1327 lines
46 KiB
TypeScript
1327 lines
46 KiB
TypeScript
import { useState, useEffect, useRef, useCallback } from "react";
|
|
import { Button } from "@/components/ui/button";
|
|
import { Input } from "@/components/ui/input";
|
|
import {
|
|
Select,
|
|
SelectContent,
|
|
SelectItem,
|
|
SelectTrigger,
|
|
SelectValue,
|
|
} from "@/components/ui/select";
|
|
import { Card, CardContent, CardHeader, CardTitle } from "@/components/ui/card";
|
|
import { Label } from "@/components/ui/label";
|
|
import { X, Calendar as CalendarIcon, HelpCircle, Trash2 } from "lucide-react";
|
|
import { useToast } from "@/hooks/use-toast";
|
|
import { Calendar } from "@/components/ui/calendar";
|
|
import {
|
|
Popover,
|
|
PopoverContent,
|
|
PopoverTrigger,
|
|
} from "@/components/ui/popover";
|
|
import { useQuery } from "@tanstack/react-query";
|
|
import { apiRequest } from "@/lib/queryClient";
|
|
import {
|
|
MultipleFileUploadZone,
|
|
MultipleFileUploadZoneHandle,
|
|
} from "../file-upload/multiple-file-upload-zone";
|
|
import { useAuth } from "@/hooks/use-auth";
|
|
import {
|
|
Tooltip,
|
|
TooltipContent,
|
|
TooltipTrigger,
|
|
} from "@/components/ui/tooltip";
|
|
import { formatLocalDate, parseLocalDate } from "@/utils/dateUtils";
|
|
import {
|
|
Claim,
|
|
ClaimFileMeta,
|
|
ClaimFormData,
|
|
ClaimPreAuthData,
|
|
InputServiceLine,
|
|
InsertAppointment,
|
|
Patient,
|
|
Staff,
|
|
UpdateAppointment,
|
|
UpdatePatient,
|
|
} from "@repo/db/types";
|
|
import { Decimal } from "decimal.js";
|
|
import {
|
|
mapPricesForForm,
|
|
applyComboToForm,
|
|
getDescriptionForCode,
|
|
} from "@/utils/procedureCombosMapping";
|
|
import { COMBO_CATEGORIES, PROCEDURE_COMBOS } from "@/utils/procedureCombos";
|
|
import { DateInput } from "../ui/dateInput";
|
|
|
|
interface ClaimFormProps {
|
|
patientId: number;
|
|
appointmentId?: number;
|
|
onSubmit: (data: ClaimFormData) => Promise<Claim>;
|
|
onHandleAppointmentSubmit: (
|
|
appointmentData: InsertAppointment | UpdateAppointment
|
|
) => Promise<number | { id: number }>;
|
|
onHandleUpdatePatient: (patient: UpdatePatient & { id: number }) => void;
|
|
onHandleForMHSeleniumClaim: (data: ClaimFormData) => void;
|
|
onHandleForMHSeleniumClaimPreAuth: (data: ClaimPreAuthData) => void;
|
|
onClose: () => void;
|
|
}
|
|
|
|
export function ClaimForm({
|
|
patientId,
|
|
appointmentId,
|
|
onHandleAppointmentSubmit,
|
|
onHandleUpdatePatient,
|
|
onHandleForMHSeleniumClaim,
|
|
onHandleForMHSeleniumClaimPreAuth,
|
|
onSubmit,
|
|
onClose,
|
|
}: ClaimFormProps) {
|
|
const { toast } = useToast();
|
|
const { user } = useAuth();
|
|
|
|
const [patient, setPatient] = useState<Patient | null>(null);
|
|
|
|
// Query patient based on given patient id
|
|
const {
|
|
data: fetchedPatient,
|
|
isLoading,
|
|
error,
|
|
} = useQuery<Patient>({
|
|
queryKey: ["/api/patients/", patientId],
|
|
queryFn: async () => {
|
|
const res = await apiRequest("GET", `/api/patients/${patientId}`);
|
|
if (!res.ok) throw new Error("Failed to fetch patient");
|
|
return res.json();
|
|
},
|
|
enabled: !!patientId,
|
|
});
|
|
|
|
// Sync fetched patient when available
|
|
useEffect(() => {
|
|
if (fetchedPatient) {
|
|
setPatient(fetchedPatient);
|
|
}
|
|
}, [fetchedPatient]);
|
|
|
|
//Fetching staff memebers
|
|
const [staff, setStaff] = useState<Staff | null>(null);
|
|
const { data: staffMembersRaw = [] as Staff[], isLoading: isLoadingStaff } =
|
|
useQuery<Staff[]>({
|
|
queryKey: ["/api/staffs/"],
|
|
queryFn: async () => {
|
|
const res = await apiRequest("GET", "/api/staffs/");
|
|
return res.json();
|
|
},
|
|
});
|
|
useEffect(() => {
|
|
if (staffMembersRaw.length > 0 && !staff) {
|
|
const kaiGao = staffMembersRaw.find(
|
|
(member) => member.name === "Kai Gao"
|
|
);
|
|
const defaultStaff = kaiGao || staffMembersRaw[0];
|
|
if (defaultStaff) setStaff(defaultStaff);
|
|
}
|
|
}, [staffMembersRaw, staff]);
|
|
|
|
// Service date state
|
|
const [serviceDateValue, setServiceDateValue] = useState<Date>(new Date());
|
|
const [serviceDate, setServiceDate] = useState<string>(
|
|
formatLocalDate(new Date())
|
|
);
|
|
const [serviceDateOpen, setServiceDateOpen] = useState(false);
|
|
const [openProcedureDateIndex, setOpenProcedureDateIndex] = useState<
|
|
number | null
|
|
>(null);
|
|
|
|
//incase when appointmentId is given - directly from appoinmentpage - claimpage - to here.
