feat: insurance & medical billing system (6 phases)
Multi-tenant insurance contracts, service coverage, versioned tariffs, invoice calculation, and insurance claims with debt reporting. - TenantInsurance: per-tenant insurance contracts (coverage/franchise/ceiling, versioning, soft-deactivate) + active guard - ServiceItem.insuranceCovered + TenantServiceCoverage per-service overrides - Tariff: versioned yearly tariffs with fallback to ServiceItem price - Billing domain: Money/ShareBreakdown VOs, BillingCalculator (unit-tested), Invoice/InvoiceItem aggregate, InvoiceService.createFromSession - Claim/ClaimItem with state machine (pending->submitted->approved/rejected->paid), ClaimService, insurance-debt report - ClaimSubmitterInterface + ManualClaimSubmitter (future insurance API ready) - Admin UI: insurance-pricing page, claims page, service tariff modal, service insurance toggle; routes + sidebar entries - Architecture doc + billing/insurance/clinic-services API docs Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
This commit is contained in:
hamed
@@ -1,6 +1,6 @@
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import React, { useState } from 'react';
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import { useQuery, useMutation, useQueryClient } from '@tanstack/react-query';
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import { PlusIcon, PencilIcon, TrashIcon, WrenchScrewdriverIcon } from '@heroicons/react/24/outline';
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import { PlusIcon, PencilIcon, TrashIcon, WrenchScrewdriverIcon, BanknotesIcon } from '@heroicons/react/24/outline';
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import { useForm } from 'react-hook-form';
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import { zodResolver } from '@hookform/resolvers/zod';
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import { z } from 'zod';
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@@ -13,14 +13,17 @@ import Modal from '../components/ui/Modal';
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import PriceInput from '../components/ui/PriceInput';
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import ConfirmDialog from '../components/ui/ConfirmDialog';
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import PageHeader from '../components/ui/PageHeader';
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import ServiceTariffModal from '../components/ServiceTariffModal';
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import SearchableSelect from '../components/ui/SearchableSelect';
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import FeatureGate from '../components/ui/FeatureGate';
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const sectionSchema = z.object({ name: z.string().min(1, 'نام بخش الزامی است') });
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const itemSchema = z.object({
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name: z.string().min(1, 'نام سرویس الزامی است'),
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price_rials: z.coerce.number().min(0, 'مبلغ نمیتواند منفی باشد'),
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staff_uuid: z.string().optional(),
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name: z.string().min(1, 'نام سرویس الزامی است'),
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price_rials: z.coerce.number().min(0, 'مبلغ نمیتواند منفی باشد'),
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staff_uuid: z.string().optional(),
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insurance_covered: z.boolean().optional(),
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insurance_price_rials: z.coerce.number().min(0).optional(),
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});
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type SectionForm = z.infer<typeof sectionSchema>;
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type ItemForm = z.infer<typeof itemSchema>;
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@@ -36,6 +39,7 @@ function ClinicServicesPageInner() {
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const [deleteSection, setDeleteSection] = useState<ServiceSection | null>(null);
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const [itemModal, setItemModal] = useState<'create' | ServiceItem | null>(null);
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const [deleteItem, setDeleteItem] = useState<ServiceItem | null>(null);
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const [tariffItem, setTariffItem] = useState<ServiceItem | null>(null);
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const { data: sectionsData, isLoading: sectionsLoading } = useQuery<ApiResponse<ServiceSection[]>>({
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queryKey: ['service-sections'],
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@@ -123,6 +127,8 @@ function ClinicServicesPageInner() {
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name: item.name,
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price_rials: item.price_rials,
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staff_uuid: item.staff?.uuid ?? '',
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insurance_covered: item.insurance_covered ?? false,
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insurance_price_rials: item.insurance_price_rials ?? 0,
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});
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setItemModal(item);
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};
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@@ -234,7 +240,7 @@ function ClinicServicesPageInner() {
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<button
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className="btn primary sm"
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style={{ display: 'flex', alignItems: 'center', gap: 4 }}
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onClick={() => { itemForm.reset({ price_rials: 0, staff_uuid: '' }); setItemModal('create'); }}
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onClick={() => { itemForm.reset({ price_rials: 0, staff_uuid: '', insurance_covered: false, insurance_price_rials: 0 }); setItemModal('create'); }}
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>
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<PlusIcon style={{ width: 14 }} /> سرویس جدید
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</button>
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@@ -249,7 +255,7 @@ function ClinicServicesPageInner() {
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<button
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className="btn primary sm"
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style={{ marginTop: 12 }}
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onClick={() => { itemForm.reset({ price_rials: 0, staff_uuid: '' }); setItemModal('create'); }}
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onClick={() => { itemForm.reset({ price_rials: 0, staff_uuid: '', insurance_covered: false, insurance_price_rials: 0 }); setItemModal('create'); }}
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>
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افزودن سرویس
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</button>
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@@ -273,7 +279,14 @@ function ClinicServicesPageInner() {
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background: idx % 2 === 1 ? 'oklch(0.985 0.005 256)' : 'transparent',
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}}
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>
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<td style={{ padding: '11px 16px', fontWeight: 500 }}>{item.name}</td>
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<td style={{ padding: '11px 16px', fontWeight: 500 }}>
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{item.name}
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{item.insurance_covered && (
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<span className="badge green" style={{ fontSize: 10, marginInlineStart: 6 }}>
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<span className="bdot" />بیمه
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</span>
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)}
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</td>
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<td style={{ padding: '11px 16px', color: 'var(--primary)', fontWeight: 600 }}>
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{formatRial(item.price_rials)}
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</td>
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@@ -299,6 +312,9 @@ function ClinicServicesPageInner() {
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<button className="btn sm" onClick={() => openEditItem(item)} title="ویرایش">
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<PencilIcon style={{ width: 13 }} />
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</button>
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<button className="btn sm" onClick={() => setTariffItem(item)} title="تعرفههای سالانه">
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<BanknotesIcon style={{ width: 13 }} />
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</button>
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<button className="btn sm" onClick={() => setDeleteItem(item)} title="حذف">
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<TrashIcon style={{ width: 13 }} />
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</button>
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@@ -378,6 +394,25 @@ function ClinicServicesPageInner() {
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isClearable
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/>
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</div>
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<label style={{ display: 'flex', alignItems: 'center', gap: 8, cursor: 'pointer', fontSize: 13.5 }}>
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<input
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type="checkbox"
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checked={itemForm.watch('insurance_covered') ?? false}
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onChange={(e) => itemForm.setValue('insurance_covered', e.target.checked)}
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/>
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این خدمت شامل بیمه میشود
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</label>
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{itemForm.watch('insurance_covered') && (
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<div className="field">
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<label>قیمت با بیمه (ریال)</label>
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<PriceInput
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value={itemForm.watch('insurance_price_rials') ?? 0}
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onChange={(v) => itemForm.setValue('insurance_price_rials', v)}
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placeholder="سهم بیمار با بیمه"
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min={0}
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/>
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</div>
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)}
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</div>
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<div style={{ display: 'flex', gap: 8, marginTop: 16 }}>
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<button type="submit" className="btn primary" disabled={createItem.isPending || editItem.isPending}>ذخیره</button>
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@@ -386,6 +421,8 @@ function ClinicServicesPageInner() {
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</form>
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</Modal>
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<ServiceTariffModal item={tariffItem} onClose={() => setTariffItem(null)} />
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{/* Confirm حذف بخش */}
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<ConfirmDialog
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open={!!deleteSection}
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