1819 lines
61 KiB
TypeScript
Executable File
1819 lines
61 KiB
TypeScript
Executable File
import { useState, useEffect, useRef, useCallback, memo, useMemo } 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 {
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Select,
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SelectContent,
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SelectItem,
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SelectTrigger,
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SelectValue,
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} from "@/components/ui/select";
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import { Card, CardContent, CardHeader, CardTitle } from "@/components/ui/card";
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import { Label } from "@/components/ui/label";
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import { X, Calendar as CalendarIcon, HelpCircle, Trash2 } from "lucide-react";
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import { useToast } from "@/hooks/use-toast";
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import { Calendar } from "@/components/ui/calendar";
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import {
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Popover,
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PopoverContent,
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PopoverTrigger,
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} from "@/components/ui/popover";
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import { useQuery } from "@tanstack/react-query";
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import { apiRequest } from "@/lib/queryClient";
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import {
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MultipleFileUploadZone,
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MultipleFileUploadZoneHandle,
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} from "../file-upload/multiple-file-upload-zone";
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import { useAuth } from "@/hooks/use-auth";
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import {
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Tooltip,
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TooltipContent,
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TooltipTrigger,
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} from "@/components/ui/tooltip";
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import { formatLocalDate, parseLocalDate } from "@/utils/dateUtils";
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import {
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Claim,
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ClaimFileMeta,
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ClaimFormData,
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ClaimPreAuthData,
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InputServiceLine,
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InsertAppointment,
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MissingTeethStatus,
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NpiProvider,
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Patient,
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Staff,
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UpdateAppointment,
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UpdatePatient,
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} from "@repo/db/types";
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import { Decimal } from "decimal.js";
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import {
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mapPricesForForm,
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applyComboToForm,
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getDescriptionForCode,
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} from "@/utils/procedureCombosMapping";
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import { PROCEDURE_COMBOS } from "@/utils/procedureCombos";
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import { DateInput } from "../ui/dateInput";
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import { MissingTeethSimple, type MissingMapStrict } from "./tooth-ui";
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import { RemarksField } from "./claims-ui";
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import {
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DirectComboButtons,
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RegularComboButtons,
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} from "@/components/procedure/procedure-combo-buttons";
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import { Switch } from "@/components/ui/switch";
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interface ClaimFormProps {
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patientId: number;
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appointmentId?: number;
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autoSubmit?: boolean;
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/** When true: form saves to AppointmentProcedure (Select Procedures flow), shows only Save button */
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proceduresOnly?: boolean;
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onSubmit: (data: ClaimFormData) => Promise<Claim>;
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onHandleAppointmentSubmit: (
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appointmentData: InsertAppointment | UpdateAppointment,
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) => Promise<number | { id: number }>;
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onHandleUpdatePatient: (patient: UpdatePatient & { id: number }) => void;
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onHandleForMHSeleniumClaim: (data: ClaimFormData) => void;
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onHandleForMHSeleniumClaimPreAuth: (data: ClaimPreAuthData) => void;
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onClose: () => void;
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}
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export function ClaimForm({
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patientId,
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appointmentId,
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autoSubmit,
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proceduresOnly = false,
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onHandleAppointmentSubmit,
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onHandleUpdatePatient,
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onHandleForMHSeleniumClaim,
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onHandleForMHSeleniumClaimPreAuth,
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onSubmit,
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onClose,
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}: ClaimFormProps) {
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const { toast } = useToast();
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const { user } = useAuth();
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const [prefillDone, setPrefillDone] = useState(false);
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const autoSubmittedRef = useRef(false);
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// When an existing claim is loaded for the appointment, store its ID so
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// the form submits an update instead of creating a new claim.
