feat: add CCA claim submission with Selenium automation
- Add CCA claim submit Selenium worker (login, fill form, attach docs, submit, capture dashboard PDF) - Add CCA fee schedule (procedureCodesMH.json renamed, procedureCodesCCA.json added with D6010) - Add backend route /api/claims/cca-claim, processor, and Selenium client - Wire CCA claim handler in claims-page with job tracking and PDF preview popup - Add insurance type dropdown in claim form (same options as eligibility page) - Auto-populate insurance type from patient.insuranceProvider in claim form and patient edit form - Map fee schedule by insurance type in Map Price button and combo buttons - Fix CCA login speed (remove fixed sleeps, use readyState check) - Fix CCA claim DOB format bug (was sending MM-DD-YYYY, now sends YYYY-MM-DD) - Fix npiProviderId not saved for CCA claims - Change Add Service → CCA Claim button (blue), MH → MH Claim Co-Authored-By: Claude Sonnet 4.6 <noreply@anthropic.com>
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Gitead
@@ -75,6 +75,7 @@ interface ClaimFormProps {
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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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onHandleForCCASeleniumClaim: (data: ClaimFormData) => void;
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onClose: () => void;
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}
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@@ -87,6 +88,7 @@ export function ClaimForm({
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onHandleUpdatePatient,
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onHandleForMHSeleniumClaim,
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onHandleForMHSeleniumClaimPreAuth,
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onHandleForCCASeleniumClaim,
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onSubmit,
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onClose,
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}: ClaimFormProps) {
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@@ -331,6 +333,7 @@ export function ClaimForm({
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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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insuranceSiteKey: claim.insuranceSiteKey || deriveInsuranceSiteKey(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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@@ -590,17 +593,41 @@ export function ClaimForm({
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uploadedFiles: [],
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});
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// Map patient.insuranceProvider (free-text from eligibility) → insuranceSiteKey
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const deriveInsuranceSiteKey = (provider: string | null | undefined): string => {
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const p = (provider || "").toLowerCase().trim();
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if (!p) return "";
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if (p.includes("masshealth") || p === "mh" || p === "mass health") return "MH";
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if (p.includes("commonwealth care alliance") || p === "cca") return "CCA";
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if (p.includes("ddma")) return "DDMA";
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if (p.includes("delta ins") || p === "deltains") return "DeltaIns";
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if (p.includes("tufts") || p.includes("dentaquest") || p === "tuftssco") return "TuftsSCO";
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if (p.includes("united sco") || p === "unitedsco") return "UnitedSCO";
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if (p.includes("cmsp")) return "CMSP";
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if (p.includes("bcbs") || p.includes("blue cross")) return "BCBS";
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if (p.includes("united aapr") || p === "unitedaapr") return "UnitedAAPR";
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if (p.includes("aetna")) return "Aetna";
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if (p.includes("altus")) return "Altus";
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if (p.includes("metlife")) return "MetlifeDental";
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if (p.includes("cigna")) return "Cigna";
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if (p.includes("delta wa") || p === "deltawa") return "DeltaWA";
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if (p.includes("delta il") || p === "deltail") return "DeltaIL";
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return "";
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};
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// Sync patient data to form when patient updates
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useEffect(() => {
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if (patient) {
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const fullName =
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`${patient.firstName || ""} ${patient.lastName || ""}`.trim();
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const siteKey = deriveInsuranceSiteKey(patient.insuranceProvider);
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setForm((prev) => ({
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...prev,
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patientId: Number(patient.id),
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patientName: fullName,
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dateOfBirth: normalizeToIsoDateString(patient.dateOfBirth),
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memberId: patient.insuranceId || "",
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...(siteKey ? { insuranceSiteKey: siteKey } : {}),
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}));
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}
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}, [patient]);
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@@ -674,12 +701,13 @@ export function ClaimForm({
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}
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};
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// Map Price function
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// Map Price function — uses the fee schedule for the selected insurance type
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const onMapPrice = () => {
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setForm((prev) =>
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mapPricesForForm({
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form: prev,
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patientDOB: patient?.dateOfBirth ?? "",
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insuranceSiteKey: prev.insuranceSiteKey,
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}),
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);
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};
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@@ -867,15 +895,12 @@ export function ClaimForm({
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onClose();
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};
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// 3nd Button workflow - Only Creates Data, patient, appointmetn, claim, payment, not actually submits claim to MH site.