|
|
// then, update the service date as per the appointment date.
|
|
useEffect(() => {
|
|
if (!appointmentId) return;
|
|
if (!Number.isFinite(appointmentId) || appointmentId <= 0) return;
|
|
|
|
let cancelled = false;
|
|
|
|
(async () => {
|
|
try {
|
|
const res = await apiRequest(
|
|
"GET",
|
|
`/api/appointments/${appointmentId}`
|
|
);
|
|
if (!res.ok) {
|
|
let body: any = null;
|
|
try {
|
|
body = await res.json();
|
|
} catch {}
|
|
if (!cancelled) {
|
|
toast({
|
|
title: "Failed to load appointment",
|
|
description:
|
|
body?.message ??
|
|
body?.error ??
|
|
`Could not fetch appointment ${appointmentId}.`,
|
|
variant: "destructive",
|
|
});
|
|
}
|
|
return;
|
|
}
|
|
|
|
const appointment = await res.json();
|
|
// appointment.date is expected to be either "YYYY-MM-DD" or an ISO string.
|
|
const rawDate = appointment?.date ?? appointment?.day ?? "";
|
|
if (!rawDate) return;
|
|
|
|
// Use your parseLocalDate to create a local-midnight Date (avoid TZ shifts)
|
|
let dateVal: Date;
|
|
try {
|
|
dateVal = parseLocalDate(String(rawDate));
|
|
} catch (e) {
|
|
// Fallback - try constructing Date and then normalize
|
|
const maybe = new Date(rawDate);
|
|
if (isNaN(maybe.getTime())) {
|
|
console.error("Could not parse appointment date:", rawDate);
|
|
return;
|
|
}
|
|
dateVal = new Date(
|
|
maybe.getFullYear(),
|
|
maybe.getMonth(),
|
|
maybe.getDate()
|
|
);
|
|
}
|
|
|
|
if (!cancelled) {
|
|
setServiceDateValue(dateVal);
|
|
setServiceDate(formatLocalDate(dateVal));
|
|
}
|
|
} catch (err: any) {
|
|
if (!cancelled) {
|
|
console.error("Error fetching appointment:", err);
|
|
toast({
|
|
title: "Error",
|
|
description: err?.message ?? "Failed to fetch Appointment.",
|
|
variant: "destructive",
|
|
});
|
|
}
|
|
}
|
|
})();
|
|
|
|
return () => {
|
|
cancelled = true;
|
|
};
|
|
}, [appointmentId]);
|
|
|
|
// Update service date when calendar date changes
|
|
const onServiceDateChange = (date: Date | undefined) => {
|
|
if (date) {
|
|
const formattedDate = formatLocalDate(date);
|
|
setServiceDateValue(date);
|
|
setServiceDate(formattedDate);
|
|
setForm((prev) => ({ ...prev, serviceDate: formattedDate }));
|
|
}
|
|
};
|
|
|
|
// when service date is chenged, it will change the each service lines procedure date in sync as well.
|
|
useEffect(() => {
|
|
setForm((prevForm) => {
|
|
const updatedLines = prevForm.serviceLines.map((line) => ({
|
|
...line,
|
|
procedureDate: serviceDate, // set all to current serviceDate string
|
|
}));
|
|
return {
|
|
...prevForm,
|
|
serviceLines: updatedLines,
|
|
serviceDate, // keep form.serviceDate in sync as well
|
|
};
|
|
});
|
|
}, [serviceDate]);
|
|
|
|
// Determine patient date of birth format - required as date extracted from pdfs has different format.
|
|
// Replace previous implementation with this type-safe normalizer.
|
|
// Always returns canonical YYYY-MM-DD or "" if it cannot parse.
