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feat: BCBS AI column claim fills ADA form, saves to Documents; form fixes

Browse Source 
- Claim for column with AI: BCBS patients auto-generate the 2024 ADA form
  (no tab) and save it to the patient's Documents > Claims folder; the
  manual BCBS button saves there too (new POST /api/claims/:id/ada-form)
- Saved BCBS form sets the claim to REVIEW; appointments with a claim
  number or REVIEW/APPROVED status show as claimed (dark gray)
- CDT lookup: "comp on #18 O, 20 O, 21 O" applies composite to every tooth
- BCBS fee schedule (procedureCodesBCBS.json, copied from DDMA prices)
- Office Contact: Legal Name field; "Dental Office Name (DBA)" label
- ADA form: 48 = legal name, DBA, address; 56 = address only; 53 date =
  claim date; 23 and 26 left blank; 43 = No unless appointment notes say
  a prosthesis is replaced (then Yes, with 44 prior date when given)

Co-Authored-By: Claude Opus 5.5 <noreply@anthropic.com>
This commit is contained in:
Gitead
2026-10-10 23:14:51 -04:00
co-authored by Claude Opus 5.5
parent 65f14b5e61
commit f55e8c114b
61 changed files with 1412 additions and 87 deletions
Download Patch File Download Diff File Expand all files Collapse all files
apps/Frontend/src/assets/data/procedureCodesBCBS.json
+209
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@@ -0,0 +1,209 @@
[
{ "Procedure Code": "D0120", "Description": "Periodic oral evaluation - established patient", "Price": 105 },
{ "Procedure Code": "D0140", "Description": "Limited oral evaluation - problem focused", "Price": 90 },
{ "Procedure Code": "D0145", "Description": "Oral evaluation for a patient under three years of age and counseling with primary caregiver", "Price": "NC" },
{ "Procedure Code": "D0150", "Description": "Comprehensive oral evaluation - new or established patient", "Price": 120 },
{ "Procedure Code": "D0180", "Description": "Comprehensive periodontal evaluation - new or established patient", "Price": 37 },
{ "Procedure Code": "D0190", "Description": "Screening of a patient (PHDH only)", "Price": 20 },
{ "Procedure Code": "D0191", "Description": "Assessment of a patient (PHDH only)", "Price": 20 },
{ "Procedure Code": "D0210", "Description": "Intraoral - complete series of radiographic images", "Price": 120 },
{ "Procedure Code": "D0220", "Description": "Intraoral - periapical, first radiographic image", "Price": 60 },
{ "Procedure Code": "D0230", "Description": "Intraoral - periapical, each additional radiographic image", "Price": 50 },
{ "Procedure Code": "D0240", "Description": "Intraoral - occlusal radiographic image", "Price": "NC" },
{ "Procedure Code": "D0270", "Description": "Bitewing - single radiographic image", "Price": 14 },
{ "Procedure Code": "D0272", "Description": "Bitewings - two radiographic images", "Price": 80 },
{ "Procedure Code": "D0273", "Description": "Bitewings - three radiographic images", "Price": 27 },
{ "Procedure Code": "D0274", "Description": "Bitewings - four radiographic images", "Price": 160 },
{ "Procedure Code": "D0330", "Description": "Panoramic radiographic image", "Price": 150 },
{ "Procedure Code": "D0340", "Description": "Cephalometric radiograph image (Oral surgeon only)", "Price": 74 },
{ "Procedure Code": "D0364", "Description": "CBCT - less than one jaw (interpret)", "Price": 350 },
{ "Procedure Code": "D0365", "Description": "CBCT - mandible (interpret)", "Price": 350 },
{ "Procedure Code": "D0366", "Description": "CBCT - maxilla (interpret)", "Price": 350 },
{ "Procedure Code": "D0367", "Description": "CBCT - both jaws (interpret)", "Price": 400 },
{ "Procedure Code": "D0368", "Description": "CBCT - include TMJ (interpret)", "Price": 375 },
{ "Procedure Code": "D0380", "Description": "CBCT - less than one jaw (capture only)", "Price": 300 },
{ "Procedure Code": "D0381", "Description": "CBCT - mandible (capture only)", "Price": 300 },
{ "Procedure Code": "D0382", "Description": "CBCT - maxilla (capture only)", "Price": 300 },
{ "Procedure Code": "D0383", "Description": "CBCT - both jaws / include TMJ (capture only)", "Price": 350 },
{ "Procedure Code": "D1110", "Description": "Prophylaxis - adult, 14 yo or older", "Price": 150 },
{ "Procedure Code": "D1120", "Description": "Prophylaxis - child, 0-13 yo", "Price": 120 },
