Jason Jordan
272 lines
10 KiB
Ruby
272 lines
10 KiB
Ruby
def determine_id_card_templates(pl_plan_key)
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pl_plan_key = pl_plan_key.to_i
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if [13, 19, 20, 48, 49, 50, 51, 52, 53, 54, 58, 59, 61].include?(pl_plan_key)
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single_card_template = 'CignaFairosIDCard'
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elsif [39].include?(pl_plan_key)
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single_card_template = 'CignaFairosIDCard-HALF'
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elsif [4, 5, 16, 23, 33, 55, 57, 63].include?(pl_plan_key)
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single_card_template = 'MedCostFairosIDCard'
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elsif [1, 2].include?(pl_plan_key)
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single_card_template = 'SmartIDCard'
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elsif [10, 17].include?(pl_plan_key)
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single_card_template = 'FirstCallTPAIDCard'
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elsif [15, 18].include?(pl_plan_key)
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single_card_template = 'SRIIDCARD'
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elsif [21].include?(pl_plan_key)
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single_card_template = 'SRIIDCARDFairosRx'
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elsif [3].include?(pl_plan_key)
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single_card_template = 'TPAIDCardTan'
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elsif [56].include?(pl_plan_key)
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single_card_template = 'CignaHealthBusIDCard'
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else
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single_card_template = 'TPAIDCard'
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end
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if [4, 5, 16, 21, 33, 55, 57, 58, 59, 61].include?(pl_plan_key)
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multiple_card_template = 'AllTPAIDCardFairosRx'
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elsif [13, 19, 20, 39, 48, 49, 50, 52, 53, 54].include?(pl_plan_key)
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multiple_card_template = 'AllHerritageIdCards'
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elsif [15, 18].include?(pl_plan_key)
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multiple_card_template = 'ALLSRIIDCARD'
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elsif [10, 17].include?(pl_plan_key)
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multiple_card_template = 'AllFirstCallTPAIDCard'
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elsif [3].include?(pl_plan_key)
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multiple_card_template = 'AllTPAIDCardTan'
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elsif [56].include?(pl_plan_key)
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multiple_card_template = 'AllCignaHealthBusIDCard'
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else
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multiple_card_template = 'AllTPAIDCard'
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end
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{
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single_card_template: single_card_template,
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multiple_card_template: multiple_card_template
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}
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end
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def determine_network_logos(pl_plan_key)
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pl_plan_key = pl_plan_key.to_i
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exception_logos = []
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if [4, 5, 16, 23, 33, 55, 57, 63].include?(pl_plan_key)
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default_net_logo_image = 'Logo_MC_PMS.png'
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elsif [15, 18, 19, 20, 13, 21].include?(pl_plan_key)
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default_net_logo_image = 'CignaLogo.png'
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elsif [62].include?(pl_plan_key)
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default_net_logo_image = 'CignaLogo.png'
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else
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default_net_logo_image = 'CignaLogo.png'
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# exception_logos << ProviderNetworkLogo.new(
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# exception_type: 'zip',
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# exception_value: '49420',
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# net_logo: 'CignaPHLogo.jpg'
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# )
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# exception_logos << ProviderNetworkLogo.new(
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# exception_type: 'zip',
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# exception_value: '48167',
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# net_logo: 'CignaPHLogo.jpg'
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# )
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# exception_logos << ProviderNetworkLogo.new(
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# exception_type: 'zip',
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# exception_value: '55419',
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# net_logo: 'CignaHPLogo.jpg'
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# )
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# exception_logos << ProviderNetworkLogo.new(
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# exception_type: 'zip',
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# exception_value: '55379',
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# net_logo: 'CignaHPLogo.jpg'
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# )
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end
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end
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benefit_descriptions = ["Primary Visit",
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"Specialist Visit",
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"Urgent Care",
