db = \Config\Database::connect(); $this->employeePolicyModel = new EmployeePolicyModel(); $this->medi_assist_primary_key = getenv('MEDI_ASSIST_PRIMARY_KEY_CONSTANT'); $this->vidal_primary_key = getenv('VIDAL_PRIMARY_KEY_CONSTANT'); $this->icici_primary_key = getenv('ICICI_PRIMARY_KEY_CONSTANT'); } // Push Claims public function pushClaims($claimId) { $data = $this->db->table('ticket_master tm') ->select('tm.id,tm.tpa_id ')->where('tm.id', $claimId)->get()->getRowArray(); // single record if($data){ $tpaID = $data['tpa_id']; if ($tpaID == $this->medi_assist_primary_key) { // MediAssist $mediAssistController = new MediAssistApiController(); return $mediAssistController->SubmitClaim($claimId); }else{ log_message('error', "This ticket id ( {$claimId} ) TPA has no API service enabled. TPA ID : {$tpaID}"); } } } // E-Card Request public function ecardRequest($params = [], $return_type = 'api') { try{ if(empty($params) && $this->response){ $payload = $this->request->getJSON(true); $id = $payload['id'] ?? null; $emp_code = $payload['emp_code'] ?? null; $client_policy_id = $payload['client_policy_id'] ?? null; $policy_no = $payload['policy_no'] ?? null; $type = $payload['type'] ?? 'download'; log_message('error', 'Received Payload API : '. json_encode($payload ?? "")); }else{ $id = $params['id'] ?? null; $emp_code = $params['emp_code'] ?? null; $client_policy_id = $params['client_policy_id'] ?? null; $policy_no = $params['policy_no'] ?? null; $type = $params['type'] ?? 'download'; log_message('error', 'Received Payload INTERNAL : '. json_encode($params ?? "")); } $employee_policy = $this->employeePolicyModel ->select('employees.*, employee_polices.tpa_id , employee_polices.rand_string , employee_polices.uhid as uhid , client_policy.tpa_id as tpa_primary_id ') ->join('employees', 'employee_polices.employee_id = employees.id', 'left') ->join('client_policy', 'employee_polices.client_policy_id = client_policy.id', 'left') ->where('employee_polices.employee_id',$id) ->where('employee_polices.client_policy_id',$client_policy_id) ->where('employee_polices.is_active', 1 )->findAll(); if(count($employee_policy) > 0) { if($employee_policy[0]['tpa_id'] != null) { if($employee_policy[0]['tpa_primary_id'] == $this->medi_assist_primary_key)//Medi assist { $mediAssistController = new MediAssistApiController(); $data['eCardDownload'] = $mediAssistController->EcardRequest( $emp_code, $policy_no ); }else{ if($type == "download"){ // direct download $data['eCardDownload'] = base_url('download-e-card/') . $employee_policy[0]['rand_string'].'/1'; }else{ // view and download $data['eCardDownload'] = base_url('download-e-card/') . $employee_policy[0]['rand_string'].'/0/1'; } } $data['message'] = "E-card generated"; if(empty($data['eCardDownload'])){ $data['message'] = "E-card not generated"; } } else { $data['eCardDownload'] = null; $data['message'] = "E-card not generated"; log_message('error', 'TPA number is null'); } }else{ $data['eCardDownload'] = null; $data['message'] = "E-card not generated"; log_message('error', 'Employee not found'); } if($return_type == 'api'){ return $this->respond(['status' => true, 'code' => 200, 'message' => '', 'data' => $data]); }else{ return $data; } } catch(\Exception $e){ } } // Get TPAID public function getTPAID() { log_message('error', "getTPAID payloads :" . json_encode($this->request->getPost() ?? [])); $tpa_id = $this->request->getPost('tpa_id') ?? null; $policy_no = $this->request->getPost('policy_no') ?? null; $client_id = $this->request->getPost('client_id') ?? null; $branch_id = $this->request->getPost('client_branch_id') ?? null; $policy_id = $this->request->getPost('client_policy_id') ?? null; $fileModel = new BatchFileModel(); $filesData = $fileModel->where('is_active', 1)->where('event_type', 'api')->where('status', 'inprogress')->countAllResults(); if($filesData > 0){ log_message('error', "TPA GetBenefDetails job is already in process."); return $this->respond(['status' => false, 'code' => 200,'message' => 'TPA initiation is in progress.','data' => [] ]); } $employeePolicyModel = new EmployeePolicyModel(); $employeePolicyData = $employeePolicyModel ->select(' employees.*, employee_polices.id as emp_policy_id, employee_polices.client_policy_id, ') ->join('employees', 'employees.id = employee_polices.employee_id') ->where('employee_polices.is_active', 1) ->where('employee_polices.status', 'active') ->where('employees.is_active', 1) ->where('employees.emp_status', 'active') ->where('employee_polices.tpa_id IS NULL') ->where('employee_polices.client_policy_id', $policy_id) ->countAllResults(); if($employeePolicyData == 0){ log_message('error', "No Employee Policy found with null TPA ID. TPA ID is already updated."); return $this->respond(['status' => false, 'code' => 200,'message' => 'TPA ID Already updated','data' => [] ]); } if (empty($policy_no)) { log_message('error', 'GetBenefDetails: policy_no missing in request'); return $this->respond(['status' => false, 'message' => 'policy_no required']); } $data = [ 'file_name' => "API", 'event_type' => "api", 'actions' => "fetch", 'insurer_or_tpa' => "tpa", 'batch_code' => generate_random_string(4), 'status' => "inprogress", 'client_id' => $client_id, 'client_policy_id'=> $policy_id, 'client_branch_id'=> $branch_id, 'created_by'=> get_session_userid(), ]; if ($tpa_id == $this->medi_assist_primary_key) // MediAssist { $file_id = $fileModel->insert($data); log_message('error', "Files table inserted successfully, File id : {$file_id}"); // $mediAssistController = new MediAssistApiController(); // $mediAssistController->GetBenefDetails( [ 'polict_no' => $policy_no, 'file_id' =>$file_id ] ); $r = Jobs::addJob(['job_name' => 'GetBenefDetails', 'payload' => ['policy_no' => $policy_no, 'file_id' => $file_id, 'client_policy_id' => $policy_id, 'return_type' => 'job']]); log_message('error', "GetBenefDetails job pushed successfully."); return $this->respond(['status' => true, 'code' => 200, 'message' => 'Action Triggered','data' => [] ]); }else{ return $this->respond(['status' => false, 'code' => 200,'message' => 'TPA not found ','data' => [] ]); } } // Get Claims public function getClaims($id) { if ($id == 1) { $controller = new VidalApiController(); } elseif ($id == 2) { $controller = new ICICILombardController(); } elseif ($id == 3) { $controller = new MediAssistApiController(); } } // Get UHID public function getUhid($id) { if ($id == 1) { $controller = new VidalApiController(); } elseif ($id == 2) { $controller = new ICICILombardController(); } elseif ($id == 3) { $controller = new MediAssistApiController(); } } // Push Enrollment public function pushEnrollment($id) { if ($id == 1) { $controller = new VidalApiController(); } elseif ($id == 2) { $controller = new ICICILombardController(); } elseif ($id == 3) { $controller = new MediAssistApiController(); } } // Get Hospital Network public function getHospitalNetwork($id) { if ($id == 1) { $controller = new VidalApiController(); } elseif ($id == 2) { $controller = new ICICILombardController(); } elseif ($id == 3) { $controller = new MediAssistApiController(); } } }