@mindbill/react 0.20.1 → 0.21.1

package/README.md

@@ -141,9 +141,6 @@ import { BillSubmissionForm } from "@mindbill/react";
   initialBill={bootstrap.bill}
   attachments={bootstrap.attachments}
   getSession={() => fetch("/api/mindbill/session", { method: "POST" }).then(r => r.json())}
-  diagnosisOptions={bootstrap.diagnoses}
-  procedureOptions={bootstrap.procedures}
-  onLookupPostalCode={lookupPostalCode}
   appearance={{ preset: "qme-companion" }}
   onSubmit={({ bill, sourceAttachmentIds, uploads }) =>
     submitBill({ bill, sourceAttachmentIds, uploads })
@@ -155,14 +152,14 @@ The component includes the interaction model, not just the markup:
 
 - a responsive two-column review form (one column on narrow screens);
 - paste-friendly `MM/DD/YYYY` date fields and required-field asterisks;
-- ZIP-to-city/state completion through `onLookupPostalCode`;
-- searchable ICD-10 multi-select with removable chips;
+- ZIP-to-city/state completion through MindBill's authenticated postal directory;
+- complete, server-backed ICD-10 search, common-injury quick picks, and removable chips;
 - canonical claims-administrator search through the authenticated MindBill payer directory;
 - QME, AME, and Psych QME evaluation modes with medical-legal modifier defaults;
-- searchable procedure/modifier controls, fee-schedule amounts, totals, and an automatically maintained empty line;
-- auto-attached source documents, practice W-9 treatment, and click, panel-drop, or whole-page PDF upload.
+- searchable workers-comp procedure/modifier controls, medical-legal fee-schedule amounts, totals, valid manual CPT/HCPCS entry, and an automatically maintained empty line;
+- removable source documents with new-tab previews, a locked auto-attached practice W-9, and a full-width click, panel-drop, or whole-page PDF upload area. Every visible source document is included until removed; uploaded PDFs do not require document-type tagging.
 
-Partners supply tenant-specific bootstrap data and server callbacks. Required fields, validation, payer selection, service-line behavior, attachments, and submission UX stay inside `@mindbill/react`, so every integration receives the same billing workflow.
+Partners supply tenant-specific bootstrap data, one short-lived browser session callback, and the final server submission callback. Required fields, validation, ZIP lookup, ICD-10 and payer directories, service-line behavior, attachments, and submission UX stay inside `@mindbill/react`, so every integration receives the same billing workflow. Optional `diagnosisOptions`, `procedureOptions`, `modifierOptions`, and lookup callbacks extend or replace defaults when a partner has licensed or organization-specific data.
 
 `BILL_SUBMISSION_REQUIRED_FIELDS` and `validateBillSubmission` expose the same contract for tests and non-visual integrations. The component never creates a draft; its callback fires only when the user submits a locally valid snapshot.
 

package/dist/index.d.ts

@@ -453,6 +453,7 @@ type BillSubmissionSourceAttachment = {
     fileName: string;
     documentType: BillSubmissionDocumentType;
     description?: string;
+    /** @deprecated Source attachments shown in the form are included until removed. */
     selected?: boolean;
     /** Auto-attached documents such as a practice W-9 cannot be deselected. */
     autoAttached?: boolean;
@@ -504,6 +505,18 @@ declare function applyBillSubmissionEvaluationModifiers(lines: BillSubmissionInp
 declare function validateBillSubmission(bill: BillSubmissionInput): BillSubmissionValidation;
 declare function BillSubmissionForm({ initialBill, attachments, onSubmit, getSession, sessionEndpoint, apiBaseUrl, fetch: fetchOverride, onSearchClaimsAdministrators, diagnosisOptions, onSearchDiagnoses, onLookupPostalCode, procedureOptions, modifierOptions, appearance, className, style, disabled, submitLabel, heading, description, }: BillSubmissionFormProps): ReactElement;
 
+/** Public-domain and MindBill-owned metadata. CPT descriptions are intentionally limited to the curated catalog. */
+declare const DEFAULT_BILL_SUBMISSION_PROCEDURES: BillSubmissionProcedureOption[];
+declare const DEFAULT_BILL_SUBMISSION_MODIFIERS: BillSubmissionModifierOption[];
+declare const BILL_SUBMISSION_DIAGNOSIS_QUICK_PICKS: Array<BillSubmissionDiagnosisOption & {
+    label: string;
+}>;
+declare function calculateBillSubmissionAllowedAmount(line: {
+    code: string;
+    modifiers?: string[];
+    units?: number;
+}, procedures?: BillSubmissionProcedureOption[]): number | undefined;
+
 type BillStatusData = {
     billId: string;
     state: string;
@@ -668,4 +681,4 @@ type MindBillWidgetProps = {
 declare function MindBillBillTimeline(props: MindBillWidgetProps): ReactElement;
 declare function MindBillBillReview(props: MindBillWidgetProps): ReactElement;
 
-export { BILL_SUBMISSION_DOCUMENT_TYPES, BILL_SUBMISSION_REQUIRED_FIELDS, type BillActivityEvent, BillActivityTimeline, type BillActivityTimelineProps, BillLifecycleActions, type BillLifecycleActionsProps, BillLifecycleProgress, type BillLifecycleProgressProps, type BillLifecycleStage, BillPayerContactCard, type BillPayerContactCardProps, BillPaymentLedger, type BillPaymentLedgerProps, BillReadOnlyForm, type BillReadOnlyFormProps, BillRemittanceCard, type BillRemittanceCardProps, type BillReviewAttachment, type BillReviewBillingProvider, type BillReviewClinician, type BillReviewData, type BillReviewDocumentType, type BillReviewDraft, type BillReviewFeatures, BillReviewForm, type BillReviewFormProps, type BillReviewLineItem, type BillReviewLocation, type BillReviewPayer, type BillReviewSaveInput, BillSnapshotSummary, type BillSnapshotSummaryProps, type BillStatusAction, type BillStatusClient, type BillStatusClientOptions, type BillStatusData, type BillStatusSession, type BillStatusSessionProvider, type BillStatusSessionRequest, BillStatusSummary, type BillStatusSummaryProps, type BillSubmissionAddress, type BillSubmissionDiagnosisOption, type BillSubmissionDocumentType, type BillSubmissionEvaluationType, BillSubmissionForm, type BillSubmissionFormProps, type BillSubmissionFormValue, type BillSubmissionInput, type BillSubmissionModifierOption, type BillSubmissionPostalPlace, type BillSubmissionProcedureOption, type BillSubmissionRoute, type BillSubmissionSourceAttachment, type BillSubmissionUpload, type BillSubmissionValidation, ConnectedBillLifecycle, type ConnectedBillLifecycleProps, ConnectedBillStatus, type ConnectedBillStatusProps, MindBillBillReview, MindBillBillTimeline, type MindBillReactAppearance, type MindBillThemePreset, type MindBillWidgetProps, type UseBillLifecycleOptions, type UseBillLifecycleResult, type UseBillStatusOptions, type UseBillStatusResult, applyBillSubmissionEvaluationModifiers, billActivityEventLabel, billLifecycleStage, buildBillReviewSaveInput, createBillStatusClient, ensureTrailingBillSubmissionLine, ensureTrailingProcedureLine, formatBillSubmissionDate, mindBillAppearanceStyle, mindBillThemePresets, parseBillSubmissionDate, resolveMindBillAppearance, useBillLifecycle, useBillStatus, validateBillSubmission, visibleBillLifecycleActions };