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const [existingClaimId, setExistingClaimId] = useState<number | null>(null);
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const [directSubmitEnabled, setDirectSubmitEnabled] = useState(false);
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const [patient, setPatient] = useState<Patient | null>(null);
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// staffId from the appointment column — used for claim creation, not shown in UI
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const [appointmentStaffId, setAppointmentStaffId] = useState<number | null>(null);
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// npiProviderId loaded from AppointmentProcedure (2b) — restored to form when npiProviders load
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const [savedProcNpiId, setSavedProcNpiId] = useState<number | null>(null);
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// Query patient based on given patient id
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const {
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data: fetchedPatient,
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isLoading,
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error,
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} = useQuery<Patient>({
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queryKey: ["/api/patients/", patientId],
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queryFn: async () => {
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const res = await apiRequest("GET", `/api/patients/${patientId}`);
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if (!res.ok) throw new Error("Failed to fetch patient");
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return res.json();
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},
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enabled: !!patientId,
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});
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// Sync fetched patient when available
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useEffect(() => {
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if (fetchedPatient) {
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setPatient(fetchedPatient);
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}
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}, [fetchedPatient]);
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//Fetching staff memebers
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const [staff, setStaff] = useState<Staff | null>(null);
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const { data: staffMembersRaw = [] as Staff[], isLoading: isLoadingStaff } =
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useQuery<Staff[]>({
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queryKey: ["/api/staffs/"],
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queryFn: async () => {
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const res = await apiRequest("GET", "/api/staffs/");
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return res.json();
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},
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});
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useEffect(() => {
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if (staffMembersRaw.length > 0 && !staff) {
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const kaiGao = staffMembersRaw.find(
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(member) => member.name === "Kai Gao",
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);
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const defaultStaff = kaiGao || staffMembersRaw[0];
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if (defaultStaff) setStaff(defaultStaff);
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}
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}, [staffMembersRaw, staff]);
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// fetching npi providers
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const { data: npiProviders = [] } = useQuery<NpiProvider[]>({
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queryKey: ["/api/npiProviders/"],
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queryFn: async () => {
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const res = await apiRequest("GET", "/api/npiProviders/");
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if (!res.ok) throw new Error("Failed to fetch NPI providers");
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return res.json();
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},
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});
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useEffect(() => {
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if (!npiProviders.length) return;
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// do not override if user already selected
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if (form.npiProvider?.npiNumber) return;
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const maryScannell = npiProviders.find(
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(p) => p.providerName.toLowerCase() === "mary scannell",
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);
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const fallback = maryScannell || npiProviders[0];
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if (fallback) {
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setForm((prev) => ({
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...prev,
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npiProvider: {
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npiNumber: fallback.npiNumber,
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providerName: fallback.providerName,
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},
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}));
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}
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}, [npiProviders]);
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// Service date state
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const [serviceDateValue, setServiceDateValue] = useState<Date>(new Date());
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const [serviceDate, setServiceDate] = useState<string>(
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formatLocalDate(new Date()),
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);
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const [serviceDateOpen, setServiceDateOpen] = useState(false);
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const [openProcedureDateIndex, setOpenProcedureDateIndex] = useState<
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number | null
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>(null);
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//incase when appointmentId is given - directly from appoinmentpage - claimpage - to here.
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// then, update the service date as per the appointment date.
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useEffect(() => {
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if (!appointmentId) return;
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if (!Number.isFinite(appointmentId) || appointmentId <= 0) return;
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let cancelled = false;
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(async () => {
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try {
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const res = await apiRequest(
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"GET",
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`/api/appointments/${appointmentId}`,
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);
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if (!res.ok) {
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let body: any = null;
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try {
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body = await res.json();
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} catch {}
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if (!cancelled) {
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toast({
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title: "Failed to load appointment",
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description:
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body?.message ??
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body?.error ??
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`Could not fetch appointment ${appointmentId}.`,
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variant: "destructive",
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});
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}
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return;
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}
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const appointment = await res.json();
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// Capture the column staffId from the appointment
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if (!cancelled && appointment?.staffId) {
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setAppointmentStaffId(Number(appointment.staffId));
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}
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// appointment.date is expected to be either "YYYY-MM-DD" or an ISO string.
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const rawDate = appointment?.date ?? appointment?.day ?? "";
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if (!rawDate) return;
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// Use your parseLocalDate to create a local-midnight Date (avoid TZ shifts)
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let dateVal: Date;
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try {
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dateVal = parseLocalDate(String(rawDate));
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} catch (e) {
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// Fallback - try constructing Date and then normalize
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const maybe = new Date(rawDate);
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if (isNaN(maybe.getTime())) {
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console.error("Could not parse appointment date:", rawDate);
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return;
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}
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dateVal = new Date(
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maybe.getFullYear(),
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maybe.getMonth(),
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maybe.getDate(),
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);
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}
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if (!cancelled) {
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setServiceDateValue(dateVal);
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setServiceDate(formatLocalDate(dateVal));
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}
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} catch (err: any) {
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if (!cancelled) {
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console.error("Error fetching appointment:", err);
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toast({
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title: "Error",
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description: err?.message ?? "Failed to fetch Appointment.",
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variant: "destructive",
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});
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}
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}
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})();
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return () => {
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cancelled = true;
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};
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}, [appointmentId]);
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//
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// 2a. Load existing saved claim for this appointment (if any).
