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, ClaimUncheckedCreateInputObjectSchema, } from "@repo/db/usedSchemas"; import { AlertCircle, CheckCircle, Clock, FileCheck } from "lucide-react"; import { parse, format } from "date-fns"; import { z } from "zod"; import { apiRequest, queryClient } from "@/lib/queryClient"; import { useLocation } from "wouter"; import RecentClaims from "@/components/claims/recent-claims"; import { Button } from "@/components/ui/button"; //creating types out of schema auto generated. type Appointment = z.infer; type Claim = 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 [isMhPopupOpen, setIsMhPopupOpen] = useState(false); const [selectedPatient, setSelectedPatient] = useState(null); const { toast } = useToast(); const { user } = useAuth(); const [claimFormData, setClaimFormData] = useState({ patientId: null, serviceDate: "", }); const [claimRes, setClaimRes] = useState(null); // 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: ${error.message}`, variant: "destructive", }); }, }); // Update patient mutation const updatePatientMutation = useMutation({ mutationFn: async ({ id, patient, }: { id: number; patient: UpdatePatient; }) => { const res = await apiRequest("PUT", `/api/patients/${id}`, patient); return res.json(); }, onSuccess: () => { queryClient.invalidateQueries({ queryKey: ["/api/patients/"] }); toast({ title: "Success", description: "Patient updated successfully!", variant: "default", }); }, onError: (error) => { toast({ title: "Error", description: `Failed to update 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: ${error.message}`, variant: "destructive", }); }, }); // Update appointment mutation const updateAppointmentMutation = useMutation({ mutationFn: async ({ id, appointment, }: { id: number; appointment: UpdateAppointment; }) => { const res = await apiRequest( "PUT", `/api/appointments/${id}`, appointment ); return await res.json(); }, onSuccess: () => { toast({ title: "Success", description: "Appointment updated successfully.", }); queryClient.invalidateQueries({ queryKey: ["/api/appointments/all"] }); queryClient.invalidateQueries({ queryKey: ["/api/patients/"] }); }, onError: (error: Error) => { toast({ title: "Error", description: `Failed to update appointment: ${error.message}`, variant: "destructive", }); }, }); // selenium pdf download handler const handleSeleniumPopup = async (actionType: string) => { try { if (!claimRes?.id || !selectedPatient) { throw new Error("Missing claim or patient selection"); } const res = await apiRequest("POST", "/api/claims/selenium/fetchpdf", { action: actionType, patientId: selectedPatient, claimId: claimRes.id, }); const result = await res.json(); toast({ title: "Success", description: "MH action completed.", }); setIsMhPopupOpen(false); } catch (error: any) { toast({ title: "Error", description: error.message, variant: "destructive", }); } }; // Converts local date to exact UTC date with no offset issues function parseLocalDate(dateInput: Date | string): Date { if (dateInput instanceof Date) return dateInput; const dateString = dateInput.split("T")[0] || dateInput; const parts = dateString.split("-"); if (parts.length !== 3) { throw new Error(`Invalid date format: ${dateString}`); } const year = Number(parts[0]); const month = Number(parts[1]); const day = Number(parts[2]); if (Number.isNaN(year) || Number.isNaN(month) || Number.isNaN(day)) { throw new Error(`Invalid date parts in date string: ${dateString}`); } return new Date(year, month - 1, day); // month is 0-indexed } const handleAppointmentSubmit = async ( appointmentData: InsertAppointment | UpdateAppointment ): Promise => { const rawDate = parseLocalDate(appointmentData.date); const formattedDate = rawDate.toLocaleDateString("en-CA"); // YYYY-MM-DD format // Prepare minimal data to update/create const minimalData = { date: rawDate.toLocaleDateString("en-CA"), // "YYYY-MM-DD" format startTime: appointmentData.startTime || "09:00", endTime: appointmentData.endTime || "09:30", staffId: appointmentData.staffId, }; // Find existing appointment for this patient on the same date const existingAppointment = appointments.find( (a) => a.patientId === appointmentData.patientId && new Date(a.date).toLocaleDateString("en-CA") === formattedDate ); if (existingAppointment && typeof existingAppointment.id === "number") { // Update appointment with only date updateAppointmentMutation.mutate({ id: existingAppointment.id, appointment: minimalData, }); return existingAppointment.id; } return new Promise((resolve, reject) => { createAppointmentMutation.mutate( { ...minimalData, patientId: appointmentData.patientId, userId: user?.id, title: "Scheduled Appointment", type: "checkup", }, { onSuccess: (newAppointment) => { resolve(newAppointment.id); }, onError: (error) => { toast({ title: "Error", description: "Could not create appointment", variant: "destructive", }); reject(error); }, } ); }); }; const