feat: MassHealth PDF import auto-pays full balance + patient name fix

- PDF import now marks payments as PAID when MassHealth patient's
  mhPaidAmount >= totalBilled (no patient balance)
- Newly created patients from MH vouchers get insuranceProvider = 'MassHealth'
- Existing patients with blank insuranceProvider get it filled on import
- Fix: update patient name from PDF if existing record has empty name
- Various frontend/selenium/route updates

Co-Authored-By: Claude Sonnet 4.6 <noreply@anthropic.com>
This commit is contained in:
2026-06-26 00:16:31 -04:00
parent 9efe5c8469
commit b7e06adf2f
15 changed files with 611 additions and 448 deletions

View File

@@ -16,6 +16,51 @@ import { prisma } from "@repo/db/client";
import { PaymentStatusSchema } from "@repo/db/types";
import * as paymentService from "../services/paymentService";
import { callPythonSync } from "../queue/processors/_shared";
import fs from "fs";
import path from "path";
import axios from "axios";
import FormData from "form-data";
const VOUCHER_DIR = path.join(__dirname, "..", "..", "uploads", "MHVoucher");
const IMPORTED_LOG = path.join(VOUCHER_DIR, "imported_vouchers.json");
const OCR_BASE_URL = process.env.OCR_SERVICE_BASE_URL || "http://localhost:5003";
function loadImportedVouchers(): Set<string> {
try {
if (!fs.existsSync(IMPORTED_LOG)) return new Set();
const data = JSON.parse(fs.readFileSync(IMPORTED_LOG, "utf-8"));
return new Set(data.imported ?? []);
} catch {
return new Set();
}
}
function saveImportedVoucher(voucher: string) {
const existing = loadImportedVouchers();
existing.add(voucher);
fs.writeFileSync(IMPORTED_LOG, JSON.stringify({ imported: [...existing].sort() }, null, 2));
}
async function extractAndImportVoucherPdf(filePath: string, userId: number): Promise<{ paymentIds: number[]; rowCount: number }> {
const buffer = fs.readFileSync(filePath);
const filename = path.basename(filePath);
const form = new FormData();
form.append("files", buffer, { filename, contentType: "application/pdf", knownLength: buffer.length });
const resp = await axios.post<{ rows: any[] }>(
`${OCR_BASE_URL}/extract/pdf/json`,
form,
{ headers: form.getHeaders(), maxBodyLength: Infinity, maxContentLength: Infinity, timeout: 120_000 }
);
const rows = resp.data?.rows ?? [];
console.log(`[mh-batch] Extracted ${rows.length} rows from ${filename}`);
if (rows.length === 0) return { paymentIds: [], rowCount: 0 };
const paymentIds = await paymentService.pdfImportService.importRows(rows, userId);
return { paymentIds, rowCount: rows.length };
}
const paymentFilterSchema = z.object({
from: z.string().datetime(),
@@ -192,6 +237,76 @@ router.post(
}
);
// POST /api/payments/mh-batch-payment-check
router.post(
"/mh-batch-payment-check",
async (req: Request, res: Response): Promise<any> => {
try {
const userId = req.user?.id;
if (!userId) return res.status(401).json({ message: "Unauthorized" });
const { fromDate, toDate } = req.body;
const credentials = await storage.getInsuranceCredentialByUserAndSiteKey(userId, "MH");
if (!credentials) {
return res.status(404).json({
message: "No MassHealth credentials found. Please add them in Settings.",
});
}
const seleniumResult = await callPythonSync("/mh-batch-payment-check", {
data: {
massdhpUsername: credentials.username,
massdhpPassword: credentials.password,
fromDate,
toDate,
},
});
// --- PDF import phase ---
const alreadyImported = loadImportedVouchers();
const allPdfs = fs.existsSync(VOUCHER_DIR)
? fs.readdirSync(VOUCHER_DIR).filter((f) => f.endsWith(".pdf") && !f.startsWith("remittance_search_"))
: [];
const newPdfs = allPdfs.filter((f) => !alreadyImported.has(f.replace(".pdf", "")));
console.log(`[mh-batch] ${allPdfs.length} voucher PDFs total, ${newPdfs.length} new to import`);
const importResults: { voucher: string; paymentIds: number[]; rowCount: number; error?: string }[] = [];
for (const pdfFile of newPdfs) {
const voucher = pdfFile.replace(".pdf", "");
const filePath = path.join(VOUCHER_DIR, pdfFile);
console.log(`[mh-batch] Extracting and importing: ${voucher}`);
try {
const { paymentIds, rowCount } = await extractAndImportVoucherPdf(filePath, userId);
saveImportedVoucher(voucher);
importResults.push({ voucher, paymentIds, rowCount });
console.log(`[mh-batch] ✓ ${voucher}: ${rowCount} rows → ${paymentIds.length} payment(s)`);
} catch (err: any) {
const errMsg = err?.response?.data?.detail ?? err.message ?? "Unknown error";
console.error(`[mh-batch] ✗ ${voucher}: ${errMsg}`);
importResults.push({ voucher, paymentIds: [], rowCount: 0, error: errMsg });
}
}
const succeeded = importResults.filter((r) => !r.error);
const failed = importResults.filter((r) => r.error);
return res.json({
...seleniumResult,
importResults,
importSummary: newPdfs.length === 0
? "All PDFs already imported."
: `${succeeded.length} of ${newPdfs.length} PDFs imported successfully${failed.length ? `, ${failed.length} failed` : ""}.`,
});
} catch (err: unknown) {
const message = err instanceof Error ? err.message : "MH batch payment check failed";
return res.status(500).json({ message });
}
}
);
// POST /api/payments/:claimId
router.post("/:claimId", async (req: Request, res: Response): Promise<any> => {
try {

