feat: DDMA claim submission with OTP, PDF, claim number extraction

- Add full DDMA claim Selenium flow (steps 1-8): search patient, open
  member page, create claim, fill form, attach files, next, submit,
  extract claim number and save confirmation PDF
- Add fee schedule price-mismatch dialog for all claim buttons (MH,
  CCA, DDMA, United, Tufts, Save) with optional price update to JSON
- Add OTP modal for DDMA claim when session expires, mirroring
  eligibility OTP flow
- Close Chrome after claim submission via quit_driver() (session
  preserved in profile)
- Move Map Price button between Direct Submission and procedure table,
  right-aligned above Billed Amount column
- Add fee-schedule update-price backend route
- Add DDMA claim processor with claimNumber/pdf_url result handling

Co-Authored-By: Claude Sonnet 4.6 <noreply@anthropic.com>
This commit is contained in:
Gitead
2026-05-24 13:35:04 -04:00
parent 5ceecbeb7f
commit cd1381e9c6
13 changed files with 2139 additions and 22 deletions

View File

@@ -17,6 +17,8 @@ import { runUnitedSCOEligibilityProcessor } from "./processors/unitedSCOEligibil
import { runDentaQuestEligibilityProcessor } from "./processors/dentaQuestEligibilityProcessor";
import { runCCAEligibilityProcessor } from "./processors/ccaEligibilityProcessor";
import { runCCAClaimProcessor } from "./processors/ccaClaimProcessor";
import { runCCAPreAuthProcessor } from "./processors/ccaPreAuthProcessor";
import { runDDMAClaimProcessor } from "./processors/ddmaClaimProcessor";
import { runEligibilityHistoryProcessor } from "./processors/eligibilityHistoryProcessor";
import { runCmspEligibilityHistoryRemainingProcessor } from "./processors/cmspEligibilityHistoryRemainingProcessor";
import type { SeleniumJobData, OcrJobData } from "./queues";
@@ -144,6 +146,28 @@ export function enqueueSeleniumJob(data: SeleniumJobData): string {
job.id
);
}
if (jobType === "cca-preauth-submit") {
return runCCAPreAuthProcessor(
{
enrichedPayload: data.enrichedPayload,
userId: data.userId,
claimId: data.claimId,
socketId: data.socketId,
},
job.id
);
}
if (jobType === "ddma-claim-submit") {
return runDDMAClaimProcessor(
{
enrichedPayload: data.enrichedPayload,
userId: data.userId,
claimId: data.claimId,
socketId: data.socketId,
},
job.id
);
}
if (jobType === "cca-eligibility-check") {
return runCCAEligibilityProcessor(
{