+export { BILL_SUBMISSION_DIAGNOSIS_QUICK_PICKS, BILL_SUBMISSION_DOCUMENT_TYPES, BILL_SUBMISSION_REQUIRED_FIELDS, type BillActivityEvent, BillActivityTimeline, type BillActivityTimelineProps, BillLifecycleActions, type BillLifecycleActionsProps, BillLifecycleProgress, type BillLifecycleProgressProps, type BillLifecycleStage, BillPayerContactCard, type BillPayerContactCardProps, BillPaymentLedger, type BillPaymentLedgerProps, BillReadOnlyForm, type BillReadOnlyFormProps, BillRemittanceCard, type BillRemittanceCardProps, type BillReviewAttachment, type BillReviewBillingProvider, type BillReviewClinician, type BillReviewData, type BillReviewDocumentType, type BillReviewDraft, type BillReviewFeatures, BillReviewForm, type BillReviewFormProps, type BillReviewLineItem, type BillReviewLocation, type BillReviewPayer, type BillReviewSaveInput, BillSnapshotSummary, type BillSnapshotSummaryProps, type BillStatusAction, type BillStatusClient, type BillStatusClientOptions, type BillStatusData, type BillStatusSession, type BillStatusSessionProvider, type BillStatusSessionRequest, BillStatusSummary, type BillStatusSummaryProps, type BillSubmissionAddress, type BillSubmissionDiagnosisOption, type BillSubmissionDocumentType, type BillSubmissionEvaluationType, BillSubmissionForm, type BillSubmissionFormProps, type BillSubmissionFormValue, type BillSubmissionInput, type BillSubmissionModifierOption, type BillSubmissionPostalPlace, type BillSubmissionProcedureOption, type BillSubmissionRoute, type BillSubmissionSourceAttachment, type BillSubmissionUpload, type BillSubmissionValidation, ConnectedBillLifecycle, type ConnectedBillLifecycleProps, ConnectedBillStatus, type ConnectedBillStatusProps, DEFAULT_BILL_SUBMISSION_MODIFIERS, DEFAULT_BILL_SUBMISSION_PROCEDURES, MindBillBillReview, MindBillBillTimeline, type MindBillReactAppearance, type MindBillThemePreset, type MindBillWidgetProps, type UseBillLifecycleOptions, type UseBillLifecycleResult, type UseBillStatusOptions, type UseBillStatusResult, applyBillSubmissionEvaluationModifiers, billActivityEventLabel, billLifecycleStage, buildBillReviewSaveInput, calculateBillSubmissionAllowedAmount, createBillStatusClient, ensureTrailingBillSubmissionLine, ensureTrailingProcedureLine, formatBillSubmissionDate, mindBillAppearanceStyle, mindBillThemePresets, parseBillSubmissionDate, resolveMindBillAppearance, useBillLifecycle, useBillStatus, validateBillSubmission, visibleBillLifecycleActions };

package/dist/index.js

@@ -1159,6 +1159,127 @@ import { useCallback, useEffect as useEffect2, useMemo as useMemo2, useRef as us
 import {
   createBillReferenceClient
 } from "@mindbill/browser";
+
+// src/billing-catalog.ts
+var DEFAULT_BILL_SUBMISSION_PROCEDURES = [
+  { code: "ML200", description: "Missed appointment for a medical-legal evaluation", allowedAmount: 503.75 },
+  { code: "ML201", description: "Comprehensive medical-legal evaluation", allowedAmount: 2015 },
+  { code: "ML202", description: "Follow-up medical-legal evaluation", allowedAmount: 1316.25 },
+  { code: "ML203", description: "Supplemental medical-legal evaluation", allowedAmount: 650 },
+  { code: "ML204", description: "Medical-legal testimony", allowedAmount: 113.75 },
+  { code: "ML205", description: "Review of sub rosa recordings", allowedAmount: 81.25 },
+  { code: "MLPRR", description: "Medical-legal record review", allowedAmount: 3 },
+  { code: "90791", description: "Psychiatric diagnostic evaluation" },
+  { code: "90792", description: "Psychiatric diagnostic evaluation with medical services" },
+  { code: "90832", description: "Psychotherapy, 30 minutes" },
+  { code: "90834", description: "Psychotherapy, 45 minutes" },
+  { code: "90837", description: "Psychotherapy, 60 minutes" },
+  { code: "90846", description: "Family psychotherapy without patient" },
+  { code: "90847", description: "Family psychotherapy with patient" },
+  { code: "90853", description: "Group psychotherapy" },
+  { code: "90785", description: "Interactive complexity" },
+  { code: "90833", description: "Psychotherapy add-on, 30 minutes" },
+  { code: "90836", description: "Psychotherapy add-on, 45 minutes" },
+  { code: "90838", description: "Psychotherapy add-on, 60 minutes" },
+  { code: "99202", description: "New patient office visit, level 2" },
+  { code: "99203", description: "New patient office visit, level 3" },
+  { code: "99204", description: "New patient office visit, level 4" },
+  { code: "99205", description: "New patient office visit, level 5", allowedAmount: 349.48 },
+  { code: "99211", description: "Established patient office visit, level 1" },
+  { code: "99212", description: "Established patient office visit, level 2" },
+  { code: "99213", description: "Established patient office visit, level 3" },
+  { code: "99214", description: "Established patient office visit, level 4" },
+  { code: "99215", description: "Established patient office visit, level 5" },
+  { code: "96130", description: "Psychological testing evaluation, first hour" },
+  { code: "96131", description: "Psychological testing evaluation, each additional hour", allowedAmount: 131.96 },
+  { code: "96136", description: "Psychological or neuropsychological testing, first 30 minutes" },
+  { code: "96137", description: "Psychological or neuropsychological testing, each additional 30 minutes" },
