@mindbill/react 0.32.0 → 0.34.0
This diff represents the content of publicly available package versions that have been released to one of the supported registries. The information contained in this diff is provided for informational purposes only and reflects changes between package versions as they appear in their respective public registries.
- package/dist/index.d.ts +27 -3
- package/dist/index.js +1281 -835
- package/dist/index.js.map +1 -1
- package/package.json +2 -2
package/dist/index.js
CHANGED
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@@ -2,7 +2,7 @@
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// src/index.tsx
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import "@mindbill/embed";
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-
import { createElement, useEffect as
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import { createElement, useEffect as useEffect8, useRef as useRef6 } from "react";
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// src/appearance.ts
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var mindBillThemePresets = {
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@@ -1293,12 +1293,401 @@ var READ_ONLY_STYLES = `
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`;
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// src/bill-submission-form.tsx
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-
import { createContext, useCallback, useContext, useEffect as
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import { createContext, useCallback, useContext, useEffect as useEffect4, useMemo as useMemo3, useRef as useRef2, useState as useState4 } from "react";
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import {
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createBillReferenceClient,
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createBillSubmissionClient
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} from "@mindbill/browser";
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// src/send-route-dialog.tsx
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import { useEffect as useEffect3, useMemo as useMemo2, useState as useState3 } from "react";
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import { Fragment as Fragment2, jsx as jsx3, jsxs as jsxs3 } from "react/jsx-runtime";
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var EMAIL_RE = /[A-Za-z0-9._%+'-]+@[A-Za-z0-9-]+(?:\.[A-Za-z0-9-]+)*\.[A-Za-z]{2,}/;
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function extractSendRouteEmail(raw) {
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if (!raw) return null;
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const match = raw.match(EMAIL_RE);
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return match ? match[0] : null;
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}
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function formatSendRouteFax(raw) {
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if (!raw) return "";
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const digits = raw.replace(/\D/g, "");
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const ten = digits.length === 11 && digits.startsWith("1") ? digits.slice(1) : digits;
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if (ten.length === 10) return `(${ten.slice(0, 3)}) ${ten.slice(3, 6)}-${ten.slice(6)}`;
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return raw.trim();
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}
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function formatSendRouteFaxInput(raw) {
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const trimmed = raw.trimStart();
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if (trimmed.startsWith("+")) return raw;
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const all = trimmed.replace(/\D/g, "");
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const digits = all.length === 11 && all.startsWith("1") ? all.slice(1) : all;
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if (digits.length > 10 || all.length === 11 && !all.startsWith("1") || all.length > 11) return raw;
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if (digits.length === 0) return "";
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if (digits.length <= 3) return `(${digits}`;
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if (digits.length <= 6) return `(${digits.slice(0, 3)}) ${digits.slice(3)}`;
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return `(${digits.slice(0, 3)}) ${digits.slice(3, 6)}-${digits.slice(6)}`;
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}
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var css = `
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.mbrd-overlay{position:fixed;inset:0;z-index:1000;display:grid;place-items:center;padding:20px;background:rgba(15,30,40,.45)}
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.mbrd{display:grid;gap:16px;width:min(560px,100%);max-height:min(86vh,860px);overflow:auto;overscroll-behavior:contain;padding:24px;border:1px solid var(--mb-border);border-radius:var(--mb-radius);background:var(--mb-surface);color:var(--mb-text);font-family:var(--mb-font);font-size:15px;box-shadow:0 24px 60px rgba(17,38,49,.28)}
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.mbrd *{box-sizing:border-box}
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.mbrd-head{display:flex;align-items:flex-start;justify-content:space-between;gap:12px}
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.mbrd-title{margin:0;font-size:20px;font-weight:760}
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.mbrd-copy{margin:4px 0 0;color:var(--mb-muted);font-size:14px}
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.mbrd-close{border:0;background:transparent;color:var(--mb-muted);font-size:22px;line-height:1;cursor:pointer}
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.mbrd-cards{display:grid;gap:10px}
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.mbrd-card{border:1px solid var(--mb-border);border-radius:var(--mb-control-radius);background:var(--mb-surface);transition:border-color .12s ease,background .12s ease}
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.mbrd-card[data-selected=true]{border-color:var(--mb-accent);background:color-mix(in srgb,var(--mb-accent) 5%,var(--mb-surface))}
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.mbrd-card[data-disabled=true]{opacity:.55}
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.mbrd-card-main{display:flex;align-items:center;gap:12px;width:100%;padding:13px 14px;border:0;background:transparent;color:inherit;font:inherit;text-align:left;cursor:pointer}
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.mbrd-card[data-disabled=true] .mbrd-card-main{cursor:not-allowed}
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.mbrd-radio{flex:0 0 auto;width:18px;height:18px;border:2px solid var(--mb-border);border-radius:50%;display:grid;place-items:center}
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.mbrd-card[data-selected=true] .mbrd-radio{border-color:var(--mb-accent)}
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.mbrd-card[data-selected=true] .mbrd-radio:after{content:"";width:9px;height:9px;border-radius:50%;background:var(--mb-accent)}
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.mbrd-card-text{min-width:0;flex:1}
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.mbrd-card-title{font-weight:700;line-height:1.3;overflow-wrap:anywhere}
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.mbrd-card-detail{margin-top:2px;color:var(--mb-muted);font-size:13px;line-height:1.35;overflow-wrap:anywhere}
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.mbrd-badges{display:flex;flex:0 0 auto;gap:6px}
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.mbrd-badge{padding:2px 8px;border:1px solid var(--mb-border);border-radius:999px;font-size:11px;font-weight:700;white-space:nowrap}
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.mbrd-badge[data-tone=verified]{border-color:color-mix(in srgb,#159447 45%,var(--mb-border));background:color-mix(in srgb,#159447 8%,var(--mb-surface));color:#0c7a48}
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.mbrd-badge[data-tone=auto]{border-color:color-mix(in srgb,var(--mb-accent) 45%,var(--mb-border));background:color-mix(in srgb,var(--mb-accent) 10%,var(--mb-surface));color:var(--mb-accent)}
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.mbrd-sub{display:grid;gap:12px;padding:12px 14px;border-top:1px solid var(--mb-border);background:color-mix(in srgb,var(--mb-accent) 2%,var(--mb-surface));border-radius:0 0 var(--mb-control-radius) var(--mb-control-radius)}
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.mbrd-choice{border:1px solid var(--mb-border);border-radius:calc(var(--mb-control-radius) - 2px);background:var(--mb-surface)}
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.mbrd-choice[data-selected=true]{border-color:var(--mb-accent)}
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.mbrd-choice[data-disabled=true]{opacity:.55}
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.mbrd-choice-main{display:flex;align-items:center;gap:10px;width:100%;padding:9px 11px;border:0;background:transparent;color:inherit;font:inherit;font-size:13px;text-align:left;cursor:pointer}
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.mbrd-choice[data-disabled=true] .mbrd-choice-main{cursor:not-allowed}
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.mbrd-choice-title{font-weight:650;overflow-wrap:anywhere}
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.mbrd-choice-detail{margin-top:1px;color:var(--mb-muted);font-size:12px}
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.mbrd-choice-body{display:grid;gap:8px;padding:10px 11px;border-top:1px solid var(--mb-border)}
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.mbrd-field{display:grid;gap:5px;font-size:13px}
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.mbrd-label{font-weight:650}
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.mbrd-star{color:var(--mb-danger)}
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.mbrd-input,.mbrd-textarea{width:100%;padding:9px 11px;border:1px solid var(--mb-border);border-radius:calc(var(--mb-control-radius) - 2px);background:var(--mb-input);color:var(--mb-text);font:inherit;font-size:14px}
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.mbrd-textarea{resize:vertical;min-height:74px}
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.mbrd-input:focus,.mbrd-textarea:focus{outline:3px solid color-mix(in srgb,var(--mb-accent) 22%,transparent);border-color:var(--mb-accent)}
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.mbrd-error{color:var(--mb-danger);font-size:12px}
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.mbrd-help{color:var(--mb-muted);font-size:12px}
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.mbrd-alert{padding:10px 12px;border-radius:var(--mb-control-radius);background:color-mix(in srgb,var(--mb-danger) 10%,transparent);color:var(--mb-danger);font-size:13px}
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.mbrd-actions{display:flex;justify-content:flex-end;gap:10px}
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.mbrd-cancel{min-height:42px;padding:9px 16px;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}