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// Skipped in proceduresOnly mode — that mode always reads from AppointmentProcedure.
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useEffect(() => {
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if (!appointmentId) return;
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if (proceduresOnly) return;
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let cancelled = false;
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(async () => {
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try {
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const res = await apiRequest(
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"GET",
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`/api/claims/by-appointment/${appointmentId}`,
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);
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if (!res.ok) return; // 404 = no existing claim, that's fine
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const claim = await res.json();
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if (cancelled || !claim?.id) return;
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setExistingClaimId(claim.id);
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// Restore service date
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const rawDate = claim.serviceDate ?? "";
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const claimDate = rawDate
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? String(rawDate).split("T")[0] ?? ""
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: "";
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if (claimDate) {
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try {
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setServiceDateValue(parseLocalDate(claimDate));
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setServiceDate(claimDate);
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} catch {}
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}
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// Restore service lines
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const mappedLines = (claim.serviceLines ?? []).map((sl: any) => ({
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procedureCode: sl.procedureCode ?? "",
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procedureDate: sl.procedureDate
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? String(sl.procedureDate).split("T")[0]
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: claimDate,
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quad: sl.quad ?? "",
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arch: sl.arch ?? "",
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toothNumber: sl.toothNumber ?? "",
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toothSurface: sl.toothSurface ?? "",
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totalBilled: new Decimal(Number(sl.totalBilled ?? 0)),
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totalAdjusted: new Decimal(Number(sl.totalAdjusted ?? 0)),
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totalPaid: new Decimal(Number(sl.totalPaid ?? 0)),
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}));
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setForm((prev) => ({
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...prev,
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claimId: claim.id,
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serviceDate: claimDate || prev.serviceDate,
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serviceLines: mappedLines.length > 0 ? mappedLines : prev.serviceLines,
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remarks: claim.remarks ?? "",
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missingTeethStatus: (claim.missingTeethStatus as MissingTeethStatus) ?? "No_missing",
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missingTeeth: (claim.missingTeeth as Record<string, "X" | "O">) ?? {},
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insuranceProvider: claim.insuranceProvider ?? "",
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...(claim.staffId ? { staffId: claim.staffId } : {}),
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claimFiles: claim.claimFiles ?? [],
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}));
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// Restore staff selection
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if (claim.staffId && staffMembersRaw.length > 0) {
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const matchedStaff = staffMembersRaw.find(
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(s) => Number(s.id) === Number(claim.staffId),
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);
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if (matchedStaff) setStaff(matchedStaff);
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}
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// Restore NPI provider selection
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if ((claim as any).npiProviderId && npiProviders.length > 0) {
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const matchedNpi = npiProviders.find(
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(p) => Number(p.id) === Number((claim as any).npiProviderId),
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);
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if (matchedNpi) {
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setForm((prev) => ({
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...prev,
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npiProvider: {
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npiNumber: matchedNpi.npiNumber,
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providerName: matchedNpi.providerName,
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},
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}));
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}
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}
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setPrefillDone(true);
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} catch (err) {
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// no existing claim — silently continue
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}
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})();
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return () => { cancelled = true; };
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}, [appointmentId]);
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// 2b. Prefill procedures from AppointmentProcedure records.
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// Skipped when an existing claim was already loaded above.
