Merge branch 'develop'

README.md

@@ -53,6 +53,7 @@ i.e apps/PatientDataExtractorService/package.json.
 
 ## 📖 Developer Documentation
 
+- [Setting up server environment](docs/server-setup.md) — the first step, to run this app in environment.
 - [Development Hosts & Ports](docs/ports.md) — which app runs on which host/port
 
 

apps/Backend/.env.example

@@ -2,6 +2,7 @@ NODE_ENV="development"
 HOST=0.0.0.0
 PORT=5000
 FRONTEND_URLS=http://localhost:3000,http://192.168.1.8:3000
+SELENIUM_AGENT_BASE_URL=http://localhost:5002
 JWT_SECRET = 'dentalsecret'
 DB_HOST=localhost
 DB_USER=postgres

apps/Backend/package.json

@@ -27,6 +27,7 @@
     "passport": "^0.7.0",
     "passport-local": "^1.0.0",
     "pdfkit": "^0.17.2",
+    "socket.io": "^4.8.1",
     "ws": "^8.18.0",
     "zod": "^3.24.2",
     "zod-validation-error": "^3.4.0"

apps/Backend/src/cron/backupCheck.ts

@@ -1,14 +1,19 @@
 import cron from "node-cron";
+import fs from "fs";
 import { storage } from "../storage";
 import { NotificationTypes } from "@repo/db/types";
+import { backupDatabaseToPath } from "../services/databaseBackupService";
 
 /**
  * Daily cron job to check if users haven't backed up in 7 days
  * Creates a backup notification if overdue
  */
 export const startBackupCron = () => {
-  cron.schedule("0 9 * * *", async () => {
-    console.log("🔄 Running daily backup check...");
+  cron.schedule("0 2 * * *", async () => {
+    // Every calendar days, at 2 AM
+    // cron.schedule("*/10 * * * * *", async () => { // Every 10 seconds (for Test)
+
+    console.log("🔄 Running backup check...");
 
     const userBatchSize = 100;
     let userOffset = 0;
@@ -23,7 +28,52 @@ export const startBackupCron = () => {
           if (user.id == null) {
             continue;
           }
+
+          const destination = await storage.getActiveBackupDestination(user.id);
           const lastBackup = await storage.getLastBackup(user.id);
+
+          // ==============================
+          // CASE 1: Destination exists → auto backup
+          // ==============================
+          if (destination) {
+            if (!fs.existsSync(destination.path)) {
+              await storage.createNotification(
+                user.id,
+                "BACKUP",
+                "❌ Automatic backup failed: external drive not connected."
+              );
+              continue;
+            }
+
+            try {
+              const filename = `dental_backup_${Date.now()}.zip`;
+
+              await backupDatabaseToPath({
+                destinationPath: destination.path,
+                filename,
+              });
+
+              await storage.createBackup(user.id);
+              await storage.deleteNotificationsByType(user.id, "BACKUP");
+
+              console.log(`✅ Auto backup successful for user ${user.id}`);
+              continue;
+            } catch (err) {
+              console.error(`Auto backup failed for user ${user.id}`, err);
+
+              await storage.createNotification(
+                user.id,
+                "BACKUP",
+                "❌ Automatic backup failed. Please check your backup destination."
+              );
+              continue;
+            }
+          }
+
+          // ==============================
+          // CASE 2: No destination → fallback to reminder
+          // ==============================
+
           const daysSince = lastBackup?.createdAt
             ? (Date.now() - new Date(lastBackup.createdAt).getTime()) /
               (1000 * 60 * 60 * 24)

apps/Backend/src/index.ts

@@ -1,5 +1,7 @@
 import app from "./app";
 import dotenv from "dotenv";
+import http from "http";
+import { initSocket } from "./socket";
 
 dotenv.config();
 
@@ -11,7 +13,13 @@ const NODE_ENV = (
 const HOST = process.env.HOST || "0.0.0.0";
 const PORT = Number(process.env.PORT) || 5000;
 
-const server = app.listen(PORT, HOST, () => {
+// HTTP server from express app
+const server = http.createServer(app);
+
+// Initialize socket.io on this server
+initSocket(server);
+
+server.listen(PORT, HOST, () => {
   console.log(
     `✅ Server running in ${NODE_ENV} mode at http://${HOST}:${PORT}`
   );

apps/Backend/src/routes/claims.ts

@@ -126,17 +126,28 @@ router.post(
         responseType: "arraybuffer",
       });
 
-      const groupTitle = "Claims";
+      // Allowed keys as a literal tuple to derive a union type
+      const allowedKeys = [
+        "INSURANCE_CLAIM",
+        "INSURANCE_CLAIM_PREAUTH",
+      ] as const;
+      type GroupKey = (typeof allowedKeys)[number];
+      const isGroupKey = (v: any): v is GroupKey =>
+        (allowedKeys as readonly string[]).includes(v);
 
-      // allowed keys
-      const allowedKeys = ["INSURANCE_CLAIM", "INSURANCE_CLAIM_PREAUTH"];
-      if (!allowedKeys.includes(groupTitleKey)) {
+      if (!isGroupKey(groupTitleKey)) {
         return sendError(
           res,
           `Invalid groupTitleKey. Must be one of: ${allowedKeys.join(", ")}`
         );
       }
 
+      const GROUP_TITLES: Record<GroupKey, string> = {
+        INSURANCE_CLAIM: "Claims",
+        INSURANCE_CLAIM_PREAUTH: "Claims Preauth",
+      };
+      const groupTitle = GROUP_TITLES[groupTitleKey];
+
       // ✅ Find or create PDF group for this claim
       let group = await storage.findPdfGroupByPatientTitleKey(
         parsedPatientId,

apps/Backend/src/routes/database-management.ts

@@ -6,6 +6,7 @@ import fs from "fs";
 import { prisma } from "@repo/db/client";
 import { storage } from "../storage";
 import archiver from "archiver";
+import { backupDatabaseToPath } from "../services/databaseBackupService";
 
 const router = Router();
 
@@ -33,6 +34,8 @@ router.post("/backup", async (req: Request, res: Response): Promise<any> => {
       return res.status(401).json({ error: "Unauthorized" });
     }
 
+    const destination = await storage.getActiveBackupDestination(userId);
+
     // create a unique tmp directory for directory-format dump
     const tmpDir = fs.mkdtempSync(path.join(os.tmpdir(), "dental_backup_")); // MUST
 
@@ -132,9 +135,7 @@ router.post("/backup", async (req: Request, res: Response): Promise<any> => {
         // attempt to respond with error if possible
         try {
           if (!res.headersSent) {
-            res
-              .status(500)
-              .json({
+            res.status(500).json({
               error: "Failed to create archive",
               details: err.message,
             });
@@ -187,9 +188,7 @@ router.post("/backup", async (req: Request, res: Response): Promise<any> => {
         // if headers not sent, send 500; otherwise destroy
         try {
           if (!res.headersSent) {
-            res
-              .status(500)
-              .json({
+            res.status(500).json({
               error: "Failed to finalize archive",
               details: String(err),
             });
@@ -222,9 +221,9 @@ router.get("/status", async (req: Request, res: Response): Promise<any> => {
       return res.status(401).json({ error: "Unauthorized" });
     }
 
-    const size = await prisma.$queryRawUnsafe<{ size: string }[]>(
-      "SELECT pg_size_pretty(pg_database_size(current_database())) as size"
-    );
+    const size = await prisma.$queryRaw<{ size: string }[]>`
+      SELECT pg_size_pretty(pg_database_size(current_database())) as size
+    `;
 
     const patientsCount = await storage.getTotalPatientCount();
     const lastBackup = await storage.getLastBackup(userId);
@@ -244,4 +243,118 @@ router.get("/status", async (req: Request, res: Response): Promise<any> => {
   }
 });
 
+// ==============================
+// Backup Destination CRUD
+// ==============================
+
+// CREATE / UPDATE destination
+router.post("/destination", async (req, res) => {
+  const userId = req.user?.id;
+  const { path: destinationPath } = req.body;
+
+  if (!userId) return res.status(401).json({ error: "Unauthorized" });
+  if (!destinationPath)
+    return res.status(400).json({ error: "Path is required" });
+
+  // validate path exists
+  if (!fs.existsSync(destinationPath)) {
+    return res.status(400).json({
+      error: "Backup path does not exist or drive not connected",
+    });
+  }
+
+  try {
+    const destination = await storage.createBackupDestination(
+      userId,
+      destinationPath
+    );
+    res.json(destination);
+  } catch (err) {
+    console.error(err);
+    res.status(500).json({ error: "Failed to save backup destination" });
+  }
+});
+
+// GET all destinations
+router.get("/destination", async (req, res) => {
+  const userId = req.user?.id;
+  if (!userId) return res.status(401).json({ error: "Unauthorized" });
+
+  const destinations = await storage.getAllBackupDestination(userId);
+  res.json(destinations);
+});
+
+// UPDATE destination
+router.put("/destination/:id", async (req, res) => {
+  const userId = req.user?.id;
+  const id = Number(req.params.id);
+  const { path: destinationPath } = req.body;
+
+  if (!userId) return res.status(401).json({ error: "Unauthorized" });
+  if (!destinationPath)
+    return res.status(400).json({ error: "Path is required" });
+
+  if (!fs.existsSync(destinationPath)) {
+    return res.status(400).json({ error: "Path does not exist" });
+  }
+
+  const updated = await storage.updateBackupDestination(
+    id,
+    userId,
+    destinationPath
+  );
+
+  res.json(updated);
+});
+
+// DELETE destination
+router.delete("/destination/:id", async (req, res) => {
+  const userId = req.user?.id;
+  const id = Number(req.params.id);
+
+  if (!userId) return res.status(401).json({ error: "Unauthorized" });
+
+  await storage.deleteBackupDestination(id, userId);
+  res.json({ success: true });
+});
+
+router.post("/backup-path", async (req, res) => {
+  const userId = req.user?.id;
+  if (!userId) return res.status(401).json({ error: "Unauthorized" });
+
+  const destination = await storage.getActiveBackupDestination(userId);
+  if (!destination) {
+    return res.status(400).json({
+      error: "No backup destination configured",
+    });
+  }
+
+  if (!fs.existsSync(destination.path)) {
+    return res.status(400).json({
+      error:
+        "Backup destination not found. External drive may be disconnected.",
+    });
+  }
+
+  const filename = `dental_backup_${Date.now()}.zip`;
+
+  try {
+    await backupDatabaseToPath({
+      destinationPath: destination.path,
+      filename,
+    });
+
+    await storage.createBackup(userId);
+    await storage.deleteNotificationsByType(userId, "BACKUP");
+
+    res.json({ success: true, filename });
+  } catch (err: any) {
+    console.error(err);
+    res.status(500).json({
+      error: "Backup to destination failed",
+      details: err.message,
+    });
+  }
+});
+
 export default router;

apps/Backend/src/routes/index.ts

@@ -8,6 +8,7 @@ import patientDataExtractionRoutes from "./patientDataExtraction";
 import insuranceCredsRoutes from "./insuranceCreds";
 import documentsRoutes from "./documents";
 import insuranceStatusRoutes from "./insuranceStatus";
+import insuranceStatusDdmaRoutes from "./insuranceStatusDDMA";
 import paymentsRoutes from "./payments";
 import databaseManagementRoutes from "./database-management";
 import notificationsRoutes from "./notifications";
@@ -27,6 +28,7 @@ router.use("/claims", claimsRoutes);
 router.use("/insuranceCreds", insuranceCredsRoutes);
 router.use("/documents", documentsRoutes);
 router.use("/insurance-status", insuranceStatusRoutes);
+router.use("/insurance-status-ddma", insuranceStatusDdmaRoutes);
 router.use("/payments", paymentsRoutes);
 router.use("/database-management", databaseManagementRoutes);
 router.use("/notifications", notificationsRoutes);

apps/Backend/src/routes/insuranceCreds.ts

@@ -96,7 +96,7 @@ router.delete("/:id", async (req: Request, res: Response): Promise<any> => {
     if (isNaN(id)) return res.status(400).send("Invalid ID");
 
     // 1) Check existence
-    const existing = await storage.getInsuranceCredential(userId);
+    const existing = await storage.getInsuranceCredential(id);
     if (!existing)
       return res.status(404).json({ message: "Credential not found" });
 

