Files
baclight/lib/tasks/employer_pre_auto.rake
2026-04-15 08:12:47 -04:00

150 lines
8.6 KiB
Ruby

namespace :employer_pre_auto do
desc "TODO"
# rake employer:vhcs_sync_all
task vhcs_sync_all: :environment do
sql_query = "SELECT PLPlanKey, PlanId, ShortDesc FROM PLPlanHeader WHERE ActiveInactive = 'Active' AND PLPlanKey NOT IN ('50','56')"
plan_headers = VhcsRecord.connection.select_all(sql_query)
plan_headers.each do |ph|
plan_code = Vhcs::HlPlanCode.find_by(plan_key: ph['PLPlanKey'])
if plan_code.present?
import_employer = Employer.find_or_create_by!(pl_plan_key: ph['PLPlanKey']) do |em|
puts "Importing #{ph['ShortDesc'].strip}"
em.name = ph['ShortDesc'].strip.titleize
em.plan_id = ph['PlanId'].strip.to_i
id_card_templates = determine_id_card_templates(em.pl_plan_key)
# em.single_card_template = id_card_templates[:single_card_template]
# em.multiple_card_template = id_card_templates[:multiple_card_template]
id_card_setup = em.build_id_card_setup(pl_plan_key: em.pl_plan_key)
# plan_code = Vhcs::HlPlanCode.find_by(plan_key: em.pl_plan_key)
em.group_number = plan_code.group_number
id_card_setup.rx_group_number = plan_code.medical_number
em.effective_date = plan_code.effect_date.strftime("%m/%d/%Y")
pb_company_plan = Vhcs::PbCompanyPlans.find_by(pl_plan_key: em.pl_plan_key)
em.company_pb_entity_key = pb_company_plan.company_pb_entity_key
card_print_name = Vhcs::PbEntity.where(company_pb_entity_key: em.company_pb_entity_key, entity_type_id: 1007).last.last_name
id_card_setup.print_name = card_print_name
em.active = true
# em.default_network_logo = determine_network_logos(em.pl_plan_key)
end
plan_codes = Vhcs::HlEgglestonCardBenefit.where(plan_key: import_employer.pl_plan_key).pluck(:plan_id).uniq
vhcs_plans = Vhcs::PbProduct.where(pb_product_key: plan_codes, is_active: 255)
vhcs_plans.each do |vp|
puts "~~ Importing #{vp.short_description}"
import_plan = import_employer.id_card_setup.plans.find_or_create_by!(pb_product_key: vp.pb_product_key) do |pl|
pl.title = vp.short_description
pl.pl_plan_key = import_employer.pl_plan_key
pl.template = false
end
#Find where benefits info comes from for plplankeys ["2", "3", "5", "13", "16", "19", "20", "21", "33", "49"]
vhcs_plan_benefits = Vhcs::HlEgglestonCardBenefit.where(plan_id: import_plan.pb_product_key)
vhcs_plan_benefits.each do |vb|
import_benefit = import_plan.plan_benefits.find_by(sequence: vb.sequence)
import_benefit.update(benefit: vb.benefit)
end
end
end
end
end
desc "TODO"
# rake employer:import_members_from_vhcs[67]
task :import_members_from_vhcs, [:pl_plan_key] => :environment do |t, args|
pl_plan_key = args[:pl_plan_key]
employer = Employer.find_by(pl_plan_key: pl_plan_key)
vw_mb_members = Vhcs::VwmbMember.where(enrollee_type_value_id: 1, pl_plan_key: pl_plan_key).select(:mb_member_key, :pb_entity_key, :pl_plan_key, :family_id, :full_name_last_name_first)
vw_mb_members_count = vw_mb_members.length
vw_mb_members.each_with_index do |vwm, i|
# participation = Vhcs::PbProductParticipation.joins('INNER JOIN "PBCoveredEntities" ON "PBProductParticipation"."PBProductParticipationKey" = "PBCoveredEntities"."PBProductParticipationKey"').where('"PBCoveredEntities"."PBEntityKey" = ?', vwm.pb_entity_key).last
pb_products = Vhcs::PbProduct.joins('
INNER JOIN "PBProductAvailability" ON "PBProductAvailability"."PBProductKey" = "PBProduct"."PBProductKey"
INNER JOIN "PBProductParticipation" ON "PBProductParticipation"."PBProductAvailabilityKey" = "PBProductAvailability"."PBProductAvailabilityKey"
INNER JOIN "PBCoveredEntities" ON "PBProductParticipation"."PBProductParticipationKey" = "PBCoveredEntities"."PBProductParticipationKey"
').where('"PBCoveredEntities"."PBEntityKey" = ? AND "PBProductParticipation"."InEffect" <= ? AND "PBProductParticipation"."OutOfEffect" > ?', vwm.pb_entity_key, 1.month.from_now , 1.day.ago)
if pb_products.present?
