fix: allow letters in insurance ID; add patient state (default MA)

- Backend insurance ID check now accepts letters + digits (BCBS IDs have
  a letter prefix), matching the frontend schema; create route validates
  the normalized body
- Patient.state column (default "MA") with State select on the patient
  form; ADA claim form uses the patient's state instead of the office's
- Rebuild stale packages/db compiled .js so the runtime schemas include
  new fields (state, office billing NPI fields, Telnyx settings)

Co-Authored-By: Claude Opus 5.5 <noreply@anthropic.com>

apps/Backend/src/routes/patients.ts

@@ -239,10 +239,7 @@ router.post("/", async (req: Request, res: Response): Promise<any> => {
       });
     }
     // Validate request body
-    const patientData = insertPatientSchema.parse({
-      ...req.body,
-      userId: req.user!.id,
-    });
+    const patientData = insertPatientSchema.parse(body);
 
     // Check for duplicate insuranceId if it's provided
     if (patientData.insuranceId) {

apps/Backend/src/services/adaClaimForm.ts

@@ -56,6 +56,7 @@ export type AdaClaimInput = {
     gender?: string | null;
     address?: string | null;
     city?: string | null;
+    state?: string | null;
     zipCode?: string | null;
     insuranceId?: string | null;
     groupNumber?: string | null;
@@ -209,7 +210,11 @@ async function fillOnePage(
 
   // 12-23. Subscriber / patient
   const patientName = `${patient.lastName}, ${patient.firstName}`;
-  const patientCsz = cityStateZip(patient.city, patient.address || patient.city ? officeState : "", patient.zipCode);
+  const patientCsz = cityStateZip(
+    patient.city,
+    patient.state || (patient.address || patient.city ? officeState : ""),
+    patient.zipCode,
+  );
   const dob = fmtDate(patient.dateOfBirth);
   const gender = genderCode(patient.gender);
   const genderBox = { M: "Check Box1", F: "Check Box2", U: "Check Box3" }[gender];

apps/Backend/src/utils/helpers.ts

@@ -9,7 +9,7 @@ export function normalizeInsuranceId(raw: unknown): string | undefined {
     s = raw;
   } else {
     // Not acceptable type
-    throw new Error("Insurance ID must be a numeric string.");
+    throw new Error("Insurance ID must be a string.");
   }
 
   // Remove all whitespace
@@ -18,9 +18,9 @@ export function normalizeInsuranceId(raw: unknown): string | undefined {
   // If empty after cleaning, treat as undefined
   if (cleaned === "") return undefined;
 
-  // Only digits allowed (since you said it's numeric)
-  if (!/^\d+$/.test(cleaned)) {
-    throw new Error("Insurance ID must contain only digits.");
+  // Letters and digits allowed (e.g. BCBS IDs carry a letter prefix)
+  if (!/^[A-Za-z0-9]+$/.test(cleaned)) {
+    throw new Error("Insurance ID must contain only letters and digits.");
   }
 
   return cleaned;