feat: route batch-column claims by insurance type, fix eligibility UX
- claims.ts: batch-column now routes each patient to the correct portal
(MH/CCA/DDMA/TuftsSCO/UnitedSCO) based on patient.insuranceProvider
- appointments-page.tsx: eligibility badge falls back to patientStatus
for all insurance types, not just MassHealth
- unitedDHClaimProcessor/ddmaClaimProcessor/tuftsSCOClaimProcessor:
auto-save claim PDF when no socketId (batch-column path)
- unitedSCOEligibilityProcessor: unknown eligibility no longer stored as INACTIVE
- queues.ts: add tuftssco-claim-submit and uniteddh-claim-submit to SeleniumJobType
- selenium_UnitedSCO_eligibilityCheckWorker.py:
- step1: add Select Insurance OK click with staleness wait; Provider &
Location page just clicks Continue; skip first/last name input
- step2: extract name from eligibility details tab (ALL CAPS → title case);
skip "not available" guard; fix name regex to match only all-caps words
- .gitignore: ignore all chrome_profile_* directories
Co-Authored-By: Claude Sonnet 4.6 <noreply@anthropic.com>
This commit is contained in:
ff
@@ -9,6 +9,7 @@ import fs from "fs";
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import axios from "axios";
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import archiver from "archiver";
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import { seleniumQueue } from "../queue/queues";
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import { enqueueSeleniumJob } from "../queue/jobRunner";
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import { Prisma } from "@repo/db/generated/prisma";
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import { Decimal } from "decimal.js";
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import {
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@@ -415,6 +416,28 @@ router.post(
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}
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);
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// Maps patient.insuranceProvider free-text → the siteKey stored in InsuranceCredential
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function batchColumnDeriveSiteKey(provider: string): string {
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const p = provider.toLowerCase().trim();
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if (!p || 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") || p.includes("delta dental ma")) return "DDMA";
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if (p.includes("tufts") || p.includes("dentaquest") || p === "tuftssco") return "TUFTS_SCO";
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if ((p.includes("united") && p.includes("sco")) || p.includes("dentalhub") || p === "united_sco") return "UNITED_SCO";
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return "MH"; // default fallback
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}
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// Returns the canonical insuranceProvider name stored in the Claim record
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function batchColumnCanonicalName(siteKey: string): string {
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switch (siteKey) {
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case "CCA": return "CCA";
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case "DDMA": return "Delta Dental MA";
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case "TUFTS_SCO": return "Tufts SCO";
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case "UNITED_SCO": return "United/DentalHub";
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default: return "MassHealth";
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}
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}
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// POST /api/claims/batch-column
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// Query params: date=YYYY-MM-DD (required), staffIds=1,2 (required)
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// For each appointment in the selected staff columns:
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@@ -555,10 +578,15 @@ router.post(
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continue;
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}
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// MassHealth credentials
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const credentials = await storage.getInsuranceCredentialByUserAndSiteKey(req.user.id, "MH");
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// Always derive siteKey from the patient record — claim.insuranceProvider
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// may be stale (e.g. previously set to "MassHealth" by the old hardcoded path)
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const rawInsuranceProvider = (patient.insuranceProvider ?? "").trim();
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const siteKey = batchColumnDeriveSiteKey(rawInsuranceProvider);
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const canonicalInsuranceProvider = batchColumnCanonicalName(siteKey);
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const credentials = await storage.getInsuranceCredentialByUserAndSiteKey(req.user.id, siteKey);
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if (!credentials) {
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resultItem.error = "No MassHealth credentials found — check Settings";
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resultItem.error = `No ${canonicalInsuranceProvider} credentials found — check Settings`;
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results.push(resultItem);
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continue;
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}
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@@ -573,7 +601,7 @@ router.post(
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// Priority: Select Procedures choice > existing claim > first provider
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const claimNpiProviderId = procNpiProviderId ?? activeClaim?.npiProviderId ?? npiProvider?.id ?? null;
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console.log(`[batch-column] apt=${apt.id} procNpiId=${procNpiProviderId} claimNpiId=${activeClaim?.npiProviderId} resolved=${claimNpiProviderId}`);
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console.log(`[batch-column] apt=${apt.id} siteKey=${siteKey} procNpiId=${procNpiProviderId} claimNpiId=${activeClaim?.npiProviderId} resolved=${claimNpiProviderId}`);
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const patientName = `${patient.firstName ?? ""} ${patient.lastName ?? ""}`.trim();
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@@ -597,7 +625,7 @@ router.post(
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? Number(claimNpiProviderId)
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: null;
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console.log(`[batch-column] creating claim: patientId=${patient.id} aptId=${apt.id} staffId=${safeStaffId} npiProviderId=${safeNpiId} serviceDate=${serviceDate} dobStr=${dobStr} lines=${serviceLines.length}`);
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console.log(`[batch-column] creating claim: patientId=${patient.id} aptId=${apt.id} staffId=${safeStaffId} npiProviderId=${safeNpiId} serviceDate=${serviceDate} dobStr=${dobStr} lines=${serviceLines.length} insurance=${canonicalInsuranceProvider}`);
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const newClaim = await storage.createClaim({
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patientId: Number(patient.id),
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@@ -608,7 +636,7 @@ router.post(
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memberId,
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dateOfBirth: new Date(dobStr),
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serviceDate: new Date(serviceDate),
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insuranceProvider: "MassHealth",
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insuranceProvider: canonicalInsuranceProvider,
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remarks: "",
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missingTeethStatus: "No_missing",
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missingTeeth: {},
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@@ -643,33 +671,6 @@ router.post(
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if (saved) resolvedNpiProvider = saved;
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}
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// Build enriched payload for selenium
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const enrichedPayload: any = {
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patientId: Number(patient.id),
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appointmentId: Number(apt.id),
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userId: req.user.id,
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staffId: Number(apt.staffId),
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patientName,
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memberId,
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dateOfBirth: dobStr,
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serviceDate,
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insuranceProvider: "MassHealth",
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insuranceSiteKey: "MH",
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missingTeethStatus: activeClaim?.missingTeethStatus ?? "No_missing",
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missingTeeth: activeClaim?.missingTeeth ?? {},
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remarks: activeClaim?.remarks ?? "",
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serviceLines,
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claimId,
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massdhpUsername: credentials.username,
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massdhpPassword: credentials.password,
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};
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if (resolvedNpiProvider) {