+  { code: "97161", description: "Physical therapy evaluation, low complexity" },
+  { code: "97162", description: "Physical therapy evaluation, moderate complexity" },
+  { code: "97163", description: "Physical therapy evaluation, high complexity" },
+  { code: "97110", description: "Therapeutic exercises" },
+  { code: "97112", description: "Neuromuscular reeducation" },
+  { code: "97140", description: "Manual therapy techniques" },
+  { code: "97530", description: "Therapeutic activities" },
+  { code: "98940", description: "Chiropractic manipulative treatment, 1-2 regions" },
+  { code: "98941", description: "Chiropractic manipulative treatment, 3-4 regions" },
+  { code: "98942", description: "Chiropractic manipulative treatment, 5 regions" },
+  { code: "72100", description: "Spine radiograph, lumbosacral, 2-3 views" },
+  { code: "73030", description: "Shoulder radiograph, complete" },
+  { code: "72141", description: "MRI cervical spine without contrast" },
+  { code: "72148", description: "MRI lumbar spine without contrast" },
+  { code: "73721", description: "MRI lower-extremity joint without contrast" },
+  { code: "20610", description: "Major joint injection or aspiration" },
+  { code: "20552", description: "Trigger point injection, 1-2 muscles" },
+  { code: "64483", description: "Transforaminal epidural injection, lumbar or sacral" },
+  { code: "64635", description: "Destruction by neurolytic agent, paravertebral facet joint nerve" },
+  { code: "99070", description: "Supplies and materials" },
+  { code: "L0650", description: "Lumbar orthosis" },
+  { code: "A4556", description: "Electrodes" }
+];
+var DEFAULT_BILL_SUBMISSION_MODIFIERS = [
+  { code: "92", description: "Primary Treating Physician evaluation" },
+  { code: "93", description: "Interpreter required" },
+  { code: "94", description: "Agreed Medical Evaluator" },
+  { code: "95", description: "Qualified Medical Evaluator" },
+  { code: "96", description: "Psychiatric/psychological evaluation" },
+  { code: "97", description: "Toxicology evaluation" },
+  { code: "98", description: "Oncology evaluation" },
+  { code: "59", description: "Distinct procedural service" },
+  { code: "XE", description: "Separate encounter" },
+  { code: "XS", description: "Separate structure" },
+  { code: "XP", description: "Separate practitioner" },
+  { code: "XU", description: "Unusual non-overlapping service" }
+];
+var BILL_SUBMISSION_DIAGNOSIS_QUICK_PICKS = [
+  { label: "Back", code: "M54.50", description: "Low back pain, unspecified" },
+  { label: "Neck", code: "M54.2", description: "Cervicalgia" },
+  { label: "Left hand", code: "M79.642", description: "Pain in left hand" },
+  { label: "Right hand", code: "M79.641", description: "Pain in right hand" },
+  { label: "Left knee", code: "M25.562", description: "Pain in left knee" },
+  { label: "Right knee", code: "M25.561", description: "Pain in right knee" }
+];
+var COMPOSITE_MULTIPLIERS = {
+  "93+94+96": 2.45,
+  "93+94+97": 1.95,
+  "93+94+98": 1.95,
+  "92+93": 1.1,
+  "93+95": 1.1,
+  "93+94": 1.45,
+  "93+96": 2.1,
+  "93+97": 1.6,
+  "93+98": 1.6,
+  "94+96": 2.35,
+  "94+97": 1.85,
+  "94+98": 1.85
+};
+var MED_LEGAL_MODIFIER_MULTIPLIERS = {
+  "92": 1,
+  "93": 1.1,
+  "94": 1.35,
+  "95": 1,
+  "96": 2,
+  "97": 1.5,
+  "98": 1.5
+};
+function medicalLegalMultiplier(modifiers) {
+  const priced = modifiers.filter((item) => MED_LEGAL_MODIFIER_MULTIPLIERS[item] !== 1);
+  if (priced.length === 0) return 1;
+  const composite = COMPOSITE_MULTIPLIERS[priced.join("+")];
+  if (composite != null) return composite;
+  return priced.reduce((total, item) => total * (MED_LEGAL_MODIFIER_MULTIPLIERS[item] ?? 1), 1);
+}
+function calculateBillSubmissionAllowedAmount(line, procedures = DEFAULT_BILL_SUBMISSION_PROCEDURES) {
+  const procedure = procedures.find((item) => item.code.toUpperCase() === line.code.trim().toUpperCase());
+  if (procedure?.allowedAmount == null) return void 0;
+  const code = procedure.code.toUpperCase();
+  const units = Math.max(1, line.units ?? 1);
+  const normalized = [...new Set((line.modifiers ?? []).map((item) => item.replace(/^-/, "").toUpperCase()))].sort();
+  const multiplier = ["ML200", "ML201", "ML202", "ML203"].includes(code) ? medicalLegalMultiplier(normalized) : 1;
+  return Math.round(procedure.allowedAmount * units * multiplier * 100) / 100;
+}
+
+// src/bill-submission-form.tsx
 import { Fragment as Fragment2, jsx as jsx3, jsxs as jsxs3 } from "react/jsx-runtime";
 var BILL_SUBMISSION_DOCUMENT_TYPES = [
   "final_report",
@@ -1185,25 +1306,6 @@ var BILL_SUBMISSION_REQUIRED_FIELDS = [
   "serviceLines[].code",
   "serviceLines[].units"
 ];
-var PROCEDURES2 = [
-  { code: "ML200", description: "Missed appointment for a medical-legal evaluation" },
-  { code: "ML201", description: "Comprehensive medical-legal evaluation" },
-  { code: "ML202", description: "Follow-up medical-legal evaluation" },
-  { code: "ML203", description: "Supplemental medical-legal evaluation" },
-  { code: "ML204", description: "Medical-legal testimony" },
-  { code: "ML205", description: "Review of sub rosa recordings" },
-  { code: "MLPRR", description: "Medical-legal record review" }
-];
-var MODIFIERS2 = [
-  { code: "92", description: "Primary Treating Physician evaluation" },
-  { code: "93", description: "Interpreter required" },
-  { code: "94", description: "Agreed Medical Evaluator" },
-  { code: "95", description: "Qualified Medical Evaluator" },
-  { code: "96", description: "Psychiatric/psychological evaluation" },
-  { code: "97", description: "Toxicology evaluation" },
-  { code: "98", description: "Oncology evaluation" },
-  { code: "59", description: "Distinct procedural service" }
-];
 var documentLabels = {
   final_report: "Final report",
   proof_of_service: "Proof of service",
@@ -1219,6 +1321,11 @@ var MAX_PDF_BYTES = 25 * 1024 * 1024;
 var MAX_UPLOAD_BYTES = 100 * 1024 * 1024;
 var MAX_DOCUMENTS = 25;
 var EMPTY_ATTACHMENTS = [];
+function previewUploadedPdf(file) {
+  const url = URL.createObjectURL(file);
+  window.open(url, "_blank", "noopener,noreferrer");
+  window.setTimeout(() => URL.revokeObjectURL(url), 6e4);
+}
 function blankLine() {
   return { code: "", modifiers: [], units: 1 };
 }
