
||||
return $this->result(
|
||||
$errors === 0,
|
||||
$errors === 0 ? 'Phase 1 sync completed.' : 'Phase 1 sync completed with errors.',
|
||||
$totalMapped,
|
||||
$totalSkipped,
|
||||
$errors,
|
||||
$phases,
|
||||
$tpaResults,
|
||||
$logs,
|
||||
$doneMsg
|
||||
);
|
||||
}
|
||||
|
||||
$phase2 = 'Phase 2: fill gaps from ticket_master dump-sourced claims...';
|
||||
$phases[] = $phase2;
|
||||
$log($phase2);
|
||||
|
||||
$tmResult = $this->syncFromTicketMaster($db, $policyId, $limit, $log);
|
||||
if ($tmResult === false) {
|
||||
return $this->result(false, 'ticket_master sync failed', $totalMapped, $totalSkipped, $errors + 1, $phases, $tpaResults, $logs);
|
||||
}
|
||||
|
||||
$totalMapped += $tmResult['mapped'];
|
||||
$totalSkipped += $tmResult['skipped'];
|
||||
|
||||
$doneMsg = "Done. dump+ticket mapped≈{$totalMapped}, skipped={$totalSkipped}, errors={$errors}";
|
||||
$log($doneMsg);
|
||||
|
||||
return $this->result(
|
||||
$errors === 0,
|
||||
$errors === 0 ? 'Sync completed.' : 'Sync completed with errors. See summary.',
|
||||
$totalMapped,
|
||||
$totalSkipped,
|
||||
$errors,
|
||||
$phases,
|
||||
$tpaResults,
|
||||
$logs,
|
||||
$doneMsg
|
||||
);
|
||||
}
|
||||
|
||||
/**
|
||||
* @param callable(string):void $log
|
||||
* @return array{mapped:int,skipped:int}|false
|
||||
*/
|
||||
private function syncFromTicketMaster($db, int $policyId, int $limit, callable $log)
|
||||
{
|
||||
if (!$db->tableExists('ticket_master')) {
|
||||
$log('ticket_master missing');
|
||||
return false;
|
||||
}
|
||||
|
||||
$offset = 0;
|
||||
$mapped = 0;
|
||||
$skipped = 0;
|
||||
$now = date('Y-m-d H:i:s');
|
||||
|
||||
while (true) {
|
||||
$builder = $db->table('ticket_master')
|
||||
->where('is_active', 1)
|
||||
->groupStart()
|
||||
->where('claim_dump_ref_id IS NOT NULL', null, false)
|
||||
->orWhere('file_id IS NOT NULL', null, false)
|
||||
->groupEnd()
|
||||
->where("claim_number IS NOT NULL AND TRIM(claim_number) != ''", null, false)
|
||||
->orderBy('id', 'ASC')
|
||||
->limit($limit, $offset);
|
||||
|
||||
if ($policyId > 0) {
|
||||
$builder->where('client_policy_id', $policyId);
|
||||
}
|
||||
|
||||
$tickets = $builder->get()->getResultArray();
|
||||
if ($tickets === []) {
|
||||
break;
|
||||
}
|
||||
|
||||
$rows = [];
|
||||
foreach ($tickets as $tm) {
|
||||
$claimNumber = trim((string) ($tm['claim_number'] ?? ''));
|
||||
$clientPolicyId = (int) ($tm['client_policy_id'] ?? 0);
|
||||
if ($claimNumber === '' || $clientPolicyId <= 0) {
|
||||
$skipped++;
|
||||
continue;
|
||||
}
|
||||
|
||||
$sourceTable = null;
|
||||
$tpaId = (int) ($tm['tpa_id'] ?? 0);
|
||||
foreach ($this->tpaConfigs() as $cfg) {
|
||||
if ($tpaId === (int) env($cfg['env'])) {
|
||||
$sourceTable = $cfg['table'];
|
||||
break;
|
||||
}
|
||||
}
|
||||
|
||||
$rows[] = [
|
||||
'tpa_id' => $tm['tpa_id'] ?? null,
|
||||
'client_id' => $tm['client_id'] ?? null,
|
||||
'client_policy_id' => $clientPolicyId,
|
||||
'file_id' => $tm['file_id'] ?? null,
|
||||
'ticket_id' => $tm['id'] ?? null,
|
||||
'source_table' => $sourceTable,
|
||||
'source_row_id' => $tm['claim_dump_ref_id'] ?? null,
|
||||
'claim_number' => $claimNumber,
|
||||
'emp_code' => $tm['emp_code'] ?? null,
|
||||
'tpa_no' => $tm['tpa_no'] ?? null,
|
||||
'emp_id' => $tm['emp_id'] ?? null,
|
||||
'insured_emp_id' => $tm['insured_emp_id'] ?? null,
|
||||
'claim_amount' => $tm['claim_amount'] ?? null,
|
||||
'approved_amount' => $tm['approved_amount'] ?? null,
|
||||
'incurred_amount' => $tm['approved_amount'] ?? $tm['claim_amount'] ?? null,
|
||||
'si_amt' => $tm['si_amt'] ?? null,
|
||||
'tpa_claim_status' => $tm['tpa_claim_status'] ?? null,
|
||||
'claim_status_id' => $tm['claim_status_id'] ?? null,
|
||||
'tpa_claim_type' => $tm['tpa_claim_type'] ?? null,
|
||||
'tpa_ailments' => $tm['tpa_ailments'] ?? null,
|
||||
'doa' => $tm['doa'] ?? null,
|
||||
'dod' => $tm['dod'] ?? null,
|
||||
'date_of_intimat' => $tm['date_of_intimat'] ?? null,
|
||||
'settled_date' => $tm['settled_date'] ?? null,
|
||||
'approved_date' => $tm['approved_date'] ?? null,
|
||||
'claim_dump_date' => $tm['claim_dump_date'] ?? null,
|
||||
'hospital_name' => $tm['hospital_name'] ?? null,
|
||||
'hospital_city' => $tm['hospital_city'] ?? null,
|
||||
'hospital_state' => $tm['hospital_state'] ?? null,
|
||||
'hospital_pin_code' => $tm['hospital_pin_code'] ?? null,
|
||||
'hospital_address' => $tm['hospital_address'] ?? null,
|
||||
'gender' => null,
|
||||
'age' => null,
|
||||
'relation' => $tm['relationship'] ?? null,
|
||||
'is_active' => 1,
|
||||
'created_at' => $now,
|
||||
'updated_at' => $now,
|
||||
];
|
||||
}
|
||||
|
||||
if ($rows !== [] && $this->upsertRows($db, $rows) === false) {
|
||||
$log('ticket_master upsert failed at offset ' . $offset);
|
||||
return false;
|
||||
}
|
||||
|
||||
$mapped += count($rows);
|
||||
$offset += count($tickets);
|
||||
$log(" ticket_master: processed {$offset} rows (mapped {$mapped})");
|
||||
|
||||
if (count($tickets) < $limit) {
|
||||
break;
|
||||
}
|
||||
}
|
||||
|
||||
return ['mapped' => $mapped, 'skipped' => $skipped];
|
||||
}
|
||||
|
||||
/**
|
||||
* @param list<array<string, mixed>> $rows
|
||||
*/
|
||||
private function upsertRows($db, array $rows): bool
|
||||
{
|
||||
$columns = [
|
||||
'tpa_id', 'client_id', 'client_policy_id', 'file_id', 'ticket_id',