apps/Backend/src/routes/insuranceStatusDDMA.ts

@@ -0,0 +1,699 @@
+import { Router, Request, Response } from "express";
+import { storage } from "../storage";
+import {
+  forwardToSeleniumDdmaEligibilityAgent,
+  forwardOtpToSeleniumDdmaAgent,
+  getSeleniumDdmaSessionStatus,
+} from "../services/seleniumDdmaInsuranceEligibilityClient";
+import fs from "fs/promises";
+import fsSync from "fs";
+import path from "path";
+import PDFDocument from "pdfkit";
+import { emptyFolderContainingFile } from "../utils/emptyTempFolder";
+import {
+  InsertPatient,
+  insertPatientSchema,
+} from "../../../../packages/db/types/patient-types";
+import { io } from "../socket";
+
+const router = Router();
+
+/** Job context stored in memory by sessionId */
+interface DdmaJobContext {
+  userId: number;
+  insuranceEligibilityData: any; // parsed, enriched (includes username/password)
+  socketId?: string;
+}
+
+const ddmaJobs: Record<string, DdmaJobContext> = {};
+
+/** Utility: naive name splitter */
+function splitName(fullName?: string | null) {
+  if (!fullName) return { firstName: "", lastName: "" };
+  const parts = fullName.trim().split(/\s+/).filter(Boolean);
+  const firstName = parts.shift() ?? "";
+  const lastName = parts.join(" ") ?? "";
+  return { firstName, lastName };
+}
+
+async function imageToPdfBuffer(imagePath: string): Promise<Buffer> {
+  return new Promise<Buffer>((resolve, reject) => {
+    try {
+      const doc = new PDFDocument({ autoFirstPage: false });
+      const chunks: Uint8Array[] = [];
+
+      doc.on("data", (chunk: any) => chunks.push(chunk));
+      doc.on("end", () => resolve(Buffer.concat(chunks)));
+      doc.on("error", (err: any) => reject(err));
+
+      const A4_WIDTH = 595.28; // points
+      const A4_HEIGHT = 841.89; // points
+
+      doc.addPage({ size: [A4_WIDTH, A4_HEIGHT] });
+
+      doc.image(imagePath, 0, 0, {
+        fit: [A4_WIDTH, A4_HEIGHT],
+        align: "center",
+        valign: "center",
+      });
+
+      doc.end();
+    } catch (err) {
+      reject(err);
+    }
+  });
+}
+
+/**
+ * Ensure patient exists for given insuranceId.
+ */
+async function createOrUpdatePatientByInsuranceId(options: {
+  insuranceId: string;
+  firstName?: string | null;
+  lastName?: string | null;
+  dob?: string | Date | null;
+  userId: number;
+}) {
+  const { insuranceId, firstName, lastName, dob, userId } = options;
+  if (!insuranceId) throw new Error("Missing insuranceId");
+
+  const incomingFirst = (firstName || "").trim();
+  const incomingLast = (lastName || "").trim();
+
+  let patient = await storage.getPatientByInsuranceId(insuranceId);
+
+  if (patient && patient.id) {
+    const updates: any = {};
+    if (
+      incomingFirst &&
+      String(patient.firstName ?? "").trim() !== incomingFirst
+    ) {
+      updates.firstName = incomingFirst;
+    }
+    if (
+      incomingLast &&
+      String(patient.lastName ?? "").trim() !== incomingLast
+    ) {
+      updates.lastName = incomingLast;
+    }
+    if (Object.keys(updates).length > 0) {
+      await storage.updatePatient(patient.id, updates);
+    }
+    return;
+  } else {
+    const createPayload: any = {
+      firstName: incomingFirst,
+      lastName: incomingLast,
+      dateOfBirth: dob,
+      gender: "",
+      phone: "",
+      userId,
+      insuranceId,
+    };
+    let patientData: InsertPatient;
+    try {
+      patientData = insertPatientSchema.parse(createPayload);
+    } catch (err) {
+      const safePayload = { ...createPayload };
+      delete (safePayload as any).dateOfBirth;
+      patientData = insertPatientSchema.parse(safePayload);
+    }
+    await storage.createPatient(patientData);
+  }
+}
+
+/**
+ * When Selenium finishes for a given sessionId, run your patient + PDF pipeline,
+ * and return the final API response shape.
+ */
+async function handleDdmaCompletedJob(
+  sessionId: string,
+  job: DdmaJobContext,
+  seleniumResult: any
+) {
+  let createdPdfFileId: number | null = null;
+  const outputResult: any = {};
+
+  // We'll wrap the processing in try/catch/finally so cleanup always runs
+  try {
+    // 1) ensuring memberid.
+    const insuranceEligibilityData = job.insuranceEligibilityData;
+    const insuranceId = String(insuranceEligibilityData.memberId ?? "").trim();
+    if (!insuranceId) {
+      throw new Error("Missing memberId for ddma job");
+    }
+
+    // 2) Create or update patient (with name from selenium result if available)
+    const patientNameFromResult =
+      typeof seleniumResult?.patientName === "string"
+        ? seleniumResult.patientName.trim()
+        : null;
+
+    const { firstName, lastName } = splitName(patientNameFromResult);
+
+    await createOrUpdatePatientByInsuranceId({
+      insuranceId,
+      firstName,
+      lastName,
+      dob: insuranceEligibilityData.dateOfBirth,
+      userId: job.userId,
+    });
+
+    // 3) Update patient status + PDF upload
+    const patient = await storage.getPatientByInsuranceId(
+      insuranceEligibilityData.memberId
+    );
+    if (!patient?.id) {
+      outputResult.patientUpdateStatus =
+        "Patient not found; no update performed";
+      return {
+        patientUpdateStatus: outputResult.patientUpdateStatus,
+        pdfUploadStatus: "none",
+        pdfFileId: null,
+      };
+    }
+
+    // update patient status.
+    const newStatus =
+      seleniumResult.eligibility === "active" ? "ACTIVE" : "INACTIVE";
+    await storage.updatePatient(patient.id, { status: newStatus });
+    outputResult.patientUpdateStatus = `Patient status updated to ${newStatus}`;
+
+    // convert screenshot -> pdf if available
+    let pdfBuffer: Buffer | null = null;
+    let generatedPdfPath: string | null = null;
+
+    if (
+      seleniumResult &&
+      seleniumResult.ss_path &&
+      typeof seleniumResult.ss_path === "string" &&
+      (seleniumResult.ss_path.endsWith(".png") ||
+        seleniumResult.ss_path.endsWith(".jpg") ||
+        seleniumResult.ss_path.endsWith(".jpeg"))
+    ) {
+      try {
+        if (!fsSync.existsSync(seleniumResult.ss_path)) {
+          throw new Error(
+            `Screenshot file not found: ${seleniumResult.ss_path}`
+          );
+        }
+
+        pdfBuffer = await imageToPdfBuffer(seleniumResult.ss_path);
+
+        const pdfFileName = `ddma_eligibility_${insuranceEligibilityData.memberId}_${Date.now()}.pdf`;
+        generatedPdfPath = path.join(
+          path.dirname(seleniumResult.ss_path),
+          pdfFileName
+        );
+        await fs.writeFile(generatedPdfPath, pdfBuffer);
+
+        // ensure cleanup uses this
+        seleniumResult.pdf_path = generatedPdfPath;
+      } catch (err: any) {
+        console.error("Failed to convert screenshot to PDF:", err);
+        outputResult.pdfUploadStatus = `Failed to convert screenshot to PDF: ${String(err)}`;
+      }
+    } else {
+      outputResult.pdfUploadStatus =
+        "No valid screenshot (ss_path) provided by Selenium; nothing to upload.";
+    }
+
+    if (pdfBuffer && generatedPdfPath) {
+      const groupTitle = "Eligibility Status";
+      const groupTitleKey = "ELIGIBILITY_STATUS";
+
+      let group = await storage.findPdfGroupByPatientTitleKey(
+        patient.id,
+        groupTitleKey
+      );
+      if (!group) {
+        group = await storage.createPdfGroup(
+          patient.id,
+          groupTitle,
+          groupTitleKey
+        );
+      }
+      if (!group?.id) {
+        throw new Error("PDF group creation failed: missing group ID");
+      }
+
+      const created = await storage.createPdfFile(
+        group.id,
+        path.basename(generatedPdfPath),
+        pdfBuffer
+      );
+      if (created && typeof created === "object" && "id" in created) {
+        createdPdfFileId = Number(created.id);
+      }
+      outputResult.pdfUploadStatus = `PDF saved to group: ${group.title}`;
+    } else {
+      outputResult.pdfUploadStatus =
+        "No valid PDF path provided by Selenium, Couldn't upload pdf to server.";
+    }
+
+    return {
+      patientUpdateStatus: outputResult.patientUpdateStatus,
+      pdfUploadStatus: outputResult.pdfUploadStatus,
+      pdfFileId: createdPdfFileId,
+    };
+  } catch (err: any) {
+    return {
+      patientUpdateStatus: outputResult.patientUpdateStatus,
+      pdfUploadStatus:
+        outputResult.pdfUploadStatus ??
+        `Failed to process DDMA job: ${err?.message ?? String(err)}`,
+      pdfFileId: createdPdfFileId,
+      error: err?.message ?? String(err),
+    };
+  } finally {
+    // ALWAYS attempt cleanup of temp files
+    try {
+      if (seleniumResult && seleniumResult.pdf_path) {
+        await emptyFolderContainingFile(seleniumResult.pdf_path);
+      } else if (seleniumResult && seleniumResult.ss_path) {
+        await emptyFolderContainingFile(seleniumResult.ss_path);
+      } else {
+        console.log(
+          `[ddma-eligibility] no pdf_path or ss_path available to cleanup`
+        );
+      }
+    } catch (cleanupErr) {
+      console.error(
+        `[ddma-eligibility cleanup failed for ${seleniumResult?.pdf_path ?? seleniumResult?.ss_path}]`,
+        cleanupErr
+      );
+    }
+  }
+}
+
+// --- top of file, alongside ddmaJobs ---
+let currentFinalSessionId: string | null = null;
+let currentFinalResult: any = null;
+
+function now() {
+  return new Date().toISOString();
+}
+function log(tag: string, msg: string, ctx?: any) {
+  console.log(`${now()} [${tag}] ${msg}`, ctx ?? "");
+}
+
+function emitSafe(socketId: string | undefined, event: string, payload: any) {
+  if (!socketId) {
+    log("socket", "no socketId for emit", { event });
+    return;
+  }
+  try {
+    const socket = io?.sockets.sockets.get(socketId);
+    if (!socket) {
+      log("socket", "socket not found (maybe disconnected)", {
+        socketId,
+        event,
+      });
+      return;
+    }
+    socket.emit(event, payload);
+    log("socket", "emitted", { socketId, event });
+  } catch (err: any) {
+    log("socket", "emit failed", { socketId, event, err: err?.message });
+  }
+}
+
+/**
+ * Polls Python agent for session status and emits socket events:
+ *  - 'selenium:otp_required' when waiting_for_otp
+ *  - 'selenium:session_update' when completed/error
+ *  - rabsolute timeout + transient error handling.
+ *  - pollTimeoutMs default = 2 minutes (adjust where invoked)
+ */
+async function pollAgentSessionAndProcess(
+  sessionId: string,
+  socketId?: string,
+  pollTimeoutMs = 2 * 60 * 1000
+) {
+  const maxAttempts = 300;
+  const baseDelayMs = 1000;
+  const maxTransientErrors = 12;
+
+  // NEW: give up if same non-terminal status repeats this many times
+  const noProgressLimit = 100;
+
+  const job = ddmaJobs[sessionId];
+  let transientErrorCount = 0;
+  let consecutiveNoProgress = 0;
+  let lastStatus: string | null = null;
+  const deadline = Date.now() + pollTimeoutMs;
+
+  for (let attempt = 0; attempt < maxAttempts; attempt++) {
+    // absolute deadline check
+    if (Date.now() > deadline) {
+      emitSafe(socketId, "selenium:session_update", {
+        session_id: sessionId,
+        status: "error",
+        message: `Polling timeout reached (${Math.round(pollTimeoutMs / 1000)}s).`,
+      });
+      delete ddmaJobs[sessionId];
+      return;
+    }
+
+    log(
+      "poller",
+      `attempt=${attempt} session=${sessionId} transientErrCount=${transientErrorCount}`
+    );
+
+    try {
+      const st = await getSeleniumDdmaSessionStatus(sessionId);
+      const status = st?.status ?? null;
+      log("poller", "got status", {
+        sessionId,
+        status,
+        message: st?.message,
+        resultKeys: st?.result ? Object.keys(st.result) : null,
+      });
+
+      // reset transient errors on success
+      transientErrorCount = 0;
+
+      // if status unchanged and non-terminal, increment no-progress counter
+      const isTerminalLike =
+        status === "completed" || status === "error" || status === "not_found";
+      if (status === lastStatus && !isTerminalLike) {
+        consecutiveNoProgress++;
+      } else {
+        consecutiveNoProgress = 0;
+      }
+      lastStatus = status;
+
+      // if no progress for too many consecutive polls -> abort
+      if (consecutiveNoProgress >= noProgressLimit) {
+        emitSafe(socketId, "selenium:session_update", {
+          session_id: sessionId,
+          status: "error",
+          message: `No progress from selenium agent (status="${status}") after ${consecutiveNoProgress} polls; aborting.`,
+        });
+        emitSafe(socketId, "selenium:session_error", {
+          session_id: sessionId,
+          status: "error",
+          message: "No progress from selenium agent",
+        });
+        delete ddmaJobs[sessionId];
+        return;
+      }
+
+      // always emit debug to client if socket exists
+      emitSafe(socketId, "selenium:debug", {
+        session_id: sessionId,
+        attempt,
+        status,
+        serverTime: new Date().toISOString(),
+      });
+
+      // If agent is waiting for OTP, inform client but keep polling (do not return)
+      if (status === "waiting_for_otp") {
+        emitSafe(socketId, "selenium:otp_required", {
+          session_id: sessionId,
+          message: "OTP required. Please enter the OTP.",
+        });
+        // do not return — keep polling (allows same poller to pick up completion)
+        await new Promise((r) => setTimeout(r, baseDelayMs));
+        continue;
+      }
+
+      // Completed path
+      if (status === "completed") {
+        log("poller", "agent completed; processing result", {
+          sessionId,
+          resultKeys: st.result ? Object.keys(st.result) : null,
+        });
+
+        // Persist raw result so frontend can fetch if socket disconnects
+        currentFinalSessionId = sessionId;
+        currentFinalResult = {
+          rawSelenium: st.result,
+          processedAt: null,
+          final: null,
+        };
+
+        let finalResult: any = null;
+        if (job && st.result) {
+          try {
+            finalResult = await handleDdmaCompletedJob(
+              sessionId,
+              job,
+              st.result
+            );
+            currentFinalResult.final = finalResult;
+            currentFinalResult.processedAt = Date.now();
+          } catch (err: any) {
+            currentFinalResult.final = {
+              error: "processing_failed",
+              detail: err?.message ?? String(err),
+            };
+            currentFinalResult.processedAt = Date.now();
+            log("poller", "handleDdmaCompletedJob failed", {
+              sessionId,
+              err: err?.message ?? err,
+            });
+          }
+        } else {
+          currentFinalResult[sessionId].final = {
+            error: "no_job_or_no_result",
+          };
+          currentFinalResult[sessionId].processedAt = Date.now();
+        }
+
+        // Emit final update (if socket present)
+        emitSafe(socketId, "selenium:session_update", {
+          session_id: sessionId,
+          status: "completed",
+          rawSelenium: st.result,
+          final: currentFinalResult.final,
+        });
+
+        // cleanup job context
+        delete ddmaJobs[sessionId];
+        return;
+      }
+
+      // Terminal error / not_found
+      if (status === "error" || status === "not_found") {
+        const emitPayload = {
+          session_id: sessionId,
+          status,
+          message: st?.message || "Selenium session error",
+        };
+        emitSafe(socketId, "selenium:session_update", emitPayload);
+        emitSafe(socketId, "selenium:session_error", emitPayload);
+        delete ddmaJobs[sessionId];
+        return;
+      }
+    } catch (err: any) {
+      const axiosStatus =
+        err?.response?.status ?? (err?.status ? Number(err.status) : undefined);
+      const errCode = err?.code ?? err?.errno;
+      const errMsg = err?.message ?? String(err);
+      const errData = err?.response?.data ?? null;
+
+      // If agent explicitly returned 404 -> terminal (session gone)
+      if (
+        axiosStatus === 404 ||
+        (typeof errMsg === "string" && errMsg.includes("not_found"))
+      ) {
+        console.warn(
+          `${new Date().toISOString()} [poller] terminal 404/not_found for ${sessionId}: data=${JSON.stringify(errData)}`
+        );
+
+        // Emit not_found to client
+        const emitPayload = {
+          session_id: sessionId,
+          status: "not_found",
+          message:
+            errData?.detail || "Selenium session not found (agent cleaned up).",
+        };
+        emitSafe(socketId, "selenium:session_update", emitPayload);
+        emitSafe(socketId, "selenium:session_error", emitPayload);
+
+        // Remove job context and stop polling
+        delete ddmaJobs[sessionId];
+        return;
+      }
+
+      // Detailed transient error logging
+      transientErrorCount++;
+      if (transientErrorCount > maxTransientErrors) {
+        const emitPayload = {
+          session_id: sessionId,
+          status: "error",
+          message:
+            "Repeated network errors while polling selenium agent; giving up.",
+        };
+        emitSafe(socketId, "selenium:session_update", emitPayload);
+        emitSafe(socketId, "selenium:session_error", emitPayload);
+        delete ddmaJobs[sessionId];
+        return;
+      }
+
+      const backoffMs = Math.min(
+        30_000,
+        baseDelayMs * Math.pow(2, transientErrorCount - 1)
+      );
+      console.warn(
+        `${new Date().toISOString()} [poller] transient error (#${transientErrorCount}) for ${sessionId}: code=${errCode} status=${axiosStatus} msg=${errMsg} data=${JSON.stringify(errData)}`
+      );
+      console.warn(
+        `${new Date().toISOString()} [poller] backing off ${backoffMs}ms before next attempt`
+      );
+
+      await new Promise((r) => setTimeout(r, backoffMs));
+      continue;
+    }
+
+    // normal poll interval
+    await new Promise((r) => setTimeout(r, baseDelayMs));
+  }
+
+  // overall timeout fallback
+  emitSafe(socketId, "selenium:session_update", {
+    session_id: sessionId,
+    status: "error",
+    message: "Polling timeout while waiting for selenium session",
+  });
+  delete ddmaJobs[sessionId];
+}
+
+/**
+ * POST /ddma-eligibility
+ * Starts DDMA eligibility Selenium job.
+ * Expects:
+ *  - req.body.data: stringified JSON like your existing /eligibility-check
+ *  - req.body.socketId: socket.io client id
+ */
+router.post(
+  "/ddma-eligibility",
+  async (req: Request, res: Response): Promise<any> => {
+    if (!req.body.data) {
+      return res
+        .status(400)
+        .json({ error: "Missing Insurance Eligibility data for selenium" });
+    }
+
+    if (!req.user || !req.user.id) {
+      return res.status(401).json({ error: "Unauthorized: user info missing" });
+    }
+
+    try {
+      const rawData =
+        typeof req.body.data === "string"
+          ? JSON.parse(req.body.data)
+          : req.body.data;
+
+      const credentials = await storage.getInsuranceCredentialByUserAndSiteKey(
+        req.user.id,
+        rawData.insuranceSiteKey
+      );
+      if (!credentials) {
+        return res.status(404).json({
+          error:
+            "No insurance credentials found for this provider, Kindly Update this at Settings Page.",
+        });
+      }
+
+      const enrichedData = {
+        ...rawData,
+        massddmaUsername: credentials.username,
+        massddmaPassword: credentials.password,
+      };
+
+      const socketId: string | undefined = req.body.socketId;
+
+      const agentResp =
+        await forwardToSeleniumDdmaEligibilityAgent(enrichedData);
+
+      if (
+        !agentResp ||
+        agentResp.status !== "started" ||
+        !agentResp.session_id
+      ) {
+        return res.status(502).json({
+          error: "Selenium agent did not return a started session",
+          detail: agentResp,
+        });
+      }
+
+      const sessionId = agentResp.session_id as string;
+
+      // Save job context
+      ddmaJobs[sessionId] = {
+        userId: req.user.id,
+        insuranceEligibilityData: enrichedData,
+        socketId,
+      };
+
+      // start polling in background to notify client via socket and process job
+      pollAgentSessionAndProcess(sessionId, socketId).catch((e) =>
+        console.warn("pollAgentSessionAndProcess failed", e)
+      );
+
+      // reply immediately with started status
+      return res.json({ status: "started", session_id: sessionId });
+    } catch (err: any) {
+      console.error(err);
+      return res.status(500).json({
+        error: err.message || "Failed to start ddma selenium agent",
+      });
+    }
+  }
+);
+
+/**
+ * POST /selenium/submit-otp
+ * Body: { session_id, otp, socketId? }
+ * Forwards OTP to Python agent and optionally notifies client socket.
+ */
+router.post(
+  "/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 forwardOtpToSeleniumDdmaAgent(sessionId, otp);
+
+      // emit OTP accepted (if socket present)
+      emitSafe(socketId, "selenium:otp_submitted", {
+        session_id: sessionId,
+        result: r,
+      });
+
+      return res.json(r);
+    } catch (err: any) {
+      console.error(
+        "Failed to forward OTP:",
+        err?.response?.data || err?.message || err
+      );
+      return res.status(500).json({
+        error: "Failed to forward otp to selenium agent",
+        detail: err?.message || err,
+      });
+    }
+  }
+);
+
+// GET /selenium/session/:sid/final
+router.get(
+  "/selenium/session/:sid/final",
+  async (req: Request, res: Response) => {
+    const sid = req.params.sid;
+    if (!sid) return res.status(400).json({ error: "session id required" });
+
+    // Only the current in-memory result is available
+    if (currentFinalSessionId !== sid || !currentFinalResult) {
+      return res.status(404).json({ error: "final result not found" });
+    }
+
+    return res.json(currentFinalResult);
+  }
+);
+
+export default router;

apps/Backend/src/services/databaseBackupService.ts

@@ -0,0 +1,85 @@
+import { spawn } from "child_process";
+import fs from "fs";
+import os from "os";
+import path from "path";
+import archiver from "archiver";
+
+function safeRmDir(dir: string) {
+  try {
+    fs.rmSync(dir, { recursive: true, force: true });
+  } catch {}
+}
+
+interface BackupToPathParams {
+  destinationPath: string;
+  filename: string;
+}
+
+export async function backupDatabaseToPath({
+  destinationPath,
+  filename,
+}: BackupToPathParams): Promise<void> {
+  const tmpDir = fs.mkdtempSync(path.join(os.tmpdir(), "dental_backup_"));
+
+  return new Promise((resolve, reject) => {
+    const pgDump = spawn(
+      "pg_dump",
+      [
+        "-Fd",
+        "-j",
+        "4",
+        "--no-acl",
+        "--no-owner",
+        "-h",
+        process.env.DB_HOST || "localhost",
+        "-U",
+        process.env.DB_USER || "postgres",
+        process.env.DB_NAME || "dental_db",
+        "-f",
+        tmpDir,
+      ],
+      {
+        env: {
+          ...process.env,
+          PGPASSWORD: process.env.DB_PASSWORD,
+        },
+      }
+    );
+
+    let pgError = "";
+
+    pgDump.stderr.on("data", (d) => (pgError += d.toString()));
+
+    pgDump.on("close", async (code) => {
+      if (code !== 0) {
+        safeRmDir(tmpDir);
+        return reject(new Error(pgError || "pg_dump failed"));
+      }
+
+      const outputFile = path.join(destinationPath, filename);
+      const outputStream = fs.createWriteStream(outputFile);
+
+      const archive = archiver("zip");
+
+      outputStream.on("error", (err) => {
+        safeRmDir(tmpDir);
+        reject(err);
+      });
+
+      archive.on("error", (err) => {
+        safeRmDir(tmpDir);
+        reject(err);
+      });
+
+      archive.pipe(outputStream);
+      archive.directory(tmpDir + path.sep, false);
+
+      archive.finalize();
+
+      archive.on("end", () => {
+        safeRmDir(tmpDir);
+        resolve();
+      });
+    });
+  });
+}

apps/Backend/src/services/seleniumDdmaInsuranceEligibilityClient.ts

@@ -0,0 +1,122 @@
+import axios from "axios";
+import http from "http";
+import https from "https";
+import dotenv from "dotenv";
+dotenv.config();
+
+export interface SeleniumPayload {
+  data: any;
+  url?: string;
+}
+
+const SELENIUM_AGENT_BASE = process.env.SELENIUM_AGENT_BASE_URL;
+
+const httpAgent = new http.Agent({ keepAlive: true, keepAliveMsecs: 60_000 });
+const httpsAgent = new https.Agent({ keepAlive: true, keepAliveMsecs: 60_000 });
+
+const client = axios.create({
+  baseURL: SELENIUM_AGENT_BASE,
+  timeout: 5 * 60 * 1000,
+  httpAgent,
+  httpsAgent,
+  validateStatus: (s) => s >= 200 && s < 600,
+});
+
+async function requestWithRetries(
+  config: any,
+  retries = 4,
+  baseBackoffMs = 300
+) {
+  for (let attempt = 1; attempt <= retries; attempt++) {
+    try {
+      const r = await client.request(config);
+      if (![502, 503, 504].includes(r.status)) return r;
+      console.warn(
+        `[selenium-client] retryable HTTP status ${r.status} (attempt ${attempt})`
+      );
+    } catch (err: any) {
+      const code = err?.code;
+      const isTransient =
+        code === "ECONNRESET" ||
+        code === "ECONNREFUSED" ||
+        code === "EPIPE" ||
+        code === "ETIMEDOUT";
+      if (!isTransient) throw err;
+      console.warn(
+        `[selenium-client] transient network error ${code} (attempt ${attempt})`
+      );
+    }
+    await new Promise((r) => setTimeout(r, baseBackoffMs * attempt));
+  }
+  // final attempt (let exception bubble if it fails)
+  return client.request(config);
+}
+
+function now() {
+  return new Date().toISOString();
+}
+function log(tag: string, msg: string, ctx?: any) {
+  console.log(`${now()} [${tag}] ${msg}`, ctx ?? "");
+}
+
+export async function forwardToSeleniumDdmaEligibilityAgent(
+  insuranceEligibilityData: any
+): Promise<any> {
+  const payload = { data: insuranceEligibilityData };
+  const url = `/ddma-eligibility`;
+  log("selenium-client", "POST ddma-eligibility", {
+    url: SELENIUM_AGENT_BASE + url,
+    keys: Object.keys(payload),
+  });
+  const r = await requestWithRetries({ url, method: "POST", data: payload }, 4);
+  log("selenium-client", "agent response", {
+    status: r.status,
+    dataKeys: r.data ? Object.keys(r.data) : null,
+  });
+  if (r.status >= 500)
+    throw new Error(`Selenium agent server error: ${r.status}`);
+  return r.data;
+}
+
+export async function forwardOtpToSeleniumDdmaAgent(
+  sessionId: string,
+  otp: string
+): Promise<any> {
+  const url = `/submit-otp`;
+  log("selenium-client", "POST submit-otp", {
+    url: SELENIUM_AGENT_BASE + url,
+    sessionId,
+  });
+  const r = await requestWithRetries(
+    { url, method: "POST", data: { session_id: sessionId, otp } },
+    4
+  );
+  log("selenium-client", "submit-otp response", {
+    status: r.status,
+    data: r.data,
+  });
+  if (r.status >= 500)
+    throw new Error(`Selenium agent server error on submit-otp: ${r.status}`);
+  return r.data;
+}
+
+export async function getSeleniumDdmaSessionStatus(
+  sessionId: string
+): Promise<any> {
+  const url = `/session/${sessionId}/status`;
+  log("selenium-client", "GET session status", {
+    url: SELENIUM_AGENT_BASE + url,
+    sessionId,
+  });
+  const r = await requestWithRetries({ url, method: "GET" }, 4);
+  log("selenium-client", "session status response", {
+    status: r.status,
+    dataKeys: r.data ? Object.keys(r.data) : null,
+  });
+  if (r.status === 404) {
+    const e: any = new Error("not_found");
+    e.response = { status: 404, data: r.data };
+    throw e;
+  }
+  return r.data;
+}