@@ -1313,12 +1420,12 @@ var css = `
 .mbsf{display:grid;gap:20px;color:var(--mb-text);font-family:var(--mb-font);font-size:15px}.mbsf *{box-sizing:border-box}
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-.mbsf-combo{position:relative}.mbsf-menu{position:absolute;z-index:20;top:calc(100% + 5px);left:0;right:0;max-height:300px;overflow:auto;padding:7px;border:1px solid var(--mb-border);border-radius:12px;background:var(--mb-surface);box-shadow:0 14px 35px rgba(17,38,49,.16)}.mbsf-option{display:grid;width:100%;gap:2px;padding:10px;border:0;border-radius:8px;background:transparent;color:var(--mb-text);font:inherit;text-align:left;cursor:pointer}.mbsf-option:hover,.mbsf-option:focus{background:color-mix(in srgb,var(--mb-accent) 9%,var(--mb-surface))}.mbsf-option small{color:var(--mb-muted)}
-.mbsf-chips{display:flex;flex-wrap:wrap;gap:7px;margin-bottom:8px}.mbsf-chip{display:inline-flex;align-items:center;gap:7px;padding:5px 9px;border:1px solid var(--mb-border);border-radius:999px;background:var(--mb-input)}.mbsf-chip button{border:0;background:transparent;color:var(--mb-muted);cursor:pointer;font:inherit}
+.mbsf-combo{position:relative}.mbsf-menu{position:absolute;z-index:20;top:calc(100% + 5px);left:0;right:0;max-height:min(300px,42vh);overflow:auto;overscroll-behavior:contain;padding:7px;border:1px solid var(--mb-border);border-radius:12px;background:var(--mb-surface);box-shadow:0 14px 35px rgba(17,38,49,.16)}.mbsf-option{display:grid;width:100%;gap:2px;padding:10px;border:0;border-radius:8px;background:transparent;color:var(--mb-text);font:inherit;text-align:left;cursor:pointer}.mbsf-option:hover,.mbsf-option:focus{background:color-mix(in srgb,var(--mb-accent) 9%,var(--mb-surface))}.mbsf-option small{color:var(--mb-muted)}
+.mbsf-chips,.mbsf-quick-picks{display:flex;flex-wrap:wrap;gap:7px;margin-bottom:8px}.mbsf-chip,.mbsf-quick-pick{display:inline-flex;align-items:center;gap:7px;padding:5px 9px;border:1px solid var(--mb-border);border-radius:999px;background:var(--mb-input)}.mbsf-chip button{border:0;background:transparent;color:var(--mb-muted);cursor:pointer;font:inherit}.mbsf-quick-pick{color:var(--mb-text);font:inherit;cursor:pointer}.mbsf-quick-pick[data-selected=true]{border-color:var(--mb-accent);color:var(--mb-accent)}
 .mbsf-segments{display:grid;grid-template-columns:repeat(3,1fr);border:1px solid var(--mb-border);border-radius:var(--mb-control-radius);overflow:hidden}.mbsf-segment{min-height:44px;border:0;border-right:1px solid var(--mb-border);background:var(--mb-input);color:var(--mb-text);font:inherit;font-weight:700;cursor:pointer}.mbsf-segment:last-child{border-right:0}.mbsf-segment[aria-pressed=true]{background:var(--mb-accent);color:var(--mb-accent-contrast)}
 .mbsf-lines{margin-top:18px;border:1px solid var(--mb-border);border-radius:var(--mb-control-radius);overflow:visible}.mbsf-line-head,.mbsf-line{display:grid;grid-template-columns:minmax(190px,1.05fr) minmax(220px,1.5fr) 100px 120px 42px;gap:12px;align-items:start;padding:12px}.mbsf-line-head{color:var(--mb-muted);font-size:13px;font-weight:700;border-bottom:1px solid var(--mb-border)}.mbsf-line{border-bottom:1px solid var(--mb-border)}.mbsf-line:last-child{border-bottom:0}.mbsf-money{padding-top:12px;text-align:right;font-variant-numeric:tabular-nums}.mbsf-total{display:flex;justify-content:flex-end;gap:45px;padding:16px 56px 16px 16px;font-size:17px;font-weight:760}
-.mbsf-icon-btn{width:40px;height:42px;border:0;background:transparent;color:var(--mb-text);font-size:22px;cursor:pointer}.mbsf-secondary{min-height:40px;padding:8px 14px;border:1px solid var(--mb-border);border-radius:var(--mb-control-radius);background:var(--mb-surface);color:var(--mb-text);font:inherit;font-weight:680;cursor:pointer}.mbsf-attach-list{display:grid;gap:10px;margin-bottom:18px}.mbsf-attach-row{padding:14px;border:1px solid var(--mb-border);border-radius:var(--mb-control-radius)}.mbsf-attach-row[data-auto=true]{border-color:color-mix(in srgb,#159447 45%,var(--mb-border));background:color-mix(in srgb,#159447 5%,var(--mb-surface))}.mbsf-file{min-width:0}.mbsf-file strong{overflow-wrap:anywhere}.mbsf-badge{display:inline-block;margin-left:8px;padding:2px 7px;border:1px solid var(--mb-border);border-radius:7px;color:var(--mb-muted);font-size:12px;font-weight:600}.mbsf-drop{display:grid;place-items:center;min-height:180px;padding:24px;border:2px dashed color-mix(in srgb,var(--mb-muted) 55%,transparent);border-radius:var(--mb-control-radius);background:color-mix(in srgb,var(--mb-accent) 3%,var(--mb-surface));text-align:center;cursor:pointer}.mbsf-drop[data-active=true]{border-color:var(--mb-accent);background:color-mix(in srgb,var(--mb-accent) 10%,var(--mb-surface))}.mbsf-alert{padding:12px 14px;border-radius:var(--mb-control-radius);background:color-mix(in srgb,var(--mb-danger) 10%,transparent);color:var(--mb-danger)}.mbsf-actions{justify-content:flex-end}.mbsf-submit{min-width:180px;min-height:48px;padding:11px 24px;border:0;border-radius:var(--mb-control-radius);background:var(--mb-accent);color:var(--mb-accent-contrast);font:inherit;font-weight:780;cursor:pointer}
-@media(max-width:820px){.mbsf-grid{grid-template-columns:1fr}.mbsf-span{grid-column:auto}.mbsf-card{padding:18px}.mbsf-line-head{display:none}.mbsf-line{grid-template-columns:1fr 1fr}.mbsf-line>*:nth-child(1),.mbsf-line>*:nth-child(2){grid-column:1/-1}.mbsf-money{text-align:left}.mbsf-line .mbsf-icon-btn{justify-self:end}.mbsf-total{padding-right:18px}.mbsf-head{align-items:flex-start}.mbsf-segments{grid-template-columns:1fr}.mbsf-segment{border-right:0;border-bottom:1px solid var(--mb-border)}.mbsf-segment:last-child{border-bottom:0}}