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useEffect(() => {
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if (!appointmentId) return;
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if (existingClaimId) return; // existing claim takes priority
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let cancelled = false;
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||
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(async () => {
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try {
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const res = await apiRequest(
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"GET",
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`/api/appointment-procedures/prefill-from-appointment/${appointmentId}`,
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);
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if (!res.ok) return;
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const data = await res.json();
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if (cancelled) return;
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const mappedLines = (data.procedures || []).map((p: any) => ({
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procedureCode: p.procedureCode,
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procedureDate: serviceDate,
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quad: (p as any).quad || "",
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arch: (p as any).arch || "",
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toothNumber: p.toothNumber || "",
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toothSurface: p.toothSurface || "",
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totalBilled: new Decimal(p.fee || 0),
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totalAdjusted: new Decimal(0),
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totalPaid: new Decimal(0),
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}));
|
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setForm((prev) => ({
|
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...prev,
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serviceLines: mappedLines,
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...(data.appointmentFiles?.length
|
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? { claimFiles: data.appointmentFiles }
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: {}),
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}));
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|
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// Restore NPI provider from saved procedures
|
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if (data.npiProviderId) {
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const npiId = Number(data.npiProviderId);
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setSavedProcNpiId(npiId);
|
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// Apply immediately if providers are already loaded
|
||
const matched = npiProviders.find((p) => p.id === npiId);
|
||
if (matched) {
|
||
setForm((prev) => ({
|
||
...prev,
|
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npiProvider: { npiNumber: matched.npiNumber, providerName: matched.providerName },
|
||
}));
|
||
}
|
||
}
|
||
|
||
setPrefillDone(true);
|
||
} catch (err) {
|
||
console.error("Failed to prefill procedures:", err);
|
||
}
|
||
})();
|
||
|
||
return () => {
|
||
cancelled = true;
|
||
};
|
||
}, [appointmentId, serviceDate, existingClaimId]);
|
||
|
||
// Restore NPI provider from saved procedures when npiProviders list loads after 2b
|
||
useEffect(() => {
|
||
if (!savedProcNpiId || !npiProviders.length) return;
|
||
if (form.npiProvider?.npiNumber) return; // already set
|
||
const matched = npiProviders.find((p) => p.id === savedProcNpiId);
|
||
if (matched) {
|
||
setForm((prev) => ({
|
||
...prev,
|
||
npiProvider: { npiNumber: matched.npiNumber, providerName: matched.providerName },
|
||
}));
|
||
}
|
||
}, [savedProcNpiId, npiProviders]);
|
||
|
||
// 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: appointmentStaffId ?? Number(staff?.id),
|
||
patientName: `${patient?.firstName} ${patient?.lastName}`.trim(),
|
||
memberId: patient?.insuranceId ?? "",
|
||
dateOfBirth: normalizeToIsoDateString(patient?.dateOfBirth),
|
||
remarks: "",
|
||
missingTeethStatus: "No_missing",
|
||
missingTeeth: {} as MissingMapStrict,
|
||
serviceDate: serviceDate,
|
||
insuranceProvider: "",
|
||
insuranceSiteKey: "",
|
||
status: "PENDING",
|
||
serviceLines: Array.from({ length: 10 }, () => ({
|
||
procedureCode: "",
|
||
procedureDate: serviceDate,
|
||
quad: "",
|
||
arch: "",
|
||
toothNumber: "",
|
||
toothSurface: "",
|
||
totalBilled: new Decimal(0),
|
||
totalAdjusted: new Decimal(0),
|
||
totalPaid: new Decimal(0),
|
||
})),
|
||
uploadedFiles: [],
|
||
});
|
||
|
||
// Sync patient data to form when patient updates
|
||
useEffect(() => {
|
||
if (patient) {
|
||
const fullName =
|
||
`${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, "");
|
||
}
|
||
|
||
// Missing teeth section
|
||
const setMissingTeethStatus = (status: MissingTeethStatus) => {
|
||
setForm((prev) => {
|
||
if (prev.missingTeethStatus === status) return prev; // no-op
|
||
return {
|
||
...prev,
|
||
missingTeethStatus: status,
|
||
missingTeeth: status === "Yes_missing" ? prev.missingTeeth : {},
|
||
};
|
||
});
|
||
};
|
||
|
||
const clearAllToothSelections = () =>
|
||
setForm((prev) => ({ ...prev, missingTeeth: {} as MissingMapStrict }));
|
||
|
||
// 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;
|
||
}
|
||
|
||
if (!f.npiProvider?.npiNumber) {
|
||
toast({
|
||
title: "NPI Provider Required",
|
||
description: "Please select a NPI Provider.",
|
||