apps/Backend/src/socket.ts

@@ -0,0 +1,53 @@
+import { Server as HttpServer } from "http";
+import { Server, Socket } from "socket.io";
+
+let io: Server | null = null;
+
+export function initSocket(server: HttpServer) {
+  const NODE_ENV = (
+    process.env.NODE_ENV ||
+    process.env.ENV ||
+    "development"
+  ).toLowerCase();
+
+  const rawFrontendUrls =
+    process.env.FRONTEND_URLS || process.env.FRONTEND_URL || "";
+  const FRONTEND_URLS = rawFrontendUrls
+    .split(",")
+    .map((s) => s.trim())
+    .filter(Boolean);
+
+  // In dev: allow all origins
+  // In prod: restrict to FRONTEND_URLS if provided
+  const corsOrigin =
+    NODE_ENV !== "production"
+      ? true
+      : FRONTEND_URLS.length > 0
+      ? FRONTEND_URLS
+      : false; // no origins allowed if none configured in prod
+
+  io = new Server(server, {
+    cors: {
+      origin: corsOrigin,
+      methods: ["GET", "POST"],
+      credentials: true,
+    },
+  });
+
+  io.on("connection", (socket: Socket) => {
+    console.log("🔌 Socket connected:", socket.id);
+
+    socket.on("disconnect", () => {
+      console.log("🔌 Socket disconnected:", socket.id);
+    });
+  });
+
+  // Optional: log low-level engine errors for debugging
+  io.engine.on("connection_error", (err) => {
+    console.error("Socket engine connection_error:", err);
+  });
+
+  return io;
+}
+
+export { io };

apps/Backend/src/storage/database-backup-storage.ts

@@ -1,4 +1,4 @@
-import { DatabaseBackup } from "@repo/db/types";
+import { DatabaseBackup, BackupDestination } from "@repo/db/types";
 import { prisma as db } from "@repo/db/client";
 
 export interface IStorage {
@@ -7,6 +7,33 @@ export interface IStorage {
   getLastBackup(userId: number): Promise<DatabaseBackup | null>;
   getBackups(userId: number, limit?: number): Promise<DatabaseBackup[]>;
   deleteBackups(userId: number): Promise<number>; // clears all for user
+
+  // ==============================
+  // Backup Destination methods
+  // ==============================
+  createBackupDestination(
+    userId: number,
+    path: string
+  ): Promise<BackupDestination>;
+
+  getActiveBackupDestination(
+    userId: number
+  ): Promise<BackupDestination | null>;
+
+  getAllBackupDestination(
+    userId: number
+  ): Promise<BackupDestination[]>;
+
+  updateBackupDestination(
+    id: number,
+    userId: number,
+    path: string
+  ): Promise<BackupDestination>;
+
+  deleteBackupDestination(
+    id: number,
+    userId: number
+  ): Promise<BackupDestination>;
 }
 
 export const databaseBackupStorage: IStorage = {
@@ -36,4 +63,51 @@ export const databaseBackupStorage: IStorage = {
     const result = await db.databaseBackup.deleteMany({ where: { userId } });
     return result.count;
   },
+
+  // ==============================
+  // Backup Destination methods
+  // ==============================
+  async createBackupDestination(userId, path) {
+    // deactivate existing destination
+    await db.backupDestination.updateMany({
+      where: { userId },
+      data: { isActive: false },
+    });
+
+    return db.backupDestination.create({
+      data: { userId, path },
+    });
+  },
+
+  async getActiveBackupDestination(userId) {
+    return db.backupDestination.findFirst({
+      where: { userId, isActive: true },
+    });
+  },
+
+  async getAllBackupDestination(userId) {
+    return db.backupDestination.findMany({
+      where: { userId },
+      orderBy: { createdAt: "desc" },
+    });
+  },
+
+  async updateBackupDestination(id, userId, path) {
+    // optional: make this one active
+    await db.backupDestination.updateMany({
+      where: { userId },
+      data: { isActive: false },
+    });
+
+    return db.backupDestination.update({
+      where: { id, userId },
+      data: { path, isActive: true },
+    });
+  },
+
+  async deleteBackupDestination(id, userId) {
+    return db.backupDestination.delete({
+      where: { id, userId },
+    });
+  },
 };

apps/Frontend/package.json

@@ -76,6 +76,7 @@
     "react-icons": "^5.4.0",
     "react-resizable-panels": "^2.1.7",
     "recharts": "^2.15.2",
+    "socket.io-client": "^4.8.1",
     "tailwind-merge": "^3.2.0",
     "tailwindcss": "^3.4.17",
     "tailwindcss-animate": "^1.0.7",

apps/Frontend/src/App.tsx

@@ -12,6 +12,7 @@ import Dashboard from "./pages/dashboard";
 import LoadingScreen from "./components/ui/LoadingScreen";
 
 const AuthPage = lazy(() => import("./pages/auth-page"));
+const PatientConnectionPage = lazy(() => import("./pages/patient-connection-page"));
 const AppointmentsPage = lazy(() => import("./pages/appointments-page"));
 const PatientsPage = lazy(() => import("./pages/patients-page"));
 const SettingsPage = lazy(() => import("./pages/settings-page"));
@@ -34,6 +35,7 @@ function Router() {
       <ProtectedRoute path="/" component={() => <Redirect to="/insurance-status" />} />
 
       <ProtectedRoute path="/dashboard" component={() => <Dashboard />} />
+      <ProtectedRoute path="/patient-connection" component={() => <PatientConnectionPage />} />
       <ProtectedRoute
         path="/appointments"
         component={() => <AppointmentsPage />}

apps/Frontend/src/components/claims/claim-form.tsx

@@ -964,6 +964,9 @@ export function ClaimForm({
                           "childRecallDirect4BW",
                           "childRecallDirect2PA2BW",
                           "childRecallDirect2PA4BW",
+                          "childRecallDirect3PA2BW",
+                          "childRecallDirect3PA",
+                          "childRecallDirect4PA",
                           "childRecallDirectPANO",
                         ].map((comboId) => {
                           const b = PROCEDURE_COMBOS[comboId];
@@ -979,6 +982,9 @@ export function ClaimForm({
                             childRecallDirect4BW: "Direct 4BW",
                             childRecallDirect2PA2BW: "Direct 2PA 2BW",
                             childRecallDirect2PA4BW: "Direct 2PA 4BW",
+                            childRecallDirect3PA2BW: "Direct 3PA 2BW",
+                            childRecallDirect3PA: "Direct 3PA",
+                            childRecallDirect4PA: "Direct 4PA",
                             childRecallDirectPANO: "Direct Pano",
                           };
                           return (
@@ -1015,6 +1021,7 @@ export function ClaimForm({
                           "adultRecallDirect4BW",
                           "adultRecallDirect2PA2BW",
                           "adultRecallDirect2PA4BW",
+                          "adultRecallDirect4PA",
                           "adultRecallDirectPano",
                         ].map((comboId) => {
                           const b = PROCEDURE_COMBOS[comboId];
@@ -1030,6 +1037,7 @@ export function ClaimForm({
                             adultRecallDirect4BW: "Direct 4BW",
                             adultRecallDirect2PA2BW: "Direct 2PA 2BW",
                             adultRecallDirect2PA4BW: "Direct 2PA 4BW",
+                            adultRecallDirect4PA: "Direct 4PA",
                             adultRecallDirectPano: "Direct Pano",
                           };
                           return (
@@ -1053,6 +1061,45 @@ export function ClaimForm({
                         })}
                       </div>
                     </div>
+
+                    {/* ORTH GROUP */}
+                    <div className="space-y-2">
+                      <div className="text-sm font-medium opacity-80">Orth</div>
+
+                      <div className="flex flex-wrap gap-2">
+                        {[
+                          "orthPreExamDirect",
+                          "orthRecordDirect",
+                          "orthPerioVisitDirect",
+                          "orthRetentionDirect",
+                        ].map((comboId) => {
+                          const b = PROCEDURE_COMBOS[comboId];
+                          if (!b) return null;
+
+                          const tooltipText = b.codes.join(", ");
+
+                          return (
+                            <Tooltip key={b.id}>
+                              <TooltipTrigger asChild>
+                                <Button
+                                  variant="secondary"
+                                  onClick={() => applyComboAndThenMH(b.id)}
+                                  aria-label={`${b.label} — codes: ${tooltipText}`}
+                                >
+                                  {b.label}
+                                </Button>
+                              </TooltipTrigger>
+
+                              <TooltipContent side="top" align="center">
+                                <div className="text-sm max-w-xs break-words">
+                                  {tooltipText}
+                                </div>
+                              </TooltipContent>
+                            </Tooltip>
+                          );
+                        })}
+                      </div>
+                    </div>
                   </div>
                 </div>
               </div>

apps/Frontend/src/components/database-management/backup-destination-manager.tsx

@@ -0,0 +1,165 @@
+import { useState } from "react";
+import { useMutation, useQuery } from "@tanstack/react-query";
+import { Button } from "@/components/ui/button";
+import { Card, CardContent, CardHeader, CardTitle } from "@/components/ui/card";
+import { Input } from "@/components/ui/input";
+import {
+  AlertDialog,
+  AlertDialogAction,
+  AlertDialogCancel,
+  AlertDialogContent,
+  AlertDialogDescription,
+  AlertDialogFooter,
+  AlertDialogHeader,
+  AlertDialogTitle,
+} from "@/components/ui/alert-dialog";
+import { FolderOpen, Trash2 } from "lucide-react";
+import { apiRequest, queryClient } from "@/lib/queryClient";
+import { useToast } from "@/hooks/use-toast";
+
+export function BackupDestinationManager() {
+  const { toast } = useToast();
+  const [path, setPath] = useState("");
+  const [deleteId, setDeleteId] = useState<number | null>(null);
+
+  // ==============================
+  // Queries
+  // ==============================
+  const { data: destinations = [] } = useQuery({
+    queryKey: ["/db/destination"],
+    queryFn: async () => {
+      const res = await apiRequest(
+        "GET",
+        "/api/database-management/destination"
+      );
+      return res.json();
+    },
+  });
+
+  // ==============================
+  // Mutations
+  // ==============================
+  const saveMutation = useMutation({
+    mutationFn: async () => {
+      const res = await apiRequest(
+        "POST",
+        "/api/database-management/destination",
+        { path }
+      );
+      if (!res.ok) throw new Error((await res.json()).error);
+    },
+    onSuccess: () => {
+      toast({ title: "Backup destination saved" });
+      setPath("");
+      queryClient.invalidateQueries({ queryKey: ["/db/destination"] });
+    },
+  });
+
+  const deleteMutation = useMutation({
+    mutationFn: async (id: number) => {
+      await apiRequest("DELETE", `/api/database-management/destination/${id}`);
+    },
+    onSuccess: () => {
+      toast({ title: "Backup destination deleted" });
+      queryClient.invalidateQueries({ queryKey: ["/db/destination"] });
+      setDeleteId(null);
+    },
+  });
+
+  // ==============================
+  // Folder picker (browser limitation)
+  // ==============================
+  const openFolderPicker = async () => {
+    // @ts-ignore
+    if (!window.showDirectoryPicker) {
+      toast({
+        title: "Not supported",
+        description: "Your browser does not support folder picking",
+        variant: "destructive",
+      });
+      return;
+    }
+
+    try {
+      // @ts-ignore
+      const dirHandle = await window.showDirectoryPicker();
+
+      toast({
+        title: "Folder selected",
+        description: `Selected folder: ${dirHandle.name}. Please enter the full path manually.`,
+      });
+    } catch {
+      // user cancelled
+    }
+  };
+
+  // ==============================
+  // UI
+  // ==============================
+  return (
+    <Card>
+      <CardHeader>
+        <CardTitle>External Backup Destination</CardTitle>
+      </CardHeader>
+      <CardContent className="space-y-4">
+        <div className="flex gap-2">
+          <Input
+            placeholder="/media/usb-drive or D:\\Backups"
+            value={path}
+            onChange={(e) => setPath(e.target.value)}
+          />
+          <Button variant="outline" onClick={openFolderPicker}>
+            <FolderOpen className="h-4 w-4" />
+          </Button>
+        </div>
+
+        <Button
+          onClick={() => saveMutation.mutate()}
+          disabled={!path || saveMutation.isPending}
+        >
+          Save Destination
+        </Button>
+
+        <div className="space-y-2">
+          {destinations.map((d: any) => (
+            <div
+              key={d.id}
+              className="flex justify-between items-center border rounded p-2"
+            >
+              <span className="text-sm text-gray-700">{d.path}</span>
+              <Button
+                size="sm"
+                variant="destructive"
+                onClick={() => setDeleteId(d.id)}
+              >
+                <Trash2 className="h-4 w-4" />
+              </Button>
+            </div>
+          ))}
+        </div>
+
+        {/* Confirm delete dialog */}
+        <AlertDialog open={deleteId !== null}>
+          <AlertDialogContent>
+            <AlertDialogHeader>
+              <AlertDialogTitle>Delete backup destination?</AlertDialogTitle>
+              <AlertDialogDescription>
+                This will remove the destination and stop automatic backups.
+              </AlertDialogDescription>
+            </AlertDialogHeader>
+            <AlertDialogFooter>
+              <AlertDialogCancel onClick={() => setDeleteId(null)}>
+                Cancel
+              </AlertDialogCancel>
+              <AlertDialogAction
+                onClick={() => deleteId && deleteMutation.mutate(deleteId)}
+              >
+                Delete
+              </AlertDialogAction>
+            </AlertDialogFooter>
+          </AlertDialogContent>
+        </AlertDialog>
+      </CardContent>
+    </Card>
+  );
+}

