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

@@ -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;
}