ClientPrimaryCoverage.php 3.0 KB

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  1. <?php
  2. namespace App\Models;
  3. use Illuminate\Database\Eloquent\Factories\HasFactory;
  4. use Illuminate\Database\Eloquent\Model;
  5. class ClientPrimaryCoverage extends Model
  6. {
  7. protected $table = 'client_primary_coverage';
  8. public function getStatus() {
  9. $status = 'NO';
  10. // if medicare, check is_partbprimary
  11. if($this->plan_type === 'MEDICARE') {
  12. $status = $this->is_partbprimary;
  13. }
  14. else {
  15. if(!$this->is_manually_determined) {
  16. // AUTO determination of non-medicare not yet supported
  17. $status = 'NO';
  18. }
  19. else {
  20. switch($this->manual_determination_category) {
  21. case 'COVERED':
  22. $status = 'YES';
  23. break;
  24. case 'NOT_COVERED':
  25. case 'INVALID':
  26. $status = 'NO';
  27. break;
  28. default:
  29. $status = $this->manual_determination_category;
  30. break;
  31. }
  32. }
  33. }
  34. return $status;
  35. }
  36. public function insuranceDisplayName(){
  37. $coverageName = $this->toString();
  38. if(stripos($coverageName, 'medicare') !== false) return 'Medicare';
  39. if(stripos($coverageName, 'medicaid') !== false) return 'Medicaid';
  40. if(stripos($coverageName, 'commercial') !== false) return 'Commercial';
  41. return null;
  42. }
  43. public function insuranceDisplayPayerName(){
  44. if($this->plan_type === 'MEDICAID'){
  45. if($this->mcdPayer) return $this->mcdPayer->name;
  46. }
  47. if($this->plan_type === 'COMMERCIAL'){
  48. if($this->payer) return $this->payer->name; else $this->carrier_free_text ?: '-';
  49. }
  50. return $this->insuranceDisplayName();
  51. }
  52. public function toString() {
  53. $parts = [];
  54. $parts[] = $this->plan_type;
  55. if($this->plan_type === 'MEDICARE') {
  56. if($this->is_partbprimary === 'YES') {
  57. $parts[] = 'Part B';
  58. }
  59. }
  60. else {
  61. if(@$this->plan_name) $parts[] = ' / ' . $this->plan_name;
  62. if(@$this->plan_identifier) $parts[] = ' / ' . $this->plan_identifier;
  63. }
  64. return implode(" ", $parts);
  65. }
  66. public function payer(){
  67. return $this->hasOne(Payer::class, 'id', 'commercial_payer_id');
  68. }
  69. public function mcdPayer(){
  70. return $this->hasOne(Payer::class, 'id', 'mcd_payer_id');
  71. }
  72. public function commercialPayer(){
  73. return $this->hasOne(Payer::class, 'id', 'commercial_payer_id');
  74. }
  75. public function autoMedicareResult(){
  76. return $this->hasOne(MedicareResult::class, 'id', 'auto_medicare_result_id');
  77. }
  78. public function autoCommercialMoreSpecificPayer(){
  79. return $this->hasOne(Payer::class, 'id', 'auto_commercial_more_specific_payer_id');
  80. }
  81. public function createdByPro(){
  82. return $this->hasOne(Pro::class, 'id', 'created_by_pro_id');
  83. }
  84. }