|
||||
'source_table', 'source_row_id', 'claim_number', 'emp_code', 'tpa_no',
|
||||
'emp_id', 'insured_emp_id', 'claim_amount', 'approved_amount', 'incurred_amount',
|
||||
'si_amt', 'tpa_claim_status', 'claim_status_id', 'tpa_claim_type', 'tpa_ailments',
|
||||
'doa', 'dod', 'date_of_intimat', 'settled_date', 'approved_date', 'claim_dump_date',
|
||||
'hospital_name', 'hospital_city', 'hospital_state', 'hospital_pin_code', 'hospital_address',
|
||||
'gender', 'age', 'relation', 'is_active', 'created_at', 'updated_at',
|
||||
];
|
||||
|
||||
$updateCols = array_values(array_diff($columns, ['client_policy_id', 'claim_number', 'created_at']));
|
||||
|
||||
foreach (array_chunk($rows, 100) as $chunk) {
|
||||
$placeholders = [];
|
||||
$binds = [];
|
||||
foreach ($chunk as $row) {
|
||||
$rowPlaceholders = [];
|
||||
foreach ($columns as $col) {
|
||||
$rowPlaceholders[] = '?';
|
||||
$binds[] = $row[$col] ?? null;
|
||||
}
|
||||
$placeholders[] = '(' . implode(', ', $rowPlaceholders) . ')';
|
||||
}
|
||||
|
||||
$updates = [];
|
||||
foreach ($updateCols as $col) {
|
||||
if (in_array($col, ['gender', 'age', 'relation', 'approved_amount', 'incurred_amount', 'tpa_ailments', 'tpa_claim_type', 'source_table', 'source_row_id'], true)) {
|
||||
$updates[] = '`' . $col . '` = COALESCE(VALUES(`' . $col . '`), `' . $col . '`)';
|
||||
} else {
|
||||
$updates[] = '`' . $col . '` = VALUES(`' . $col . '`)';
|
||||
}
|
||||
}
|
||||
|
||||
$sql = 'INSERT INTO `claim_report` (`' . implode('`, `', $columns) . '`) VALUES '
|
||||
. implode(', ', $placeholders)
|
||||
. ' ON DUPLICATE KEY UPDATE ' . implode(', ', $updates);
|
||||
|
||||
if ($db->query($sql, $binds) === false) {
|
||||
return false;
|
||||
}
|
||||
}
|
||||
|
||||
return true;
|
||||
}
|
||||
|
||||
/**
|
||||
* @param list<string> $phases
|
||||
* @param list<array<string,mixed>> $tpaResults
|
||||
* @param list<string> $logs
|
||||
* @return array<string, mixed>
|
||||
*/
|
||||
private function result(
|
||||
bool $status,
|
||||
string $message,
|
||||
int $mapped,
|
||||
int $skipped,
|
||||
int $errors,
|
||||
array $phases,
|
||||
array $tpaResults,
|
||||
array $logs,
|
||||
?string $summaryMessage = null
|
||||
): array {
|
||||
return [
|
||||
'status' => $status,
|
||||
'message' => $message,
|
||||
'summary' => [
|
||||
'mapped' => $mapped,
|
||||
'skipped' => $skipped,
|
||||
'errors' => $errors,
|
||||
'message' => $summaryMessage,
|
||||
],
|
||||
'phases' => $phases,
|
||||
'tpa_results' => $tpaResults,
|
||||
'logs' => $logs,
|
||||
];
|
||||
}
|
||||
}
|
||||
@ -115,18 +115,6 @@ class AbhiClaimImportService extends BaseTpaClaimImportService
|
||||
|
||||
/**
|
||||
* Extra dump → claim_report fields beyond ticketMasterMapping.
|
||||
* report_column => dump_column
|
||||
*/
|
||||
protected $claimReportEnrichment = [
|
||||
'approved_amount' => 'abhi_amount_less_coins_current_month',
|
||||
'incurred_amount' => 'claimed_amount',
|
||||
'tpa_ailments' => 'diagnosis',
|
||||
'tpa_claim_type' => 'claim_type',
|
||||
'gender' => 'gender',
|
||||
'age' => 'patient_age',
|
||||
'relation' => 'relation',
|
||||
];
|
||||
|
||||
protected $statusMapping = [
|
||||
'Settled' => 11,
|
||||
'Rejected' => 8,
|
||||
|
||||
@ -330,11 +330,6 @@ abstract class BaseTpaClaimImportService
|
||||
return $this->failTicketMasterInsert($file_id, 'No data found to process.');
|
||||
}
|
||||
|
||||
// Upsert normalized analytics rows into claim_report (same transaction)
|
||||
if (!$this->syncClaimReportForJob2($file_id, $ticketMasterData)) {
|
||||
return $this->failTicketMasterInsert($file_id, 'Claim report upsert failed');
|
||||
}
|
||||
|
||||
// 2. Commit the transaction
|
||||
$this->db->transCommit();
|
||||
|
||||
@ -1169,289 +1164,6 @@ abstract class BaseTpaClaimImportService
|
||||
->where('is_active', 1)
|
||||
->countAllResults() > 0;
|
||||
}
|
||||
|
||||
/**
|
||||
* Collect dump row IDs processed in Job 2 and upsert claim_report rows.
|
||||
*/
|
||||
protected function syncClaimReportForJob2(int $fileId, array $ticketMasterData): bool
|
||||
{
|
||||
$dumpIds = [];
|
||||
|
||||
foreach ($ticketMasterData['mapped_array'] ?? [] as $row) {
|
||||
if (!empty($row['claim_dump_ref_id'])) {
|
||||
$dumpIds[] = (int) $row['claim_dump_ref_id'];
|
||||
}
|
||||
}
|
||||
|
||||
foreach ($ticketMasterData['status_update_array'] ?? [] as $row) {
|
||||
if (!empty($row['claim_dump_ref_id'])) {
|
||||
$dumpIds[] = (int) $row['claim_dump_ref_id'];
|
||||
}
|
||||
}
|
||||
|
||||
foreach ($ticketMasterData['rejected_reason_array'] ?? [] as $row) {
|
||||
// Linked existing tickets: ticket_id set, no reject reason
|
||||
if (!empty($row['id']) && !empty($row['ticket_id']) && empty($row['master_reject_reason'])) {
|
||||
$dumpIds[] = (int) $row['id'];
|
||||
}
|
||||
}
|
||||
|
||||
$dumpIds = array_values(array_unique(array_filter($dumpIds)));
|
||||
if ($dumpIds === []) {
|
||||
return true;
|
||||
}
|
||||
|
||||
$rows = $this->mapClaimReportData($fileId, $dumpIds);
|
||||
$this->logClaimDump('info', 'CLAIM_REPORT_UPSERT', [
|
||||
'file_id' => $fileId,
|
||||
'dump_ids' => count($dumpIds),
|
||||
'report_rows' => count($rows),
|
||||
]);
|
||||
|
||||
return $this->upsertClaimReport($rows);
|
||||
}
|
||||
|
||||
/**
|
||||
* Public backfill entry: map dump row IDs for a file into claim_report.
