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/Frontend/src/components/patients/patient-form.tsx

@@ -33,6 +33,15 @@ import {
 import { z } from "zod";
 import { DateInputField } from "@/components/ui/dateInputField";
 
+// New England first (most patients), then the remaining states alphabetically
+const US_STATES = [
+  "MA", "NH", "RI", "CT", "VT", "ME",
+  "AK", "AL", "AR", "AZ", "CA", "CO", "DC", "DE", "FL", "GA", "HI", "IA",
+  "ID", "IL", "IN", "KS", "KY", "LA", "MD", "MI", "MN", "MO", "MS", "MT",
+  "NC", "ND", "NE", "NJ", "NM", "NV", "NY", "OH", "OK", "OR", "PA", "SC",
+  "SD", "TN", "TX", "UT", "VA", "WA", "WI", "WV", "WY",
+];
+
 interface PatientFormProps {
   patient?: Patient;
   extractedInfo?: {
@@ -102,6 +111,7 @@ export const PatientForm = forwardRef<PatientFormRef, PatientFormProps>(
         email: "",
         address: "",
         city: "",
+        state: "MA",
         zipCode: "",
         insuranceProvider: "",
         insuranceId: extractedInfo?.insuranceId || "",
@@ -366,6 +376,34 @@ export const PatientForm = forwardRef<PatientFormRef, PatientFormProps>(
                 )}
               />
 
+              <FormField
+                control={form.control}
+                name="state"
+                render={({ field }) => (
+                  <FormItem>
+                    <FormLabel>State</FormLabel>
+                    <Select
+                      onValueChange={field.onChange}
+                      value={(field.value as string) || "MA"}
+                    >
+                      <FormControl>
+                        <SelectTrigger>
+                          <SelectValue placeholder="Select state" />
+                        </SelectTrigger>
+                      </FormControl>
+                      <SelectContent>
+                        {US_STATES.map((st) => (
+                          <SelectItem key={st} value={st}>
+                            {st}
+                          </SelectItem>
+                        ))}
+                      </SelectContent>
+                    </Select>
+                    <FormMessage />
+                  </FormItem>
+                )}
+              />
+
               <FormField
                 control={form.control}
                 name="zipCode"