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@@ -0,0 +1,147 @@
/**
* Processor for "ddma-claim-submit" jobs.
* Opens a claim on the Delta Dental MA provider portal via Selenium.
*
* Flow:
* 1. POST /ddma-claim to Python agent → get session_id
* 2. Emit selenium:ddma_claim_started to frontend
* 3. Poll until completed/error
* 4. Emit result
*/
import {
forwardToSeleniumDDMAClaimAgent,
getSeleniumDDMAClaimSessionStatus,
} from "../../services/seleniumDDMAClaimClient";
import { io } from "../../socket";
import { storage } from "../../storage";
function log(tag: string, msg: string, ctx?: any) {
console.log(`${new Date().toISOString()} [${tag}] ${msg}`, ctx ?? "");
}
function emitToSocket(socketId: string | undefined, event: string, payload: any) {
if (!socketId || !io) return;
try {
const socket = io.sockets.sockets.get(socketId);
if (socket) socket.emit(event, payload);
} catch (_) {}
}
async function pollUntilDone(
sessionId: string,
socketId: string | undefined,
jobId: string,
pollTimeoutMs = 10 * 60 * 1000
): Promise<any> {
const maxAttempts = 1200;
const pollIntervalMs = 500;
const maxTransientErrors = 12;
let transientErrors = 0;
let lastOtpEmit = 0;
const deadline = Date.now() + pollTimeoutMs;
for (let attempt = 0; attempt < maxAttempts; attempt++) {
if (Date.now() > deadline) {
throw new Error(`DDMA claim polling timeout for session ${sessionId}`);
}
try {
const st = await getSeleniumDDMAClaimSessionStatus(sessionId);
const status: string = st?.status ?? "unknown";
log("ddma-claim-processor", `poll attempt=${attempt}`, { sessionId, status });
transientErrors = 0;
if (status === "waiting_for_otp") {
// Throttle: emit at most once every 5 s so the frontend isn't flooded
if (Date.now() - lastOtpEmit > 5000) {
emitToSocket(socketId, "selenium:otp_required", {
session_id: sessionId,
jobId,
message: "OTP required. Please enter the OTP shown by the DDMA portal.",
});
lastOtpEmit = Date.now();
}
await new Promise((r) => setTimeout(r, pollIntervalMs));
continue;
}
if (status === "completed") return st.result;
if (status === "error" || status === "not_found") {
throw new Error(st?.message || `DDMA claim session ended with status: ${status}`);
}
await new Promise((r) => setTimeout(r, pollIntervalMs));
} catch (err: any) {
const isTerminal =
err?.response?.status === 404 ||
(typeof err?.message === "string" &&
(err.message.includes("not_found") || err.message.includes("polling timeout")));
if (isTerminal) throw err;
transientErrors++;
if (transientErrors > maxTransientErrors) {
throw new Error(`Too many transient errors polling DDMA claim session ${sessionId}`);
}
const backoff = Math.min(30_000, 500 * Math.pow(2, transientErrors - 1));
await new Promise((r) => setTimeout(r, backoff));
}
}
throw new Error(`DDMA claim polling exhausted all attempts for session ${sessionId}`);
}
export interface DDMAClaimProcessorInput {
enrichedPayload: any;
userId: number;
claimId?: number;
socketId?: string;
}
export async function runDDMAClaimProcessor(
input: DDMAClaimProcessorInput,
jobId: string
): Promise<{ status: string; pdf_url?: string; claimNumber?: string }> {
const { enrichedPayload, userId, claimId, socketId } = input;
log("ddma-claim-processor", "starting Python agent session", { claimId });
const agentResp = await forwardToSeleniumDDMAClaimAgent(enrichedPayload);
if (!agentResp?.session_id) {
throw new Error("Python agent did not return a session_id for DDMA claim");
}
const sessionId = agentResp.session_id as string;
log("ddma-claim-processor", "got session_id", { sessionId });
emitToSocket(socketId, "selenium:ddma_claim_started", { session_id: sessionId, jobId });
const seleniumResult = await pollUntilDone(sessionId, socketId, jobId);
if (!seleniumResult || seleniumResult.status === "error") {
throw new Error(seleniumResult?.message ?? "DDMA claim session returned an error");
}
const claimNumber: string | undefined = seleniumResult.claimNumber ?? undefined;
const pdf_url: string | undefined = seleniumResult.pdf_url ?? undefined;
// Persist claim number and update status
if (claimId) {
try {
const updates: Record<string, any> = { status: "REVIEW" };
if (claimNumber) updates.claimNumber = claimNumber;
await storage.updateClaim(claimId, updates);
log("ddma-claim-processor", "claim record updated", { claimId, claimNumber });
} catch (e) {
log("ddma-claim-processor", "failed to update claim record (non-fatal)", { error: e });
}
}
emitToSocket(socketId, "selenium:ddma_claim_completed", {
jobId,
claimId,
claimNumber,
pdf_url,
message: claimNumber
? `DDMA claim submitted — Claim #: ${claimNumber}`
: (seleniumResult?.message ?? "DDMA claim submitted successfully"),
});
log("ddma-claim-processor", "done", { claimId, claimNumber });
return { status: "success", pdf_url, claimNumber };
}

View File

@@ -12,6 +12,8 @@ export type SeleniumJobType =
| "unitedsco-eligibility-check"
| "cca-eligibility-check"
| "cca-claim-submit"
| "cca-preauth-submit"
| "ddma-claim-submit"
| "tuftssco-eligibility-check"
| "mh-eligibility-history-check"
| "cmsp-eligibility-history-remaining-check";