# in_effect = participation.in_effect
# out_of_effect = participation.out_of_effect
# if in_effect <= (Date.today + 90.days) && (out_of_effect - 1.day) > Date.today && out_of_effect > in_effect
Member.find_or_create_by!(mb_member_key: vwm.mb_member_key) do |me|
me.name = vwm.full_name_last_name_first.titleize
me.pb_entity_key = vwm.pb_entity_key
me.family_id = vwm.family_id
me.pl_plan_key = vwm.pl_plan_key
me.employer = employer
card_display_name = Vhcs::PbEntity.find_by(pb_entity_key: me.pb_entity_key).full_name
me.id_card_display_name = card_display_name
if employer.id_card_setup.has_divisions
division = Vhcs::PbEntity.joins('
INNER JOIN "PBAffiliation" ON "PBAffiliation"."ParentPBEntityKey" = "PBEntity"."PBEntityKey"
INNER JOIN "PBProductParticipation" ON "PBProductParticipation"."PBAffiliationKey" = "PBAffiliation"."PBAffiliationKey"
INNER JOIN "PBCoveredEntities" ON "PBProductParticipation"."PBProductParticipationKey" = "PBCoveredEntities"."PBProductParticipationKey"
').where('"PBCoveredEntities"."PBEntityKey" = ?', me.pb_entity_key).uniq.first.last_name
me.division = division
end
# if employer.id_card_setup.has_dental
# coverage_class = Vhcs::GenLookupTables.joins('
# INNER JOIN "PBProductParticipation" ON "PBProductParticipation"."CoverageTypeCode" = "GEN_LookupTables"."RecordID"
# INNER JOIN "PBCoveredEntities" ON "PBProductParticipation"."PBProductParticipationKey" = "PBCoveredEntities"."PBProductParticipationKey"
# ').where(
# '"PBCoveredEntities"."PBEntityKey" = ? AND "PBProductParticipation"."InEffect" <= ? AND "PBProductParticipation"."OutOfEffect" > ?', me.pb_entity_key, 1.month.from_now , 1.day.ago
# ).uniq.first.short_desc
# end
# pb_products = Vhcs::PbProduct.joins('
# INNER JOIN "PBProductAvailability" ON "PBProductAvailability"."PBProductKey" = "PBProduct"."PBProductKey"
# INNER JOIN "PBProductParticipation" ON "PBProductParticipation"."PBProductAvailabilityKey" = "PBProductAvailability"."PBProductAvailabilityKey"
# INNER JOIN "PBCoveredEntities" ON "PBProductParticipation"."PBProductParticipationKey" = "PBCoveredEntities"."PBProductParticipationKey"
# ').where('"PBCoveredEntities"."PBEntityKey" = ? AND "PBProductParticipation"."InEffect" <= ? AND "PBProductParticipation"."OutOfEffect" > ?', me.pb_entity_key, 1.month.from_now , 1.day.ago)
# if pb_products
if employer.id_card_setup.has_dental
medical_pb_product_key = pb_products.where(short_description: "Medical")&.first&.pb_product_key
dental_pb_product_key = pb_products.where(short_description: "Dental")&.first&.pb_product_key
if dental_pb_product_key
me.dental_plan_key = dental_pb_product_key
coverage_class = Vhcs::GenLookupTables.joins('
INNER JOIN "PBProductParticipation" ON "PBProductParticipation"."CoverageTypeCode" = "GEN_LookupTables"."RecordID"
INNER JOIN "PBCoveredEntities" ON "PBProductParticipation"."PBProductParticipationKey" = "PBCoveredEntities"."PBProductParticipationKey"
').where(
'"PBCoveredEntities"."PBEntityKey" = ? AND "PBProductParticipation"."InEffect" <= ? AND "PBProductParticipation"."OutOfEffect" > ?', me.pb_entity_key, 1.month.from_now , 1.day.ago
).uniq.first.short_desc
me.coverage_class = coverage_class
end
else
medical_pb_product_key = pb_products.first.pb_product_key
end
if medical_pb_product_key && plan = IdCard::Plan.find_by(pb_product_key: medical_pb_product_key)
me.id_card_plan = plan
end
# end
end
puts "Employer #{employer.name} (#{i}/#{vw_mb_members_count}) members processed"
# end
end
end
end
end