feat: chatbot CDT lookup — SRP quad, 4-digit auto-prefix, quad field to Selenium
- parseSrpCode: recognize "D4341 UL" / "4341 LR" etc., store quadrant in quad field - matchOne: auto-prefix D for 4-digit inputs like "0120" → D0120 - LLM prompt: keep SRP code and quadrant together as one procedureName entry - CdtMatch / CdtResult: add quad field, thread through matchedCodes action data - claim-form.tsx: include quad in chatbot_claim_prefill type and spread to service line - selenium_claimSubmitWorker.py: pass quad to fill_service_line, select quadrant dropdown by index (UR=1, UL=2, LL=3, LR=4) matching MassHealth form structure Co-Authored-By: Claude Sonnet 4.6 <noreply@anthropic.com>
This commit is contained in:
@@ -19,6 +19,7 @@ interface CdtMatch {
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input: string;
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input: string;
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toothNumber?: string;
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toothNumber?: string;
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toothSurface?: string;
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toothSurface?: string;
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quad?: string;
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}
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}
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// Load once at module init
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// Load once at module init
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@@ -284,6 +285,21 @@ function parseCompositeCode(input: string): CdtMatch | null {
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return { code, description: row?.Description ?? code, input, toothNumber: String(toothNum), toothSurface: surfaces.toUpperCase() };
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return { code, description: row?.Description ?? code, input, toothNumber: String(toothNum), toothSurface: surfaces.toUpperCase() };
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}
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}
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/**
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* Parse SRP code with quadrant: "D4341 UL", "4341 LR", "D4342 UR", etc.
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* UL/UR/LL/LR only appear with D4341 or D4342.
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*/
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function parseSrpCode(input: string): CdtMatch | null {
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const m = input.trim().match(/^(D?4341|D?4342)\s+(UL|UR|LL|LR)$/i);
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if (!m) return null;
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const base = m[1]!.toUpperCase();
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const codeStr = base.startsWith("D") ? base : "D" + base;
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const quadrant = m[2]!.toUpperCase();
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const row = ALL_CODES.find((r) => r["Procedure Code"].toUpperCase() === codeStr);
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if (!row) return null;
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return { code: codeStr, description: row.Description, input, quad: quadrant };
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}
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/**
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/**
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* Parse RCT/root-canal notation like "rct #29", "#14 rct", "root canal #6".
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* Parse RCT/root-canal notation like "rct #29", "#14 rct", "root canal #6".
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* Returns D3310 (anterior), D3320 (premolar), or D3330 (molar) based on tooth number.
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* Returns D3310 (anterior), D3320 (premolar), or D3330 (molar) based on tooth number.
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@@ -352,6 +368,14 @@ function matchOne(input: string): CdtMatch | null {
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return { code, description: row?.Description ?? code, input };
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return { code, description: row?.Description ?? code, input };
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}
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}
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// 4-digit shorthand: auto-prefix "D" (e.g. "0120" → "D0120")
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if (/^\d{4}$/.test(cleaned)) {
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const withD = "D" + cleaned;
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const row = ALL_CODES.find((r) => r["Procedure Code"].toUpperCase() === withD.toUpperCase());
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const code = row?.["Procedure Code"] ?? withD.toUpperCase();
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return { code, description: row?.Description ?? code, input };
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}
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// Apply alias before tokenizing
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// Apply alias before tokenizing
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const normalized = ALIAS_MAP[cleaned] ?? cleaned;
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const normalized = ALIAS_MAP[cleaned] ?? cleaned;
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const queryTokens = normalized
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const queryTokens = normalized
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@@ -420,6 +444,10 @@ export function lookupCdtCodes(
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const rctMatch = parseRctCode(name);
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const rctMatch = parseRctCode(name);
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if (rctMatch) return rctMatch;
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if (rctMatch) return rctMatch;
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// 2c. SRP + quadrant — D4341/D4342 with UL/UR/LL/LR
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const srpMatch = parseSrpCode(name);
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if (srpMatch) return srpMatch;
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// 3. Hardcoded direct code map (short abbreviations / codes not in MH schedule)
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// 3. Hardcoded direct code map (short abbreviations / codes not in MH schedule)
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const directKey = DIRECT_CODE_MAP[cleaned] ? cleaned : DIRECT_CODE_MAP[strippedCleaned] ? strippedCleaned : null;
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const directKey = DIRECT_CODE_MAP[cleaned] ? cleaned : DIRECT_CODE_MAP[strippedCleaned] ? strippedCleaned : null;
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if (directKey) {
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if (directKey) {
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@@ -101,6 +101,8 @@ Rules:
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e.g. "composite #29 O", "#8 MO", "composite #11 MOD" — keep the #number and surface letters together as one entry
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e.g. "composite #29 O", "#8 MO", "composite #11 MOD" — keep the #number and surface letters together as one entry
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- For RCT/root canal with a tooth number, preserve the tooth# in the entry:
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- For RCT/root canal with a tooth number, preserve the tooth# in the entry:
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e.g. "rct #29", "#14 root canal", "rct #6" — keep the #number with the procedure so the correct code can be selected
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e.g. "rct #29", "#14 root canal", "rct #6" — keep the #number with the procedure so the correct code can be selected
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- For SRP with a quadrant abbreviation (UL, UR, LL, LR), keep the code and quadrant together as one entry:
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e.g. "D4341 UL", "4341 LR", "D4342 UR" — the quadrant always travels with the SRP code
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- For multiple PA X-rays with tooth numbers, expand each PA into its own entry:
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- For multiple PA X-rays with tooth numbers, expand each PA into its own entry:
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"1 pa, #T" for the first tooth, "2nd pa, #T" for each additional tooth
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"1 pa, #T" for the first tooth, "2nd pa, #T" for each additional tooth
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e.g. "2 PA (#30, 15)" → ["1 pa, #30", "2nd pa, #15"]
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e.g. "2 PA (#30, 15)" → ["1 pa, #30", "2nd pa, #15"]
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@@ -35,6 +35,7 @@ export interface CdtResult {
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input: string;
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input: string;
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toothNumber?: string;
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toothNumber?: string;
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toothSurface?: string;
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toothSurface?: string;
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quad?: string;
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}
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}
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export interface ChatResponse {
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export interface ChatResponse {
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@@ -467,8 +468,9 @@ async function handleCheckAndClaim(
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siteKey,
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siteKey,
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autoCheck: siteKeyToAutoCheck(siteKey),
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autoCheck: siteKeyToAutoCheck(siteKey),
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cdtResults,
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cdtResults,
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matchedCodes: matched.map((r) => ({ code: r.code!, description: r.description, toothNumber: r.toothNumber, toothSurface: r.toothSurface })),
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matchedCodes: matched.map((r) => ({ code: r.code!, description: r.description, toothNumber: r.toothNumber, toothSurface: r.toothSurface, quad: r.quad })),
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serviceDate: c.appointmentDate ?? null,
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serviceDate: c.appointmentDate ?? null,
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renderingProvider: c.renderingProvider ?? null,
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},
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},
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};
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};
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}
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}
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@@ -550,7 +552,7 @@ async function handleClaimOnly(
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actionData: {
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actionData: {
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patient,
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patient,
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siteKey: resolveSiteKey(patient.insuranceProvider ?? null, c.insuranceHint ?? null) ?? "MH",
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siteKey: resolveSiteKey(patient.insuranceProvider ?? null, c.insuranceHint ?? null) ?? "MH",
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matchedCodes: matched.map((r) => ({ code: r.code!, description: r.description, toothNumber: r.toothNumber, toothSurface: r.toothSurface })),
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matchedCodes: matched.map((r) => ({ code: r.code!, description: r.description, toothNumber: r.toothNumber, toothSurface: r.toothSurface, quad: r.quad })),
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options: [
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options: [
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{ label: fmtUTC(sorted[0]), appointmentId: sorted[0].id, serviceDate: isoUTC(sorted[0]) },
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{ label: fmtUTC(sorted[0]), appointmentId: sorted[0].id, serviceDate: isoUTC(sorted[0]) },
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{ label: fmtUTC(sorted[1]), appointmentId: sorted[1].id, serviceDate: isoUTC(sorted[1]) },
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{ label: fmtUTC(sorted[1]), appointmentId: sorted[1].id, serviceDate: isoUTC(sorted[1]) },
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@@ -593,7 +595,7 @@ async function handleClaimOnly(
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siteKey,
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siteKey,
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serviceDate,
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serviceDate,
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appointmentId,
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appointmentId,
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matchedCodes: matched.map((r) => ({ code: r.code!, description: r.description, toothNumber: r.toothNumber, toothSurface: r.toothSurface })),
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matchedCodes: matched.map((r) => ({ code: r.code!, description: r.description, toothNumber: r.toothNumber, toothSurface: r.toothSurface, quad: r.quad })),
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renderingProvider: c.renderingProvider ?? null,
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renderingProvider: c.renderingProvider ?? null,
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},
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},