View File

@@ -261,27 +261,44 @@ export const pdfImportService = {
data: {
firstName,
lastName,
insuranceId: memberNo || null,
insuranceId: memberNo || null,
insuranceProvider: "MassHealth",
dateOfBirth: new Date(Date.UTC(1900, 0, 1)),
gender: "",
phone: "",
userId,
},
});
} else {
const updates: Record<string, string> = {};
if (patientName && !patient.firstName && !patient.lastName) {
const { firstName, lastName } = parsePdfName(patientName);
updates.firstName = firstName;
updates.lastName = lastName;
}
if (!patient.insuranceProvider) {
updates.insuranceProvider = "MassHealth";
}
if (Object.keys(updates).length > 0) {
patient = await tx.patient.update({ where: { id: patient.id }, data: updates });
}
}
const isMassHealth = patient.insuranceProvider?.startsWith("MassHealth") ?? false;
const paidInFull = isMassHealth && totalMhPaid.gte(totalBilled);
// 2. Create payment
const payment = await tx.payment.create({
data: {
patientId: patient.id,
patientId: patient.id,
userId,
totalBilled,
totalPaid: new Decimal(0),
totalPaid: paidInFull ? totalMhPaid : new Decimal(0),
totalAdjusted: new Decimal(0),
totalDue: totalBilled,
mhPaidAmount: totalMhPaid,
totalDue: paidInFull ? new Decimal(0) : totalBilled,
mhPaidAmount: totalMhPaid,
adjustment,
status: "PENDING",
status: paidInFull ? "PAID" : "PENDING",
notes: `PDF import from ${first["Source File"] ?? "unknown file"}`,
},
});
@@ -290,7 +307,8 @@ export const pdfImportService = {
for (const row of patientRows) {
const billed = new Decimal(row["Submitted Amount"] || 0);
const mhPaid = new Decimal(row["Paid Amount"] || 0);
const due = Decimal.max(0, billed.minus(mhPaid));
const linePaidInFull = isMassHealth && mhPaid.gte(billed);
const due = linePaidInFull ? new Decimal(0) : Decimal.max(0, billed.minus(mhPaid));
const { toothNumber, toothSurface } = parseTooth(row["Tooth"]);
const allowed = new Decimal(row["Allowed Amount"] || 0);
@@ -309,7 +327,7 @@ export const pdfImportService = {
totalPaid: mhPaid,
totalAdjusted: new Decimal(0),
totalDue: due,
status: mhPaid.gt(0) ? "PARTIALLY_PAID" : "UNPAID",
status: linePaidInFull ? "PAID" : mhPaid.gt(0) ? "PARTIALLY_PAID" : "UNPAID",
},
});
}

View File

@@ -24,8 +24,10 @@ const ReportsPage = lazy(() => import("./pages/reports-page"));
const CloudStoragePage = lazy(() => import("./pages/cloud-storage-page"));
const JobMonitorPage = lazy(() => import("./pages/job-monitor-page"));
const ChartPage = lazy(() => import("./pages/chart-page"));
const AiInputAgentPage = lazy(() => import("./pages/ai-input-agent-page"));
const DentalShoppingSearchTagPage = lazy(() => import("./pages/dental-shopping-search-tag-page"));
const DentalShoppingLoginInfoPage = lazy(() => import("./pages/dental-shopping-login-info-page"));
const ActivationPage = lazy(() => import("./pages/activation-page"));
const NotFound = lazy(() => import("./pages/not-found"));
function Router() {
return (<Switch>
@@ -46,8 +48,10 @@ function Router() {
<ProtectedRoute path="/database-management" component={() => <DatabaseManagementPage />} adminOnly/>
<ProtectedRoute path="/reports" component={() => <ReportsPage />}/>
<ProtectedRoute path="/cloud-storage" component={() => <CloudStoragePage />}/>
<ProtectedRoute path="/ai-input-agent" component={() => <AiInputAgentPage />}/>
<ProtectedRoute path="/dental-shopping/search-tag" component={() => <DentalShoppingSearchTagPage />}/>
<ProtectedRoute path="/dental-shopping/login-info" component={() => <DentalShoppingLoginInfoPage />}/>
<ProtectedRoute path="/activation" component={() => <ActivationPage />} adminOnly/>
<ProtectedRoute path="/job-monitor" component={() => <JobMonitorPage />} adminOnly/>
<Route path="/auth" component={() => <AuthPage />}/>
<Route component={() => <NotFound />}/>