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.mbrd-confirm{min-height:42px;min-width:130px;padding:9px 18px;border:0;border-radius:var(--mb-control-radius);background:var(--mb-accent);color:var(--mb-accent-contrast);font:inherit;font-weight:760;cursor:pointer}
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.mbrd-confirm:disabled,.mbrd-cancel:disabled{opacity:.6;cursor:not-allowed}
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`;
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var CONFIRM_LABELS = {
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ebill: "Send Bill",
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email: "Email Bill",
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fax: "Fax Bill",
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mail: "Mail Bill"
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};
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function RouteCard({
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selected,
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disabled,
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title,
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detail,
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badges,
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onSelect,
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children
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}) {
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return /* @__PURE__ */ jsxs3("div", { className: "mbrd-card", "data-selected": selected, "data-disabled": Boolean(disabled), children: [
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/* @__PURE__ */ jsxs3(
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"button",
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{
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className: "mbrd-card-main",
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type: "button",
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role: "radio",
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"aria-checked": selected,
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disabled,
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onClick: onSelect,
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children: [
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/* @__PURE__ */ jsx3("span", { className: "mbrd-radio", "aria-hidden": true }),
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/* @__PURE__ */ jsxs3("span", { className: "mbrd-card-text", children: [
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/* @__PURE__ */ jsx3("span", { className: "mbrd-card-title", children: title }),
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detail ? /* @__PURE__ */ jsx3("span", { className: "mbrd-card-detail", style: { display: "block" }, children: detail }) : null
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] }),
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badges ? /* @__PURE__ */ jsx3("span", { className: "mbrd-badges", children: badges }) : null
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]
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}
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),
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selected && children ? /* @__PURE__ */ jsx3("div", { className: "mbrd-sub", children }) : null
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] });
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}
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function RecipientChoice({
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selected,
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disabled,
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title,
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detail,
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onSelect,
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children
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}) {
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return /* @__PURE__ */ jsxs3("div", { className: "mbrd-choice", "data-selected": selected, "data-disabled": Boolean(disabled), children: [
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/* @__PURE__ */ jsxs3(
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"button",
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{
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className: "mbrd-choice-main",
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type: "button",
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role: "radio",
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"aria-checked": selected,
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disabled,
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onClick: onSelect,
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children: [
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/* @__PURE__ */ jsx3("span", { className: "mbrd-radio", "aria-hidden": true, style: { width: 15, height: 15 } }),
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/* @__PURE__ */ jsxs3("span", { className: "mbrd-card-text", children: [
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/* @__PURE__ */ jsx3("span", { className: "mbrd-choice-title", children: title }),
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detail ? /* @__PURE__ */ jsx3("span", { className: "mbrd-choice-detail", style: { display: "block" }, children: detail }) : null
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] })
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]
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}
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),
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selected && children ? /* @__PURE__ */ jsx3("div", { className: "mbrd-choice-body", children }) : null
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] });
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}
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function SendRouteDialog({
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title = "Send bill",
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delivery,
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submitting = false,
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disabled = false,
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error = null,
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onCancel,
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onConfirm
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}) {
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const ebillOption = delivery.options.find((option) => option.route === "ebill");
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const mailOption = delivery.options.find((option) => option.route === "mail");
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const recommendedRoute = delivery.recommended.route;
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const onFileEmail = extractSendRouteEmail(delivery.contacts.claimsEmail);
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const onFileFax = delivery.contacts.faxNumber?.trim() || null;
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const onFileFaxDisplay = formatSendRouteFax(onFileFax);
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const onFileMail = delivery.contacts.mailingAddress?.trim() || "";
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const [route, setRoute] = useState3(recommendedRoute);
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const [emailMode, setEmailMode] = useState3(onFileEmail ? "onfile" : "alt");
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const [faxMode, setFaxMode] = useState3(onFileFax ? "onfile" : "alt");
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const [emailTo, setEmailTo] = useState3("");
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const [subject, setSubject] = useState3("");
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const [message, setMessage] = useState3("");
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const [ccInput, setCcInput] = useState3("");
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const [faxTo, setFaxTo] = useState3("");
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const [attention, setAttention] = useState3("");
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const [mailTo, setMailTo] = useState3(onFileMail);
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useEffect3(() => {
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setRoute(recommendedRoute);
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setEmailMode(onFileEmail ? "onfile" : "alt");
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setFaxMode(onFileFax ? "onfile" : "alt");
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setMailTo(onFileMail);
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}, [recommendedRoute, onFileEmail, onFileFax, onFileMail]);
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useEffect3(() => {
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const onKey = (event) => {
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if (event.key === "Escape" && !submitting) onCancel();
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};
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window.addEventListener("keydown", onKey);
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return () => window.removeEventListener("keydown", onKey);
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}, [onCancel, submitting]);
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const effectiveEmail = emailMode === "onfile" && onFileEmail ? onFileEmail : emailTo.trim();
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const effectiveFax = faxMode === "onfile" && onFileFax ? onFileFax : faxTo;
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const faxDigits = effectiveFax.replace(/\D/g, "");
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const emailValid = EMAIL_RE.test(effectiveEmail);
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const ccList = ccInput.split(/[,;]/).map((entry) => entry.trim()).filter(Boolean);
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const ccValid = ccList.every((entry) => EMAIL_RE.test(entry));
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const faxValid = faxDigits.length >= 10;
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const mailValid = mailTo.trim().length > 2;
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const confirmDisabled = submitting || disabled || route === "email" && (!emailValid || !ccValid) || route === "fax" && !faxValid || route === "mail" && !mailValid;
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const submission = useMemo2(() => {
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if (route === "email") {
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return {
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route,
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destination: { email: effectiveEmail },
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...subject.trim() ? { subject: subject.trim() } : {},
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...message.trim() ? { note: message.trim() } : {},
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...ccList.length ? { cc: ccList } : {}
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};
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}