{ "Procedure Code": "D1206", "Description": "Topical application of fluoride varnish", "Price": 26 },
{ "Procedure Code": "D1208", "Description": "Topical application of fluoride - excluding varnish", "Price": 90 },
{ "Procedure Code": "D1351", "Description": "Sealant - per tooth", "Price": 80 },
{ "Procedure Code": "D1354", "Description": "Application of caries arresting medicament - per tooth", "Price": 15 },
{ "Procedure Code": "D1510", "Description": "Space maintainer - fixed, unilateral - per quadrant", "Price": "NC" },
{ "Procedure Code": "D1516", "Description": "Space maintainer - fixed, bilateral, maxillary", "Price": "NC" },
{ "Procedure Code": "D1517", "Description": "Space maintainer - fixed, bilateral, mandibular", "Price": "NC" },
{ "Procedure Code": "D1520", "Description": "Space maintainer - removable, unilateral, per quadrant", "Price": "NC" },
{ "Procedure Code": "D1526", "Description": "Space maintainer - removable, bilateral, maxillary", "Price": "NC" },
{ "Procedure Code": "D1527", "Description": "Space maintainer - removable, bilateral, mandibular", "Price": "NC" },
{ "Procedure Code": "D1575", "Description": "Distal shoe space maintainer - fixed, unilateral, per quadrant", "Price": "NC" },
{ "Procedure Code": "D1701", "Description": "Pfizer-BioNTech Covid-19 vaccine - first dose", "Price": 45.87 },
{ "Procedure Code": "D1702", "Description": "Pfizer-BioNTech Covid-19 vaccine - second dose", "Price": 45.87 },
{ "Procedure Code": "D1707", "Description": "Janssen Covid-19 vaccine - single dose", "Price": 45.87 },
{ "Procedure Code": "D1708", "Description": "Pfizer-BioNTech Covid-19 vaccine - third dose", "Price": 45.87 },
{ "Procedure Code": "D1709", "Description": "Pfizer-BioNTech Covid-19 vaccine - booster dose", "Price": 45.87 },
{ "Procedure Code": "D1712", "Description": "Janssen Covid-19 vaccine - booster dose", "Price": 45.87 },
{ "Procedure Code": "D1713", "Description": "Pfizer-BioNTech Covid-19 vaccine pediatric - first dose", "Price": 45.87 },
{ "Procedure Code": "D1714", "Description": "Pfizer-BioNTech Covid-19 vaccine pediatric - second dose", "Price": 45.87 },
{ "Procedure Code": "D1999", "Description": "Unspecified preventive procedure, by report", "Price": 50 },
{ "Procedure Code": "D2140", "Description": "Amalgam - one surface, primary or permanent", "Price": 150 },
{ "Procedure Code": "D2150", "Description": "Amalgam - two surfaces, primary or permanent", "Price": 200 },
{ "Procedure Code": "D2160", "Description": "Amalgam - three surfaces, primary or permanent", "Price": 92 },
{ "Procedure Code": "D2161", "Description": "Amalgam - four or more surfaces, primary or permanent", "Price": 116 },
{ "Procedure Code": "D2330", "Description": "Resin-based composite - one surface, anterior", "Price": 180 },
{ "Procedure Code": "D2331", "Description": "Resin-based composite - two surfaces, anterior", "Price": 220 },
{ "Procedure Code": "D2332", "Description": "Resin-based composite - three surfaces, anterior", "Price": 280 },
{ "Procedure Code": "D2335", "Description": "Resin-based composite - four or more surfaces or involving incisal angle (anterior)", "Price": 350 },
{ "Procedure Code": "D2390", "Description": "Resin-based composite crown, anterior", "Price": "NC" },
{ "Procedure Code": "D2391", "Description": "Resin-based composite - one surface, posterior", "Price": 200 },
{ "Procedure Code": "D2392", "Description": "Resin-based composite - two surfaces, posterior", "Price": 250 },
{ "Procedure Code": "D2393", "Description": "Resin-based composite - three surfaces, posterior", "Price": 280 },
{ "Procedure Code": "D2394", "Description": "Resin-based composite - four or more surfaces, posterior", "Price": 320 },
{ "Procedure Code": "D2710", "Description": "Crown - resin-based composite (indirect)", "Price": "NC" },
{ "Procedure Code": "D2740", "Description": "Crown - porcelain/ceramic", "Price": 1300 },
{ "Procedure Code": "D2750", "Description": "Crown - porcelain fused to high noble metal", "Price": 1300 },
{ "Procedure Code": "D2751", "Description": "Crown - porcelain fused to predominantly base metal", "Price": 1200 },
{ "Procedure Code": "D2752", "Description": "Crown - porcelain fused to noble metal", "Price": 1200 },
