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This commit is contained in:
Jason Jordan
2026-07-23 10:41:46 -04:00
parent 16fadfd529
commit 9853d58469
83 changed files with 1978 additions and 243 deletions
+33
View File
@@ -0,0 +1,33 @@
class MemberClaimsService
def initialize(pb_entity_key)
@member = Baclight::Member.find_by(pb_entity_key: pb_entity_key)
if @member.present?
@pl_plan_key = @member.pl_plan_key
@family_id = @member.family_id
else
raise ArgumentError, "Member not found."
end
end
def call
args = {
PLPlanKey: @pl_plan_key,
FamilyId: @family_id,
ProviderTaxId: "",
UserID: "JASONJ"
}
claims_headers = CallStoredProc.new("CPFindClaim", args).call
recent_claims_headers = claims_headers.sort_by { |ch| ch['IncurDate'].to_date }.reverse.first(6)
recent_claims_headers.map { |ch| { claim_number: ch['CPHeaderKey'], visit_date: ch['IncurDate'].strftime("%m-%d-%Y"), claim_status: ch['AdjudicatedStatusShortDesc'], patient_name: ch['FullName'], provider_name: ch['ProviderCompany']} }
end
end
# claimHeaders = _vContext.ClaimHeader.FromSql("dbo.CPFindClaim
# @PLPlanKey = {0}, @CSCaseKey = {1}, @PAPriorAuthKey = {2}, @FromDate = {3}, @ToDate = {4}, @FamilyID = {5}, @FirstName = {6}, @LastName = {7}, @SequenceNumber = {8}, @PBEntityKey = {9}, @ProviderIdentifierCode = {10}, @ProviderCompanyName = {11}, @ProviderTaxID = {12}, @HeaderStatusValueID = {13}, @AdjudicatedStatusValueID = {14}, @EventUSUserKey = {15}, @IncludeRestricted = {16}, @ClaimTypeValueID = {17}, @ClaimSource = {18}, @ReceivedFromDate = {19}, @ReceivedToDate = {20}, @DCN = {21}, @SSN = {22}, @SSN_IncFamily = {23}, @SearchAllIDs = {24}, @UserID = {25}, @ExecuteOrDisplay = {26} ",
# PlanKey, 0, 0, FromDate, ToDate, FamilyId, "", "", -1, 0, "", "", ProviderTaxId, 0, 0, 0, 0, 0, 2, null, null, null, null, 0, 0, "DAVIDH", 1)