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const handleAddService = async () => {
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// 0. Validate required fields
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// 3rd Button workflow — CCA Claim: saves to DB then submits via Selenium
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const handleCCAClaim = async () => {
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const missingFields: string[] = [];
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if (!form.memberId?.trim()) missingFields.push("Member ID");
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if (!form.dateOfBirth?.trim()) missingFields.push("Date of Birth");
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if (!patient?.firstName?.trim()) missingFields.push("First Name");
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if (missingFields.length > 0) {
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toast({
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title: "Missing Required Fields",
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@@ -885,31 +910,26 @@ export function ClaimForm({
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return;
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}
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// require at least one procedure code before proceeding
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const filteredServiceLines = (form.serviceLines || []).filter(
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(line) => (line.procedureCode ?? "").trim() !== "",
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);
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if (filteredServiceLines.length === 0) {
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toast({
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title: "No procedure codes",
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description:
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"Please add at least one procedure code before submitting the claim.",
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description: "Please add at least one procedure code before submitting the claim.",
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variant: "destructive",
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});
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return;
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}
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// 1. Create or update appointment
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// Create appointment if needed
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let appointmentIdToUse = appointmentId;
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if (appointmentIdToUse == null) {
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const appointmentData = {
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patientId: patientId,
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const created = await onHandleAppointmentSubmit({
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patientId,
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date: serviceDate,
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staffId: appointmentStaffId ?? staff?.id,
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};
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const created = await onHandleAppointmentSubmit(appointmentData);
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});
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if (typeof created === "number" && created > 0) {
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appointmentIdToUse = created;
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} else if (created && typeof (created as any).id === "number") {
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@@ -917,27 +937,40 @@ export function ClaimForm({
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}
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}
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// 3. Create Claim(if not)
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// Filter out empty service lines (empty procedureCode)
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const { uploadedFiles, insuranceSiteKey, npiProvider: _npi, ...formToCreateClaim } = form;
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// build claimFiles metadata from uploadedFiles (only filename + mimeType)
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const { uploadedFiles, insuranceSiteKey, npiProvider, ...formToCreateClaim } = form;
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const claimFilesMeta: ClaimFileMeta[] = (uploadedFiles || []).map((f) => ({
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filename: f.name,
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mimeType: f.type,
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}));
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const selectedNpiProviderId = npiProvider?.npiNumber
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? npiProviders.find((p) => p.npiNumber === npiProvider.npiNumber)?.id ?? null
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: null;
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// Save claim to DB
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const createdClaim = await onSubmit({
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...formToCreateClaim,
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serviceLines: filteredServiceLines,
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staffId: appointmentStaffId ?? Number(staff?.id),
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patientId: patientId,
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insuranceProvider: "MassHealth",
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patientId,
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insuranceProvider: "CCA",
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appointmentId: appointmentIdToUse!,
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claimFiles: claimFilesMeta,
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...(selectedNpiProviderId ? { npiProviderId: selectedNpiProviderId } : {}),
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});
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// Send to CCA Selenium — send raw YYYY-MM-DD so Python _format_dob converts correctly
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onHandleForCCASeleniumClaim({
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...form,
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serviceLines: filteredServiceLines,
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staffId: appointmentStaffId ?? Number(staff?.id),
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patientId,
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insuranceProvider: "CCA",
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appointmentId: appointmentIdToUse!,
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insuranceSiteKey: "CCA",
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claimId: createdClaim.id,
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});
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// 4. Close form
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onClose();
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};
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@@ -1186,6 +1219,7 @@ export function ClaimForm({
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comboId,
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patient?.dateOfBirth ?? "",
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{ replaceAll: false, lineDate: form.serviceDate },
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form.insuranceSiteKey,
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);
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setForm(nextForm);
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@@ -1337,6 +1371,35 @@ export function ClaimForm({
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<div className="flex flex-col gap-2">
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<div className="flex justify-end items-center mb-4">