{ "Procedure Code": "D2790", "Description": "Crown - full cast high noble metal", "Price": "NC" },
{ "Procedure Code": "D2910", "Description": "Re-cement or re-bond inlay, onlay or partial coverage restoration", "Price": 57 },
{ "Procedure Code": "D2920", "Description": "Re-cement or re-bond crown", "Price": 120 },
{ "Procedure Code": "D2929", "Description": "Prefabricated porcelain/ceramic crown - primary tooth", "Price": "NC" },
{ "Procedure Code": "D2930", "Description": "Prefabricated stainless steel crown - primary tooth", "Price": "NC" },
{ "Procedure Code": "D2931", "Description": "Prefabricated stainless steel crown - permanent tooth", "Price": 171 },
{ "Procedure Code": "D2932", "Description": "Prefabricated resin crown", "Price": "NC" },
{ "Procedure Code": "D2934", "Description": "Prefabricated esthetic coated stainless steel crown - primary tooth", "Price": "NC" },
{ "Procedure Code": "D2950", "Description": "Core buildup, including any pins when required", "Price": 350 },
{ "Procedure Code": "D2951", "Description": "Pin retention - per tooth, in addition to restoration", "Price": 27 },
{ "Procedure Code": "D2954", "Description": "Prefabricated post and core in addition to crown", "Price": 450 },
{ "Procedure Code": "D2955", "Description": "Post removal", "Price": 350 },
{ "Procedure Code": "D2980", "Description": "Crown repair necessitated by restorative material failure", "Price": 115 },
{ "Procedure Code": "D2999", "Description": "Unspecified restorative procedure, by report", "Price": "IC" },
{ "Procedure Code": "D3120", "Description": "Pulp cap - indirect (excluding final restoration)", "Price": 34 },
{ "Procedure Code": "D3220", "Description": "Therapeutic pulpotomy (excluding final restoration)", "Price": "NC" },
{ "Procedure Code": "D3230", "Description": "Pulpal therapy (resorbable filling) - anterior, primary tooth", "Price": 280 },
{ "Procedure Code": "D3240", "Description": "Pulpal therapy (resorbable filling) - posterior, primary tooth", "Price": 490 },
{ "Procedure Code": "D3310", "Description": "Endodontic therapy, anterior tooth (excluding final restoration)", "Price": 900 },
{ "Procedure Code": "D3320", "Description": "Endodontic therapy, premolar tooth (excluding final restoration)", "Price": 1050 },
{ "Procedure Code": "D3330", "Description": "Endodontic therapy, molar tooth (excluding final restoration)", "Price": 1250 },
{ "Procedure Code": "D3346", "Description": "Retreatment of previous root canal therapy - anterior", "Price": 950 },
{ "Procedure Code": "D3347", "Description": "Retreatment of previous root canal therapy - premolar", "Price": 1100 },
{ "Procedure Code": "D3348", "Description": "Retreatment of previous root canal therapy - molar", "Price": 1500 },
{ "Procedure Code": "D3410", "Description": "Apicoectomy - anterior", "Price": 407 },
{ "Procedure Code": "D3421", "Description": "Apicoectomy - premolar (first root)", "Price": 460 },
{ "Procedure Code": "D3425", "Description": "Apicoectomy - molar (first root)", "Price": 598 },
{ "Procedure Code": "D3426", "Description": "Apicoectomy (each additional root)", "Price": 230 },
{ "Procedure Code": "D4210", "Description": "Gingivectomy or gingivoplasty - four or more contiguous teeth per quadrant", "Price": 307 },
{ "Procedure Code": "D4211", "Description": "Gingivectomy or gingivoplasty - one to three contiguous teeth per quadrant", "Price": 111 },
{ "Procedure Code": "D4341", "Description": "Periodontal scaling and root planing - four or more teeth per quadrant", "Price": 250 },
{ "Procedure Code": "D4342", "Description": "Periodontal scaling and root planing - one to three teeth, per quadrant", "Price": 90 },
{ "Procedure Code": "D4346", "Description": "Scaling in presence of generalized moderate or severe gingival inflammation - full mouth", "Price": 60 },
{ "Procedure Code": "D4910", "Description": "Periodontal maintenance", "Price": 250 },
{ "Procedure Code": "D5110", "Description": "Complete denture - maxillary", "Price": 1700 },
{ "Procedure Code": "D5120", "Description": "Complete denture - mandibular", "Price": 1700 },
{ "Procedure Code": "D5130", "Description": "Immediate denture - maxillary", "Price": "NC" },
{ "Procedure Code": "D5140", "Description": "Immediate denture - mandibular", "Price": "NC" },
