- Changed franchise_rials to franchise_percent in tenant_insurances and tenant_service_coverage tables. - Reset old rial values to 0/NULL as they are not convertible to percentage. feat(command): add SeedInsuranceScenarioCommand for seeding insurance data - Implemented a command to seed supplementary insurance contracts, patients, and claims for a specified doctor. - Includes functionality for purging existing scenario data and generating new entries with predefined contracts and patient scenarios.
157 lines
6.5 KiB
PHP
157 lines
6.5 KiB
PHP
<?php
|
|
|
|
namespace App\Tests\Billing;
|
|
|
|
use App\Billing\Service\BillingCalculator;
|
|
use App\Billing\ValueObject\Money;
|
|
use App\Insurance\ValueObject\CoverageRule;
|
|
use PHPUnit\Framework\TestCase;
|
|
|
|
class BillingCalculatorTest extends TestCase
|
|
{
|
|
private BillingCalculator $calc;
|
|
|
|
protected function setUp(): void
|
|
{
|
|
$this->calc = new BillingCalculator();
|
|
}
|
|
|
|
public function testNoInsuranceAllPatient(): void
|
|
{
|
|
$b = $this->calc->calculateItem(new Money(600_000), null, null);
|
|
$this->assertSame(600_000, $b->patientRials);
|
|
$this->assertSame(0, $b->baseInsuranceRials);
|
|
$this->assertSame(0, $b->supplementaryRials);
|
|
}
|
|
|
|
public function testBaseAndSupplementary(): void
|
|
{
|
|
// کل 600,000؛ پایه 70% → 420,000؛ مکمل روی 180,000 با ~66.667% → 120,000؛ بیمار 60,000
|
|
$base = new CoverageRule(coveragePercent: 70, franchisePercent: 0, ceilingRials: null);
|
|
$supp = new CoverageRule(coveragePercent: 66.6667, franchisePercent: 0, ceilingRials: null);
|
|
|
|
$b = $this->calc->calculateItem(new Money(600_000), $base, $supp);
|
|
|
|
$this->assertSame(420_000, $b->baseInsuranceRials);
|
|
$this->assertSame(120_000, $b->supplementaryRials);
|
|
$this->assertSame(60_000, $b->patientRials);
|
|
$this->assertSame(
|
|
$b->totalRials,
|
|
$b->baseInsuranceRials + $b->supplementaryRials + $b->patientRials
|
|
);
|
|
}
|
|
|
|
public function testBaseOnly(): void
|
|
{
|
|
$base = new CoverageRule(coveragePercent: 70, franchisePercent: 0, ceilingRials: null);
|
|
$b = $this->calc->calculateItem(new Money(600_000), $base, null);
|
|
$this->assertSame(420_000, $b->baseInsuranceRials);
|
|
$this->assertSame(0, $b->supplementaryRials);
|
|
$this->assertSame(180_000, $b->patientRials);
|
|
}
|
|
|
|
public function testBaseCeilingCapsShare(): void
|
|
{
|
|
// پایه 70% = 420,000 ولی سقف 300,000 → بیمار باقی را میدهد
|
|
$base = new CoverageRule(coveragePercent: 70, franchisePercent: 0, ceilingRials: 300_000);
|
|
$b = $this->calc->calculateItem(new Money(600_000), $base, null);
|
|
$this->assertSame(300_000, $b->baseInsuranceRials);
|
|
$this->assertSame(300_000, $b->patientRials);
|
|
}
|
|
|
|
/** سناریوی مرجع کاربر: ویزیت 5,952,000 ریال با پوشش پایهٔ ۳۰٪ (بستری). */
|
|
public function testReferenceScenarioBasePercentOnly(): void
|
|
{
|
|
$base = new CoverageRule(coveragePercent: 30.0, franchisePercent: 0, ceilingRials: null);
|
|
|
|
$b = $this->calc->calculateItem(new Money(5_952_000), $base, null);
|
|
|
|
$this->assertSame(1_785_600, $b->baseInsuranceRials);
|
|
$this->assertSame(4_166_400, $b->patientRials);
|
|
$this->assertSame($b->totalRials, $b->baseInsuranceRials + $b->patientRials);
|
|
}
|
|
|
|
public function testBaseFranchiseDoesNotChargePatient(): void
|
|
{
|
|
// فرانشیز در بیمهٔ پایه بیاثر است: پایه 100% → سهم بیمار صفر.