variant: "destructive",
|
||
});
|
||
return;
|
||
}
|
||
|
||
// 1. Create or update appointment
|
||
let appointmentIdToUse = appointmentId;
|
||
|
||
if (appointmentIdToUse == null) {
|
||
const appointmentData = {
|
||
patientId: patientId,
|
||
date: serviceDate,
|
||
staffId: appointmentStaffId ?? 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,
|
||
npiProvider,
|
||
...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: appointmentStaffId ?? 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: appointmentStaffId ?? Number(staff?.id),
|
||
npiProvider: f.npiProvider,
|
||
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;
|
||
}
|
||
|
||
if (!f.npiProvider?.npiNumber) {
|
||
toast({
|
||
title: "NPI Provider Required",
|
||
description: "Please select a NPI Provider.",
|
||
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: appointmentStaffId ?? Number(staff?.id),
|
||
npiProvider: f.npiProvider,
|
||
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: appointmentStaffId ?? 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, npiProvider: _npi, ...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: appointmentStaffId ?? Number(staff?.id),
|
||
patientId: patientId,
|
||
insuranceProvider: "MassHealth",
|
||
appointmentId: appointmentIdToUse!,
|
||
claimFiles: claimFilesMeta,
|
||
});
|
||
|
||
// 4. Close form
|
||
onClose();
|
||
};
|
||
|
||
const uploadAttachmentsToLocalFolder = async (files: File[]): Promise<ClaimFileMeta[]> => {
|
||
if (!files.length) return [];
|
||
|
||
const patientName = patient?.firstName && patient?.lastName
|
||
? `${patient.firstName} ${patient.lastName}`
|
||
: patient?.firstName ?? `patient-${patientId}`;
|
||
|
||
const formData = new FormData();
|
||
formData.append("patientName", patientName);
|
||
files.forEach((f) => formData.append("files", f));
|
||
|
||
const res = await apiRequest("POST", "/api/claims/upload-attachments", formData);
|
||
const data = await res.json();
|
||
return (data.data ?? []) as ClaimFileMeta[];
|
||
};
|
||
|
||
const handleSave = async () => {
|
||
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 saving.",
|
||
variant: "destructive",
|
||
});
|
||
return;
|
||
}
|
||
|
||
const missingFields: string[] = [];
|
||
if (!form.memberId?.trim()) missingFields.push("Member ID");
|
||
if (!form.dateOfBirth?.trim()) missingFields.push("Date of Birth");
|
||
if (missingFields.length > 0) {
|
||
toast({
|
||
title: "Missing Required Fields",
|
||
description: `Please fill out: ${missingFields.join(", ")}`,
|
||
variant: "destructive",
|
||
});
|
||
return;
|
||
}
|
||
|
||
let appointmentIdToUse = appointmentId;
|
||
|
||
if (appointmentIdToUse == null) {
|
||
const appointmentData = {
|
||
patientId: patientId,
|
||
date: serviceDate,
|
||
staffId: appointmentStaffId ?? 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;
|
||
}
|
||
}
|
||
|
||
const { uploadedFiles, insuranceSiteKey, npiProvider, ...formToSave } = form;
|
||
|
||
const claimFilesMeta: ClaimFileMeta[] = uploadedFiles?.length
|
||
? await uploadAttachmentsToLocalFolder(uploadedFiles)
|
||
: [];
|
||
|
||
// Find the npiProviderId matching the currently selected NPI provider
|
||
const selectedNpiProviderId = npiProvider?.npiNumber
|
||
? npiProviders.find((p) => p.npiNumber === npiProvider.npiNumber)?.id ?? null
|
||
: null;
|
||
|
||
try {
|
||
await onSubmit({
|
||
...formToSave,
|
||
serviceLines: filteredServiceLines,
|
||
staffId: appointmentStaffId ?? Number(staff?.id),
|
||
patientId: patientId,
|
||
insuranceProvider: "MassHealth",
|
||
appointmentId: appointmentIdToUse!,
|
||
claimFiles: claimFilesMeta,
|
||
...(selectedNpiProviderId ? { npiProviderId: selectedNpiProviderId } : {}),
|
||
isDraft: true,
|
||
});
|
||
toast({ title: "Saved", description: "Claim saved successfully." });
|
||
} catch (err: any) {
|
||
toast({
|
||
title: "Save failed",
|
||
description: err?.message ?? "Failed to save claim.",
|
||
variant: "destructive",
|
||
});
|
||
}
|
||
};
|
||
|
||
// Saves CDT codes + NPI provider to AppointmentProcedure (proceduresOnly mode)
|
||
const handleProceduresSave = async () => {
|
||
if (!appointmentId || !patientId) {
|
||
toast({ title: "Missing appointment", description: "Cannot save without an appointment.", variant: "destructive" });
|
||
return;
|
||
}
|
||
|
||
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.", variant: "destructive" });
|
||
return;
|
||
}
|
||
|
||
const selectedNpiProviderId = form.npiProvider?.npiNumber
|
||
? (npiProviders.find((p) => p.npiNumber === form.npiProvider!.npiNumber)?.id ?? null)
|
||
: null;
|
||
|
||
try {
|
||
const attachments = form.uploadedFiles?.length
|
||
? await uploadAttachmentsToLocalFolder(form.uploadedFiles)
|
||
: [];
|
||
|
||
const res = await apiRequest("POST", "/api/appointment-procedures/save-for-appointment", {
|
||
appointmentId,
|
||
patientId,
|
||
npiProviderId: selectedNpiProviderId,
|
||
procedures: filteredServiceLines.map((l) => ({
|
||
procedureCode: l.procedureCode,
|
||
fee: Number(l.totalBilled) || null,
|
||
toothNumber: l.toothNumber || null,
|
||
toothSurface: l.toothSurface || null,
|
||
})),
|
||
attachments,
|
||
});
|
||
const data = await res.json();
|
||
if (!data.success) throw new Error("Failed to save procedures");
|
||
const attachMsg = attachments.length ? ` and ${attachments.length} attachment(s)` : "";
|
||
toast({ title: "Procedures saved", description: `${data.count} procedure(s)${attachMsg} saved.` });
|
||
onClose();
|
||
} catch (err: any) {
|
||
toast({ title: "Save failed", description: err?.message ?? "Failed to save procedures.", variant: "destructive" });
|
||
}
|
||
};
|
||
|
||
// Same as handleProceduresSave but also resets any existing submitted claim so
|
||
// batch-column will treat this appointment as needing a new submission.