View File

@@ -18,22 +18,38 @@ export const PatientForm = forwardRef(({ patient, extractedInfo, onSubmit }, ref
: insertPatientSchema.extend({ userId: z.number().optional() }), [isEditing]);
const normalizeInsuranceProvider = (val) => {
const p = (val || "").toLowerCase().trim();
if (p.includes("masshealth") || p === "mh" || p === "mass health") return "MassHealth";
if (p.includes("commonwealth care alliance") || p === "cca") return "CCA";
if (p.includes("ddma")) return "DDMA";
if (p.includes("delta dental") || p.includes("delta ins") || p === "deltains") return "DeltaIns";
if (p.includes("tufts") || p.includes("dentaquest") || p === "tuftssco") return "TuftsSCO";
if (p.includes("united sco") || p === "unitedsco") return "UnitedSCO";
if (p.includes("cmsp")) return "CMSP";
if (p.includes("bcbs") || p.includes("blue cross")) return "BCBS";
if (p.includes("united aapr") || p === "unitedaapr") return "UnitedAAPR";
if (p.includes("aetna")) return "Aetna";
if (p.includes("altus")) return "Altus";
if (p.includes("metlife")) return "MetlifeDental";
if (p.includes("cigna")) return "Cigna";
if (p.includes("delta wa") || p === "deltawa") return "DeltaWA";
if (p.includes("delta il") || p === "deltail") return "DeltaIL";
if (p.includes("other")) return "Others";
if (p.includes("masshealth") || p === "mh" || p === "mass health")
return "MassHealth";
if (p.includes("commonwealth care alliance") || p === "cca")
return "CCA";
if (p.includes("ddma"))
return "DDMA";
if (p.includes("delta dental") || p.includes("delta ins") || p === "deltains")
return "DeltaIns";
if (p.includes("tufts") || p.includes("dentaquest") || p === "tuftssco")
return "TuftsSCO";
if (p.includes("united sco") || p === "unitedsco")
return "UnitedSCO";
if (p.includes("cmsp"))
return "CMSP";
if (p.includes("bcbs") || p.includes("blue cross"))
return "BCBS";
if (p.includes("united aapr") || p === "unitedaapr")
return "UnitedAAPR";
if (p.includes("aetna"))
return "Aetna";
if (p.includes("altus"))
return "Altus";
if (p.includes("metlife"))
return "MetlifeDental";
if (p.includes("cigna"))
return "Cigna";
if (p.includes("delta wa") || p === "deltawa")
return "DeltaWA";
if (p.includes("delta il") || p === "deltail")
return "DeltaIL";
if (p.includes("other"))
return "Others";
return val || "";
};
const computedDefaultValues = useMemo(() => {
@@ -87,15 +103,16 @@ export const PatientForm = forwardRef(({ patient, extractedInfo, onSubmit }, ref
useEffect(() => {
if (patient) {
const { id, userId, createdAt, ...sanitizedPatient } = patient;
const normalized = normalizeInsuranceProvider(patient.insuranceProvider);
const resetValues = {
...sanitizedPatient,
dateOfBirth: patient.dateOfBirth
? formatLocalDate(new Date(patient.dateOfBirth))
: null,
insuranceProvider: normalizeInsuranceProvider(patient.insuranceProvider),
insuranceProvider: normalized,
};
const normalized = normalizeInsuranceProvider(patient.insuranceProvider);
form.reset(resetValues);
// Explicit setValue ensures the controlled Select re-renders with the new value
form.setValue("insuranceProvider", normalized);
}
else {

View File

@@ -579,7 +579,7 @@ export default function PaymentsRecentTable({
}
}}
>
{isMhChecking ? "Checking..." : "Check MH Payment"}
{isMhChecking ? "Checking..." : "Check Single MH Payment"}
</Button>
<Button
size="sm"

