feat: MetLife Dental claim submission via ClaimConnect; MetLife fee schedule

Reuses the MetLife eligibility login (persistent profile, email MFA, OTP
from app or browser), then Submit Claims -> ClaimConnect -> DentalXChange
Single Claim: billing/rendering provider, member ID, last name, payer
Metlife 65978, patient picked by DOB/name, signature on file Yes, one
claim item per CDT code (date, code, tooth, surfaces, fee; Add Claim Item
past 3), Finish, Submit Claim, then Back to Claim to read the Claim ID and
save the page as PDF. Waits out Wicket ajax/veil before each click.

MetLife now has its own fee schedule (seeded from DDMA) instead of falling
back to MassHealth prices.

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

apps/Backend/src/queue/jobRunner.ts

@@ -21,6 +21,7 @@ import { runCCAEligibilityProcessor } from "./processors/ccaEligibilityProcessor
 import { runCCAClaimProcessor } from "./processors/ccaClaimProcessor";
 import { runCCAPreAuthProcessor } from "./processors/ccaPreAuthProcessor";
 import { runDDMAClaimProcessor } from "./processors/ddmaClaimProcessor";
+import { runMetLifeClaimProcessor } from "./processors/metlifeClaimProcessor";
 import { runDeltainsClaimProcessor } from "./processors/deltainsClaimProcessor";
 import { runUnitedDHClaimProcessor } from "./processors/unitedDHClaimProcessor";
 import { runUnitedDHPreAuthProcessor } from "./processors/unitedDHPreAuthProcessor";
@@ -223,6 +224,17 @@ export function enqueueSeleniumJob(data: SeleniumJobData): string {
         job.id
       );
     }
+    if (jobType === "metlife-claim-submit") {
+      return runMetLifeClaimProcessor(
+        {
+          enrichedPayload: data.enrichedPayload,
+          userId: data.userId,
+          claimId: data.claimId,
+          socketId: data.socketId,
+        },
+        job.id
+      );
+    }
     if (jobType === "deltains-claim-submit") {
       return runDeltainsClaimProcessor(
         {

