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
2026-06-23 15:05:24 +03:30
co-authored by Claude Opus 4.8
parent 5b1dfe9b40
commit 89191eee57
54 changed files with 4233 additions and 10 deletions
+12
View File
@@ -36,6 +36,12 @@ class ServiceItem
#[ORM\Column(type: 'boolean')]
private bool $active = true;
#[ORM\Column(name: 'insurance_covered', type: 'boolean')]
private bool $insuranceCovered = false;
#[ORM\Column(name: 'insurance_price_rials', type: 'integer', nullable: true)]
private ?int $insurancePriceRials = null;
#[ORM\Column(name: 'created_at', type: 'integer')]
private int $createdAt;
@@ -59,6 +65,8 @@ class ServiceItem
public function getName(): string { return $this->name; }
public function getPriceRials(): int { return $this->priceRials; }
public function isActive(): bool { return $this->active; }
public function isInsuranceCovered(): bool { return $this->insuranceCovered; }
public function getInsurancePriceRials(): ?int { return $this->insurancePriceRials; }
public function getCreatedAt(): int { return $this->createdAt; }
public function getUpdatedAt(): int { return $this->updatedAt; }
@@ -66,6 +74,8 @@ class ServiceItem
public function setName(string $name): self { $this->name = $name; $this->updatedAt = time(); return $this; }
public function setPriceRials(int $price): self { $this->priceRials = $price; $this->updatedAt = time(); return $this; }
public function setActive(bool $active): self { $this->active = $active; $this->updatedAt = time(); return $this; }
public function setInsuranceCovered(bool $v): self { $this->insuranceCovered = $v; $this->updatedAt = time(); return $this; }
public function setInsurancePriceRials(?int $v): self { $this->insurancePriceRials = $v; $this->updatedAt = time(); return $this; }
public function toArray(): array
{
@@ -77,6 +87,8 @@ class ServiceItem
'name' => $this->name,
'price_rials' => $this->priceRials,
'active' => $this->active,
'insurance_covered' => $this->insuranceCovered,
'insurance_price_rials' => $this->insurancePriceRials,
'created_at' => $this->createdAt,
'updated_at' => $this->updatedAt,
];
+71
View File
@@ -0,0 +1,71 @@
<?php
namespace App\ClinicService\Entity;
use App\ClinicService\Repository\TariffRepository;
use Doctrine\ORM\Mapping as ORM;
use Symfony\Component\Uid\Uuid;
#[ORM\Entity(repositoryClass: TariffRepository::class)]
#[ORM\Table(name: 'service_tariffs')]
#[ORM\UniqueConstraint(name: 'uniq_service_tariff_year', columns: ['service_item_id', 'year'])]
#[ORM\Index(columns: ['service_item_id', 'is_active'], name: 'idx_tariff_service_active')]
class Tariff
{
#[ORM\Id]
#[ORM\GeneratedValue]
#[ORM\Column(type: 'integer')]
private ?int $id = null;
#[ORM\Column(type: 'string', length: 36, unique: true)]
private string $uuid;
#[ORM\Column(name: 'service_item_id', type: 'integer')]
private int $serviceItemId;
#[ORM\Column(type: 'smallint')]
private int $year;
#[ORM\Column(name: 'price_rials', type: 'integer')]
private int $priceRials = 0;
#[ORM\Column(name: 'is_active', type: 'boolean')]
private bool $isActive = true;
#[ORM\Column(name: 'created_at', type: 'integer')]
private int $createdAt;
#[ORM\Column(name: 'updated_at', type: 'integer')]
private int $updatedAt;
public function __construct(int $serviceItemId, int $year, int $priceRials = 0)
{
$this->uuid = Uuid::v4()->toRfc4122();
$this->serviceItemId = $serviceItemId;
$this->year = $year;
$this->priceRials = $priceRials;
$this->createdAt = time();
$this->updatedAt = time();
}
public function getId(): ?int { return $this->id; }
public function getUuid(): string { return $this->uuid; }
public function getServiceItemId(): int { return $this->serviceItemId; }
public function getYear(): int { return $this->year; }
public function getPriceRials(): int { return $this->priceRials; }
public function isActive(): bool { return $this->isActive; }
public function setPriceRials(int $v): self { $this->priceRials = $v; $this->updatedAt = time(); return $this; }
public function setActive(bool $v): self { $this->isActive = $v; $this->updatedAt = time(); return $this; }
public function toArray(): array
{
return [
'uuid' => $this->uuid,
'service_item_id' => $this->serviceItemId,
'year' => $this->year,
'price_rials' => $this->priceRials,
'is_active' => $this->isActive,
];
}
}