View File

@@ -31,12 +31,21 @@ import { apiRequest } from "@/lib/queryClient";
import { toast } from "@/hooks/use-toast";
import PaymentEditModal from "@/components/payments/payment-edit-modal";
function formatDateInput(raw: string): string {
const digits = raw.replace(/\D/g, "").slice(0, 8);
if (digits.length <= 2) return digits;
if (digits.length <= 4) return `${digits.slice(0, 2)}/${digits.slice(2)}`;
return `${digits.slice(0, 2)}/${digits.slice(2, 4)}/${digits.slice(4)}`;
}
export default function PaymentsPage() {
const [paymentPeriod, setPaymentPeriod] = useState<string>("all-time");
// Check Payments Online date range
const [mhFromDate, setMhFromDate] = useState<Date | undefined>(undefined);
const [mhToDate, setMhToDate] = useState<Date | undefined>(undefined);
const [mhFromText, setMhFromText] = useState("");
const [mhToText, setMhToText] = useState("");
const [fromCalendarOpen, setFromCalendarOpen] = useState(false);
const [toCalendarOpen, setToCalendarOpen] = useState(false);
@@ -229,7 +238,7 @@ export default function PaymentsPage() {
{/* Check Payments Online */}
<Card className="mb-6">
<CardHeader>
<CardTitle>Check Payments Online</CardTitle>
<CardTitle>Check MH Payments</CardTitle>
<CardDescription>
Select a date range and check MH payment status online
</CardDescription>
@@ -239,69 +248,115 @@ export default function PaymentsPage() {
{/* From date picker */}
<div className="flex items-center gap-2">
<span className="text-sm font-medium text-gray-600 whitespace-nowrap">From:</span>
<Popover open={fromCalendarOpen} onOpenChange={setFromCalendarOpen}>
<PopoverTrigger asChild>
<Button
variant="outline"
className="w-[160px] justify-start text-left font-normal"
>
<CalendarIcon className="mr-2 h-4 w-4 text-gray-400" />
{mhFromDate
? mhFromDate.toLocaleDateString("en-US", { month: "short", day: "numeric", year: "numeric" })
: <span className="text-muted-foreground">Pick a date</span>}
</Button>
</PopoverTrigger>
<PopoverContent className="w-auto p-0" align="start">
<Calendar
mode="single"
selected={mhFromDate}
onSelect={(d) => {
setMhFromDate(d);
setFromCalendarOpen(false);
}}
onClose={() => setFromCalendarOpen(false)}
/>
</PopoverContent>
</Popover>
<div className="flex items-center gap-1">
<input
type="text"
placeholder="MM/DD/YYYY"
className="border rounded-md px-2 py-1.5 text-sm w-[110px] focus:outline-none focus:ring-2 focus:ring-ring"
value={mhFromText}
onChange={(e) => {
const formatted = formatDateInput(e.target.value);
setMhFromText(formatted);
if (formatted === "") { setMhFromDate(undefined); return; }
if (/^\d{2}\/\d{2}\/\d{4}$/.test(formatted)) {
const parsed = new Date(formatted);
if (!isNaN(parsed.getTime())) setMhFromDate(parsed);
}
}}
/>
<Popover open={fromCalendarOpen} onOpenChange={setFromCalendarOpen}>
<PopoverTrigger asChild>
<Button type="button" variant="outline" size="icon" className="h-8 w-8 shrink-0">
<CalendarIcon className="h-4 w-4" />
</Button>
</PopoverTrigger>
<PopoverContent className="w-auto p-0" align="start">
<Calendar
mode="single"
selected={mhFromDate}
onSelect={(d) => {
setMhFromDate(d);
setMhFromText(d ? d.toLocaleDateString("en-US", { month: "2-digit", day: "2-digit", year: "numeric" }) : "");
setFromCalendarOpen(false);
}}
onClose={() => setFromCalendarOpen(false)}
/>
</PopoverContent>
</Popover>
</div>
</div>
{/* To date picker */}
<div className="flex items-center gap-2">
<span className="text-sm font-medium text-gray-600 whitespace-nowrap">To:</span>
<Popover open={toCalendarOpen} onOpenChange={setToCalendarOpen}>
<PopoverTrigger asChild>
<Button
variant="outline"
className="w-[160px] justify-start text-left font-normal"
>
<CalendarIcon className="mr-2 h-4 w-4 text-gray-400" />
{mhToDate
? mhToDate.toLocaleDateString("en-US", { month: "short", day: "numeric", year: "numeric" })
: <span className="text-muted-foreground">Pick a date</span>}
</Button>
</PopoverTrigger>
<PopoverContent className="w-auto p-0" align="start">
<Calendar
mode="single"
selected={mhToDate}
onSelect={(d) => {
setMhToDate(d);
setToCalendarOpen(false);
}}
onClose={() => setToCalendarOpen(false)}
/>
</PopoverContent>
</Popover>
<div className="flex items-center gap-1">
<input
type="text"
placeholder="MM/DD/YYYY"
className="border rounded-md px-2 py-1.5 text-sm w-[110px] focus:outline-none focus:ring-2 focus:ring-ring"
value={mhToText}
onChange={(e) => {
const formatted = formatDateInput(e.target.value);
setMhToText(formatted);
if (formatted === "") { setMhToDate(undefined); return; }
if (/^\d{2}\/\d{2}\/\d{4}$/.test(formatted)) {
const parsed = new Date(formatted);
if (!isNaN(parsed.getTime())) setMhToDate(parsed);
}
}}
/>
<Popover open={toCalendarOpen} onOpenChange={setToCalendarOpen}>
<PopoverTrigger asChild>
<Button type="button" variant="outline" size="icon" className="h-8 w-8 shrink-0">
<CalendarIcon className="h-4 w-4" />
</Button>
</PopoverTrigger>
<PopoverContent className="w-auto p-0" align="start">
<Calendar
mode="single"
selected={mhToDate}
onSelect={(d) => {
setMhToDate(d);
setMhToText(d ? d.toLocaleDateString("en-US", { month: "2-digit", day: "2-digit", year: "numeric" }) : "");
setToCalendarOpen(false);
}}
onClose={() => setToCalendarOpen(false)}
/>
</PopoverContent>
</Popover>
</div>
</div>
{/* Check All MH Payment button */}
{/* MH Batch Payment Check button */}
<Button
variant="default"
onClick={() => {
// Logic to be defined later
onClick={async () => {
if (!mhFromDate || !mhToDate) {
toast({ title: "Please select both From and To dates", variant: "destructive" });
return;
}
try {
const res = await apiRequest("POST", "/api/payments/mh-batch-payment-check", {
fromDate: mhFromDate.toISOString().split("T")[0],
toDate: mhToDate.toISOString().split("T")[0],
});
if (!res.ok) {
const err = await res.json();
toast({ title: "MH Batch Payment Check Failed", description: err.message, variant: "destructive" });
} else {
const result = await res.json();
if (result.noResults) {
toast({ title: "No Results", description: result.message, variant: "destructive" });
} else {
toast({ title: "MH Batch Payment Check", description: result.importSummary ?? result.message ?? "Done" });
}
}
} catch (e: any) {
toast({ title: "Error", description: e.message, variant: "destructive" });
}
}}
>
Check All MH Payment
Go
</Button>
</div>
</CardContent>