|
||
const handleProceduresUpdate = async () => {
|
||
if (!appointmentId) return;
|
||
try {
|
||
await apiRequest("POST", "/api/claims/reset-for-resubmit", { appointmentId });
|
||
} catch {
|
||
// Non-fatal: if reset fails we still save procedures
|
||
}
|
||
await handleProceduresSave();
|
||
};
|
||
|
||
// Marks the claim for this appointment as VOID so batch-column will always skip it.
|
||
const handleProceduresVoid = async () => {
|
||
if (!appointmentId) return;
|
||
try {
|
||
await apiRequest("POST", "/api/claims/void-for-appointment", { appointmentId });
|
||
toast({ title: "Claim voided", description: "This appointment will be skipped when claiming for the column." });
|
||
onClose();
|
||
} catch (err: any) {
|
||
toast({ title: "Void failed", description: err?.message ?? "Failed to void claim.", variant: "destructive" });
|
||
}
|
||
};
|
||
|
||
// 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);
|
||
};
|
||
|
||
const isFormReady = useMemo(() => {
|
||
return (
|
||
!!patient &&
|
||
!!form.memberId?.trim() &&
|
||
!!form.dateOfBirth?.trim() &&
|
||
!!form.patientName?.trim() &&
|
||
Array.isArray(form.serviceLines) &&
|
||
form.serviceLines.some(
|
||
(l) => l.procedureCode && l.procedureCode.trim() !== "",
|
||
)
|
||
);
|
||
}, [
|
||
patient,
|
||
form.memberId,
|
||
form.dateOfBirth,
|
||
form.patientName,
|
||
form.serviceLines,
|
||
]);
|
||
|
||
// when autoSubmit mode is given, it will then submit the claims.
|
||
useEffect(() => {
|
||
if (!autoSubmit) return;
|
||
if (!prefillDone) return;
|
||
if (!isFormReady) return;
|
||
|
||
if (autoSubmittedRef.current) return;
|
||
autoSubmittedRef.current = true;
|
||
|
||
handleMHSubmit();
|
||
}, [autoSubmit, prefillDone, isFormReady]);
|
||
|
||
// 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();
|
||
}
|
||
};
|
||
|
||
useEffect(() => {
|
||
return () => {
|
||
// reset when ClaimForm unmounts (modal closes)
|
||
autoSubmittedRef.current = false;
|
||
setPrefillDone(false);
|
||
};
|
||
}, []);
|
||
|
||
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>
|
||
|
||
{/* 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>
|
||
{/* Rendering Npi Provider */}
|
||
<Label className="flex items-center ml-2">
|
||
Rendering Provider
|
||
</Label>
|
||
|
||
<Select
|
||
value={form.npiProvider?.npiNumber || ""}
|
||
onValueChange={(npiNumber) => {
|
||
const selected = npiProviders.find(
|
||
(p) => p.npiNumber === npiNumber,
|
||
);
|
||
if (!selected) return;
|
||
|
||
setForm((prev) => ({
|
||
...prev,
|
||
npiProvider: {
|
||
// ✅ CORRECT KEY
|
||
npiNumber: selected.npiNumber,
|
||
providerName: selected.providerName,
|
||
},
|
||
}));
|
||
}}
|
||
>
|
||
<SelectTrigger className="w-56">
|
||
<SelectValue placeholder="Select NPI Provider" />
|
||
</SelectTrigger>
|
||
|
||
<SelectContent>
|
||
{npiProviders.map((p) => (
|
||
<SelectItem key={p.id} value={p.npiNumber}>
|
||
{p.npiNumber} — {p.providerName}
|
||
</SelectItem>
|
||
))}
|
||
</SelectContent>
|
||
</Select>
|
||
|
||
{/* Map Price Button */}
|
||
<Button
|
||
className="ml-4"
|
||
variant="success"
|
||
onClick={onMapPrice}
|
||
>
|
||
Map Price
|
||
</Button>
|
||
</div>
|
||
</div>
|
||
|
||