|
||||
*
|
||||
* @param list<int> $dumpRowIds
|
||||
* @return array{status:bool,count:int}
|
||||
*/
|
||||
public function backfillClaimReportByDumpIds(int $fileId, array $dumpRowIds): array
|
||||
{
|
||||
$dumpRowIds = array_values(array_unique(array_filter(array_map('intval', $dumpRowIds))));
|
||||
if ($fileId <= 0 || $dumpRowIds === []) {
|
||||
return ['status' => true, 'count' => 0];
|
||||
}
|
||||
|
||||
$rows = $this->mapClaimReportData($fileId, $dumpRowIds);
|
||||
$ok = $this->upsertClaimReport($rows);
|
||||
|
||||
return ['status' => $ok, 'count' => count($rows)];
|
||||
}
|
||||
|
||||
/**
|
||||
* Map dump rows (+ linked ticket_master) into claim_report-shaped rows.
|
||||
*
|
||||
* @param list<int> $dumpRowIds
|
||||
* @return list<array<string, mixed>>
|
||||
*/
|
||||
protected function mapClaimReportData(int $fileId, array $dumpRowIds): array
|
||||
{
|
||||
if ($fileId <= 0 || $dumpRowIds === []) {
|
||||
return [];
|
||||
}
|
||||
|
||||
$fileData = $this->claimDumpFileModel->where('id', $fileId)->first();
|
||||
if (empty($fileData)) {
|
||||
return [];
|
||||
}
|
||||
|
||||
$tpaId = (int) ($fileData['tpa_id'] ?? 0);
|
||||
$tpaTable = $this->tpaTableMapping[$tpaId] ?? null;
|
||||
if ($tpaTable === null || !$this->db->tableExists($tpaTable)) {
|
||||
return [];
|
||||
}
|
||||
|
||||
$dumpRows = $this->db->table($tpaTable)
|
||||
->whereIn('id', $dumpRowIds)
|
||||
->where('is_active', 1)
|
||||
->get()
|
||||
->getResultArray();
|
||||
|
||||
if ($dumpRows === []) {
|
||||
return [];
|
||||
}
|
||||
|
||||
$ticketIds = [];
|
||||
$refIds = [];
|
||||
foreach ($dumpRows as $dump) {
|
||||
if (!empty($dump['ticket_id'])) {
|
||||
$ticketIds[] = (int) $dump['ticket_id'];
|
||||
}
|
||||
$refIds[] = (int) $dump['id'];
|
||||
}
|
||||
|
||||
$ticketsById = [];
|
||||
$ticketsByRef = [];
|
||||
if ($ticketIds !== []) {
|
||||
$ticketRows = $this->db->table('ticket_master')
|
||||
->whereIn('id', array_values(array_unique($ticketIds)))
|
||||
->get()
|
||||
->getResultArray();
|
||||
foreach ($ticketRows as $ticket) {
|
||||
$ticketsById[(int) $ticket['id']] = $ticket;
|
||||
}
|
||||
}
|
||||
if ($refIds !== []) {
|
||||
$ticketRows = $this->db->table('ticket_master')
|
||||
->where('file_id', $fileId)
|
||||
->whereIn('claim_dump_ref_id', array_values(array_unique($refIds)))
|
||||
->get()
|
||||
->getResultArray();
|
||||
foreach ($ticketRows as $ticket) {
|
||||
$ticketsByRef[(int) $ticket['claim_dump_ref_id']] = $ticket;
|
||||
$ticketsById[(int) $ticket['id']] = $ticket;
|
||||
}
|
||||
}
|
||||
|
||||
$mapping = property_exists($this, 'ticketMasterMapping') ? ($this->ticketMasterMapping ?? []) : [];
|
||||
$enrichment = property_exists($this, 'claimReportEnrichment') ? ($this->claimReportEnrichment ?? []) : [];
|
||||
|
||||
$reportFieldsFromTicketMap = [
|
||||
'claim_number', 'emp_code', 'tpa_no', 'claim_amount', 'approved_amount', 'si_amt',
|
||||
'tpa_claim_status', 'tpa_claim_type', 'tpa_ailments',
|
||||
'doa', 'dod', 'date_of_intimat', 'settled_date', 'approved_date', 'registration_date',
|
||||
'hospital_name', 'hospital_city', 'hospital_state', 'hospital_pin_code', 'hospital_address',
|
||||
'denial_reason', 'denial_date', 'utr_details', 'return_remark',
|
||||
];
|
||||
|
||||
$out = [];
|
||||
foreach ($dumpRows as $dump) {
|
||||
$dumpId = (int) ($dump['id'] ?? 0);
|
||||
$ticket = null;
|
||||
if (!empty($dump['ticket_id']) && isset($ticketsById[(int) $dump['ticket_id']])) {
|
||||
$ticket = $ticketsById[(int) $dump['ticket_id']];
|
||||
} elseif (isset($ticketsByRef[$dumpId])) {
|
||||
$ticket = $ticketsByRef[$dumpId];
|
||||
}
|
||||
|
||||
// Skip dump rows that never became / linked to a ticket
|
||||
if (empty($ticket) && empty($dump['ticket_id'])) {
|
||||
continue;
|
||||
}
|
||||
|
||||
$item = [
|
||||
'tpa_id' => $tpaId ?: ($ticket['tpa_id'] ?? null),
|
||||
'client_id' => $dump['client_id'] ?? $fileData['client_id'] ?? ($ticket['client_id'] ?? null),
|
||||
'client_policy_id' => (int) ($dump['client_policy_id'] ?? $fileData['client_policy_id'] ?? ($ticket['client_policy_id'] ?? 0)),
|
||||
'file_id' => $fileId,
|
||||
'ticket_id' => $ticket['id'] ?? ($dump['ticket_id'] ?? null),
|
||||
'source_table' => $tpaTable,
|
||||
'source_row_id' => $dumpId,
|
||||
'claim_dump_date' => $fileData['claim_dump_date'] ?? ($ticket['claim_dump_date'] ?? null),
|
||||
'is_active' => 1,
|
||||
];
|
||||
|
||||
foreach ($mapping as $dumpCol => $ticketCol) {
|
||||
if (!in_array($ticketCol, $reportFieldsFromTicketMap, true)) {
|
||||
continue;
|
||||
}
|
||||
// Map ticket-shaped columns that exist on claim_report
|
||||
$reportCol = $ticketCol === 'registration_date' ? 'date_of_intimat' : $ticketCol;
|
||||
if (!array_key_exists($reportCol, $item) || $item[$reportCol] === null) {
|
||||
$item[$reportCol] = array_key_exists($dumpCol, $dump) ? $dump[$dumpCol] : null;
|
||||
}
|
||||
}
|
||||
|
||||
foreach ($enrichment as $reportCol => $dumpCol) {
|
||||
if ($dumpCol === null || $dumpCol === '') {
|
||||
continue;
|
||||
}
|
||||
$value = $dump[$dumpCol] ?? null;
|
||||
if ($value !== null && $value !== '') {
|
||||
$item[$reportCol] = $value;
|
||||
}
|
||||
}
|
||||
|
||||
if ($ticket) {
|
||||
foreach (['emp_id', 'insured_emp_id', 'claim_status_id', 'emp_code', 'claim_number', 'claim_amount', 'approved_amount', 'tpa_claim_type', 'tpa_ailments', 'hospital_name', 'hospital_city', 'hospital_state', 'hospital_pin_code', 'hospital_address', 'doa', 'dod', 'date_of_intimat', 'settled_date', 'approved_date', 'si_amt', 'tpa_claim_status', 'tpa_no'] as $col) {
|
||||
if ((!isset($item[$col]) || $item[$col] === null || $item[$col] === '') && isset($ticket[$col]) && $ticket[$col] !== null && $ticket[$col] !== '') {
|
||||
$item[$col] = $ticket[$col];
|
||||
}
|
||||
}
|
||||
if (empty($item['ticket_id'])) {
|
||||
$item['ticket_id'] = $ticket['id'];
|
||||
}
|
||||
}
|
||||
|
||||
if (empty($item['incurred_amount'])) {
|
||||
$item['incurred_amount'] = $item['approved_amount'] ?? $item['claim_amount'] ?? null;
|
||||
}
|
||||
|
||||
$claimNumber = trim((string) ($item['claim_number'] ?? ''));
|
||||
if ($claimNumber === '' || (int) ($item['client_policy_id'] ?? 0) <= 0) {
|
||||
continue;
|
||||
}
|
||||
$item['claim_number'] = $claimNumber;
|
||||
|
||||
// Drop fields that are not on claim_report
|
||||
unset($item['denial_reason'], $item['denial_date'], $item['utr_details'], $item['return_remark'], $item['registration_date']);
|
||||
|
||||
$out[] = $item;
|
||||
}
|
||||
|
||||
return $out;
|
||||
}
|
||||
|
||||
/**
|
||||
* Insert or update claim_report by UNIQUE(client_policy_id, claim_number).
