443 lines
14 KiB
TypeScript
443 lines
14 KiB
TypeScript
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<typeof AppointmentUncheckedCreateInputObjectSchema>;
|
|
|
|
const insertAppointmentSchema = (
|
|
AppointmentUncheckedCreateInputObjectSchema as unknown as z.ZodObject<any>
|
|
).omit({
|
|
id: true,
|
|
createdAt: true,
|
|
});
|
|
type InsertAppointment = z.infer<typeof insertAppointmentSchema>;
|
|
|
|
const updateAppointmentSchema = (
|
|
AppointmentUncheckedCreateInputObjectSchema as unknown as z.ZodObject<any>
|
|
)
|
|
.omit({
|
|
id: true,
|
|
createdAt: true,
|
|
})
|
|
.partial();
|
|
type UpdateAppointment = z.infer<typeof updateAppointmentSchema>;
|
|
|
|
const PatientSchema = (
|
|
PatientUncheckedCreateInputObjectSchema as unknown as z.ZodObject<any>
|
|
).omit({
|
|
appointments: true,
|
|
});
|
|
type Patient = z.infer<typeof PatientSchema>;
|
|
|
|
const insertPatientSchema = (
|
|
PatientUncheckedCreateInputObjectSchema as unknown as z.ZodObject<any>
|
|
).omit({
|
|
id: true,
|
|
createdAt: true,
|
|
});
|
|
type InsertPatient = z.infer<typeof insertPatientSchema>;
|
|
|
|
const updatePatientSchema = (
|
|
PatientUncheckedCreateInputObjectSchema as unknown as z.ZodObject<any>
|
|
)
|
|
.omit({
|
|
id: true,
|
|
createdAt: true,
|
|
userId: true,
|
|
})
|
|
.partial();
|
|
|
|
type UpdatePatient = z.infer<typeof updatePatientSchema>;
|
|
|
|
export default function ClaimsPage() {
|
|
const [isMobileMenuOpen, setIsMobileMenuOpen] = useState(false);
|
|
const [isClaimFormOpen, setIsClaimFormOpen] = useState(false);
|
|
const [selectedPatient, setSelectedPatient] = useState<number | null>(null);
|
|
const [selectedAppointment, setSelectedAppointment] = useState<number | null>(
|
|
null
|
|
);
|
|
const { toast } = useToast();
|
|
const { user } = useAuth();
|
|
const [claimFormData, setClaimFormData] = useState<any>({
|
|
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<Appointment[]>({
|
|
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<string, string> = {
|
|
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 (
|
|
<div className="flex h-screen overflow-hidden bg-gray-100">
|
|
<Sidebar
|
|
isMobileOpen={isMobileMenuOpen}
|
|
setIsMobileOpen={setIsMobileMenuOpen}
|
|
/>
|
|
|
|
<div className="flex-1 flex flex-col overflow-hidden">
|
|
<TopAppBar toggleMobileMenu={toggleMobileMenu} />
|
|
|
|
<main className="flex-1 overflow-y-auto p-4">
|
|
{/* Header */}
|
|
<div className="mb-6">
|
|
<h1 className="text-2xl font-semibold text-gray-800">
|
|
Insurance Claims
|
|
</h1>
|
|
<p className="text-gray-600">
|
|
Manage and submit insurance claims for patients
|
|
</p>
|
|
</div>
|
|
|
|
{/* New Claims Section */}
|
|
<div className="mb-8">
|
|
<div className="flex items-center justify-between mb-4">
|
|
<div
|
|
className="flex items-center cursor-pointer group"
|
|
onClick={() => {
|
|
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",
|
|
});
|
|
}
|
|
}}
|
|
>
|
|
<h2 className="text-xl font-medium text-gray-800 group-hover:text-primary">
|
|
New Claims
|
|
</h2>
|
|
<div className="ml-2 text-primary">
|
|
<FileCheck className="h-5 w-5" />
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
<Card>
|
|
<CardHeader className="pb-2">
|
|
<CardTitle>Recent Patients for Claims</CardTitle>
|
|
</CardHeader>
|
|
<CardContent>
|
|
{isLoadingPatients || isLoadingAppointments ? (
|
|
<div className="text-center py-4">
|
|
Loading patients data...
|
|
</div>
|
|
) : patientsWithAppointments.length > 0 ? (
|
|
<div className="divide-y">
|
|
{patientsWithAppointments.map((item) => (
|
|
<div
|
|
key={item.patientId}
|
|
className="py-4 flex items-center justify-between cursor-pointer hover:bg-gray-50"
|
|
onClick={() =>
|
|
handleNewClaim(item.patientId, item.appointmentId)
|
|
}
|
|
>
|
|
<div>
|
|
<h3 className="font-medium">{item.patientName}</h3>
|
|
<div className="text-sm text-gray-500">
|
|
<span>Insurance: {getDisplayProvider(item.insuranceProvider)}</span>
|
|
|
|
<span className="mx-2">•</span>
|
|
<span>ID: {item.insuranceId}</span>
|
|
<span className="mx-2">•</span>
|
|
<span>
|
|
Last Visit:{" "}
|
|
{new Date(
|
|
item.lastAppointment
|
|
).toLocaleDateString()}
|
|
</span>
|
|
</div>
|
|
</div>
|
|
<div className="text-primary">
|
|
<FileCheck className="h-5 w-5" />
|
|
</div>
|
|
</div>
|
|
))}
|
|
</div>
|
|
) : (
|
|
<div className="text-center py-8">
|
|
<FileCheck className="h-12 w-12 mx-auto text-gray-400 mb-3" />
|
|
<h3 className="text-lg font-medium">
|
|
No eligible patients for claims
|
|
</h3>
|
|
<p className="text-gray-500 mt-1">
|
|
Patients with appointments will appear here for insurance
|
|
claim processing
|
|
</p>
|
|
</div>
|
|
)}
|
|
</CardContent>
|
|
</Card>
|
|
</div>
|
|
</main>
|
|
</div>
|
|
|
|
{/* Claim Form Modal */}
|
|
{isClaimFormOpen && selectedPatient !== null && (
|
|
<ClaimForm
|
|
patientId={selectedPatient}
|
|
onClose={closeClaim}
|
|
extractedData={claimFormData}
|
|
onSubmit={handleClaimSubmit}
|
|
/>
|
|
)}
|
|
</div>
|
|
);
|
|
}
|