Files
baclight/app/services/reports_service/card_comparisons.rb
T
2026-04-15 08:12:47 -04:00

237 lines
13 KiB
Ruby

module ReportsService
class CardComparisons
def initialize(pl_plan_key, member_pb_entity_key = nil)
@pl_plan_key = pl_plan_key
@member_pb_entity_key = member_pb_entity_key
@hlid_ids_compared = []
end
def call
if @member_pb_entity_key
IdCard::PrintData.where(primary_mb_member_key: @member_pb_entity_key).destroy_all
CallStoredProc.new('HLQueueIDCardByKey', { PBEntityKey: @member_pb_entity_key }).call
IdCardPrinterService::CardDataFormatter.new([{pl_plan_key: @pl_plan_key, member_keys: [@member_pb_entity_key]}]).call
puts "use ID Cards app for group #{@pl_plan_key}, then press enter."
continue = gets
compare_member_cards(@member_pb_entity_key)
else
employer_card_comparison = Report::CardComparison.find_or_create_by(member_number: "#{@pl_plan_key}-Group", pl_plan_key: @pl_plan_key)
AutomationService::EmployerMembersUpdate.new(@pl_plan_key).call
employer_member_keys = Employer.find_by(pl_plan_key: @pl_plan_key).employer_member_keys
IdCard::PrintData.where(pl_plan_key: @pl_plan_key).destroy_all
CallStoredProc.new('HLQueueAllIDCardsByPlan', { PLPlanKey: @pl_plan_key }).call
IdCardPrinterService::CardDataFormatter.new(employer_member_keys).call
puts "use ID Cards app for group #{@pl_plan_key}, then press enter."
continue = gets
IdCard::PrintData.where(pl_plan_key: @pl_plan_key, primary_mb_member_key: nil).destroy_all
# new_cards = IdCard::PrintData.where(pl_plan_key: @pl_plan_key)
# add_dependent_cards(new_cards)
new_card_member_keys = IdCard::PrintData.where(pl_plan_key: @pl_plan_key).pluck(:primary_mb_member_key).uniq
old_card_member_keys = Vhcs::HlidCardEggData.where(pl_plan_key: @pl_plan_key).pluck(:primary_mb_member_key).uniq.map(&:to_s)
missing_from_new = old_card_member_keys - new_card_member_keys
missing_from_old = new_card_member_keys - old_card_member_keys
if missing_from_new.present? || missing_from_old.present?
employer_card_comparison.comparison_errors.new(
card_field: "Missing Cards",
new_value: missing_from_old.join(', '),
old_value: missing_from_new.join(', ')
)
end
# group_errors = []
# unless new_card_count == old_card_count
# group_errors.push({
# employer: @pl_plan_key,
# field: 'Card Count Mismatch',
# new_value: new_card_count,
# old_value: old_card_count
# })
# end
member_keys_array = new_card_member_keys | old_card_member_keys
member_keys_array.each do |member_key|
compare_member_cards(member_key)
end
failed_cards = Report::CardComparison.where(pl_plan_key: @pl_plan_key, passed: false).where.not(member_number: @pl_plan_key)
if failed_cards.empty?
employer_card_comparison.passed = true
end
employer_card_comparison.save
@hlid_ids_compared
end
end
private
def compare_member_cards(member_pb_entity_key)
member_card_comparison = Report::CardComparison.find_or_create_by(member_number: member_pb_entity_key, pl_plan_key: @pl_plan_key)
new_card = IdCard::PrintData.find_by(primary_mb_member_key: member_pb_entity_key)
old_card = Vhcs::HlidCardEggData.where(primary_mb_member_key: member_pb_entity_key).first
@hlid_ids_compared << old_card.id
errors = []
if new_card.present? && old_card.present?
# :pl_plan_key, :primary_mb_member_key, :family_id, :full_name, :medical_eff_date, :dental_coverage,
# :provider_line_1, :provider_line_2, :provider_line_3, :provider_line_4, :provider_line_5, :provider_line_6,
# :provider_line_7, :provider_line_8, :provider_line_9, :provider_line_10, :provider_line_11, :provider_line_12,
# :claim_to_1, :claim_to_2, :claim_to_3, :claim_to_4, :claim_to_5, :claim_to_6,
# :claim_to_7, :claim_to_8, :claim_to_9, :claim_to_10, :claim_to_11, :claim_to_12,
# :precert_1, :precert_2, :precert_3, :precert_4, :customer_service, :web_url, :dependent_1, :dependent_2, :dependent_3,
# :dependent_4, :dependent_5, :dependent_6, :dependent_7, :dependent_8, :benefit_desc_1,
new_card_common = new_card.attributes.with_indifferent_access.except(
:id, :created_at, :full_name_last_name_first, :network_provider, :plan_id,
:network_logo_filename, :employer_logo_filename, :sample_plan_title, :jasper_batch_id, :updated_at
)
new_card_common.delete_if { |key, value| key.match?(/[[:upper:]]/) }
new_card_dependents = new_card.attributes.with_indifferent_access.slice(
:dependent_1, :dependent_2, :dependent_3, :dependent_4, :dependent_5, :dependent_6, :dependent_7, :dependent_8
)
new_card_dependents.delete_if { |key, value| key.match?(/[[:upper:]]/) }
new_card_dental = new_card[:dental_coverage]
new_card_eff_date = new_card[:medical_eff_date]
# old_card_common = old_card.attributes.except(
# :id, :facility, :ssn, :medical_coverage, :dental_eff_date, :dental_group_num, :mail_to, :mail_to_2, :contact_line_1,
# :contact_line_2, :contact_line_3, :group_number, :group_no, :help_desk, :expr_1, :line_3, :ppo_lookup_1, :ppo_lookup_2,
# :precert_5, :precert_6, :misc_data, :ppo_data, :ppo_data_2, :ppo_data_3, :last_name, :card_type, :provider_code
# )
old_card_common = old_card.attributes.with_indifferent_access.slice(