apps/Backend/src/queue/processors/metlifeClaimProcessor.ts

@@ -0,0 +1,184 @@
+/**
+ * Processor for "metlife-claim-submit" jobs.
+ * Opens a claim on the MetLife Dental provider portal via Selenium.
+ *
+ * Flow:
+ *   1. POST /metlife-claim to Python agent → get session_id
+ *   2. Emit selenium:metlife_claim_started to frontend
+ *   3. Poll until completed/error
+ *   4. Emit result
+ */
+import {
+  forwardToSeleniumMetLifeClaimAgent,
+  getSeleniumMetLifeClaimSessionStatus,
+} from "../../services/seleniumMetLifeClaimClient";
+import { io } from "../../socket";
+import { storage } from "../../storage";
+import axios from "axios";
+import path from "path";
+
+function log(tag: string, msg: string, ctx?: any) {
+  console.log(`${new Date().toISOString()} [${tag}] ${msg}`, ctx ?? "");
+}
+
+function emitToSocket(socketId: string | undefined, event: string, payload: any) {
+  if (!socketId || !io) return;
+  try {
+    const socket = io.sockets.sockets.get(socketId);
+    if (socket) socket.emit(event, payload);
+  } catch (_) {}
+}
+
+async function pollUntilDone(
+  sessionId: string,
+  socketId: string | undefined,
+  jobId: string,
+  pollTimeoutMs = 10 * 60 * 1000
+): Promise<any> {
+  const maxAttempts = 1200;
+  const pollIntervalMs = 500;
+  const maxTransientErrors = 12;
+  let transientErrors = 0;
+  let lastOtpEmit = 0;
+  const deadline = Date.now() + pollTimeoutMs;
+
+  for (let attempt = 0; attempt < maxAttempts; attempt++) {
+    if (Date.now() > deadline) {
+      throw new Error(`MetLife claim polling timeout for session ${sessionId}`);
+    }
+    try {
+      const st = await getSeleniumMetLifeClaimSessionStatus(sessionId);
+      const status: string = st?.status ?? "unknown";
+      log("metlife-claim-processor", `poll attempt=${attempt}`, { sessionId, status });
+      transientErrors = 0;
+
+      if (status === "waiting_for_otp") {
+        // Throttle: emit at most once every 5 s so the frontend isn't flooded
+        if (Date.now() - lastOtpEmit > 5000) {
+          emitToSocket(socketId, "selenium:otp_required", {
+            session_id: sessionId,
+            jobId,
+            message: "OTP required. Please enter the OTP shown by the MetLife portal.",
+          });
+          lastOtpEmit = Date.now();
+        }
+        await new Promise((r) => setTimeout(r, pollIntervalMs));
+        continue;
+      }
+
+      if (status === "completed") return st.result;
+      if (status === "error" || status === "not_found") {
+        throw new Error(st?.message || `MetLife claim session ended with status: ${status}`);
+      }
+      await new Promise((r) => setTimeout(r, pollIntervalMs));
+    } catch (err: any) {
+      const isTerminal =
+        err?.response?.status === 404 ||
+        (typeof err?.message === "string" &&
+          (err.message.includes("not_found") || err.message.includes("polling timeout")));
+      if (isTerminal) throw err;
+      transientErrors++;
+      if (transientErrors > maxTransientErrors) {
+        throw new Error(`Too many transient errors polling MetLife claim session ${sessionId}`);
+      }
+      const backoff = Math.min(30_000, 500 * Math.pow(2, transientErrors - 1));
+      await new Promise((r) => setTimeout(r, backoff));
+    }
+  }
+  throw new Error(`MetLife claim polling exhausted all attempts for session ${sessionId}`);
+}
+
+async function savePdfFromSelenium(pdf_url: string, patientId: number, userId: number) {
+  try {
+    const filename = path.basename(new URL(pdf_url).pathname);
+    const seleniumPort = process.env.SELENIUM_PORT || "5002";
+    const localUrl = `http://localhost:${seleniumPort}/downloads/${filename}`;
+    const resp = await axios.get(localUrl, { responseType: "arraybuffer", timeout: 30000 });
+    const patient = await storage.getPatient(patientId);
+    const patientName = patient ? `${patient.firstName} ${patient.lastName}` : `Patient ${patientId}`;
+    await storage.savePdfToCloudStorage(
+      userId,
+      patientId,
+      patientName,
+      "Claims",
+      filename,
+      Buffer.from(resp.data)
+    );
+    log("metlife-claim-processor", "PDF saved", { patientId, filename });
+  } catch (err: any) {
+    log("metlife-claim-processor", "failed to save PDF (non-fatal)", { error: err?.message ?? err });
+  }
+}
+
+export interface MetLifeClaimProcessorInput {
+  enrichedPayload: any;
+  userId: number;
+  claimId?: number;
+  socketId?: string;
+}
+
+export async function runMetLifeClaimProcessor(
+  input: MetLifeClaimProcessorInput,
+  jobId: string
+): Promise<{ status: string; pdf_url?: string; claimNumber?: string }> {
+  const { enrichedPayload, userId, claimId, socketId } = input;
+
+  log("metlife-claim-processor", "starting Python agent session", { claimId });
+  const agentResp = await forwardToSeleniumMetLifeClaimAgent(enrichedPayload);
+
+  if (!agentResp?.session_id) {
+    throw new Error("Python agent did not return a session_id for MetLife claim");
+  }
+
+  const sessionId = agentResp.session_id as string;
+  log("metlife-claim-processor", "got session_id", { sessionId });
+
+  emitToSocket(socketId, "selenium:metlife_claim_started", { session_id: sessionId, jobId });
+
+  const seleniumResult = await pollUntilDone(sessionId, socketId, jobId);
+
+  if (!seleniumResult || seleniumResult.status === "error") {
+    throw new Error(seleniumResult?.message ?? "MetLife claim session returned an error");
+  }
+
+  const claimNumber: string | undefined = seleniumResult.claimNumber ?? undefined;
+  const pdf_url: string | undefined = seleniumResult.pdf_url ?? undefined;
+
+  // Persist claim number and update status (only once the portal returned one)
+  if (claimId && claimNumber) {
+    try {
+      const updates: Record<string, any> = { status: "REVIEW", claimNumber };
+      await storage.updateClaim(claimId, updates);
+      log("metlife-claim-processor", "claim record updated", { claimId, claimNumber });
+
+      // Touch patient so they rise to top of the list across all pages
+      const claim = await storage.getClaim(claimId);
+      if (claim?.patientId) {
+        await storage.touchPatient(claim.patientId);
+        log("metlife-claim-processor", "patient touched", { patientId: claim.patientId });
+      }
+    } catch (e) {
+      log("metlife-claim-processor", "failed to update claim record (non-fatal)", { error: e });
+    }
+  }
+
+  // Auto-save PDF for batch-column calls (no socketId = no frontend listener)
+  if (pdf_url && !socketId) {
+    const claim = claimId ? await storage.getClaim(claimId).catch(() => null) : null;
+    const patientId = claim?.patientId ?? enrichedPayload?.claim?.patientId ?? enrichedPayload?.patientId;
+    if (patientId) await savePdfFromSelenium(pdf_url, Number(patientId), userId);
+  }
+
+  emitToSocket(socketId, "selenium:metlife_claim_completed", {
+    jobId,
+    claimId,
+    claimNumber,
+    pdf_url,
+    message: claimNumber
+      ? `MetLife claim submitted — Claim #: ${claimNumber}`
+      : (seleniumResult?.message ?? "MetLife claim submitted successfully"),
+  });
+
+  log("metlife-claim-processor", "done", { claimId, claimNumber });
+  return { status: "success", pdf_url, claimNumber };
+}