+.mbsf-icon-btn{width:40px;height:42px;border:0;background:transparent;color:var(--mb-text);font-size:22px;cursor:pointer}.mbsf-secondary{min-height:40px;padding:8px 14px;border:1px solid var(--mb-border);border-radius:var(--mb-control-radius);background:var(--mb-surface);color:var(--mb-text);font:inherit;font-weight:680;cursor:pointer}.mbsf-attach-list{display:grid;gap:10px;margin-bottom:18px}.mbsf-attach-row{padding:14px;border:1px solid var(--mb-border);border-radius:var(--mb-control-radius)}.mbsf-attach-row[data-auto=true]{border-color:color-mix(in srgb,#159447 45%,var(--mb-border));background:color-mix(in srgb,#159447 5%,var(--mb-surface))}.mbsf-attach-main{display:flex;align-items:center;gap:12px;min-width:0;flex:1}.mbsf-attach-actions{display:flex;align-items:center;gap:6px;flex:0 0 auto}.mbsf-file{min-width:0}.mbsf-file strong{overflow-wrap:anywhere}.mbsf-badge{display:inline-block;margin-left:8px;padding:2px 7px;border:1px solid var(--mb-border);border-radius:7px;color:var(--mb-muted);font-size:12px;font-weight:600}.mbsf-drop{display:grid;width:100%;place-items:center;min-height:210px;padding:30px;border:2px dashed color-mix(in srgb,var(--mb-muted) 55%,transparent);border-radius:var(--mb-control-radius);background:color-mix(in srgb,var(--mb-accent) 3%,var(--mb-surface));color:var(--mb-text);font:inherit;text-align:center;cursor:pointer}.mbsf-drop[data-active=true]{border-color:var(--mb-accent);background:color-mix(in srgb,var(--mb-accent) 10%,var(--mb-surface))}.mbsf-alert{padding:12px 14px;border-radius:var(--mb-control-radius);background:color-mix(in srgb,var(--mb-danger) 10%,transparent);color:var(--mb-danger)}.mbsf-actions{justify-content:flex-end}.mbsf-submit{min-width:180px;min-height:48px;padding:11px 24px;border:0;border-radius:var(--mb-control-radius);background:var(--mb-accent);color:var(--mb-accent-contrast);font:inherit;font-weight:780;cursor:pointer}
+@media(max-width:820px){.mbsf{gap:16px}.mbsf-grid{grid-template-columns:1fr}.mbsf-span{grid-column:auto}.mbsf-card{padding:18px 16px}.mbsf-line-head{display:none}.mbsf-line{position:relative;display:grid;grid-template-columns:minmax(0,1fr) 86px;gap:14px;padding:18px 16px}.mbsf-line>div:before{display:block;margin-bottom:6px;color:var(--mb-muted);font-size:12px;font-weight:700;content:attr(data-label)}.mbsf-line>div:nth-child(1),.mbsf-line>div:nth-child(2){grid-column:1/-1}.mbsf-money{align-self:end;padding:0 0 12px;text-align:right}.mbsf-line .mbsf-icon-btn{position:absolute;right:8px;bottom:3px}.mbsf-total{padding:16px 18px;gap:24px}.mbsf-head{align-items:flex-start}.mbsf-segments{grid-template-columns:repeat(3,minmax(0,1fr))}.mbsf-segment{min-width:0;padding:8px 4px;border-right:1px solid var(--mb-border);border-bottom:0;font-size:13px}.mbsf-segment:last-child{border-right:0}.mbsf-attach-row{align-items:flex-start;flex-wrap:wrap}.mbsf-attach-main{align-items:flex-start}.mbsf-attach-actions{margin-left:auto}.mbsf-drop{min-height:190px;padding:24px 18px}.mbsf-actions{position:sticky;bottom:86px;z-index:10}.mbsf-submit{width:100%}}
 `;
 function RequiredMark() {
   return /* @__PURE__ */ jsx3("span", { className: "mbsf-star", children: " *" });
@@ -1352,24 +1459,26 @@ function TextDateInput({ value, onChange, disabled, required, ariaLabel }) {
     invalid ? /* @__PURE__ */ jsx3("small", { className: "mbsf-error", children: "Use MM/DD/YYYY" }) : null
   ] });
 }
-function ComboBox({ value, placeholder, options, disabled, loading, onQuery, onSelect, ariaLabel }) {
+function ComboBox({ value, placeholder, options, disabled, loading, onQuery, onSelect, createOption, ariaLabel }) {
   const [open, setOpen] = useState2(false);
   const [query, setQuery] = useState2("");
   const visible = useMemo2(() => {
     const q = query.trim().toLowerCase();
-    return q ? options.filter((option) => `${option.id} ${option.label} ${option.detail ?? ""}`.toLowerCase().includes(q)) : options;
-  }, [options, query]);
+    const matches = q ? options.filter((option) => `${option.id} ${option.label} ${option.detail ?? ""}`.toLowerCase().includes(q)) : options;
+    const custom = createOption?.(query) ?? null;
+    return custom && !matches.some((option) => option.id.toUpperCase() === custom.id.toUpperCase()) ? [...matches, custom] : matches;
+  }, [createOption, options, query]);
+  const showMenu = open && (loading || visible.length > 0 || query.trim().length >= 2);
   return /* @__PURE__ */ jsxs3("div", { className: "mbsf-combo", children: [
-    /* @__PURE__ */ jsx3("input", { className: "mbsf-input", role: "combobox", "aria-label": ariaLabel, "aria-expanded": open, autoComplete: "off", disabled, placeholder, value: open ? query : value, onFocus: () => {
+    /* @__PURE__ */ jsx3("input", { className: "mbsf-input", role: "combobox", "aria-label": ariaLabel, "aria-expanded": showMenu, autoComplete: "off", disabled, placeholder, value: open ? query : value, onFocus: () => {
       setOpen(true);
       setQuery("");
-      onQuery?.("");
     }, onChange: (event) => {
       setOpen(true);
       setQuery(event.target.value);
       onQuery?.(event.target.value);
     }, onBlur: () => setTimeout(() => setOpen(false), 120) }),
-    open ? /* @__PURE__ */ jsx3("div", { className: "mbsf-menu", role: "listbox", children: loading ? /* @__PURE__ */ jsx3("div", { className: "mbsf-option", children: "Searching\u2026" }) : visible.length ? visible.map((option) => /* @__PURE__ */ jsxs3("button", { className: "mbsf-option", type: "button", role: "option", onMouseDown: (event) => event.preventDefault(), onClick: () => {
+    showMenu ? /* @__PURE__ */ jsx3("div", { className: "mbsf-menu", role: "listbox", children: loading ? /* @__PURE__ */ jsx3("div", { className: "mbsf-option", children: "Searching\u2026" }) : visible.length ? visible.map((option) => /* @__PURE__ */ jsxs3("button", { className: "mbsf-option", type: "button", role: "option", onMouseDown: (event) => event.preventDefault(), onClick: () => {
       onSelect(option);
       setOpen(false);
       setQuery("");
@@ -1379,6 +1488,11 @@ function ComboBox({ value, placeholder, options, disabled, loading, onQuery, onS
     ] }, option.id)) : /* @__PURE__ */ jsx3("div", { className: "mbsf-option", children: "No matches" }) }) : null
   ] });
 }
+function customProcedureOption(query) {
+  const code = query.trim().toUpperCase().replace(/\s+/g, "");
+  if (!/^(?:\d{5}|[A-Z]\d{4}|ML(?:20[0-5]|PRR))$/.test(code)) return null;
+  return { id: code, label: code, detail: "Use this CPT, HCPCS, or medical-legal code" };
+}
 function mergeOptions(defaults, supplied) {
   const map = new Map(defaults.map((item) => [item.code.toUpperCase(), item]));
   supplied?.forEach((item) => map.set(item.code.toUpperCase(), item));
@@ -1407,7 +1521,8 @@ function BillSubmissionForm({
   description = "Review the bill details, add attachments, and submit."