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if (route === "fax") {
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return {
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route,
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destination: { faxNumber: effectiveFax.trim() },
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...attention.trim() ? { attention: attention.trim() } : {}
|
|
1507
|
+
};
|
|
1508
|
+
}
|
|
1509
|
+
if (route === "mail") {
|
|
1510
|
+
return { route, destination: { mailingAddress: mailTo.trim() } };
|
|
1511
|
+
}
|
|
1512
|
+
return { route };
|
|
1513
|
+
}, [route, effectiveEmail, subject, message, ccInput, effectiveFax, attention, mailTo]);
|
|
1514
|
+
return /* @__PURE__ */ jsxs3("div", { className: "mbrd-overlay", role: "presentation", onMouseDown: (event) => {
|
|
1515
|
+
if (event.target === event.currentTarget && !submitting) onCancel();
|
|
1516
|
+
}, children: [
|
|
1517
|
+
/* @__PURE__ */ jsx3("style", { children: css }),
|
|
1518
|
+
/* @__PURE__ */ jsxs3("div", { className: "mbrd", role: "dialog", "aria-modal": "true", "aria-label": typeof title === "string" ? title : "Send bill", children: [
|
|
1519
|
+
/* @__PURE__ */ jsxs3("div", { className: "mbrd-head", children: [
|
|
1520
|
+
/* @__PURE__ */ jsxs3("div", { children: [
|
|
1521
|
+
/* @__PURE__ */ jsx3("h3", { className: "mbrd-title", children: title }),
|
|
1522
|
+
/* @__PURE__ */ jsx3("p", { className: "mbrd-copy", children: "Select the delivery method." })
|
|
1523
|
+
] }),
|
|
1524
|
+
/* @__PURE__ */ jsx3("button", { className: "mbrd-close", type: "button", "aria-label": "Close", disabled: submitting, onClick: onCancel, children: "\xD7" })
|
|
1525
|
+
] }),
|
|
1526
|
+
/* @__PURE__ */ jsx3("div", { className: "mbrd-cards", role: "radiogroup", "aria-label": "Delivery method", children: (() => {
|
|
1527
|
+
const ebillCard = ebillOption ? /* @__PURE__ */ jsx3(
|
|
1528
|
+
RouteCard,
|
|
1529
|
+
{
|
|
1530
|
+
selected: route === "ebill",
|
|
1531
|
+
title: ebillOption.printAndMail ? ebillOption.label : `e-Bill to ${ebillOption.payerName || delivery.payerName}`,
|
|
1532
|
+
detail: [
|
|
1533
|
+
ebillOption.detail || null,
|
|
1534
|
+
!ebillOption.printAndMail && ebillOption.label.startsWith("e-bill ") ? ebillOption.label.slice("e-bill ".length) : null
|
|
1535
|
+
].filter(Boolean).join(" \xB7 "),
|
|
1536
|
+
badges: /* @__PURE__ */ jsxs3(Fragment2, { children: [
|
|
1537
|
+
!ebillOption.fallback ? /* @__PURE__ */ jsx3("span", { className: "mbrd-badge", "data-tone": "verified", children: "Verified Route" }) : null,
|
|
1538
|
+
recommendedRoute === "ebill" ? /* @__PURE__ */ jsx3("span", { className: "mbrd-badge", "data-tone": "auto", children: "Auto" }) : null
|
|
1539
|
+
] }),
|
|
1540
|
+
onSelect: () => setRoute("ebill")
|
|
1541
|
+
},
|
|
1542
|
+
"ebill"
|
|
1543
|
+
) : null;
|
|
1544
|
+
const emailCard = /* @__PURE__ */ jsxs3(
|
|
1545
|
+
RouteCard,
|
|
1546
|
+
{
|
|
1547
|
+
selected: route === "email",
|
|
1548
|
+
title: "Email Bill",
|
|
1549
|
+
detail: onFileEmail ?? "No claims email on file \u2014 enter a recipient.",
|
|
1550
|
+
badges: recommendedRoute === "email" ? /* @__PURE__ */ jsx3("span", { className: "mbrd-badge", "data-tone": "auto", children: "Auto" }) : null,
|
|
1551
|
+
onSelect: () => setRoute("email"),
|
|
1552
|
+
children: [
|
|
1553
|
+
/* @__PURE__ */ jsxs3("div", { role: "radiogroup", "aria-label": "Email recipient", style: { display: "grid", gap: 8 }, children: [
|
|
1554
|
+
/* @__PURE__ */ jsx3(
|
|
1555
|
+
RecipientChoice,
|
|
1556
|
+
{
|
|
1557
|
+
selected: emailMode === "onfile",
|
|
1558
|
+
disabled: !onFileEmail,
|
|
1559
|
+
title: onFileEmail ?? "Claims email on file",
|
|
1560
|
+
detail: onFileEmail ? "Claims contact on file" : "No claims email exists on file for this payer.",
|
|
1561
|
+
onSelect: () => setEmailMode("onfile")
|
|
1562
|
+
}
|
|
1563
|
+
),
|
|
1564
|
+
/* @__PURE__ */ jsx3(
|
|
1565
|
+
RecipientChoice,
|
|
1566
|
+
{
|
|
1567
|
+
selected: emailMode === "alt",
|
|
1568
|
+
title: "Alternative email recipient",
|
|
1569
|
+
onSelect: () => setEmailMode("alt"),
|
|
1570
|
+
children: /* @__PURE__ */ jsxs3("label", { className: "mbrd-field", children: [
|
|
1571
|
+
/* @__PURE__ */ jsxs3("span", { className: "mbrd-label", children: [
|
|
1572
|
+
"Alternative email address ",
|
|
1573
|
+
/* @__PURE__ */ jsx3("span", { className: "mbrd-star", children: "*" })
|
|
1574
|
+
] }),
|
|
1575
|
+
/* @__PURE__ */ jsx3("input", { className: "mbrd-input", type: "email", value: emailTo, placeholder: "user@mail.com", onChange: (event) => setEmailTo(event.target.value) }),
|
|
1576
|
+
emailTo.trim() && !EMAIL_RE.test(emailTo.trim()) ? /* @__PURE__ */ jsx3("span", { className: "mbrd-error", children: "Enter a valid email address." }) : null
|
|
1577
|
+
] })
|
|
1578
|
+
}
|
|
1579
|
+
)
|
|
1580
|
+
] }),
|
|
1581
|
+
/* @__PURE__ */ jsxs3("label", { className: "mbrd-field", children: [
|
|
1582
|
+
/* @__PURE__ */ jsx3("span", { className: "mbrd-label", children: "Cc \u2014 optional" }),
|
|
1583
|
+
/* @__PURE__ */ jsx3("input", { className: "mbrd-input", value: ccInput, placeholder: "adjuster@payer.com, supervisor@payer.com", onChange: (event) => setCcInput(event.target.value) }),
|
|
1584
|
+
!ccValid ? /* @__PURE__ */ jsx3("span", { className: "mbrd-error", children: "Each Cc entry must be a valid email address (separate with commas)." }) : null
|
|
1585
|
+
] }),
|
|
1586
|
+
/* @__PURE__ */ jsxs3("label", { className: "mbrd-field", children: [
|
|
1587
|
+
/* @__PURE__ */ jsx3("span", { className: "mbrd-label", children: "Email subject \u2014 optional" }),
|
|
1588
|
+
/* @__PURE__ */ jsx3("input", { className: "mbrd-input", value: subject, maxLength: 255, onChange: (event) => setSubject(event.target.value) })
|
|
1589
|
+
] }),
|
|
1590
|
+
/* @__PURE__ */ jsxs3("label", { className: "mbrd-field", children: [
|
|
1591
|
+
/* @__PURE__ */ jsx3("span", { className: "mbrd-label", children: "Message \u2014 optional" }),
|
|
1592
|
+
/* @__PURE__ */ jsx3("textarea", { className: "mbrd-textarea", value: message, maxLength: 5e3, placeholder: "Added at the top of the email body, above the bill summary.", onChange: (event) => setMessage(event.target.value) })
|
|
1593
|
+
] })
|
|
1594
|
+
]
|
|
1595
|
+
},
|
|
1596
|
+
"email"
|
|
1597
|
+
);
|
|
1598
|
+
const faxCard = /* @__PURE__ */ jsxs3(
|
|
1599
|
+
RouteCard,
|
|
1600
|
+
{
|
|
1601
|
+
selected: route === "fax",
|
|
1602
|
+
title: "Fax Bill",
|
|
1603
|
+
detail: onFileFax ? `${onFileFaxDisplay} \u2014 payer fax on file` : "No fax on file \u2014 enter a number.",
|
|
1604
|
+
badges: recommendedRoute === "fax" ? /* @__PURE__ */ jsx3("span", { className: "mbrd-badge", "data-tone": "auto", children: "Auto" }) : null,
|
|
1605
|
+
onSelect: () => setRoute("fax"),
|
|
1606
|
+
children: [
|
|
1607
|
+
/* @__PURE__ */ jsxs3("div", { role: "radiogroup", "aria-label": "Fax recipient", style: { display: "grid", gap: 8 }, children: [
|
|
1608
|
+
/* @__PURE__ */ jsx3(
|
|
1609
|
+
RecipientChoice,
|
|
1610
|
+
{
|
|
1611
|
+
selected: faxMode === "onfile",
|
|
1612
|
+
disabled: !onFileFax,
|
|
1613
|
+
title: onFileFax ? onFileFaxDisplay : "Payer fax on file",
|
|
1614
|
+
detail: onFileFax ? "Payer fax on file" : "No fax number exists on file for this payer.",
|
|
1615
|
+
onSelect: () => setFaxMode("onfile")
|
|
1616
|
+
}
|
|
1617
|
+
),
|
|
1618
|
+
/* @__PURE__ */ jsx3(
|
|
1619
|
+
RecipientChoice,
|
|
1620
|
+
{
|
|
1621
|
+
selected: faxMode === "alt",
|
|
1622
|
+
title: "Alternative fax recipient",
|
|
1623
|
+
onSelect: () => setFaxMode("alt"),
|
|
1624
|
+
children: /* @__PURE__ */ jsxs3("label", { className: "mbrd-field", children: [
|
|
1625
|
+
/* @__PURE__ */ jsxs3("span", { className: "mbrd-label", children: [
|
|
1626
|
+
"Alternative fax number ",
|
|
1627
|
+
/* @__PURE__ */ jsx3("span", { className: "mbrd-star", children: "*" })
|
|
1628
|
+
] }),
|
|
1629
|
+
/* @__PURE__ */ jsx3("input", { className: "mbrd-input", inputMode: "tel", value: faxTo, placeholder: "(000) 000-0000", onChange: (event) => setFaxTo(formatSendRouteFaxInput(event.target.value)) }),
|
|
1630
|
+
faxTo.trim() && faxTo.replace(/\D/g, "").length < 10 ? /* @__PURE__ */ jsx3("span", { className: "mbrd-error", children: "Enter a valid fax number (10 digits)." }) : null
|
|
1631
|
+
] })
|
|
1632
|
+
}
|
|
1633
|
+
)
|
|
1634
|
+
] }),
|
|
1635
|
+
/* @__PURE__ */ jsxs3("label", { className: "mbrd-field", children: [
|
|
1636
|
+
/* @__PURE__ */ jsx3("span", { className: "mbrd-label", children: "Attention \u2014 optional" }),
|
|
1637
|
+
/* @__PURE__ */ jsx3("input", { className: "mbrd-input", value: attention, maxLength: 120, placeholder: "Recipient name", onChange: (event) => setAttention(event.target.value) }),
|
|
1638
|
+
/* @__PURE__ */ jsx3("span", { className: "mbrd-help", children: "Printed as ATTENTION on the fax cover sheet." })
|
|
1639
|
+
] })
|
|
1640
|
+
]
|
|
1641
|
+
},
|
|
1642
|
+
"fax"
|
|
1643
|
+
);
|
|
1644
|
+
const mailCard = /* @__PURE__ */ jsx3(
|
|
1645
|
+
RouteCard,
|
|
1646
|
+
{
|
|
1647
|
+
selected: route === "mail",
|
|
1648
|
+
title: "Mail Bill",
|
|
1649
|
+
detail: onFileMail ? onFileMail.replace(/\n/g, ", ") : "Physical mail \u2014 enter the payer's mailing address.",
|
|
1650
|
+
badges: recommendedRoute === "mail" ? /* @__PURE__ */ jsx3("span", { className: "mbrd-badge", "data-tone": "auto", children: "Auto" }) : null,
|
|
1651
|
+
onSelect: () => setRoute("mail"),
|
|
1652
|
+
children: /* @__PURE__ */ jsxs3("label", { className: "mbrd-field", children: [
|
|
1653
|
+
/* @__PURE__ */ jsxs3("span", { className: "mbrd-label", children: [
|
|
1654
|
+
"Mailing address ",
|
|
1655
|
+
/* @__PURE__ */ jsx3("span", { className: "mbrd-star", children: "*" })
|
|
1656
|
+
] }),
|
|
1657
|
+
/* @__PURE__ */ jsx3("textarea", { className: "mbrd-textarea", value: mailTo, placeholder: "Payer Claims Dept\nPO Box 1234\nCity, ST 00000", onChange: (event) => setMailTo(event.target.value) }),
|
|
1658
|
+
!mailValid ? /* @__PURE__ */ jsx3("span", { className: "mbrd-error", children: "Enter a mailing address." }) : null,
|
|
1659
|
+
/* @__PURE__ */ jsx3("span", { className: "mbrd-help", children: mailOption?.printAndMail ? mailOption.detail : "Sent as physical mail \u2014 printed and mailed to this address." })
|
|
1660
|
+
] })
|
|
1661
|
+
},
|
|
1662
|
+
"mail"
|
|
1663
|
+
);
|
|
1664
|
+
const cards = [];
|
|
1665
|
+
if (ebillCard) cards.push(ebillCard);
|
|
1666
|
+
if (onFileFax) cards.push(faxCard);
|
|
1667
|
+
if (onFileEmail) cards.push(emailCard);
|
|
1668
|
+
cards.push(mailCard);
|
|
1669
|
+
if (!onFileFax) cards.push(faxCard);
|
|
1670
|
+
if (!onFileEmail) cards.push(emailCard);
|
|
1671
|
+
return cards;
|
|
1672
|
+
})() }),
|
|
1673
|
+
error ? /* @__PURE__ */ jsx3("div", { className: "mbrd-alert", role: "alert", children: error }) : null,
|
|
1674
|
+
/* @__PURE__ */ jsxs3("div", { className: "mbrd-actions", children: [
|
|
1675
|
+
/* @__PURE__ */ jsx3("button", { className: "mbrd-cancel", type: "button", disabled: submitting, onClick: onCancel, children: "Cancel" }),
|
|
1676
|
+
/* @__PURE__ */ jsx3(
|
|
1677
|
+
"button",
|
|
1678
|
+
{
|
|
1679
|
+
className: "mbrd-confirm",
|
|
1680
|
+
type: "button",
|
|
1681
|
+
disabled: confirmDisabled,
|
|
1682
|
+
onClick: () => onConfirm(submission),
|
|
1683
|
+
children: submitting ? "Submitting\u2026" : CONFIRM_LABELS[route]
|
|
1684
|
+
}
|
|
1685
