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feat(claim-pre-auth) - added feature v1

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This commit is contained in:
Potenz
2025-11-03 21:29:16 +05:30
parent faa185a927
commit e47041baf6
8 changed files with 701 additions and 40 deletions
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121
apps/Frontend/src/components/claims/claim-form.tsx
View File

@@ -33,6 +33,9 @@ import {
import { formatLocalDate, parseLocalDate } from "@/utils/dateUtils";
import {
Claim,
ClaimFileMeta,
ClaimFormData,
ClaimPreAuthData,
InputServiceLine,
InsertAppointment,
Patient,
@@ -47,32 +50,8 @@ import {
getDescriptionForCode,
} from "@/utils/procedureCombosMapping";
import { COMBO_CATEGORIES, PROCEDURE_COMBOS } from "@/utils/procedureCombos";
import { DateInputField } from "../ui/dateInputField";
import { DateInput } from "../ui/dateInput";
interface ClaimFileMeta {
filename: string;
mimeType: string;
}
interface ClaimFormData {
patientId: number;
appointmentId: number;
userId: number;
staffId: number;
patientName: string;
memberId: string;
dateOfBirth: string;
remarks: string;
serviceDate: string; // YYYY-MM-DD
insuranceProvider: string;
insuranceSiteKey?: string;
status: string; // default "pending"
serviceLines: InputServiceLine[];
claimId?: number;
claimFiles?: ClaimFileMeta[];
}
interface ClaimFormProps {
patientId: number;
appointmentId?: number;
@@ -81,7 +60,8 @@ interface ClaimFormProps {
appointmentData: InsertAppointment | UpdateAppointment
) => Promise<number | { id: number }>;
onHandleUpdatePatient: (patient: UpdatePatient & { id: number }) => void;
onHandleForMHSelenium: (data: ClaimFormData) => void;
onHandleForMHSeleniumClaim: (data: ClaimFormData) => void;
onHandleForMHSeleniumClaimPreAuth: (data: ClaimPreAuthData) => void;
onClose: () => void;
}
@@ -90,7 +70,8 @@ export function ClaimForm({
appointmentId,
onHandleAppointmentSubmit,
onHandleUpdatePatient,
onHandleForMHSelenium,
onHandleForMHSeleniumClaim,
onHandleForMHSeleniumClaimPreAuth,
onSubmit,
onClose,
}: ClaimFormProps) {
@@ -334,6 +315,13 @@ export function ClaimForm({
return "";
}
// assumes input is either "" or "YYYY-MM-DD"
const toMMDDYYYY = (iso: string): string => {
if (!iso) return "";
const m = /^(\d{4})-(\d{2})-(\d{2})$/.exec(iso);
return m ? `${m[2]}-${m[3]}-${m[1]}` : "";
};
// MAIN FORM INITIAL STATE
const [form, setForm] = useState<ClaimFormData & { uploadedFiles: File[] }>({
patientId: patientId || 0,
@@ -542,8 +530,9 @@ export function ClaimForm({
});
// 4. sending form data to selenium service
onHandleForMHSelenium({
onHandleForMHSeleniumClaim({
...f,
dateOfBirth: toMMDDYYYY(f.dateOfBirth),
serviceLines: filteredServiceLines,
staffId: Number(staff?.id),
patientId: patientId,
@@ -557,7 +546,76 @@ export function ClaimForm({
onClose();
};
// 2nd Button workflow - Only Creates Data, patient, appointmetn, claim, payment, not actually submits claim to MH site.
// 2st Button workflow - Mass Health Pre Auth Button Handler
const handleMHPreAuth = async (
formToUse?: ClaimFormData & { uploadedFiles?: File[] }
) => {
// Use the passed form, or fallback to current state
const f = formToUse ?? form;
// 0. Validate required fields
const missingFields: string[] = [];
if (!f.memberId?.trim()) missingFields.push("Member ID");
if (!f.dateOfBirth?.trim()) missingFields.push("Date of Birth");
if (!patient?.firstName?.trim()) missingFields.push("First Name");
if (missingFields.length > 0) {
toast({
title: "Missing Required Fields",
description: `Please fill out the following field(s): ${missingFields.join(", ")}`,
variant: "destructive",
});
return;
}
// require at least one procedure code before proceeding
const filteredServiceLines = (f.serviceLines || []).filter(
(line) => (line.procedureCode ?? "").trim() !== ""
);
if (filteredServiceLines.length === 0) {
toast({
title: "No procedure codes",
description:
"Please add at least one procedure code before submitting the claim preAuth.",
variant: "destructive",
});
return;
}
// 2. Update patient
if (patient && typeof patient.id === "number") {
const { id, createdAt, userId, ...sanitizedFields } = patient;
const updatedPatientFields = {
id,
...sanitizedFields,
insuranceProvider: "MassHealth",
};
onHandleUpdatePatient(updatedPatientFields);
} else {
toast({
title: "Error",
description: "Cannot update patient: Missing or invalid patient data",
variant: "destructive",
});
}
// 4. sending form data to selenium service
onHandleForMHSeleniumClaimPreAuth({
...f,
dateOfBirth: toMMDDYYYY(f.dateOfBirth),
serviceLines: filteredServiceLines,
staffId: Number(staff?.id),
patientId: patientId,
insuranceProvider: "Mass Health",
insuranceSiteKey: "MH",
});
// 5. Close form
onClose();
};
// 3nd Button workflow - Only Creates Data, patient, appointmetn, claim, payment, not actually submits claim to MH site.
const handleAddService = async () => {
// 0. Validate required fields
const missingFields: string[] = [];
@@ -648,6 +706,7 @@ export function ClaimForm({
onClose();
};
// for direct combo button.
const applyComboAndThenMH = async (
comboId: keyof typeof PROCEDURE_COMBOS
) => {
@@ -1237,7 +1296,11 @@ export function ClaimForm({
>
MH
</Button>
<Button className="w-32" variant="secondary">
<Button
className="w-32"
variant="secondary"
onClick={() => handleMHPreAuth()}
>
MH PreAuth
</Button>
<Button