apps/Frontend/src/components/insurance-status/ddma-buton-modal.tsx

@@ -0,0 +1,566 @@
+import { useEffect, useRef, useState } from "react";
+import { io as ioClient, Socket } from "socket.io-client";
+import { Button } from "@/components/ui/button";
+import { Input } from "@/components/ui/input";
+import { Label } from "@/components/ui/label";
+import { CheckCircle, LoaderCircleIcon, X } from "lucide-react";
+import { useToast } from "@/hooks/use-toast";
+import { apiRequest, queryClient } from "@/lib/queryClient";
+import { useAppDispatch } from "@/redux/hooks";
+import { setTaskStatus } from "@/redux/slices/seleniumEligibilityCheckTaskSlice";
+import { formatLocalDate } from "@/utils/dateUtils";
+import { QK_PATIENTS_BASE } from "@/components/patients/patient-table";
+
+const SOCKET_URL =
+  import.meta.env.VITE_API_BASE_URL_BACKEND ||
+  (typeof window !== "undefined" ? window.location.origin : "");
+
+// ---------- OTP Modal component ----------
+interface DdmaOtpModalProps {
+  open: boolean;
+  onClose: () => void;
+  onSubmit: (otp: string) => Promise<void> | void;
+  isSubmitting: boolean;
+}
+
+function DdmaOtpModal({
+  open,
+  onClose,
+  onSubmit,
+  isSubmitting,
+}: DdmaOtpModalProps) {
+  const [otp, setOtp] = useState("");
+
+  useEffect(() => {
+    if (!open) setOtp("");
+  }, [open]);
+
+  if (!open) return null;
+
+  const handleSubmit = async (e: React.FormEvent) => {
+    e.preventDefault();
+    if (!otp.trim()) return;
+    await onSubmit(otp.trim());
+  };
+
+  return (
+    <div className="fixed inset-0 z-50 flex items-center justify-center bg-black/40">
+      <div className="bg-white dark:bg-slate-900 rounded-xl shadow-lg w-full max-w-md p-6">
+        <div className="flex items-center justify-between mb-4">
+          <h2 className="text-lg font-semibold">Enter OTP</h2>
+          <button
+            type="button"
+            onClick={onClose}
+            className="text-slate-500 hover:text-slate-800"
+          >
+            <X className="w-4 h-4" />
+          </button>
+        </div>
+        <p className="text-sm text-slate-500 mb-4">
+          We need the one-time password (OTP) sent by the Delta Dental MA portal
+          to complete this eligibility check.
+        </p>
+        <form onSubmit={handleSubmit} className="space-y-4">
+          <div className="space-y-2">
+            <Label htmlFor="ddma-otp">OTP</Label>
+            <Input
+              id="ddma-otp"
+              placeholder="Enter OTP code"
+              value={otp}
+              onChange={(e) => setOtp(e.target.value)}
+              autoFocus
+            />
+          </div>
+          <div className="flex justify-end gap-3">
+            <Button
+              type="button"
+              variant="outline"
+              onClick={onClose}
+              disabled={isSubmitting}
+            >
+              Cancel
+            </Button>
+            <Button type="submit" disabled={isSubmitting || !otp.trim()}>
+              {isSubmitting ? (
+                <>
+                  <LoaderCircleIcon className="w-4 h-4 mr-2 animate-spin" />
+                  Submitting...
+                </>
+              ) : (
+                "Submit OTP"
+              )}
+            </Button>
+          </div>
+        </form>
+      </div>
+    </div>
+  );
+}
+
+// ---------- Main DDMA Eligibility button component ----------
+interface DdmaEligibilityButtonProps {
+  memberId: string;
+  dateOfBirth: Date | null;
+  firstName?: string;
+  lastName?: string;
+  isFormIncomplete: boolean;
+  /** Called when backend has finished and PDF is ready */
+  onPdfReady: (pdfId: number, fallbackFilename: string | null) => void;
+}
+
+export function DdmaEligibilityButton({
+  memberId,
+  dateOfBirth,
+  firstName,
+  lastName,
+  isFormIncomplete,
+  onPdfReady,
+}: DdmaEligibilityButtonProps) {
+  const { toast } = useToast();
+  const dispatch = useAppDispatch();
+
+  const socketRef = useRef<Socket | null>(null);
+  const connectingRef = useRef<Promise<void> | null>(null);
+
+  const [sessionId, setSessionId] = useState<string | null>(null);
+  const [otpModalOpen, setOtpModalOpen] = useState(false);
+  const [isStarting, setIsStarting] = useState(false);
+  const [isSubmittingOtp, setIsSubmittingOtp] = useState(false);
+
+  // Clean up socket on unmount
+  useEffect(() => {
+    return () => {
+      if (socketRef.current) {
+        socketRef.current.removeAllListeners();
+        socketRef.current.disconnect();
+        socketRef.current = null;
+      }
+      connectingRef.current = null;
+    };
+  }, []);
+
+  const closeSocket = () => {
+    try {
+      socketRef.current?.removeAllListeners();
+      socketRef.current?.disconnect();
+    } catch (e) {
+      // ignore
+    } finally {
+      socketRef.current = null;
+    }
+  };
+
+  // Lazy socket setup: called only when we actually need it (first click)
+  const ensureSocketConnected = async () => {
+    // If already connected, nothing to do
+    if (socketRef.current && socketRef.current.connected) {
+      return;
+    }
+
+    // If a connection is in progress, reuse that promise
+    if (connectingRef.current) {
+      return connectingRef.current;
+    }
+
+    const promise = new Promise<void>((resolve, reject) => {
+      const socket = ioClient(SOCKET_URL, {
+        withCredentials: true,
+      });
+
+      socketRef.current = socket;
+
+      socket.on("connect", () => {
+        console.log("DDMA socket connected:", socket.id);
+        resolve();
+      });
+
+      // connection error when first connecting (or later)
+      socket.on("connect_error", (err: any) => {
+        dispatch(
+          setTaskStatus({
+            status: "error",
+            message: "Connection failed",
+          })
+        );
+        toast({
+          title: "Realtime connection failed",
+          description:
+            "Could not connect to realtime server. Retrying automatically...",
+          variant: "destructive",
+        });
+        // do not reject here because socket.io will attempt reconnection
+      });
+
+      // socket.io will emit 'reconnect_attempt' for retries
+      socket.on("reconnect_attempt", (attempt: number) => {
+        dispatch(
+          setTaskStatus({
+            status: "pending",
+            message: `Realtime reconnect attempt #${attempt}`,
+          })
+        );
+      });
+
+      // when reconnection failed after configured attempts
+      socket.on("reconnect_failed", () => {
+        dispatch(
+          setTaskStatus({
+            status: "error",
+            message: "Reconnect failed",
+          })
+        );
+        toast({
+          title: "Realtime reconnect failed",
+          description:
+            "Connection to realtime server could not be re-established. Please try again later.",
+          variant: "destructive",
+        });
+        // terminal failure — cleanup and reject so caller can stop start flow
+        closeSocket();
+        reject(new Error("Realtime reconnect failed"));
+      });
+
+      socket.on("disconnect", (reason: any) => {
+        dispatch(
+          setTaskStatus({
+            status: "error",
+            message: "Connection disconnected",
+          })
+        );
+        toast({
+          title: "Connection Disconnected",
+          description:
+            "Connection to the server was lost. If a DDMA job was running it may have failed.",
+          variant: "destructive",
+        });
+        // clear sessionId/OTP modal
+        setSessionId(null);
+        setOtpModalOpen(false);
+      });
+
+      // OTP required
+      socket.on("selenium:otp_required", (payload: any) => {
+        if (!payload?.session_id) return;
+        setSessionId(payload.session_id);
+        setOtpModalOpen(true);
+        dispatch(
+          setTaskStatus({
+            status: "pending",
+            message: "OTP required for DDMA eligibility. Please enter the OTP.",
+          })
+        );
+      });
+
+      // OTP submitted (optional UX)
+      socket.on("selenium:otp_submitted", (payload: any) => {
+        if (!payload?.session_id) return;
+        dispatch(
+          setTaskStatus({
+            status: "pending",
+            message: "OTP submitted. Finishing DDMA eligibility check...",
+          })
+        );
+      });
+
+      // Session update
+      socket.on("selenium:session_update", (payload: any) => {
+        const { session_id, status, final } = payload || {};
+        if (!session_id) return;
+
+        if (status === "completed") {
+          dispatch(
+            setTaskStatus({
+              status: "success",
+              message:
+                "DDMA eligibility updated and PDF attached to patient documents.",
+            })
+          );
+          toast({
+            title: "DDMA eligibility complete",
+            description:
+              "Patient status was updated and the eligibility PDF was saved.",
+            variant: "default",
+          });
+
+          const pdfId = final?.pdfFileId;
+          if (pdfId) {
+            const filename =
+              final?.pdfFilename ?? `eligibility_ddma_${memberId}.pdf`;
+            onPdfReady(Number(pdfId), filename);
+          }
+
+          setSessionId(null);
+          setOtpModalOpen(false);
+        } else if (status === "error") {
+          const msg =
+            payload?.message ||
+            final?.error ||
+            "DDMA eligibility session failed.";
+          dispatch(
+            setTaskStatus({
+              status: "error",
+              message: msg,
+            })
+          );
+          toast({
+            title: "DDMA selenium error",
+            description: msg,
+            variant: "destructive",
+          });
+
+          // Ensure socket is torn down for this session (stop receiving stale events)
+          try {
+            closeSocket();
+          } catch (e) {}
+          setSessionId(null);
+          setOtpModalOpen(false);
+        }
+
+        queryClient.invalidateQueries({ queryKey: QK_PATIENTS_BASE });
+      });
+
+      // explicit session error event (helpful)
+      socket.on("selenium:session_error", (payload: any) => {
+        const msg = payload?.message || "Selenium session error";
+
+        dispatch(
+          setTaskStatus({
+            status: "error",
+            message: msg,
+          })
+        );
+
+        toast({
+          title: "Selenium session error",
+          description: msg,
+          variant: "destructive",
+        });
+
+        // tear down socket to avoid stale updates
+        try {
+          closeSocket();
+        } catch (e) {}
+        setSessionId(null);
+        setOtpModalOpen(false);
+      });
+
+      // If socket.io initial connection fails permanently (very rare: client-level)
+      // set a longer timeout to reject the first attempt to connect.
+      const initialConnectTimeout = setTimeout(() => {
+        if (!socket.connected) {
+          // if still not connected after 8s, treat as failure and reject so caller can handle it
+          closeSocket();
+          reject(new Error("Realtime initial connection timeout"));
+        }
+      }, 8000);
+
+      // When the connect resolves we should clear this timer
+      socket.once("connect", () => {
+        clearTimeout(initialConnectTimeout);
+      });
+    });
+
+    // store promise to prevent multiple concurrent connections
+    connectingRef.current = promise;
+
+    try {
+      await promise;
+    } finally {
+      connectingRef.current = null;
+    }
+  };
+
+  const startDdmaEligibility = async () => {
+    if (!memberId || !dateOfBirth) {
+      toast({
+        title: "Missing fields",
+        description: "Member ID and Date of Birth are required.",
+        variant: "destructive",
+      });
+      return;
+    }
+
+    const formattedDob = dateOfBirth ? formatLocalDate(dateOfBirth) : "";
+
+    const payload = {
+      memberId,
+      dateOfBirth: formattedDob,
+      firstName,
+      lastName,
+      insuranceSiteKey: "DDMA", // make sure this matches backend credential key
+    };
+
+    try {
+      setIsStarting(true);
+
+      // 1) Ensure socket is connected (lazy)
+      dispatch(
+        setTaskStatus({
+          status: "pending",
+          message: "Opening realtime channel for DDMA eligibility...",
+        })
+      );
+      await ensureSocketConnected();
+
+      const socket = socketRef.current;
+      if (!socket || !socket.connected) {
+        throw new Error("Socket connection failed");
+      }
+
+      const socketId = socket.id;
+
+      // 2) Start the selenium job via backend
+      dispatch(
+        setTaskStatus({
+          status: "pending",
+          message: "Starting DDMA eligibility check via selenium...",
+        })
+      );
+
+      const response = await apiRequest(
+        "POST",
+        "/api/insurance-status-ddma/ddma-eligibility",
+        {
+          data: JSON.stringify(payload),
+          socketId,
+        }
+      );
+
+      // If apiRequest threw, we would have caught above; but just in case it returns.
+      let result: any = null;
+      let backendError: string | null = null;
+
+      try {
+        // attempt JSON first
+        result = await response.clone().json();
+        backendError =
+          result?.error || result?.message || result?.detail || null;
+      } catch {
+        // fallback to text response
+        try {
+          const text = await response.clone().text();
+          backendError = text?.trim() || null;
+        } catch {
+          backendError = null;
+        }
+      }
+
+      if (!response.ok) {
+        throw new Error(
+          backendError ||
+            `DDMA selenium start failed (status ${response.status})`
+        );
+      }
+
+      // Normal success path: optional: if backend returns non-error shape still check for result.error
+      if (result?.error) {
+        throw new Error(result.error);
+      }
+
+      if (result.status === "started" && result.session_id) {
+        setSessionId(result.session_id as string);
+        dispatch(
+          setTaskStatus({
+            status: "pending",
+            message:
+              "DDMA eligibility job started. Waiting for OTP or final result...",
+          })
+        );
+      } else {
+        // fallback if backend returns immediate result
+        dispatch(
+          setTaskStatus({
+            status: "success",
+            message: "DDMA eligibility completed.",
+          })
+        );
+      }
+    } catch (err: any) {
+      console.error("startDdmaEligibility error:", err);
+      dispatch(
+        setTaskStatus({
+          status: "error",
+          message: err?.message || "Failed to start DDMA eligibility",
+        })
+      );
+      toast({
+        title: "DDMA selenium error",
+        description: err?.message || "Failed to start DDMA eligibility",
+        variant: "destructive",
+      });
+    } finally {
+      setIsStarting(false);
+    }
+  };
+
+  const handleSubmitOtp = async (otp: string) => {
+    if (!sessionId || !socketRef.current || !socketRef.current.connected) {
+      toast({
+        title: "Session not ready",
+        description:
+          "Could not submit OTP because the DDMA session or socket is not ready.",
+        variant: "destructive",
+      });
+      return;
+    }
+
+    try {
+      setIsSubmittingOtp(true);
+      const resp = await apiRequest(
+        "POST",
+        "/api/insurance-status-ddma/selenium/submit-otp",
+        {
+          session_id: sessionId,
+          otp,
+          socketId: socketRef.current.id,
+        }
+      );
+      const data = await resp.json();
+      if (!resp.ok || data.error) {
+        throw new Error(data.error || "Failed to submit OTP");
+      }
+
+      // from here we rely on websocket events (otp_submitted + session_update)
+      setOtpModalOpen(false);
+    } catch (err: any) {
+      console.error("handleSubmitOtp error:", err);
+      toast({
+        title: "Failed to submit OTP",
+        description: err?.message || "Error forwarding OTP to selenium agent",
+        variant: "destructive",
+      });
+    } finally {
+      setIsSubmittingOtp(false);
+    }
+  };
+
+  return (
+    <>
+      <Button
+        className="w-full"
+        variant="default"
+        disabled={isFormIncomplete || isStarting}
+        onClick={startDdmaEligibility}
+      >
+        {isStarting ? (
+          <>
+            <LoaderCircleIcon className="h-4 w-4 mr-2 animate-spin" />
+            Processing...
+          </>
+        ) : (
+          <>
+            <CheckCircle className="h-4 w-4 mr-2" />
+            Delta MA Eligibility
+          </>
+        )}
+      </Button>
+
+      <DdmaOtpModal
+        open={otpModalOpen}
+        onClose={() => setOtpModalOpen(false)}
+        onSubmit={handleSubmitOtp}
+        isSubmitting={isSubmittingOtp}
+      />
+    </>
+  );
+}

apps/Frontend/src/components/layout/sidebar.tsx

@@ -11,6 +11,7 @@ import {
   Database,
   FileText,
   Cloud,
+  Phone,
 } from "lucide-react";
 import { cn } from "@/lib/utils";
 import { useMemo } from "react";
@@ -27,6 +28,11 @@ export function Sidebar() {
         path: "/dashboard",
         icon: <LayoutDashboard className="h-5 w-5" />,
       },
+      {
+        name: "Patient Connection",
+        path: "/patient-connection",
+        icon: <Phone className="h-5 w-5" />,
+      },
       {
         name: "Appointments",
         path: "/appointments",

apps/Frontend/src/components/patient-connection/message-thread.tsx

@@ -0,0 +1,251 @@
+import { useState, useEffect, useRef } from "react";
+import { useQuery, useMutation } from "@tanstack/react-query";
+import { Button } from "@/components/ui/button";
+import { Input } from "@/components/ui/input";
+import { useToast } from "@/hooks/use-toast";
+import { apiRequest, queryClient } from "@/lib/queryClient";
+import { Send, ArrowLeft } from "lucide-react";
+import type { Patient, Communication } from "@repo/db/types";
+import { format, isToday, isYesterday, parseISO } from "date-fns";
+
+interface MessageThreadProps {
+  patient: Patient;
+  onBack?: () => void;
+}
+
+export function MessageThread({ patient, onBack }: MessageThreadProps) {
+  const { toast } = useToast();
+  const [messageText, setMessageText] = useState("");
+  const messagesEndRef = useRef<HTMLDivElement>(null);
+
+  const { data: communications = [], isLoading } = useQuery<Communication[]>({
+    queryKey: ["/api/patients", patient.id, "communications"],
+    queryFn: async () => {
+      const res = await fetch(`/api/patients/${patient.id}/communications`, {
+        credentials: "include",
+      });
+      if (!res.ok) throw new Error("Failed to fetch communications");
+      return res.json();
+    },
+    refetchInterval: 5000, // Refresh every 5 seconds to get new messages
+  });
+
+  const sendMessageMutation = useMutation({
+    mutationFn: async (message: string) => {
+      return apiRequest("POST", "/api/twilio/send-sms", {
+        to: patient.phone,
+        message: message,
+        patientId: patient.id,
+      });
+    },
+    onSuccess: () => {
+      setMessageText("");
+      queryClient.invalidateQueries({
+        queryKey: ["/api/patients", patient.id, "communications"],
+      });
+      toast({
+        title: "Message sent",
+        description: "Your message has been sent successfully.",
+      });
+    },
+    onError: (error: any) => {
+      toast({
+        title: "Failed to send message",
+        description:
+          error.message || "Unable to send message. Please try again.",
+        variant: "destructive",
+      });
+    },
+  });
+
+  const handleSendMessage = () => {
+    if (!messageText.trim()) return;
+    sendMessageMutation.mutate(messageText);
+  };
+
+  const handleKeyPress = (e: React.KeyboardEvent) => {
+    if (e.key === "Enter" && !e.shiftKey) {
+      e.preventDefault();
+      handleSendMessage();
+    }
+  };
+
+  useEffect(() => {
+    messagesEndRef.current?.scrollIntoView({ behavior: "smooth" });
+  }, [communications]);
+
+  const formatMessageDate = (dateValue: string | Date) => {
+    const date =
+      typeof dateValue === "string" ? parseISO(dateValue) : dateValue;
+    if (isToday(date)) {
+      return format(date, "h:mm a");
+    } else if (isYesterday(date)) {
+      return `Yesterday ${format(date, "h:mm a")}`;
+    } else {
+      return format(date, "MMM d, h:mm a");
+    }
+  };
+
+  const getDateDivider = (dateValue: string | Date) => {
+    const messageDate =
+      typeof dateValue === "string" ? parseISO(dateValue) : dateValue;
+    if (isToday(messageDate)) {
+      return "Today";
+    } else if (isYesterday(messageDate)) {
+      return "Yesterday";
+    } else {
+      return format(messageDate, "MMMM d, yyyy");
+    }
+  };
+
+  const groupedMessages: { date: string; messages: Communication[] }[] = [];
+  communications.forEach((comm) => {
+    if (!comm.createdAt) return;
+    const messageDate =
+      typeof comm.createdAt === "string"
+        ? parseISO(comm.createdAt)
+        : comm.createdAt;
+    const dateKey = format(messageDate, "yyyy-MM-dd");
+    const existingGroup = groupedMessages.find((g) => g.date === dateKey);
+    if (existingGroup) {
+      existingGroup.messages.push(comm);
+    } else {
+      groupedMessages.push({ date: dateKey, messages: [comm] });
+    }
+  });
+
+  return (
+    <div className="flex flex-col h-full bg-white rounded-lg border">
+      {/* Header */}
+      <div className="flex items-center justify-between p-4 border-b bg-gray-50">
+        <div className="flex items-center gap-3">
+          {onBack && (
+            <Button
+              variant="ghost"
+              size="icon"
+              onClick={onBack}
+              data-testid="button-back"
+            >
+              <ArrowLeft className="h-5 w-5" />
+            </Button>
+          )}
+          <div className="flex items-center gap-3">
+            <div className="h-10 w-10 rounded-full bg-primary text-primary-foreground flex items-center justify-center font-semibold">
+              {patient.firstName[0]}
+              {patient.lastName[0]}
+            </div>
+            <div>
+              <h3 className="font-semibold text-base">
+                {patient.firstName} {patient.lastName}
+              </h3>
+              <p className="text-sm text-muted-foreground">{patient.phone}</p>
+            </div>
+          </div>
+        </div>
+      </div>
+
+      {/* Messages */}
+      <div
+        className="flex-1 overflow-y-auto p-6 space-y-4"
+        data-testid="messages-container"
+      >
+        {isLoading ? (
+          <div className="flex items-center justify-center h-full">
+            <p className="text-muted-foreground">Loading messages...</p>
+          </div>
+        ) : communications.length === 0 ? (
+          <div className="flex items-center justify-center h-full">
+            <p className="text-muted-foreground">
+              No messages yet. Start the conversation!
+            </p>
+          </div>
+        ) : (
+          <>
+            {groupedMessages.map((group) => (
+              <div key={group.date}>
+                {/* Date Divider */}
+                <div className="flex items-center justify-center my-8">
+                  <div className="px-4 py-1 bg-gray-100 rounded-full text-xs text-muted-foreground">
+                    {getDateDivider(group.messages[0]?.createdAt!)}
+                  </div>
+                </div>
+
+                {/* Messages for this date */}
+                {group.messages.map((comm) => (
+                  <div
+                    key={comm.id}
+                    className={`flex mb-4 ${comm.direction === "outbound" ? "justify-end" : "justify-start"}`}
+                    data-testid={`message-${comm.id}`}
+                  >
+                    <div
+                      className={`max-w-md ${comm.direction === "outbound" ? "ml-auto" : "mr-auto"}`}
+                    >
+                      {comm.direction === "inbound" && (
+                        <div className="flex items-start gap-2">
+                          <div className="h-8 w-8 rounded-full bg-gray-300 flex items-center justify-center text-xs font-semibold flex-shrink-0">
+                            {patient.firstName[0]}
+                            {patient.lastName[0]}
+                          </div>
+                          <div>
+                            <div className="p-3 rounded-2xl bg-gray-100 text-gray-900 rounded-tl-md">
+                              <p className="text-sm whitespace-pre-wrap break-words">
+                                {comm.body}
+                              </p>
+                            </div>
+                            <p className="text-xs text-muted-foreground mt-1">
+                              {comm.createdAt &&
+                                formatMessageDate(comm.createdAt)}
+                            </p>
+                          </div>
+                        </div>
+                      )}
+
+                      {comm.direction === "outbound" && (
+                        <div>
+                          <div className="p-3 rounded-2xl bg-primary text-primary-foreground rounded-tr-md">
+                            <p className="text-sm whitespace-pre-wrap break-words">
+                              {comm.body}
+                            </p>
+                          </div>
+                          <p className="text-xs text-muted-foreground mt-1 text-right">
+                            {comm.createdAt &&
+                              formatMessageDate(comm.createdAt)}
+                          </p>
+                        </div>
+                      )}
+                    </div>
+                  </div>
+                ))}
+              </div>
+            ))}
+            <div ref={messagesEndRef} />
+          </>
+        )}
+      </div>
+
+      {/* Input Area */}
+      <div className="p-4 border-t bg-gray-50">
+        <div className="flex items-center gap-2">
+          <Input
+            value={messageText}
+            onChange={(e) => setMessageText(e.target.value)}
+            onKeyPress={handleKeyPress}
+            placeholder="Type your message..."
+            className="flex-1 rounded-full"
+            disabled={sendMessageMutation.isPending}
+            data-testid="input-message"
+          />
+          <Button
+            onClick={handleSendMessage}
+            disabled={!messageText.trim() || sendMessageMutation.isPending}
+            size="icon"
+            className="rounded-full h-10 w-10"
+            data-testid="button-send"
+          >
+            <Send className="h-4 w-4" />
+          </Button>
+        </div>
+      </div>
+    </div>
+  );
+}