|
+
)
|
|
1686
|
+
] })
|
|
1687
|
+
] })
|
|
1688
|
+
] });
|
|
1689
|
+
}
|
|
1690
|
+
|
|
1302
1691
|
// src/billing-catalog.ts
|
|
1303
1692
|
var DEFAULT_BILL_SUBMISSION_PROCEDURES = [
|
|
1304
1693
|
{ code: "ML200", description: "Missed appointment for a medical-legal evaluation", allowedAmount: 503.75 },
|
|
@@ -1460,7 +1849,7 @@ function calculateBillSubmissionAllowedAmount(line, procedures = DEFAULT_BILL_SU
|
|
|
1460
1849
|
}
|
|
1461
1850
|
|
|
1462
1851
|
// src/bill-submission-form.tsx
|
|
1463
|
-
import { Fragment as
|
|
1852
|
+
import { Fragment as Fragment3, jsx as jsx4, jsxs as jsxs4 } from "react/jsx-runtime";
|
|
1464
1853
|
var BILL_SUBMISSION_DOCUMENT_TYPES = [
|
|
1465
1854
|
"final_report",
|
|
1466
1855
|
"proof_of_service",
|
|
@@ -1779,7 +2168,7 @@ function validateBillSubmission(bill) {
|
|
|
1779
2168
|
});
|
|
1780
2169
|
return { valid: Object.keys(errors).length === 0, fieldErrors: errors };
|
|
1781
2170
|
}
|
|
1782
|
-
var
|
|
2171
|
+
var css2 = `
|
|
1783
2172
|
.mbsf{display:grid;gap:20px;color:var(--mb-text);font-family:var(--mb-font);font-size:15px}.mbsf *{box-sizing:border-box}
|
|
1784
2173
|
.mbsf-head,.mbsf-section-head,.mbsf-attach-row,.mbsf-actions{display:flex;align-items:center;justify-content:space-between;gap:16px}.mbsf-title{margin:0;font-size:24px}.mbsf-copy,.mbsf-help{color:var(--mb-muted);margin:5px 0 0}.mbsf-required{font-size:13px;color:var(--mb-muted);white-space:nowrap}.mbsf-star,.mbsf-error{color:var(--mb-danger)}
|
|
1785
2174
|
.mbsf-card{min-width:0;margin:0;padding:24px;border:1px solid var(--mb-border);border-radius:var(--mb-radius);background:var(--mb-surface);box-shadow:var(--mb-shadow)}.mbsf-card[data-invalid=true]{border-color:var(--mb-danger)}.mbsf-legend{padding:0 10px;font-size:18px;font-weight:760}.mbsf-grid{display:grid;grid-template-columns:repeat(2,minmax(0,1fr));gap:18px 24px}.mbsf-subhead{grid-column:1/-1;margin:6px 0 -2px;padding-top:14px;border-top:1px solid var(--mb-border);font-size:15px;font-weight:780;letter-spacing:.01em}.mbsf-subhead:first-child{margin-top:0;padding-top:0;border-top:0}.mbsf-span{grid-column:1/-1}.mbsf-field{display:grid;align-content:start;gap:7px;min-width:0}.mbsf-label{font-weight:680}.mbsf-input,.mbsf-select{width:100%;min-height:46px;padding:10px 12px;border:1px solid var(--mb-border);border-radius:var(--mb-control-radius);background:var(--mb-input);color:var(--mb-text);font:inherit}.mbsf-input:focus,.mbsf-select:focus{outline:3px solid color-mix(in srgb,var(--mb-accent) 22%,transparent);border-color:var(--mb-accent)}.mbsf-field[data-invalid=true] .mbsf-input,.mbsf-field[data-invalid=true] .mbsf-select,.mbsf-invalid-control .mbsf-input{border-color:var(--mb-danger);background:color-mix(in srgb,var(--mb-danger) 4%,var(--mb-input))}.mbsf-field[data-invalid=true] .mbsf-input:focus,.mbsf-field[data-invalid=true] .mbsf-select:focus{outline-color:color-mix(in srgb,var(--mb-danger) 24%,transparent)}
|
|
@@ -1792,27 +2181,27 @@ var css = `
|
|
|
1792
2181
|
@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),.mbsf-line>div:nth-child(3){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-payer-option{align-items:flex-start}.mbsf-attach-row{align-items:flex-start;flex-wrap:wrap}.mbsf-attach-main{align-items:flex-start;flex-basis:calc(100% - 150px)}.mbsf-attach-type{width:100%;flex-basis:100%;order:3}.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%}}
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`;
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function RequiredMark() {
|
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return /* @__PURE__ */
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return /* @__PURE__ */ jsx4("span", { className: "mbsf-star", children: " *" });
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}
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function Field2({ label, required, error, path, span, children }) {
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/* @__PURE__ */
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return /* @__PURE__ */ jsxs4("label", { className: `mbsf-field${span ? " mbsf-span" : ""}`, "data-field-path": path, "data-invalid": Boolean(error), children: [
|
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/* @__PURE__ */ jsxs4("span", { className: "mbsf-label", children: [
|
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label,
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required ? /* @__PURE__ */
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required ? /* @__PURE__ */ jsx4(RequiredMark, {}) : null
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] }),
|
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children,
|
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error ? /* @__PURE__ */
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error ? /* @__PURE__ */ jsx4("small", { className: "mbsf-error", role: "alert", children: error }) : null
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] });
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}
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function TextDateInput({ value, onChange, disabled, required, ariaLabel }) {
|
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const [display, setDisplay] =
|
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const [invalid, setInvalid] =
|
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|
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2197
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const [display, setDisplay] = useState4(() => formatBillSubmissionDate(value));
|
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const [invalid, setInvalid] = useState4(false);
|
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useEffect4(() => {
|
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setDisplay(formatBillSubmissionDate(value));
|
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setInvalid(false);
|
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}, [value]);
|
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return /* @__PURE__ */
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/* @__PURE__ */
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return /* @__PURE__ */ jsxs4(Fragment3, { children: [
|
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/* @__PURE__ */ jsx4("input", { className: "mbsf-input", type: "text", inputMode: "numeric", autoComplete: "off", placeholder: "MM/DD/YYYY", "aria-label": ariaLabel, "aria-invalid": invalid, required, disabled, value: display, onChange: (event) => {
|
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const next = event.target.value;
|
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const parsed = parseBillSubmissionDate(next);
|
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setDisplay(next);
|
|
@@ -1820,21 +2209,21 @@ function TextDateInput({ value, onChange, disabled, required, ariaLabel }) {
|
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if (!next.trim()) onChange("");
|
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else if (parsed) onChange(parsed);
|
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|
}, onBlur: () => setInvalid(Boolean(display && !parseBillSubmissionDate(display))) }),
|
|
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|
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invalid ? /* @__PURE__ */
|
|
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+
invalid ? /* @__PURE__ */ jsx4("small", { className: "mbsf-error", children: "Use MM/DD/YYYY" }) : null
|
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|
] });
|
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|
}
|
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function ComboBox({ value, placeholder, options, disabled, loading, loadingMore, invalid, preserveValueOnOpen = false, onOpen, onQuery, onEndReached, onSelect, createOption, ariaLabel }) {
|
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const [open, setOpen] =
|
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const [query, setQuery] =
|
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const visible =
|
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|
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const [open, setOpen] = useState4(false);
|
|
2217
|
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const [query, setQuery] = useState4("");
|
|
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|
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const visible = useMemo3(() => {
|
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|
const q = query.trim().toLowerCase();
|
|
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const matches = q ? options.filter((option) => `${option.id} ${option.label} ${option.detail ?? ""}`.toLowerCase().includes(q)) : options;
|
|
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const custom = createOption?.(query) ?? null;
|
|
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|
return custom && !matches.some((option) => option.id.toUpperCase() === custom.id.toUpperCase()) ? [...matches, custom] : matches;
|
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|
}, [createOption, options, query]);
|
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const showMenu = open && (loading || visible.length > 0 || query.trim().length >= 2);
|
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return /* @__PURE__ */
|
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/* @__PURE__ */
|
|
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+
return /* @__PURE__ */ jsxs4("div", { className: "mbsf-combo", children: [
|
|
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|
+
/* @__PURE__ */ jsx4("input", { className: "mbsf-input", role: "combobox", "aria-label": ariaLabel, "aria-invalid": invalid, "aria-expanded": showMenu, autoComplete: "off", disabled, placeholder, value: open ? query : value, onFocus: () => {
|
|
1838
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|
const next = preserveValueOnOpen ? value : "";
|
|
1839
2228
|
setOpen(true);
|
|
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|
setQuery(next);
|
|
@@ -1845,19 +2234,19 @@ function ComboBox({ value, placeholder, options, disabled, loading, loadingMore,
|
|
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2234
|
setQuery(event.target.value);
|
|
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|
onQuery?.(event.target.value);
|
|
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|
}, onBlur: () => setTimeout(() => setOpen(false), 120) }),
|
|
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|
-
showMenu ? /* @__PURE__ */
|
|
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|
+
showMenu ? /* @__PURE__ */ jsxs4("div", { className: "mbsf-menu", role: "listbox", onScroll: (event) => {
|
|
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|
const menu = event.currentTarget;
|
|
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|
if (menu.scrollHeight - menu.scrollTop - menu.clientHeight < 120) onEndReached?.();
|
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|
}, children: [
|
|
1852
|
-
loading && !visible.length ? /* @__PURE__ */
|
|
2241
|
+
loading && !visible.length ? /* @__PURE__ */ jsx4("div", { className: "mbsf-menu-status", children: "Loading\u2026" }) : visible.length ? visible.map((option) => /* @__PURE__ */ jsxs4("button", { className: "mbsf-option", type: "button", role: "option", onMouseDown: (event) => event.preventDefault(), onClick: () => {