|
|
function normalizeToIsoDateString(dob: string | Date | undefined): string {
|
|
if (!dob) return "";
|
|
|
|
// Date object -> canonicalize
|
|
if (dob instanceof Date) {
|
|
if (isNaN(dob.getTime())) return "";
|
|
return formatLocalDate(dob);
|
|
}
|
|
|
|
const raw = String(dob).trim();
|
|
if (!raw) return "";
|
|
|
|
// 1) If already date-only ISO (yyyy-mm-dd)
|
|
if (/^\d{4}-\d{2}-\d{2}$/.test(raw)) {
|
|
try {
|
|
parseLocalDate(raw); // validate
|
|
return raw;
|
|
} catch {
|
|
return "";
|
|
}
|
|
}
|
|
|
|
// 2) Try parseLocalDate for ISO-like inputs (will throw if not suitable)
|
|
try {
|
|
const parsed = parseLocalDate(raw);
|
|
return formatLocalDate(parsed);
|
|
} catch {
|
|
// continue to other fallbacks
|
|
}
|
|
|
|
// 3) MM/DD/YYYY or M/D/YYYY -> convert to ISO
|
|
const m1 = raw.match(/^(\d{1,2})\/(\d{1,2})\/(\d{4})$/);
|
|
if (m1) {
|
|
const mm = m1[1] ?? "";
|
|
const dd = m1[2] ?? "";
|
|
const yyyy = m1[3] ?? "";
|
|
if (mm && dd && yyyy) {
|
|
const iso = `${yyyy}-${mm.padStart(2, "0")}-${dd.padStart(2, "0")}`;
|
|
try {
|
|
parseLocalDate(iso);
|
|
return iso;
|
|
} catch {
|
|
return "";
|
|
}
|
|
}
|
|
}
|
|
|
|
// 4) OCR-ish short form: MMDDYY (exactly 6 digits) -> guess century
|
|
const m2 = raw.match(/^(\d{6})$/);
|
|
if (m2) {
|
|
const s = m2[1];
|
|
if (s && s.length === 6) {
|
|
const mm = s.slice(0, 2);
|
|
const dd = s.slice(2, 4);
|
|
const yy = s.slice(4, 6);
|
|
const year = Number(yy) < 50 ? 2000 + Number(yy) : 1900 + Number(yy);
|
|
const iso = `${year}-${mm.padStart(2, "0")}-${dd.padStart(2, "0")}`;
|
|
try {
|
|
parseLocalDate(iso);
|
|
return iso;
|
|
} catch {
|
|
return "";
|
|
}
|
|
}
|
|
}
|
|
|
|
// 5) Last resort: naive Date parse -> normalize to local calendar fields
|
|
try {
|
|
const maybe = new Date(raw);
|
|
if (!isNaN(maybe.getTime())) {
|
|
return formatLocalDate(maybe);
|
|
}
|
|
} catch {
|
|
/* ignore */
|
|
}
|
|
|
|
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,
|
|
appointmentId: 0,
|
|
userId: Number(user?.id),
|
|
staffId: Number(staff?.id),
|
|
patientName: `${patient?.firstName} ${patient?.lastName}`.trim(),
|
|
memberId: patient?.insuranceId ?? "",
|
|
dateOfBirth: normalizeToIsoDateString(patient?.dateOfBirth),
|
|
remarks: "",
|
|
serviceDate: serviceDate,
|
|
insuranceProvider: "",
|
|
insuranceSiteKey: "",
|
|
status: "PENDING",
|
|
serviceLines: Array.from({ length: 10 }, () => ({
|
|
procedureCode: "",
|
|
procedureDate: serviceDate,
|
|
oralCavityArea: "",
|
|
toothNumber: "",
|
|
toothSurface: "",
|
|
totalBilled: new Decimal(0),
|
|
totalAdjusted: new Decimal(0),
|
|
totalPaid: new Decimal(0),
|
|
})),
|
|
uploadedFiles: [],
|
|
});
|
|
|
|
// Sync patient data to form when patient updates
|
|
useEffect(() => {
|
|
if (patient) {
|
|
const fullName =
|
|
`${patient.firstName || ""} ${patient.lastName || ""}`.trim();
|
|
setForm((prev) => ({
|
|
...prev,
|
|
patientId: Number(patient.id),
|
|
patientName: fullName,
|
|
dateOfBirth: normalizeToIsoDateString(patient.dateOfBirth),
|
|
memberId: patient.insuranceId || "",
|
|
}));
|
|
}
|
|
}, [patient]);
|
|
|
|
// Handle patient field changes (to make inputs controlled and editable)
|
|
const updatePatientField = (field: keyof Patient, value: any) => {
|
|
setPatient((prev) => (prev ? { ...prev, [field]: value } : null));
|
|
};
|
|
|
|
const updateServiceLine = (
|
|
index: number,
|
|
field: keyof InputServiceLine,
|
|
value: any
|
|
) => {
|
|
const updatedLines = [...form.serviceLines];
|
|
|
|
if (updatedLines[index]) {
|
|
if (field === "totalBilled") {
|
|
const num = typeof value === "string" ? parseFloat(value) : value;
|
|
const rounded = Math.round((isNaN(num) ? 0 : num) * 100) / 100;
|
|
updatedLines[index][field] = new Decimal(rounded);
|
|
} else {
|
|
updatedLines[index][field] = value;
|
|
}
|
|
}
|
|
|
|
setForm({ ...form, serviceLines: updatedLines });
|
|
};
|
|
|
|
const updateProcedureDate = (index: number, date: Date | undefined) => {
|
|
if (!date) return;
|
|
const formattedDate = formatLocalDate(date);
|
|
const updatedLines = [...form.serviceLines];
|
|
|
|
if (updatedLines[index]) {
|
|
updatedLines[index].procedureDate = formattedDate;
|
|
}
|
|
|
|
setForm({ ...form, serviceLines: updatedLines });
|
|
};
|
|
|
|
// normalize for display while typing: uppercase and allow letters, commas and spaces
|
|
function normalizeToothSurface(raw?: string): string {
|
|
if (!raw) return "";
|
|
// Uppercase and remove characters that are not A-Z, comma or space
|
|
return raw.toUpperCase().replace(/[^A-Z,\s]/g, "");
|
|
}
|
|
|
|
// for serviceLine rows, to auto scroll when it got updated by combo buttons and all.