|
||||
*
|
||||
* @param list<array<string, mixed>> $rows
|
||||
*/
|
||||
protected function upsertClaimReport(array $rows): bool
|
||||
{
|
||||
if ($rows === []) {
|
||||
return true;
|
||||
}
|
||||
|
||||
if (!$this->db->tableExists('claim_report')) {
|
||||
$this->logClaimDump('warning', 'CLAIM_REPORT_TABLE_MISSING', []);
|
||||
return true;
|
||||
}
|
||||
|
||||
$columns = [
|
||||
'tpa_id', 'client_id', 'client_policy_id', 'file_id', 'ticket_id',
|
||||
'source_table', 'source_row_id', 'claim_number', 'emp_code', 'tpa_no',
|
||||
'emp_id', 'insured_emp_id', 'claim_amount', 'approved_amount', 'incurred_amount',
|
||||
'si_amt', 'tpa_claim_status', 'claim_status_id', 'tpa_claim_type', 'tpa_ailments',
|
||||
'doa', 'dod', 'date_of_intimat', 'settled_date', 'approved_date', 'claim_dump_date',
|
||||
'hospital_name', 'hospital_city', 'hospital_state', 'hospital_pin_code', 'hospital_address',
|
||||
'gender', 'age', 'relation', 'is_active', 'created_at', 'updated_at',
|
||||
];
|
||||
|
||||
$updateCols = array_values(array_diff($columns, ['client_policy_id', 'claim_number', 'created_at']));
|
||||
$now = date('Y-m-d H:i:s');
|
||||
|
||||
foreach (array_chunk($rows, 100) as $chunk) {
|
||||
$placeholders = [];
|
||||
$binds = [];
|
||||
|
||||
foreach ($chunk as $row) {
|
||||
$rowPlaceholders = [];
|
||||
foreach ($columns as $col) {
|
||||
$rowPlaceholders[] = '?';
|
||||
if ($col === 'created_at' || $col === 'updated_at') {
|
||||
$binds[] = $now;
|
||||
} elseif ($col === 'is_active') {
|
||||
$binds[] = isset($row[$col]) ? (int) $row[$col] : 1;
|
||||
} else {
|
||||
$binds[] = $row[$col] ?? null;
|
||||
}
|
||||
}
|
||||
$placeholders[] = '(' . implode(', ', $rowPlaceholders) . ')';
|
||||
}
|
||||
|
||||
$updates = [];
|
||||
foreach ($updateCols as $col) {
|
||||
if ($col === 'updated_at') {
|
||||
$updates[] = '`updated_at` = VALUES(`updated_at`)';
|
||||
} else {
|
||||
$updates[] = '`' . $col . '` = VALUES(`' . $col . '`)';
|
||||
}
|
||||
}
|
||||
|
||||
$sql = 'INSERT INTO `claim_report` (`' . implode('`, `', $columns) . '`) VALUES '
|
||||
. implode(', ', $placeholders)
|
||||
. ' ON DUPLICATE KEY UPDATE ' . implode(', ', $updates);
|
||||
|
||||
if ($this->db->query($sql, $binds) === false) {
|
||||
return false;
|
||||
}
|
||||
}
|
||||
|
||||
return true;
|
||||
}
|
||||
|
||||
/**
|
||||
* Map Excel rows to TPA table structure
|
||||
|
||||
@ -177,19 +177,6 @@ class FhplClaimImportService extends BaseTpaClaimImportService
|
||||
|
||||
/**
|
||||
* Extra dump → claim_report fields beyond ticketMasterMapping.
|
||||
* report_column => dump_column
|
||||
*/
|
||||
protected $claimReportEnrichment = [
|
||||
'approved_amount' => 'settled_amount',
|
||||
'incurred_amount' => 'incurred_amount',
|
||||
'tpa_ailments' => 'diagnosis',
|
||||
'tpa_claim_type' => 'claim_type',
|
||||
'gender' => 'gender',
|
||||
'age' => 'years',
|
||||
'relation' => 'relationship',
|
||||
'si_amt' => 'coverage_amount',
|
||||
];
|
||||
|
||||
protected $statusMapping = [
|
||||
'Settled' => 11,
|
||||
'Rejected' => 8,
|
||||
|
||||
@ -106,19 +106,6 @@ class IciciClaimImportService extends BaseTpaClaimImportService
|
||||
|
||||
/**
|
||||
* Extra dump → claim_report fields beyond ticketMasterMapping.
|
||||
* report_column => dump_column
|
||||
*/
|
||||
protected $claimReportEnrichment = [
|
||||
'approved_amount' => 'net_sanct_amt',
|
||||
'incurred_amount' => 'claimed_amount',
|
||||
'tpa_ailments' => 'diagnosis',
|
||||
'tpa_claim_type' => 'type_of_claim',
|
||||
'gender' => 'gender',
|
||||
'age' => 'age',
|
||||
'relation' => 'relation',
|
||||
'si_amt' => 'sum_insured',
|
||||
];
|
||||
|
||||
protected $statusMapping = [
|
||||
'PAID' => 11,
|
||||
'SETTLED' => 11,
|
||||
|
||||
@ -157,19 +157,6 @@ class MediAssistClaimImportService extends BaseTpaClaimImportService
|
||||
|
||||
/**
|
||||
* Extra dump → claim_report fields beyond ticketMasterMapping.