{ "Procedure Code": "D5211", "Description": "Maxillary partial denture - resin base", "Price": 1300 },
{ "Procedure Code": "D5212", "Description": "Mandibular partial denture - resin base", "Price": 1300 },
{ "Procedure Code": "D5213", "Description": "Maxillary partial denture - cast metal framework with resin denture bases", "Price": 1700 },
{ "Procedure Code": "D5214", "Description": "Mandibular partial denture - cast metal framework with resin denture bases", "Price": 1700 },
{ "Procedure Code": "D5225", "Description": "Maxillary partial denture - flexible base", "Price": "NC" },
{ "Procedure Code": "D5226", "Description": "Mandibular partial denture - flexible base", "Price": "NC" },
{ "Procedure Code": "D5510", "Description": "Repair broken complete denture base (QUAD)", "Price": 400 },
{ "Procedure Code": "D5511", "Description": "Repair broken complete denture base, mandibular", "Price": 85 },
{ "Procedure Code": "D5512", "Description": "Repair broken complete denture base, maxillary", "Price": 85 },
{ "Procedure Code": "D5520", "Description": "Replace missing or broken teeth - complete denture (each tooth)", "Price": 200 },
{ "Procedure Code": "D5611", "Description": "Repair broken resin partial denture base, mandibular", "Price": 77 },
{ "Procedure Code": "D5612", "Description": "Repair broken resin partial denture base, maxillary", "Price": 77 },
{ "Procedure Code": "D5621", "Description": "Repair broken cast partial denture base, mandibular", "Price": 104 },
{ "Procedure Code": "D5622", "Description": "Repair broken cast partial denture base, maxillary", "Price": 104 },
{ "Procedure Code": "D5630", "Description": "Repair or replace broken retentive/clasping materials - per tooth", "Price": 99 },
{ "Procedure Code": "D5640", "Description": "Replace broken teeth - per tooth", "Price": 77 },
{ "Procedure Code": "D5650", "Description": "Add tooth to existing partial denture", "Price": 92 },
{ "Procedure Code": "D5660", "Description": "Add clasp to existing partial denture per tooth", "Price": 98 },
{ "Procedure Code": "D5730", "Description": "Reline complete maxillary denture (chairside)", "Price": 500 },
{ "Procedure Code": "D5731", "Description": "Reline complete mandibular denture (chairside)", "Price": 500 },
{ "Procedure Code": "D5740", "Description": "Reline maxillary partial denture (chairside)", "Price": "NC" },
{ "Procedure Code": "D5741", "Description": "Reline mandibular partial denture (chairside)", "Price": "NC" },
{ "Procedure Code": "D5750", "Description": "Reline complete maxillary denture (laboratory)", "Price": 600 },
{ "Procedure Code": "D5751", "Description": "Reline complete mandibular denture (laboratory)", "Price": 600 },
{ "Procedure Code": "D5760", "Description": "Reline maxillary partial denture (laboratory)", "Price": "NC" },
{ "Procedure Code": "D5761", "Description": "Reline mandibular partial denture (laboratory)", "Price": "NC" },
{ "Procedure Code": "D6010", "Description": "Surgical placement of implant body", "Price": 1600 },
{ "Procedure Code": "D6056", "Description": "Prefabricated abutment", "Price": 750 },
{ "Procedure Code": "D6057", "Description": "Custom abutment", "Price": 800 },
{ "Procedure Code": "D6058", "Description": "Implant crown - porcelain/ceramic", "Price": 1400 },
{ "Procedure Code": "D6059", "Description": "Implant crown - PFM", "Price": 1400 },
{ "Procedure Code": "D6100", "Description": "Surgical removal of implant body", "Price": 320 },
{ "Procedure Code": "D6110", "Description": "Implant/abutment supported removable denture - maxillary", "Price": 1600 },
{ "Procedure Code": "D6111", "Description": "Implant/abutment supported removable denture - mandibular", "Price": 1600 },
{ "Procedure Code": "D6241", "Description": "Pontic - porcelain fused to metal", "Price": "NC" },
{ "Procedure Code": "D6242", "Description": "Pontic - noble metal", "Price": 1400 },
{ "Procedure Code": "D6245", "Description": "Pontic - porcelain/ceramic", "Price": 1400 },
{ "Procedure Code": "D6751", "Description": "Retainer crown - porcelain fused to metal", "Price": "NC" },
{ "Procedure Code": "D6930", "Description": "Re-cement or re-bond fixed partial denture", "Price": "NC" },
{ "Procedure Code": "D6980", "Description": "Fixed partial denture repair", "Price": "NC" },
