feat: add BCBS MA eligibility check with OTP flow

- New Selenium worker (fresh Chrome per run, no persistent session)
  login → OTP modal → eTools → ConnectCenter → Verification →
  New Eligibility Request → fill form (NPI, member ID, DOB) →
  Expand All → CDP PDF back to app
- Backend route fetches BCBS_MA credentials + provider NPI from settings
- Frontend OTP modal with 6-digit code entry
- BCBS MA added to insurance credentials dropdown in settings

Co-Authored-By: Claude Sonnet 4.6 <noreply@anthropic.com>
This commit is contained in:
ff
2026-06-01 00:36:11 -04:00
parent 535619c286
commit e644d21cee
12 changed files with 1468 additions and 9 deletions

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@@ -23,6 +23,7 @@ import { runUnitedDHClaimProcessor } from "./processors/unitedDHClaimProcessor";
import { runTuftsSCOClaimProcessor } from "./processors/tuftsSCOClaimProcessor";
import { runEligibilityHistoryProcessor } from "./processors/eligibilityHistoryProcessor";
import { runCmspEligibilityHistoryRemainingProcessor } from "./processors/cmspEligibilityHistoryRemainingProcessor";
import { runBcbsMaEligibilityProcessor } from "./processors/bcbsMaEligibilityProcessor";
import type { SeleniumJobData, OcrJobData } from "./queues";
// ── Queue instances ──────────────────────────────────────────────────────────
@@ -226,6 +227,20 @@ export function enqueueSeleniumJob(data: SeleniumJobData): string {
formDob: data.formDob,
});
}
if (jobType === "bcbs-ma-eligibility-check") {
return runBcbsMaEligibilityProcessor(
{
enrichedPayload: data.enrichedPayload,
userId: data.userId,
insuranceId: data.insuranceId!,
formFirstName: data.formFirstName,
formLastName: data.formLastName,
formDob: data.formDob,
socketId: data.socketId,
},
job.id
);
}
throw new Error(`Unknown selenium jobType: ${jobType}`);
});