|
||||
* report_column => dump_column
|
||||
*/
|
||||
protected $claimReportEnrichment = [
|
||||
'approved_amount' => 'claim_approved_amount',
|
||||
'incurred_amount' => 'incurred_amount',
|
||||
'tpa_ailments' => 'primary_ailment_name',
|
||||
'tpa_claim_type' => 'claim_type',
|
||||
'gender' => 'benef_gender',
|
||||
'age' => 'benef_age',
|
||||
'relation' => 'benef_relation',
|
||||
'si_amt' => 'benef_sum_insured',
|
||||
];
|
||||
|
||||
protected $statusMapping = [
|
||||
'Settled' => 11,
|
||||
'Rejected' => 8,
|
||||
|
||||
@ -94,19 +94,6 @@ class RcareClaimImportService extends BaseTpaClaimImportService
|
||||
|
||||
/**
|
||||
* Extra dump → claim_report fields beyond ticketMasterMapping.
|
||||
* report_column => dump_column
|
||||
*/
|
||||
protected $claimReportEnrichment = [
|
||||
'approved_amount' => 'net_sanction_amount',
|
||||
'incurred_amount' => 'claimed_amount',
|
||||
'tpa_ailments' => 'diagnosis',
|
||||
'tpa_claim_type' => 'member_reimbursement_cl_type',
|
||||
'gender' => 'gender',
|
||||
'age' => 'age',
|
||||
'relation' => 'relation',
|
||||
'si_amt' => 'sum_insured',
|
||||
];
|
||||
|
||||
protected $statusMapping = [
|
||||
'CL Paid with Settlement Letter' => 11,
|
||||
'Settled' => 11,
|
||||
|
||||
@ -350,19 +350,6 @@ class VidalClaimImportService extends BaseTpaClaimImportService
|
||||
|
||||
/**
|
||||
* Extra dump → claim_report fields beyond ticketMasterMapping.
|
||||
* report_column => dump_column
|
||||
*/
|
||||
protected $claimReportEnrichment = [
|
||||
'approved_amount' => 'approved_amount',
|
||||
'incurred_amount' => 'total_incurred_amount',
|
||||
'tpa_ailments' => 'diagnosis',
|
||||
'tpa_claim_type' => 'type_of_claim',
|
||||
'gender' => 'gender',
|
||||
'age' => 'age',
|
||||
'relation' => 'relation',
|
||||
'si_amt' => 'sum_insured',
|
||||
];
|
||||
|
||||
protected $statusMapping = [
|
||||
'Settled' => 11,
|
||||
'Rejected' => 8,
|
||||
|
||||
@ -3,7 +3,8 @@
|
||||
namespace App\Models;
|
||||
|
||||
/**
|
||||
* Claims Collection dashboard backed by claim_report with ticket_master fallback.
|
||||
* Claims Collection dashboard backed by claim_report.
|
||||
* Falls back to ticket_master only for non-dump TPAs when env flag is true.
|
||||
* Reuses V2 KPI SQL; claim fact tables are rewritten at query time.
|
||||
*/
|
||||
class ClaimReportDashboardModel extends ClaimsCollectionV2DashboardModel
|
||||
@ -13,7 +14,10 @@ class ClaimReportDashboardModel extends ClaimsCollectionV2DashboardModel
|
||||
|
||||
/**
|
||||
* Resolve claim fact table for a policy.
|
||||
* Uses claim_report when TPA dump table exists and claim_report has rows; else ticket_master.
|
||||
*
|
||||
* - TPA dump table exists → always claim_report (even if empty; never ticket_master).
|
||||
* - Dump table missing / TPA unmapped → ticket_master only when
|
||||
* CLAIM_REPORT_FALLBACK_TO_TICKET_MASTER=true; otherwise claim_report.
|
||||
*/
|
||||
public function resolveClaimsTable(int $policyId): string
|
||||
{
|
||||
@ -21,11 +25,18 @@ class ClaimReportDashboardModel extends ClaimsCollectionV2DashboardModel
|
||||
return $this->claimsTableCache[$policyId];
|
||||
}
|
||||
|
||||
$table = 'ticket_master';
|
||||
$db = \Config\Database::connect($this->DBGroup);
|
||||
$db = \Config\Database::connect($this->DBGroup);
|
||||
$fallbackEnabled = $this->isTicketMasterFallbackEnabled();
|
||||
|
||||
if (!$db->tableExists('claim_report') || $policyId <= 0) {
|
||||
return $this->claimsTableCache[$policyId] = $table;
|
||||
if ($policyId <= 0) {
|
||||
return $this->claimsTableCache[$policyId] = $fallbackEnabled
|
||||
? 'ticket_master'
|
||||
: 'claim_report';
|
||||
}
|
||||
|
||||
// Table missing — cannot query claim_report; ticket_master is the only option.
|
||||
if (!$db->tableExists('claim_report')) {
|
||||
return $this->claimsTableCache[$policyId] = 'ticket_master';
|
||||
}
|
||||
|
||||
$policy = $db->table('client_policy')
|
||||
@ -34,23 +45,26 @@ class ClaimReportDashboardModel extends ClaimsCollectionV2DashboardModel
|
||||
->get()
|
||||
->getRowArray();
|
||||
|
||||
$tpaId = (int) ($policy['tpa_id'] ?? 0);
|
||||
$tpaId = (int) ($policy['tpa_id'] ?? 0);
|
||||
$dumpTable = $this->getTpaDumpTableMap()[$tpaId] ?? null;
|
||||
|
||||
if ($dumpTable === null || !$db->tableExists($dumpTable)) {
|
||||
return $this->claimsTableCache[$policyId] = $table;
|
||||
// Mapped dump TPA with existing dump table → claim_report only.
|
||||
if ($dumpTable !== null && $db->tableExists($dumpTable)) {
|
||||
return $this->claimsTableCache[$policyId] = 'claim_report';
|
||||
}
|
||||
|
||||
$hasReportRows = $db->table('claim_report')
|
||||
->where('client_policy_id', $policyId)
|
||||
->where('is_active', 1)
|
||||
->countAllResults() > 0;
|
||||
// Non-dump / missing dump table → env-gated ticket_master fallback.
|
||||
return $this->claimsTableCache[$policyId] = $fallbackEnabled
|
||||
? 'ticket_master'
|
||||
: 'claim_report';
|
||||
}
|
||||
|
||||
if ($hasReportRows) {
|
||||
$table = 'claim_report';
|
||||
}
|
||||
|
||||
return $this->claimsTableCache[$policyId] = $table;
|
||||
protected function isTicketMasterFallbackEnabled(): bool
|
||||
{
|
||||
return filter_var(
|
||||
env('CLAIM_REPORT_FALLBACK_TO_TICKET_MASTER', false),
|
||||
FILTER_VALIDATE_BOOLEAN
|
||||
);
|
||||
}
|
||||
|
||||
/**
|
||||
|
||||
@ -1,374 +0,0 @@
|
||||
<?php
|
||||
/**
|
||||
* Smoke test: claim_report table + Claim Report dashboard.
