fix: auto-price CDT codes and fix crown/recement code mismatches

- Auto-fill service line price when a recognized CDT code is typed (e.g. D2740), instead of requiring a separate "Map Price" click - Fix chatbot preauth prefill using an empty DOB for price lookup, causing age-tiered codes (D2740) to price as $0 - Re-apply fee-schedule pricing with the loaded patient DOB before MassHealth preauth auto-submit - Add a "Recement Crown" (D2920) combo button distinct from "Crown" (D2740) to avoid picking the wrong code/price - Fix AI note parsing to prioritize "recement" over "crown" regardless of word order or tooth-number format (e.g. "#7 crown recement") Co-Authored-By: Claude Sonnet 5 <noreply@anthropic.com>
2026-09-12 23:29:43 -04:00
parent 00a81b3fda
commit e8889c0ff8
5 changed files with 77 additions and 18 deletions
@@ -354,6 +354,30 @@ function parseSrpCode(input: string): CdtMatch | null {
  return { code: codeStr, description: row.Description, input, quad: quadrant };
 }

+/**
+ * Parse re-cement wording regardless of word order or tooth-number format:
+ * "recement crown #7", "#7 crown recement", "recement crown 7". "recement"
+ * outranks "crown" whenever both appear — this is a re-cement (D2920), not
+ * a new crown (D2740).
+ */
+function parseRecementCode(input: string): CdtMatch | null {
+  const lower = input.toLowerCase();
+  if (!/\bre[\s-]?cement(?:ed|ing)?\b/.test(lower)) return null;
+
+  let toothNumber: string | undefined;
+  const hashMatch = input.match(/#\s*(\d{1,2})\b/);
+  const toothWordMatch = input.match(/\btooth\s+(\d{1,2})\b/i);
+  const bareNumMatch = input.match(/\b(\d{1,2})\b/);
+  const m = hashMatch ?? toothWordMatch ?? bareNumMatch;
+  if (m) {
+    const n = parseInt(m[1]!, 10);
+    if (n >= 1 && n <= 32) toothNumber = String(n);
+  }
+
+  const row = ALL_CODES.find((r) => r["Procedure Code"] === "D2920");
+  return { code: "D2920", description: row?.Description ?? "D2920", input, ...(toothNumber ? { toothNumber } : {}) };
+}
+
 /**
 * Parse RCT/root-canal notation like "rct #29", "#14 rct", "root canal #6".
 * Returns D3310 (anterior), D3320 (premolar), or D3330 (molar) based on tooth number.
@@ -545,23 +569,28 @@ export function lookupCdtCodes(
      return { code, description: row?.Description ?? code, input: name, ...toothInfo };
    }

-    // 2. Multi-PA shorthand: "4PA", "4PA #3 #14 #19 #30", etc.
+    // 2. Re-cement wording — outranks "crown"/etc. elsewhere in the same entry,
+    // regardless of word order or tooth-number format (e.g. "#7 crown recement").
+    const recementMatch = parseRecementCode(name);
+    if (recementMatch) return recementMatch;
+
+    // 3. Multi-PA shorthand: "4PA", "4PA #3 #14 #19 #30", etc.
    const multiPaMatches = parseMultiPaCode(name);
    if (multiPaMatches) return multiPaMatches;

-    // 3. Composite filling by tooth# and surfaces — also determines CDT code from tooth position
+    // 4. Composite filling by tooth# and surfaces — also determines CDT code from tooth position
    const compositeMatch = parseCompositeCode(name);
    if (compositeMatch) return compositeMatch; // already carries toothNumber/toothSurface

-    // 4. RCT by tooth# — D3310/D3320/D3330 based on tooth position
+    // 5. RCT by tooth# — D3310/D3320/D3330 based on tooth position
    const rctMatch = parseRctCode(name);
    if (rctMatch) return rctMatch;

-    // 5. SRP + quadrant — D4341/D4342 with UL/UR/LL/LR
+    // 6. SRP + quadrant — D4341/D4342 with UL/UR/LL/LR
    const srpMatch = parseSrpCode(name);
    if (srpMatch) return srpMatch;

-    // 6. Hardcoded direct code map (short abbreviations / codes not in MH schedule)
+    // 7. Hardcoded direct code map (short abbreviations / codes not in MH schedule)
    const directKey = DIRECT_CODE_MAP[cleaned] ? cleaned : DIRECT_CODE_MAP[strippedCleaned] ? strippedCleaned : null;
    if (directKey) {
      const code = DIRECT_CODE_MAP[directKey]!;
@@ -569,7 +598,7 @@ export function lookupCdtCodes(
      return { code, description: row?.Description ?? code, input: name, ...toothInfo };
    }

-    // 7. Hardcoded alias + keyword search (try stripped name so tooth# doesn't break matching)
+    // 8. Hardcoded alias + keyword search (try stripped name so tooth# doesn't break matching)
    const match = matchOne(strippedCleaned !== cleaned ? strippedCleaned : name);
    if (match) return { ...match, input: name, ...toothInfo };