{ "Procedure Code": "D6999", "Description": "Fixed prosthodontic procedure, by report", "Price": "IC" },
{ "Procedure Code": "D7111", "Description": "Extraction, coronal remnants - primary tooth", "Price": 120 },
{ "Procedure Code": "D7140", "Description": "Extraction, erupted tooth or exposed root (simple)", "Price": 150 },
{ "Procedure Code": "D7210", "Description": "Extraction, erupted tooth requiring removal of bone and/or sectioning (surgical)", "Price": 280 },
{ "Procedure Code": "D7220", "Description": "Removal of impacted tooth - soft tissue", "Price": 380 },
{ "Procedure Code": "D7230", "Description": "Removal of impacted tooth - partially bony", "Price": 450 },
{ "Procedure Code": "D7240", "Description": "Removal of impacted tooth - completely bony", "Price": 550 },
{ "Procedure Code": "D7250", "Description": "Surgical removal of residual tooth roots", "Price": 280 },
{ "Procedure Code": "D7251", "Description": "Coronectomy - intentional partial tooth removal, impacted teeth only", "Price": 134 },
{ "Procedure Code": "D7270", "Description": "Tooth reimplantation and/or stabilization of accidentally evulsed or displaced tooth", "Price": 106 },
{ "Procedure Code": "D7280", "Description": "Surgical access of an unerupted tooth", "Price": "NC" },
{ "Procedure Code": "D7283", "Description": "Placement of device to facilitate eruption of impacted tooth", "Price": "NC" },
{ "Procedure Code": "D7310", "Description": "Alveoloplasty in conjunction with extractions - four or more teeth per quadrant", "Price": 142 },
{ "Procedure Code": "D7311", "Description": "Alveoloplasty in conjunction with extractions - one to three teeth per quadrant", "Price": 128 },
{ "Procedure Code": "D7320", "Description": "Alveoloplasty not in conjunction with extractions - four or more teeth per quadrant", "Price": 187 },
{ "Procedure Code": "D7321", "Description": "Alveoloplasty not in conjunction with extractions - one to three teeth per quadrant", "Price": 149 },
{ "Procedure Code": "D7340", "Description": "Vestibuloplasty - ridge extension (second epithelialization)", "Price": 747 },
{ "Procedure Code": "D7350", "Description": "Vestibuloplasty - ridge extension (Oral surgeon only)", "Price": 943 },
{ "Procedure Code": "D7410", "Description": "Excision of benign lesion - diameter up to 1.25 cm", "Price": 115 },
{ "Procedure Code": "D7411", "Description": "Excision of benign lesion - diameter greater than 1.25 cm", "Price": 208 },
{ "Procedure Code": "D7450", "Description": "Removal of benign odontogenic cyst or tumor - up to 1.25 cm", "Price": 248 },
{ "Procedure Code": "D7451", "Description": "Removal of benign odontogenic cyst or tumor - greater than 1.25 cm", "Price": 288 },
{ "Procedure Code": "D7460", "Description": "Removal of benign nonodontogenic cyst or tumor - up to 1.25 cm", "Price": 121 },
{ "Procedure Code": "D7461", "Description": "Removal of benign nonodontogenic cyst or tumor - greater than 1.25 cm", "Price": 143 },
{ "Procedure Code": "D7471", "Description": "Removal of lateral exostosis (maxilla or mandible)", "Price": 143 },
{ "Procedure Code": "D7472", "Description": "Removal of torus palatinus", "Price": 143 },
{ "Procedure Code": "D7473", "Description": "Removal of torus mandibularis", "Price": 143 },
{ "Procedure Code": "D7910", "Description": "Suture of recent small wounds up to 5 cm", "Price": 400 },
{ "Procedure Code": "D7950", "Description": "Bone graft - maxilla/mandible", "Price": 800 },
{ "Procedure Code": "D7953", "Description": "Bone graft for socket preservation after extraction", "Price": 800 },
{ "Procedure Code": "D7961", "Description": "Buccal/labial frenectomy (frenulectomy)", "Price": 107 },
{ "Procedure Code": "D7962", "Description": "Lingual frenectomy (frenulectomy)", "Price": 107 },
{ "Procedure Code": "D7963", "Description": "Frenuloplasty", "Price": 416 },
{ "Procedure Code": "D7970", "Description": "Excision of hyperplastic tissue - per arch", "Price": 246 },
{ "Procedure Code": "D7999", "Description": "Unspecified oral surgery procedure, by report", "Price": "IC" },
{ "Procedure Code": "D8010", "Description": "Limited orthodontic treatment of the primary dentition (Orthodontist only)", "Price": "NC" },