75
apps/Frontend/src/pages/claims-page.tsx
View File

@@ -315,7 +315,7 @@ export default function ClaimsPage() {
);
const response = await apiRequest(
"POST",
"/api/claims/selenium",
"/api/claims/selenium-claim",
formData
);
const result1 = await response.json();
@@ -337,7 +337,8 @@ export default function ClaimsPage() {
const result2 = await handleMHSeleniumPdfDownload(
result1,
selectedPatientId
selectedPatientId,
"INSURANCE_CLAIM"
);
return result2;
} catch (error: any) {
@@ -358,7 +359,8 @@ export default function ClaimsPage() {
// 5. selenium pdf download handler
const handleMHSeleniumPdfDownload = async (
data: any,
selectedPatientId: number | null
selectedPatientId: number | null,
groupTitleKey: "INSURANCE_CLAIM" | "INSURANCE_CLAIM_PREAUTH"
) => {
try {
if (!selectedPatientId) {
@@ -375,6 +377,7 @@ export default function ClaimsPage() {
const res = await apiRequest("POST", "/api/claims/selenium/fetchpdf", {
patientId: selectedPatientId,
pdf_url: data.pdf_url,
groupTitleKey,
});
const result = await res.json();
if (result.error) throw new Error(result.error);
@@ -416,6 +419,69 @@ export default function ClaimsPage() {
clearUrlParams(["newPatient", "appointmentId"]);
};
// Pre Auth section
const handleMHClaimPreAuthSubmitSelenium = async (data: any) => {
const formData = new FormData();
formData.append("data", JSON.stringify(data));
const uploadedFiles: File[] = data.uploadedFiles ?? [];
uploadedFiles.forEach((file: File) => {
if (file.type === "application/pdf") {
formData.append("pdfs", file);
} else if (file.type.startsWith("image/")) {
formData.append("images", file);
}
});
try {
dispatch(
setTaskStatus({
status: "pending",
message: "Submitting claim pre auth to Selenium...",
})
);
const response = await apiRequest(
"POST",
"/api/claims/selenium-claim-pre-auth",
formData
);
const result1 = await response.json();
if (result1.error) throw new Error(result1.error);
dispatch(
setTaskStatus({
status: "pending",
message: "Submitted to Selenium. Awaiting PDF...",
})
);
toast({
title: "Selenium service notified",
description:
"Your claim pre auth data was successfully sent to Selenium, Waitinig for its response.",
variant: "default",
});
const result2 = await handleMHSeleniumPdfDownload(
result1,
selectedPatientId,
"INSURANCE_CLAIM_PREAUTH"
);
return result2;
} catch (error: any) {
dispatch(
setTaskStatus({
status: "error",
message: error.message || "Selenium submission failed",
})
);
toast({
title: "Selenium service error",
description: error.message || "An error occurred.",
variant: "destructive",
});
}
};
return (
<div>
<SeleniumTaskBanner
@@ -470,7 +536,8 @@ export default function ClaimsPage() {
onSubmit={handleClaimSubmit}
onHandleAppointmentSubmit={handleAppointmentSubmit}
onHandleUpdatePatient={handleUpdatePatient}
onHandleForMHSelenium={handleMHClaimSubmitSelenium}
onHandleForMHSeleniumClaim={handleMHClaimSubmitSelenium}
onHandleForMHSeleniumClaimPreAuth={handleMHClaimPreAuthSubmitSelenium}
/>
)}
</div>