apps/Backend/src/queue/queues.ts

@@ -16,6 +16,7 @@ export type SeleniumJobType =
   | "cca-claim-submit"
   | "cca-preauth-submit"
   | "ddma-claim-submit"
+  | "metlife-claim-submit"
   | "deltains-claim-submit"
   | "tuftssco-claim-submit"
   | "uniteducard-claim-submit"

apps/Backend/src/routes/feeSchedule.ts

@@ -12,6 +12,8 @@ const SCHEDULE_FILES: Record<string, string> = {
   BCBS: "procedureCodesBCBS.json",
   BCBS_MA: "procedureCodesBCBS.json",
   ALTUS: "procedureCodesAltus.json",
+  METLIFE: "procedureCodesMetLife.json",
+  METLIFEDENTAL: "procedureCodesMetLife.json",
   TUFTSSCO: "procedureCodesTuftsSCO.json",
   TUFTS_SCO: "procedureCodesTuftsSCO.json",
   UNITEDDH: "procedureCodesUnitedDH.json",

apps/Backend/src/routes/index.ts

@@ -21,6 +21,7 @@ import insuranceStatusCCARoutes from "./insuranceStatusCCA";
 import insuranceStatusCCAClaimRoutes from "./insuranceStatusCCAClaim";
 import insuranceStatusCCAPreAuthRoutes from "./insuranceStatusCCAPreAuth";
 import insuranceStatusDDMAClaimRoutes from "./insuranceStatusDDMAClaim";
+import insuranceStatusMetLifeClaimRoutes from "./insuranceStatusMetLifeClaim";
 import insuranceStatusDeltainsClaimRoutes from "./insuranceStatusDeltainsClaim";
 import insuranceStatusUnitedDHClaimRoutes from "./insuranceStatusUnitedDHClaim";
 import insuranceStatusUnitedDHPreAuthRoutes from "./insuranceStatusUnitedDHPreAuth";
@@ -82,6 +83,7 @@ router.use("/insurance-status-altus", insuranceStatusAltusRoutes);
 router.use("/claims", insuranceStatusCCAClaimRoutes);
 router.use("/claims", insuranceStatusCCAPreAuthRoutes);
 router.use("/claims", insuranceStatusDDMAClaimRoutes);
+router.use("/claims", insuranceStatusMetLifeClaimRoutes);
 router.use("/claims", insuranceStatusDeltainsClaimRoutes);
 router.use("/claims", insuranceStatusUnitedDHClaimRoutes);
 router.use("/claims", insuranceStatusUnitedDHPreAuthRoutes);