{ "Procedure Code": "D8020", "Description": "Limited orthodontic treatment of the transitional dentition (Orthodontist only)", "Price": "NC" },
{ "Procedure Code": "D8030", "Description": "Limited orthodontic treatment of the adolescent dentition (Orthodontist only)", "Price": "NC" },
{ "Procedure Code": "D8040", "Description": "Limited orthodontic treatment of the adult dentition (Orthodontist only)", "Price": "NC" },
{ "Procedure Code": "D8070", "Description": "Comprehensive orthodontic treatment of the transitional dentition (Orthodontist only)", "Price": "NC" },
{ "Procedure Code": "D8080", "Description": "Comprehensive orthodontic treatment of the adolescent dentition (Orthodontist only)", "Price": "NC" },
{ "Procedure Code": "D8090", "Description": "Comprehensive orthodontic treatment of the adult dentition (Orthodontist only)", "Price": "NC" },
{ "Procedure Code": "D8660", "Description": "Pre-orthodontic treatment examination (Orthodontist only)", "Price": "NC" },
{ "Procedure Code": "D8670", "Description": "Periodic orthodontic treatment visit (Orthodontist only)", "Price": 215 },
{ "Procedure Code": "D8680", "Description": "Orthodontic retention (Orthodontist only)", "Price": 85 },
{ "Procedure Code": "D8703", "Description": "Replacement of lost or broken retainer - maxillary (Orthodontist only)", "Price": "NC" },
{ "Procedure Code": "D8704", "Description": "Replacement of lost or broken retainer - mandibular (Orthodontist only)", "Price": "NC" },
{ "Procedure Code": "D8999", "Description": "Unspecified orthodontic procedure, by report (Orthodontist only)", "Price": "NC" },
{ "Procedure Code": "D9110", "Description": "Palliative treatment of dental pain - per visit", "Price": 36 },
{ "Procedure Code": "D9222", "Description": "Deep sedation/general anesthesia - first 15 minutes", "Price": 90 },
{ "Procedure Code": "D9223", "Description": "Deep sedation/general anesthesia - each additional 15-minute increment", "Price": 90 },
{ "Procedure Code": "D9230", "Description": "Analgesia, anxiolysis, inhalation of nitrous oxide", "Price": 15 },
{ "Procedure Code": "D9248", "Description": "Nonintravenous conscious sedation", "Price": 45 },
{ "Procedure Code": "D9310", "Description": "Consultation - diagnostic service (Specialist only)", "Price": 63 },
{ "Procedure Code": "D9410", "Description": "House/extended care facility call, once per facility per day", "Price": 39 },
{ "Procedure Code": "D9450", "Description": "Rural add-on encounter payment", "Price": 31 },
{ "Procedure Code": "D9920", "Description": "Behavior management, by report", "Price": 86 },
{ "Procedure Code": "D9930", "Description": "Treatment of complications (postsurgical) - unusual circumstances, by report", "Price": 30 },
{ "Procedure Code": "D9941", "Description": "Fabrication of athletic mouthguard", "Price": "NC" },
{ "Procedure Code": "D9944", "Description": "Occlusal guard - hard appliance, full arch", "Price": "NC" },
{ "Procedure Code": "D9945", "Description": "Occlusal guard - soft appliance, full arch", "Price": "NC" },
{ "Procedure Code": "D9946", "Description": "Occlusal guard - hard appliance, partial arch", "Price": "NC" },
{ "Procedure Code": "D9999", "Description": "Unspecified adjunctive procedure, by report", "Price": "IC" }
]
apps/Frontend/src/components/claims/claim-form.tsx
+24 -11
View File
@@ -66,7 +66,7 @@ import {
} from "@/components/procedure/procedure-combo-buttons";
import { inferTypeFromProcedureCodes, getAppointmentTypeLabel } from "@/utils/appointmentTypeUtils";
import { Switch } from "@/components/ui/switch";
import { openPendingTab, showAdaClaimForm } from "@/utils/adaClaimForm";
import { openPendingTab, saveAdaClaimForm, showAdaClaimForm } from "@/utils/adaClaimForm";
import {
AlertDialog,
AlertDialogAction,
@@ -1564,7 +1564,7 @@ export function ClaimForm({
} else if (siteKey === "UNITEDUCARD" || siteKey === "UNITED_UCARD") {
runWithPriceCheck(handleUnitedUcardClaim);
} else if (siteKey === "BCBS" || siteKey === "BCBS_MA") {
runWithPriceCheck(handleBCBSClaim);
runWithPriceCheck(() => handleBCBSClaim());
} else {
toast({
title: "No automated claim for this insurance",
@@ -1893,10 +1893,15 @@ export function ClaimForm({
// No Selenium action — works like a real MassHealth claim for payment/report tracking.