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};
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};
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@@ -825,6 +825,7 @@ router.post(
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insuranceSiteKey: "DDMA",
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insuranceSiteKey: "DDMA",
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massddmaUsername: credentials.username,
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massddmaUsername: credentials.username,
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massddmaPassword: credentials.password,
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massddmaPassword: credentials.password,
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providerName: resolvedNpiProvider?.providerName ?? "",
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},
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},
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};
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};
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jobId = enqueueSeleniumJob({
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jobId = enqueueSeleniumJob({
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@@ -40,16 +40,20 @@ router.post("/ddma-claim", async (req: Request, res: Response): Promise<any> =>
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});
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});
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}
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}
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// Fetch NPI providers to pick the target provider on the DDMA portal
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// Use provider from the claim form if set; fall back to Provider #1 (default)
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const npiProviders = await storage.getNpiProvidersByUser(req.user.id);
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const npiProviders = await storage.getNpiProvidersByUser(req.user.id);
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const primaryProvider = npiProviders[0]; // sorted by sortOrder asc, then id asc
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const primaryProvider = npiProviders[0];
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const providerName =
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(claimData.npiProvider?.providerName as string | undefined)?.trim() ||
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primaryProvider?.providerName ||
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"";
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const enrichedPayload = {
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const enrichedPayload = {
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claim: {
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claim: {
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...claimData,
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...claimData,
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massddmaUsername: credentials.username,
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massddmaUsername: credentials.username,
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massddmaPassword: credentials.password,
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massddmaPassword: credentials.password,
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providerName: primaryProvider?.providerName ?? "",
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providerName,
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},
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},
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};
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};
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@@ -527,7 +527,7 @@ export function ClaimForm({
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if (!raw) return;
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if (!raw) return;
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try {
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try {
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const { codes, serviceDate, renderingProvider } = JSON.parse(raw) as {
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const { codes, serviceDate, renderingProvider } = JSON.parse(raw) as {
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codes: { code: string; description: string; toothNumber?: string; toothSurface?: string }[];
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codes: { code: string; description: string; toothNumber?: string; toothSurface?: string; quad?: string }[];
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serviceDate?: string;
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serviceDate?: string;
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renderingProvider?: string | null;
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renderingProvider?: string | null;
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};
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};
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@@ -553,6 +553,7 @@ export function ClaimForm({
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procedureDate: date,
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procedureDate: date,
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...(c.toothNumber ? { toothNumber: c.toothNumber } : {}),
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...(c.toothNumber ? { toothNumber: c.toothNumber } : {}),
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...(c.toothSurface ? { toothSurface: c.toothSurface } : {}),
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...(c.toothSurface ? { toothSurface: c.toothSurface } : {}),
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...(c.quad ? { quad: c.quad } : {}),
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};
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};
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}
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}
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});
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});
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@@ -62,6 +62,7 @@ interface CheckAndClaimData {
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autoCheck: string;
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autoCheck: string;
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matchedCodes: { code: string; description: string }[];
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matchedCodes: { code: string; description: string }[];
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serviceDate?: string | null;
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serviceDate?: string | null;
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renderingProvider?: string | null;
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}
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}
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let msgCounter = 0;
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let msgCounter = 0;
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@@ -346,6 +347,7 @@ export function ChatbotButton() {