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"INN–Ind Ded",
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"INN–Family Ded",
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"OON–Ind Ded",
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"OON–Family Ded",
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"Co-Insurance",
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"INN–Ind OOP",
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"INN–Family OOP",
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"OON–Ind OOP",
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"OON–Family OOP",
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"Emergency Room",
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"Preventive Care"]
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default = IdCardBenefitsTemplate.create(title: "BLANK")
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benefit_descriptions.each_with_index do |bene, i|
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IdCardBenefit.create(sequence: i + 1, benefit_desc: bene, id_card_benefits_template: default)
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end
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temp_2 = IdCardBenefitsTemplate.create(title: "Jason's Template")
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(1..14).each do |seq|
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IdCardBenefit.create(sequence: seq, benefit: "#{seq} hit wonder", id_card_benefits_template: temp_2)
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end
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# temp_1 = IdCardBenefitsTemplate.create(title: "Rebekah's Template")
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# (1..14).each do |seq|
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# IdCardBenefit.create(sequence: seq, benefit: "greatest hits vol #{seq}", id_card_benefits_template: temp_1)
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# end
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# historical_id_card_docs = Dir['tmp/*.docx']
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# historical_id_card_docs.each do |card_doc|
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# puts card_doc
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# BenefitsWordDocProcessor.new(card_doc).call
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# end
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# acentria = Carrier.find_or_create_by!(name: 'Acentria')
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# mcswain_broker = Broker.find_or_create_by!(name: 'Tom McSwain') do |mc|
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# mc.carrier = acentria
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# end
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# mcswain_employers = HebWeb::BrokerXRef.where(pl_plan_key: 99).pluck(:employer_pl_plan_key)
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# Imports employers and members from VHCS
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sql_query = "SELECT PLPlanKey, PlanId, ShortDesc FROM PLPlanHeader WHERE ActiveInactive = 'Active' AND PLPlanKey = 61"
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plan_headers = VhcsRecord.connection.select_all(sql_query)
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plan_headers.each do |ph|
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import_employer = Employer.find_or_create_by!(pl_plan_key: ph['PLPlanKey']) do |em|
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puts "Importing #{ph['ShortDesc'].strip}"
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em.name = ph['ShortDesc'].strip
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em.plan_id = ph['PlanId'].strip.to_i
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id_card_templates = determine_id_card_templates(em.pl_plan_key)
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em.single_card_template = id_card_templates[:single_card_template]
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em.multiple_card_template = id_card_templates[:multiple_card_template]
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plan_code = Vhcs::HlPlanCode.find_by(plan_key: em.pl_plan_key)
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em.group_number = plan_code.group_number
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em.rx_group_number = plan_code.medical_number
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em.effective_date = plan_code.effect_date.strftime("%m/%d/%Y")
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pb_company_plan = Vhcs::PbCompanyPlans.find_by(pl_plan_key: em.pl_plan_key)
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em.company_pb_entity_key = pb_company_plan.company_pb_entity_key
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card_display_name = Vhcs::PbEntity.find_by(company_pb_entity_key: em.company_pb_entity_key).last_name
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em.id_card_display_name = em.employer_trim_name(card_display_name)
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em.default_network_logo = determine_network_logos(em.pl_plan_key)
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end
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vhcs_plans = Vhcs::PbProduct.where(company_pb_entity_key: import_employer.company_pb_entity_key)
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vhcs_plans.each do |vp|
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puts "~~ Importing #{vp.short_description}"
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import_plan = import_employer.plans.find_or_create_by!(pb_product_key: vp.pb_product_key) do |pl|
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pl.title = vp.short_description
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end
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vhcs_plan_benefits = Vhcs::HlEgglestonCardBenefit.where(plan_id: import_plan.pb_product_key)
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vhcs_plan_benefits.each do |vb|
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import_plan.plan_benefits.find_or_create_by!(benefit_desc: vb.benefit_desc) do |pb|
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pb.sequence = vb.sequence
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pb.benefit = vb.benefit
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end
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end
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end
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# if mcswain_employers.include?(ph['PLPlanKey'])
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# em.broker = mcswain_broker