// BCBS MA has no online claim submission: save the claim, then open the filled
// 2024 ADA paper form to print, sign and mail.
const handleBCBSClaim = async () => {
// `auto` (AI claim queue): no tab — just save the filled form to Documents > Claims.
const handleBCBSClaim = async (
formToUse?: ClaimFormData & { uploadedFiles?: File[] },
{ auto = false }: { auto?: boolean } = {},
) => {
const f = formToUse ?? form;
const missingFields: string[] = [];
if (!form.memberId?.trim()) missingFields.push("Member ID");
if (!form.dateOfBirth?.trim()) missingFields.push("Date of Birth");
if (!f.memberId?.trim()) missingFields.push("Member ID");
if (!f.dateOfBirth?.trim()) missingFields.push("Date of Birth");
if (!patient?.firstName?.trim()) missingFields.push("First Name");
if (missingFields.length > 0) {
toast({
@@ -1907,7 +1912,7 @@ export function ClaimForm({
return;
}
const filteredServiceLines = form.serviceLines.filter(
const filteredServiceLines = (f.serviceLines || []).filter(
(line) => (line.procedureCode ?? "").trim() !== "",
);
if (filteredServiceLines.length === 0) {
@@ -1920,10 +1925,10 @@ export function ClaimForm({
}
// Open the tab before any await so the browser doesn't block it
const tab = openPendingTab();
const tab = auto ? null : openPendingTab();
const appointmentIdToUse = appointmentId ?? null;
const { uploadedFiles, insuranceSiteKey, npiProvider, ...formToCreateClaim } = form;
const { uploadedFiles, insuranceSiteKey, npiProvider, ...formToCreateClaim } = f;
try {
const claimFilesMeta: ClaimFileMeta[] = mergeWithExistingAttachments(
@@ -1945,10 +1950,16 @@ export function ClaimForm({
...(selectedNpiProviderId ? { npiProviderId: selectedNpiProviderId } : {}),
});
await showAdaClaimForm(createdClaim.id!, tab);
if (auto) {
await saveAdaClaimForm(createdClaim.id!);
} else {
await showAdaClaimForm(createdClaim.id!, tab, "BCBS_MA", { save: true });
}
// Saving the form marks the claim submitted — show the appointment as claimed
queryClient.invalidateQueries({ queryKey: ["appointments", "day"] });
toast({
title: "BCBS claim form ready",
description: "Claim saved. Print the ADA form, sign it, and mail it to BCBS MA.",
description: "Claim saved and ADA form added to the patient's Documents > Claims. Print, sign, and mail it to BCBS MA.",
});
onClose();
} catch (err: any) {
@@ -2106,6 +2117,8 @@ export function ClaimForm({
handleUnitedDHClaim(pricedForm);
} else if (key === "united_ucard" || key === "uniteducard" || key === "ucard") {
handleUnitedUcardClaim(pricedForm);
} else if (key === "bcbs" || key === "bcbs_ma") {
handleBCBSClaim(pricedForm, { auto: true });
} else {
handleMHSubmit(pricedForm);
}
@@ -2773,7 +2786,7 @@ export function ClaimForm({
</Button>
<Button
className="w-44 bg-sky-700 hover:bg-sky-800 text-white"
onClick={() => runWithPriceCheck(handleBCBSClaim)}
onClick={() => runWithPriceCheck(() => handleBCBSClaim())}
title="Save the claim and open a filled ADA paper form to print and mail"
>
BCBS Claim (ADA Form)
apps/Frontend/src/components/settings/office-contact-card.tsx
+16 -2
View File
@@ -6,6 +6,7 @@ import { apiRequest, queryClient } from "@/lib/queryClient";
type OfficeContact = {
id?: number;
legalName?: string | null;
officeName?: string | null;
receptionistName?: string | null;
dentistName?: string | null;
@@ -21,6 +22,7 @@ type OfficeContact = {
export function OfficeContactCard() {
const { toast } = useToast();
const [legalName, setLegalName] = useState("");
const [officeName, setOfficeName] = useState("");
const [receptionistName, setReceptionistName] = useState("");
const [dentistName, setDentistName] = useState("");
@@ -43,6 +45,7 @@ export function OfficeContactCard() {
useEffect(() => {
if (contact) {
setLegalName(contact.legalName ?? "");
setOfficeName(contact.officeName ?? "");
setReceptionistName(contact.receptionistName ?? "");
setDentistName(contact.dentistName ?? "");
@@ -76,7 +79,7 @@ export function OfficeContactCard() {
const handleSubmit = (e: React.FormEvent) => {
e.preventDefault();
saveMutation.mutate({ officeName, receptionistName, dentistName, phoneNumber, email, fax, streetAddress, city, state, zipCode });