View File

@@ -110,7 +110,7 @@ function isDateOnlyString(s) {
}
// ---------- formatDateToHumanReadable ----------
/**
* Frontend-safe human readable formatter.
* Frontend-safe date formatter. Output format: "MM/DD/YYYY" (e.g. "03/01/1980").
*
* Rules:
* - If input is a date-only string "YYYY-MM-DD", format it directly (no TZ math).
@@ -118,37 +118,35 @@ function isDateOnlyString(s) {
* - If input is any other string (ISO/timestamp), DO NOT call new Date(isoString) directly
* for display. Instead, use parseLocalDate(dateInput) to extract the local calendar day
* (strip time portion) and render that. This prevents off-by-one day drift.
*
* Output example: "Oct 7, 2025"
*/
export function formatDateToHumanReadable(dateInput) {
if (!dateInput)
return "N/A";
// date-only string -> show as-is using MONTH_SHORT
// date-only string "YYYY-MM-DD" -> m and d are already zero-padded
if (typeof dateInput === "string" && isDateOnlyString(dateInput)) {
const [y, m, d] = dateInput.split("-");
if (!y || !m || !d)
return "Invalid Date";
return `${MONTH_SHORT[parseInt(m, 10) - 1]} ${d}, ${y}`;
return `${m}/${d}/${y}`;
}
// Date object -> use local calendar fields
if (dateInput instanceof Date) {
if (isNaN(dateInput.getTime()))
return "Invalid Date";
const dd = String(dateInput.getDate());
const mm = MONTH_SHORT[dateInput.getMonth()];
const dd = String(dateInput.getDate()).padStart(2, "0");
const mm = String(dateInput.getMonth() + 1).padStart(2, "0");
const yy = dateInput.getFullYear();
return `${mm} ${dd}, ${yy}`;
return `${mm}/${dd}/${yy}`;
}
// Other string (likely ISO/timestamp) -> normalize via parseLocalDate
// This preserves the calendar day the user expects (no timezone drift).
if (typeof dateInput === "string") {
try {
const localDate = parseLocalDate(dateInput);
const dd = String(localDate.getDate());
const mm = MONTH_SHORT[localDate.getMonth()];
const dd = String(localDate.getDate()).padStart(2, "0");
const mm = String(localDate.getMonth() + 1).padStart(2, "0");
const yy = localDate.getFullYear();
return `${mm} ${dd}, ${yy}`;
return `${mm}/${dd}/${yy}`;
}
catch (err) {
console.error("Invalid date input provided:", dateInput, err);

View File

@@ -220,6 +220,27 @@ export const PROCEDURE_COMBOS = {
label: "PL (Cast)",
codes: ["D5214"],
},
// Implants
implantFull: {
id: "implantFull",
label: "Implant/Abut/Crown",
codes: ["D6010", "D6057", "D6058"],
},
implantFixture: {
id: "implantFixture",
label: "Implant Fixture",
codes: ["D6010"],
},
implantAbutment: {
id: "implantAbutment",
label: "Abutment",
codes: ["D6057"],
},
implantCrown: {
id: "implantCrown",
label: "Implant Crown",
codes: ["D6058"],
},
// Endodontics
rctAnterior: {
id: "rctAnterior",
@@ -353,6 +374,7 @@ export const COMBO_CATEGORIES = {
"plResin",
"plCast",
],
Implants: ["implantFull", "implantFixture", "implantAbutment", "implantCrown"],
Endodontics: ["rctAnterior", "rctAnteriorPostCrown", "rctPremolar", "rctPremolarPostCrown", "rctMolar", "rctMolarPostCrown", "postCore", "coreBU"],
Prosthodontics: ["crown"],
Periodontics: ["deepCleaning"],

