public function listRulesAction()
{
$groupId = (int) $this->_getParam('groupId');
$rows = array();
$iterator = new ClaimRuleIterator();
$iterator->setFilters(array('groupId' => $groupId));
foreach ($iterator as $claimRule) {
$row = array();
$row['id'] = $claimRule->claimRuleId;
$row['data'] = array();
$row['data'][] = '';
$row['data'][] = '';
$row['data'][] = '';
$row['data'][] = '';
$row['userdata']['type'] = $claimRule->type;
$row['userdata']['operator'] = $claimRule->operator;
$row['userdata']['code'] = $claimRule->code;
$row['userdata']['value'] = $claimRule->value;
$row['userdata']['operand'] = $claimRule->operand;
$rows[] = $row;
}
$json = Zend_Controller_Action_HelperBroker::getStaticHelper('json');
$json->suppressExit = true;
$json->direct(array('rows' => $rows));
}
public static function checkRules(Visit $visit, array $fees = array())
{
if (!isset($fees['details'])) {
$fees = $visit->calculateFees(true);
}
$visitId = (int) $visit->visitId;
$payerId = (int) $visit->activePayerId;
$procedures = null;
$iterator = new ClaimRuleIterator();
foreach (self::listGroups() as $groupId => $values) {
// TODO: use operators
$matched = false;
$iterator->setFilters(array('groupId' => $groupId));
foreach ($iterator as $claimRule) {
$type = $claimRule->type;
switch ($type) {
case self::TYPE_PROCEDURE:
case self::TYPE_DIAGNOSIS:
if ($procedures === null) {
$procedures = array();
$patientProcedureIterator = new PatientProcedureIterator();
$patientProcedureIterator->setFilters(array('visitId' => $visitId));
foreach ($patientProcedureIterator as $patientProcedure) {
$procedures[] = $patientProcedure;
}
}
$code = $claimRule->code;
foreach ($procedures as $procedure) {
if ($type == self::TYPE_PROCEDURE) {
if ($procedure->code == $code) {
$matched = true;
break;
}
} else {
for ($i = 1; $i <= 8; $i++) {
$key = 'diagnosisCode' . $i;
if ($procedure->{$key} == $code) {
$matched = true;
break 2;
}
}
}
}
break;
case self::TYPE_INSURANCE_PROGRAM:
if ($claimRule->value == $payerId) {
$matched = true;
}
break;
case self::TYPE_MODIFIER:
break;
case self::TYPE_LINE_AMOUNT:
break;
case self::TYPE_CLAIM_TOTAL:
break;
}
}
if ($matched) {
$visit->_claimRule = $values;
}
}
return $visit;
}
