feat: enhance new-patient AI chat flow with full scheduling and eligibility

- Add 3-message intro (self-intro → empathetic ack → new/existing question) via single TwiML response to guarantee delivery order
- Detect reschedule intent from first message; look up existing appointment date
- New patient flow: ask insurance type → MassHealth consent → member ID + DOB → Selenium eligibility check
- Post-eligibility: active → ask appointment date/time with office-hours validation; inactive → ask other insurance or collect contact info
- Date/time collection mirrors reschedule flow: check office day open, ask time, validate against office hours
- Auto-create appointment in schedule for known patients on confirmation; use first available staff member
- Add openPhoneReply toggle (Settings → AI Chat) to respond to any number at any time
- Add 5-minute inactivity timeout: reset conversation to initial stage and clear pending state
- Normalize MassHealth DOB to zero-padded MM/DD/YYYY before Selenium submission
- Expand isExistingPatient classifier to recognize "old patient", "old", "previous", "prior"
- Existing patient confirmation message now acknowledges patient type before asking about insurance

Co-Authored-By: Claude Sonnet 4.6 <noreply@anthropic.com>

packages/db/generated/prisma/package.json

@@ -1,5 +1,5 @@
 {
-  "name": "prisma-client-7ab23aa0435ee62d1543cc6f3f10f1fac4ea741f94efe006ada0cea03090a0c9",
+  "name": "prisma-client-f058d09dfd4869ea5203c66c2370bac837d95f1a5aaea0632641bf080a04b5d8",
   "main": "index.js",
   "types": "index.d.ts",
   "browser": "default.js",