 }) {
   const [bill, setBill] = useState2(() => cloneBill(initialBill));
-  const [selectedIds, setSelectedIds] = useState2(() => attachments.filter((item) => item.selected !== false || item.autoAttached).map((item) => item.id));
+  const [selectedIds, setSelectedIds] = useState2(() => attachments.map((item) => item.id));
+  const [removedSourceIds, setRemovedSourceIds] = useState2([]);
   const [uploads, setUploads] = useState2([]);
   const [errors, setErrors] = useState2({});
   const [formError, setFormError] = useState2(null);
@@ -1419,14 +1534,15 @@ function BillSubmissionForm({
   const [postalStatus, setPostalStatus] = useState2(null);
   const [dragActive, setDragActive] = useState2(false);
   const fileInput = useRef2(null);
-  const procedures = useMemo2(() => mergeOptions(PROCEDURES2, procedureOptions), [procedureOptions]);
-  const modifiers = useMemo2(() => mergeOptions(MODIFIERS2, modifierOptions), [modifierOptions]);
+  const procedures = useMemo2(() => mergeOptions(DEFAULT_BILL_SUBMISSION_PROCEDURES, procedureOptions), [procedureOptions]);
+  const modifiers = useMemo2(() => mergeOptions(DEFAULT_BILL_SUBMISSION_MODIFIERS, modifierOptions), [modifierOptions]);
   const [evaluationType, setEvaluationType] = useState2(() => initialBill.renderingProvider?.isAme ? "ame" : initialBill.renderingProvider?.specialty?.toLowerCase().includes("psych") ? "psych_qme" : "qme");
   const referenceClient = useMemo2(() => getSession ? createBillReferenceClient({ getSession, sessionEndpoint, apiBaseUrl, fetch: fetchOverride }) : null, [getSession, sessionEndpoint, apiBaseUrl, fetchOverride]);
   const locked = disabled || submitting;
   useEffect2(() => {
     setBill(cloneBill(initialBill));
-    setSelectedIds(attachments.filter((item) => item.selected !== false || item.autoAttached).map((item) => item.id));
+    setSelectedIds(attachments.map((item) => item.id));
+    setRemovedSourceIds([]);
     setUploads([]);
     setErrors({});
     setFormError(null);
@@ -1471,7 +1587,18 @@ function BillSubmissionForm({
     };
   }, [addFiles]);
   const setAddress = (patch) => setBill((current) => ({ ...current, patient: { ...current.patient, address: { ...current.patient.address, ...patch } } }));
-  const setLine = (index, patch) => setBill((current) => ({ ...current, serviceLines: ensureTrailingBillSubmissionLine(current.serviceLines.map((line, lineIndex) => lineIndex === index ? { ...line, ...patch } : line)) }));
+  const setLine = (index, patch) => setBill((current) => ({ ...current, serviceLines: ensureTrailingBillSubmissionLine(current.serviceLines.map((line, lineIndex) => {
+    if (lineIndex !== index) return line;
+    const next = { ...line, ...patch };
+    const charge = calculateBillSubmissionAllowedAmount(next, procedures);
+    if (charge != null) return { ...next, charge };
+    if (Object.hasOwn(patch, "code")) {
+      const withoutCharge = { ...next };
+      delete withoutCharge.charge;
+      return withoutCharge;
+    }
+    return next;
+  })) }));
   const text = (value, onChange, options = {}) => /* @__PURE__ */ jsx3("input", { className: "mbsf-input", disabled: locked, value: value ?? "", onChange: (event) => onChange(event.target.value), ...options });
   const searchPayers = (query) => {
     if (query.trim().length < 2) return;
@@ -1484,15 +1611,23 @@ function BillSubmissionForm({
     void search(query, bill.claim.claimNumber).then(setPayerResults).catch((caught) => setFormError(caught instanceof Error ? caught.message : "Claims administrator search is unavailable.")).finally(() => setPayerLoading(false));
   };
   const searchDiagnoses = (query) => {
-    if (!onSearchDiagnoses) return;
+    const trimmed = query.trim();
+    if (!trimmed) {
+      setDiagnosisResults(diagnosisOptions);
+      return;
+    }
+    const search = onSearchDiagnoses ?? referenceClient?.searchDiagnosisCodes;
+    if (!search) return;
     setDiagnosisLoading(true);
-    void onSearchDiagnoses(query).then(setDiagnosisResults).catch(() => setDiagnosisResults([])).finally(() => setDiagnosisLoading(false));
+    void search(trimmed).then(setDiagnosisResults).catch(() => setDiagnosisResults([])).finally(() => setDiagnosisLoading(false));
   };
   const updatePostalCode = (postalCode) => {
     setAddress({ postalCode });
     setPostalStatus(null);
-    if (!onLookupPostalCode || !/^\d{5}$/.test(postalCode)) return;
-    void onLookupPostalCode(postalCode).then((place) => {
+    const lookup = onLookupPostalCode ?? referenceClient?.lookupPostalCode;
+    if (!lookup || !/^\d{5}$/.test(postalCode)) return;
+    setPostalStatus("Looking up ZIP\u2026");
+    void lookup(postalCode).then((place) => {
       if (!place) return setPostalStatus("ZIP not found");
       setAddress({ city: place.city, state: place.state.toUpperCase() });
       setPostalStatus(`${place.city}, ${place.state.toUpperCase()} filled from ZIP`);
@@ -1502,9 +1637,13 @@ function BillSubmissionForm({
     setEvaluationType(type);
     setBill((current) => ({ ...current, renderingProvider: { ...current.renderingProvider, isAme: type === "ame", isQme: type !== "ame", ...type === "psych_qme" && !current.renderingProvider?.specialty ? { specialty: "Psychiatry" } : {} }, serviceLines: applyBillSubmissionEvaluationModifiers(current.serviceLines, type) }));
   };
-  const total = submittedLines(bill.serviceLines).reduce((sum, line) => sum + (Number.isFinite(line.charge) ? Number(line.charge) : 0), 0);
+  const lineCharge = (line) => calculateBillSubmissionAllowedAmount(line, procedures) ?? (Number.isFinite(line.charge) ? Number(line.charge) : void 0);
+  const total = submittedLines(bill.serviceLines).reduce((sum, line) => sum + (lineCharge(line) ?? 0), 0);
   async function submit() {
-    const clean = { ...cloneBill(bill), serviceLines: submittedLines(bill.serviceLines) };
+    const clean = { ...cloneBill(bill), serviceLines: submittedLines(bill.serviceLines).map((line) => {
+      const charge = lineCharge(line);
+      return charge == null ? line : { ...line, charge };
+    }) };
     const validation = validateBillSubmission(clean);
     setErrors(validation.fieldErrors);
     setFormError(null);
@@ -1562,15 +1701,23 @@ function BillSubmissionForm({
         /* @__PURE__ */ jsx3(Field2, { label: "Claims administrator", required: true, span: true, error: errors["claim.claimsAdministrator"], children: /* @__PURE__ */ jsx3(ComboBox, { ariaLabel: "Claims administrator", disabled: locked, loading: payerLoading, value: bill.claim.claimsAdministrator?.name ?? "", placeholder: "Search the payer directory\u2026", options: payerResults.map((payer) => ({ id: payer.id, label: payer.name, detail: [payer.hasElectronic ? "Electronic" : "Work comp", ...payer.states ?? []].join(" \xB7 ") })), onQuery: searchPayers, onSelect: (option) => setBill((c) => ({ ...c, claim: { ...c.claim, claimsAdministrator: { id: option.id, name: option.label } } })) }) }),
         /* @__PURE__ */ jsx3(Field2, { label: "Injury description (optional)", span: true, children: text(bill.claim.description, (description2) => setBill((c) => ({ ...c, claim: { ...c.claim, description: description2 } }))) }),
         /* @__PURE__ */ jsxs3(Field2, { label: "Diagnosis codes (ICD-10)", span: true, children: [
