Its been a while

2026-07-23 10:41:46 -04:00
parent 16fadfd529
commit 9853d58469
83 changed files with 1978 additions and 243 deletions
@@ -0,0 +1,41 @@
+module MembersService
+    class Claims
+
+        def initialize(entity, recent = false)
+            if entity.is_a?(Integer)
+                @member = Baclight::Member.find_by(pb_entity_key: entity)
+            else
+                @member = entity
+            end
+            if @member.present?
+                @pl_plan_key = @member.pl_plan_key
+                @family_id = @member.family_id
+                @recent = recent
+            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
+
+            ordered_claims_headers = claims_headers.sort_by { |ch| ch['IncurDate'].to_date }.reverse
+            ordered_claims_headers = ordered_claims_headers.first(6) if @recent
+
+            ordered_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
+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)