apps/Backend/src/routes/insuranceStatusMetLifeClaim.ts

@@ -0,0 +1,103 @@
+import { Router, Request, Response } from "express";
+import { storage } from "../storage";
+import { enqueueSeleniumJob } from "../queue/jobRunner";
+import { forwardOtpToSeleniumMetLifeClaimAgent } from "../services/seleniumMetLifeClaimClient";
+import { io } from "../socket";
+
+const router = Router();
+
+/**
+ * POST /metlife-claim
+ *
+ * Enqueues a MetLife Dental claim submission job.
+ *
+ * Body fields (JSON):
+ *   data     — claim payload (memberId, dateOfBirth, serviceDate, serviceLines, patientName, etc.)
+ *   socketId — socket.io client id
+ *   claimId  — existing claim DB id (optional)
+ *
+ * Response: { status: "queued", jobId: "…" }
+ */
+router.post("/metlife-claim", async (req: Request, res: Response): Promise<any> => {
+  if (!req.user?.id) {
+    return res.status(401).json({ error: "Unauthorized: user info missing" });
+  }
+
+  try {
+    const claimData =
+      typeof req.body.data === "string"
+        ? JSON.parse(req.body.data)
+        : req.body.data ?? req.body ?? {};
+
+    // Fetch MetLife credentials
+    const credentials = await storage.getInsuranceCredentialByUserAndSiteKey(
+      req.user.id,
+      "METLIFE"
+    );
+    if (!credentials) {
+      return res.status(404).json({
+        error: "No MetLife Dental credentials found. Please add them on the Settings page.",
+      });
+    }
+
+    // Use provider from the claim form if set; fall back to Provider #1 (default)
+    const npiProviders = await storage.getNpiProvidersByUser(req.user.id);
+    const primaryProvider = npiProviders[0];
+    const providerName =
+      (claimData.npiProvider?.providerName as string | undefined)?.trim() ||
+      primaryProvider?.providerName ||
+      "";
+
+    const enrichedPayload = {
+      claim: {
+        ...claimData,
+        metlifeUsername: credentials.username,
+        metlifePassword: credentials.password,
+        providerName,
+      },
+    };
+
+    const socketId: string | undefined = req.body.socketId;
+    const claimId: number | undefined = claimData.claimId
+      ? Number(claimData.claimId)
+      : undefined;
+
+    const jobId = enqueueSeleniumJob({
+      jobType: "metlife-claim-submit",
+      userId: req.user.id,
+      socketId,
+      enrichedPayload,
+      claimId,
+    });
+
+    return res.json({ status: "queued", jobId });
+  } catch (err: any) {
+    console.error("[metlife-claim route] error:", err);
+    return res.status(500).json({
+      error: err.message || "Failed to enqueue MetLife claim job",
+    });
+  }
+});
+
+/**
+ * POST /claims/metlife-claim/selenium/submit-otp
+ * Body: { session_id, otp, socketId? }
+ */
+router.post("/metlife-claim/selenium/submit-otp", async (req: Request, res: Response): Promise<any> => {
+  const { session_id: sessionId, otp, socketId } = req.body;
+  if (!sessionId || !otp) {
+    return res.status(400).json({ error: "session_id and otp are required" });
+  }
+  try {
+    const r = await forwardOtpToSeleniumMetLifeClaimAgent(sessionId, otp);
+    if (socketId && io) {
+      io.to(socketId).emit("selenium:otp_submitted", { session_id: sessionId });
+    }
+    return res.json(r);
+  } catch (err: any) {
+    console.error("[metlife-claim] submit-otp failed:", err?.message);
+    return res.status(500).json({ error: err?.message || "Failed to forward OTP" });
+  }
+});
+
+export default router;

apps/Backend/src/services/seleniumMetLifeClaimClient.ts

@@ -0,0 +1,35 @@
+import axios from "axios";
+
+const SELENIUM_BASE = process.env.SELENIUM_SERVICE_URL ?? "http://localhost:5002";
+
+/**
+ * POST /metlife-claim
+ * Returns { status: "started", session_id: "<uuid>" }
+ */
+export async function forwardToSeleniumMetLifeClaimAgent(
+  data: Record<string, any>
+): Promise<{ status: string; session_id: string }> {
+  const resp = await axios.post(`${SELENIUM_BASE}/metlife-claim`, data);
+  return resp.data;
+}
+
+/**
+ * GET /session/{sid}/status
+ */
+export async function getSeleniumMetLifeClaimSessionStatus(
+  sessionId: string
+): Promise<Record<string, any>> {
+  const resp = await axios.get(`${SELENIUM_BASE}/session/${sessionId}/status`);
+  return resp.data;
+}
+
+/**
+ * POST /session/{sid}/submit-otp
+ */
+export async function forwardOtpToSeleniumMetLifeClaimAgent(
+  sessionId: string,
+  otp: string
+): Promise<Record<string, any>> {
+  const resp = await axios.post(`${SELENIUM_BASE}/submit-otp`, { session_id: sessionId, otp });
+  return resp.data;
+}