View File

@@ -0,0 +1,69 @@
import { Router, Request, Response } from "express";
import path from "path";
import fs from "fs";
const router = Router();
const SCHEDULE_FILES: Record<string, string> = {
MH: "procedureCodesMH.json",
MASSHEALTH: "procedureCodesMH.json",
CCA: "procedureCodesCCA.json",
DDMA: "procedureCodesDDMA.json",
};
function getSchedulePath(siteKey: string): string | null {
const filename = SCHEDULE_FILES[siteKey.toUpperCase()];
if (!filename) return null;
return path.join(process.cwd(), "..", "Frontend", "src", "assets", "data", filename);
}
/**
* POST /api/fee-schedule/update-price
* Body: { siteKey, procedureCode, price }
* Updates the matching row's Price field in the fee schedule JSON.
*/
router.post("/update-price", async (req: Request, res: Response): Promise<any> => {
if (!req.user?.id) return res.status(401).json({ error: "Unauthorized" });
const { siteKey, procedureCode, price } = req.body;
if (!siteKey || !procedureCode || price == null) {
return res.status(400).json({ error: "siteKey, procedureCode and price are required" });
}
const filePath = getSchedulePath(siteKey);
if (!filePath) {
return res.status(400).json({ error: `No fee schedule for siteKey: ${siteKey}` });
}
try {
const raw = fs.readFileSync(filePath, "utf-8");
const rows: any[] = JSON.parse(raw);
const normalizedCode = String(procedureCode).trim().toUpperCase();
let updated = false;
for (const row of rows) {
const rowCode = String(row["Procedure Code"] || "").trim().toUpperCase();
if (rowCode === normalizedCode) {
// Update whichever price field(s) exist in this row
if ("Price" in row) row["Price"] = price;
if ("PriceLTEQ21" in row) row["PriceLTEQ21"] = price;
if ("PriceGT21" in row) row["PriceGT21"] = price;
updated = true;
break;
}
}
if (!updated) {
return res.status(404).json({ error: `Procedure code ${procedureCode} not found in ${siteKey} schedule` });
}
fs.writeFileSync(filePath, JSON.stringify(rows, null, 2), "utf-8");
console.log(`[feeSchedule] Updated ${siteKey} ${procedureCode}${price}`);
return res.json({ success: true });
} catch (err: any) {
console.error("[feeSchedule] Error:", err);
return res.status(500).json({ error: err.message });
}
});
export default router;

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@@ -17,6 +17,8 @@ import insuranceStatusUnitedSCORoutes from "./insuranceStatusUnitedSCO";
import insuranceStatusTuftsSCORoutes from "./insuranceStatusTuftsSCO";
import insuranceStatusCCARoutes from "./insuranceStatusCCA";
import insuranceStatusCCAClaimRoutes from "./insuranceStatusCCAClaim";
import insuranceStatusCCAPreAuthRoutes from "./insuranceStatusCCAPreAuth";
import insuranceStatusDDMAClaimRoutes from "./insuranceStatusDDMAClaim";
import paymentsRoutes from "./payments";
import databaseManagementRoutes from "./database-management";
import notificationsRoutes from "./notifications";
@@ -34,6 +36,7 @@ import procedureTimeslotRoutes from "./procedure-timeslot";
import insuranceContactsRoutes from "./insurance-contacts";
import commissionsRoutes from "./commissions";
import shoppingVendorsRoutes from "./shopping-vendors";
import feeScheduleRoutes from "./feeSchedule";
const router = Router();
@@ -55,6 +58,8 @@ router.use("/insurance-status-unitedsco", insuranceStatusUnitedSCORoutes);
router.use("/insurance-status-tuftssco", insuranceStatusTuftsSCORoutes);
router.use("/insurance-status-cca", insuranceStatusCCARoutes);
router.use("/claims", insuranceStatusCCAClaimRoutes);
router.use("/claims", insuranceStatusCCAPreAuthRoutes);
router.use("/claims", insuranceStatusDDMAClaimRoutes);
router.use("/payments", paymentsRoutes);
router.use("/database-management", databaseManagementRoutes);
router.use("/notifications", notificationsRoutes);
@@ -72,5 +77,6 @@ router.use("/procedure-timeslot", procedureTimeslotRoutes);
router.use("/insurance-contacts", insuranceContactsRoutes);
router.use("/commissions", commissionsRoutes);
router.use("/shopping-vendors", shoppingVendorsRoutes);
router.use("/fee-schedule", feeScheduleRoutes);
export default router;