<div className="flex items-center gap-3 mb-2">
|
||
<Switch
|
||
id="direct-submit-toggle"
|
||
checked={directSubmitEnabled}
|
||
onCheckedChange={setDirectSubmitEnabled}
|
||
/>
|
||
<Label htmlFor="direct-submit-toggle" className="text-sm cursor-pointer select-none">
|
||
Direct Submission {directSubmitEnabled ? <span className="text-green-600 font-semibold">ON</span> : <span className="text-muted-foreground">OFF</span>}
|
||
</Label>
|
||
</div>
|
||
<DirectComboButtons
|
||
onDirectCombo={(comboKey) => {
|
||
if (directSubmitEnabled) {
|
||
applyComboAndThenMH(comboKey as any);
|
||
} else {
|
||
setForm((prev) => {
|
||
const next = applyComboToForm(
|
||
prev,
|
||
comboKey as any,
|
||
patient?.dateOfBirth ?? "",
|
||
{ replaceAll: false, lineDate: prev.serviceDate },
|
||
);
|
||
setTimeout(() => scrollToLine(0), 0);
|
||
return next;
|
||
});
|
||
}
|
||
}}
|
||
/>
|
||
</div>
|
||
|
||
{/* Header */}
|
||
<div className="grid grid-cols-[1.5fr,0.5fr,1fr,1fr,1fr,1fr,1fr,0.5fr,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>Tooth Number</span>
|
||
<span>Tooth Surface</span>
|
||
<span>Quad</span>
|
||
<span>Arch</span>
|
||
<span>Qty</span>
|
||
<span>Auth No.</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,0.5fr,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="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);
|
||
}}
|
||
/>
|
||
<Select
|
||
value={line.quad ?? ""}
|
||
onValueChange={(value) =>
|
||
updateServiceLine(i, "quad", value)
|
||
}
|
||
>
|
||
<SelectTrigger className="w-full">
|
||
<SelectValue placeholder="Quad" />
|
||
</SelectTrigger>
|
||
<SelectContent>
|
||
<SelectItem value="UL">UL</SelectItem>
|
||
<SelectItem value="LL">LL</SelectItem>
|
||
<SelectItem value="UR">UR</SelectItem>
|
||
<SelectItem value="LR">LR</SelectItem>
|
||
</SelectContent>
|
||
</Select>
|
||
<Select
|
||
value={line.arch ?? ""}
|
||
onValueChange={(value) =>
|
||
updateServiceLine(i, "arch", value)
|
||
}
|
||
>
|
||
<SelectTrigger className="w-full">
|
||
<SelectValue placeholder="Arch" />
|
||
</SelectTrigger>
|
||
<SelectContent>
|
||
<SelectItem value="Mandible">Mandible</SelectItem>
|
||
<SelectItem value="Maxilla">Maxilla</SelectItem>
|
||
</SelectContent>
|
||
</Select>
|
||
<Input
|
||
type="number"
|
||
placeholder="Qty"
|
||
value={line.quantity ?? ""}
|
||
onChange={(e) =>
|
||
updateServiceLine(i, "quantity", e.target.value)
|
||
}
|
||
/>
|
||
<Input
|
||
placeholder="Quad"
|
||
value={line.quad}
|
||
onChange={(e) =>
|
||
updateServiceLine(i, "quad", e.target.value)
|
||
}
|
||
/>
|
||
<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,
|
||
quad: "",
|
||
arch: "",
|
||
toothNumber: "",
|
||
toothSurface: "",
|
||
totalBilled: new Decimal(0),
|
||
totalAdjusted: new Decimal(0),
|
||
totalPaid: new Decimal(0),
|
||
},
|
||
],
|
||
}))
|
||
}
|
||
>
|
||
+ Add Service Line
|
||
</Button>
|
||
|
||
<RegularComboButtons
|
||
onRegularCombo={(comboKey) => {
|
||
setForm((prev) => {
|
||
const next = applyComboToForm(
|
||
prev,
|
||
comboKey as any,
|
||
patient?.dateOfBirth ?? "",
|
||
{
|
||
replaceAll: false,
|
||
lineDate: prev.serviceDate,
|
||
},
|
||
);
|
||
|
||
setTimeout(() => scrollToLine(0), 0);
|
||