|
|
$base = new CoverageRule(coveragePercent: 100, franchisePercent: 50, ceilingRials: null);
|
|
$b = $this->calc->calculateItem(new Money(600_000), $base, null);
|
|
$this->assertSame(0, $b->patientRials);
|
|
$this->assertSame(600_000, $b->baseInsuranceRials);
|
|
}
|
|
|
|
public function testSupplementaryFranchiseIsDeductedFromTheInsurerShare(): void
|
|
{
|
|
// پایه 70% → 420,000؛ باقیمانده 180,000؛ تکمیلی 100% منهای فرانشیز 10% → 162,000.
|
|
$base = new CoverageRule(coveragePercent: 70, franchisePercent: 50, ceilingRials: null);
|
|
$supp = new CoverageRule(coveragePercent: 100, franchisePercent: 10, ceilingRials: null);
|
|
|
|
$b = $this->calc->calculateItem(new Money(600_000), $base, $supp);
|
|
|
|
$this->assertSame(420_000, $b->baseInsuranceRials);
|
|
$this->assertSame(162_000, $b->supplementaryRials);
|
|
$this->assertSame(18_000, $b->patientRials);
|
|
$this->assertSame(
|
|
$b->totalRials,
|
|
$b->baseInsuranceRials + $b->supplementaryRials + $b->patientRials,
|
|
'فرانشیز نباید جمع سهمها را از کل بیشتر کند'
|
|
);
|
|
}
|
|
|
|
/** سناریوی مرجع: بدون بیمهٔ پایه، تکمیلی ۹۰٪ با فرانشیز ۱۰٪. */
|
|
public function testSupplementaryOnlyWithFranchise(): void
|
|
{
|
|
$supp = new CoverageRule(coveragePercent: 90, franchisePercent: 10, ceilingRials: null);
|
|
|
|
$b = $this->calc->calculateItem(new Money(1_000_000), null, $supp);
|
|
|
|
$this->assertSame(800_000, $b->supplementaryRials);
|
|
$this->assertSame(200_000, $b->patientRials);
|
|
$this->assertSame($b->totalRials, $b->supplementaryRials + $b->patientRials);
|
|
}
|
|
|
|
public function testFullFranchiseLeavesNothingForTheSupplementary(): void
|
|
{
|
|
$supp = new CoverageRule(coveragePercent: 100, franchisePercent: 100, ceilingRials: null);
|
|
|
|
$b = $this->calc->calculateItem(new Money(600_000), null, $supp);
|
|
|
|
$this->assertSame(0, $b->supplementaryRials);
|
|
$this->assertSame(600_000, $b->patientRials);
|
|
}
|
|
|
|
public function testFranchiseNeverPushesTheInsurerShareBelowZero(): void
|
|
{
|
|
// فرانشیز بزرگتر از تعهد: سهم بیمه صفر میشود، نه منفی.
|
|
$supp = new CoverageRule(coveragePercent: 20, franchisePercent: 80, ceilingRials: null);
|
|
|
|
$b = $this->calc->calculateItem(new Money(600_000), null, $supp);
|
|
|
|
$this->assertSame(0, $b->supplementaryRials);
|
|
$this->assertSame(600_000, $b->patientRials);
|
|
}
|
|
|
|
public function testZeroPercentLeavesEverythingToPatient(): void
|
|
{
|
|
$base = new CoverageRule(coveragePercent: 0, franchisePercent: 0, ceilingRials: null);
|
|
$b = $this->calc->calculateItem(new Money(600_000), $base, null);
|
|
$this->assertSame(0, $b->baseInsuranceRials);
|
|
$this->assertSame(600_000, $b->patientRials);
|
|
}
|
|
|
|
public function testFullPercentLeavesNothingToPatient(): void
|
|
{
|
|
$base = new CoverageRule(coveragePercent: 100, franchisePercent: 0, ceilingRials: null);
|
|
$b = $this->calc->calculateItem(new Money(600_000), $base, null);
|
|
$this->assertSame(600_000, $b->baseInsuranceRials);
|
|
$this->assertSame(0, $b->patientRials);
|
|
}
|
|
|
|
public function testNotCoveredRule(): void
|
|
{
|
|
$b = $this->calc->calculateItem(new Money(600_000), CoverageRule::notCovered(), CoverageRule::notCovered());
|
|
$this->assertSame(600_000, $b->patientRials);
|
|
$this->assertSame(0, $b->baseInsuranceRials);
|
|
}
|
|
}
|