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@@ -0,0 +1,94 @@
import { Router, Request, Response } from "express";
import { storage } from "../storage";
import { enqueueSeleniumJob } from "../queue/jobRunner";
import { forwardOtpToSeleniumDDMAClaimAgent } from "../services/seleniumDDMAClaimClient";
import { io } from "../socket";
const router = Router();
/**
* POST /ddma-claim
*
* Enqueues a Delta Dental MA claim submission job.
*
* Body fields (JSON):
* data — claim payload (memberId, dateOfBirth, serviceDate, serviceLines, patientName, etc.)
* socketId — socket.io client id
* claimId — existing claim DB id (optional)
*
* Response: { status: "queued", jobId: "…" }
*/
router.post("/ddma-claim", async (req: Request, res: Response): Promise<any> => {
if (!req.user?.id) {
return res.status(401).json({ error: "Unauthorized: user info missing" });
}
try {
const claimData =
typeof req.body.data === "string"
? JSON.parse(req.body.data)
: req.body.data ?? req.body ?? {};
// Fetch DDMA credentials
const credentials = await storage.getInsuranceCredentialByUserAndSiteKey(
req.user.id,
"DDMA"
);
if (!credentials) {
return res.status(404).json({
error: "No Delta Dental MA credentials found. Please add them on the Settings page.",
});
}
const enrichedPayload = {
claim: {
...claimData,
massddmaUsername: credentials.username,
massddmaPassword: credentials.password,
},
};
const socketId: string | undefined = req.body.socketId;
const claimId: number | undefined = claimData.claimId
? Number(claimData.claimId)
: undefined;
const jobId = enqueueSeleniumJob({
jobType: "ddma-claim-submit",
userId: req.user.id,
socketId,
enrichedPayload,
claimId,
});
return res.json({ status: "queued", jobId });
} catch (err: any) {
console.error("[ddma-claim route] error:", err);
return res.status(500).json({
error: err.message || "Failed to enqueue DDMA claim job",
});
}
});
/**
* POST /claims/ddma-claim/selenium/submit-otp
* Body: { session_id, otp, socketId? }
*/
router.post("/ddma-claim/selenium/submit-otp", async (req: Request, res: Response): Promise<any> => {
const { session_id: sessionId, otp, socketId } = req.body;
if (!sessionId || !otp) {
return res.status(400).json({ error: "session_id and otp are required" });
}
try {
const r = await forwardOtpToSeleniumDDMAClaimAgent(sessionId, otp);
if (socketId && io) {
io.to(socketId).emit("selenium:otp_submitted", { session_id: sessionId });
}
return res.json(r);
} catch (err: any) {
console.error("[ddma-claim] submit-otp failed:", err?.message);
return res.status(500).json({ error: err?.message || "Failed to forward OTP" });
}
});
export default router;

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@@ -0,0 +1,35 @@
import axios from "axios";
const SELENIUM_BASE = process.env.SELENIUM_SERVICE_URL ?? "http://localhost:5002";
/**
* POST /ddma-claim
* Returns { status: "started", session_id: "<uuid>" }
*/
export async function forwardToSeleniumDDMAClaimAgent(
data: Record<string, any>
): Promise<{ status: string; session_id: string }> {
const resp = await axios.post(`${SELENIUM_BASE}/ddma-claim`, data);
return resp.data;
}
/**
* GET /session/{sid}/status
*/
export async function getSeleniumDDMAClaimSessionStatus(
sessionId: string
): Promise<Record<string, any>> {
const resp = await axios.get(`${SELENIUM_BASE}/session/${sessionId}/status`);
return resp.data;
}
/**
* POST /session/{sid}/submit-otp
*/
export async function forwardOtpToSeleniumDDMAClaimAgent(
sessionId: string,
otp: string
): Promise<Record<string, any>> {
const resp = await axios.post(`${SELENIUM_BASE}/submit-otp`, { session_id: sessionId, otp });
return resp.data;
}