def test_frequency(self):
# When the insuree already reaches his limit of visits
# Given
insuree = create_test_insuree()
self.assertIsNotNone(insuree)
product = create_test_product("CSECT")
policy = create_test_policy(product, insuree, link=True)
service = create_test_service("C",
custom_props={
"code": "G34B",
"frequency": 180
})
product_service = create_test_product_service(product, service)
pricelist_detail = add_service_to_hf_pricelist(service)
# A first claim for a visit should be accepted
claim1 = create_test_claim({"insuree_id": insuree.id})
service1 = create_test_claimservice(
claim1, custom_props={"service_id": service.id})
errors = validate_claim(claim1, True)
mark_test_claim_as_processed(claim1)
self.assertEquals(len(errors), 0, "The first visit should be accepted")
# a second visit should be denied
claim2 = create_test_claim({"insuree_id": insuree.id})
service2 = create_test_claimservice(
claim2, custom_props={"service_id": service.id})
errors = validate_claim(claim2, True)
self.assertGreater(
len(errors), 0,
"The second service should be refused as it is withing 180 days")
# Then
claim1.refresh_from_db()
claim2.refresh_from_db()
# tearDown
service2.delete()
claim2.delete()
service1.delete()
claim1.delete()
policy.insuree_policies.first().delete()
policy.delete()
product_service.delete()
pricelist_detail.delete()
service.delete()
product.delete()
def test_limit_surgery(self):
# When the insuree already reaches his limit of visits
# Given
insuree = create_test_insuree()
self.assertIsNotNone(insuree)
product = create_test_product("DELIV",
custom_props={"max_no_surgery": 1})
policy = create_test_policy(product, insuree, link=True)
service = create_test_service("S", custom_props={"code": "SSSS"})
product_service = create_test_product_service(product, service)
pricelist_detail = add_service_to_hf_pricelist(service)
# A first claim for a delivery should be accepted
claim1 = create_test_claim({"insuree_id": insuree.id})
service1 = create_test_claimservice(
claim1, custom_props={"service_id": service.id})
errors = validate_claim(claim1, True)
mark_test_claim_as_processed(claim1)
self.assertEquals(len(errors), 0,
"The first surgery should be accepted")
# a second delivery should be denied
claim2 = create_test_claim({"insuree_id": insuree.id})
service2 = create_test_claimservice(
claim2, custom_props={"service_id": service.id})
errors = validate_claim(claim2, True)
self.assertGreater(
len(errors), 0,
"The second service should fail because there is already one surgery"
)
# Then
claim1.refresh_from_db()
claim2.refresh_from_db()
# tearDown
service2.delete()
claim2.delete()
service1.delete()
claim1.delete()
policy.insuree_policies.first().delete()
policy.delete()
product_service.delete()
pricelist_detail.delete()
service.delete()
product.delete()
