feat: DDMA claim submission with OTP, PDF, claim number extraction
- Add full DDMA claim Selenium flow (steps 1-8): search patient, open member page, create claim, fill form, attach files, next, submit, extract claim number and save confirmation PDF - Add fee schedule price-mismatch dialog for all claim buttons (MH, CCA, DDMA, United, Tufts, Save) with optional price update to JSON - Add OTP modal for DDMA claim when session expires, mirroring eligibility OTP flow - Close Chrome after claim submission via quit_driver() (session preserved in profile) - Move Map Price button between Direct Submission and procedure table, right-aligned above Billed Amount column - Add fee-schedule update-price backend route - Add DDMA claim processor with claimNumber/pdf_url result handling Co-Authored-By: Claude Sonnet 4.6 <noreply@anthropic.com>
This commit is contained in:
@@ -51,6 +51,8 @@ import {
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mapPricesForForm,
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applyComboToForm,
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getDescriptionForCode,
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findPriceMismatches,
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type PriceMismatch,
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} from "@/utils/procedureCombosMapping";
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import { PROCEDURE_COMBOS } from "@/utils/procedureCombos";
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import { DateInput } from "../ui/dateInput";
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@@ -61,6 +63,16 @@ import {
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RegularComboButtons,
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} from "@/components/procedure/procedure-combo-buttons";
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import { Switch } from "@/components/ui/switch";
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import {
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AlertDialog,
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AlertDialogAction,
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AlertDialogCancel,
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AlertDialogContent,
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AlertDialogDescription,
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AlertDialogFooter,
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AlertDialogHeader,
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AlertDialogTitle,
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} from "@/components/ui/alert-dialog";
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interface ClaimFormProps {
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patientId: number;
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@@ -77,6 +89,7 @@ interface ClaimFormProps {
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onHandleForMHSeleniumClaimPreAuth: (data: ClaimPreAuthData) => void;
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onHandleForCCASeleniumClaim: (data: ClaimFormData) => void;
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onHandleForCCASeleniumPreAuth: (data: ClaimPreAuthData) => void;
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onHandleForDDMASeleniumClaim: (data: ClaimFormData) => void;
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onClose: () => void;
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}
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@@ -91,6 +104,7 @@ export function ClaimForm({
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onHandleForMHSeleniumClaimPreAuth,
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onHandleForCCASeleniumClaim,
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onHandleForCCASeleniumPreAuth,
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onHandleForDDMASeleniumClaim,
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onSubmit,
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onClose,
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}: ClaimFormProps) {
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@@ -601,7 +615,7 @@ export function ClaimForm({
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if (!p) return "";
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if (p.includes("masshealth") || p === "mh" || p === "mass health") return "MH";
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if (p.includes("commonwealth care alliance") || p === "cca") return "CCA";
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if (p.includes("ddma")) return "DDMA";
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if (p.includes("ddma") || p.includes("delta dental ma")) return "DDMA";
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if (p.includes("delta ins") || p === "deltains") return "DeltaIns";
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if (p.includes("tufts") || p.includes("dentaquest") || p === "tuftssco") return "TuftsSCO";
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if (p.includes("united sco") || p === "unitedsco") return "UnitedSCO";
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@@ -717,6 +731,8 @@ export function ClaimForm({
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// FILE UPLOAD ZONE
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const uploadZoneRef = useRef<MultipleFileUploadZoneHandle | null>(null);
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const [isUploading, setIsUploading] = useState(false);
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const [priceMismatches, setPriceMismatches] = useState<PriceMismatch[]>([]);
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const pendingClaimAction = useRef<(() => void) | null>(null);
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// NO validation here — the upload zone handles validation, toasts, max files, sizes, etc.