View File

@@ -1,7 +1,15 @@
import Decimal from "decimal.js";
import rawCodeTable from "@/assets/data/procedureCodesMH.json";
import rawCCACodeTable from "@/assets/data/procedureCodesCCA.json";
import rawDDMACodeTable from "@/assets/data/procedureCodesDDMA.json";
import rawUnitedDHCodeTable from "@/assets/data/procedureCodesUnitedDH.json";
import rawTuftsSCOCodeTable from "@/assets/data/procedureCodesTuftsSCO.json";
import { PROCEDURE_COMBOS } from "./procedureCombos";
const CODE_TABLE = rawCodeTable;
const CCA_CODE_TABLE = rawCCACodeTable;
const DDMA_CODE_TABLE = rawDDMACodeTable;
const UNITEDDH_CODE_TABLE = rawUnitedDHCodeTable;
const TUFTSSCO_CODE_TABLE = rawTuftsSCOCodeTable;
/* ----------------------------- Helpers ----------------------------- */
export const COMBO_BUTTONS = Object.values(PROCEDURE_COMBOS).map((c) => ({
id: c.id,
@@ -18,6 +26,55 @@ const CODE_MAP = (() => {
}
return m;
})();
const CCA_CODE_MAP = (() => {
const m = new Map();
for (const r of CCA_CODE_TABLE) {
const k = normalizeCode(String(r["Procedure Code"] || ""));
if (k && !m.has(k))
m.set(k, r);
}
return m;
})();
const DDMA_CODE_MAP = (() => {
const m = new Map();
for (const r of DDMA_CODE_TABLE) {
const k = normalizeCode(String(r["Procedure Code"] || ""));
if (k && !m.has(k))
m.set(k, r);
}
return m;
})();
const UNITEDDH_CODE_MAP = (() => {
const m = new Map();
for (const r of UNITEDDH_CODE_TABLE) {
const k = normalizeCode(String(r["Procedure Code"] || ""));
if (k && !m.has(k))
m.set(k, r);
}
return m;
})();
const TUFTSSCO_CODE_MAP = (() => {
const m = new Map();
for (const r of TUFTSSCO_CODE_TABLE) {
const k = normalizeCode(String(r["Procedure Code"] || ""));
if (k && !m.has(k))
m.set(k, r);
}
return m;
})();
/** Return the correct fee-schedule map for the given insurance type. */
function getCodeMap(insuranceSiteKey) {
const k = (insuranceSiteKey ?? "").replace(/_/g, "").toLowerCase();
if (k === "cca")
return CCA_CODE_MAP;
if (k === "ddma")
return DDMA_CODE_MAP;
if (k === "unitedsco" || k === "uniteddh" || k === "dentalhub")
return UNITEDDH_CODE_MAP;
if (k === "tuftssco" || k === "tufts")
return TUFTSSCO_CODE_MAP;
return CODE_MAP; // default: MassHealth
}
// this function is solely for abbrevations feature in claim-form
export function getDescriptionForCode(code) {
if (!code)
@@ -83,44 +140,35 @@ const ageOnDate = (dob, on) => {
export function pickPriceForRowByAge(row, age, normalizedCode) {
// Special-case rules (add more codes here if needed)
if (normalizedCode) {
// D1110: only valid for age >=14 (14..21 => PriceLTEQ21, >21 => PriceGT21)
// D1110: only valid for age >=14
if (normalizedCode === "D1110") {
if (age < 14) {
// D1110 not applicable to children <14 (those belong to D1120)
return new Decimal(0);
}
if (age >= 14 && age <= 21) {
// use PriceLTEQ21 only if present
if (!isBlankPrice(row.PriceLTEQ21))
return toDecimalOrZero(row.PriceLTEQ21);
return new Decimal(0);
}
// age > 21
if (!isBlankPrice(row.PriceGT21))
if (age < 14)
return new Decimal(0); // D1110 not for children <14
// age >= 14: use age-split if present, then flat Price
if (age <= 21 && !isBlankPrice(row.PriceLTEQ21))
return toDecimalOrZero(row.PriceLTEQ21);
if (age > 21 && !isBlankPrice(row.PriceGT21))
return toDecimalOrZero(row.PriceGT21);
if (!isBlankPrice(row.Price))
return toDecimalOrZero(row.Price);
return new Decimal(0);
}
// D1120: child 0-13 => PriceLTEQ21, otherwise no price (NC)
// D1120: valid for child 0-13 only
if (normalizedCode === "D1120") {
if (age < 14) {
if (!isBlankPrice(row.PriceLTEQ21))
return toDecimalOrZero(row.PriceLTEQ21);
return new Decimal(0);
}
// age >= 14 => NC / no price
if (age >= 14)
return new Decimal(0); // NC for adults
if (!isBlankPrice(row.PriceLTEQ21))
return toDecimalOrZero(row.PriceLTEQ21);
if (!isBlankPrice(row.Price))
return toDecimalOrZero(row.Price);
return new Decimal(0);
}
}
// Generic/default behavior (unchanged)
if (age <= 21) {
if (!isBlankPrice(row.PriceLTEQ21))
return toDecimalOrZero(row.PriceLTEQ21);
}
else {
if (!isBlankPrice(row.PriceGT21))
return toDecimalOrZero(row.PriceGT21);
}
// Fallback to Price if tiered not available/blank
// Generic/default: age-split first, flat Price as fallback
if (age <= 21 && !isBlankPrice(row.PriceLTEQ21))
return toDecimalOrZero(row.PriceLTEQ21);
if (age > 21 && !isBlankPrice(row.PriceGT21))
return toDecimalOrZero(row.PriceGT21);
if (!isBlankPrice(row.Price))
return toDecimalOrZero(row.Price);
return new Decimal(0);
@@ -158,7 +206,8 @@ const ensureCapacity = (lines, min, lineDate) => {
* Returns a NEW form object (immutable).
*/
export function mapPricesForForm(params) {
const { form, patientDOB } = params;
const { form, patientDOB, insuranceSiteKey } = params;
const map = getCodeMap(insuranceSiteKey);
return {
...form,
serviceLines: form.serviceLines.map((ln) => {
@@ -166,7 +215,7 @@ export function mapPricesForForm(params) {
const code = normalizeCode(ln.procedureCode || "");
if (!code)
return { ...ln };
const price = getPriceForCodeWithAgeFromMap(CODE_MAP, code, age);
const price = getPriceForCodeWithAgeFromMap(map, code, age);
return { ...ln, procedureCode: code, totalBilled: price };
}),
};
@@ -175,7 +224,7 @@ export function mapPricesForForm(params) {
* Apply a preset combo (fills codes & prices) using patientDOB and serviceDate.
* Returns a NEW form object (immutable).
*/
export function applyComboToForm(form, comboId, patientDOB, options = {}) {
export function applyComboToForm(form, comboId, patientDOB, options = {}, insuranceSiteKey) {
const preset = PROCEDURE_COMBOS[String(comboId)];
if (!preset)
return form;
@@ -205,8 +254,8 @@ export function applyComboToForm(form, comboId, patientDOB, options = {}) {
} // if replaceAll, insertAt stays 0
// Make sure we have enough rows for the whole combo
ensureCapacity(next.serviceLines, insertAt + preset.codes.length, lineDate);
// Age on the specific line date we will set
const age = ageOnDate(patientDOB, lineDate);
const age = options.skipPrice ? 0 : ageOnDate(patientDOB, lineDate);
const map = options.skipPrice ? CODE_MAP : getCodeMap(insuranceSiteKey);
for (let j = 0; j < preset.codes.length; j++) {
const i = insertAt + j;
if (i >= next.serviceLines.length)
@@ -215,7 +264,9 @@ export function applyComboToForm(form, comboId, patientDOB, options = {}) {
if (!codeRaw)
continue;
const code = normalizeCode(codeRaw);
const price = getPriceForCodeWithAgeFromMap(CODE_MAP, code, age);
const price = options.skipPrice
? new Decimal(0)
: getPriceForCodeWithAgeFromMap(map, code, age);
const original = next.serviceLines[i];
next.serviceLines[i] = {
...original,
@@ -238,4 +289,32 @@ export function applyComboToForm(form, comboId, patientDOB, options = {}) {
}
return next;
}
export { CODE_MAP, getPriceForCodeWithAgeFromMap };
export { CODE_MAP, CCA_CODE_MAP, DDMA_CODE_MAP, UNITEDDH_CODE_MAP, TUFTSSCO_CODE_MAP, getCodeMap, getPriceForCodeWithAgeFromMap };
/** Compare each service line's totalBilled against the fee schedule.
* Returns lines where the entered price differs from the schedule price.
* Returns empty array if the siteKey has no schedule (United, Tufts, etc.). */
export function findPriceMismatches(serviceLines, insuranceSiteKey, patientDOB, serviceDate) {
const supported = ["MH", "MASSHEALTH", "CCA", "DDMA", "UNITEDDH", "UNITEDSCO", "TUFTSSCO"];
if (!insuranceSiteKey || !supported.includes(insuranceSiteKey.toUpperCase()))
return [];
const map = getCodeMap(insuranceSiteKey);
const mismatches = [];
for (const line of serviceLines) {
const code = normalizeCode(line.procedureCode || "");
if (!code)
continue;
const enteredPrice = new Decimal(Number(line.totalBilled) || 0);
if (enteredPrice.isZero())
continue;
const age = ageOnDate(patientDOB, serviceDate);
const schedulePrice = getPriceForCodeWithAgeFromMap(map, code, age);
if (!schedulePrice.isZero() && !enteredPrice.equals(schedulePrice)) {
mismatches.push({
procedureCode: code,
enteredPrice: enteredPrice.toNumber(),
schedulePrice: schedulePrice.toNumber(),
});
}
}
return mismatches;
}