+          /* @__PURE__ */ jsx3("div", { className: "mbsf-quick-picks", "aria-label": "Common diagnosis codes", children: BILL_SUBMISSION_DIAGNOSIS_QUICK_PICKS.map((option) => {
+            const selected = (bill.diagnoses ?? []).includes(option.code);
+            return /* @__PURE__ */ jsxs3("button", { className: "mbsf-quick-pick", "data-selected": selected, type: "button", "aria-pressed": selected, title: `${option.code} \u2014 ${option.description}`, onClick: () => setBill((current) => ({ ...current, diagnoses: selected ? (current.diagnoses ?? []).filter((code) => code !== option.code) : [.../* @__PURE__ */ new Set([...current.diagnoses ?? [], option.code])] })), children: [
+              selected ? "\u2713" : "+",
+              " ",
+              option.label
+            ] }, option.code);
+          }) }),
           /* @__PURE__ */ jsx3("div", { className: "mbsf-chips", children: (bill.diagnoses ?? []).map((code) => {
-            const option = [...diagnosisOptions, ...diagnosisResults].find((item) => item.code === code);
+            const option = [...BILL_SUBMISSION_DIAGNOSIS_QUICK_PICKS, ...diagnosisOptions, ...diagnosisResults].find((item) => item.code === code);
             return /* @__PURE__ */ jsxs3("span", { className: "mbsf-chip", children: [
               /* @__PURE__ */ jsx3("strong", { children: code }),
               option?.description ? ` ${option.description}` : "",
               /* @__PURE__ */ jsx3("button", { type: "button", "aria-label": `Remove ${code}`, onClick: () => setBill((c) => ({ ...c, diagnoses: (c.diagnoses ?? []).filter((item) => item !== code) })), children: "\xD7" })
             ] }, code);
           }) }),
-          /* @__PURE__ */ jsx3(ComboBox, { ariaLabel: "Add diagnosis code", disabled: locked, loading: diagnosisLoading, value: "", placeholder: bill.diagnoses?.length ?? 0 ? `${bill.diagnoses.length} selected \u2014 add more\u2026` : "Search ICD-10 codes\u2026", options: [...new Map([...diagnosisOptions, ...diagnosisResults].map((item) => [item.code, item])).values()].filter((item) => !(bill.diagnoses ?? []).includes(item.code)).map((item) => ({ id: item.code, label: item.code, detail: item.description })), onQuery: searchDiagnoses, onSelect: (option) => setBill((c) => ({ ...c, diagnoses: [.../* @__PURE__ */ new Set([...c.diagnoses ?? [], option.id])] })) })
+          /* @__PURE__ */ jsx3(ComboBox, { ariaLabel: "Add diagnosis code", disabled: locked, loading: diagnosisLoading, value: "", placeholder: bill.diagnoses?.length ?? 0 ? `${bill.diagnoses.length} selected \u2014 add more\u2026` : "Search ICD-10 codes\u2026", options: [...new Map([...BILL_SUBMISSION_DIAGNOSIS_QUICK_PICKS, ...diagnosisOptions, ...diagnosisResults].map((item) => [item.code, item])).values()].filter((item) => !(bill.diagnoses ?? []).includes(item.code)).map((item) => ({ id: item.code, label: item.code, detail: item.description })), onQuery: searchDiagnoses, onSelect: (option) => setBill((c) => ({ ...c, diagnoses: [.../* @__PURE__ */ new Set([...c.diagnoses ?? [], option.id])] })) })
         ] })
       ] })
     ] }),
@@ -1605,16 +1752,15 @@ function BillSubmissionForm({
           " "
         ] }),
         bill.serviceLines.map((line, index) => /* @__PURE__ */ jsxs3("div", { className: "mbsf-line", children: [
-          /* @__PURE__ */ jsxs3("div", { children: [
-            /* @__PURE__ */ jsx3(ComboBox, { ariaLabel: `Procedure code ${index + 1}`, disabled: locked, value: line.code, placeholder: "Code\u2026", options: procedures.map((item) => ({ id: item.code, label: item.code, detail: item.description })), onSelect: (option) => {
-              const selected = procedures.find((item) => item.code === option.id);
+          /* @__PURE__ */ jsxs3("div", { "data-label": "Procedure code", children: [
+            /* @__PURE__ */ jsx3(ComboBox, { ariaLabel: `Procedure code ${index + 1}`, disabled: locked, value: line.code, placeholder: "Search or enter code\u2026", options: procedures.map((item) => ({ id: item.code, label: item.code, detail: item.description })), createOption: customProcedureOption, onSelect: (option) => {
               const auto = evaluationModifier(evaluationType, option.id);
-              setLine(index, { code: option.id, ...auto ? { modifiers: [auto, ...(line.modifiers ?? []).filter((item) => !["94", "95", "96"].includes(item.replace(/^-/, "")))] } : line.modifiers ? { modifiers: line.modifiers } : {}, ...selected?.allowedAmount != null ? { charge: selected.allowedAmount * (line.units ?? 1) } : {} });
+              setLine(index, { code: option.id, ...auto ? { modifiers: [auto, ...(line.modifiers ?? []).filter((item) => !["94", "95", "96"].includes(item.replace(/^-/, "")))] } : line.modifiers ? { modifiers: line.modifiers } : {} });
             } }),
-            line.code ? /* @__PURE__ */ jsx3("small", { className: "mbsf-help", children: procedures.find((item) => item.code === line.code)?.description }) : null,
+            line.code ? /* @__PURE__ */ jsx3("small", { className: "mbsf-help", children: procedures.find((item) => item.code === line.code)?.description ?? "Custom CPT, HCPCS, or medical-legal code" }) : null,
             errors[`serviceLines.${index}.code`] ? /* @__PURE__ */ jsx3("small", { className: "mbsf-error", children: errors[`serviceLines.${index}.code`] }) : null
           ] }),
-          /* @__PURE__ */ jsxs3("div", { children: [
+          /* @__PURE__ */ jsxs3("div", { "data-label": "Modifiers", children: [
             /* @__PURE__ */ jsx3("div", { className: "mbsf-chips", children: (line.modifiers ?? []).map((modifier) => /* @__PURE__ */ jsxs3("span", { className: "mbsf-chip", children: [
               "\u2212",
               modifier.replace(/^-/, ""),
@@ -1622,15 +1768,11 @@ function BillSubmissionForm({
             ] }, modifier)) }),
             /* @__PURE__ */ jsx3(ComboBox, { ariaLabel: `Modifiers ${index + 1}`, disabled: locked, value: "", placeholder: line.modifiers?.length ?? 0 ? `${line.modifiers.length} modifier${line.modifiers.length === 1 ? "" : "s"}` : "Add modifiers\u2026", options: modifiers.filter((item) => !(line.modifiers ?? []).includes(item.code)).map((item) => ({ id: item.code, label: `\u2212${item.code}`, detail: item.description })), onSelect: (option) => setLine(index, { modifiers: [.../* @__PURE__ */ new Set([...line.modifiers ?? [], option.id])] }) })
           ] }),
-          /* @__PURE__ */ jsxs3("div", { children: [
-            /* @__PURE__ */ jsx3("input", { className: "mbsf-input", "aria-label": `Units ${index + 1}`, type: "number", min: 1, value: line.units ?? 1, onChange: (event) => {
-              const units = Number(event.target.value);
-              const selected = procedures.find((item) => item.code === line.code);
-              setLine(index, { units, ...selected?.allowedAmount != null ? { charge: selected.allowedAmount * units } : {} });
-            } }),
+          /* @__PURE__ */ jsxs3("div", { "data-label": "Units", children: [
+            /* @__PURE__ */ jsx3("input", { className: "mbsf-input", "aria-label": `Units ${index + 1}`, type: "number", min: 1, value: line.units ?? 1, onChange: (event) => setLine(index, { units: Number(event.target.value) }) }),