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<div className="flex gap-2">
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<Label className="flex items-center">Insurance Type</Label>
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<Select
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value={form.insuranceSiteKey || ""}
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onValueChange={(val) =>
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setForm((prev) => ({ ...prev, insuranceSiteKey: val }))
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}
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>
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<SelectTrigger className="w-44 mr-4">
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<SelectValue placeholder="Select Insurance" />
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</SelectTrigger>
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<SelectContent>
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<SelectItem value="MH">MassHealth</SelectItem>
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<SelectItem value="CCA">CCA</SelectItem>
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<SelectItem value="DDMA">DDMA</SelectItem>
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<SelectItem value="DeltaIns">Delta Ins</SelectItem>
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<SelectItem value="TuftsSCO">Tufts SCO</SelectItem>
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<SelectItem value="UnitedSCO">United SCO</SelectItem>
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<SelectItem value="CMSP">CMSP</SelectItem>
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<SelectItem value="BCBS">BCBS</SelectItem>
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<SelectItem value="UnitedAAPR">United AAPR</SelectItem>
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<SelectItem value="Aetna">Aetna</SelectItem>
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<SelectItem value="Altus">Altus</SelectItem>
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<SelectItem value="MetlifeDental">Metlife Dental</SelectItem>
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<SelectItem value="Cigna">Cigna</SelectItem>
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<SelectItem value="DeltaWA">Delta WA</SelectItem>
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<SelectItem value="DeltaIL">Delta IL</SelectItem>
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<SelectItem value="Others">Others</SelectItem>
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</SelectContent>
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</Select>
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<Label className="flex items-center">Service Date</Label>
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<Popover
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open={serviceDateOpen}
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@@ -1421,6 +1484,7 @@ export function ClaimForm({
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comboKey as any,
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patient?.dateOfBirth ?? "",
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{ replaceAll: false, lineDate: prev.serviceDate },
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prev.insuranceSiteKey,
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);
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setTimeout(() => scrollToLine(0), 0);
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return next;
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@@ -1765,14 +1829,13 @@ export function ClaimForm({
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className="w-32 bg-blue-600 hover:bg-blue-700 text-white"
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onClick={() => handleMHSubmit()}
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>
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MH
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MH Claim
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</Button>
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<Button
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className="w-32"
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variant="secondary"
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onClick={handleAddService}
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className="w-32 bg-blue-600 hover:bg-blue-700 text-white"
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onClick={handleCCAClaim}
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>
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Add Service
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CCA Claim
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</Button>
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<Button className="w-32" variant="outline">
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Delta MA
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@@ -1862,6 +1925,35 @@ export function ClaimForm({
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<div className="flex flex-col gap-2">
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<div className="flex justify-end items-center mb-4">
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<div className="flex gap-2">
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<Label className="flex items-center">Insurance Type</Label>
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<Select
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value={form.insuranceSiteKey || ""}
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onValueChange={(val) =>
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setForm((prev) => ({ ...prev, insuranceSiteKey: val }))
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}
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>
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<SelectTrigger className="w-44 mr-4">
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<SelectValue placeholder="Select Insurance" />
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</SelectTrigger>
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<SelectContent>
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<SelectItem value="MH">MassHealth</SelectItem>
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<SelectItem value="CCA">CCA</SelectItem>
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<SelectItem value="DDMA">DDMA</SelectItem>
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<SelectItem value="DeltaIns">Delta Ins</SelectItem>
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<SelectItem value="TuftsSCO">Tufts SCO</SelectItem>
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<SelectItem value="UnitedSCO">United SCO</SelectItem>
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<SelectItem value="CMSP">CMSP</SelectItem>
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<SelectItem value="BCBS">BCBS</SelectItem>
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<SelectItem value="UnitedAAPR">United AAPR</SelectItem>
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<SelectItem value="Aetna">Aetna</SelectItem>
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<SelectItem value="Altus">Altus</SelectItem>
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<SelectItem value="MetlifeDental">Metlife Dental</SelectItem>
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<SelectItem value="Cigna">Cigna</SelectItem>
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<SelectItem value="DeltaWA">Delta WA</SelectItem>
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<SelectItem value="DeltaIL">Delta IL</SelectItem>
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<SelectItem value="Others">Others</SelectItem>
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</SelectContent>
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</Select>
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<Label className="flex items-center">Service Date</Label>
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<Popover
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open={serviceDateOpen}
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