View File

@@ -78,10 +78,22 @@ export default {
height: "0",
},
},
blob: {
"0%, 100%": { transform: "translate(0, 0) scale(1)", borderRadius: "40% 60% 70% 30% / 40% 50% 60% 50%" },
"25%": { transform: "translate(80px, -60px) scale(1.25)", borderRadius: "60% 40% 30% 70% / 60% 30% 70% 40%" },
"50%": { transform: "translate(-50px, 50px) scale(0.85)", borderRadius: "30% 60% 40% 70% / 50% 60% 30% 60%" },
"75%": { transform: "translate(40px, 30px) scale(1.1)", borderRadius: "50% 40% 60% 30% / 40% 70% 50% 60%" },
},
"blob-spin": {
"0%": { transform: "rotate(0deg)" },
"100%": { transform: "rotate(360deg)" },
},
},
animation: {
"accordion-down": "accordion-down 0.2s ease-out",
"accordion-up": "accordion-up 0.2s ease-out",
blob: "blob 10s ease-in-out infinite",
"blob-spin": "blob-spin 20s linear infinite",
},
},
},

File diff suppressed because one or more lines are too long

View File

@@ -11,7 +11,10 @@ export default defineConfig(({ mode }) => {
fs: {
allow: [".."],
},
allowedHosts: ["communitydentistsoflowell.mydentalofficemanagement.com"],
allowedHosts: [
...(env.VITE_CLOUDFLARE_HOST ? [env.VITE_CLOUDFLARE_HOST] : []),
"192.168.0.94",
],
proxy: {
"/api": {
target: env.VITE_API_BASE_URL_BACKEND || "http://localhost:5000",

View File

@@ -10,7 +10,8 @@ from selenium_MH_eligibilityHistoryCheckWorker import AutomationMassHealthEligib
from selenium_CMSP_eligibilityHistoryRemainingCheckWorker import AutomationCMSPEligibilityHistoryRemainingCheck
from selenium_claimStatusCheckWorker import AutomationMassHealthClaimStatusCheck
from selenium_preAuthWorker import AutomationMassHealthPreAuth
from selenium_MHPaymentCheckWorker import AutomationMassHealthPaymentCheck
from selenium_MHSinglePaymentCheckWorker import AutomationMassHealthSinglePaymentCheck
from selenium_MHBatchPaymentCheckWorker import AutomationMassHealthBatchPaymentCheck
import os
import time
import helpers_ddma_eligibility as hddma
@@ -290,7 +291,35 @@ async def mh_payment_check(request: Request):
waiting_jobs -= 1
active_jobs += 1
try:
bot = AutomationMassHealthPaymentCheck(data)
bot = AutomationMassHealthSinglePaymentCheck(data)
result = bot.main_workflow("https://provider.masshealth-dental.org/mh_provider_login")
if result.get("status") != "success":
return {"status": "error", "message": result.get("message")}
return result
except Exception as e:
return {"status": "error", "message": str(e)}
finally:
async with lock:
active_jobs -= 1
# Endpoint: 6 — Check MassHealth payments in batch by date range
@app.post("/mh-batch-payment-check")
async def mh_batch_payment_check(request: Request):
global active_jobs, waiting_jobs
data = await request.json()
async with lock:
waiting_jobs += 1
async with semaphore:
async with lock:
waiting_jobs -= 1
active_jobs += 1
try:
bot = AutomationMassHealthBatchPaymentCheck(data)
result = bot.main_workflow("https://provider.masshealth-dental.org/mh_provider_login")
if result.get("status") != "success":