createClaimMutation = useMutation({ mutationFn: async (claimData: any) => { const res = await apiRequest("POST", "/api/claims/", claimData); return res.json(); }, onSuccess: (data) => { setClaimRes(data); toast({ title: "Claim submitted successfully", variant: "default", }); }, 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]); const toggleMobileMenu = () => { setIsMobileMenuOpen(!isMobileMenuOpen); }; const handleNewClaim = (patientId: number) => { setSelectedPatient(patientId); setIsClaimFormOpen(true); const patient = patients.find((p) => p.id === patientId); if (!patient) return; prefillClaimForm(patient); }; const closeClaim = () => { setIsClaimFormOpen(false); setSelectedPatient(null); setClaimFormData({ patientId: null, serviceDate: "", }); // Remove query parameters without reload const url = new URL(window.location.href); url.searchParams.delete("memberId"); url.searchParams.delete("dob"); url.searchParams.delete("name"); // Use history.replaceState to update the URL without reloading window.history.replaceState({}, document.title, url.toString()); }; const prefillClaimForm = (patient: Patient) => { const patientAppointments = appointments .filter((a) => a.patientId === patient.id) .sort((a, b) => new Date(b.date).getTime() - new Date(a.date).getTime()); const lastAppointment = patientAppointments[0]; // most recent const dateToUse = lastAppointment ? parseLocalDate(lastAppointment.date) : new Date(); setClaimFormData((prev: any) => ({ ...prev, patientId: patient.id, serviceDate: dateToUse.toLocaleDateString("en-CA"), // consistent "YYYY-MM-DD" })); }; 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 = parse(dob, "M/d/yyyy", new Date()); // robust for "4/17/1964", "12/1/1975", etc. const isValidDob = !isNaN(parsedDob.getTime()); const newPatient: InsertPatient = { firstName, lastName, dateOfBirth: isValidDob ? format(parsedDob, "yyyy-MM-dd") : format(new Date(), "yyyy-MM-dd"), gender: "", phone: "", userId: user?.id ?? 1, status: "active", insuranceId: memberId, }; addPatientMutation.mutate(newPatient, { onSuccess: (created) => { setSelectedPatient(created.id); prefillClaimForm(created); setIsClaimFormOpen(true); }, }); } } }, [memberId, dob]); 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 = patients.reduce( (acc, patient) => { const patientAppointments = appointments .filter((appt) => appt.patientId === patient.id) .sort( (a, b) => new Date(b.date).getTime() - new Date(a.date).getTime() ); // Sort descending by date if (patientAppointments.length > 0) { const latestAppointment = patientAppointments[0]; acc.push({ patientId: patient.id, patientName: `${patient.firstName} ${patient.lastName}`, appointmentId: latestAppointment!.id, insuranceProvider: patient.insuranceProvider || "N/A", insuranceId: patient.insuranceId || "N/A", lastAppointment: String(latestAppointment!.date), }); } return acc; }, [] as Array<{ patientId: number; patientName: string; appointmentId: number; insuranceProvider: string; insuranceId: string; lastAppointment: string; }> ); // Update Patient ( for insuranceId and Insurance Provider) const handleUpdatePatient = (patient: UpdatePatient & { id?: number }) => { if (patient && user) { const { id, ...sanitizedPatient } = patient; updatePatientMutation.mutate({ id: Number(patient.id), patient: sanitizedPatient, }); } else { console.error("No current patient or user found for update"); toast({ title: "Error", description: "Cannot update patient: No patient or user found", variant: "destructive", }); } }; // handle selenium const handleSelenium = async (data: any) => { const formData = new FormData(); formData.append("data", JSON.stringify(data)); const uploadedFiles: File[] = data.uploadedFiles ?? []; uploadedFiles.forEach((file: File) => { formData.append("pdfs", file); }); try { const response = await apiRequest( "POST", "/api/claims/selenium", formData ); const result = await response.json(); toast({ title: "Selenium service notified", description: "Your claim data was successfully sent to Selenium.", variant: "default", }); setIsMhPopupOpen(true); return result; } catch (error: any) { toast({ title: "Selenium service error", description: error.message || "An error occurred.", variant: "destructive", }); } }; 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)); } 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: (typeof patientsWithAppointments)[number]) => (
handleNewClaim(item.patientId)} >

{item.patientName}

Insurance:{" "} {getDisplayProvider(item.insuranceProvider)} ID: {item.insuranceId} Last Visit:{" "} {parseLocalDate( item.lastAppointment ).toLocaleDateString("en-CA")}
) )}
) : (

No eligible patients for claims

Patients with appointments will appear here for insurance claim processing

)}
{/* Recent Claims Section */}
{/* Claim Form Modal */} {isClaimFormOpen && selectedPatient !== null && ( )} {isMhPopupOpen && (

Selenium Handler

)}
); }