apps/Frontend/src/components/patient-connection/sms-template-diaog.tsx

@@ -0,0 +1,226 @@
+import { useState } from "react";
+import { useMutation } from "@tanstack/react-query";
+import { Button } from "@/components/ui/button";
+import {
+  Dialog,
+  DialogContent,
+  DialogDescription,
+  DialogFooter,
+  DialogHeader,
+  DialogTitle,
+} from "@/components/ui/dialog";
+import {
+  Select,
+  SelectContent,
+  SelectItem,
+  SelectTrigger,
+  SelectValue,
+} from "@/components/ui/select";
+import { Textarea } from "@/components/ui/textarea";
+import { Label } from "@/components/ui/label";
+import { MessageSquare, Send, Loader2 } from "lucide-react";
+import { useToast } from "@/hooks/use-toast";
+import { apiRequest } from "@/lib/queryClient";
+import type { Patient } from "@repo/db/types";
+
+interface SmsTemplateDialogProps {
+  open: boolean;
+  onOpenChange: (open: boolean) => void;
+  patient: Patient | null;
+}
+
+const MESSAGE_TEMPLATES = {
+  appointment_reminder: {
+    name: "Appointment Reminder",
+    template: (firstName: string) =>
+      `Hi ${firstName}, this is your dental office. Reminder: You have an appointment scheduled. Please confirm or call us if you need to reschedule.`,
+  },
+  appointment_confirmation: {
+    name: "Appointment Confirmation",
+    template: (firstName: string) =>
+      `Hi ${firstName}, your appointment has been confirmed. We look forward to seeing you! If you have any questions, please call our office.`,
+  },
+  follow_up: {
+    name: "Follow-Up",
+    template: (firstName: string) =>
+      `Hi ${firstName}, thank you for visiting our dental office. How are you feeling after your treatment? Please let us know if you have any concerns.`,
+  },
+  payment_reminder: {
+    name: "Payment Reminder",
+    template: (firstName: string) =>
+      `Hi ${firstName}, this is a friendly reminder about your outstanding balance. Please contact our office to discuss payment options.`,
+  },
+  general: {
+    name: "General Message",
+    template: (firstName: string) =>
+      `Hi ${firstName}, this is your dental office. `,
+  },
+  custom: {
+    name: "Custom Message",
+    template: () => "",
+  },
+};
+
+export function SmsTemplateDialog({
+  open,
+  onOpenChange,
+  patient,
+}: SmsTemplateDialogProps) {
+  const [selectedTemplate, setSelectedTemplate] = useState<
+    keyof typeof MESSAGE_TEMPLATES
+  >("appointment_reminder");
+  const [customMessage, setCustomMessage] = useState("");
+  const { toast } = useToast();
+
+  const sendSmsMutation = useMutation({
+    mutationFn: async ({
+      to,
+      message,
+      patientId,
+    }: {
+      to: string;
+      message: string;
+      patientId: number;
+    }) => {
+      return apiRequest("POST", "/api/twilio/send-sms", {
+        to,
+        message,
+        patientId,
+      });
+    },
+    onSuccess: () => {
+      toast({
+        title: "SMS Sent Successfully",
+        description: `Message sent to ${patient?.firstName} ${patient?.lastName}`,
+      });
+      onOpenChange(false);
+      // Reset state
+      setSelectedTemplate("appointment_reminder");
+      setCustomMessage("");
+    },
+    onError: (error: any) => {
+      toast({
+        title: "Failed to Send SMS",
+        description:
+          error.message ||
+          "Please check your Twilio configuration and try again.",
+        variant: "destructive",
+      });
+    },
+  });
+
+  const getMessage = () => {
+    if (!patient) return "";
+
+    if (selectedTemplate === "custom") {
+      return customMessage;
+    }
+
+    return MESSAGE_TEMPLATES[selectedTemplate].template(patient.firstName);
+  };
+
+  const handleSend = () => {
+    if (!patient || !patient.phone) return;
+
+    const message = getMessage();
+    if (!message.trim()) return;
+
+    sendSmsMutation.mutate({
+      to: patient.phone,
+      message: message,
+      patientId: Number(patient.id),
+    });
+  };
+
+  const handleTemplateChange = (value: string) => {
+    const templateKey = value as keyof typeof MESSAGE_TEMPLATES;
+    setSelectedTemplate(templateKey);
+
+    // Pre-fill custom message if not custom template
+    if (templateKey !== "custom" && patient) {
+      setCustomMessage(
+        MESSAGE_TEMPLATES[templateKey].template(patient.firstName)
+      );
+    }
+  };
+
+  return (
+    <Dialog open={open} onOpenChange={onOpenChange}>
+      <DialogContent className="sm:max-w-[500px]">
+        <DialogHeader>
+          <DialogTitle className="flex items-center gap-2">
+            <MessageSquare className="h-5 w-5" />
+            Send SMS to {patient?.firstName} {patient?.lastName}
+          </DialogTitle>
+          <DialogDescription>
+            Choose a message template or write a custom message
+          </DialogDescription>
+        </DialogHeader>
+
+        <div className="space-y-4 py-4">
+          <div className="space-y-2">
+            <Label htmlFor="template">Message Template</Label>
+            <Select
+              value={selectedTemplate}
+              onValueChange={handleTemplateChange}
+            >
+              <SelectTrigger id="template" data-testid="select-sms-template">
+                <SelectValue placeholder="Select a template" />
+              </SelectTrigger>
+              <SelectContent>
+                {Object.entries(MESSAGE_TEMPLATES).map(([key, value]) => (
+                  <SelectItem key={key} value={key}>
+                    {value.name}
+                  </SelectItem>
+                ))}
+              </SelectContent>
+            </Select>
+          </div>
+
+          <div className="space-y-2">
+            <Label htmlFor="message">Message Preview</Label>
+            <Textarea
+              id="message"
+              value={
+                selectedTemplate === "custom" ? customMessage : getMessage()
+              }
+              onChange={(e) => setCustomMessage(e.target.value)}
+              placeholder="Type your message here..."
+              rows={5}
+              className="resize-none"
+              data-testid="textarea-sms-message"
+            />
+            <p className="text-xs text-muted-foreground">
+              {patient?.phone
+                ? `Will be sent to: ${patient.phone}`
+                : "No phone number available"}
+            </p>
+          </div>
+        </div>
+
+        <DialogFooter>
+          <Button variant="outline" onClick={() => onOpenChange(false)}>
+            Cancel
+          </Button>
+          <Button
+            onClick={handleSend}
+            disabled={
+              !patient?.phone ||
+              !getMessage().trim() ||
+              sendSmsMutation.isPending
+            }
+            className="gap-2"
+            data-testid="button-send-sms"
+          >
+            {sendSmsMutation.isPending ? (
+              <Loader2 className="h-4 w-4 animate-spin" />
+            ) : (
+              <Send className="h-4 w-4" />
+            )}
+            {sendSmsMutation.isPending ? "Sending..." : "Send SMS"}
+          </Button>
+        </DialogFooter>
+      </DialogContent>
+    </Dialog>
+  );
+}

apps/Frontend/src/lib/queryClient.ts

@@ -15,13 +15,25 @@ async function throwIfResNotOk(res: Response) {
 
     // Try to parse the response as JSON for a more meaningful error message
     let message = `${res.status}: ${res.statusText}`;
+
     try {
-      const errorBody = await res.json();
-      if (errorBody?.message) {
+      const errorBody = await res.clone().json();
+
+      if (errorBody?.error) {
+        message = errorBody.error;
+      } else if (errorBody?.message) {
         message = errorBody.message;
+      } else if (errorBody?.detail) {
+        message = errorBody.detail;
       }
     } catch {
-      // ignore JSON parse errors, keep default message
+      // fallback to reading raw text so no error is lost
+      try {
+        const text = await res.clone().text();
+        if (text?.trim()) {
+          message = text.trim();
+        }
+      } catch {}
     }
 
     throw new Error(message);

apps/Frontend/src/pages/appointments-page.tsx

@@ -914,6 +914,14 @@ export default function AppointmentsPage() {
                 </>
               )}
             </Button>
+            <Button disabled={true}>
+              <Shield className="h-4 w-4 mr-2" />
+              Claim Column A
+            </Button>
+            <Button disabled={true}>
+              <Shield className="h-4 w-4 mr-2" />
+              Claim Column B
+            </Button>
           </div>
         </div>
 

apps/Frontend/src/pages/database-management-page.tsx

@@ -12,6 +12,7 @@ import {
 import { useMutation, useQuery } from "@tanstack/react-query";
 import { apiRequest, queryClient } from "@/lib/queryClient";
 import { formatDateToHumanReadable } from "@/utils/dateUtils";
+import { BackupDestinationManager } from "@/components/database-management/backup-destination-manager";
 
 export default function DatabaseManagementPage() {
   const [isMobileMenuOpen, setIsMobileMenuOpen] = useState(false);
@@ -205,6 +206,9 @@ export default function DatabaseManagementPage() {
           </CardContent>
         </Card>
 
+        {/* Externa Drive automatic backup manager */}
+        <BackupDestinationManager />
+
         {/* Database Status Section */}
         <Card>
           <CardHeader>

apps/Frontend/src/pages/insurance-status-page.tsx

@@ -27,6 +27,7 @@ import { DateInput } from "@/components/ui/dateInput";
 import { QK_PATIENTS_BASE } from "@/components/patients/patient-table";
 import { PdfPreviewModal } from "@/components/insurance-status/pdf-preview-modal";
 import { useLocation } from "wouter";
+import { DdmaEligibilityButton } from "@/components/insurance-status/ddma-buton-modal";
 
 export default function InsuranceStatusPage() {
   const { user } = useAuth();
@@ -43,7 +44,7 @@ export default function InsuranceStatusPage() {
   const [dateOfBirth, setDateOfBirth] = useState<Date | null>(null);
   const [firstName, setFirstName] = useState("");
   const [lastName, setLastName] = useState("");
-  const isFormIncomplete = !memberId || !dateOfBirth || !firstName || !lastName;
+  const isFormIncomplete = !memberId || !dateOfBirth;
   const [isCheckingEligibilityStatus, setIsCheckingEligibilityStatus] =
     useState(false);
   const [isCheckingClaimStatus, setIsCheckingClaimStatus] = useState(false);
@@ -574,19 +575,25 @@ export default function InsuranceStatusPage() {
             {/* TEMP PROVIDER BUTTONS */}
             <div className="space-y-4 mt-6">
               <h3 className="text-sm font-medium text-muted-foreground">
-                Other provider checks (not working)
+                Other provider checks
               </h3>
 
               {/* Row 1 */}
               <div className="grid grid-cols-1 md:grid-cols-3 gap-4">
-                <Button
-                  className="w-full"
-                  variant="outline"
-                  disabled={isFormIncomplete}
-                >
-                  <CheckCircle className="h-4 w-4 mr-2" />
-                  Delta MA
-                </Button>
+                <DdmaEligibilityButton
+                  memberId={memberId}
+                  dateOfBirth={dateOfBirth}
+                  firstName={firstName}
+                  lastName={lastName}
+                  isFormIncomplete={isFormIncomplete}
+                  onPdfReady={(pdfId, fallbackFilename) => {
+                    setPreviewPdfId(pdfId);
+                    setPreviewFallbackFilename(
+                      fallbackFilename ?? `eligibility_ddma_${memberId}.pdf`
+                    );
+                    setPreviewOpen(true);
+                  }}
+                />
 
                 <Button
                   className="w-full"

apps/Frontend/src/pages/patient-connection-page.tsx

@@ -0,0 +1,380 @@
+import { useState } from "react";
+import { useQuery, useMutation } from "@tanstack/react-query";
+import { Sidebar } from "@/components/layout/sidebar";
+import { TopAppBar } from "@/components/layout/top-app-bar";
+import {
+  Card,
+  CardContent,
+  CardDescription,
+  CardHeader,
+  CardTitle,
+} from "@/components/ui/card";
+import { Button } from "@/components/ui/button";
+import { Input } from "@/components/ui/input";
+import { Badge } from "@/components/ui/badge";
+import {
+  Phone,
+  PhoneCall,
+  Clock,
+  User,
+  Search,
+  MessageSquare,
+  X,
+} from "lucide-react";
+import { SmsTemplateDialog } from "@/components/patient-connection/sms-template-diaog";
+import { MessageThread } from "@/components/patient-connection/message-thread";
+import { useToast } from "@/hooks/use-toast";
+import { apiRequest } from "@/lib/queryClient";
+import type { Patient } from "@repo/db/types";
+
+export default function PatientConnectionPage() {
+  const [isMobileMenuOpen, setIsMobileMenuOpen] = useState(false);
+  const [searchTerm, setSearchTerm] = useState("");
+  const [selectedPatient, setSelectedPatient] = useState<Patient | null>(null);
+  const [isSmsDialogOpen, setIsSmsDialogOpen] = useState(false);
+  const [showMessaging, setShowMessaging] = useState(false);
+  const { toast } = useToast();
+
+  const toggleMobileMenu = () => {
+    setIsMobileMenuOpen(!isMobileMenuOpen);
+  };
+
+  const makeCallMutation = useMutation({
+    mutationFn: async ({
+      to,
+      patientId,
+    }: {
+      to: string;
+      patientId: number;
+    }) => {
+      return apiRequest("POST", "/api/twilio/make-call", {
+        to,
+        message:
+          "Hello, this is a call from your dental office. We are calling to connect with you.",
+        patientId,
+      });
+    },
+    onSuccess: () => {
+      toast({
+        title: "Call Initiated",
+        description: "The call has been placed successfully.",
+      });
+    },
+    onError: (error: any) => {
+      toast({
+        title: "Call Failed",
+        description:
+          error.message || "Unable to place the call. Please try again.",
+        variant: "destructive",
+      });
+    },
+  });
+
+  // Fetch all patients from database
+  const { data: patients = [], isLoading } = useQuery<Patient[]>({
+    queryKey: ["/api/patients"],
+  });
+
+  // Filter patients based on search term
+  const filteredPatients = patients.filter((patient) => {
+    if (!searchTerm) return false;
+    const searchLower = searchTerm.toLowerCase();
+    const fullName = `${patient.firstName} ${patient.lastName}`.toLowerCase();
+    const phone = patient.phone?.toLowerCase() || "";
+    const patientId = patient.id?.toString();
+
+    return (
+      fullName.includes(searchLower) ||
+      phone.includes(searchLower) ||
+      patientId?.includes(searchLower)
+    );
+  });
+
+  // Handle calling patient via Twilio
+  const handleCall = (patient: Patient) => {
+    if (patient.phone) {
+      makeCallMutation.mutate({
+        to: patient.phone,
+        patientId: Number(patient.id),
+      });
+    }
+  };
+
+  // Handle sending SMS
+  const handleSMS = (patient: Patient) => {
+    setSelectedPatient(patient);
+    setIsSmsDialogOpen(true);
+  };
+
+  // Handle opening messaging
+  const handleOpenMessaging = (patient: Patient) => {
+    setSelectedPatient(patient);
+    setShowMessaging(true);
+  };
+
+  // Handle closing messaging
+  const handleCloseMessaging = () => {
+    setShowMessaging(false);
+    setSelectedPatient(null);
+  };
+
+  // Sample call data
+  const recentCalls = [
+    {
+      id: 1,
+      patientName: "John Bill",
+      phoneNumber: "(555) 123-4567",
+      callType: "Appointment Request",
+      status: "Completed",
+      duration: "3:45",
+      time: "2 hours ago",
+    },
+    {
+      id: 2,
+      patientName: "Emily Brown",
+      phoneNumber: "(555) 987-6543",
+      callType: "Insurance Question",
+      status: "Follow-up Required",
+      duration: "6:12",
+      time: "4 hours ago",
+    },
+    {
+      id: 3,
+      patientName: "Mike Johnson",
+      phoneNumber: "(555) 456-7890",
+      callType: "Prescription Refill",
+      status: "Completed",
+      duration: "2:30",
+      time: "6 hours ago",
+    },
+  ];
+
+  const callStats = [
+    {
+      label: "Total Calls Today",
+      value: "23",
+      icon: <Phone className="h-4 w-4" />,
+    },
+    {
+      label: "Answered Calls",
+      value: "21",
+      icon: <PhoneCall className="h-4 w-4" />,
+    },
+    {
+      label: "Average Call Time",
+      value: "4:32",
+      icon: <Clock className="h-4 w-4" />,
+    },
+    {
+      label: "Active Patients",
+      value: patients.length.toString(),
+      icon: <User className="h-4 w-4" />,
+    },
+  ];
+
+  return (
+    <div>
+      <div className="container mx-auto space-y-6">
+        <div className="flex justify-between items-center">
+          <div>
+            <h1 className="text-3xl font-bold tracking-tight">
+              Patient Connection
+            </h1>
+            <p className="text-muted-foreground">
+              Search and communicate with patients
+            </p>
+          </div>
+        </div>
+      </div>
+
+      {/* Call Statistics */}
+      <div className="grid grid-cols-1 md:grid-cols-2 lg:grid-cols-4 gap-4 mb-6">
+        {callStats.map((stat, index) => (
+          <Card key={index}>
+            <CardContent className="p-4">
+              <div className="flex items-center justify-between">
+                <div>
+                  <p className="text-sm font-medium text-muted-foreground">
+                    {stat.label}
+                  </p>
+                  <p className="text-2xl font-bold">{stat.value}</p>
+                </div>
+                <div className="text-primary">{stat.icon}</div>
+              </div>
+            </CardContent>
+          </Card>
+        ))}
+      </div>
+
+      {/* Search and Actions */}
+      <Card className="mb-6">
+        <CardHeader>
+          <CardTitle>Search Patients</CardTitle>
+          <CardDescription>
+            Search by name, phone number, or patient ID
+          </CardDescription>
+        </CardHeader>
+        <CardContent>
+          <div className="flex gap-4 mb-4">
+            <div className="flex-1 relative">
+              <Search className="absolute left-2 top-2.5 h-4 w-4 text-muted-foreground" />
+              <Input
+                placeholder="Search patient by name, phone, or ID..."
+                className="pl-8"
+                value={searchTerm}
+                onChange={(e) => setSearchTerm(e.target.value)}
+                data-testid="input-patient-search"
+              />
+            </div>
+          </div>
+
+          {/* Search Results */}
+          {searchTerm && (
+            <div className="mt-4">
+              {isLoading ? (
+                <p className="text-sm text-muted-foreground">
+                  Loading patients...
+                </p>
+              ) : filteredPatients.length > 0 ? (
+                <div className="space-y-2">
+                  <p className="text-sm font-medium mb-2">
+                    Search Results ({filteredPatients.length})
+                  </p>
+                  {filteredPatients.map((patient) => (
+                    <div
+                      key={patient.id}
+                      className="flex items-center justify-between p-3 border rounded-lg hover:bg-gray-50 transition-colors"
+                      data-testid={`patient-result-${patient.id}`}
+                    >
+                      <div className="flex-1">
+                        <p className="font-medium">
+                          {patient.firstName} {patient.lastName}
+                        </p>
+                        <p className="text-sm text-muted-foreground">
+                          {patient.phone || "No phone number"} • ID:{" "}
+                          {patient.id}
+                        </p>
+                        {patient.email && (
+                          <p className="text-xs text-muted-foreground">
+                            {patient.email}
+                          </p>
+                        )}
+                      </div>
+                      <div className="flex gap-2">
+                        <Button
+                          variant="outline"
+                          size="sm"
+                          onClick={() => handleCall(patient)}
+                          disabled={!patient.phone}
+                          data-testid={`button-call-${patient.id}`}
+                        >
+                          <Phone className="h-4 w-4 mr-1" />
+                          Call
+                        </Button>
+                        <Button
+                          variant="outline"
+                          size="sm"
+                          onClick={() => handleOpenMessaging(patient)}
+                          disabled={!patient.phone}
+                          data-testid={`button-chat-${patient.id}`}
+                        >
+                          <MessageSquare className="h-4 w-4 mr-1" />
+                          Chat
+                        </Button>
+                      </div>
+                    </div>
+                  ))}
+                </div>
+              ) : (
+                <p className="text-sm text-muted-foreground">
+                  No patients found matching "{searchTerm}"
+                </p>
+              )}
+            </div>
+          )}
+        </CardContent>
+      </Card>
+
+      {/* Recent Calls */}
+      <Card>
+        <CardHeader>
+          <CardTitle>Recent Calls</CardTitle>
+          <CardDescription>
+            View and manage recent patient calls
+          </CardDescription>
+        </CardHeader>
+        <CardContent>
+          <div className="space-y-4">
+            {recentCalls.map((call) => (
+              <div
+                key={call.id}
+                className="flex items-center justify-between p-4 border rounded-lg"
+              >
+                <div className="flex items-center space-x-4">
+                  <div className="flex-shrink-0">
+                    <Phone className="h-5 w-5 text-muted-foreground" />
+                  </div>
+                  <div>
+                    <p className="font-medium">{call.patientName}</p>
+                    <p className="text-sm text-muted-foreground">
+                      {call.phoneNumber}
+                    </p>
+                  </div>
+                  <div>
+                    <p className="text-sm font-medium">{call.callType}</p>
+                    <p className="text-xs text-muted-foreground">
+                      Duration: {call.duration}
+                    </p>
+                  </div>
+                </div>
+                <div className="flex items-center space-x-3">
+                  <Badge
+                    variant={
+                      call.status === "Completed" ? "default" : "secondary"
+                    }
+                  >
+                    {call.status}
+                  </Badge>
+                  <p className="text-xs text-muted-foreground">{call.time}</p>
+                  <Button variant="outline" size="sm">
+                    <PhoneCall className="h-4 w-4" />
+                  </Button>
+                </div>
+              </div>
+            ))}
+          </div>
+        </CardContent>
+      </Card>
+
+      {/* SMS Template Dialog */}
+      <SmsTemplateDialog
+        open={isSmsDialogOpen}
+        onOpenChange={setIsSmsDialogOpen}
+        patient={selectedPatient}
+      />
+
+      {/* Messaging Interface */}
+      {showMessaging && selectedPatient && (
+        <div className="fixed inset-0 bg-black bg-opacity-50 z-50 flex items-center justify-center p-4">
+          <div className="w-full max-w-4xl h-[80vh] bg-white rounded-lg shadow-xl relative">
+            <Button
+              variant="ghost"
+              size="icon"
+              className="absolute top-4 right-4 z-10"
+              onClick={handleCloseMessaging}
+              data-testid="button-close-messaging"
+            >
+              <X className="h-5 w-5" />
+            </Button>
+            <div className="h-full">
+              <MessageThread
+                patient={selectedPatient}
+                onBack={handleCloseMessaging}
+              />
+            </div>
+          </div>
+        </div>
+      )}
+    </div>
+  );
+}