|
||||
*
|
||||
* Run:
|
||||
* php tests/smoke_claim_report_dashboard.php [policy_id]
|
||||
* php tests/smoke_claim_report_dashboard.php 4687
|
||||
*
|
||||
* Checks:
|
||||
* - claim_report table / schema
|
||||
* - claims_source resolver (claim_report vs ticket_master)
|
||||
* - KPI model + controller (mirror of V2)
|
||||
* - routes under util/ and employeeRest/
|
||||
* - optional HTTP auth-gate reachability
|
||||
*/
|
||||
|
||||
declare(strict_types=1);
|
||||
|
||||
ob_start();
|
||||
|
||||
define('FCPATH', __DIR__ . '/../public/');
|
||||
chdir(FCPATH);
|
||||
|
||||
require FCPATH . '../app/Config/Paths.php';
|
||||
$paths = new Config\Paths();
|
||||
require rtrim($paths->systemDirectory, '\\/ ') . DIRECTORY_SEPARATOR . 'bootstrap.php';
|
||||
require_once SYSTEMPATH . 'Config/DotEnv.php';
|
||||
(new CodeIgniter\Config\DotEnv(ROOTPATH))->load();
|
||||
|
||||
defined('ENVIRONMENT') || define('ENVIRONMENT', env('CI_ENVIRONMENT', 'development'));
|
||||
|
||||
$boot = APPPATH . 'Config/Boot/' . ENVIRONMENT . '.php';
|
||||
if (is_file($boot)) {
|
||||
require_once $boot;
|
||||
}
|
||||
|
||||
helper('url');
|
||||
|
||||
use App\Controllers\ClaimReportDashboardController;
|
||||
use App\Models\ClaimReportDashboardModel;
|
||||
use App\Models\ClaimsCollectionV2DashboardModel;
|
||||
use Config\Services;
|
||||
|
||||
$policyId = isset($argv[1]) ? (int) $argv[1] : 0;
|
||||
$pass = 0;
|
||||
$fail = 0;
|
||||
$results = [];
|
||||
|
||||
function ok(string $label, bool $cond, string $detail = ''): void
|
||||
{
|
||||
global $pass, $fail, $results;
|
||||
if ($cond) {
|
||||
$pass++;
|
||||
$results[] = '[PASS] ' . $label . ($detail ? " — {$detail}" : '');
|
||||
} else {
|
||||
$fail++;
|
||||
$results[] = '[FAIL] ' . $label . ($detail ? " — {$detail}" : '');
|
||||
}
|
||||
}
|
||||
|
||||
function info(string $line): void
|
||||
{
|
||||
global $results;
|
||||
$results[] = $line;
|
||||
}
|
||||
|
||||
$db = \Config\Database::connect();
|
||||
|
||||
// Default: prefer a policy that already has claim_report or ticket_master rows.
|
||||
if ($policyId <= 0) {
|
||||
$pick = null;
|
||||
if ($db->tableExists('claim_report')) {
|
||||
$pick = $db->query(
|
||||
'SELECT client_policy_id AS id FROM claim_report WHERE is_active = 1 AND client_policy_id > 0 ORDER BY id DESC LIMIT 1'
|
||||
)->getRowArray();
|
||||
}
|
||||
if (empty($pick)) {
|
||||
$pick = $db->query(
|
||||
"SELECT client_policy_id AS id FROM ticket_master
|
||||
WHERE is_active = 1 AND client_policy_id > 0
|
||||
AND (claim_dump_ref_id IS NOT NULL OR file_id IS NOT NULL)
|
||||
ORDER BY id DESC LIMIT 1"
|
||||
)->getRowArray();
|
||||
}
|
||||
if (empty($pick)) {
|
||||
$pick = $db->query('SELECT id FROM client_policy WHERE is_active = 1 ORDER BY id DESC LIMIT 1')->getRowArray();
|
||||
}
|
||||
$policyId = (int) ($pick['id'] ?? 0);
|
||||
}
|
||||
|
||||
$model = new ClaimReportDashboardModel();
|
||||
$kpiMap = ClaimsCollectionV2DashboardModel::KPI_MAP;
|
||||
|
||||
info('=== Schema ===');
|
||||
|
||||
$hasTable = $db->tableExists('claim_report');
|
||||
ok('claim_report table exists', $hasTable);
|
||||
|
||||
if ($hasTable) {
|
||||
$fields = $db->getFieldNames('claim_report');
|
||||
$required = [
|
||||
'id', 'tpa_id', 'client_id', 'client_policy_id', 'file_id', 'ticket_id',
|
||||
'source_table', 'source_row_id', 'claim_number', 'claim_amount', 'approved_amount',
|
||||
'incurred_amount', 'tpa_claim_type', 'tpa_ailments', 'claim_status_id',
|
||||
'hospital_name', 'doa', 'dod', 'claim_dump_date', 'is_active',
|
||||
];
|
||||
$missing = array_values(array_diff($required, $fields));
|
||||
ok('claim_report required columns', $missing === [], $missing === [] ? count($fields) . ' cols' : 'missing: ' . implode(', ', $missing));
|
||||
|
||||
$indexes = $db->query('SHOW INDEX FROM `claim_report`')->getResultArray();
|
||||
$indexNames = array_unique(array_column($indexes, 'Key_name'));
|
||||
ok('unique key uq_claim_report_policy_claim', in_array('uq_claim_report_policy_claim', $indexNames, true));
|
||||
}
|
||||
|
||||
info('');
|
||||
info('=== Source resolver (policy_id=' . $policyId . ') ===');
|
||||
|
||||
$policy = $policyId > 0
|
||||
? $db->table('client_policy')->select('id, tpa_id, policy_no')->where('id', $policyId)->get()->getRowArray()
|
||||
: null;
|
||||
if (empty($policy)) {
|
||||
info('[WARN] policy id ' . $policyId . ' not found — resolver/KPI checks will use empty data');
|
||||
ok('policy id resolved for test', $policyId > 0, 'policy_id=' . $policyId);
|
||||
} else {
|
||||
ok('policy exists', true, 'tpa_id=' . ($policy['tpa_id'] ?? 'null') . ' policy_no=' . ($policy['policy_no'] ?? ''));
|
||||
}
|
||||
|
||||
$tpaTableMap = [
|
||||
(int) env('VIDAL_PRIMARY_KEY_CONSTANT') => 'claims_dump_vidal',
|
||||
(int) env('ABHI_PRIMARY_KEY_CONSTANT') => 'claims_dump_abhi',
|
||||
(int) env('MEDI_ASSIST_PRIMARY_KEY_CONSTANT') => 'claims_dump_medi_assist',
|
||||
(int) env('FHPL_PRIMARY_KEY_CONSTANT') => 'claims_dump_fhpl',
|
||||
(int) env('R_CARE_PRIMARY_KEY_CONSTANT') => 'claims_dump_reliance',
|
||||
(int) env('ICICI_PRIMARY_KEY_CONSTANT') => 'claims_dump_icici',
|
||||
];
|
||||
|
||||
$tpaId = (int) ($policy['tpa_id'] ?? 0);
|
||||
$dumpTable = $tpaTableMap[$tpaId] ?? null;
|
||||
$dumpExists = $dumpTable !== null && $db->tableExists($dumpTable);
|
||||
$reportCount = $hasTable
|
||||
? (int) $db->table('claim_report')->where('client_policy_id', $policyId)->where('is_active', 1)->countAllResults()
|
||||
: 0;
|
||||
$tmCount = (int) $db->table('ticket_master')->where('client_policy_id', $policyId)->where('is_active', 1)->countAllResults();
|
||||
|
||||
info('[INFO] dump_table=' . ($dumpTable ?? 'none') . ' exists=' . ($dumpExists ? 'yes' : 'no'));
|
||||
info('[INFO] claim_report rows=' . $reportCount . ' ticket_master rows=' . $tmCount);
|
||||
|
||||
$expectedSource = ($dumpExists && $reportCount > 0) ? 'claim_report' : 'ticket_master';
|
||||
$actualSource = $model->resolveClaimsTable($policyId);
|
||||
ok('resolveClaimsTable matches expectation', $actualSource === $expectedSource, "expected={$expectedSource} actual={$actualSource}");
|
||||
|
||||
info('');
|
||||
info('=== KPI model ===');
|
||||
|
||||
ok('KPI_MAP count', count($kpiMap) === 36, (string) count($kpiMap));
|
||||
ok('id 207 maps to incurred_ratio', ($kpiMap[207] ?? '') === 'incurred_ratio');
|
||||
|
||||
try {
|
||||
$rows = $model->policy_exposure_summary($policyId);
|
||||
ok('model policy_exposure_summary', is_array($rows), 'rows=' . count($rows));
|
||||
} catch (Throwable $e) {
|
||||
ok('model policy_exposure_summary', false, $e->getMessage());
|
||||
}
|
||||
|
||||
try {
|
||||
$rows = $model->getKpi('incurred_ratio', $policyId);
|
||||
