123 lines
3.5 KiB
TypeScript
123 lines
3.5 KiB
TypeScript
import { useState } from "react";
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import { Button } from "@/components/ui/button";
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import { Input } from "@/components/ui/input";
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import { Label } from "@/components/ui/label";
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import {
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Dialog,
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DialogContent,
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DialogDescription,
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DialogHeader,
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DialogTitle,
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DialogFooter,
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} from "@/components/ui/dialog";
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import { Eye, EyeOff } from "lucide-react";
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interface CredentialsModalProps {
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isOpen: boolean;
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onClose: () => void;
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onSubmit: (credentials: { username: string; password: string }) => void;
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providerName: string;
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isLoading?: boolean;
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}
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export function CredentialsModal({
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isOpen,
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onClose,
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onSubmit,
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providerName,
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isLoading = false,
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}: CredentialsModalProps) {
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const [username, setUsername] = useState("");
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const [password, setPassword] = useState("");
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const [showPassword, setShowPassword] = useState(false);
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const handleSubmit = (e: React.FormEvent) => {
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e.preventDefault();
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if (username && password) {
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onSubmit({ username, password });
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}
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};
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const handleClose = () => {
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setUsername("");
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setPassword("");
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setShowPassword(false);
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onClose();
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};
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return (
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<Dialog open={isOpen} onOpenChange={handleClose}>
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<DialogContent className="sm:max-w-md">
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<DialogHeader>
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<DialogTitle>Insurance Portal Login</DialogTitle>
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<DialogDescription>
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Enter your credentials for {providerName} insurance portal to check
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patient eligibility automatically.
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</DialogDescription>
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</DialogHeader>
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<form onSubmit={handleSubmit} className="space-y-4">
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<div className="space-y-2">
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<Label htmlFor="username">Username</Label>
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<Input
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id="username"
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type="text"
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value={username}
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onChange={(e) => setUsername(e.target.value)}
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placeholder="Enter your username"
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required
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disabled={isLoading}
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/>
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</div>
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<div className="space-y-2">
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<Label htmlFor="password">Password</Label>
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<div className="relative">
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<Input
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id="password"
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type={showPassword ? "text" : "password"}
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value={password}
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onChange={(e) => setPassword(e.target.value)}
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placeholder="Enter your password"
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required
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disabled={isLoading}
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/>
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<Button
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type="button"
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variant="ghost"
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size="sm"
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className="absolute right-0 top-0 h-full px-3 py-2 hover:bg-transparent"
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onClick={() => setShowPassword(!showPassword)}
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disabled={isLoading}
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>
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{showPassword ? (
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<EyeOff className="h-4 w-4" />
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) : (
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<Eye className="h-4 w-4" />
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)}
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</Button>
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</div>
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</div>
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<DialogFooter className="flex gap-2">
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<Button
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type="button"
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variant="outline"
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onClick={handleClose}
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disabled={isLoading}
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>
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Cancel
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</Button>
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<Button
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type="submit"
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disabled={!username || !password || isLoading}
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>
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{isLoading ? "Checking..." : "Check Eligibility"}
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</Button>
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</DialogFooter>
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</form>
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</DialogContent>
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</Dialog>
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);
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}
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