             errors[`serviceLines.${index}.units`] ? /* @__PURE__ */ jsx3("small", { className: "mbsf-error", children: errors[`serviceLines.${index}.units`] }) : null
           ] }),
-          /* @__PURE__ */ jsx3("div", { className: "mbsf-money", children: line.charge == null ? "\u2014" : line.charge.toLocaleString(void 0, { style: "currency", currency: "USD" }) }),
+          /* @__PURE__ */ jsx3("div", { className: "mbsf-money", "data-label": "Allowed", children: lineCharge(line) == null ? "\u2014" : lineCharge(line).toLocaleString(void 0, { style: "currency", currency: "USD" }) }),
           /* @__PURE__ */ jsx3("button", { className: "mbsf-icon-btn", type: "button", "aria-label": `Remove service line ${index + 1}`, disabled: locked || !lineHasContent(line) && index === bill.serviceLines.length - 1, onClick: () => setBill((c) => ({ ...c, serviceLines: ensureTrailingBillSubmissionLine(c.serviceLines.filter((_, itemIndex) => itemIndex !== index)) })), children: "\xD7" })
         ] }, index)),
         /* @__PURE__ */ jsxs3("div", { className: "mbsf-total", children: [
@@ -1643,31 +1785,39 @@ function BillSubmissionForm({
     /* @__PURE__ */ jsxs3("fieldset", { className: "mbsf-card", disabled: locked, children: [
       /* @__PURE__ */ jsx3("legend", { className: "mbsf-legend", children: "Attachments" }),
       /* @__PURE__ */ jsxs3("div", { className: "mbsf-attach-list", children: [
-        attachments.map((attachment) => {
-          const auto = attachment.autoAttached ?? attachment.documentType === "w9";
-          const selected = selectedIds.includes(attachment.id);
+        attachments.filter((attachment) => !removedSourceIds.includes(attachment.id)).map((attachment) => {
+          const auto = attachment.autoAttached || attachment.documentType === "w9";
+          const removable = !auto && attachment.removable !== false;
           return /* @__PURE__ */ jsxs3("div", { className: "mbsf-attach-row", "data-auto": auto, children: [
-            /* @__PURE__ */ jsxs3("label", { className: "mbsf-attach-row", style: { border: 0, padding: 0, flex: 1, justifyContent: "flex-start" }, children: [
-              /* @__PURE__ */ jsx3("input", { type: "checkbox", checked: selected, disabled: locked || auto || attachment.removable === false, onChange: (event) => setSelectedIds((current) => event.target.checked ? [.../* @__PURE__ */ new Set([...current, attachment.id])] : current.filter((id) => id !== attachment.id)) }),
+            /* @__PURE__ */ jsxs3("div", { className: "mbsf-attach-main", children: [
+              auto ? /* @__PURE__ */ jsx3("span", { "aria-label": "Always attached", role: "img", children: "\u2713" }) : null,
               /* @__PURE__ */ jsxs3("span", { className: "mbsf-file", children: [
                 /* @__PURE__ */ jsx3("strong", { children: attachment.fileName }),
                 /* @__PURE__ */ jsx3("span", { className: "mbsf-badge", children: auto ? "Auto-attached" : documentLabels[attachment.documentType] }),
-                /* @__PURE__ */ jsx3("span", { className: "mbsf-help", style: { display: "block" }, children: attachment.description || (auto ? "Included automatically with this bill." : documentLabels[attachment.documentType]) })
+                /* @__PURE__ */ jsx3("span", { className: "mbsf-help", style: { display: "block" }, children: attachment.description || (auto ? "Included automatically with every bill." : documentLabels[attachment.documentType]) })
               ] })
             ] }),
-            attachment.previewUrl ? /* @__PURE__ */ jsx3("a", { className: "mbsf-secondary", href: attachment.previewUrl, target: "_blank", rel: "noreferrer", children: "View" }) : null
+            /* @__PURE__ */ jsxs3("div", { className: "mbsf-attach-actions", children: [
+              attachment.previewUrl ? /* @__PURE__ */ jsx3("a", { className: "mbsf-secondary", href: attachment.previewUrl, target: "_blank", rel: "noopener noreferrer", children: "Preview" }) : null,
+              removable ? /* @__PURE__ */ jsx3("button", { className: "mbsf-icon-btn", type: "button", "aria-label": `Remove ${attachment.fileName}`, disabled: locked, onClick: () => {
+                setSelectedIds((current) => current.filter((id) => id !== attachment.id));
+                setRemovedSourceIds((current) => [.../* @__PURE__ */ new Set([...current, attachment.id])]);
+              }, children: "\xD7" }) : null
+            ] })
           ] }, attachment.id);
         }),
         uploads.map((upload, index) => /* @__PURE__ */ jsxs3("div", { className: "mbsf-attach-row", children: [
-          /* @__PURE__ */ jsxs3("span", { className: "mbsf-file", children: [
+          /* @__PURE__ */ jsx3("div", { className: "mbsf-attach-main", children: /* @__PURE__ */ jsxs3("span", { className: "mbsf-file", children: [
             /* @__PURE__ */ jsx3("strong", { children: upload.file.name }),
             /* @__PURE__ */ jsxs3("span", { className: "mbsf-help", style: { display: "block" }, children: [
               (upload.file.size / 1024 / 1024).toFixed(1),
               " MB"
             ] })
-          ] }),
-          /* @__PURE__ */ jsx3("select", { className: "mbsf-select", style: { width: 190 }, value: upload.documentType, onChange: (event) => setUploads((current) => current.map((item, itemIndex) => itemIndex === index ? { ...item, documentType: event.target.value } : item)), children: BILL_SUBMISSION_DOCUMENT_TYPES.map((type) => /* @__PURE__ */ jsx3("option", { value: type, children: documentLabels[type] }, type)) }),
-          /* @__PURE__ */ jsx3("button", { className: "mbsf-icon-btn", type: "button", "aria-label": `Remove ${upload.file.name}`, onClick: () => setUploads((current) => current.filter((_, itemIndex) => itemIndex !== index)), children: "\xD7" })
+          ] }) }),
+          /* @__PURE__ */ jsxs3("div", { className: "mbsf-attach-actions", children: [
+            /* @__PURE__ */ jsx3("button", { className: "mbsf-secondary", type: "button", onClick: () => previewUploadedPdf(upload.file), children: "Preview" }),
+            /* @__PURE__ */ jsx3("button", { className: "mbsf-icon-btn", type: "button", "aria-label": `Remove ${upload.file.name}`, onClick: () => setUploads((current) => current.filter((_, itemIndex) => itemIndex !== index)), children: "\xD7" })
+          ] })
         ] }, `${upload.file.name}-${index}`))
       ] }),
       /* @__PURE__ */ jsx3("input", { ref: fileInput, hidden: true, type: "file", accept: "application/pdf,.pdf", multiple: true, onChange: (event) => {
@@ -2581,6 +2731,7 @@ function MindBillBillReview(props) {
   return widget("mindbill-bill-review", props);
 }
 export {
+  BILL_SUBMISSION_DIAGNOSIS_QUICK_PICKS,
   BILL_SUBMISSION_DOCUMENT_TYPES,
   BILL_SUBMISSION_REQUIRED_FIELDS,
   BillActivityTimeline,
@@ -2596,12 +2747,15 @@ export {
   BillSubmissionForm,
   ConnectedBillLifecycle,
   ConnectedBillStatus,
+  DEFAULT_BILL_SUBMISSION_MODIFIERS,
+  DEFAULT_BILL_SUBMISSION_PROCEDURES,
   MindBillBillReview,
   MindBillBillTimeline,
   applyBillSubmissionEvaluationModifiers,
   billActivityEventLabel,
   billLifecycleStage,
   buildBillReviewSaveInput,
+  calculateBillSubmissionAllowedAmount,
   createBillLifecycleClient2 as createBillLifecycleClient,
   createBillStatusClient,
   ensureTrailingBillSubmissionLine,