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const handleFilesChange = useCallback((files: File[]) => {
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@@ -976,6 +992,84 @@ export function ClaimForm({
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onClose();
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};
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// Delta MA Claim: saves to DB then submits via Selenium
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const handleDDMAClaim = async () => {
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const missingFields: string[] = [];
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if (!form.memberId?.trim()) missingFields.push("Member ID");
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if (!form.dateOfBirth?.trim()) missingFields.push("Date of Birth");
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if (!patient?.firstName?.trim()) missingFields.push("First Name");
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if (missingFields.length > 0) {
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toast({
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title: "Missing Required Fields",
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description: `Please fill out the following field(s): ${missingFields.join(", ")}`,
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variant: "destructive",
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});
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return;
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}
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const filteredServiceLines = (form.serviceLines || []).filter(
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(line) => (line.procedureCode ?? "").trim() !== "",
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);
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if (filteredServiceLines.length === 0) {
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toast({
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title: "No procedure codes",
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description: "Please add at least one procedure code before submitting the claim.",
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variant: "destructive",
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});
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return;
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}
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let appointmentIdToUse = appointmentId;
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if (appointmentIdToUse == null) {
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const created = await onHandleAppointmentSubmit({
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patientId,
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date: serviceDate,
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staffId: appointmentStaffId ?? staff?.id,
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});
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if (typeof created === "number" && created > 0) {
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appointmentIdToUse = created;
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} else if (created && typeof (created as any).id === "number") {
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appointmentIdToUse = (created as any).id;
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}
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}
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const { uploadedFiles, insuranceSiteKey, npiProvider, ...formToCreateClaim } = form;
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// Upload files to server so we get local filePaths for Selenium
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const claimFilesMeta: ClaimFileMeta[] = uploadedFiles?.length
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? await uploadAttachmentsToLocalFolder(uploadedFiles)
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: [];
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const selectedNpiProviderId = npiProvider?.npiNumber
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? npiProviders.find((p) => p.npiNumber === npiProvider.npiNumber)?.id ?? null
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: null;
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const createdClaim = await onSubmit({
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...formToCreateClaim,
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serviceLines: filteredServiceLines,
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staffId: appointmentStaffId ?? Number(staff?.id),
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patientId,
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insuranceProvider: "Delta Dental MA",
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appointmentId: appointmentIdToUse!,
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claimFiles: claimFilesMeta,
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...(selectedNpiProviderId ? { npiProviderId: selectedNpiProviderId } : {}),
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});
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onHandleForDDMASeleniumClaim({
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...form,
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serviceLines: filteredServiceLines,
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staffId: appointmentStaffId ?? Number(staff?.id),
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patientId,
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insuranceProvider: "Delta Dental MA",
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appointmentId: appointmentIdToUse!,
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insuranceSiteKey: "DDMA",
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claimId: createdClaim.id,
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claimFiles: claimFilesMeta,
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});
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onClose();
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};
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const handleCCAPreAuth = async () => {
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const missingFields: string[] = [];
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if (!form.memberId?.trim()) missingFields.push("Member ID");
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@@ -1014,6 +1108,37 @@ export function ClaimForm({
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onClose();
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};
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/** Check prices against the fee schedule. If mismatches exist, show dialog and
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* store the action to run after the user responds. Otherwise run immediately. */
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const runWithPriceCheck = (action: () => void) => {
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const siteKey = form.insuranceSiteKey || deriveInsuranceSiteKey(form.insuranceProvider || "");
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const mismatches = findPriceMismatches(
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(form.serviceLines || []).filter(l => (l.procedureCode || "").trim()),
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siteKey,
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patient?.dateOfBirth || "",
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form.serviceDate || serviceDate,
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);
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if (mismatches.length === 0) {
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action();
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} else {
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pendingClaimAction.current = action;
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setPriceMismatches(mismatches);
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}
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};
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const savePricesToSchedule = async (mismatches: PriceMismatch[]) => {
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const siteKey = form.insuranceSiteKey || deriveInsuranceSiteKey(form.insuranceProvider || "");
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await Promise.all(
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mismatches.map(m =>
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apiRequest("POST", "/api/fee-schedule/update-price", {
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siteKey,
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procedureCode: m.procedureCode,
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price: m.enteredPrice,
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})
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)
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);
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};
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const uploadAttachmentsToLocalFolder = async (files: File[]): Promise<ClaimFileMeta[]> => {
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if (!files.length) return [];
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@@ -1493,13 +1618,6 @@ export function ClaimForm({
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))}
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</SelectContent>
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</Select>
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<Button