View File

@@ -1,218 +0,0 @@
from selenium import webdriver
from selenium.webdriver.chrome.service import Service
from selenium.webdriver.common.by import By
from selenium.webdriver.support.ui import WebDriverWait
from selenium.webdriver.support import expected_conditions as EC
from webdriver_manager.chrome import ChromeDriverManager
import time
import os
import base64
class AutomationMassHealthPaymentCheck:
def __init__(self, data):
self.headless = False
self.driver = None
self.extracted_data = {}
self.data = data.get("data")
self.massdhp_username = self.data.get("massdhpUsername", "")
self.massdhp_password = self.data.get("massdhpPassword", "")
self.claim_number = self.data.get("claimNumber", "")
self.download_dir = os.path.abspath("downloads")
os.makedirs(self.download_dir, exist_ok=True)
def config_driver(self):
options = webdriver.ChromeOptions()
if self.headless:
options.add_argument("--headless")
prefs = {
"download.default_directory": self.download_dir,
"plugins.always_open_pdf_externally": False,
"download.prompt_for_download": False,
"download.directory_upgrade": True,
}
options.add_experimental_option("prefs", prefs)
s = Service(ChromeDriverManager().install())
self.driver = webdriver.Chrome(service=s, options=options)
def login(self):
wait = WebDriverWait(self.driver, 30)
try:
# Step 1: Click the SIGN IN button on the initial page
signin_button = wait.until(
EC.element_to_be_clickable(
(
By.CSS_SELECTOR,
"a.btn.btn-block.btn-primary[href='https://connectsso.masshealth-dental.org/mhprovider/index.html']",
)
)
)
signin_button.click()
time.sleep(3)
# Step 2: Enter username
email_field = wait.until(EC.presence_of_element_located((By.ID, "User")))
email_field.clear()
email_field.send_keys(self.massdhp_username)
# Step 3: Enter password
password_field = wait.until(
EC.presence_of_element_located((By.ID, "Password"))
)
password_field.clear()
password_field.send_keys(self.massdhp_password)
# Step 4: Click login button
login_button = wait.until(
EC.element_to_be_clickable(
(
By.CSS_SELECTOR,
"input[type='submit'][name='submit'][value='Login']",
)
)
)
login_button.click()
return "Success"
except Exception as e:
print(f"Error while logging in: {e}")
return "ERROR:LOGIN FAILED"
def navigate_to_payments(self):
"""
TODO: Navigate to the payments / remittance section after login.
Inspect the portal and fill in the correct selectors below.
"""
wait = WebDriverWait(self.driver, 30)
substep = "init"
try:
print(f"[navigate_to_payments] URL after login: {self.driver.current_url}")
substep = "financial_menu"
financial_menu = wait.until(
EC.presence_of_element_located(
(By.XPATH, '//*[@id="navbar-desktop"]/div/div[3]/div/strong')
)
)
self.driver.execute_script("arguments[0].scrollIntoView(true);", financial_menu)
self.driver.execute_script("arguments[0].click();", financial_menu)
time.sleep(2)
substep = "payments_link"
payments_link = wait.until(
EC.presence_of_element_located(
(By.XPATH, '//*[@id="navbar-desktop"]/div/div[3]/div/div/div[2]/div/a')
)
)
self.driver.execute_script("arguments[0].click();", payments_link)
time.sleep(2)
return "Success"
except Exception as e:
print(f"[navigate_to_payments] FAILED at substep='{substep}': {e}")
print(f"[navigate_to_payments] URL at failure: {self.driver.current_url}")
return f"ERROR:NAVIGATE_TO_PAYMENTS:{substep}"
def step1_search_claim(self):
"""Enter claim number and click SEARCH on the Search Claims/Prior Authorizations page."""
wait = WebDriverWait(self.driver, 30)
substep = "init"
try:
print(f"[step1] URL: {self.driver.current_url}")
substep = "claim_number_input"
claim_input = wait.until(
EC.presence_of_element_located(
(By.XPATH, "/html/body/div[1]/div/div/div/form/fieldset/div[4]/div[2]/input")
)
)
claim_input.clear()
claim_input.send_keys(self.claim_number)
print(f"[step1] entered claim number: {self.claim_number}")
substep = "search_button"
search_button = wait.until(
EC.element_to_be_clickable(
(By.XPATH, "/html/body/div[1]/div/div/div/form/fieldset/div[7]/div/button[2]")
)
)
self.driver.execute_script("arguments[0].click();", search_button)
print("[step1] clicked SEARCH")
time.sleep(3)
return "Success"
except Exception as e:
print(f"[step1] FAILED at substep='{substep}': {e}")
print(f"[step1] URL at failure: {self.driver.current_url}")
return f"ERROR:STEP1:{substep}"
def step2_extract_paid_amount(self):
"""Read the totalPaidAmount from the search results table."""
wait = WebDriverWait(self.driver, 30)
substep = "init"
try:
substep = "wait_results_table"
wait.until(
EC.presence_of_element_located(
(By.XPATH, '//td[@ng-bind="item.totalPaidAmount | currency"]')
)
)
substep = "read_paid_amount"
paid_cell = self.driver.find_element(
By.XPATH, '//td[@ng-bind="item.totalPaidAmount | currency"]'
)
raw_text = paid_cell.text.strip()
print(f"[step2] raw paid amount text: '{raw_text}'")
# Strip currency symbol and commas, e.g. "$1,234.56" → 1234.56
numeric_str = raw_text.replace("$", "").replace(",", "").strip()
try:
paid_amount = float(numeric_str)
except ValueError:
paid_amount = 0.0
print(f"[step2] could not parse '{raw_text}' as float, defaulting to 0.0")
return {"status": "success", "mhPaidAmount": paid_amount, "mhPaidAmountRaw": raw_text}
except Exception as e:
print(f"[step2] FAILED at substep='{substep}': {e}")
return f"ERROR:STEP2:{substep}"
def main_workflow(self, url):
try:
self.config_driver()
self.driver.maximize_window()
self.driver.get(url)
time.sleep(3)
login_result = self.login()
if login_result.startswith("ERROR"):
return {"status": "error", "message": login_result}
nav_result = self.navigate_to_payments()
if nav_result.startswith("ERROR"):
return {"status": "error", "message": nav_result}
step1_result = self.step1_search_claim()
if step1_result.startswith("ERROR"):
return {"status": "error", "message": step1_result}
step2_result = self.step2_extract_paid_amount()
if isinstance(step2_result, str) and step2_result.startswith("ERROR"):
return {"status": "error", "message": step2_result}
return step2_result
except Exception as e:
return {"status": "error", "message": str(e)}
finally:
self.driver.quit()