:employer_name, :full_name, :group_number, :provider_line_1, :provider_line_2, :provider_line_3,
:provider_line_4, :provider_line_5, :provider_line_6, :provider_line_7, :provider_line_8, :provider_line_9, :provider_line_10,
:provider_line_11, :claim_to_1, :claim_to_2, :claim_to_3, :claim_to_4, :claim_to_5, :claim_to_6, :claim_to_7, :claim_to_8, :claim_to_9,
:claim_to_10, :claim_to_11, :family_id, :rx_group, :customer_service, :web_url, :benefit_desc_1, :benefit_1, :benefit_desc_2, :benefit_2, :benefit_desc_3, :benefit_3,
:benefit_desc_4, :benefit_4, :benefit_desc_5, :benefit_5, :benefit_desc_6, :benefit_6, :benefit_desc_7, :benefit_7, :benefit_desc_8, :benefit_8,
:benefit_desc_9, :benefit_9, :benefit_desc_10, :benefit_10, :benefit_desc_11, :benefit_11, :benefit_desc_12, :benefit_12, :benefit_desc_13, :benefit_13,
:benefit_desc_14, :benefit_14, :pl_plan_key, :primary_mb_member_key, :provider_line_12, :claim_to_12
) # :precert_1, :precert_2, :precert_3, :precert_4
old_card_common.transform_keys!(division: :employer_name, medical_group_num: :group_number, rx_group_id: :rx_group)
old_card_dependents = old_card.attributes.with_indifferent_access.slice(
:dependent_1, :dependent_2, :dependent_3, :dependent_4, :dependent_5, :dependent_6, :dependent_7, :dependent_8
)
old_card_dependents.delete_if { |key, value| key.match?(/[[:upper:]]/) }
old_card_dental = old_card[:dental_coverage]
old_card_eff_date = old_card[:medical_eff_date]
old_card_common.each do |key, value|
# if key == :benefit_desc_4
# binding.pry
# end
unless new_card_common[key].to_s.downcase.strip.gsub(/\W/, ' ') == value.to_s.downcase.strip.gsub(/\W/, ' ')
comp_error = member_card_comparison.comparison_errors.find_or_create_by(card_field: key.to_s)
comp_error.update!(new_value: new_card_common[key], old_value: value)
# errors.push({
# member: old_card_common[:primary_mb_member_key],
# field: key,
# new_value: value,
# old_value: new_card_common[key]
# })
end
end
unless old_card_dependents.values.sort == new_card_dependents.values.sort
missing_from_new = (old_card_dependents.values - new_card_dependents.values).compact_blank
missing_from_old = (new_card_dependents.values - old_card_dependents.values).compact_blank
# member_card_comparison.comparison_errors.new(
# card_field: "Missing Dependent(s)",
# new_value: missing_from_old.join(', '),
# old_value: missing_from_new.join(', ')
# )
comp_error = member_card_comparison.comparison_errors.find_or_create_by(card_field: "Missing Dependent(s)")
comp_error.update!(new_value: missing_from_old.join(', '), old_value: missing_from_new.join(', '))
# errors.push({
# member: old_card_common[:primary_mb_member_key],
# field: 'Missing Dependent(s)',
# new_value: new_card_dependents.values,
# old_value: old_card_dependents.values
# })
end
unless new_card_dental == old_card_dental || (old_card_dental == "NONE" && new_card_dental.empty?)
member_card_comparison.comparison_errors.new(
card_field: "dental_coverage",
new_value: new_card_dental,
old_value: old_card_dental
)
comp_error = member_card_comparison.comparison_errors.find_or_create_by(card_field: "dental_coverage")
comp_error.update!(new_value: new_card_dental, old_value: old_card_dental)
# errors.push({
# member: old_card_common[:primary_mb_member_key],
# field: :dental_coverage,
# new_value: new_card_dental,
# old_value: old_card_dental
# })
end
unless new_card_eff_date.to_date == old_card_eff_date.to_date
# member_card_comparison.comparison_errors.new(
# card_field: "medical_eff_date",
# new_value: new_card_eff_date,
# old_value: old_card_eff_date
# )
comp_error = member_card_comparison.comparison_errors.find_or_create_by(card_field: "medical_eff_date")
comp_error.update!(new_value: new_card_eff_date, old_value: old_card_eff_date)
# errors.push({
# member: old_card_common[:primary_mb_member_key],
# field: :medical_eff_date,
# new_value: new_card_eff_date,
# old_value: old_card_eff_date
# })
end
else
comp_error = member_card_comparison.comparison_errors.find_or_create_by(card_field: "Missing Member")
comp_error.update!(new_value: new_card.present?, old_value: old_card.present?)
# member_card_comparison.comparison_errors.new(
# card_field: "Missing Member",
# new_value: new_card.present?,
# old_value: old_card.present?
# )
# errors.push({
# member: old_card[:primary_mb_member_key],
# field: "Missing Member",
# new_value: new_card.present?,
# old_value: old_card.present?
# })
end
if member_card_comparison.comparison_errors.empty?
member_card_comparison.passed = true
end
member_card_comparison.save
end
# def add_dependent_cards(batch)
# batch.where.not(dependent_1: [nil, ""]).find_each do |member_card|
# dependent_card = member_card.dup
# dependent_card.update(
# full_name_last_name_first: member_card.full_name_last_name_first.concat(" dependent")
# )
# dependent_card.save
# end
# end
end
end