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className="ml-4"
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variant="success"
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onClick={onMapPrice}
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>
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Map Price
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</Button>
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</div>
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</div>
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@@ -1534,6 +1652,12 @@ export function ClaimForm({
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/>
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</div>
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<div className="flex justify-end mb-2">
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<Button variant="success" onClick={onMapPrice}>
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Map Price
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</Button>
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</div>
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{/* Header */}
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<div className="grid grid-cols-[1.5fr,0.5fr,1fr,1fr,1fr,1fr,1fr,0.5fr,1fr,1fr] gap-1 mb-2 mt-10 font-medium text-sm text-gray-700 items-center">
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<div className="grid grid-cols-[auto,1fr] items-center gap-2">
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@@ -1867,17 +1991,20 @@ export function ClaimForm({
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<div className="flex flex-wrap gap-2 justify-center">
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<Button
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className="w-32 bg-blue-600 hover:bg-blue-700 text-white"
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onClick={() => handleMHSubmit()}
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onClick={() => runWithPriceCheck(() => handleMHSubmit())}
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>
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MH Claim
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</Button>
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<Button
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className="w-32 bg-blue-600 hover:bg-blue-700 text-white"
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onClick={handleCCAClaim}
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onClick={() => runWithPriceCheck(handleCCAClaim)}
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>
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CCA Claim
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</Button>
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<Button className="w-36" variant="outline">
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<Button
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className="w-36 bg-violet-600 hover:bg-violet-700 text-white"
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onClick={() => runWithPriceCheck(handleDDMAClaim)}
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>
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Delta MA Claim
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</Button>
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<Button className="w-44" variant="outline">
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@@ -1888,7 +2015,7 @@ export function ClaimForm({
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</Button>
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<Button
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className="w-36 bg-emerald-600 hover:bg-emerald-700 text-white"
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onClick={handleClaimSaved}
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onClick={() => runWithPriceCheck(handleClaimSaved)}
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>
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Claim Saved
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</Button>
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@@ -2053,17 +2180,16 @@ export function ClaimForm({
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))}
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</SelectContent>
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</Select>
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<Button
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className="ml-4"
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variant="success"
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onClick={onMapPrice}
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>
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Map Price
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</Button>
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</div>
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</div>
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</div>
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<div className="flex justify-end mb-2">
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<Button variant="success" onClick={onMapPrice}>
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Map Price
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</Button>
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</div>
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{/* Header */}
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<div className="grid grid-cols-[1.5fr,0.5fr,1fr,1fr,1fr,1fr,1fr,0.5fr,1fr,1fr] gap-1 mb-2 mt-10 font-medium text-sm text-gray-700 items-center">
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<div className="grid grid-cols-[auto,1fr] items-center gap-2">
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@@ -2421,6 +2547,47 @@ export function ClaimForm({
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</CardContent>
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</Tabs>
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</Card>
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{/* Price mismatch dialog */}
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<AlertDialog open={priceMismatches.length > 0} onOpenChange={open => { if (!open) setPriceMismatches([]); }}>
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<AlertDialogContent>
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<AlertDialogHeader>
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<AlertDialogTitle>Save new price to the app?</AlertDialogTitle>
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<AlertDialogDescription asChild>
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<div className="space-y-2">
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<p>The following procedure prices differ from the fee schedule:</p>
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<ul className="text-sm space-y-1">
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{priceMismatches.map(m => (
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<li key={m.procedureCode} className="flex justify-between gap-4">
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<span className="font-medium">{m.procedureCode}</span>
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<span className="text-muted-foreground">Schedule: ${m.schedulePrice.toFixed(2)}</span>
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<span className="text-foreground font-semibold">Entered: ${m.enteredPrice.toFixed(2)}</span>
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</li>
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))}
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</ul>
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<p className="text-sm">Do you want to save the new price(s) to the fee schedule for future use?</p>
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</div>
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</AlertDialogDescription>
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</AlertDialogHeader>
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<AlertDialogFooter>
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<AlertDialogCancel onClick={() => {
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setPriceMismatches([]);
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pendingClaimAction.current?.();
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pendingClaimAction.current = null;
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}}>
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No
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</AlertDialogCancel>
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<AlertDialogAction onClick={async () => {
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await savePricesToSchedule(priceMismatches);
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setPriceMismatches([]);
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pendingClaimAction.current?.();
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pendingClaimAction.current = null;
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}}>
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Yes
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</AlertDialogAction>
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</AlertDialogFooter>
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</AlertDialogContent>
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</AlertDialog>
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</div>
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);
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}
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