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@@ -0,0 +1,255 @@
import fs from "fs/promises";
import fsSync from "fs";
import path from "path";
import { storage } from "../../storage";
import { emptyFolderContainingFile } from "../../utils/emptyTempFolder";
import {
forwardToSeleniumBcbsMaEligibilityAgent,
getSeleniumBcbsMaSessionStatus,
} from "../../services/seleniumBcbsMaInsuranceEligibilityClient";
import { splitName, createOrUpdatePatientByInsuranceId } from "./_shared";
import { io } from "../../socket";
function log(tag: string, msg: string, ctx?: any) {
console.log(`${new Date().toISOString()} [${tag}] ${msg}`, ctx ?? "");
}
function emitToSocket(socketId: string | undefined, event: string, payload: any) {
if (!socketId || !io) return;
try {
const socket = io.sockets.sockets.get(socketId);
if (socket) socket.emit(event, payload);
} catch (err: any) {
log("bcbs-ma-processor", `emit failed for ${event}`, { err: err?.message });
}
}
export interface BcbsMaEligibilityProcessorInput {
enrichedPayload: any;
userId: number;
insuranceId: string;
formFirstName?: string;
formLastName?: string;
formDob?: string;
socketId?: string;
}
export interface BcbsMaEligibilityProcessorResult {
patientUpdateStatus?: string;
pdfUploadStatus?: string;
pdfFileId?: number | null;
pdfFilename?: string | null;
}
async function processBcbsMaResult(
userId: number,
insuranceId: string,
formFirstName: string | undefined,
formLastName: string | undefined,
formDob: string | undefined,
seleniumResult: any
): Promise<BcbsMaEligibilityProcessorResult> {
const output: BcbsMaEligibilityProcessorResult = {};
let createdPdfFileId: number | null = null;
try {
// Resolve patient name
const rawName =
typeof seleniumResult?.patientName === "string" ? seleniumResult.patientName.trim() : null;
let firstName: string;
let lastName: string;
if (rawName) {
if (rawName.includes(",")) {
const [last, ...firstParts] = rawName.split(",").map((s: string) => s.trim());
lastName = last || formLastName || "";
firstName = firstParts.join(" ").trim() || formFirstName || "";
} else {
const parsed = splitName(rawName);
if (!parsed.lastName) {
lastName = parsed.firstName || formLastName || "";
firstName = formFirstName || "";
} else {
firstName = parsed.firstName || formFirstName || "";
lastName = parsed.lastName || formLastName || "";
}
}
} else {
firstName = formFirstName ?? "";
lastName = formLastName ?? "";
}
await createOrUpdatePatientByInsuranceId({ insuranceId, firstName, lastName, dob: formDob, userId });
const normalizedInsuranceId = insuranceId.replace(/\s+/g, "");
const patient = await storage.getPatientByInsuranceId(normalizedInsuranceId);
if (!patient?.id) {
output.patientUpdateStatus = "Patient not found; no update performed";
return output;
}
const eligStatus = (seleniumResult?.eligibility ?? "").toLowerCase();
const newStatus =
eligStatus === "eligible" || eligStatus === "active" ? "ACTIVE" : "INACTIVE";
await storage.updatePatient(patient.id, {
status: newStatus,
insuranceProvider: "BCBS MA",
});
output.patientUpdateStatus = `Patient status updated to ${newStatus}`;
// Save PDF
let pdfBuffer: Buffer | null = null;
let pdfFilename: string | null = null;
const pdfPath: string | null = seleniumResult?.pdf_path ?? null;
if (pdfPath && fsSync.existsSync(pdfPath)) {
try {
pdfBuffer = await fs.readFile(pdfPath);
pdfFilename = path.basename(pdfPath);
} catch (e: any) {
output.pdfUploadStatus = `Failed to read PDF: ${e.message}`;
}
} else {
output.pdfUploadStatus = "No valid PDF path from Selenium.";
}
if (pdfBuffer && pdfFilename) {
const groupTitleKey = "ELIGIBILITY_STATUS";
const groupTitle = "Eligibility Status";
let group = await storage.findPdfGroupByPatientTitleKey(patient.id, groupTitleKey);
if (!group) group = await storage.createPdfGroup(patient.id, groupTitle, groupTitleKey);
if (!group?.id) throw new Error("PDF group creation failed");
const created = await storage.createPdfFile(group.id, pdfFilename, pdfBuffer);
if (created && typeof created === "object" && "id" in created) {
createdPdfFileId = Number(created.id);
}
output.pdfUploadStatus = `PDF saved to group: ${group.title}`;
output.pdfFilename = pdfFilename;
}
output.pdfFileId = createdPdfFileId;
return output;
} catch (err: any) {
log("bcbs-ma-processor", `processBcbsMaResult ERROR: ${err?.message}`, err);
return {
...output,
pdfUploadStatus: output.pdfUploadStatus ?? `Processing failed: ${err?.message}`,
pdfFileId: createdPdfFileId,
};
} finally {
const cleanupPath = seleniumResult?.pdf_path ?? null;
if (cleanupPath) {
try {
await emptyFolderContainingFile(cleanupPath);
} catch (_) {}
}
}
}
async function pollUntilDone(
sessionId: string,
socketId: string | undefined,
jobId: string,
pollTimeoutMs = 8 * 60 * 1000 // 8 min — accounts for fresh login + OTP wait
): Promise<any> {
const maxAttempts = 960; // 960 × 500ms = 8 min
const pollIntervalMs = 500;
const maxTransientErrors = 12;
const noProgressLimit = 120;
let transientErrors = 0;
let consecutiveNoProgress = 0;
let lastStatus: string | null = null;
const deadline = Date.now() + pollTimeoutMs;
for (let attempt = 0; attempt < maxAttempts; attempt++) {
if (Date.now() > deadline) {
throw new Error(`BCBS MA polling timeout (${Math.round(pollTimeoutMs / 1000)}s) for session ${sessionId}`);
}
try {
const st = await getSeleniumBcbsMaSessionStatus(sessionId);
const status: string = st?.status ?? "unknown";
transientErrors = 0;
const isTerminal = status === "completed" || status === "error" || status === "not_found";
if (status === lastStatus && !isTerminal) consecutiveNoProgress++;
else consecutiveNoProgress = 0;
lastStatus = status;
if (consecutiveNoProgress >= noProgressLimit) {
throw new Error(`No progress from Python agent (status="${status}") after ${consecutiveNoProgress} polls`);
}
if (status === "waiting_for_otp") {
emitToSocket(socketId, "selenium:otp_required", {
session_id: sessionId,
jobId,
message: "OTP required. Please enter the 6-digit code from the BCBS MA email.",
});
await new Promise((r) => setTimeout(r, pollIntervalMs));
continue;
}
if (status === "completed") return st.result;
if (status === "error" || status === "not_found") {
throw new Error(st?.message || `BCBS MA session ended with status: ${status}`);
}
await new Promise((r) => setTimeout(r, pollIntervalMs));
} catch (err: any) {
const isTerminal =
err?.response?.status === 404 ||
(typeof err?.message === "string" &&
(err.message.includes("not_found") ||
err.message.includes("polling timeout") ||
err.message.includes("No progress")));
if (isTerminal) throw err;
transientErrors++;
if (transientErrors > maxTransientErrors) {
throw new Error(`Too many transient network errors polling BCBS MA session ${sessionId}`);
}
const backoff = Math.min(30_000, 500 * Math.pow(2, transientErrors - 1));
await new Promise((r) => setTimeout(r, backoff));
}
}
throw new Error(`BCBS MA polling exhausted all attempts for session ${sessionId}`);
}
export async function runBcbsMaEligibilityProcessor(
input: BcbsMaEligibilityProcessorInput,
jobId: string
): Promise<BcbsMaEligibilityProcessorResult> {
const { enrichedPayload, userId, insuranceId, formFirstName, formLastName, formDob, socketId } = input;
log("bcbs-ma-processor", "starting Python agent session", { insuranceId });
const agentResp = await forwardToSeleniumBcbsMaEligibilityAgent(enrichedPayload);
if (!agentResp?.session_id) {
throw new Error("Python agent did not return a session_id for BCBS MA eligibility");
}
const sessionId = agentResp.session_id as string;
log("bcbs-ma-processor", "got session_id", { sessionId });
emitToSocket(socketId, "selenium:bcbs_ma_session_started", { session_id: sessionId, jobId });
const seleniumResult = await pollUntilDone(sessionId, socketId, jobId);
if (!seleniumResult || seleniumResult.status === "error") {
throw new Error(seleniumResult?.message ?? "BCBS MA session returned an error result");
}
log("bcbs-ma-processor", "processing DB result", { insuranceId });
const result = await processBcbsMaResult(
userId, insuranceId, formFirstName, formLastName, formDob, seleniumResult
);
log("bcbs-ma-processor", "done", { result });
return result;
}