return next;
|
||
});
|
||
}}
|
||
/>
|
||
</div>
|
||
|
||
{/* File Upload Section */}
|
||
<h3 className="text-xl pt-8 font-semibold text-center">
|
||
File Upload
|
||
</h3>
|
||
<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>
|
||
|
||
{/* Missing Teeth (MassHealth Step 3) */}
|
||
<div className="mt-8 pt-8 space-y-4">
|
||
<h3 className="text-xl font-semibold text-center">
|
||
Missing Teeth
|
||
</h3>
|
||
|
||
{/* Status selector – must match Selenium's exact case */}
|
||
<div className="flex flex-wrap gap-2 items-center justify-center">
|
||
<Label className="mr-2">Status</Label>
|
||
|
||
<Button
|
||
type="button"
|
||
variant={
|
||
form.missingTeethStatus === "No_missing"
|
||
? "default"
|
||
: "outline"
|
||
}
|
||
onClick={() => setMissingTeethStatus("No_missing")}
|
||
aria-pressed={form.missingTeethStatus === "No_missing"}
|
||
>
|
||
No Missing
|
||
</Button>
|
||
|
||
<Button
|
||
type="button"
|
||
variant={
|
||
form.missingTeethStatus === "endentulous"
|
||
? "default"
|
||
: "outline"
|
||
}
|
||
onClick={() => setMissingTeethStatus("endentulous")}
|
||
aria-pressed={form.missingTeethStatus === "endentulous"}
|
||
>
|
||
Edentulous
|
||
</Button>
|
||
|
||
<Button
|
||
type="button"
|
||
variant={
|
||
form.missingTeethStatus === "Yes_missing"
|
||
? "default"
|
||
: "outline"
|
||
}
|
||
onClick={() => setMissingTeethStatus("Yes_missing")}
|
||
aria-pressed={form.missingTeethStatus === "Yes_missing"}
|
||
>
|
||
Specify Missing
|
||
</Button>
|
||
|
||
{form.missingTeethStatus === "Yes_missing" && (
|
||
<Button
|
||
type="button"
|
||
variant="outline"
|
||
onClick={clearAllToothSelections}
|
||
>
|
||
Clear All
|
||
</Button>
|
||
)}
|
||
</div>
|
||
|
||
{/* When specifying per-tooth values, show Permanent + Primary grids */}
|
||
{form.missingTeethStatus === "Yes_missing" && (
|
||
<MissingTeethSimple
|
||
value={form.missingTeeth}
|
||
onChange={(next) =>
|
||
setForm((prev) => ({ ...prev, missingTeeth: next }))
|
||
}
|
||
/>
|
||
)}
|
||
</div>
|
||
|
||
{/* Clinical Notes Entry */}
|
||
<div className="mt-8 pt-8 space-y-4">
|
||
<h3 className="text-xl font-semibold text-center">Remarks</h3>
|
||
<RemarksField
|
||
value={form.remarks}
|
||
onChange={(next) =>
|
||
setForm((prev) => ({ ...prev, remarks: next }))
|
||
}
|
||
/>
|
||
</div>
|
||
|
||
{/* Insurance Carriers */}
|
||
<div className="pt-6">
|
||
<h3 className="text-xl font-semibold mb-4 text-center">
|
||
{proceduresOnly ? "Save Procedures" : "Insurance Carriers"}
|
||
</h3>
|
||
{proceduresOnly ? (
|
||
/* ── Select Procedures mode ── */
|
||
<div className="flex justify-center gap-3">
|
||
<Button
|
||
className="w-40"
|
||
variant="default"
|
||
onClick={handleProceduresSave}
|
||
>
|
||
Save Procedures
|
||
</Button>
|
||
<Button
|
||
className="w-40"
|
||
variant="secondary"
|
||
onClick={handleProceduresUpdate}
|
||
>
|
||
Update & Resubmit
|
||
</Button>
|
||
<Button
|
||
className="w-28"
|
||
variant="destructive"
|
||
onClick={handleProceduresVoid}
|
||
>
|
||
Void
|
||
</Button>
|
||
</div>
|
||
) : (
|
||
/* ── Insurance Claim mode: submit buttons, no Save ── */
|
||
<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>
|
||
);
|
||
}
|