import { useState, useEffect, useMemo } from "react"; import { useMutation, useQuery } from "@tanstack/react-query"; import { TopAppBar } from "@/components/layout/top-app-bar"; import { Sidebar } from "@/components/layout/sidebar"; import { Card, CardHeader, CardTitle, CardContent } from "@/components/ui/card"; import { ClaimForm } from "@/components/claims/claim-form"; import { useToast } from "@/hooks/use-toast"; import { useAuth } from "@/hooks/use-auth"; import { PatientUncheckedCreateInputObjectSchema, AppointmentUncheckedCreateInputObjectSchema, } from "@repo/db/usedSchemas"; import { FileCheck, CheckCircle, Clock, AlertCircle } from "lucide-react"; import { format } from "date-fns"; import { z } from "zod"; import { apiRequest, queryClient } from "@/lib/queryClient"; import { useLocation } from "wouter"; //creating types out of schema auto generated. type Appointment = z.infer; const insertAppointmentSchema = ( AppointmentUncheckedCreateInputObjectSchema as unknown as z.ZodObject ).omit({ id: true, createdAt: true, }); type InsertAppointment = z.infer; const updateAppointmentSchema = ( AppointmentUncheckedCreateInputObjectSchema as unknown as z.ZodObject ) .omit({ id: true, createdAt: true, }) .partial(); type UpdateAppointment = z.infer; const PatientSchema = ( PatientUncheckedCreateInputObjectSchema as unknown as z.ZodObject ).omit({ appointments: true, }); type Patient = z.infer; const insertPatientSchema = ( PatientUncheckedCreateInputObjectSchema as unknown as z.ZodObject ).omit({ id: true, createdAt: true, }); type InsertPatient = z.infer; const updatePatientSchema = ( PatientUncheckedCreateInputObjectSchema as unknown as z.ZodObject ) .omit({ id: true, createdAt: true, userId: true, }) .partial(); type UpdatePatient = z.infer; export default function ClaimsPage() { const [isMobileMenuOpen, setIsMobileMenuOpen] = useState(false); const [isClaimFormOpen, setIsClaimFormOpen] = useState(false); const [selectedPatient, setSelectedPatient] = useState(null); const [selectedAppointment, setSelectedAppointment] = useState( null ); const { toast } = useToast(); const { user } = useAuth(); const [claimFormData, setClaimFormData] = useState({ patientId: null, carrier: "", doctorName: "", serviceDate: "", clinicalNotes: "", serviceLines: [], }); // Fetch patients const { data: patients = [], isLoading: isLoadingPatients } = useQuery< Patient[] >({ queryKey: ["/api/patients/"], queryFn: async () => { const res = await apiRequest("GET", "/api/patients/"); return res.json(); }, enabled: !!user, }); // Fetch appointments const { data: appointments = [] as Appointment[], isLoading: isLoadingAppointments, } = useQuery({ queryKey: ["/api/appointments/all"], queryFn: async () => { const res = await apiRequest("GET", "/api/appointments/all"); return res.json(); }, enabled: !!user, }); // Add patient mutation const addPatientMutation = useMutation({ mutationFn: async (patient: InsertPatient) => { const res = await apiRequest("POST", "/api/patients/", patient); return res.json(); }, onSuccess: (newPatient) => { queryClient.invalidateQueries({ queryKey: ["/api/patients/"] }); toast({ title: "Success", description: "Patient added successfully!", variant: "default", }); }, onError: (error) => { toast({ title: "Error", description: `Failed to add patient: ${error.message}`, variant: "destructive", }); }, }); // Create appointment mutation const createAppointmentMutation = useMutation({ mutationFn: async (appointment: InsertAppointment) => { const res = await apiRequest("POST", "/api/appointments/", appointment); return await res.json(); }, onSuccess: () => { toast({ title: "Success", description: "Appointment created successfully.", }); // Invalidate both appointments and patients queries queryClient.invalidateQueries({ queryKey: ["/api/appointments/all"] }); queryClient.invalidateQueries({ queryKey: ["/api/patients/"] }); }, onError: (error: Error) => { toast({ title: "Error", description: `Failed to create appointment: ${error.message}`, variant: "destructive", }); }, }); const createClaimMutation = useMutation({ mutationFn: async (claimData: any) => { const res = await apiRequest("POST", "/api/claims/", claimData); return res.json(); }, onSuccess: () => { toast({ title: "Claim submitted successfully", variant: "default", }); closeClaim(); // optionally refetch claims or appointments if needed }, onError: (error: any) => { toast({ title: "Error submitting claim", description: error.message, variant: "destructive", }); }, }); const [location] = useLocation(); // gets path, e.g. "/claims" const { name, memberId, dob } = useMemo(() => { const search = window.location.search; // this gets the real query string const params = new URLSearchParams(search); return { name: params.get("name") || "", memberId: params.get("memberId") || "", dob: params.get("dob") || "", }; }, [location]); // <== re-run when route changes const toggleMobileMenu = () => { setIsMobileMenuOpen(!isMobileMenuOpen); }; const handleNewClaim = (patientId: number, appointmentId: number) => { setSelectedPatient(patientId); setSelectedAppointment(appointmentId); setIsClaimFormOpen(true); const patient = patients.find((p) => p.id === patientId); if (!patient) return; prefillClaimForm(patient); }; const closeClaim = () => { setIsClaimFormOpen(false); setSelectedPatient(null); setSelectedAppointment(null); setClaimFormData({ patientId: null, carrier: "", doctorName: "", serviceDate: "", clinicalNotes: "", serviceLines: [], }); }; const prefillClaimForm = (patient: Patient) => { const lastAppointment = appointments.find( (a) => a.patientId === patient.id ); setClaimFormData((prev: any) => ({ ...prev, patientId: patient.id, carrier: patient.insuranceProvider || "", doctorName: user?.username || "", serviceDate: lastAppointment ? new Date(lastAppointment.date).toISOString().slice(0, 10) : new Date().toISOString().slice(0, 10), clinicalNotes: "", serviceLines: [], })); }; useEffect(() => { if (memberId && dob) { const matchingPatient = patients.find( (p) => p.insuranceId?.toLowerCase().trim() === memberId.toLowerCase().trim() ); if (matchingPatient) { setSelectedPatient(matchingPatient.id); prefillClaimForm(matchingPatient); setIsClaimFormOpen(true); } else { const [firstName, ...rest] = name.trim().split(" "); const lastName = rest.join(" ") || ""; const parsedDob = new Date(dob); const isValidDob = !isNaN(parsedDob.getTime()); const newPatient: InsertPatient = { firstName, lastName, dateOfBirth: isValidDob ? parsedDob : new Date(), gender: "", phone: "", userId: user?.id ?? 1, status: "active", insuranceId: memberId, }; addPatientMutation.mutate(newPatient, { onSuccess: (created) => { setSelectedPatient(created.id); prefillClaimForm(created); setIsClaimFormOpen(true); }, }); } } }, [memberId, dob, patients]); function handleClaimSubmit(claimData: any) { createClaimMutation.mutate(claimData); } const getDisplayProvider = (provider: string) => { const insuranceMap: Record = { delta: "Delta Dental", metlife: "MetLife", cigna: "Cigna", aetna: "Aetna", }; return insuranceMap[provider?.toLowerCase()] || provider; }; // Get unique patients with appointments const patientsWithAppointments = appointments.reduce( (acc, appointment) => { if (!acc.some((item) => item.patientId === appointment.patientId)) { const patient = patients.find((p) => p.id === appointment.patientId); if (patient) { acc.push({ patientId: patient.id, patientName: `${patient.firstName} ${patient.lastName}`, appointmentId: Number(appointment.id), insuranceProvider: patient.insuranceProvider || "N/A", insuranceId: patient.insuranceId || "N/A", lastAppointment: String(appointment.date), }); } } return acc; }, [] as Array<{ patientId: number; patientName: string; appointmentId: number; insuranceProvider: string; insuranceId: string; lastAppointment: string; }> ); return (
{/* Header */}

Insurance Claims

Manage and submit insurance claims for patients

{/* New Claims Section */}
{ if (patientsWithAppointments.length > 0) { const firstPatient = patientsWithAppointments[0]; handleNewClaim( Number(firstPatient?.patientId), Number(firstPatient?.appointmentId) ); } else { toast({ title: "No patients available", description: "There are no patients with appointments to create a claim", }); } }} >

New Claims

Recent Patients for Claims {isLoadingPatients || isLoadingAppointments ? (
Loading patients data...
) : patientsWithAppointments.length > 0 ? (
{patientsWithAppointments.map((item) => (
handleNewClaim(item.patientId, item.appointmentId) } >

{item.patientName}

Insurance: {getDisplayProvider(item.insuranceProvider)} ID: {item.insuranceId} Last Visit:{" "} {new Date( item.lastAppointment ).toLocaleDateString()}
))}
) : (

No eligible patients for claims

Patients with appointments will appear here for insurance claim processing

)}
{/* Claim Form Modal */} {isClaimFormOpen && selectedPatient !== null && ( )}
); }