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>
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@@ -7,6 +7,8 @@ use App\ClinicService\Entity\ServiceItem;
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use App\ClinicService\Entity\ServiceSection;
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use App\ClinicService\Repository\ServiceItemRepository;
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use App\ClinicService\Repository\ServiceSectionRepository;
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use App\ClinicService\Repository\TariffRepository;
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use App\ClinicService\Service\TariffService;
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use App\Clinic\Repository\ClinicRepository;
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use App\Doctor\Repository\DoctorRepository;
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use App\Shared\Constant\ErrorCodes;
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@@ -32,6 +34,8 @@ class ClinicServiceController extends BaseController
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private readonly SubscriptionService $subscriptionService,
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private readonly DoctorRepository $doctorRepo,
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private readonly ClinicRepository $clinicRepo,
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private readonly TariffRepository $tariffRepo,
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private readonly TariffService $tariffService,
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) {}
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// ── Service Sections ─────────────────────────────────────────────────────
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@@ -157,6 +161,13 @@ class ClinicServiceController extends BaseController
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}
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}
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if (isset($data['insurance_covered'])) {
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$item->setInsuranceCovered((bool) $data['insurance_covered']);
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}
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if (array_key_exists('insurance_price_rials', $data)) {
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$item->setInsurancePriceRials($data['insurance_price_rials'] !== null ? (int) $data['insurance_price_rials'] : null);
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}
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$this->itemRepo->save($item);
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return $this->success($item->toArray(), 201);
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@@ -181,6 +192,12 @@ class ClinicServiceController extends BaseController
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$staff = $data['staff_uuid'] ? $this->staffRepo->findByUuid($data['staff_uuid']) : null;
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$item->setStaff($staff);
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}
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if (isset($data['insurance_covered'])) {
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$item->setInsuranceCovered((bool) $data['insurance_covered']);
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}
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if (array_key_exists('insurance_price_rials', $data)) {
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$item->setInsurancePriceRials($data['insurance_price_rials'] !== null ? (int) $data['insurance_price_rials'] : null);
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}
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$this->itemRepo->save($item);
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@@ -206,6 +223,51 @@ class ClinicServiceController extends BaseController
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return $this->success(['message' => 'سرویس حذف شد']);
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}
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// ── Tariffs (تعرفهی نسخهدار سالانه) ──────────────────────────────────────
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#[Route('/api/v1/service-items/{uuid}/tariffs', methods: ['GET'])]
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#[IsGranted('IS_AUTHENTICATED_FULLY')]
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public function listTariffs(string $uuid, #[CurrentUser] User $user): JsonResponse
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{
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[$entityType, $entityId] = $this->resolveEntity($user);
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$item = $this->itemRepo->findByUuid($uuid);
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if ($item === null || !$this->ownsSection($item->getSection(), $entityType, $entityId)) {
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return $this->error(ErrorCodes::ERR_SERVICE_NOT_FOUND, ErrorCodes::message(ErrorCodes::ERR_SERVICE_NOT_FOUND), 404);
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}
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$tariffs = $this->tariffRepo->findByService($item->getId());
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return $this->success([
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'current_year' => $this->tariffService->currentJalaliYear(),
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'default_price_rials' => $item->getPriceRials(),
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'data' => array_map(fn($t) => $t->toArray(), $tariffs),
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]);
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}
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#[Route('/api/v1/service-items/{uuid}/tariffs/{year}', methods: ['PUT'], requirements: ['year' => '\d+'])]
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#[IsGranted('IS_AUTHENTICATED_FULLY')]
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public function setTariff(string $uuid, int $year, Request $request, #[CurrentUser] User $user): JsonResponse
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{
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[$entityType, $entityId] = $this->resolveEntity($user);
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$item = $this->itemRepo->findByUuid($uuid);
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if ($item === null || !$this->ownsSection($item->getSection(), $entityType, $entityId)) {
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return $this->error(ErrorCodes::ERR_SERVICE_NOT_FOUND, ErrorCodes::message(ErrorCodes::ERR_SERVICE_NOT_FOUND), 404);
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}
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if ($year < 1390 || $year > 1500) {
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return $this->error(ErrorCodes::ERR_VALIDATION_001, 'سال نامعتبر است', 422);
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}
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$data = json_decode($request->getContent(), true) ?? [];
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$price = (int) ($data['price_rials'] ?? 0);
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$tariff = $this->tariffService->upsert($item->getId(), $year, $price);
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return $this->success(['data' => $tariff->toArray()]);
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}
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// ── Helpers ──────────────────────────────────────────────────────────────
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private function resolveEntity(User $user): array
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