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# end
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vw_mb_members = Vhcs::VwmbMember.where(enrollee_type_value_id: 1, pl_plan_key: ph['PLPlanKey']).select(:mb_member_key, :pb_entity_key, :pl_plan_key, :family_id, :full_name_last_name_first)
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vw_mb_members_count = vw_mb_members.length
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vw_mb_members.each_with_index do |vwm, i|
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import_member = Member.find_or_create_by!(mb_member_key: vwm.mb_member_key) do |me|
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me.name = vwm.full_name_last_name_first.titleize
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me.pb_entity_key = vwm.pb_entity_key
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me.family_id = vwm.family_id
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me.pl_plan_key = vwm.pl_plan_key
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me.employer = import_employer
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card_display_name = Vhcs::PbEntity.find_by(pb_entity_key: me.pb_entity_key).full_name
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me.id_card_display_name = card_display_name
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plan_pb_product_key = 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" = ?', me.pb_entity_key).first.pb_product_key
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if plan = Plan.find_by(pb_product_key: plan_pb_product_key)
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me.plan = plan
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end
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end
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puts "Employer #{import_employer.name} (#{i}/#{vw_mb_members_count}) members imported"
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end
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end
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Vhcs::HlidCardProvider.all.each do |vhcs|
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CardProvider.find_or_create_by(provider_code: vhcs.provider_code) do |cp|
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cp.provider_line_1 = vhcs.provider_line_1
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cp.provider_line_2 = vhcs.provider_line_2
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cp.provider_line_3 = vhcs.provider_line_3
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cp.provider_line_4 = vhcs.provider_line_4
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cp.provider_line_5 = vhcs.provider_line_5
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cp.provider_line_6 = vhcs.provider_line_6
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cp.provider_line_7 = vhcs.provider_line_7
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cp.provider_line_8 = vhcs.provider_line_8
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cp.provider_line_9 = vhcs.provider_line_9
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cp.provider_line_10 = vhcs.provider_line_10
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cp.provider_line_11 = vhcs.provider_line_11
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cp.provider_line_12 = vhcs.provider_line_12
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cp.claim_to_1 = vhcs.claim_to_1
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cp.claim_to_2 = vhcs.claim_to_2
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cp.claim_to_3 = vhcs.claim_to_3
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cp.claim_to_4 = vhcs.claim_to_4
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cp.claim_to_5 = vhcs.claim_to_5
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cp.claim_to_6 = vhcs.claim_to_6
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cp.claim_to_7 = vhcs.claim_to_7
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cp.claim_to_8 = vhcs.claim_to_8
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cp.claim_to_9 = vhcs.claim_to_9
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cp.claim_to_10 = vhcs.claim_to_10
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cp.claim_to_11 = vhcs.claim_to_11
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cp.claim_to_12 = vhcs.claim_to_12
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cp.mail_to = vhcs.mail_to
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cp.mail_to_2 = vhcs.mail_to_2
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cp.contact_line_1 = vhcs.contact_line_1
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cp.contact_line_2 = vhcs.contact_line_2
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cp.contact_line_3 = vhcs.contact_line_3
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cp.group_number = vhcs.group_number
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cp.rx_group_id = vhcs.rx_group_id
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cp.rx_contact = vhcs.rx_contact
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cp.provider_lookup_1 = vhcs.provider_lookup_1
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cp.provider_lookup_2 = vhcs.provider_lookup_2
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cp.precert_1 = vhcs.precert_1
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cp.precert_2 = vhcs.precert_2
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cp.precert_3 = vhcs.precert_3
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cp.precert_4 = vhcs.precert_4
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cp.precert_5 = vhcs.precert_5
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cp.precert_6 = vhcs.precert_6
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end
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end
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Vhcs::HlrxCrosRef.all.each do |vhcs|
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rx = CardRx.find_or_create_by(help_desk: vhcs.help_desk, customer_service: vhcs.customer_service, web_url: vhcs.web_url)
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emp = Employer.find_by(pl_plan_key: vhcs.pl_plan_key)
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if emp.present?
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emp.card_rx = rx
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emp.save
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end
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end
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# 15, 18, 19, 20, 13, 21
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