@@ -51,6 +51,9 @@ import {
  applyComboToForm,
  getDescriptionForCode,
  findPriceMismatches,
+  getCodeMap,
+  getPriceForCodeWithAgeFromMap,
+  ageOnDate,
  type PriceMismatch,
 } from "@/utils/procedureCombosMapping";
 import { PROCEDURE_COMBOS } from "@/utils/procedureCombos";
@@ -624,7 +627,11 @@ export function ClaimForm({
          }
        });
        const filled = { ...prev, insuranceSiteKey, serviceLines: updatedLines };
-        return mapPricesForForm({ form: filled, patientDOB: "", insuranceSiteKey });
+        return mapPricesForForm({
+          form: filled,
+          patientDOB: patient?.dateOfBirth ?? "",
+          insuranceSiteKey,
+        });
      });
      setPrefillDone(true);
    } catch {}
@@ -845,6 +852,22 @@ export function ClaimForm({
      } else {
        updatedLines[index][field] = value;
      }
+
+      // Auto-fill the price as soon as a recognized, fully-typed CDT code is entered,
+      // so users don't have to remember to click "Map Price" for a single line.
+      if (field === "procedureCode") {
+        const code = String(value || "").trim().toUpperCase();
+        if (/^D\d{4}$/.test(code)) {
+          const line = updatedLines[index];
+          const map = getCodeMap(form.insuranceSiteKey);
+          const age = ageOnDate(
+            patient?.dateOfBirth ?? "",
+            line.procedureDate || form.serviceDate,
+          );
+          const price = getPriceForCodeWithAgeFromMap(map, code, age);
+          updatedLines[index] = { ...line, totalBilled: price };
+        }
+      }
    }

    setForm({ ...form, serviceLines: updatedLines });
@@ -1873,7 +1896,17 @@ export function ClaimForm({
    } else if (key === "united_sco" || key === "unitedco" || key === "dentalhub") {
      handleUnitedDHPreAuth();
    } else {
-      handleMHPreAuth();
+      // Re-apply fee-schedule prices with the now-loaded patient DOB before submitting —
+      // the earlier chatbot-prefill pass may have run before `patient` finished loading,
+      // leaving age-tiered codes (e.g. D2740) unpriced.
+      const siteKeyForPricing =
+        form.insuranceSiteKey || deriveInsuranceSiteKey(form.insuranceProvider || "");
+      const pricedForm = mapPricesForForm({
+        form: { ...form, insuranceSiteKey: siteKeyForPricing },
+        patientDOB: patient?.dateOfBirth ?? "",
+        insuranceSiteKey: siteKeyForPricing,
+      });
+      handleMHPreAuth(pricedForm);
    }
  }, [autoSubmitPreauth, prefillDone, isFormReady]);

@@ -303,6 +303,11 @@ export const PROCEDURE_COMBOS: Record<
    label: "Crown",
    codes: ["D2740"],
  },
+  recementCrown: {
+    id: "recementCrown",
+    label: "Recement Crown",
+    codes: ["D2920"],
+  },
  deepCleaning: {
    id: "deepCleaning",
    label: "Deep Cleaning",
@@ -396,7 +401,7 @@ export const COMBO_CATEGORIES: Record<
  ],
  Implants: ["implantFull", "implantFixture", "implantAbutment", "implantCrown"],
  Endodontics: ["rctAnterior", "rctAnteriorPostCrown", "rctPremolar", "rctPremolarPostCrown", "rctMolar", "rctMolarPostCrown", "postCore", "coreBU"],
-  Prosthodontics: ["crown"],
+  Prosthodontics: ["crown", "recementCrown"],
  Periodontics: ["deepCleaning"],
  Extractions: [
    "simpleExtraction",
@@ -150,7 +150,7 @@ const parseDate = (d: DateInput): Date => {
  return new Date(s);
 };

-const ageOnDate = (dob: DateInput, on: DateInput): number => {
+export const ageOnDate = (dob: DateInput, on: DateInput): number => {
  const birth = parseDate(dob);
  const ref = parseDate(on);
  let age = ref.getFullYear() - birth.getFullYear();
@@ -637,14 +637,6 @@ class AutomationDeltaDentalMAEligibilityCheck:

            print(f"[DDMA step2] PDF saved at: {pdf_path}")

-            # Close the browser window after PDF (session preserved in profile)
-            try:
-                from ddma_browser_manager import get_browser_manager
-                get_browser_manager().quit_driver()
-                print("[step2] Browser closed - session preserved in profile")
-            except Exception as e:
-                print(f"[step2] Error closing browser: {e}")
-
            print(f"[DDMA step2] Final — PatientName: '{patientName}', MemberID: '{foundMemberId}'")

            return {