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enrichedPayload.npiProvider = {
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npiNumber: resolvedNpiProvider.npiNumber,
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providerName: resolvedNpiProvider.providerName,
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};
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}
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// Collect attachments: appointment-level files + claim-level files
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const apptFiles = await storage.getAppointmentFiles(Number(apt.id));
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const claimFiles = (activeClaim as any)?.claimFiles ?? [];
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@@ -689,17 +690,120 @@ router.post(
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return [{ originalname: f.filename, bufferBase64, mimetype: f.mimeType ?? "application/octet-stream" }];
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});
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// Enqueue selenium claim-submit job
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const job = await seleniumQueue.add("claim-submit", {
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jobType: "claim-submit",
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// Base claim data shared across all insurance pathways
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const baseClaimPayload: any = {
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patientId: Number(patient.id),
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appointmentId: Number(apt.id),
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userId: req.user.id,
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enrichedPayload,
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files: filesForQueue,
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staffId: Number(apt.staffId),
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patientName,
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memberId,
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dateOfBirth: dobStr,
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serviceDate,
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missingTeethStatus: activeClaim?.missingTeethStatus ?? "No_missing",
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missingTeeth: activeClaim?.missingTeeth ?? {},
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remarks: activeClaim?.remarks ?? "",
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serviceLines,
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claimId,
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});
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...(resolvedNpiProvider ? {
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npiProvider: {
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npiNumber: resolvedNpiProvider.npiNumber,
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providerName: resolvedNpiProvider.providerName,
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},
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} : {}),
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};
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// Enqueue to the correct insurance pathway
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let jobId: string;
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if (siteKey === "MH") {
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const enrichedPayload = {
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...baseClaimPayload,
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insuranceProvider: "MassHealth",
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insuranceSiteKey: "MH",
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massdhpUsername: credentials.username,
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massdhpPassword: credentials.password,
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};
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const job = await seleniumQueue.add("claim-submit", {
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jobType: "claim-submit",
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userId: req.user.id,
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enrichedPayload,
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files: filesForQueue,
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claimId,
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});
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jobId = String(job.id);
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} else if (siteKey === "CCA") {
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const enrichedPayload = {
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claim: {
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...baseClaimPayload,
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insuranceProvider: "CCA",
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insuranceSiteKey: "CCA",
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cca_username: credentials.username,
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cca_password: credentials.password,
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},
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files: filesForQueue,
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};
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jobId = enqueueSeleniumJob({
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jobType: "cca-claim-submit",
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userId: req.user.id,
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enrichedPayload,
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claimId,
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});
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} else if (siteKey === "DDMA") {
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const enrichedPayload = {
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claim: {
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...baseClaimPayload,
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insuranceProvider: "Delta Dental MA",
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insuranceSiteKey: "DDMA",
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massddmaUsername: credentials.username,
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massddmaPassword: credentials.password,
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},
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};
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jobId = enqueueSeleniumJob({
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jobType: "ddma-claim-submit",
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userId: req.user.id,
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enrichedPayload,
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claimId,
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});
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} else if (siteKey === "TUFTS_SCO") {
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const enrichedPayload = {
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claim: {
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...baseClaimPayload,
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insuranceProvider: "Tufts SCO",
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insuranceSiteKey: "TuftsSCO",
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dentaquestUsername: credentials.username,
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dentaquestPassword: credentials.password,
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},
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};
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jobId = enqueueSeleniumJob({
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jobType: "tuftssco-claim-submit",
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userId: req.user.id,
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enrichedPayload,
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claimId,
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});
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} else if (siteKey === "UNITED_SCO") {
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const enrichedPayload = {
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claim: {
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...baseClaimPayload,
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insuranceProvider: "United/DentalHub",
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insuranceSiteKey: "UNITED_SCO",
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uniteddhUsername: credentials.username,
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uniteddhPassword: credentials.password,
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},
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};
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jobId = enqueueSeleniumJob({
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jobType: "uniteddh-claim-submit",
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userId: req.user.id,
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enrichedPayload,
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claimId,
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});
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} else {
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resultItem.error = `Unsupported insurance type: ${siteKey}`;
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results.push(resultItem);
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continue;
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}
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resultItem.processed = true;
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resultItem.jobId = String(job.id);
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resultItem.jobId = jobId;
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} catch (aptErr: any) {
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console.error("[batch-column] apt error:", aptErr);
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