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@@ -18,7 +18,8 @@ export type SeleniumJobType =
| "uniteddh-claim-submit"
| "tuftssco-eligibility-check"
| "mh-eligibility-history-check"
| "cmsp-eligibility-history-remaining-check";
| "cmsp-eligibility-history-remaining-check"
| "bcbs-ma-eligibility-check";
export interface SeleniumJobData {
jobType: SeleniumJobType;

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@@ -40,6 +40,7 @@ import commissionsRoutes from "./commissions";
import shoppingVendorsRoutes from "./shopping-vendors";
import feeScheduleRoutes from "./feeSchedule";
import licenseRoutes from "./license";
import insuranceStatusBcbsMaRoutes from "./insuranceStatusBcbsMa";
const router = Router();
@@ -60,6 +61,7 @@ router.use("/insurance-status-deltains", insuranceStatusDeltaInsRoutes);
router.use("/insurance-status-unitedsco", insuranceStatusUnitedSCORoutes);
router.use("/insurance-status-tuftssco", insuranceStatusTuftsSCORoutes);
router.use("/insurance-status-cca", insuranceStatusCCARoutes);
router.use("/insurance-status-bcbs-ma", insuranceStatusBcbsMaRoutes);
router.use("/claims", insuranceStatusCCAClaimRoutes);
router.use("/claims", insuranceStatusCCAPreAuthRoutes);
router.use("/claims", insuranceStatusDDMAClaimRoutes);