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memberId: checkAndClaimData.memberId,
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memberId: checkAndClaimData.memberId,
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dob: checkAndClaimData.dob,
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dob: checkAndClaimData.dob,
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serviceDate: checkAndClaimData.serviceDate ?? null,
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serviceDate: checkAndClaimData.serviceDate ?? null,
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renderingProvider: checkAndClaimData.renderingProvider ?? null,
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})
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})
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);
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);
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prefillAndNavigate(checkAndClaimData.memberId, checkAndClaimData.dob, checkAndClaimData.autoCheck);
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prefillAndNavigate(checkAndClaimData.memberId, checkAndClaimData.dob, checkAndClaimData.autoCheck);
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@@ -412,6 +414,7 @@ export function ChatbotButton() {
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autoCheck: data.actionData.autoCheck,
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autoCheck: data.actionData.autoCheck,
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matchedCodes: data.actionData.matchedCodes ?? [],
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matchedCodes: data.actionData.matchedCodes ?? [],
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serviceDate: data.actionData.serviceDate ?? null,
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serviceDate: data.actionData.serviceDate ?? null,
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renderingProvider: data.actionData.renderingProvider ?? null,
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});
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});
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setStep("check-and-claim-ready");
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setStep("check-and-claim-ready");
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return;
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return;
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@@ -788,6 +791,7 @@ export function ChatbotButton() {
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autoCheck: data.actionData.autoCheck,
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autoCheck: data.actionData.autoCheck,
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matchedCodes: data.actionData.matchedCodes ?? [],
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matchedCodes: data.actionData.matchedCodes ?? [],
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serviceDate: data.actionData.serviceDate ?? null,
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serviceDate: data.actionData.serviceDate ?? null,
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renderingProvider: data.actionData.renderingProvider ?? null,
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});
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});
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setStep("check-and-claim-ready");
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setStep("check-and-claim-ready");
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} else if (data.action === "eligibility_id_ready" && data.actionData) {
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} else if (data.action === "eligibility_id_ready" && data.actionData) {
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@@ -686,7 +686,7 @@ export default function InsuranceStatusPage() {
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try {
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try {
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const raw = sessionStorage.getItem("chatbot_claim_codes");
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const raw = sessionStorage.getItem("chatbot_claim_codes");
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if (!raw) return false;
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if (!raw) return false;
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const { codes, siteKey, patientId, memberId: storedMemberId, serviceDate } = JSON.parse(raw);
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const { codes, siteKey, patientId, memberId: storedMemberId, serviceDate, renderingProvider } = JSON.parse(raw);
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sessionStorage.removeItem("chatbot_claim_codes");
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sessionStorage.removeItem("chatbot_claim_codes");
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let pid: number | null = resolvedPatientId ?? patientId ?? null;
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let pid: number | null = resolvedPatientId ?? patientId ?? null;
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@@ -706,7 +706,7 @@ export default function InsuranceStatusPage() {
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sessionStorage.setItem(
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sessionStorage.setItem(
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"chatbot_claim_prefill",
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"chatbot_claim_prefill",
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JSON.stringify({ codes, siteKey, serviceDate: serviceDate ?? null, autoSubmit: true })
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JSON.stringify({ codes, siteKey, serviceDate: serviceDate ?? null, autoSubmit: true, renderingProvider: renderingProvider ?? null })
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);
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);
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setLocation(`/claims?newPatient=${pid}`);
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setLocation(`/claims?newPatient=${pid}`);
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return true;
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return true;
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@@ -1176,11 +1176,19 @@ class AutomationMassHealthClaimsLogin:
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"message": f"PDF + Screenshot failed: {ss_error}",
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"message": f"PDF + Screenshot failed: {ss_error}",
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}
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}
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def fill_service_line(self, row_number=1, procedure_code="", tooth_number="", tooth_surface="", quadrant="Upper Right", arch="Entire Oral Cavity", auth_number="AUTH123456", billed_amount=""):
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# Map quadrant abbreviations to MassHealth dropdown visible text
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QUAD_LABEL = {
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"UL": "Upper Left",
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"UR": "Upper Right",
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"LL": "Lower Left",