|
|
const rowRefs = useRef<(HTMLDivElement | null)[]>([]);
|
|
|
|
const scrollToLine = (index: number) => {
|
|
const el = rowRefs.current[index];
|
|
if (el) {
|
|
el.scrollIntoView({ behavior: "smooth", block: "start" });
|
|
}
|
|
};
|
|
|
|
// Map Price function
|
|
const onMapPrice = () => {
|
|
setForm((prev) =>
|
|
mapPricesForForm({
|
|
form: prev,
|
|
patientDOB: patient?.dateOfBirth ?? "",
|
|
})
|
|
);
|
|
};
|
|
|
|
// FILE UPLOAD ZONE
|
|
const uploadZoneRef = useRef<MultipleFileUploadZoneHandle | null>(null);
|
|
const [isUploading, setIsUploading] = useState(false);
|
|
|
|
// NO validation here — the upload zone handles validation, toasts, max files, sizes, etc.
|
|
const handleFilesChange = useCallback((files: File[]) => {
|
|
setForm((prev) => ({ ...prev, uploadedFiles: files }));
|
|
}, []);
|
|
|
|
// 1st Button workflow - Mass Health Button Handler
|
|
const handleMHSubmit = 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.",
|
|
variant: "destructive",
|
|
});
|
|
return;
|
|
}
|
|
|
|
// 1. Create or update appointment
|
|
let appointmentIdToUse = appointmentId;
|
|
|
|
if (appointmentIdToUse == null) {
|
|
const appointmentData = {
|
|
patientId: patientId,
|
|
date: serviceDate,
|
|
staffId: staff?.id,
|
|
};
|
|
const created = await onHandleAppointmentSubmit(appointmentData);
|
|
|
|
if (typeof created === "number" && created > 0) {
|
|
appointmentIdToUse = created;
|
|
} else if (created && typeof (created as any).id === "number") {
|
|
appointmentIdToUse = (created as any).id;
|
|
}
|
|
}
|
|
|
|
// 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",
|
|
});
|
|
}
|
|
|
|
// 3. Create Claim(if not)
|
|
// Filter out empty service lines (empty procedureCode)
|
|
const { uploadedFiles, insuranceSiteKey, ...formToCreateClaim } = f;
|
|
|
|
// build claimFiles metadata from uploadedFiles (only filename + mimeType)
|
|
const claimFilesMeta: ClaimFileMeta[] = (uploadedFiles || []).map((f) => ({
|
|
filename: f.name,
|
|
mimeType: f.type,
|
|
}));
|
|
|
|
const createdClaim = await onSubmit({
|
|
...formToCreateClaim,
|
|
serviceLines: filteredServiceLines,
|
|
staffId: Number(staff?.id),
|
|
patientId: patientId,
|
|
insuranceProvider: "MassHealth",
|
|
appointmentId: appointmentIdToUse!,
|
|
claimFiles: claimFilesMeta,
|
|
});
|
|
|
|
// 4. sending form data to selenium service
|
|
onHandleForMHSeleniumClaim({
|
|
...f,
|
|
dateOfBirth: toMMDDYYYY(f.dateOfBirth),
|
|
serviceLines: filteredServiceLines,
|
|
staffId: Number(staff?.id),
|
|
patientId: patientId,
|
|
insuranceProvider: "Mass Health",
|
|
appointmentId: appointmentIdToUse!,
|
|
insuranceSiteKey: "MH",
|
|
claimId: createdClaim.id,
|
|
});
|
|
|
|
// 5. Close form
|
|
onClose();
|
|
};
|
|
|
|
// 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[] = [];
|
|
|
|
if (!form.memberId?.trim()) missingFields.push("Member ID");
|
|
if (!form.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 = (form.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.",
|
|
variant: "destructive",
|
|
});
|
|
return;
|
|
}
|
|
|
|
// 1. Create or update appointment
|
|
let appointmentIdToUse = appointmentId;
|
|
|
|
if (appointmentIdToUse == null) {
|
|
const appointmentData = {
|
|
patientId: patientId,
|
|
date: serviceDate,
|
|
staffId: staff?.id,
|
|
};
|
|
const created = await onHandleAppointmentSubmit(appointmentData);
|
|
|
|
if (typeof created === "number" && created > 0) {
|
|
appointmentIdToUse = created;
|
|
} else if (created && typeof (created as any).id === "number") {
|
|
appointmentIdToUse = (created as any).id;
|
|
}
|
|
}
|
|
|
|
// 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",
|
|
});
|
|
}
|
|
|
|
// 3. Create Claim(if not)
|
|
// Filter out empty service lines (empty procedureCode)
|
|
const { uploadedFiles, insuranceSiteKey, ...formToCreateClaim } = form;
|
|
|
|
// build claimFiles metadata from uploadedFiles (only filename + mimeType)
|
|
const claimFilesMeta: ClaimFileMeta[] = (uploadedFiles || []).map((f) => ({
|
|
filename: f.name,
|
|
mimeType: f.type,
|
|
}));
|
|
|
|
const createdClaim = await onSubmit({
|
|
...formToCreateClaim,
|
|
serviceLines: filteredServiceLines,
|
|
staffId: Number(staff?.id),
|
|
patientId: patientId,
|
|
insuranceProvider: "MassHealth",
|
|
appointmentId: appointmentIdToUse!,
|
|
claimFiles: claimFilesMeta,
|
|
});
|
|
|
|
// 4. Close form
|
|
onClose();
|
|
};
|
|
|
|
// for direct combo button.