|
|
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|
onSelect(option);
|
|
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|
setOpen(false);
|
|
1855
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|
setQuery("");
|
|
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2245
|
}, children: [
|
|
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|
-
/* @__PURE__ */
|
|
1858
|
-
option.detail ? /* @__PURE__ */
|
|
1859
|
-
] }, option.id)) : /* @__PURE__ */
|
|
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|
-
loadingMore ? /* @__PURE__ */
|
|
2246
|
+
/* @__PURE__ */ jsx4("strong", { children: option.label }),
|
|
2247
|
+
option.detail ? /* @__PURE__ */ jsx4("small", { children: option.detail }) : null
|
|
2248
|
+
] }, option.id)) : /* @__PURE__ */ jsx4("div", { className: "mbsf-option", children: "No matches" }),
|
|
2249
|
+
loadingMore ? /* @__PURE__ */ jsx4("div", { className: "mbsf-menu-status", children: "Loading more\u2026" }) : null
|
|
1861
2250
|
] }) : null
|
|
1862
2251
|
] });
|
|
1863
2252
|
}
|
|
@@ -1907,28 +2296,28 @@ var BillSubmissionSectionsContext = createContext(null);
|
|
|
1907
2296
|
function BillSubmissionSection({ id }) {
|
|
1908
2297
|
const sections = useContext(BillSubmissionSectionsContext);
|
|
1909
2298
|
if (!sections) throw new Error("Bill submission sections must be rendered inside BillSubmissionForm.");
|
|
1910
|
-
return /* @__PURE__ */
|
|
2299
|
+
return /* @__PURE__ */ jsx4(Fragment3, { children: sections[id] });
|
|
1911
2300
|
}
|
|
1912
2301
|
function BillSubmissionHeader() {
|
|
1913
|
-
return /* @__PURE__ */
|
|
2302
|
+
return /* @__PURE__ */ jsx4(BillSubmissionSection, { id: "header" });
|
|
1914
2303
|
}
|
|
1915
2304
|
function BillSubmissionPatientSection() {
|
|
1916
|
-
return /* @__PURE__ */
|
|
2305
|
+
return /* @__PURE__ */ jsx4(BillSubmissionSection, { id: "patient" });
|
|
1917
2306
|
}
|
|
1918
2307
|
function BillSubmissionClaimSection() {
|
|
1919
|
-
return /* @__PURE__ */
|
|
2308
|
+
return /* @__PURE__ */ jsx4(BillSubmissionSection, { id: "claim" });
|
|
1920
2309
|
}
|
|
1921
2310
|
function BillSubmissionProvidersSection() {
|
|
1922
|
-
return /* @__PURE__ */
|
|
2311
|
+
return /* @__PURE__ */ jsx4(BillSubmissionSection, { id: "providers" });
|
|
1923
2312
|
}
|
|
1924
2313
|
function BillSubmissionServiceLinesSection() {
|
|
1925
|
-
return /* @__PURE__ */
|
|
2314
|
+
return /* @__PURE__ */ jsx4(BillSubmissionSection, { id: "serviceLines" });
|
|
1926
2315
|
}
|
|
1927
2316
|
function BillSubmissionAttachmentsSection() {
|
|
1928
|
-
return /* @__PURE__ */
|
|
2317
|
+
return /* @__PURE__ */ jsx4(BillSubmissionSection, { id: "attachments" });
|
|
1929
2318
|
}
|
|
1930
2319
|
function BillSubmissionActions() {
|
|
1931
|
-
return /* @__PURE__ */
|
|
2320
|
+
return /* @__PURE__ */ jsx4(BillSubmissionSection, { id: "actions" });
|
|
1932
2321
|
}
|
|
1933
2322
|
function BillSubmissionForm({
|
|
1934
2323
|
initialBill,
|
|
@@ -1946,6 +2335,7 @@ function BillSubmissionForm({
|
|
|
1946
2335
|
procedureOptions,
|
|
1947
2336
|
modifierOptions,
|
|
1948
2337
|
taxonomyOptions,
|
|
2338
|
+
deliveryRoutePicker = "auto",
|
|
1949
2339
|
attachmentReportTypeMode = "auto",
|
|
1950
2340
|
attachmentReportTypes = BILL_SUBMISSION_REPORT_TYPES,
|
|
1951
2341
|
defaultAttachmentReportType,
|
|
@@ -1958,42 +2348,44 @@ function BillSubmissionForm({
|
|
|
1958
2348
|
description = "Review the bill details, add attachments, and submit.",
|
|
1959
2349
|
children
|
|
1960
2350
|
}) {
|
|
1961
|
-
const [bill, setBill] =
|
|
1962
|
-
const [selectedIds, setSelectedIds] =
|
|
1963
|
-
const [removedSourceIds, setRemovedSourceIds] =
|
|
1964
|
-
const [uploads, setUploads] =
|
|
1965
|
-
const [errors, setErrors] =
|
|
1966
|
-
const [sourceAttachmentReportTypes, setSourceAttachmentReportTypes] =
|
|
1967
|
-
const [validationActive, setValidationActive] =
|
|
1968
|
-
const [formError, setFormError] =
|
|
1969
|
-
const [submitting, setSubmitting] =
|
|
1970
|
-
const [
|
|
1971
|
-
const [
|
|
1972
|
-
const [
|
|
1973
|
-
const [
|
|
1974
|
-
const [
|
|
1975
|
-
const [
|
|
1976
|
-
const [
|
|
1977
|
-
const [
|
|
1978
|
-
const [
|
|
2351
|
+
const [bill, setBill] = useState4(() => cloneInitialBill(initialBill));
|
|
2352
|
+
const [selectedIds, setSelectedIds] = useState4(() => attachments.map((item) => item.id));
|
|
2353
|
+
const [removedSourceIds, setRemovedSourceIds] = useState4([]);
|
|
2354
|
+
const [uploads, setUploads] = useState4([]);
|
|
2355
|
+
const [errors, setErrors] = useState4({});
|
|
2356
|
+
const [sourceAttachmentReportTypes, setSourceAttachmentReportTypes] = useState4(() => Object.fromEntries(attachments.flatMap((item) => item.reportTypeCode ? [[item.id, item.reportTypeCode]] : [])));
|
|
2357
|
+
const [validationActive, setValidationActive] = useState4(false);
|
|
2358
|
+
const [formError, setFormError] = useState4(null);
|
|
2359
|
+
const [submitting, setSubmitting] = useState4(false);
|
|
2360
|
+
const [routeDialog, setRouteDialog] = useState4(null);
|
|
2361
|
+
const [routeError, setRouteError] = useState4(null);
|
|
2362
|
+
const [payerResults, setPayerResults] = useState4([]);
|
|
2363
|
+
const [payerLoading, setPayerLoading] = useState4(false);
|
|
2364
|
+
const [diagnosisResults, setDiagnosisResults] = useState4([]);
|
|
2365
|
+
const [diagnosisLoading, setDiagnosisLoading] = useState4(false);
|
|
2366
|
+
const [diagnosisLoadingMore, setDiagnosisLoadingMore] = useState4(false);
|
|
2367
|
+
const [diagnosisQuery, setDiagnosisQuery] = useState4(null);
|
|
2368
|
+
const [diagnosisHasMore, setDiagnosisHasMore] = useState4(true);
|
|
2369
|
+
const [postalStatus, setPostalStatus] = useState4(null);
|
|
2370
|
+
const [dragActive, setDragActive] = useState4(false);
|
|
1979
2371
|
const formRef = useRef2(null);
|
|
1980
2372
|
const fileInput = useRef2(null);
|
|
1981
2373
|
const diagnosisRequest = useRef2(0);
|
|
1982
2374
|
const diagnosisAppendPending = useRef2(false);
|
|
1983
2375
|
const payerRequest = useRef2(0);
|
|
1984
|
-
const procedures =
|
|
1985
|
-
const modifiers =
|
|
1986
|
-
const taxonomies =
|
|
1987
|
-
const [evaluationType, setEvaluationType] =
|
|
2376
|
+
const procedures = useMemo3(() => mergeOptions(DEFAULT_BILL_SUBMISSION_PROCEDURES, procedureOptions), [procedureOptions]);
|
|
2377
|
+
const modifiers = useMemo3(() => mergeOptions(DEFAULT_BILL_SUBMISSION_MODIFIERS, modifierOptions), [modifierOptions]);
|
|
2378
|
+
const taxonomies = useMemo3(() => mergeOptions(DEFAULT_BILL_SUBMISSION_TAXONOMIES, taxonomyOptions), [taxonomyOptions]);
|
|
2379
|
+
const [evaluationType, setEvaluationType] = useState4(() => initialEvaluationType(initialBill));
|
|
1988
2380
|
const connected = !onSubmit;
|
|
1989
|
-
const referenceClient =
|
|
1990
|
-
const submissionClient =
|
|
2381
|
+
const referenceClient = useMemo3(() => getSession || sessionEndpoint || connected ? createBillReferenceClient({ getSession, sessionEndpoint, apiBaseUrl, fetch: fetchOverride }) : null, [getSession, sessionEndpoint, apiBaseUrl, fetchOverride, connected]);
|
|
2382
|
+
const submissionClient = useMemo3(() => connected ? createBillSubmissionClient({ getSession, sessionEndpoint, apiBaseUrl, fetch: fetchOverride }) : null, [getSession, sessionEndpoint, apiBaseUrl, fetchOverride, connected]);
|
|
1991
2383
|
const locked = disabled || submitting;
|
|
1992
2384
|
const showAttachmentReportTypes = attachmentReportTypeMode === "visible" || attachmentReportTypeMode === "auto" && bill.billingMode !== "med_legal";
|
|
1993
2385
|
const forcedAttachmentReportType = showAttachmentReportTypes ? void 0 : defaultAttachmentReportType ?? MED_LEGAL_REPORT_TYPE_CODE;
|
|
1994
|
-
const reportTypeOptions =
|
|
2386
|
+
const reportTypeOptions = useMemo3(() => attachmentReportTypes.map((item) => ({ id: item.code, label: item.code.replace(/^OZ:/, ""), detail: item.label })), [attachmentReportTypes]);
|
|
1995
2387
|
const missingAttachmentReportType = showAttachmentReportTypes && (selectedIds.some((id) => !(sourceAttachmentReportTypes[id] || attachments.find((item) => item.id === id)?.reportTypeCode || defaultAttachmentReportType)) || uploads.some((upload) => !(upload.reportTypeCode || defaultAttachmentReportType)));
|
|
1996
|
-
|
|
2388
|
+
useEffect4(() => {
|
|
1997
2389
|
setBill(cloneInitialBill(initialBill));
|
|
1998
2390
|
setEvaluationType(initialEvaluationType(initialBill));
|
|
1999
2391
|
setSelectedIds(attachments.map((item) => item.id));
|
|
@@ -2009,7 +2401,7 @@ function BillSubmissionForm({
|
|
|
2009
2401
|
diagnosisRequest.current += 1;
|
|
2010
2402
|
diagnosisAppendPending.current = false;
|
|
2011
2403
|
}, [initialBill, attachments]);
|
|
2012
|
-
|
|
2404
|
+
useEffect4(() => {
|
|
2013
2405
|
if (!validationActive) return;
|
|
2014
2406
|
const next = validateBillSubmission(bill).fieldErrors;
|
|
2015
2407
|
setErrors(missingAttachmentReportType ? { ...next, attachments: "Select a report type for every attachment." } : next);
|
|
@@ -2027,7 +2419,7 @@ function BillSubmissionForm({
|
|
|
2027
2419
|
if (selectedIds.length + uploads.length + files.length > MAX_DOCUMENTS) return setFormError(`A bill can include at most ${MAX_DOCUMENTS} attachments.`);
|
|
2028
2420
|
setUploads((current) => [...current, ...files.map((file) => ({ file, documentType: "other", ...defaultAttachmentReportType ? { reportTypeCode: defaultAttachmentReportType } : {} }))]);
|
|
2029
2421
|
}, [defaultAttachmentReportType, selectedIds.length, uploads]);
|
|
2030
|
-
|
|
2422
|
+
useEffect4(() => {
|
|
2031
2423
|
const over = (event) => {
|
|
2032
2424
|
if (event.dataTransfer?.types.includes("Files")) {
|
|
2033
2425
|
event.preventDefault();
|
|
@@ -2066,7 +2458,7 @@ function BillSubmissionForm({
|
|
|
2066
2458
|
}
|
|
2067
2459
|
return next;
|
|
2068
2460
|
})) }));
|
|
2069
|
-
const text = (value, onChange, options = {}) => /* @__PURE__ */
|
|
2461
|
+
const text = (value, onChange, options = {}) => /* @__PURE__ */ jsx4("input", { className: "mbsf-input", disabled: locked, value: value ?? "", onChange: (event) => onChange(event.target.value), ...options });
|
|
2070
2462
|
const runPayerSearch = useCallback(async (query, autoSelect) => {
|
|
2071
2463
|
const trimmed = query.trim();
|
|
2072
2464
|
if (trimmed.length < 2) {
|
|
@@ -2097,7 +2489,7 @@ function BillSubmissionForm({
|
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2097
2489
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});
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2098
2490
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void runPayerSearch(query, true);
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2099
2491
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};
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2100
|
-
|
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2492
|
+
useEffect4(() => {
|
|
2101
2493
|
const payer = bill.claim.claimsAdministrator;
|
|
2102
2494
|
if (!payer?.name || payer.name.trim().length < 2) return;
|
|
2103
2495
|
void runPayerSearch(payer.name, !payer.id);
|
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@@ -2138,7 +2530,7 @@ function BillSubmissionForm({
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2138
2530
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});
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2139
2531
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};
