Gitead/DentalManagementMH07
1
0
Fork 0
Code Issues Pull Requests Actions Packages Projects Releases Wiki Activity

feat: AI chat claim confirmation, CDT alias learning, and eligibility auto-trigger fixes

Browse Source 
- Claim flow: show green confirm card (patient, CDT codes, service date) before Selenium starts
- CDT lookup: add DIRECT_CODE_MAP + ALIAS_MAP with 60+ dental abbreviations from office fee schedule
  (2BW→D0272, 4BW→D0274, PA→D0220, FL→D1208, RCT codes, composite tooth#/surface parser, etc.)
- Composite filling parser: auto-map "#29 OB" → D2392 based on tooth# (front/back) and surface count
- Ask-and-learn: unknown CDT terms block claim and ask user; answer saved to DB alias map for future use
- Cancel on confirm card returns to chat (not full reset) so user can correct and retry
- Eligibility auto-trigger fix: reset autoTriggeredRef when autoTrigger resets to false so second
  chatbot eligibility check on same page visit fires correctly (all 5 provider buttons fixed)
- check_eligibility by name now returns eligibility_id_ready with correct siteKey for non-MH patients
- DDMA/CCA/United/Tufts fee schedules updated with office prices (single Price field, no age split)
- getCodeMap case-insensitive matching fix (ddma/cca/etc. now correctly selected)
- Family plan member disambiguation: insuranceId+DOB composite lookup prevents overwriting siblings
- AI chat date fix: send clientDate from browser to avoid UTC midnight rollover (EST→wrong day)
- AI prompt: appointmentDate extracted for claim_only intent when user says "today" or a date

Co-Authored-By: Claude Sonnet 4.6 <noreply@anthropic.com>
This commit is contained in:
ff
2026-06-06 21:11:58 -04:00
co-authored by Claude Sonnet 4.6
parent 4899ab8368
commit 86cf55aa4d
16 changed files with 1405 additions and 4913 deletions
Download Patch File Download Diff File Expand all files Collapse all files
apps/Frontend/src/utils/procedureCombosMapping.ts
+18 -32
View File
@@ -92,10 +92,11 @@ const TUFTSSCO_CODE_MAP: Map<string, CodeRow> = (() => {
/** Return the correct fee-schedule map for the given insurance type. */
function getCodeMap(insuranceSiteKey?: string): Map<string, CodeRow> {
if (insuranceSiteKey === "CCA") return CCA_CODE_MAP;
if (insuranceSiteKey === "DDMA") return DDMA_CODE_MAP;
if (insuranceSiteKey === "UNITED_SCO" || insuranceSiteKey === "UnitedSCO" || insuranceSiteKey === "UNITEDDH") return UNITEDDH_CODE_MAP;
if (insuranceSiteKey === "TuftsSCO") return TUFTSSCO_CODE_MAP;
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
}
@@ -175,43 +176,28 @@ export function pickPriceForRowByAge(
): Decimal {
// 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)) return toDecimalOrZero(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);
}