|
|
const applyComboAndThenMH = async (
|
|
comboId: keyof typeof PROCEDURE_COMBOS
|
|
) => {
|
|
const nextForm = applyComboToForm(
|
|
form,
|
|
comboId,
|
|
patient?.dateOfBirth ?? "",
|
|
{ replaceAll: false, lineDate: form.serviceDate }
|
|
);
|
|
|
|
setForm(nextForm);
|
|
setTimeout(() => scrollToLine(0), 0);
|
|
|
|
await handleMHSubmit(nextForm);
|
|
};
|
|
|
|
// overlay click handler (close when clicking backdrop)
|
|
const onOverlayMouseDown = (e: React.MouseEvent<HTMLDivElement>) => {
|
|
// only close if clicked the backdrop itself (not inner modal)
|
|
if (e.target === e.currentTarget) {
|
|
onClose();
|
|
}
|
|
};
|
|
|
|
return (
|
|
<div
|
|
className="fixed inset-0 bg-black/50 flex items-center justify-center z-50 p-4 overflow-y-auto"
|
|
onMouseDown={onOverlayMouseDown}
|
|
>
|
|
<Card className="w-[90vw] h-[90vh] max-w-none overflow-auto bg-white relative">
|
|
<CardHeader className="sticky top-0 z-20 flex flex-row items-center justify-between pb-2 border-b bg-white/95 backdrop-blur-sm">
|
|
<CardTitle className="text-xl font-bold">
|
|
Insurance Claim Form
|
|
</CardTitle>
|
|
<Button onClick={onClose}>
|
|
{" "}
|
|
<X className="w-4 h-4" />
|
|
</Button>
|
|
</CardHeader>
|
|
<CardContent className="pt-4">
|
|
<div className="space-y-6">
|
|
{/* Patient Information */}
|
|
<div className="grid grid-cols-4 gap-4">
|
|
<div>
|
|
<Label htmlFor="memberId">Member ID</Label>
|
|
<Input
|
|
id="memberId"
|
|
value={form.memberId}
|
|
onChange={(e) => {
|
|
setForm({ ...form, memberId: e.target.value });
|
|
updatePatientField("insuranceId", e.target.value);
|
|
}}
|
|
/>
|
|
</div>
|
|
<div>
|
|
<Label htmlFor="dateOfBirth">Date Of Birth</Label>
|
|
<DateInput
|
|
value={
|
|
form.dateOfBirth ? parseLocalDate(form.dateOfBirth) : null
|
|
}
|
|
onChange={(date: Date | null) => {
|
|
const formatted = date ? formatLocalDate(date) : "";
|
|
setForm((prev) => ({ ...prev, dateOfBirth: formatted }));
|
|
updatePatientField("dateOfBirth", formatted);
|
|
}}
|
|
disableFuture
|
|
/>
|
|
</div>
|
|
<div>
|
|
<Label htmlFor="firstName">First Name</Label>
|
|
<Input
|
|
id="firstName"
|
|
value={patient?.firstName || ""}
|
|
onChange={(e) => {
|
|
updatePatientField("firstName", e.target.value);
|
|
setForm((prev) => ({
|
|
...prev,
|
|
patientName:
|
|
`${e.target.value} ${patient?.lastName || ""}`.trim(),
|
|
}));
|
|
}}
|
|
disabled={isLoading}
|
|
/>
|
|
</div>
|
|
<div>
|
|
<Label htmlFor="lastName">Last Name</Label>
|
|
<Input
|
|
id="lastName"
|
|
value={patient?.lastName || ""}
|
|
onChange={(e) => {
|
|
updatePatientField("lastName", e.target.value);
|
|
setForm((prev) => ({
|
|
...prev,
|
|
patientName:
|
|
`${patient?.firstName || ""} ${e.target.value}`.trim(),
|
|
}));
|
|
}}
|
|
disabled={isLoading}
|
|
/>
|
|
</div>
|
|
</div>
|
|
|
|
{/* Clinical Notes Entry */}
|
|
<div className="mb-4 flex items-center gap-2">
|
|
<Label htmlFor="remarks" className="whitespace-nowrap">
|
|
Remarks:
|
|
</Label>
|
|
<Input
|
|
id="remarks"
|
|
className="flex-grow"
|
|
placeholder="Paste clinical notes here"
|
|
value={form.remarks}
|
|
onChange={(e) => setForm({ ...form, remarks: e.target.value })}
|
|
/>
|
|
</div>
|
|
|
|
{/* Service Lines */}
|
|
<div>
|
|
<h3 className="text-xl font-semibold mb-2 text-center">
|
|
Service Lines
|
|
</h3>
|
|
|
|
<div className="flex flex-col gap-2">
|
|
<div className="flex justify-end items-center mb-4">
|
|
{/* Service Date */}
|
|
<div className="flex gap-2">
|
|
<Label className="flex items-center">Service Date</Label>
|
|
<Popover
|
|
open={serviceDateOpen}
|
|
onOpenChange={setServiceDateOpen}
|
|
>
|
|
<PopoverTrigger asChild>
|
|
<Button
|
|
variant="outline"
|
|
className="w-[140px] justify-start text-left font-normal mr-4"
|
|
>
|
|
<CalendarIcon className="mr-2 h-4 w-4" />
|
|
{form.serviceDate}
|
|
</Button>