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2140
2532
|
const searchDiagnoses = (query) => loadDiagnoses(query);
|
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2141
|
-
const diagnosisChoices =
|
|
2533
|
+
const diagnosisChoices = useMemo3(() => mergeDiagnosisOptions([...diagnosisOptions, ...diagnosisResults]), [diagnosisOptions, diagnosisResults]);
|
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2142
2534
|
const updatePostalCode = (postalCode) => {
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2143
2535
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setAddress({ postalCode });
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2144
2536
|
setPostalStatus(null);
|
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@@ -2178,25 +2570,58 @@ function BillSubmissionForm({
|
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2178
2570
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}
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2179
2571
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if (selectedIds.length + uploads.length > MAX_DOCUMENTS) return setFormError(`A bill can include at most ${MAX_DOCUMENTS} attachments.`);
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2180
2572
|
const complete = clean;
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2181
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-
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2182
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-
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2183
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-
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2573
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+
if (onSubmit) {
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2574
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+
setSubmitting(true);
|
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2575
|
+
try {
|
|
2184
2576
|
await onSubmit({ bill: complete, sourceAttachmentIds: selectedIds, sourceAttachmentReportTypes, uploads });
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2185
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-
}
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2186
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-
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2187
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-
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2188
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-
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2189
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-
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2190
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-
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2191
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-
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2192
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-
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2193
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-
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2577
|
+
} catch (caught) {
|
|
2578
|
+
setFormError(caught instanceof Error ? caught.message : "Unable to submit the bill.");
|
|
2579
|
+
} finally {
|
|
2580
|
+
setSubmitting(false);
|
|
2581
|
+
}
|
|
2582
|
+
return;
|
|
2583
|
+
}
|
|
2584
|
+
if (deliveryRoutePicker !== "off" && referenceClient) {
|
|
2585
|
+
setSubmitting(true);
|
|
2586
|
+
try {
|
|
2587
|
+
const delivery = await referenceClient.getDeliveryPreview({
|
|
2588
|
+
claimsAdministratorId: complete.claim.claimsAdministrator.id,
|
|
2589
|
+
...complete.claim.injuryState ? { injuryState: complete.claim.injuryState } : {}
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2194
2590
|
});
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2195
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-
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2196
|
-
|
|
2591
|
+
setSubmitting(false);
|
|
2592
|
+
setRouteError(null);
|
|
2593
|
+
setRouteDialog({ delivery, complete });
|
|
2594
|
+
return;
|
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2595
|
+
} catch {
|
|
2596
|
+
setSubmitting(false);
|
|
2197
2597
|
}
|
|
2598
|
+
}
|
|
2599
|
+
await performConnectedSubmit(complete, void 0);
|
|
2600
|
+
}
|
|
2601
|
+
async function performConnectedSubmit(complete, submission) {
|
|
2602
|
+
setSubmitting(true);
|
|
2603
|
+
try {
|
|
2604
|
+
if (!submissionClient) throw new Error("The connected billing client is unavailable.");
|
|
2605
|
+
const documents = await prepareBillSubmissionDocuments({
|
|
2606
|
+
attachments,
|
|
2607
|
+
selectedIds,
|
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2608
|
+
uploads,
|
|
2609
|
+
reportTypeCodeByAttachmentId: sourceAttachmentReportTypes,
|
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2610
|
+
...forcedAttachmentReportType ? { defaultReportTypeCode: forcedAttachmentReportType } : {},
|
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2611
|
+
...fetchOverride ? { fetch: fetchOverride } : {}
|
|
2612
|
+
});
|
|
2613
|
+
const result = await submissionClient.submitBill({
|
|
2614
|
+
bill: complete,
|
|
2615
|
+
...submission ? { submission } : {},
|
|
2616
|
+
documents
|
|
2617
|
+
});
|
|
2618
|
+
setRouteDialog(null);
|
|
2619
|
+
setRouteError(null);
|
|
2620
|
+
await onSubmitted?.(result);
|
|
2198
2621
|
} catch (caught) {
|
|
2199
|
-
|
|
2622
|
+
const message = caught instanceof Error ? caught.message : "Unable to submit the bill.";
|
|
2623
|
+
if (submission) setRouteError(message);
|
|
2624
|
+
else setFormError(message);
|
|
2200
2625
|
} finally {
|
|
2201
2626
|
setSubmitting(false);
|
|
2202
2627
|
}
|
|
@@ -2205,210 +2630,210 @@ function BillSubmissionForm({
|
|
|
2205
2630
|
const selectedPayer = payerResults.find((payer) => payer.id === bill.claim.claimsAdministrator?.id);
|
|
2206
2631
|
const payerRecommendations = bill.claim.claimsAdministrator?.id ? [] : claimsAdministratorRecommendations(payerResults);
|
|
2207
2632
|
const choosePayer = (payer) => setBill((current) => ({ ...current, claim: { ...current.claim, claimsAdministrator: { id: payer.id, name: payer.name } } }));
|
|
2208
|
-
const headerSection = /* @__PURE__ */
|
|
2209
|
-
/* @__PURE__ */
|
|
2210
|
-
/* @__PURE__ */
|
|
2211
|
-
/* @__PURE__ */
|
|
2633
|
+
const headerSection = /* @__PURE__ */ jsxs4("div", { className: "mbsf-head", children: [
|
|
2634
|
+
/* @__PURE__ */ jsxs4("div", { children: [
|
|
2635
|
+
/* @__PURE__ */ jsx4("h3", { className: "mbsf-title", children: heading }),
|
|
2636
|
+
/* @__PURE__ */ jsx4("p", { className: "mbsf-copy", children: description })
|
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2212
2637
|
] }),
|
|
2213
|
-
/* @__PURE__ */
|
|
2214
|
-
/* @__PURE__ */
|
|
2638
|
+
/* @__PURE__ */ jsxs4("span", { className: "mbsf-required", children: [
|
|
2639
|
+
/* @__PURE__ */ jsx4(RequiredMark, {}),
|
|
2215
2640
|
" Required"
|
|
2216
2641
|
] })
|
|
2217
2642
|
] });
|
|
2218
|
-
const patientSection = /* @__PURE__ */
|
|
2219
|
-
/* @__PURE__ */
|
|
2220
|
-
/* @__PURE__ */
|
|
2221
|
-
/* @__PURE__ */
|
|
2222
|
-
/* @__PURE__ */
|
|
2223
|
-
/* @__PURE__ */
|
|
2224
|
-
/* @__PURE__ */
|
|
2225
|
-
/* @__PURE__ */
|
|
2226
|
-
/* @__PURE__ */
|
|
2227
|
-
/* @__PURE__ */
|
|
2643
|
+
const patientSection = /* @__PURE__ */ jsxs4("fieldset", { className: "mbsf-card", disabled: locked, children: [
|
|
2644
|
+
/* @__PURE__ */ jsx4("legend", { className: "mbsf-legend", children: "Patient" }),
|
|
2645
|
+
/* @__PURE__ */ jsxs4("div", { className: "mbsf-grid", children: [
|
|
2646
|
+
/* @__PURE__ */ jsx4(Field2, { path: "patient.firstName", label: "First name", required: true, error: errors["patient.firstName"], children: text(bill.patient.firstName, (firstName) => setBill((c) => ({ ...c, patient: { ...c.patient, firstName } }))) }),
|
|
2647
|
+
/* @__PURE__ */ jsx4(Field2, { path: "patient.lastName", label: "Last name", required: true, error: errors["patient.lastName"], children: text(bill.patient.lastName, (lastName) => setBill((c) => ({ ...c, patient: { ...c.patient, lastName } }))) }),
|
|
2648
|
+
/* @__PURE__ */ jsx4(Field2, { label: "Middle name", children: text(bill.patient.middleName, (middleName) => setBill((c) => ({ ...c, patient: { ...c.patient, middleName } }))) }),
|
|
2649
|
+
/* @__PURE__ */ jsx4(Field2, { label: "Phone (optional)", children: text(bill.patient.phone, (phone) => setBill((c) => ({ ...c, patient: { ...c.patient, phone } })), { type: "tel" }) }),
|
|
2650
|
+
/* @__PURE__ */ jsx4(Field2, { path: "patient.dateOfBirth", label: "Date of birth", required: true, error: errors["patient.dateOfBirth"], children: /* @__PURE__ */ jsx4(TextDateInput, { ariaLabel: "Date of birth", value: bill.patient.dateOfBirth, disabled: locked, required: true, onChange: (dateOfBirth) => setBill((c) => ({ ...c, patient: { ...c.patient, dateOfBirth } })) }) }),
|
|
2651
|
+
/* @__PURE__ */ jsx4(Field2, { path: "patient.address.line1", label: "Address", required: true, span: true, error: errors["patient.address.line1"], children: text(bill.patient.address.line1, (line1) => setAddress({ line1 }), { placeholder: "Street address" }) }),
|
|
2652
|
+
/* @__PURE__ */ jsxs4(Field2, { path: "patient.address.postalCode", label: "ZIP", required: true, error: errors["patient.address.postalCode"], children: [
|
|
2228
2653
|
text(bill.patient.address.postalCode, updatePostalCode, { maxLength: 10 }),
|
|
2229
|
-
postalStatus ? /* @__PURE__ */
|
|
2654
|
+
postalStatus ? /* @__PURE__ */ jsx4("small", { className: "mbsf-help", children: postalStatus }) : null
|
|
2230
2655
|
] }),
|
|
2231
|
-
/* @__PURE__ */
|
|
2232
|
-
/* @__PURE__ */
|
|
2656
|
+
/* @__PURE__ */ jsx4(Field2, { path: "patient.address.city", label: "City", required: true, error: errors["patient.address.city"], children: text(bill.patient.address.city, (city) => setAddress({ city })) }),
|
|
2657
|
+
/* @__PURE__ */ jsx4(Field2, { path: "patient.address.state", label: "State", required: true, error: errors["patient.address.state"], children: text(bill.patient.address.state, (state) => setAddress({ state: state.toUpperCase() }), { maxLength: 2 }) })
|
|
2233
2658
|
] })
|
|
2234
2659
|
] });
|
|
2235
|
-
const claimSection = /* @__PURE__ */
|
|
2236
|
-
/* @__PURE__ */
|
|
2237
|
-
/* @__PURE__ */
|
|
2238
|
-
/* @__PURE__ */
|
|
2239
|
-
/* @__PURE__ */
|
|
2660
|
+
const claimSection = /* @__PURE__ */ jsxs4("fieldset", { className: "mbsf-card", disabled: locked, children: [
|
|
2661
|
+
/* @__PURE__ */ jsx4("legend", { className: "mbsf-legend", children: "Injury & claim" }),
|
|
2662
|
+
/* @__PURE__ */ jsxs4("div", { className: "mbsf-grid", children: [
|
|
2663
|
+
/* @__PURE__ */ jsx4(Field2, { path: "service.date", label: "Date of service", required: true, error: errors["service.date"], children: /* @__PURE__ */ jsx4(TextDateInput, { ariaLabel: "Date of service", value: bill.service.date, disabled: locked, required: true, onChange: (date2) => setBill((c) => ({ ...c, service: { ...c.service, date: date2 } })) }) }),
|
|
2664
|
+
/* @__PURE__ */ jsxs4(Field2, { label: "Treatment authorization # (optional)", children: [
|
|
2240
2665
|
text(bill.service.authorizationNumber, (authorizationNumber) => setBill((c) => ({ ...c, service: { ...c.service, authorizationNumber } })), { placeholder: "Utilization-review authorization number" }),
|
|
2241
|
-
/* @__PURE__ */
|
|
2666
|
+