apps/Frontend/src/utils/procedureCombos.ts

@@ -39,6 +39,30 @@ export const PROCEDURE_COMBOS: Record<
     codes: ["D0120", "D1120", "D1208", "D0220", "D0230", "D0274"],
     toothNumbers: [null, null, null, "9", "24", null], // only these two need values
   },
+  childRecallDirect3PA2BW: {
+    id: "childRecallDirect3PA2BW",
+    label: "Child Recall Direct 3PA 2BW",
+    codes: [
+      "D0120", // exam
+      "D1120", // prophy
+      "D1208", // fluoride
+      "D0220",
+      "D0230",
+      "D0230", // extra PA
+      "D0272", // 2BW
+    ],
+  },
+  childRecallDirect4PA: {
+    id: "childRecallDirect4PA",
+    label: "Child Recall Direct 4PA",
+    codes: ["D0120", "D1120", "D1208", "D0220", "D0230", "D0230", "D0230"],
+  },
+  childRecallDirect3PA: {
+    id: "childRecallDirect3PA",
+    label: "Child Recall Direct 3PA",
+    codes: ["D0120", "D1120", "D1208", "D0220", "D0230", "D0230"],
+  },
+
   childRecallDirectPANO: {
     id: "childRecallDirectPANO",
     label: "Child Recall Direct PANO",
@@ -77,6 +101,11 @@ export const PROCEDURE_COMBOS: Record<
     codes: ["D0120", "D0220", "D0230", "D0274", "D1110"],
     toothNumbers: [null, "9", "24", null, null], // only these two need values
   },
+  adultRecallDirect4PA: {
+    id: "adultRecallDirect4PA",
+    label: "Adult Recall Direct 4PA",
+    codes: ["D0120", "D1110", "D0220", "D0230", "D0230", "D0230"],
+  },
   adultRecallDirectPano: {
     id: "adultRecallDirectPano",
     label: "Adult Recall Direct - PANO",
@@ -220,6 +249,33 @@ export const PROCEDURE_COMBOS: Record<
     label: "Baby Teeth EXT",
     codes: ["D7111"],
   },
+
+  // Orthodontics
+  orthPreExamDirect: {
+    id: "orthPreExamDirect",
+    label: "Pre-Orth Exam",
+    codes: ["D9310"],
+  },
+  orthRecordDirect: {
+    id: "orthRecordDirect",
+    label: "Orth Record",
+    codes: ["D8660"],
+  },
+  orthPerioVisitDirect: {
+    id: "orthPerioVisitDirect",
+    label: "Perio Orth Visit ",
+    codes: ["D8670"],
+  },
+  orthRetentionDirect: {
+    id: "orthRetentionDirect",
+    label: "Orth Retention",
+    codes: ["D8680"],
+  },
+  orthPA: {
+    id: "orthPA",
+    label: "Orth PA",
+    codes: ["D8080", "D8670", "D8660"],
+  },
   // add more…
 };
 
@@ -263,4 +319,5 @@ export const COMBO_CATEGORIES: Record<
     "surgicalExtraction",
     "babyTeethExtraction",
   ],
+  Orthodontics: ["orthPA"],
 };

apps/SeleniumService/agent.py

@@ -1,4 +1,4 @@
-from fastapi import FastAPI, Request
+from fastapi import FastAPI, Request, HTTPException
 from fastapi.middleware.cors import CORSMiddleware
 import uvicorn
 import asyncio
@@ -7,6 +7,8 @@ from selenium_eligibilityCheckWorker import AutomationMassHealthEligibilityCheck
 from selenium_claimStatusCheckWorker import AutomationMassHealthClaimStatusCheck
 from selenium_preAuthWorker import AutomationMassHealthPreAuth
 import os
+import time
+import helpers_ddma_eligibility as hddma
 
 from dotenv import load_dotenv
 load_dotenv() 
@@ -137,6 +139,79 @@ async def start_workflow(request: Request):
             async with lock:
                 active_jobs -= 1
 
+# Endpoint:5 -  DDMA eligibility (background, OTP)
+
+async def _ddma_worker_wrapper(sid: str, data: dict, url: str):
+    """
+    Background worker that:
+      - acquires semaphore (to keep 1 selenium at a time),
+      - updates active/queued counters,
+      - runs the DDMA flow via helpers.start_ddma_run.
+    """
+    global active_jobs, waiting_jobs
+    async with semaphore:
+        async with lock:
+            waiting_jobs -= 1
+            active_jobs += 1
+        try:
+            await hddma.start_ddma_run(sid, data, url)
+        finally:
+            async with lock:
+                active_jobs -= 1
+
+
+@app.post("/ddma-eligibility")
+async def ddma_eligibility(request: Request):
+    """
+    Starts a DDMA eligibility session in the background.
+    Body: { "data": { ... }, "url"?: string }
+    Returns: { status: "started", session_id: "<uuid>" }
+    """
+    global waiting_jobs
+
+    body = await request.json()
+    data = body.get("data", {})
+
+    # create session
+    sid = hddma.make_session_entry()
+    hddma.sessions[sid]["type"] = "ddma_eligibility"
+    hddma.sessions[sid]["last_activity"] = time.time()
+
+    async with lock:
+        waiting_jobs += 1
+
+    # run in background (queued under semaphore)
+    asyncio.create_task(_ddma_worker_wrapper(sid, data, url="https://providers.deltadentalma.com/onboarding/start/"))
+
+    return {"status": "started", "session_id": sid}
+
+
+@app.post("/submit-otp")
+async def submit_otp(request: Request):
+    """
+    Body: { "session_id": "<sid>", "otp": "123456" }
+    Node / frontend call this when user provides OTP.
+    """
+    body = await request.json()
+    sid = body.get("session_id")
+    otp = body.get("otp")
+    if not sid or not otp:
+        raise HTTPException(status_code=400, detail="session_id and otp required")
+
+    res = hddma.submit_otp(sid, otp)
+    if res.get("status") == "error":
+        raise HTTPException(status_code=400, detail=res.get("message"))
+    return res
+
+
+@app.get("/session/{sid}/status")
+async def session_status(sid: str):
+    s = hddma.get_session_status(sid)
+    if s.get("status") == "not_found":
+        raise HTTPException(status_code=404, detail="session not found")
+    return s
+
+
 # ✅ Status Endpoint
 @app.get("/status")
 async def get_status():

apps/SeleniumService/helpers_ddma_eligibility.py

@@ -0,0 +1,248 @@
+import os
+import time
+import asyncio
+from typing import Dict, Any
+from selenium.webdriver.common.by import By
+from selenium.webdriver.support.ui import WebDriverWait
+from selenium.webdriver.support import expected_conditions as EC
+from selenium.common.exceptions import WebDriverException
+
+from selenium_DDMA_eligibilityCheckWorker import AutomationDeltaDentalMAEligibilityCheck
+
+# In-memory session store
+sessions: Dict[str, Dict[str, Any]] = {}
+
+SESSION_OTP_TIMEOUT = int(os.getenv("SESSION_OTP_TIMEOUT", "120"))  # seconds
+
+
+def make_session_entry() -> str:
+    """Create a new session entry and return its ID."""
+    import uuid
+    sid = str(uuid.uuid4())
+    sessions[sid] = {
+        "status": "created",     # created -> running -> waiting_for_otp -> otp_submitted -> completed / error
+        "created_at": time.time(),
+        "last_activity": time.time(),
+        "bot": None,             # worker instance
+        "driver": None,          # selenium webdriver
+        "otp_event": asyncio.Event(),
+        "otp_value": None,
+        "result": None,
+        "message": None,
+        "type": None,
+    }
+    return sid
+
+
+async def cleanup_session(sid: str, message: str | None = None):
+    """
+    Close driver (if any), wake OTP waiter, set final state, and remove session entry.
+    Idempotent: safe to call multiple times.
+    """
+    s = sessions.get(sid)
+    if not s:
+        return
+    try:
+        # Ensure final state
+        try:
+            if s.get("status") not in ("completed", "error", "not_found"):
+                s["status"] = "error"
+            if message:
+                s["message"] = message
+        except Exception:
+            pass
+
+        # Wake any OTP waiter (so awaiting coroutines don't hang)
+        try:
+            ev = s.get("otp_event")
+            if ev and not ev.is_set():
+                ev.set()
+        except Exception:
+            pass
+
+        # Attempt to quit driver (may already be dead)
+        driver = s.get("driver")
+        if driver:
+            try:
+                driver.quit()
+            except Exception:
+                # ignore errors from quit (session already gone)
+                pass
+
+    finally:
+        # Remove session entry from map
+        sessions.pop(sid, None)
+        print(f"[helpers] cleaned session {sid}")
+
+async def _remove_session_later(sid: str, delay: int = 20):
+    await asyncio.sleep(delay)
+    await cleanup_session(sid)
+
+
+async def start_ddma_run(sid: str, data: dict, url: str):
+    """
+    Run the DDMA workflow for a session (WITHOUT managing semaphore/counters).
+    Called by agent.py inside a wrapper that handles queue/counters.
+    """
+    s = sessions.get(sid)
+    if not s:
+        return {"status": "error", "message": "session not found"}
+
+    s["status"] = "running"
+    s["last_activity"] = time.time()
+
+    try:
+        bot = AutomationDeltaDentalMAEligibilityCheck({"data": data})
+        bot.config_driver()
+
+        s["bot"] = bot
+        s["driver"] = bot.driver
+        s["last_activity"] = time.time()
+
+        # Navigate to login URL
+        try:
+            if not url:
+                raise ValueError("URL not provided for DDMA run")
+            bot.driver.maximize_window()
+            bot.driver.get(url)
+            await asyncio.sleep(1)
+        except Exception as e:
+            s["status"] = "error"
+            s["message"] = f"Navigation failed: {e}"
+            await cleanup_session(sid)
+            return {"status": "error", "message": s["message"]}
+
+        # Login
+        try:
+            login_result = bot.login(url)
+        except WebDriverException as wde:
+            s["status"] = "error"
+            s["message"] = f"Selenium driver error during login: {wde}"
+            await cleanup_session(sid, s["message"])
+            return {"status": "error", "message": s["message"]}
+        except Exception as e:
+            s["status"] = "error"
+            s["message"] = f"Unexpected error during login: {e}"
+            await cleanup_session(sid, s["message"])
+            return {"status": "error", "message": s["message"]}
+
+        # OTP required path
+        if isinstance(login_result, str) and login_result == "OTP_REQUIRED":
+            s["status"] = "waiting_for_otp"
+            s["message"] = "OTP required for login"
+            s["last_activity"] = time.time()
+
+            try:
+                await asyncio.wait_for(s["otp_event"].wait(), timeout=SESSION_OTP_TIMEOUT)
+            except asyncio.TimeoutError:
+                s["status"] = "error"
+                s["message"] = "OTP timeout"
+                await cleanup_session(sid)
+                return {"status": "error", "message": "OTP not provided in time"}
+
+            otp_value = s.get("otp_value")
+            if not otp_value:
+                s["status"] = "error"
+                s["message"] = "OTP missing after event"
+                await cleanup_session(sid)
+                return {"status": "error", "message": "OTP missing after event"}
+
+            # Submit OTP in the same Selenium window
+            try:
+                driver = s["driver"]
+                wait = WebDriverWait(driver, 30)
+
+                otp_input = wait.until(
+                    EC.presence_of_element_located(
+                        (By.XPATH, "//input[contains(@aria-lable,'Verification code') or contains(@placeholder,'Enter your verification code')]")
+                    )
+                )
+                otp_input.clear()
+                otp_input.send_keys(otp_value)
+
+                try:
+                    submit_btn = wait.until(
+                        EC.element_to_be_clickable(
+                            (By.XPATH, "//button[@type='button' and @aria-label='Verify']")
+                        )
+                    )
+                    submit_btn.click()
+                except Exception:
+                    otp_input.send_keys("\n")
+
+                s["status"] = "otp_submitted"
+                s["last_activity"] = time.time()
+                await asyncio.sleep(0.5)
+
+            except Exception as e:
+                s["status"] = "error"
+                s["message"] = f"Failed to submit OTP into page: {e}"
+                await cleanup_session(sid)
+                return {"status": "error", "message": s["message"]}
+
+        elif isinstance(login_result, str) and login_result.startswith("ERROR"):
+            s["status"] = "error"
+            s["message"] = login_result
+            await cleanup_session(sid)
+            return {"status": "error", "message": login_result}
+
+        # Step 1
+        step1_result = bot.step1()
+        if isinstance(step1_result, str) and step1_result.startswith("ERROR"):
+            s["status"] = "error"
+            s["message"] = step1_result
+            await cleanup_session(sid)
+            return {"status": "error", "message": step1_result}
+
+        # Step 2 (PDF)
+        step2_result = bot.step2()
+        if isinstance(step2_result, dict) and step2_result.get("status") == "success":
+            s["status"] = "completed"
+            s["result"] = step2_result
+            s["message"] = "completed"
+            asyncio.create_task(_remove_session_later(sid, 30))
+            return step2_result
+        else:
+            s["status"] = "error"
+            if isinstance(step2_result, dict):
+                s["message"] = step2_result.get("message", "unknown error")
+            else:
+                s["message"] = str(step2_result)
+            await cleanup_session(sid)
+            return {"status": "error", "message": s["message"]}
+
+    except Exception as e:
+        s["status"] = "error"
+        s["message"] = f"worker exception: {e}"
+        await cleanup_session(sid)
+        return {"status": "error", "message": s["message"]}
+
+
+def submit_otp(sid: str, otp: str) -> Dict[str, Any]:
+    """Set OTP for a session and wake waiting runner."""
+    s = sessions.get(sid)
+    if not s:
+        return {"status": "error", "message": "session not found"}
+    if s.get("status") != "waiting_for_otp":
+        return {"status": "error", "message": f"session not waiting for otp (state={s.get('status')})"}
+    s["otp_value"] = otp
+    s["last_activity"] = time.time()
+    try:
+        s["otp_event"].set()
+    except Exception:
+        pass
+    return {"status": "ok", "message": "otp accepted"}
+
+
+def get_session_status(sid: str) -> Dict[str, Any]:
+    s = sessions.get(sid)
+    if not s:
+        return {"status": "not_found"}
+    return {
+        "session_id": sid,
+        "status": s.get("status"),
+        "message": s.get("message"),
+        "created_at": s.get("created_at"),
+        "last_activity": s.get("last_activity"),
+        "result": s.get("result") if s.get("status") == "completed" else None,
+    }

