- 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>