/* @__PURE__ */ jsx4("small", { className: "mbsf-help", children: "Rides on the bill as CMS-1500 Box 23 / 837 REF*G1." })
|
|
2242
2667
|
] }),
|
|
2243
|
-
/* @__PURE__ */
|
|
2244
|
-
/* @__PURE__ */
|
|
2245
|
-
/* @__PURE__ */
|
|
2246
|
-
/* @__PURE__ */
|
|
2247
|
-
/* @__PURE__ */
|
|
2248
|
-
/* @__PURE__ */
|
|
2249
|
-
selectedPayer ? /* @__PURE__ */
|
|
2250
|
-
/* @__PURE__ */
|
|
2668
|
+
/* @__PURE__ */ jsx4(Field2, { path: "claim.dateOfInjury", label: "Date of injury", required: true, error: errors["claim.dateOfInjury"], children: /* @__PURE__ */ jsx4(TextDateInput, { ariaLabel: "Date of injury", value: bill.claim.dateOfInjury, disabled: locked, required: true, onChange: (dateOfInjury) => setBill((c) => ({ ...c, claim: { ...c.claim, dateOfInjury } })) }) }),
|
|
2669
|
+
/* @__PURE__ */ jsx4(Field2, { path: "claim.employer", label: "Employer name", required: true, error: errors["claim.employer"], children: text(bill.claim.employer, (employer) => setBill((c) => ({ ...c, claim: { ...c.claim, employer } }))) }),
|
|
2670
|
+
/* @__PURE__ */ jsx4(Field2, { path: "claim.claimNumber", label: "Claim number", required: true, error: errors["claim.claimNumber"], children: text(bill.claim.claimNumber, (claimNumber) => setBill((c) => ({ ...c, claim: { ...c.claim, claimNumber } }))) }),
|
|
2671
|
+
/* @__PURE__ */ jsx4(Field2, { label: "WCAB / ADJ number (optional)", children: text(bill.claim.adjNumber, (adjNumber) => setBill((c) => ({ ...c, claim: { ...c.claim, adjNumber } }))) }),
|
|
2672
|
+
/* @__PURE__ */ jsxs4(Field2, { path: "claim.claimsAdministrator", label: "Claims administrator", required: true, span: true, error: claimsAdministratorError, children: [
|
|
2673
|
+
/* @__PURE__ */ jsx4(ComboBox, { ariaLabel: "Claims administrator", invalid: Boolean(claimsAdministratorError), disabled: locked, loading: payerLoading, preserveValueOnOpen: true, 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) => choosePayer({ id: option.id, name: option.label }) }),
|
|
2674
|
+
selectedPayer ? /* @__PURE__ */ jsxs4("div", { className: "mbsf-payer-status", role: "status", children: [
|
|
2675
|
+
/* @__PURE__ */ jsx4("strong", { children: "\u2713 Routing match set:" }),
|
|
2251
2676
|
" ",
|
|
2252
2677
|
selectedPayer.name
|
|
2253
2678
|
] }) : null,
|
|
2254
|
-
selectedPayer?.signals?.length ? /* @__PURE__ */
|
|
2679
|
+
selectedPayer?.signals?.length ? /* @__PURE__ */ jsx4("div", { className: "mbsf-payer-signals", children: selectedPayer.signals.map((signal, index) => /* @__PURE__ */ jsxs4("span", { "data-state": signal.state, children: [
|
|
2255
2680
|
signal.state === "match" ? "\u2713" : "!",
|
|
2256
2681
|
" ",
|
|
2257
2682
|
signal.label
|
|
2258
2683
|
] }, `${signal.kind}-${index}`)) }) : null,
|
|
2259
|
-
!selectedPayer && payerRecommendations.length ? /* @__PURE__ */
|
|
2260
|
-
/* @__PURE__ */
|
|
2684
|
+
!selectedPayer && payerRecommendations.length ? /* @__PURE__ */ jsxs4(Fragment3, { children: [
|
|
2685
|
+
/* @__PURE__ */ jsxs4("p", { className: "mbsf-payer-intro", children: [
|
|
2261
2686
|
"Confirm the best routing match for ",
|
|
2262
|
-
/* @__PURE__ */
|
|
2687
|
+
/* @__PURE__ */ jsx4("strong", { children: bill.claim.claimsAdministrator?.name }),
|
|
2263
2688
|
":"
|
|
2264
2689
|
] }),
|
|
2265
|
-
/* @__PURE__ */
|
|
2266
|
-
/* @__PURE__ */
|
|
2267
|
-
/* @__PURE__ */
|
|
2268
|
-
payer.signals?.length ? /* @__PURE__ */
|
|
2690
|
+
/* @__PURE__ */ jsx4("div", { className: "mbsf-payer-list", children: payerRecommendations.map((payer) => /* @__PURE__ */ jsxs4("div", { className: "mbsf-payer-option", children: [
|
|
2691
|
+
/* @__PURE__ */ jsxs4("div", { className: "mbsf-payer-option-main", children: [
|
|
2692
|
+
/* @__PURE__ */ jsx4("strong", { children: payer.name }),
|
|
2693
|
+
payer.signals?.length ? /* @__PURE__ */ jsx4("div", { className: "mbsf-payer-signals", children: payer.signals.map((signal, index) => /* @__PURE__ */ jsxs4("span", { "data-state": signal.state, children: [
|
|
2269
2694
|
signal.state === "match" ? "\u2713" : "!",
|
|
2270
2695
|
" ",
|
|
2271
2696
|
signal.label
|
|
2272
|
-
] }, `${signal.kind}-${index}`)) }) : /* @__PURE__ */
|
|
2697
|
+
] }, `${signal.kind}-${index}`)) }) : /* @__PURE__ */ jsx4("small", { className: "mbsf-help", children: "Directory match" })
|
|
2273
2698
|
] }),
|
|
2274
|
-
/* @__PURE__ */
|
|
2699
|
+
/* @__PURE__ */ jsx4("button", { className: "mbsf-secondary", type: "button", onClick: () => choosePayer(payer), children: "Use" })
|
|
2275
2700
|
] }, payer.id)) })
|
|
2276
2701
|
] }) : null,
|
|
2277
|
-
!selectedPayer && !payerLoading && !payerRecommendations.length && (bill.claim.claimsAdministrator?.name.trim().length ?? 0) >= 2 ? /* @__PURE__ */
|
|
2702
|
+
!selectedPayer && !payerLoading && !payerRecommendations.length && (bill.claim.claimsAdministrator?.name.trim().length ?? 0) >= 2 ? /* @__PURE__ */ jsx4("small", { className: "mbsf-help", children: "No confident route selected yet. Search the directory and choose a claims administrator." }) : null
|
|
2278
2703
|
] }),
|
|
2279
|
-
/* @__PURE__ */
|
|
2280
|
-
/* @__PURE__ */
|
|
2281
|
-
/* @__PURE__ */
|
|
2704
|
+
/* @__PURE__ */ jsx4(Field2, { label: "Injury description (optional)", span: true, children: text(bill.claim.description, (description2) => setBill((c) => ({ ...c, claim: { ...c.claim, description: description2 } }))) }),
|
|
2705
|
+
/* @__PURE__ */ jsxs4(Field2, { path: "diagnoses", label: "Diagnosis codes (ICD-10)", required: true, span: true, error: errors.diagnoses, children: [
|
|
2706
|
+
/* @__PURE__ */ jsx4("div", { className: "mbsf-quick-picks", "aria-label": "Common diagnosis codes", children: BILL_SUBMISSION_DIAGNOSIS_QUICK_PICKS.map((option) => {
|
|
2282
2707
|
const selected = (bill.diagnoses ?? []).includes(option.code);
|
|
2283
|
-
return /* @__PURE__ */
|
|
2708
|
+
return /* @__PURE__ */ jsxs4("button", { className: "mbsf-quick-pick", "data-selected": selected, type: "button", "aria-pressed": selected, title: `${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: [
|
|
2284
2709
|
selected ? "\u2713" : "+",
|
|
2285
2710
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" ",
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option.label
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] }, option.code);
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}) }),
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/* @__PURE__ */
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/* @__PURE__ */ jsx4("div", { className: "mbsf-chips", children: (bill.diagnoses ?? []).map((code) => {
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const option = [...BILL_SUBMISSION_DIAGNOSIS_QUICK_PICKS, ...diagnosisChoices].find((item) => item.code === code);
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return /* @__PURE__ */
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return /* @__PURE__ */ jsxs4("span", { className: "mbsf-chip", children: [
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/* @__PURE__ */ jsx4("strong", { children: code }),
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option?.description ? ` ${option.description}` : "",
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-
/* @__PURE__ */
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/* @__PURE__ */ jsx4("button", { type: "button", "aria-label": `Remove ${code}`, onClick: () => setBill((c) => ({ ...c, diagnoses: (c.diagnoses ?? []).filter((item) => item !== code) })), children: "\xD7" })
|
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|
] }, code);
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}) }),
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/* @__PURE__ */
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/* @__PURE__ */ jsx4(ComboBox, { ariaLabel: "Add diagnosis code", invalid: Boolean(errors.diagnoses), disabled: locked, loading: diagnosisLoading, loadingMore: diagnosisLoadingMore, value: "", placeholder: bill.diagnoses?.length ?? 0 ? `${bill.diagnoses.length} selected \u2014 add more\u2026` : "Search ICD-10 codes\u2026", options: diagnosisChoices.filter((item) => !(bill.diagnoses ?? []).includes(item.code)).map((item) => ({ id: item.code, label: item.code, detail: item.description })), onOpen: () => {
|
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|
if (diagnosisQuery !== "") loadDiagnoses("");
|
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|
}, onQuery: searchDiagnoses, onEndReached: () => loadDiagnoses(diagnosisQuery ?? "", true), onSelect: (option) => setBill((c) => ({ ...c, diagnoses: [.../* @__PURE__ */ new Set([...c.diagnoses ?? [], option.id])] })) })
|
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] })
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] })
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] });
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const providersSection = /* @__PURE__ */
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/* @__PURE__ */
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/* @__PURE__ */
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/* @__PURE__ */
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/* @__PURE__ */
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/* @__PURE__ */
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/* @__PURE__ */
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/* @__PURE__ */
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/* @__PURE__ */
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/* @__PURE__ */
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/* @__PURE__ */
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-
/* @__PURE__ */
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-
/* @__PURE__ */
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-
/* @__PURE__ */
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/* @__PURE__ */
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/* @__PURE__ */
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/* @__PURE__ */
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-
/* @__PURE__ */
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const providersSection = /* @__PURE__ */ jsxs4("fieldset", { className: "mbsf-card", disabled: locked, children: [
|
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/* @__PURE__ */ jsx4("legend", { className: "mbsf-legend", children: "Providers & place of service" }),
|
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+
/* @__PURE__ */ jsxs4("div", { className: "mbsf-grid", children: [
|
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+
/* @__PURE__ */ jsx4("h4", { className: "mbsf-subhead", children: "Billing provider" }),
|
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2732
|
+
/* @__PURE__ */ jsx4(Field2, { path: "billingProvider.name", label: "Billing provider name", required: true, error: errors["billingProvider.name"], children: text(bill.billingProvider?.name, (name) => setBill((c) => ({ ...c, billingProvider: { ...c.billingProvider, name } }))) }),
|
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+
/* @__PURE__ */ jsx4(Field2, { path: "billingProvider.taxId", label: "Tax ID (EIN / SSN)", required: true, error: errors["billingProvider.taxId"], children: text(bill.billingProvider?.taxId, (taxId) => setBill((c) => ({ ...c, billingProvider: { ...c.billingProvider, taxId } })), { inputMode: "numeric" }) }),
|
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2734
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+