ok('model getKpi(incurred_ratio)', is_array($rows), 'rows=' . count($rows));
|
||||
} catch (Throwable $e) {
|
||||
ok('model getKpi(incurred_ratio)', false, $e->getMessage());
|
||||
}
|
||||
|
||||
try {
|
||||
$rows = $model->getKpi('total_claims', $policyId);
|
||||
ok('model getKpi(total_claims)', is_array($rows), 'rows=' . count($rows));
|
||||
} catch (Throwable $e) {
|
||||
ok('model getKpi(total_claims)', false, $e->getMessage());
|
||||
}
|
||||
|
||||
try {
|
||||
$rows = $model->getKpi('claim_amount_by_gender', $policyId);
|
||||
ok('model getKpi(claim_amount_by_gender)', is_array($rows), 'rows=' . count($rows));
|
||||
} catch (Throwable $e) {
|
||||
ok('model getKpi(claim_amount_by_gender)', false, $e->getMessage());
|
||||
}
|
||||
|
||||
$sampleKpis = [
|
||||
'policy_exposure_summary',
|
||||
'premium_as_on_date',
|
||||
'total_claims',
|
||||
'incurred_amount',
|
||||
'incurred_ratio',
|
||||
'claim_amount_by_gender',
|
||||
'top_5_hospitals_by_incurred_amount',
|
||||
'cashless_claim_amt',
|
||||
'top_10_ailments_by_claim_count',
|
||||
];
|
||||
$samplePass = 0;
|
||||
foreach ($sampleKpis as $method) {
|
||||
try {
|
||||
$rows = $model->getKpi($method, $policyId);
|
||||
if (is_array($rows)) {
|
||||
$samplePass++;
|
||||
}
|
||||
} catch (Throwable $e) {
|
||||
info('[WARN] sample KPI ' . $method . ': ' . $e->getMessage());
|
||||
}
|
||||
}
|
||||
ok('sample claim KPIs runnable', $samplePass === count($sampleKpis), "{$samplePass}/" . count($sampleKpis));
|
||||
|
||||
try {
|
||||
$all = $model->getAllKpis($policyId);
|
||||
$metaSource = $all['_meta']['claims_source'] ?? null;
|
||||
unset($all['_meta']);
|
||||
ok('model getAllKpis', count($all) === 36, 'kpis=' . count($all));
|
||||
ok('getAllKpis _meta.claims_source', $metaSource === $actualSource, (string) $metaSource);
|
||||
} catch (Throwable $e) {
|
||||
// Older MySQL without CTE support can fail on age_band (WITH ...); not claim_report-specific.
|
||||
info('[WARN] getAllKpis: ' . $e->getMessage());
|
||||
info('[SKIP] model getAllKpis — CTE/MySQL limitation; sample KPIs already verified');
|
||||
ok('resolver still available after getAllKpis skip', $actualSource !== '', 'source=' . $actualSource);
|
||||
}
|
||||
|
||||
info('');
|
||||
info('=== Controller ===');
|
||||
|
||||
$request = Services::request(null, false);
|
||||
$response = Services::response();
|
||||
$request->setGlobal('get', ['client_policy' => (string) $policyId]);
|
||||
|
||||
$controller = new ClaimReportDashboardController();
|
||||
$controller->initController($request, $response, service('logger'));
|
||||
|
||||
$slugResp = json_decode($controller->kpi('incurred_ratio')->getJSON(), true);
|
||||
ok(
|
||||
'controller kpi by slug',
|
||||
($slugResp['status'] ?? false) === true
|
||||
&& ($slugResp['kpi'] ?? '') === 'incurred_ratio'
|
||||
&& ($slugResp['claims_source'] ?? '') === $actualSource,
|
||||
'source=' . ($slugResp['claims_source'] ?? 'null')
|
||||
);
|
||||
|
||||
$idResp = json_decode($controller->kpi('207')->getJSON(), true);
|
||||
ok('controller kpi by id 207', ($idResp['status'] ?? false) === true && ($idResp['kpi_id'] ?? 0) === 207);
|
||||
|
||||
$badResp = json_decode($controller->kpi('not_a_kpi')->getJSON(), true);
|
||||
ok('controller unknown kpi 404', ($badResp['status'] ?? true) === false);
|
||||
|
||||
$missingPolicyReq = Services::request(null, false);
|
||||
$missingPolicyReq->setGlobal('get', []);
|
||||
$missingCtrl = new ClaimReportDashboardController();
|
||||
$missingCtrl->initController($missingPolicyReq, Services::response(), service('logger'));
|
||||
$missingResp = json_decode($missingCtrl->all()->getJSON(), true);
|
||||
ok('controller all requires policy', ($missingResp['status'] ?? true) === false);
|
||||
|
||||
try {
|
||||
$allResp = json_decode($controller->all()->getJSON(), true);
|
||||
ok(
|
||||
'controller all KPIs',
|
||||
($allResp['status'] ?? false) === true
|
||||
&& count($allResp['data'] ?? []) === 36
|
||||
&& ($allResp['claims_source'] ?? '') === $actualSource,
|
||||
'source=' . ($allResp['claims_source'] ?? 'null') . ' kpis=' . count($allResp['data'] ?? [])
|
||||
);
|
||||
} catch (Throwable $e) {
|
||||
info('[WARN] controller all: ' . $e->getMessage());
|
||||
info('[SKIP] controller all KPIs — CTE/MySQL limitation on age_band');
|
||||
ok('controller single-kpi path still healthy', ($slugResp['status'] ?? false) === true);
|
||||
}
|
||||
|
||||
try {
|
||||
$debugOut = $controller->debug($policyId);
|
||||
$debugBody = is_string($debugOut) ? $debugOut : $debugOut->getBody();
|
||||
$debugJson = json_decode($debugBody, true);
|
||||
ok(
|
||||
'controller debug JSON',
|
||||
($debugJson['status'] ?? false) === true
|
||||
&& isset($debugJson['data'])
|
||||
&& ($debugJson['claims_source'] ?? '') === $actualSource
|
||||
);
|
||||
} catch (Throwable $e) {
|
||||
info('[WARN] controller debug: ' . $e->getMessage());
|
||||
info('[SKIP] controller debug — CTE/MySQL limitation on age_band');
|
||||
ok('controller debug skipped safely', true);
|
||||
}
|
||||
|
||||
$previewOut = $controller->preview($policyId);
|
||||
$previewHtml = is_string($previewOut) ? $previewOut : $previewOut->getBody();
|
||||
ok(
|
||||
'controller preview HTML',
|
||||
str_contains($previewHtml, 'kpi-grid')
|
||||
&& str_contains($previewHtml, 'claims-collection-report')
|
||||
);
|
||||
|
||||
info('');
|
||||
info('=== Routes (static check of Routes.php) ===');
|
||||
|
||||
$routesFile = APPPATH . 'Config/Routes.php';
|
||||
$routesSrc = is_file($routesFile) ? (string) file_get_contents($routesFile) : '';
|
||||
ok('Routes.php readable', $routesSrc !== '');
|
||||
ok(
|
||||
'Routes.php defines claims-collection-report group',
|
||||
str_contains($routesSrc, "group('claims-collection-report'")
|
||||
);
|
||||
ok(
|
||||
'Routes.php wires ClaimReportDashboardController',
|
||||
substr_count($routesSrc, 'ClaimReportDashboardController::') >= 6,
|
||||
'refs=' . substr_count($routesSrc, 'ClaimReportDashboardController::')
|
||||
);
|
||||
ok(
|
||||
'Routes.php has util + employeeRest groups for report',
|
||||
substr_count($routesSrc, "group('claims-collection-report'") >= 2,
|
||||
'groups=' . substr_count($routesSrc, "group('claims-collection-report'")
|
||||
);
|
||||
|
||||
info('');
|
||||
info('=== Spot-check vs V2 (same policy) ===');
|
||||
|
||||
try {
|
||||
$v2 = new ClaimsCollectionV2DashboardModel();
|
||||
$v2Rows = $v2->getKpi('total_claims', $policyId);
|
||||
$crRows = $model->getKpi('total_claims', $policyId);
|
||||
ok('total_claims both return arrays', is_array($v2Rows) && is_array($crRows), 'v2=' . count($v2Rows) . ' report=' . count($crRows));
|
||||
|
||||
// When source is ticket_master, totals should match V2 closely.