saveMutation.mutate({ legalName, officeName, receptionistName, dentistName, phoneNumber, email, fax, streetAddress, city, state, zipCode });
};
return (
@@ -94,7 +97,18 @@ export function OfficeContactCard() {
) : (
<form className="space-y-4" onSubmit={handleSubmit}>
<div>
<label className="block text-sm font-medium">Dental Office Name</label>
<label className="block text-sm font-medium">Legal Name</label>
<input
type="text"
value={legalName}
onChange={(e) => setLegalName(e.target.value)}
className="mt-1 p-2 border rounded w-full text-sm"
placeholder="e.g. Kai Gao DMD LLC"
/>
</div>
<div>
<label className="block text-sm font-medium">Dental Office Name (DBA)</label>
<input
type="text"
value={officeName}
apps/Frontend/src/utils/adaClaimForm.ts
+18 -6
View File
@@ -11,18 +11,30 @@ export function openPendingTab(): Window | null {
return tab;
}
async function fetchAdaClaimForm(claimId: number, payer: string, save: boolean): Promise<Blob> {
const res = await apiRequest(save ? "POST" : "GET", `/api/claims/${claimId}/ada-form?payer=${payer}`);
if (!res.ok) {
const err = await res.json().catch(() => null);
throw new Error(err?.message || "Failed to generate ADA claim form");
}
return res.blob();
}
/** Fills the ADA form and saves it to the patient's Documents "Claims" folder, without opening it. */
export async function saveAdaClaimForm(claimId: number, payer = "BCBS_MA"): Promise<void> {
await fetchAdaClaimForm(claimId, payer, true);
}
/** `save` also stores the PDF in the patient's Documents "Claims" folder. */
export async function showAdaClaimForm(
claimId: number,
tab: Window | null = null,
payer = "BCBS_MA",
{ save = false }: { save?: boolean } = {},
): Promise<void> {
try {
const res = await apiRequest("GET", `/api/claims/${claimId}/ada-form?payer=${payer}`);
if (!res.ok) {
const err = await res.json().catch(() => null);
throw new Error(err?.message || "Failed to generate ADA claim form");
}
const url = URL.createObjectURL(await res.blob());
const blob = await fetchAdaClaimForm(claimId, payer, save);
const url = URL.createObjectURL(blob);
if (tab && !tab.closed) {
tab.location.href = url;
} else {
apps/Frontend/src/utils/procedureCombosMapping.ts
+12
View File
@@ -7,6 +7,7 @@ import rawUnitedDHCodeTable from "@/assets/data/procedureCodesUnitedDH.json";
import rawUnitedUcardCodeTable from "@/assets/data/procedureCodesUnitedUcard.json";
import rawTuftsSCOCodeTable from "@/assets/data/procedureCodesTuftsSCO.json";
import rawDeltainsCodeTable from "@/assets/data/procedureCodesDeltains.json";
import rawBCBSCodeTable from "@/assets/data/procedureCodesBCBS.json";
import { PROCEDURE_COMBOS } from "./procedureCombos";
/* ----------------------------- Types ----------------------------- */
@@ -25,6 +26,7 @@ const UNITEDDH_CODE_TABLE = rawUnitedDHCodeTable as CodeRow[];
const UNITEDUCARD_CODE_TABLE = rawUnitedUcardCodeTable as CodeRow[];
const TUFTSSCO_CODE_TABLE = rawTuftsSCOCodeTable as CodeRow[];
const DELTAINS_CODE_TABLE = rawDeltainsCodeTable as CodeRow[];
const BCBS_CODE_TABLE = rawBCBSCodeTable as CodeRow[];
export type ClaimFormLike = {
serviceDate: string; // form-level service date
@@ -76,6 +78,15 @@ const DDMA_CODE_MAP: Map<string, CodeRow> = (() => {
return m;
})();
const BCBS_CODE_MAP: Map<string, CodeRow> = (() => {
const m = new Map<string, CodeRow>();
for (const r of BCBS_CODE_TABLE) {
const k = normalizeCode(String(r["Procedure Code"] || ""));
if (k && !m.has(k)) m.set(k, r);
}
return m;
})();
const UNITEDDH_CODE_MAP: Map<string, CodeRow> = (() => {
const m = new Map<string, CodeRow>();
for (const r of UNITEDDH_CODE_TABLE) {
@@ -117,6 +128,7 @@ function getCodeMap(insuranceSiteKey?: string): Map<string, CodeRow> {
const k = (insuranceSiteKey ?? "").replace(/_/g, "").toLowerCase();
if (k === "cca") return CCA_CODE_MAP;
if (k === "ddma") return DDMA_CODE_MAP;
if (k === "bcbs" || k === "bcbsma") return BCBS_CODE_MAP;
if (k === "deltains") return DELTAINS_CODE_MAP;
if (k === "unitedsco" || k === "uniteddh" || k === "dentalhub") return UNITEDDH_CODE_MAP;
if (k === "uniteducard" || k === "ucard") return UNITEDUCARD_CODE_MAP;