OTC-525

Author: delcroip

sql/stored_procedures/uspSSRSProcessBatchWithClaim.sql

@@ -14,41 +14,46 @@ CREATE PROCEDURE [dbo].[uspSSRSProcessBatchWithClaim]
 	)
 	AS
 	BEGIN
+			IF @LocationId=-1
+        BEGIN
+        	SET @LocationId = NULL
+        END
 
-		IF @DateFrom = '' OR @DateFrom IS NULL OR @DateTo = '' OR @DateTo IS NULL
-	    BEGIN
-		    SET @DateFrom = N'1900-01-01'
-		    SET @DateTo = N'3000-12-31'
-	    END
+        IF @DateFrom = '' OR @DateFrom IS NULL OR @DateTo = '' OR @DateTo IS NULL
+        BEGIN
+	        SET @DateFrom = N'1900-01-01'
+	        SET @DateTo = N'3000-12-31'
+        END
 
-	    ;WITH CDetails AS
-	(
-		SELECT CI.ClaimId, CI.ProdId,
-		SUM(ISNULL(CI.PriceApproved, CI.PriceAsked) * ISNULL(CI.QtyApproved, CI.QtyProvided)) PriceApproved,
-		SUM(CI.PriceValuated) PriceAdjusted, SUM(CI.RemuneratedAmount)RemuneratedAmount
-		FROM tblClaimItems CI
-		WHERE CI.ValidityTo IS NULL
-		AND CI.ClaimItemStatus = 1
-		GROUP BY CI.ClaimId, CI.ProdId
-		UNION ALL
 
-		SELECT CS.ClaimId, CS.ProdId,
-		SUM(ISNULL(CS.PriceApproved, CS.PriceAsked) * ISNULL(CS.QtyApproved, CS.QtyProvided)) PriceApproved,
-		SUM(CS.PriceValuated) PriceValuated, SUM(CS.RemuneratedAmount) RemuneratedAmount
+    ;WITH CDetails AS
+	    (
+		    SELECT CI.ClaimId, CI.ProdId,
+		    SUM(ISNULL(CI.PriceApproved, CI.PriceAsked) * ISNULL(CI.QtyApproved, CI.QtyProvided)) PriceApproved,
+		    SUM(CI.PriceValuated) PriceAdjusted, SUM(CI.RemuneratedAmount)RemuneratedAmount
+		    FROM tblClaimItems CI
+		    WHERE CI.ValidityTo IS NULL
+		    AND CI.ClaimItemStatus = 1
+		    GROUP BY CI.ClaimId, CI.ProdId
+		    UNION ALL
 
-		FROM tblClaimServices CS
-		WHERE CS.ValidityTo IS NULL
-		AND CS.ClaimServiceStatus = 1
-		GROUP BY CS.CLaimId, CS.ProdId
-	)
+		    SELECT CS.ClaimId, CS.ProdId,
+		    SUM(ISNULL(CS.PriceApproved, CS.PriceAsked) * ISNULL(CS.QtyApproved, CS.QtyProvided)) PriceApproved,
+		    SUM(CS.PriceValuated) PriceValuated, SUM(CS.RemuneratedAmount) RemuneratedAmount
+
+		    FROM tblClaimServices CS
+		    WHERE CS.ValidityTo IS NULL
+		    AND CS.ClaimServiceStatus = 1
+		    GROUP BY CS.CLaimId, CS.ProdId
+	    )
 	SELECT C.ClaimCode, C.DateClaimed, CA.OtherNames OtherNamesAdmin, CA.LastName LastNameAdmin, C.DateFrom, C.DateTo, I.CHFID, I.OtherNames,
 	I.LastName, C.HFID, HF.HFCode, HF.HFName, HF.AccCode, Prod.ProdID, Prod.ProductCode, Prod.ProductName, 
 	C.Claimed PriceAsked, SUM(CDetails.PriceApproved)PriceApproved, SUM(CDetails.PriceAdjusted)PriceAdjusted, SUM(CDetails.RemuneratedAmount)RemuneratedAmount,
 	D.DistrictID, D.DistrictName, R.RegionId, R.RegionName
 
 	FROM tblClaim C
-	LEFT OUTER JOIN tblClaimAdmin CA ON CA.ClaimAdminId = C.ClaimAdminId
 	INNER JOIN tblInsuree I ON I.InsureeId = C.InsureeID
+	LEFT OUTER JOIN tblClaimAdmin CA ON CA.ClaimAdminId = C.ClaimAdminId
 	INNER JOIN tblHF HF ON HF.HFID = C.HFID
 	INNER JOIN CDetails ON CDetails.ClaimId = C.ClaimID
 	INNER JOIN tblProduct Prod ON Prod.ProdId = CDetails.ProdID
@@ -61,10 +66,23 @@ CREATE PROCEDURE [dbo].[uspSSRSProcessBatchWithClaim]
 	WHERE C.ValidityTo IS NULL
 	AND (Prod.LocationId = @LocationId OR @LocationId = 0 OR Prod.LocationId IS NULL)
 	AND(Prod.ProdId = @ProdId OR @ProdId = 0)
-	AND (C.RunId IS NULL)
+	AND (C.RunId = @RunId OR @RunId = 0)
 	AND (HF.HFId = @HFID OR @HFId = 0)
 	AND (HF.HFLevel = @HFLevel OR @HFLevel = N'')
 	AND (C.DateTo BETWEEN @DateFrom AND @DateTo)
+	-- TO AVOID DOUBLE COUNT WITH CAPITATION
+	AND  CONCAT(HF.HFLevel,'.',HF.HFSublevel) NOT IN (
+		SELECT CONCAT(HFlevel,'.',HFSublevel) 
+		FROM  (values ('H'), ('C'), ('D')) v(HFLevel)
+		JOIN tblHFSublevel  on 1=1
+		INNER JOIN tblProduct Prod on prodid = @ProdID
+		and (
+			    ((HF.HFLevel = prod.Level1) AND (HF.HFSublevel = Prod.SubLevel1 OR Prod.SubLevel1 IS NULL))
+			    OR ((HF.HFLevel = Prod.Level2 ) AND (HF.HFSublevel = Prod.SubLevel2 OR Prod.SubLevel2 IS NULL))
+			    OR ((HF.HFLevel = Prod.Level3) AND (HF.HFSublevel = Prod.SubLevel3 OR Prod.SubLevel3 IS NULL))
+			    OR ((HF.HFLevel = Prod.Level4) AND (HF.HFSublevel = Prod.SubLevel4 OR Prod.SubLevel4 IS NULL))
+		      )
+	)
 
 	GROUP BY C.ClaimCode, C.DateClaimed, CA.OtherNames, CA.LastName , C.DateFrom, C.DateTo, I.CHFID, I.OtherNames,
 	I.LastName, C.HFID, HF.HFCode, HF.HFName, HF.AccCode, Prod.ProdID, Prod.ProductCode, Prod.ProductName, C.Claimed,