- Updated CoverageRule and related entities to include franchise_percent instead of franchise_rials.
- Modified Appointment entity to carry supplementary insurance ID alongside base insurance.
- Implemented SessionBillingService to ensure finalized invoices for insured patient sessions.
- Created InvoiceFinalized event to trigger claims creation upon invoice finalization.
- Added BackfillMissingClaimsCommand to generate claims for finalized invoices without existing claims.
- Developed tests to validate the new functionality for supplementary insurance handling in appointments and claims.
Base insurance is a percentage-only rule: patient share is now total minus the
base share, and the contract franchise no longer inflates it (franchise stays
meaningful for supplementary contracts only).
Coverage percentages are managed centrally by admin per service category
(outpatient/inpatient, extensible via the ServiceCategory enum). A tenant
contract may override a category, otherwise it follows the admin default live —
changing the central value immediately applies to every contract that did not
override it.
- add ServiceCategory enum + GET /api/v1/service-categories as the single source
of the category list for every client
- add insurance_coverage_defaults (+ GET/PUT admin coverage-defaults endpoints)
and expose coverage_defaults on the insurance list and insurance-pricing
- add tenant_insurance_category_coverage; tenant-insurances accepts optional
category_coverages (needs insurances.update) and returns the effective
percentages with their source
- add service_items.service_category; visits always resolve as outpatient
- drop the reverse-engineered percent from patient_share_rials in MyPatientsPage
and align the client-side BillingCalculator mirror in CreateStep
Co-Authored-By: Claude Opus 5 (1M context) <noreply@anthropic.com>
- Introduced a new boolean flag `require_visit_price` in the `EntityInsurancePricing` to enforce visit price for appointments.
- Updated the appointment creation endpoints to validate `visit_price_rials` based on the new flag.
- Added `visit_price_rials` field to the `Appointment` entity to store the visit price.
- Enhanced the `PatientService` to validate visit price during session creation.
- Updated API documentation to reflect changes in appointment and insurance pricing.
- Implemented a new service `VisitPriceRequirementResolver` to determine if a visit price is required for a doctor based on their pricing settings.
- Added migrations to update the database schema for the new fields.
E5: generate phpstan-baseline.neon (the 41 pre-existing errors) and include it,
so `phpstan analyse` returns OK and the gate now fails only on NEW errors. The
baseline is meant to be burned down over time.
E4: add .github/workflows/ci.yml — MariaDB 11.8 + redis services, composer
install, JWT keygen, phpstan (baseline-clean), migrate-on-empty-db smoke, and
phpunit. Locally verified the substantive checks: a fresh empty DB migrates
cleanly to 64 tables (guards the "migrations break on empty DB" bug class),
phpstan is green, and the 70-test suite passes. The GitHub Actions service
wiring itself is first-run-pending (can't be exercised offline).
Co-Authored-By: Claude Opus 4.8 <noreply@anthropic.com>
hamed