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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@@ -36,6 +36,12 @@ class ServiceItem
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#[ORM\Column(type: 'boolean')]
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private bool $active = true;
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#[ORM\Column(name: 'insurance_covered', type: 'boolean')]
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private bool $insuranceCovered = false;
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#[ORM\Column(name: 'insurance_price_rials', type: 'integer', nullable: true)]
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private ?int $insurancePriceRials = null;
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#[ORM\Column(name: 'created_at', type: 'integer')]
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private int $createdAt;
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@@ -59,6 +65,8 @@ class ServiceItem
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public function getName(): string { return $this->name; }
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public function getPriceRials(): int { return $this->priceRials; }
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public function isActive(): bool { return $this->active; }
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public function isInsuranceCovered(): bool { return $this->insuranceCovered; }
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public function getInsurancePriceRials(): ?int { return $this->insurancePriceRials; }
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public function getCreatedAt(): int { return $this->createdAt; }
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public function getUpdatedAt(): int { return $this->updatedAt; }
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@@ -66,6 +74,8 @@ class ServiceItem
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public function setName(string $name): self { $this->name = $name; $this->updatedAt = time(); return $this; }
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public function setPriceRials(int $price): self { $this->priceRials = $price; $this->updatedAt = time(); return $this; }
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public function setActive(bool $active): self { $this->active = $active; $this->updatedAt = time(); return $this; }
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public function setInsuranceCovered(bool $v): self { $this->insuranceCovered = $v; $this->updatedAt = time(); return $this; }
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public function setInsurancePriceRials(?int $v): self { $this->insurancePriceRials = $v; $this->updatedAt = time(); return $this; }
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public function toArray(): array
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{
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@@ -77,6 +87,8 @@ class ServiceItem
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'name' => $this->name,
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'price_rials' => $this->priceRials,
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'active' => $this->active,
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'insurance_covered' => $this->insuranceCovered,
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'insurance_price_rials' => $this->insurancePriceRials,
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'created_at' => $this->createdAt,
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'updated_at' => $this->updatedAt,
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];
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@@ -0,0 +1,71 @@
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<?php
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namespace App\ClinicService\Entity;
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use App\ClinicService\Repository\TariffRepository;
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use Doctrine\ORM\Mapping as ORM;
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use Symfony\Component\Uid\Uuid;
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#[ORM\Entity(repositoryClass: TariffRepository::class)]
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#[ORM\Table(name: 'service_tariffs')]
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#[ORM\UniqueConstraint(name: 'uniq_service_tariff_year', columns: ['service_item_id', 'year'])]
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#[ORM\Index(columns: ['service_item_id', 'is_active'], name: 'idx_tariff_service_active')]
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class Tariff
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{
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#[ORM\Id]
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#[ORM\GeneratedValue]
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#[ORM\Column(type: 'integer')]
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private ?int $id = null;
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#[ORM\Column(type: 'string', length: 36, unique: true)]
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private string $uuid;
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#[ORM\Column(name: 'service_item_id', type: 'integer')]
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private int $serviceItemId;
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#[ORM\Column(type: 'smallint')]
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private int $year;
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#[ORM\Column(name: 'price_rials', type: 'integer')]
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private int $priceRials = 0;
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#[ORM\Column(name: 'is_active', type: 'boolean')]
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private bool $isActive = true;
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#[ORM\Column(name: 'created_at', type: 'integer')]
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private int $createdAt;
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#[ORM\Column(name: 'updated_at', type: 'integer')]
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private int $updatedAt;
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public function __construct(int $serviceItemId, int $year, int $priceRials = 0)
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{
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$this->uuid = Uuid::v4()->toRfc4122();
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$this->serviceItemId = $serviceItemId;
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$this->year = $year;
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$this->priceRials = $priceRials;
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$this->createdAt = time();
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$this->updatedAt = time();
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}
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public function getId(): ?int { return $this->id; }
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public function getUuid(): string { return $this->uuid; }
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public function getServiceItemId(): int { return $this->serviceItemId; }
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public function getYear(): int { return $this->year; }
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public function getPriceRials(): int { return $this->priceRials; }
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public function isActive(): bool { return $this->isActive; }
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public function setPriceRials(int $v): self { $this->priceRials = $v; $this->updatedAt = time(); return $this; }
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public function setActive(bool $v): self { $this->isActive = $v; $this->updatedAt = time(); return $this; }
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public function toArray(): array
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{
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return [
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'uuid' => $this->uuid,
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'service_item_id' => $this->serviceItemId,
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'year' => $this->year,
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'price_rials' => $this->priceRials,
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'is_active' => $this->isActive,
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];
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}
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}
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