|
|
</PopoverTrigger>
|
|
<PopoverContent className="w-auto">
|
|
<Calendar
|
|
mode="single"
|
|
selected={serviceDateValue}
|
|
onSelect={(date) => {
|
|
onServiceDateChange(date);
|
|
}}
|
|
onClose={() => setServiceDateOpen(false)}
|
|
/>
|
|
</PopoverContent>
|
|
</Popover>
|
|
{/* Treating doctor */}
|
|
<Label className="flex items-center ml-2">
|
|
Treating Doctor
|
|
</Label>
|
|
<Select
|
|
value={staff?.id?.toString() || ""}
|
|
onValueChange={(id) => {
|
|
const selected = staffMembersRaw.find(
|
|
(member) => member.id?.toString() === id
|
|
);
|
|
if (selected) {
|
|
setStaff(selected);
|
|
setForm((prev) => ({
|
|
...prev,
|
|
staffId: Number(selected.id),
|
|
}));
|
|
}
|
|
}}
|
|
>
|
|
<SelectTrigger className="w-36">
|
|
<SelectValue
|
|
placeholder={staff ? staff.name : "Select Staff"}
|
|
/>
|
|
</SelectTrigger>
|
|
|
|
<SelectContent>
|
|
{staffMembersRaw.map((member) => {
|
|
if (member.id === undefined) return null;
|
|
|
|
return (
|
|
<SelectItem
|
|
key={member.id}
|
|
value={member.id.toString()}
|
|
>
|
|
{member.name}
|
|
</SelectItem>
|
|
);
|
|
})}
|
|
</SelectContent>
|
|
</Select>
|
|
|
|
{/* Map Price Button */}
|
|
<Button
|
|
className="ml-4"
|
|
variant="success"
|
|
onClick={onMapPrice}
|
|
>
|
|
Map Price
|
|
</Button>
|
|
</div>
|
|
</div>
|
|
|
|
<div className="space-y-6">
|
|
{/* Section Title */}
|
|
<div className="text-sm font-semibold text-muted-foreground">
|
|
Direct Claim Submission Buttons
|
|
</div>
|
|
|
|
<div className="grid gap-6 md:grid-cols-2">
|
|
{/* CHILD RECALL GROUP */}
|
|
<div className="space-y-2">
|
|
<div className="text-sm font-medium opacity-80">
|
|
Child Recall
|
|
</div>
|
|
<div className="flex flex-wrap gap-2">
|
|
{[
|
|
"childRecallDirect",
|
|
"childRecallDirect2BW",
|
|
"childRecallDirect4BW",
|
|
"childRecallDirect2PA2BW",
|
|
"childRecallDirect2PA4BW",
|
|
"childRecallDirectPANO",
|
|
].map((comboId) => {
|
|
const b = PROCEDURE_COMBOS[comboId];
|
|
if (!b) return null;
|
|
const codesWithTooth = b.codes.map((code, idx) => {
|
|
const tooth = b.toothNumbers?.[idx];
|
|
return tooth ? `${code} (tooth ${tooth})` : code;
|
|
});
|
|
const tooltipText = codesWithTooth.join(", ");
|
|
const labelMap: Record<string, string> = {
|
|
childRecallDirect: "Direct",
|
|
childRecallDirect2BW: "Direct 2BW",
|
|
childRecallDirect4BW: "Direct 4BW",
|
|
childRecallDirect2PA2BW: "Direct 2PA 2BW",
|
|
childRecallDirect2PA4BW: "Direct 2PA 4BW",
|
|
childRecallDirectPANO: "Direct Pano",
|
|
};
|
|
return (
|
|
<Tooltip key={b.id}>
|
|
<TooltipTrigger asChild>
|
|
<Button
|
|
variant="secondary"
|
|
onClick={() => applyComboAndThenMH(b.id)}
|
|
aria-label={`${b.label} — codes: ${tooltipText}`}
|
|
>
|
|
{labelMap[comboId] ?? b.label}
|
|
</Button>
|
|
</TooltipTrigger>
|
|
<TooltipContent side="top" align="center">
|
|
<div className="text-sm max-w-xs break-words">
|
|
{tooltipText}
|
|
</div>
|
|
</TooltipContent>
|
|
</Tooltip>
|
|
);
|
|
})}
|
|
</div>
|
|
</div>
|
|
|
|
{/* ADULT RECALL GROUP */}
|
|
<div className="space-y-2">
|
|
<div className="text-sm font-medium opacity-80">
|
|
Adult Recall
|
|
</div>
|
|
<div className="flex flex-wrap gap-2">
|
|
{[
|
|
"adultRecallDirect",
|
|
"adultRecallDirect2BW",
|
|
"adultRecallDirect4BW",
|
|
"adultRecallDirect2PA2BW",
|
|
"adultRecallDirect2PA4BW",
|
|
"adultRecallDirectPano",
|
|
].map((comboId) => {
|
|
const b = PROCEDURE_COMBOS[comboId];
|
|
if (!b) return null;
|
|
const codesWithTooth = b.codes.map((code, idx) => {
|
|
const tooth = b.toothNumbers?.[idx];
|
|
return tooth ? `${code} (tooth ${tooth})` : code;
|
|
});
|
|
const tooltipText = codesWithTooth.join(", ");
|
|
const labelMap: Record<string, string> = {
|
|
adultRecallDirect: "Direct",
|
|
adultRecallDirect2BW: "Direct 2BW",
|
|
adultRecallDirect4BW: "Direct 4BW",
|
|
adultRecallDirect2PA2BW: "Direct 2PA 2BW",