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@@ -0,0 +1,108 @@
import { Router, Request, Response } from "express";
import { storage } from "../storage";
import { forwardOtpToSeleniumBcbsMaAgent } from "../services/seleniumBcbsMaInsuranceEligibilityClient";
import { io } from "../socket";
import { enqueueSeleniumJob } from "../queue/jobRunner";
const router = Router();
function log(tag: string, msg: string, ctx?: any) {
console.log(`${new Date().toISOString()} [${tag}] ${msg}`, ctx ?? "");
}
function emitSafe(socketId: string | undefined, event: string, payload: any) {
if (!socketId || !io) return;
try {
const socket = io.sockets.sockets.get(socketId);
if (socket) socket.emit(event, payload);
} catch (err: any) {
log("bcbs-ma-route", "emit failed", { socketId, event, err: err?.message });
}
}
/**
* POST /bcbs-ma-eligibility
* Enqueues a BCBS MA eligibility check.
* Body: { data: { memberId, dateOfBirth, firstName, lastName, insuranceSiteKey }, socketId }
*/
router.post("/bcbs-ma-eligibility", async (req: Request, res: Response): Promise<any> => {
if (!req.body.data) {
return res.status(400).json({ error: "Missing data for BCBS MA eligibility check" });
}
if (!req.user?.id) {
return res.status(401).json({ error: "Unauthorized: user info missing" });
}
try {
const rawData =
typeof req.body.data === "string" ? JSON.parse(req.body.data) : req.body.data;
const credentials = await storage.getInsuranceCredentialByUserAndSiteKey(req.user.id, "BCBS_MA");
if (!credentials) {
return res.status(404).json({
error: "No BCBS MA credentials found. Please add them in Settings → Insurance Credentials.",
});
}
// Fetch provider NPI — use the first one on file for this user
const npiProviders = await storage.getNpiProvidersByUser(req.user.id);
const npiNumber = npiProviders?.[0]?.npiNumber ?? "";
if (!npiNumber) {
return res.status(404).json({
error: "No NPI provider found. Please add one in Settings → NPI Providers.",
});
}
const enrichedData = {
...rawData,
bcbsMaUsername: credentials.username,
bcbsMaPassword: credentials.password,
providerNpi: npiNumber,
};
const socketId: string | undefined = req.body.socketId;
const jobId = enqueueSeleniumJob({
jobType: "bcbs-ma-eligibility-check",
userId: req.user.id,
socketId,
enrichedPayload: enrichedData,
insuranceId: String(rawData.memberId ?? "").trim(),
formFirstName: rawData.firstName,
formLastName: rawData.lastName,
formDob: rawData.dateOfBirth,
});
log("bcbs-ma-route", "job enqueued", { jobId, insuranceId: rawData.memberId });
return res.json({ status: "queued", jobId });
} catch (err: any) {
console.error("[bcbs-ma-route] enqueue failed:", err);
return res.status(500).json({ error: err.message || "Failed to enqueue BCBS MA selenium job" });
}
});
/**
* POST /selenium/submit-otp
* Forwards the OTP to the Python agent (side-channel, bypasses queue).
* Body: { session_id, otp, socketId? }
*/
router.post("/selenium/submit-otp", async (req: Request, res: Response): Promise<any> => {
const { session_id: sessionId, otp, socketId } = req.body;
if (!sessionId || !otp) {
return res.status(400).json({ error: "session_id and otp are required" });
}
try {
const r = await forwardOtpToSeleniumBcbsMaAgent(sessionId, otp);
emitSafe(socketId, "selenium:otp_submitted", { session_id: sessionId, result: r });
return res.json(r);
} catch (err: any) {
console.error("[bcbs-ma-route] submit-otp failed:", err?.message || err);
return res.status(500).json({
error: "Failed to forward OTP to selenium agent",
detail: err?.message || err,
});
}
});
export default router;

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@@ -0,0 +1,67 @@
import axios from "axios";
import http from "http";
import https from "https";
import dotenv from "dotenv";
dotenv.config();
const SELENIUM_AGENT_BASE = process.env.SELENIUM_AGENT_BASE_URL;
const httpAgent = new http.Agent({ keepAlive: true, keepAliveMsecs: 60_000 });
const httpsAgent = new https.Agent({ keepAlive: true, keepAliveMsecs: 60_000 });
const client = axios.create({
baseURL: SELENIUM_AGENT_BASE,
timeout: 5 * 60 * 1000,
httpAgent,
httpsAgent,
validateStatus: (s) => s >= 200 && s < 600,
});
async function requestWithRetries(config: any, retries = 4, baseBackoffMs = 300) {
for (let attempt = 1; attempt <= retries; attempt++) {
try {
const r = await client.request(config);
if (![502, 503, 504].includes(r.status)) return r;
} catch (err: any) {
const code = err?.code;
const isTransient =
code === "ECONNRESET" || code === "ECONNREFUSED" || code === "EPIPE" || code === "ETIMEDOUT";
if (!isTransient) throw err;
}
await new Promise((r) => setTimeout(r, baseBackoffMs * attempt));
}
return client.request(config);
}
function log(tag: string, msg: string, ctx?: any) {
console.log(`${new Date().toISOString()} [${tag}] ${msg}`, ctx ?? "");
}
export async function forwardToSeleniumBcbsMaEligibilityAgent(data: any): Promise<any> {
const payload = { data };
log("bcbs-ma-client", "POST bcbs-ma-eligibility", { keys: Object.keys(payload) });
const r = await requestWithRetries({ url: "/bcbs-ma-eligibility", method: "POST", data: payload }, 4);
log("bcbs-ma-client", "agent response", { status: r.status });
if (r.status >= 500) throw new Error(`Selenium agent server error: ${r.status}`);
return r.data;
}
export async function forwardOtpToSeleniumBcbsMaAgent(sessionId: string, otp: string): Promise<any> {
log("bcbs-ma-client", "POST submit-otp", { sessionId });
const r = await requestWithRetries(
{ url: "/submit-otp", method: "POST", data: { session_id: sessionId, otp } },
4
);
if (r.status >= 500) throw new Error(`Selenium agent server error on submit-otp: ${r.status}`);
return r.data;
}
export async function getSeleniumBcbsMaSessionStatus(sessionId: string): Promise<any> {
const r = await requestWithRetries({ url: `/session/${sessionId}/status`, method: "GET" }, 4);
if (r.status === 404) {
const e: any = new Error("not_found");
e.response = { status: 404, data: r.data };
throw e;
}
return r.data;
}