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"LR": "Lower Right",
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}
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def fill_service_line(self, row_number=1, procedure_code="", tooth_number="", tooth_surface="", quadrant="", arch="Entire Oral Cavity", auth_number="AUTH123456", billed_amount=""):
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wait = WebDriverWait(self.driver, 30)
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wait = WebDriverWait(self.driver, 30)
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try:
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try:
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print(f"DEBUG: Filling service line {row_number} - Procedure: {procedure_code}, Tooth: {tooth_number}, Surface: {tooth_surface}, Amount: {billed_amount}")
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print(f"DEBUG: Filling service line {row_number} - Procedure: {procedure_code}, Tooth: {tooth_number}, Surface: {tooth_surface}, Quadrant: {quadrant}, Amount: {billed_amount}")
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|
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# Fill Procedure Code - find the specific row's procedure input
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# Fill Procedure Code - find the specific row's procedure input
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if procedure_code:
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if procedure_code:
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@@ -1261,20 +1269,23 @@ class AutomationMassHealthClaimsLogin:
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else:
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else:
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print(f"DEBUG: No tooth surface provided for row {row_number}, skipping")
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print(f"DEBUG: No tooth surface provided for row {row_number}, skipping")
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|
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# COMMENTED OUT: Quadrant - not needed per user requirement
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# Fill Quadrant - only if provided (D4341/D4342 SRP codes)
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# Will be handled later for specific procedure codes that require it
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# Dropdown index: 1=Upper Right, 2=Upper Left, 3=Lower Left, 4=Lower Right
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# quadrant_dropdowns = wait.until(
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quad_index = {"UR": 1, "UL": 2, "LL": 3, "LR": 4}.get((quadrant or "").upper())
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# EC.presence_of_all_elements_located(
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if quad_index is not None:
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# (By.XPATH, "//select[@ng-model='serviceLine.quadrant']")
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print(f"DEBUG: Selecting quadrant '{quadrant}' (index {quad_index}) for row {row_number}")
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# )
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quadrant_dropdowns = wait.until(
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# )
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EC.presence_of_all_elements_located(
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# if len(quadrant_dropdowns) < row_number:
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(By.XPATH, "//select[@ng-model='serviceLine.quadrant']")
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# raise Exception(f"Only {len(quadrant_dropdowns)} quadrant dropdowns found, but need row {row_number}")
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)
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# quadrant_dropdown = quadrant_dropdowns[row_number - 1]
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)
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# time.sleep(1)
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if len(quadrant_dropdowns) < row_number:
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# select_quadrant = Select(quadrant_dropdown)
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raise Exception(f"Only {len(quadrant_dropdowns)} quadrant dropdowns found, but need row {row_number}")
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# select_quadrant.select_by_visible_text(quadrant)
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select_quadrant = Select(quadrant_dropdowns[row_number - 1])
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# time.sleep(2)
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select_quadrant.select_by_index(quad_index)
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time.sleep(1)
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else:
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print(f"DEBUG: No quadrant provided for row {row_number}, skipping")
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|
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# COMMENTED OUT: Arch - not needed per user requirement
|
# COMMENTED OUT: Arch - not needed per user requirement
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# Will be handled later for specific procedure codes that require it
|
# Will be handled later for specific procedure codes that require it
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@@ -1402,6 +1413,7 @@ class AutomationMassHealthClaimsLogin:
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procedure_code=service_line.get("procedureCode", ""),
|
procedure_code=service_line.get("procedureCode", ""),
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tooth_number=service_line.get("toothNumber", ""),
|
tooth_number=service_line.get("toothNumber", ""),
|
||||||
tooth_surface=service_line.get("toothSurface", ""),
|
tooth_surface=service_line.get("toothSurface", ""),
|
||||||
|
quadrant=service_line.get("quad", ""),
|
||||||
billed_amount=service_line.get("totalBilled", "")
|
billed_amount=service_line.get("totalBilled", "")
|
||||||
)
|
)
|
||||||
else:
|
else:
|
||||||
@@ -1409,12 +1421,13 @@ class AutomationMassHealthClaimsLogin:
|
|||||||
plus_result = self.click_plus_button()
|
plus_result = self.click_plus_button()
|
||||||
if plus_result != "Success":
|
if plus_result != "Success":
|
||||||
return {"status": "error", "message": plus_result}
|
return {"status": "error", "message": plus_result}
|
||||||
|
|
||||||
service_result = self.fill_service_line(
|
service_result = self.fill_service_line(
|
||||||
row_number=row_num,
|
row_number=row_num,
|
||||||
procedure_code=service_line.get("procedureCode", ""),
|
procedure_code=service_line.get("procedureCode", ""),
|
||||||
tooth_number=service_line.get("toothNumber", ""),
|
tooth_number=service_line.get("toothNumber", ""),
|
||||||
tooth_surface=service_line.get("toothSurface", ""),
|
tooth_surface=service_line.get("toothSurface", ""),
|
||||||
|
quadrant=service_line.get("quad", ""),
|
||||||
billed_amount=service_line.get("totalBilled", "")
|
billed_amount=service_line.get("totalBilled", "")
|
||||||
)
|
)
|
||||||
|
|
||||||
|
|||||||
Reference in New Issue
Block a user