|
|
adultRecallDirect2PA4BW: "Direct 2PA 4BW",
|
|
adultRecallDirectPano: "Direct Pano",
|
|
};
|
|
return (
|
|
<Tooltip key={b.id}>
|
|
<TooltipTrigger asChild>
|
|
<Button
|
|
variant="secondary"
|
|
onClick={() => applyComboAndThenMH(b.id)}
|
|
aria-label={`${b.label} — codes: ${tooltipText}`}
|
|
>
|
|
{labelMap[comboId] ?? b.label}
|
|
</Button>
|
|
</TooltipTrigger>
|
|
<TooltipContent side="top" align="center">
|
|
<div className="text-sm max-w-xs break-words">
|
|
{tooltipText}
|
|
</div>
|
|
</TooltipContent>
|
|
</Tooltip>
|
|
);
|
|
})}
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
|
|
{/* Header */}
|
|
<div className="grid grid-cols-[1.5fr,0.5fr,1fr,1fr,1fr,1fr,1fr] gap-1 mb-2 mt-10 font-medium text-sm text-gray-700 items-center">
|
|
<div className="grid grid-cols-[auto,1fr] items-center gap-2">
|
|
<span />
|
|
<span className="pl-8">Procedure Code</span>
|
|
</div>
|
|
<span className="justify-self-center">Info</span>
|
|
<span>Procedure Date</span>
|
|
<span>Oral Cavity Area</span>
|
|
<span>Tooth Number</span>
|
|
<span>Tooth Surface</span>
|
|
<span>Billed Amount</span>
|
|
</div>
|
|
|
|
{/* Dynamic Rows */}
|
|
{form.serviceLines.map((line, i) => {
|
|
const raw = line.procedureCode || "";
|
|
const code = raw.trim();
|
|
const desc = code
|
|
? getDescriptionForCode(code) || "No description available"
|
|
: "Enter a procedure code";
|
|
|
|
return (
|
|
<div
|
|
key={i}
|
|
ref={(el) => {
|
|
rowRefs.current[i] = el;
|
|
if (!el) rowRefs.current.splice(i, 1);
|
|
}}
|
|
className="scroll-mt-28 grid grid-cols-[1.5fr,0.5fr,1fr,1fr,1fr,1fr,1fr] gap-1 mb-2 items-center"
|
|
>
|
|
<div className="grid grid-cols-[auto,1fr] items-center gap-2">
|
|
<button
|
|
type="button"
|
|
onClick={() =>
|
|
setForm((prev) => {
|
|
const next = {
|
|
...prev,
|
|
serviceLines: [...prev.serviceLines],
|
|
};
|
|
next.serviceLines.splice(i, 1);
|
|
return next;
|
|
})
|
|
}
|
|
className="p-1 rounded hover:bg-red-50"
|
|
>
|
|
<Trash2 className="h-4 w-4 text-red-500 hover:text-red-700" />
|
|
</button>
|
|
<Input
|
|
placeholder="eg. D0120"
|
|
value={line.procedureCode}
|
|
onChange={(e) =>
|
|
updateServiceLine(
|
|
i,
|
|
"procedureCode",
|
|
e.target.value.toUpperCase()
|
|
)
|
|
}
|
|
/>
|
|
</div>
|
|
|
|
<div className="flex justify-center">
|
|
<Tooltip>
|
|
<TooltipTrigger asChild>
|
|
<HelpCircle className="h-4 w-4 text-gray-400 hover:text-gray-600 cursor-help" />
|
|
</TooltipTrigger>
|
|
<TooltipContent>
|
|
<div className="text-sm">{desc}</div>
|
|
</TooltipContent>
|
|
</Tooltip>
|
|
</div>
|
|
|
|
{/* Date Picker */}
|
|
<Popover
|
|
open={openProcedureDateIndex === i}
|
|
onOpenChange={(open) =>
|
|
setOpenProcedureDateIndex(open ? i : null)
|
|
}
|
|
>
|
|
<PopoverTrigger asChild>
|
|
<Button
|
|
variant="outline"
|
|
className="w-full text-left font-normal"
|
|
>
|
|
<CalendarIcon className="mr-2 h-4 w-4" />
|
|
{line.procedureDate || "Pick Date"}
|
|
</Button>
|
|
</PopoverTrigger>
|
|
<PopoverContent className="w-auto">
|
|
<Calendar
|
|
mode="single"
|
|
selected={
|
|
line.procedureDate
|
|
? new Date(line.procedureDate)
|
|
: undefined
|
|
}
|
|
onSelect={(date) => updateProcedureDate(i, date)}
|
|
onClose={() => setOpenProcedureDateIndex(null)}
|
|
/>
|
|
</PopoverContent>
|
|
</Popover>
|
|
|
|
<Input
|
|
placeholder="Oral Cavity Area"
|
|
value={line.oralCavityArea}
|
|
onChange={(e) =>
|
|
updateServiceLine(i, "oralCavityArea", e.target.value)
|
|
}
|
|
/>
|
|
<Input
|
|
placeholder="eg. 14"
|
|
value={line.toothNumber}
|
|
onChange={(e) =>
|
|
updateServiceLine(i, "toothNumber", e.target.value)
|
|
}
|
|
/>
|
|
<Input
|
|
placeholder="eg. B,D,F,I,L,M,O (comma-separated)"
|
|
value={line.toothSurface}
|
|
onChange={(e) => {
|
|
const typed = normalizeToothSurface(e.target.value);
|
|
updateServiceLine(i, "toothSurface", typed);