apps/SeleniumService/selenium_DDMA_eligibilityCheckWorker.py

@@ -0,0 +1,298 @@
+from selenium import webdriver
+from selenium.common.exceptions import WebDriverException, TimeoutException
+from selenium.webdriver.chrome.service import Service
+from selenium.webdriver.common.by import By
+from selenium.webdriver.common.keys import Keys
+from selenium.webdriver.support.ui import WebDriverWait
+from selenium.webdriver.support import expected_conditions as EC
+from webdriver_manager.chrome import ChromeDriverManager
+import time
+import os
+import base64
+
+class AutomationDeltaDentalMAEligibilityCheck:    
+    def __init__(self, data):
+        self.headless = False
+        self.driver = None
+
+        self.data = data.get("data", {}) if isinstance(data, dict) else {}
+
+
+        # Flatten values for convenience
+        self.memberId = self.data.get("memberId", "")
+        self.dateOfBirth = self.data.get("dateOfBirth", "")
+        self.massddma_username = self.data.get("massddmaUsername", "")
+        self.massddma_password = self.data.get("massddmaPassword", "")
+
+        self.download_dir = os.path.abspath("seleniumDownloads")
+        os.makedirs(self.download_dir, exist_ok=True)
+
+    def config_driver(self):
+        options = webdriver.ChromeOptions()
+        if self.headless:
+            options.add_argument("--headless")
+
+        # Add PDF download preferences
+        prefs = {
+            "download.default_directory": self.download_dir,
+            "plugins.always_open_pdf_externally": True,
+            "download.prompt_for_download": False,
+            "download.directory_upgrade": True
+        }
+        options.add_experimental_option("prefs", prefs)
+
+        s = Service(ChromeDriverManager().install())
+        driver = webdriver.Chrome(service=s, options=options)
+        self.driver = driver
+
+    def login(self, url):
+        wait = WebDriverWait(self.driver, 30)
+        try:
+            self.driver.get(url)
+            email_field = wait.until(EC.presence_of_element_located((By.XPATH, "//input[@name='username' and @type='text']")))
+            email_field.clear()
+            email_field.send_keys(self.massddma_username)
+
+            password_field = wait.until(EC.presence_of_element_located((By.XPATH, "//input[@name='password' and @type='password']")))
+            password_field.clear()
+            password_field.send_keys(self.massddma_password)
+
+            # remember me
+            try:
+                remember_me_checkbox = wait.until(EC.element_to_be_clickable(
+                    (By.XPATH, "//label[.//span[contains(text(),'Remember me')]]")
+                ))
+                remember_me_checkbox.click()
+            except:
+                print("[login] Remember me checkbox not found (continuing).")
+
+            login_button = wait.until(EC.element_to_be_clickable((By.XPATH, "//button[@type='submit' and @aria-label='Sign in']")))
+            login_button.click()
+
+            # OTP detection
+            try:
+                otp_candidate = WebDriverWait(self.driver, 30).until(
+                    EC.presence_of_element_located(
+                        (By.XPATH, "//input[contains(@aria-lable,'Verification code') or contains(@placeholder,'Enter your verification code')]")
+                    )
+                )
+                if otp_candidate:
+                    print("[login] OTP input detected -> OTP_REQUIRED")
+                    return "OTP_REQUIRED"
+            except TimeoutException:
+                print("[login] No OTP input detected in allowed time.")
+        except Exception as e:
+            print("[login] Exception during login:", e)
+            return f"ERROR:LOGIN FAILED: {e}"
+
+    def step1(self):
+        wait = WebDriverWait(self.driver, 30)
+
+        try:
+            # Fill Member ID
+            member_id_input = wait.until(EC.presence_of_element_located((By.XPATH, '//input[@placeholder="Search by member ID"]')))
+            member_id_input.clear()
+            member_id_input.send_keys(self.memberId)
+
+            # Fill DOB parts
+            try:
+                dob_parts = self.dateOfBirth.split("-")
+                year = dob_parts[0]           # "1964"
+                month = dob_parts[1].zfill(2) # "04"
+                day = dob_parts[2].zfill(2)   # "17"
+            except Exception as e:
+                print(f"Error parsing DOB: {e}")
+                return "ERROR: PARSING DOB"
+
+             # 1) locate the specific member DOB container
+            dob_container = wait.until(
+                EC.presence_of_element_located(
+                    (By.XPATH, "//div[@data-testid='member-search_date-of-birth']")
+                )
+            )
+
+            # 2) find the editable spans *inside that container* using relative XPaths
+            month_elem = dob_container.find_element(By.XPATH, ".//span[@data-type='month' and @contenteditable='true']")
+            day_elem   = dob_container.find_element(By.XPATH, ".//span[@data-type='day'   and @contenteditable='true']")
+            year_elem  = dob_container.find_element(By.XPATH, ".//span[@data-type='year'  and @contenteditable='true']")
+
+            # Helper to click, select-all and type (pure send_keys approach)
+            def replace_with_sendkeys(el, value):
+                # focus (same as click)
+                el.click()
+                # select all (Ctrl+A) and delete (some apps pick up BACKSPACE better — we use BACKSPACE after select)
+                el.send_keys(Keys.CONTROL, "a")
+                el.send_keys(Keys.BACKSPACE)
+                # type the value
+                el.send_keys(value)
+                # optionally blur or tab out if app expects it
+                # el.send_keys(Keys.TAB)
+
+            replace_with_sendkeys(month_elem, month)
+            time.sleep(0.05)
+            replace_with_sendkeys(day_elem, day)
+            time.sleep(0.05)
+            replace_with_sendkeys(year_elem, year)
+
+
+            # Click Continue button
+            continue_btn = wait.until(EC.element_to_be_clickable((By.XPATH, '//button[@data-testid="member-search_search-button"]')))
+            continue_btn.click()
+            
+            # Check for error message
+            try:
+                error_msg = WebDriverWait(self.driver, 5).until(EC.presence_of_element_located(
+                    (By.XPATH, '//div[@data-testid="member-search-result-no-results"]')
+                ))
+                if error_msg:
+                    print("Error: Invalid Member ID or Date of Birth.")
+                    return  "ERROR: INVALID MEMBERID OR DOB"
+            except TimeoutException:
+                pass
+
+            return "Success"
+
+        except Exception as e: 
+            print(f"Error while step1 i.e Cheking the MemberId and DOB in: {e}")
+            return "ERROR:STEP1"
+
+    
+    def step2(self):
+        wait = WebDriverWait(self.driver, 90)
+
+        try:
+            # 1) find the eligibility <a> inside the correct cell
+            status_link = wait.until(EC.presence_of_element_located((
+                By.XPATH,
+                "(//tbody//tr)[1]//a[contains(@href, 'member-eligibility-search')]"
+            )))
+
+            eligibilityText = status_link.text.strip().lower()
+
+            # 2) finding patient name. 
+            patient_name_div = wait.until(EC.presence_of_element_located((
+                By.XPATH,
+                '//div[@class="flex flex-row w-full items-center"]'
+            )))
+
+            patientName = patient_name_div.text.strip().lower()
+
+
+
+            try:
+                WebDriverWait(self.driver, 30).until(
+                    lambda d: d.execute_script("return document.readyState") == "complete"
+                )
+            except Exception:
+                print("Warning: document.readyState did not become 'complete' within timeout")
+
+            # Give some time for lazy content to finish rendering (adjust if needed)
+            time.sleep(0.6)
+
+            # Get total page size and DPR
+            total_width = int(self.driver.execute_script(
+                "return Math.max(document.body.scrollWidth, document.documentElement.scrollWidth, document.documentElement.clientWidth);"
+            ))
+            total_height = int(self.driver.execute_script(
+                "return Math.max(document.body.scrollHeight, document.documentElement.scrollHeight, document.documentElement.clientHeight);"
+            ))
+            dpr = float(self.driver.execute_script("return window.devicePixelRatio || 1;"))
+
+            # Set device metrics to the full page size so Page.captureScreenshot captures everything
+            # Note: Some pages are extremely tall; if you hit memory limits, you can capture in chunks.
+            self.driver.execute_cdp_cmd('Emulation.setDeviceMetricsOverride', {
+                "mobile": False,
+                "width": total_width,
+                "height": total_height,
+                "deviceScaleFactor": dpr,
+                "screenOrientation": {"angle": 0, "type": "portraitPrimary"}
+            })
+
+            # Small pause for layout to settle after emulation change
+            time.sleep(0.15)
+
+            # Capture screenshot (base64 PNG)
+            result = self.driver.execute_cdp_cmd("Page.captureScreenshot", {"format": "png", "fromSurface": True})
+            image_data = base64.b64decode(result.get('data', ''))
+            screenshot_path = os.path.join(self.download_dir, f"ss_{self.memberId}.png")
+            with open(screenshot_path, "wb") as f:
+                f.write(image_data)
+
+            # Restore original metrics to avoid affecting further interactions
+            try:
+                self.driver.execute_cdp_cmd('Emulation.clearDeviceMetricsOverride', {})
+            except Exception:
+                # non-fatal: continue
+                pass
+
+            print("Screenshot saved at:", screenshot_path)
+            output = {
+                    "status": "success",
+                    "eligibility": eligibilityText,
+                    "ss_path": screenshot_path,
+                    "patientName":patientName
+                }
+            return output
+        except Exception as e:
+            print("ERROR in step2:", e)
+            # Empty the download folder (remove files / symlinks only)
+            try:
+                dl = os.path.abspath(self.download_dir)
+                if os.path.isdir(dl):
+                    for name in os.listdir(dl):
+                        item = os.path.join(dl, name)
+                        try:
+                            if os.path.isfile(item) or os.path.islink(item):
+                                os.remove(item)
+                                print(f"[cleanup] removed: {item}")
+                        except Exception as rm_err:
+                            print(f"[cleanup] failed to remove {item}: {rm_err}")
+                    print(f"[cleanup] emptied download dir: {dl}")
+                else:
+                    print(f"[cleanup] download dir does not exist: {dl}")
+            except Exception as cleanup_exc:
+                print(f"[cleanup] unexpected error while cleaning downloads dir: {cleanup_exc}")
+            return {"status": "error", "message": str(e)}
+
+        finally:
+            # Keep your existing quit behavior; if you want the driver to remain open for further
+            # actions, remove or change this.
+            if self.driver:
+                try:
+                    self.driver.quit()
+                except Exception:
+                    pass
+
+    def main_workflow(self, url):
+        try: 
+            self.config_driver()
+            self.driver.maximize_window()
+            time.sleep(3)
+
+            login_result = self.login(url)
+            if login_result.startswith("ERROR"):
+                return {"status": "error", "message": login_result}
+            if login_result == "OTP_REQUIRED":
+                return {"status": "otp_required", "message": "OTP required after login"}
+
+            step1_result = self.step1()
+            if step1_result.startswith("ERROR"):
+                return {"status": "error", "message": step1_result}
+
+            step2_result = self.step2()
+            if step2_result.get("status") == "error":
+                return {"status": "error", "message": step2_result.get("message")}
+
+            return step2_result
+        except Exception as e: 
+            return {
+                "status": "error",
+                "message": e
+            }
+        
+        finally:
+            try:
+                if self.driver:
+                    self.driver.quit()
+            except Exception:
+                pass

docs/server-setup.md

@@ -0,0 +1,43 @@
+# Server Setup Guide
+
+## 1. Update System Packages
+```bash
+sudo apt update && sudo apt upgrade -y
+```
+
+## 2. Install Node.js (LTS)
+```bash
+curl -fsSL https://deb.nodesource.com/setup_lts.x | sudo -E bash -
+sudo apt install -y nodejs
+
+node -v
+npm -v
+```
+
+## 3. Install Python 3
+```bash
+sudo apt install -y python3 python3-pip python3-venv
+
+python3 --version
+pip3 --version
+```
+
+## 4. Pip global config : 
+```bash
+sudo bash -c 'echo -e "[global]\nbreak-system-packages = true" > /etc/pip.conf'
+```
+
+-- this is optional, either create a venv for separate python based app in repo, or simply have global permissson by this.
+
+## 4. Install PostgreSQL
+```bash
+sudo apt install -y postgresql postgresql-contrib
+
+sudo systemctl start postgresql
+sudo systemctl enable postgresql
+```
+
+## 5. Install Git
+```bash
+sudo apt install -y git
+```

package.json

@@ -8,9 +8,9 @@
     "lint": "turbo run lint",
     "check-types": "turbo run check-types",
     "format": "prettier --write \"**/*.{ts,tsx,md}\"",
-    "db:generate": "prisma generate --schema=packages/db/prisma/schema.prisma && ts-node packages/db/scripts/patch-zod-buffer.ts",
-    "db:migrate": "dotenv -e packages/db/.env -- prisma migrate dev --schema=packages/db/prisma/schema.prisma",
-    "db:seed": "prisma db seed --schema=packages/db/prisma/schema.prisma",
+    "db:generate": "npx prisma generate --config=packages/db/prisma/prisma.config.ts --schema=packages/db/prisma/schema.prisma && npx ts-node packages/db/scripts/patch-prisma-imports.ts && ts-node packages/db/scripts/patch-zod-buffer.ts",
+    "db:migrate": "npx prisma migrate dev --config=packages/db/prisma/prisma.config.ts --schema=packages/db/prisma/schema.prisma",
+    "db:seed": "npx prisma db seed --config=packages/db/prisma/prisma.config.ts --schema=packages/db/prisma/schema.prisma",
     "setup:env": "shx cp packages/db/prisma/.env.example packages/db/prisma/.env && shx cp apps/Frontend/.env.example apps/Frontend/.env && shx cp apps/Backend/.env.example apps/Backend/.env && shx cp apps/PatientDataExtractorService/.env.example apps/PatientDataExtractorService/.env && shx cp apps/SeleniumService/.env.example apps/SeleniumService/.env && shx cp apps/PaymentOCRService/.env.example apps/PaymentOCRService/.env",
     "postinstall": "npm --prefix apps/PatientDataExtractorService run postinstall && npm --prefix apps/PaymentOCRService run postinstall"
   },
@@ -21,7 +21,6 @@
     "@types/react-redux": "^7.1.34",
     "prettier": "^3.5.3",
     "prettier-plugin-tailwindcss": "^0.6.11",
-    "prisma": "^6.16.2",
     "turbo": "^2.5.3"
   },
   "engines": {
@@ -33,11 +32,12 @@
     "packages/*"
   ],
   "dependencies": {
-    "@prisma/client": "^6.16.2",
+    "@prisma/client": "^7.0.1",
     "@reduxjs/toolkit": "^2.8.2",
     "decimal.js": "^10.6.0",
     "dotenv": "^16.5.0",
     "dotenv-cli": "^8.0.0",
+    "prisma": "^7.0.1",
     "react-redux": "^9.2.0",
     "shx": "^0.4.0"
   }

packages/db/docs/migration-case-fresh-baseline.md

@@ -0,0 +1,197 @@
+
+These are the approach, required in special case when: 
+we migrating db from backup file to one pc1 to pc2. where pc1 was in dev mode. 
+
+so to just get the data from backup db, and start fresh migrations with prisma in pc2. we follow below approach. 
+else, we need to copy the pc1 migrations folder as well. instead of below approach.
+
+
+# ✅ Starting point (what we already have)
+
+* `backup.tar.gz` on PC2
+* `prisma/schema.prisma` (from GitHub) in your repo
+* `.env` with `DATABASE_URL` (or `packages/db/.env` used by your scripts)
+
+---
+
+# 1 — Extract and restore the DB backup
+
+```bash
+# create extraction dir and extract
+mkdir -p /tmp/dental_dump_dir
+tar -xzf /path/to/backup.tar.gz -C /tmp/dental_dump_dir
+
+# create DB (if not exists) and restore (data-only or custom format)
+PGPASSWORD='mypassword' createdb -U postgres -h localhost -O postgres dentalapp
+PGPASSWORD='mypassword' pg_restore -U postgres -h localhost -d dentalapp -j 4 /tmp/dental_dump_dir
+# (or use /usr/lib/postgresql/<ver>/bin/pg_restore if version mismatch)
+```
+
+---
+
+# 2 — Confirm DB has tables
+
+```bash
+PGPASSWORD='mypassword' psql -U postgres -h localhost -d dentalapp -c "\dt"
+```
+
+---
+
+# 3 — (If needed) fix postgres user password / auth
+
+If `createdb` or `pg_restore` fails with password auth:
+
+```bash
+# set postgres role password
+sudo -u postgres psql -c "ALTER ROLE postgres WITH PASSWORD 'mypassword';"
+```
+---
+
+# 4 — Inspect `_prisma_migrations` in restored DB
+
+```bash
+PGPASSWORD='mypassword' psql -U postgres -h localhost -d dentalapp -c "SELECT id, migration_name, finished_at FROM _prisma_migrations ORDER BY finished_at;"
+```
+
+**Why:** the backup included `_prisma_migrations` from the original PC, which causes Prisma to detect "missing migrations" locally.
+
+---
+
+# 5 — (If present) remove old Prisma bookkeeping from DB
+
+> We prefer to *not* use the old history from PC1 and create a fresh baseline on PC2.
+
+```bash
+# truncate migration records (bookkeeping only)
+PGPASSWORD='mypassword' psql -U postgres -h localhost -d dentalapp -c "TRUNCATE TABLE _prisma_migrations;"
+# verify
+PGPASSWORD='mypassword' psql -U postgres -h localhost -d dentalapp -c "SELECT count(*) FROM _prisma_migrations;"
+```
+
+**Why:** remove migration rows copied from PC1 so we can register a clean baseline for PC2.
+
+---
+
+# 6 — Create a migrations directory + baseline migration folder (bookkeeping)
+
+From project root (where `prisma/schema.prisma` lives — in your repo it’s `packages/db/prisma/schema.prisma`):
+
+```bash
+# create migrations dir if missing (adjust path if your prisma folder is elsewhere)
+mkdir -p packages/db/prisma/migrations
+
+# create a timestamped folder (example uses date command)
+folder="packages/db/prisma/migrations/$(date +%Y%m%d%H%M%S)_init"
+mkdir -p "$folder"
+
+# create placeholder migration files
+cat > "$folder/migration.sql" <<'SQL'
+-- Baseline migration for PC2 (will be replaced with real SQL)
+SQL
+
+cat > "$folder/README.md" <<'TXT'
+Initial baseline migration created on PC2.
+This is intended as a bookkeeping-only migration.
+TXT
+
+# confirm folder name
+ls -la packages/db/prisma/migrations
+```
+
+**Why:** Prisma requires at least one migration file locally as a baseline.
+
+---
+
+# 7 — Generate the full baseline SQL (so Prisma’s expected schema matches DB)
+
+Use Prisma `migrate diff` to produce SQL that creates your current schema, writing it into the migration file you created:
+
+```bash
+# replace the folder name with the real one printed above, e.g. 20251203101323_init
+npx prisma migrate diff \
+  --from-empty \
+  --to-schema-datamodel=packages/db/prisma/schema.prisma \
+  --script > packages/db/prisma/migrations/20251203101323_init/migration.sql
+```
+
+If your shell complains about line breaks, run the whole command on one line (as above).
+
+**Fallback (if `migrate diff` not available):**
+
+```bash
+PGPASSWORD='mypassword' pg_dump -U postgres -h localhost -s dentalapp > /tmp/dental_schema.sql
+cp /tmp/dental_schema.sql packages/db/prisma/migrations/20251203101323_init/migration.sql
+```
+
+**Why:** this makes the migration file contain CREATE TABLE / CREATE TYPE / FK / INDEX statements matching the DB so Prisma's expected schema = actual DB.
+
+---
+
+# 8 — Register the baseline migration with Prisma (using the exact env/schema your scripts use)
+
+Important: use same env file and `--schema` (and `--config` if used) that your npm script uses. Example for your repo:
+
+```bash
+# from repo root, mark applied for the migrations folder we created
+npx dotenv -e packages/db/.env -- npx prisma migrate resolve --applied "20251203101323_init" --schema=packages/db/prisma/schema.prisma
+```
+
+**Why:** record the baseline in `_prisma_migrations` with the checksum matching the `migration.sql` file.
+
+---
+
+
+# 9 — Verify status and generate client
+
+```bash
+# same env/schema flags
+npx dotenv -e packages/db/.env -- npx prisma migrate status --schema=packages/db/prisma/schema.prisma
+
+npx dotenv -e packages/db/.env -- npx prisma generate --schema=packages/db/prisma/schema.prisma
+```
+
+You should see:
+
+```
+1 migration found in prisma/migrations
+Database schema is up to date!
+```
+
+---
+
+# 10 — Run your project migration command (global npm script)
+
+Now run:
+
+```bash
+npm run db:migrate
+# or, if your script uses flags, it will use the same schema/env
+```
+
+It should no longer print drift or ask to reset.
+
+---
+
+# 11 — Extra / troubleshooting commands we used (keep these handy)
+
+* Inspect migration rows:
+
+```bash
+PGPASSWORD='mypassword' psql -U postgres -h localhost -d dentalapp -c "SELECT id,migration_name,finished_at FROM _prisma_migrations ORDER BY finished_at;"
+```
+
+* Recreate DB from saved backup (if needed):
+
+
+```bash
+PGPASSWORD='mypassword' dropdb -U postgres -h localhost dentalapp
+PGPASSWORD='mypassword' createdb -U postgres -h localhost dentalapp
+PGPASSWORD='mypassword' pg_restore -U postgres -h localhost -d dentalapp /path/to/backup.dump
+```
+
+* Show top of a file:
+
+```bash
+sed -n '1,60p' packages/db/prisma/migrations/20251203101323_init/migration.sql
+```
+

packages/db/docs/migration.md

@@ -119,7 +119,7 @@ DATABASE_URL=postgresql://postgres:mypassword@localhost:5432/dentalapp
 
 # 🧠 Step 7 — Tips
 
-- Use the same PostgreSQL version as the main PC.
+- IMP: Use the same PostgreSQL version as the main PC. - currently more than v17.
 