|
||||
if ($actualSource === 'ticket_master' && $v2Rows !== [] && $crRows !== []) {
|
||||
$v2Val = json_encode($v2Rows[0] ?? []);
|
||||
$crVal = json_encode($crRows[0] ?? []);
|
||||
ok('total_claims matches V2 when source=ticket_master', $v2Val === $crVal, $crVal ?: 'empty');
|
||||
} else {
|
||||
info('[INFO] skip strict V2 equality (source=' . $actualSource . ')');
|
||||
ok('total_claims callable on both models', true, 'skipped equality');
|
||||
}
|
||||
} catch (Throwable $e) {
|
||||
ok('spot-check vs V2', false, $e->getMessage());
|
||||
}
|
||||
|
||||
$baseUrl = rtrim((string) env('app.baseURL', ''), '/');
|
||||
if ($baseUrl !== '') {
|
||||
info('');
|
||||
info('=== HTTP auth gate checks (no session/token) ===');
|
||||
$urls = [
|
||||
'MVC preview' => $baseUrl . '/util/claims-collection-report/preview?client_policy=' . $policyId,
|
||||
'MVC kpi slug' => $baseUrl . '/util/claims-collection-report/kpi/incurred_ratio?client_policy=' . $policyId,
|
||||
'MVC kpi id' => $baseUrl . '/util/claims-collection-report/kpi/207?client_policy=' . $policyId,
|
||||
'MVC all' => $baseUrl . '/util/claims-collection-report/all?client_policy=' . $policyId,
|
||||
'MVC debug' => $baseUrl . '/util/claims-collection-report/debug?client_policy=' . $policyId,
|
||||
'JWT kpi slug' => $baseUrl . '/employeeRest/claims-collection-report/kpi/incurred_ratio?client_policy=' . $policyId,
|
||||
'JWT debug' => $baseUrl . '/employeeRest/claims-collection-report/debug?client_policy=' . $policyId,
|
||||
];
|
||||
foreach ($urls as $label => $url) {
|
||||
$ctx = stream_context_create(['http' => ['ignore_errors' => true, 'timeout' => 10]]);
|
||||
$body = @file_get_contents($url, false, $ctx);
|
||||
$code = 0;
|
||||
if (isset($http_response_header[0]) && preg_match('/\s(\d{3})\s/', $http_response_header[0], $m)) {
|
||||
$code = (int) $m[1];
|
||||
}
|
||||
$blocked = in_array($code, [401, 403, 302, 303], true);
|
||||
$reachable = $code >= 200 && $code < 500;
|
||||
ok("HTTP {$label} (" . ($code ?: 'no connection') . ')', $blocked || $reachable, $url);
|
||||
}
|
||||
} else {
|
||||
info('[SKIP] HTTP checks — app.baseURL not set in .env');
|
||||
}
|
||||
|
||||
info('');
|
||||
info('=== Manual follow-ups ===');
|
||||
info('[HINT] Backfill: php spark claim:backfill-report --policy=' . $policyId);
|
||||
info('[HINT] After Job 2 / backfill, re-run this script and expect claims_source=claim_report when dump table exists.');
|
||||
|
||||
ob_end_clean();
|
||||
echo '=== Claim Report dashboard smoke test (policy_id=' . $policyId . ') ===' . PHP_EOL . PHP_EOL;
|
||||
echo implode(PHP_EOL, $results) . PHP_EOL;
|
||||
echo PHP_EOL . "=== Summary: {$pass} passed, {$fail} failed ===" . PHP_EOL;
|
||||
exit($fail > 0 ? 1 : 0);
|
||||
@ -1,36 +0,0 @@
|
||||
<?php
|
||||
/**
|
||||
* Sync claim_report from TPA dump tables + ticket_master.
|
||||
*
|
||||
* Run:
|
||||
* php tests/sync_claim_report_from_dump.php
|
||||
* php tests/sync_claim_report_from_dump.php --policy=12
|
||||
* php tests/sync_claim_report_from_dump.php --tpa=mediassist --policy=12
|
||||
* php tests/sync_claim_report_from_dump.php --ticket-only
|
||||
* php tests/sync_claim_report_from_dump.php --limit=500
|
||||
*
|
||||
* Prefer spark (same logic):
|
||||
* php spark claim:sync-report --policy=12
|
||||
*/
|
||||
|
||||
declare(strict_types=1);
|
||||
|
||||
$args = array_slice($argv, 1);
|
||||
$sparkArgs = ['claim:sync-report'];
|
||||
|
||||
foreach ($args as $arg) {
|
||||
if (str_starts_with($arg, '--')) {
|
||||
$sparkArgs[] = $arg;
|
||||
} elseif (ctype_digit($arg)) {
|
||||
$sparkArgs[] = '--policy=' . $arg;
|
||||
}
|
||||
}
|
||||
|
||||
$root = dirname(__DIR__);
|
||||
chdir($root);
|
||||
|
||||
$cmd = 'php spark ' . implode(' ', array_map('escapeshellarg', $sparkArgs));
|
||||
echo "Running: {$cmd}" . PHP_EOL . PHP_EOL;
|
||||
|
||||
passthru($cmd, $exitCode);
|
||||
exit($exitCode);
|
||||
Loading…
Reference in New Issue
Block a user