|
|
}}
|
|
/>
|
|
<Input
|
|
type="number"
|
|
step="0.01"
|
|
placeholder="$0.00"
|
|
value={
|
|
line.totalBilled?.toNumber() === 0
|
|
? ""
|
|
: line.totalBilled?.toNumber()
|
|
}
|
|
onChange={(e) => {
|
|
updateServiceLine(i, "totalBilled", e.target.value);
|
|
}}
|
|
onBlur={(e) => {
|
|
const val = parseFloat(e.target.value);
|
|
const rounded = Math.round(val * 100) / 100;
|
|
updateServiceLine(
|
|
i,
|
|
"totalBilled",
|
|
isNaN(rounded) ? 0 : rounded
|
|
);
|
|
}}
|
|
/>
|
|
</div>
|
|
);
|
|
})}
|
|
|
|
<Button
|
|
className="mt-2"
|
|
variant="outline"
|
|
onClick={() =>
|
|
setForm((prev) => ({
|
|
...prev,
|
|
serviceLines: [
|
|
...prev.serviceLines,
|
|
{
|
|
procedureCode: "",
|
|
procedureDate: serviceDate,
|
|
oralCavityArea: "",
|
|
toothNumber: "",
|
|
toothSurface: "",
|
|
totalBilled: new Decimal(0),
|
|
totalAdjusted: new Decimal(0),
|
|
totalPaid: new Decimal(0),
|
|
},
|
|
],
|
|
}))
|
|
}
|
|
>
|
|
+ Add Service Line
|
|
</Button>
|
|
|
|
<div className="space-y-4 mt-8">
|
|
{Object.entries(COMBO_CATEGORIES).map(([section, ids]) => (
|
|
<div key={section}>
|
|
<div className="mb-3 text-sm font-semibold opacity-70">
|
|
{section}
|
|
</div>
|
|
<div className="flex flex-wrap gap-1">
|
|
{ids.map((id) => {
|
|
const b = PROCEDURE_COMBOS[id];
|
|
if (!b) {
|
|
return;
|
|
}
|
|
// Build a human readable string for the tooltip
|
|
const codesWithTooth = b.codes.map((code, idx) => {
|
|
const tooth = b.toothNumbers?.[idx];
|
|
return tooth ? `${code} (tooth ${tooth})` : code;
|
|
});
|
|
const tooltipText = codesWithTooth.join(", ");
|
|
|
|
return (
|
|
<Tooltip key={b.id}>
|
|
<TooltipTrigger asChild>
|
|
<Button
|
|
key={b.id}
|
|
variant="secondary"
|
|
onClick={() =>
|
|
setForm((prev) => {
|
|
const next = applyComboToForm(
|
|
prev,
|
|
b.id as any,
|
|
patient?.dateOfBirth ?? "",
|
|
{
|
|
replaceAll: false,
|
|
lineDate: prev.serviceDate,
|
|
}
|
|
);
|
|
|
|
setTimeout(() => scrollToLine(0), 0);
|
|
|
|
return next;
|
|
})
|
|
}
|
|
aria-label={`${b.label} — codes: ${tooltipText}`}
|
|
>
|
|
{b.label}
|
|
</Button>
|
|
</TooltipTrigger>
|
|
|
|
<TooltipContent side="top" align="center">
|
|
<div className="text-sm max-w-xs break-words">
|
|
{tooltipText}
|
|
</div>
|
|
</TooltipContent>
|
|
</Tooltip>
|
|
);
|
|
})}
|
|
</div>
|
|
</div>
|
|
))}
|
|
</div>
|
|
</div>
|
|
|
|
{/* File Upload Section */}
|
|
<div className="mt-4 bg-gray-100 p-4 rounded-md space-y-4">
|
|
<p className="text-sm text-gray-500">
|
|
You can upload up to 10 files. Allowed types: PDF, JPG, PNG,
|
|
WEBP.
|
|
</p>
|
|
|
|
<MultipleFileUploadZone
|
|
ref={uploadZoneRef}
|
|
onFilesChange={handleFilesChange}
|
|
isUploading={isUploading}
|
|
acceptedFileTypes="application/pdf,image/jpeg,image/jpg,image/png,image/webp"
|
|
maxFiles={10}
|
|
/>
|
|
|
|
{form.uploadedFiles.length > 0 && (
|
|
<ul className="text-sm text-gray-700 list-disc ml-6">
|
|
{form.uploadedFiles.map((file, index) => (
|
|
<li key={index}>{file.name}</li>
|
|
))}
|
|
</ul>
|
|
)}
|
|
</div>
|
|
|
|
{/* Insurance Carriers */}
|
|
<div>
|
|
<h3 className="text-xl font-semibold mb-4 text-center">
|
|
Insurance Carriers
|
|
</h3>
|
|
<div className="flex justify-between">
|
|
<Button
|
|
className="w-32"
|
|
variant="secondary"
|
|
onClick={() => handleMHSubmit()}
|
|
>
|
|
MH
|
|
</Button>
|
|
<Button
|
|
className="w-32"
|
|
variant="secondary"
|
|
onClick={() => handleMHPreAuth()}
|
|
>
|
|
MH PreAuth
|
|
</Button>
|
|
<Button
|
|
className="w-32"
|
|
variant="secondary"
|
|
onClick={handleAddService}
|
|
>
|
|
Add Service
|
|
</Button>
|
|
<Button className="w-32" variant="outline">
|
|
Delta MA
|
|
</Button>
|
|
<Button className="w-32" variant="outline">
|
|
Others
|
|
</Button>
|
|
</div>
|
|
</div>
|
|
</div>
|
|
</CardContent>
|
|
</Card>
|
|
</div>
|
|
);
|
|
}
|