 - For large databases, use parallel restore for speed:
 
@@ -150,3 +150,11 @@ sudo apt install -y postgresql-client-17
 ```
 PGPASSWORD='mypassword' /usr/lib/postgresql/17/bin/pg_restore -v -U postgres -h localhost -C -d postgres ./backup.dump
 ```
+
+
+# If error comes while creating normal db with password: 
+
+- then, give the postgres user its password. 
+```
+sudo -u postgres psql -c "ALTER ROLE postgres WITH PASSWORD 'mypassword';"
+```

packages/db/package.json

@@ -12,18 +12,18 @@
   "type": "commonjs",
   "exports": {
     "./client": "./src/index.ts",
-    "./shared/schemas" : "./shared/schemas/index.ts",
-    "./usedSchemas" : "./usedSchemas/index.ts",
-    "./generated/prisma" : "./generated/prisma/index.d.ts",
-    "./types" : "./types/index.ts"
+    "./shared/schemas": "./shared/schemas/index.ts",
+    "./usedSchemas": "./usedSchemas/index.ts",
+    "./types": "./types/index.ts"
   },
   "dependencies": {
-    "@prisma/client": "^6.10.0",
-    "prisma-zod-generator": "^0.8.13"
+    "@prisma/adapter-pg": "^7.0.1",
+    "@prisma/client": "^7.0.0",
+    "prisma-zod-generator": "^2.1.2"
   },
   "devDependencies": {
     "@types/node": "^22.15.17",
-    "prisma": "^6.7.0",
+    "prisma": "^7.0.0",
     "tsx": "^4.19.4",
     "typescript": "^5.8.2"
   }

packages/db/prisma/prisma.config.ts

@@ -0,0 +1,12 @@
+import dotenv from "dotenv";
+import path from "path";
+import { defineConfig, env } from "prisma/config";
+
+dotenv.config({ path: path.resolve(__dirname, ".env") });
+
+export default defineConfig({
+  schema: "schema.prisma",
+  datasource: {
+    url: env("DATABASE_URL"),
+  },
+});

packages/db/prisma/schema.prisma

@@ -16,7 +16,6 @@ generator zod {
 
 datasource db {
   provider = "postgresql"
-  url      = env("DATABASE_URL")
 }
 
 model User {
@@ -30,9 +29,11 @@ model User {
   insuranceCredentials InsuranceCredential[]
   updatedPayments      Payment[]             @relation("PaymentUpdatedBy")
   backups              DatabaseBackup[]
+  backupDestinations   BackupDestination[]
   notifications        Notification[]
   cloudFolders         CloudFolder[]
   cloudFiles           CloudFile[]
+  communications       Communication[]
 }
 
 model Patient {
@@ -60,6 +61,7 @@ model Patient {
   claims            Claim[]
   groups            PdfGroup[]
   payment           Payment[]
+  communications    Communication[]
 
   @@index([insuranceId])
   @@index([createdAt])
@@ -300,6 +302,7 @@ enum PaymentMethod {
   OTHER
 }
 
+// Database management page
 model DatabaseBackup {
   id        Int      @id @default(autoincrement())
   userId    Int
@@ -311,6 +314,16 @@ model DatabaseBackup {
   @@index([createdAt])
 }
 
+model BackupDestination {
+  id        Int      @id @default(autoincrement())
+  userId    Int
+  path      String
+  isActive  Boolean  @default(true)
+  createdAt DateTime @default(now())
+
+  user User @relation(fields: [userId], references: [id])
+}
+
 model Notification {
   id        Int               @id @default(autoincrement())
   userId    Int
@@ -379,3 +392,46 @@ model CloudFileChunk {
   @@unique([fileId, seq])
   @@index([fileId, seq])
 }
+
+// patient-connection-
+enum CommunicationChannel {
+  sms
+  voice
+}
+
+enum CommunicationDirection {
+  outbound
+  inbound
+}
+
+enum CommunicationStatus {
+  queued
+  sent
+  delivered
+  failed
+  completed
+  busy
+  no_answer
+}
+
+model Communication {
+  id        Int  @id @default(autoincrement())
+  patientId Int
+  userId    Int?
+
+  channel   CommunicationChannel
+  direction CommunicationDirection
+  status    CommunicationStatus
+
+  body         String?
+  callDuration Int?
+  twilioSid    String?
+
+  createdAt DateTime @default(now())
+
+  // Relations
+  patient Patient @relation(fields: [patientId], references: [id])
+  user    User?   @relation(fields: [userId], references: [id])
+
+  @@map("communications")
+}

packages/db/scripts/patch-prisma-imports.ts

@@ -0,0 +1,274 @@
+#!/usr/bin/env ts-node
+/**
+ * patch-prisma-imports.ts (SAFE)
+ *
+ * - Converts value-level imports/exports of `Prisma` -> type-only imports/exports
+ *   (splits mixed imports).
+ * - Replaces runtime usages of `Prisma.Decimal` -> `Decimal`.
+ * - Ensures exactly one `import Decimal from "decimal.js";` per file.
+ * - DEDICATED: only modifies TypeScript source files (.ts/.tsx).
+ * - SKIPS: files under packages/db/generated/prisma (the Prisma runtime package).
+ *
+ * Usage:
+ *   npx ts-node packages/db/scripts/patch-prisma-imports.ts
+ *
+ * Run after `prisma generate` (and make sure generated runtime .js are restored
+ * if they were modified — see notes below).
+ */
+
+import fs from "fs";
+import path from "path";
+import fg from "fast-glob";
+
+const repoRoot = process.cwd();
+const GENERATED_FRAGMENT = path.join("packages", "db", "generated", "prisma");
+
+// Only operate on TS sources (do NOT touch .js)
+const GLOBS = [
+  "packages/db/shared/**/*.ts",
+  "packages/db/shared/**/*.tsx",
+  "packages/db/generated/**/*.ts",
+  "packages/db/generated/**/*.tsx",
+];
+
+// -------------------- helpers --------------------
+
+function isFromGeneratedPrisma(fromPath: string) {
+  // match relative imports that include generated/prisma
+  return (
+    fromPath.includes("generated/prisma") ||
+    fromPath.includes("/generated/prisma") ||
+    fromPath.includes("\\generated\\prisma")
+  );
+}
+
+function splitSpecifiers(list: string) {
+  return list
+    .split(",")
+    .map((s) => s.trim())
+    .filter(Boolean);
+}
+
+function buildNamedImport(specs: string[]) {
+  return `{ ${specs.join(", ")} }`;
+}
+
+function extractDecimalLines(src: string) {
+  const lines = src.split(/\r?\n/);
+  const matches: number[] = [];
+
+  const regexes = [
+    /^import\s+Decimal\s+from\s+['"]decimal\.js['"]\s*;?/,
+    /^import\s+\{\s*Decimal\s*\}\s+from\s+['"]decimal\.js['"]\s*;?/,
+    /^import\s+\*\s+as\s+Decimal\s+from\s+['"]decimal\.js['"]\s*;?/,
+    /^(const|let|var)\s+Decimal\s*=\s*require\(\s*['"]decimal\.js['"]\s*\)\s*;?/,
+    /^(const|let|var)\s+Decimal\s*=\s*require\(\s*['"]decimal\.js['"]\s*\)\.default\s*;?/,
+  ];
+
+  lines.forEach((line, i) => {
+    for (const re of regexes) {
+      if (re.test(line)) {
+        matches.push(i);
+        break;
+      }
+    }
+  });
+
+  return { lines, matches };
+}
+
+function ensureSingleDecimalImport(src: string) {
+  const { lines, matches } = extractDecimalLines(src);
+
+  if (matches.length === 0) return src;
+
+  // remove all matched import/require lines
+  // do in reverse index order to keep indices valid
+  matches
+    .slice()
+    .sort((a, b) => b - a)
+    .forEach((idx) => lines.splice(idx, 1));
+
+  let result = lines.join("\n");
+
+  // insert single canonical import if missing
+  if (!/import\s+Decimal\s+from\s+['"]decimal\.js['"]/.test(result)) {
+    const importBlockMatch = result.match(/^(?:\s*import[\s\S]*?;\r?\n)+/);
+    if (importBlockMatch && importBlockMatch.index !== undefined) {
+      const idx = importBlockMatch[0].length;
+      result =
+        result.slice(0, idx) +
+        `\nimport Decimal from "decimal.js";\n` +
+        result.slice(idx);
+    } else {
+      result = `import Decimal from "decimal.js";\n` + result;
+    }
+  }
+
+  // collapse excessive blank lines
+  result = result.replace(/\n{3,}/g, "\n\n");
+
+  return result;
+}
+
+function replacePrismaDecimalRuntime(src: string) {
+  if (!/\bPrisma\.Decimal\b/.test(src)) return { out: src, changed: false };
+
+  // mask import/export-from lines so we don't accidentally change them
+  const placeholder =
+    "__MASK_IMPORT_EXPORT__" + Math.random().toString(36).slice(2);
+  const saved: string[] = [];
+
+  const masked = src.replace(
+    /(^\s*(?:import|export)\s+[\s\S]*?from\s+['"][^'"]+['"]\s*;?)/gm,
+    (m) => {
+      saved.push(m);
+      return `${placeholder}${saved.length - 1}__\n`;
+    }
+  );
+
+  const replaced = masked.replace(/\bPrisma\.Decimal\b/g, "Decimal");
+
+  const restored = replaced.replace(
+    new RegExp(`${placeholder}(\\d+)__\\n`, "g"),
+    (_m, i) => saved[Number(i)] || ""
+  );
+
+  return { out: restored, changed: true };
+}
+
+// -------------------- patching logic --------------------
+
+function patchFileContent(src: string, filePath: string) {
+  // safety: do not edit runtime prisma package files
+  const normalized = path.normalize(filePath);
+  if (normalized.includes(path.normalize(GENERATED_FRAGMENT))) {
+    // skip any files inside packages/db/generated/prisma
+    return { out: src, changed: false, skipped: true };
+  }
+
+  let out = src;
+  let changed = false;
+
+  // 1) Named imports
+  out = out.replace(
+    /import\s+(?!type)(\{[^}]+\})\s+from\s+(['"])([^'"]+)\2\s*;?/gm,
+    (match, specBlock: string, q: string, fromPath: string) => {
+      if (!isFromGeneratedPrisma(fromPath)) return match;
+
+      const specList = specBlock.replace(/^\{|\}$/g, "").trim();
+      const specs = splitSpecifiers(specList);
+
+      const prismaEntries = specs.filter((s) =>
+        /^\s*Prisma(\s+as\s+\w+)?\s*$/.test(s)
+      );
+      const otherEntries = specs.filter(
+        (s) => !/^\s*Prisma(\s+as\s+\w+)?\s*$/.test(s)
+      );
+
+      if (prismaEntries.length === 0) return match;
+
+      changed = true;
+      let replacement = `import type ${buildNamedImport(prismaEntries)} from ${q}${fromPath}${q};`;
+      if (otherEntries.length > 0) {
+        replacement += `\nimport ${buildNamedImport(otherEntries)} from ${q}${fromPath}${q};`;
+      }
+      return replacement;
+    }
+  );
+
+  // 2) Named exports
+  out = out.replace(
+    /export\s+(?!type)(\{[^}]+\})\s+from\s+(['"])([^'"]+)\2\s*;?/gm,
+    (match, specBlock: string, q: string, fromPath: string) => {
+      if (!isFromGeneratedPrisma(fromPath)) return match;
+
+      const specList = specBlock.replace(/^\{|\}$/g, "").trim();
+      const specs = splitSpecifiers(specList);
+
+      const prismaEntries = specs.filter((s) =>
+        /^\s*Prisma(\s+as\s+\w+)?\s*$/.test(s)
+      );
+      const otherEntries = specs.filter(
+        (s) => !/^\s*Prisma(\s+as\s+\w+)?\s*$/.test(s)
+      );
+
+      if (prismaEntries.length === 0) return match;
+
+      changed = true;
+      let replacement = `export type ${buildNamedImport(prismaEntries)} from ${q}${fromPath}${q};`;
+      if (otherEntries.length > 0) {
+        replacement += `\nexport ${buildNamedImport(otherEntries)} from ${q}${fromPath}${q};`;
+      }
+      return replacement;
+    }
+  );
+
+  // 3) Namespace imports
+  out = out.replace(
+    /import\s+\*\s+as\s+([A-Za-z0-9_$]+)\s+from\s+(['"])([^'"]+)\2\s*;?/gm,
+    (match, ns: string, q: string, fromPath: string) => {
+      if (!isFromGeneratedPrisma(fromPath)) return match;
+      changed = true;
+      return `import type * as ${ns} from ${q}${fromPath}${q};`;
+    }
+  );
+
+  // 4) Default imports
+  out = out.replace(
+    /import\s+(?!type)([A-Za-z0-9_$]+)\s+from\s+(['"])([^'"]+)\2\s*;?/gm,
+    (match, binding: string, q: string, fromPath: string) => {
+      if (!isFromGeneratedPrisma(fromPath)) return match;
+      changed = true;
+      return `import type ${binding} from ${q}${fromPath}${q};`;
+    }
+  );
+
+  // 5) Replace Prisma.Decimal -> Decimal safely
+  if (/\bPrisma\.Decimal\b/.test(out)) {
+    const { out: decimalOut, changed: decimalChanged } =
+      replacePrismaDecimalRuntime(out);
+    out = decimalOut;
+    if (decimalChanged) changed = true;
+    // Ensure a single Decimal import exists
+    out = ensureSingleDecimalImport(out);
+  }
+
+  return { out, changed, skipped: false };
+}
+
+// -------------------- runner --------------------
+
+async function run() {
+  const files = await fg(GLOBS, { absolute: true, cwd: repoRoot, dot: true });
+  if (!files || files.length === 0) {
+    console.warn(
+      "No files matched. Check the GLOBS patterns and run from repo root."
+    );
+    return;
+  }
+
+  for (const file of files) {
+    try {
+      const src = fs.readFileSync(file, "utf8");
+      const { out, changed, skipped } = patchFileContent(src, file);
+      if (skipped) {
+        // intentionally skipped runtime-prisma files
+        continue;
+      }
+      if (changed && out !== src) {
+        fs.writeFileSync(file, out, "utf8");
+        console.log("patched:", path.relative(repoRoot, file));
+      }
+    } catch (err) {
+      console.error("failed patching", file, err);
+    }
+  }
+
+  console.log("done.");
+}
+
+run().catch((err) => {
+  console.error(err);
+  process.exit(1);
+});

packages/db/src/index.ts

@@ -1,8 +1,152 @@
-import { PrismaClient } from "../generated/prisma";
+import dotenv from "dotenv";
+dotenv.config();
 
-const globalForPrisma = global as unknown as { prisma: PrismaClient };
+type AnyFn = new (...a: any[]) => any;
+let PrismaClientCtor: AnyFn | undefined;
 
+// --- load generated or installed PrismaClient ctor ---
+try {
+  // prefer the local generated client in the monorepo
+  // eslint-disable-next-line @typescript-eslint/no-var-requires, @typescript-eslint/no-require-imports
+  const local = require("../generated/prisma");
+  PrismaClientCtor =
+    local.PrismaClient ||
+    local.default ||
+    (typeof local === "function" ? local : undefined);
+} catch (e) {
+  try {
+    // eslint-disable-next-line @typescript-eslint/no-var-requires, @typescript-eslint/no-require-imports
+    const installed = require("@prisma/client");
+    PrismaClientCtor =
+      installed.PrismaClient ||
+      installed.default ||
+      (typeof installed === "function" ? installed : undefined);
+  } catch (e2) {
+    throw new Error(
+      "Unable to load PrismaClient from local generated client or @prisma/client. Run `npm run db:generate` and ensure the generated client exists."
+    );
+  }
+}
+
+if (!PrismaClientCtor) {
+  throw new Error(
+    "PrismaClient constructor not found in loaded prisma package."
+  );
+}
+
+type PrismaClientType = InstanceType<typeof PrismaClientCtor>;
+const globalForPrisma = global as unknown as { prisma?: PrismaClientType };
+
+// --- robust adapter loader & diagnostics ---
+function tryLoadPgAdapter() {
+  try {
+    // require the package
+    // eslint-disable-next-line @typescript-eslint/no-var-requires, @typescript-eslint/no-require-imports
+    const mod = require("@prisma/adapter-pg");
+
+    // possible export names we've seen in docs / examples
+    const candidates = [
+      "PrismaPg",
+      "PrismaPgAdapter",
+      "PrismaPgAdapterDefault",
+      "default",
+    ];
+
+    for (const name of candidates) {
+      const candidate = (mod &&
+        (mod[name] || (name === "default" && mod.default))) as any;
+      if (typeof candidate === "function") {
+        return { ctor: candidate, usedExport: name, module: mod };
+      }
+    }
+
+    // if module itself is a ctor (commonjs default export)
+    if (typeof mod === "function") {
+      return { ctor: mod, usedExport: "moduleAsCtor", module: mod };
+    }
+
+    // no usable export found
+    return { ctor: undefined, usedExport: undefined, module: mod };
+  } catch (err: any) {
+    return { error: err };
+  }
+}
+
+function createPgAdapterInstance(ctor: any) {
+  const dbUrl = process.env.DATABASE_URL;
+  // different adapter versions accept different option names; attempt common ones
+  const tryOptions = [
+    { connectionString: dbUrl },
+    { url: dbUrl },
+    { connectionString: dbUrl || "" },
+    { url: dbUrl || "" },
+  ];
+
+  for (const opts of tryOptions) {
+    try {
+      const inst = new ctor(opts);
+      return { instance: inst, optsUsed: opts };
+    } catch (err) {
+      // ignore and try next shape
+    }
+  }
+
+  // final attempt: no args
+  try {
+    return { instance: new ctor(), optsUsed: null };
+  } catch (err) {
+    return { instance: undefined };
+  }
+}
+
+// Try to load adapter only for Postgres projects (your schema shows provider = "postgresql")
+const adapterLoadResult = tryLoadPgAdapter();
+
+if (adapterLoadResult.error) {
+  // adapter package couldn't be required at all
+  console.warn(
+    "[prisma-adapter] require('@prisma/adapter-pg') failed:",
+    adapterLoadResult.error.message || adapterLoadResult.error
+  );
+}
+
+let adapter: any | undefined;
+
+if (adapterLoadResult.ctor) {
+  const { instance, optsUsed } = createPgAdapterInstance(
+    adapterLoadResult.ctor
+  );
+  adapter = instance;
+  // console.info("[prisma-adapter] Found adapter export:", adapterLoadResult.usedExport, "optsUsed:", optsUsed);
+} else if (adapterLoadResult.module) {
+  console.warn(
+    "[prisma-adapter] module loaded but no ctor export found. Keys:",
+    Object.keys(adapterLoadResult.module)
+  );
+}
+
+// If adapter couldn't be constructed, fail loud — constructing PrismaClient without adapter on v7 causes obscure __internal errors.
+if (!adapter) {
+  const missing = adapterLoadResult.error
+    ? "package-not-installed"
+    : "no-export-or-constructor";
+  const msg = [
+    "Prisma adapter for Postgres could not be created.",
+    `reason=${missing}`,
+    "To fix: ensure you have @prisma/adapter-pg installed in the package where this code runs and that its peer 'pg' (node-postgres) is resolvable.",
+    "Examples:",
+    "  npm install @prisma/adapter-pg pg",
+    "or in monorepo: npm --workspace packages/db install @prisma/adapter-pg pg",
+    "After installing, run: npm run db:generate and restart dev server.",
+  ].join(" ");
+  // throw so we don't instantiate PrismaClient and get the __internal crash
+  throw new Error(msg);
+}
+
+// instantiate prisma with adapter
 export const prisma =
-  globalForPrisma.prisma || new PrismaClient();
+  globalForPrisma.prisma || new PrismaClientCtor({ adapter });
 
-if (process.env.NODE_ENV !== "production") globalForPrisma.prisma = prisma;
+if (process.env.NODE_ENV !== "production") {
+  globalForPrisma.prisma = prisma;
+}

packages/db/types/databaseBackup-types.ts

@@ -1,6 +1,10 @@
-import { DatabaseBackupUncheckedCreateInputObjectSchema } from "@repo/db/usedSchemas";
+import { DatabaseBackupUncheckedCreateInputObjectSchema, BackupDestinationUncheckedCreateInputObjectSchema } from "@repo/db/usedSchemas";
 import { z } from "zod";
 
 export type DatabaseBackup = z.infer<
   typeof DatabaseBackupUncheckedCreateInputObjectSchema
 >;
+
+export type BackupDestination = z.infer<
+  typeof BackupDestinationUncheckedCreateInputObjectSchema
+>;

packages/db/types/index.ts

@@ -10,3 +10,4 @@ export * from "./databaseBackup-types";
 export * from "./notifications-types";
 export * from "./cloudStorage-types";
 export * from "./payments-reports-types";
+export * from "./patientConnection-types";

packages/db/types/patientConnection-types.ts

@@ -0,0 +1,42 @@
+import { CommunicationUncheckedCreateInputObjectSchema } from "@repo/db/usedSchemas";
+import { z } from "zod";
+
+/**
+ * Full Communication type (Prisma unchecked create input)
+ */
+export type Communication = z.infer<
+  typeof CommunicationUncheckedCreateInputObjectSchema
+>;
+
+/**
+ * Insert Communication
+ * - excludes auto-generated fields
+ */
+export const insertCommunicationSchema = (
+  CommunicationUncheckedCreateInputObjectSchema as unknown as z.ZodObject<any>
+).omit({
+  id: true,
+  createdAt: true,
+});
+
+export type InsertCommunication = z.infer<
+  typeof insertCommunicationSchema
+>;
+
+/**
+ * Update Communication
+ * - excludes immutable fields
+ * - makes everything optional
+ */
+export const updateCommunicationSchema = (
+  CommunicationUncheckedCreateInputObjectSchema as unknown as z.ZodObject<any>
+)
+  .omit({
+    id: true,
+    createdAt: true,
+  })
+  .partial();
+
+export type UpdateCommunication = z.infer<
+  typeof updateCommunicationSchema
+>;

packages/db/usedSchemas/index.ts

@@ -16,5 +16,7 @@ export * from '../shared/schemas/enums/PaymentStatus.schema'
 export * from '../shared/schemas/enums/NotificationTypes.schema'
 export * from '../shared/schemas/objects/NotificationUncheckedCreateInput.schema'
 export * from '../shared/schemas/objects/DatabaseBackupUncheckedCreateInput.schema'
+export * from '../shared/schemas/objects/BackupDestinationUncheckedCreateInput.schema'
 export * from '../shared/schemas/objects/CloudFolderUncheckedCreateInput.schema'
 export * from '../shared/schemas/objects/CloudFileUncheckedCreateInput.schema'
+export * from '../shared/schemas/objects/CommunicationUncheckedCreateInput.schema'