/* @__PURE__ */ jsx4(Field2, { path: "billingProvider.npi", label: "Billing provider NPI", required: true, error: errors["billingProvider.npi"], children: text(bill.billingProvider?.npi, (npi) => setBill((c) => ({ ...c, billingProvider: { ...c.billingProvider, npi } })), { inputMode: "numeric", maxLength: 10 }) }),
|
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+
/* @__PURE__ */ jsx4(Field2, { path: "billingProvider.phone", label: "Billing provider phone", required: true, error: errors["billingProvider.phone"], children: text(bill.billingProvider?.phone, (phone) => setBill((c) => ({ ...c, billingProvider: { ...c.billingProvider, phone } })), { type: "tel" }) }),
|
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+
/* @__PURE__ */ jsx4(Field2, { path: "billingProvider.address.line1", label: "Billing address line 1", required: true, span: true, error: errors["billingProvider.address.line1"], children: text(bill.billingProvider?.address?.line1, (line1) => setBill((c) => ({ ...c, billingProvider: { ...c.billingProvider, address: { line1, line2: c.billingProvider?.address?.line2 ?? "", city: c.billingProvider?.address?.city ?? "", state: c.billingProvider?.address?.state ?? "", postalCode: c.billingProvider?.address?.postalCode ?? "" } } }))) }),
|
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/* @__PURE__ */ jsx4(Field2, { label: "Billing address line 2 (optional)", span: true, children: text(bill.billingProvider?.address?.line2, (line2) => setBill((c) => ({ ...c, billingProvider: { ...c.billingProvider, address: { line1: c.billingProvider?.address?.line1 ?? "", line2, city: c.billingProvider?.address?.city ?? "", state: c.billingProvider?.address?.state ?? "", postalCode: c.billingProvider?.address?.postalCode ?? "" } } }))) }),
|
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+
/* @__PURE__ */ jsx4(Field2, { path: "billingProvider.address.city", label: "Billing city", required: true, error: errors["billingProvider.address.city"], children: text(bill.billingProvider?.address?.city, (city) => setBill((c) => ({ ...c, billingProvider: { ...c.billingProvider, address: { line1: c.billingProvider?.address?.line1 ?? "", line2: c.billingProvider?.address?.line2 ?? "", city, state: c.billingProvider?.address?.state ?? "", postalCode: c.billingProvider?.address?.postalCode ?? "" } } }))) }),
|
|
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+
/* @__PURE__ */ jsx4(Field2, { path: "billingProvider.address.state", label: "Billing state", required: true, error: errors["billingProvider.address.state"], children: text(bill.billingProvider?.address?.state, (state) => setBill((c) => ({ ...c, billingProvider: { ...c.billingProvider, address: { line1: c.billingProvider?.address?.line1 ?? "", line2: c.billingProvider?.address?.line2 ?? "", city: c.billingProvider?.address?.city ?? "", state: state.toUpperCase(), postalCode: c.billingProvider?.address?.postalCode ?? "" } } })), { maxLength: 2 }) }),
|
|
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+
/* @__PURE__ */ jsx4(Field2, { path: "billingProvider.address.postalCode", label: "Billing ZIP", required: true, error: errors["billingProvider.address.postalCode"], children: text(bill.billingProvider?.address?.postalCode, (postalCode) => setBill((c) => ({ ...c, billingProvider: { ...c.billingProvider, address: { line1: c.billingProvider?.address?.line1 ?? "", line2: c.billingProvider?.address?.line2 ?? "", city: c.billingProvider?.address?.city ?? "", state: c.billingProvider?.address?.state ?? "", postalCode } } }))) }),
|
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|
+
/* @__PURE__ */ jsx4("h4", { className: "mbsf-subhead", children: "Rendering provider" }),
|
|
2742
|
+
/* @__PURE__ */ jsx4(Field2, { path: "renderingProvider.name", label: "Rendering provider name", required: true, error: errors["renderingProvider.name"], children: text(bill.renderingProvider?.name, (name) => setBill((c) => ({ ...c, renderingProvider: { ...c.renderingProvider, name } }))) }),
|
|
2743
|
+
/* @__PURE__ */ jsx4(Field2, { path: "renderingProvider.npi", label: "Rendering provider NPI", required: true, error: errors["renderingProvider.npi"], children: text(bill.renderingProvider?.npi, (npi) => setBill((c) => ({ ...c, renderingProvider: { ...c.renderingProvider, npi } })), { inputMode: "numeric", maxLength: 10 }) }),
|
|
2744
|
+
/* @__PURE__ */ jsxs4(Field2, { path: "renderingProvider.taxonomy", label: "Rendering taxonomy", required: true, error: errors["renderingProvider.taxonomy"], children: [
|
|
2745
|
+
/* @__PURE__ */ jsx4(ComboBox, { ariaLabel: "Rendering taxonomy", invalid: Boolean(errors["renderingProvider.taxonomy"]), disabled: locked, preserveValueOnOpen: true, value: bill.renderingProvider?.taxonomy ?? "", placeholder: "Search specialty name or taxonomy code\u2026", options: taxonomies.map((item) => ({ id: item.code, label: item.description, detail: item.code })), createOption: (query) => {
|
|
2321
2746
|
const code = query.trim().toUpperCase();
|
|
2322
2747
|
return /^[A-Z0-9]{10}$/.test(code) ? { id: code, label: code, detail: "Use this taxonomy code" } : null;
|
|
2323
2748
|
}, onSelect: (option) => setBill((c) => ({ ...c, renderingProvider: { ...c.renderingProvider, taxonomy: option.id } })) }),
|
|
2324
|
-
/* @__PURE__ */
|
|
2749
|
+
/* @__PURE__ */ jsx4("small", { className: "mbsf-help", children: "Search by specialty name or 10-character taxonomy code." })
|
|
2325
2750
|
] }),
|
|
2326
|
-
/* @__PURE__ */
|
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2327
|
-
/* @__PURE__ */
|
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|
-
/* @__PURE__ */
|
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|
-
/* @__PURE__ */
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2330
|
-
/* @__PURE__ */
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2331
|
-
/* @__PURE__ */
|
|
2332
|
-
/* @__PURE__ */
|
|
2751
|
+
/* @__PURE__ */ jsx4("h4", { className: "mbsf-subhead", children: "Service facility" }),
|
|
2752
|
+
/* @__PURE__ */ jsx4(Field2, { path: "serviceLocation.placeOfServiceCode", label: "Place of service code", required: true, error: errors["serviceLocation.placeOfServiceCode"], children: text(bill.serviceLocation?.placeOfServiceCode, (placeOfServiceCode) => setBill((c) => ({ ...c, serviceLocation: { ...c.serviceLocation, placeOfServiceCode } })), { inputMode: "numeric", maxLength: 2, placeholder: "11" }) }),
|
|
2753
|
+
/* @__PURE__ */ jsx4(Field2, { path: "serviceLocation.address.line1", label: "Service address line 1", required: true, span: true, error: errors["serviceLocation.address.line1"], children: text(bill.serviceLocation?.address?.line1, (line1) => setBill((c) => ({ ...c, serviceLocation: { ...c.serviceLocation, address: { line1, line2: c.serviceLocation?.address?.line2 ?? "", city: c.serviceLocation?.address?.city ?? "", state: c.serviceLocation?.address?.state ?? "", postalCode: c.serviceLocation?.address?.postalCode ?? "" } } }))) }),
|
|
2754
|
+
/* @__PURE__ */ jsx4(Field2, { label: "Service address line 2 (optional)", span: true, children: text(bill.serviceLocation?.address?.line2, (line2) => setBill((c) => ({ ...c, serviceLocation: { ...c.serviceLocation, address: { line1: c.serviceLocation?.address?.line1 ?? "", line2, city: c.serviceLocation?.address?.city ?? "", state: c.serviceLocation?.address?.state ?? "", postalCode: c.serviceLocation?.address?.postalCode ?? "" } } }))) }),
|
|
2755
|
+
/* @__PURE__ */ jsx4(Field2, { path: "serviceLocation.address.city", label: "Service city", required: true, error: errors["serviceLocation.address.city"], children: text(bill.serviceLocation?.address?.city, (city) => setBill((c) => ({ ...c, serviceLocation: { ...c.serviceLocation, address: { line1: c.serviceLocation?.address?.line1 ?? "", line2: c.serviceLocation?.address?.line2 ?? "", city, state: c.serviceLocation?.address?.state ?? "", postalCode: c.serviceLocation?.address?.postalCode ?? "" } } }))) }),
|
|
2756
|
+
/* @__PURE__ */ jsx4(Field2, { path: "serviceLocation.address.state", label: "Service state", required: true, error: errors["serviceLocation.address.state"], children: text(bill.serviceLocation?.address?.state, (state) => setBill((c) => ({ ...c, serviceLocation: { ...c.serviceLocation, address: { line1: c.serviceLocation?.address?.line1 ?? "", line2: c.serviceLocation?.address?.line2 ?? "", city: c.serviceLocation?.address?.city ?? "", state: state.toUpperCase(), postalCode: c.serviceLocation?.address?.postalCode ?? "" } } })), { maxLength: 2 }) }),
|
|
2757
|
+
/* @__PURE__ */ jsx4(Field2, { path: "serviceLocation.address.postalCode", label: "Service ZIP", required: true, error: errors["serviceLocation.address.postalCode"], children: text(bill.serviceLocation?.address?.postalCode, (postalCode) => setBill((c) => ({ ...c, serviceLocation: { ...c.serviceLocation, address: { line1: c.serviceLocation?.address?.line1 ?? "", line2: c.serviceLocation?.address?.line2 ?? "", city: c.serviceLocation?.address?.city ?? "", state: c.serviceLocation?.address?.state ?? "", postalCode } } }))) })
|
|
2333
2758
|
] })
|
|
2334
2759
|
] });
|
|
2335
|
-
const serviceLinesSection = /* @__PURE__ */
|
|
2336
|
-
/* @__PURE__ */
|
|
2337
|
-
/* @__PURE__ */
|
|
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|
-
/* @__PURE__ */
|
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|
-
/* @__PURE__ */
|
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|
-
/* @__PURE__ */
|
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2341
|
-
/* @__PURE__ */
|
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2342
|
-
/* @__PURE__ */
|
|
2760
|
+
const serviceLinesSection = /* @__PURE__ */ jsxs4("fieldset", { className: "mbsf-card", disabled: locked, children: [
|
|
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|
+
/* @__PURE__ */ jsx4("legend", { className: "mbsf-legend", children: "Evaluation & service lines" }),
|
|
2762
|
+
/* @__PURE__ */ jsx4("p", { className: "mbsf-help", children: "Sets the evaluator/specialty modifier on medical-legal evaluation lines." }),
|
|
2763
|
+
/* @__PURE__ */ jsx4("div", { className: "mbsf-segments", role: "group", "aria-label": "Evaluation type", children: [["qme", "QME (default)"], ["ame", "AME"], ["psych_qme", "Psych QME"]].map(([type, label]) => /* @__PURE__ */ jsx4("button", { className: "mbsf-segment", type: "button", "aria-pressed": evaluationType === type, onClick: () => changeEvaluation(type), children: label }, type)) }),
|
|
2764
|
+
/* @__PURE__ */ jsx4("p", { className: "mbsf-help", children: evaluationType === "ame" ? "Agreed Medical Evaluator \u2014 eligible ML evaluation codes default to modifier -94." : evaluationType === "psych_qme" ? "Psychiatric QME \u2014 eligible ML evaluation codes default to modifier -96 (-95 for ML200)." : "Qualified Medical Evaluator \u2014 eligible ML evaluation codes default to modifier -95." }),
|
|
2765
|
+
/* @__PURE__ */ jsxs4("div", { className: "mbsf-lines", "data-field-path": "serviceLines", "data-invalid": Boolean(errors.serviceLines), children: [
|
|
2766
|
+
/* @__PURE__ */ jsxs4("div", { className: "mbsf-line-head", children: [
|
|
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|
+
/* @__PURE__ */ jsxs4("span", { children: [
|
|
2343
2768
|
"Procedure code",
|
|
2344
|
-
/* @__PURE__ */
|
|
2769
|
+
/* @__PURE__ */ jsx4(RequiredMark, {})
|
|
2345
2770
|
] }),
|
|
2346
|
-
/* @__PURE__ */
|
|
2347
|
-
/* @__PURE__ */
|
|
2348
|
-
/* @__PURE__ */
|
|
2771
|
+
/* @__PURE__ */ jsx4("span", { children: "Modifiers" }),
|
|
2772
|
+
/* @__PURE__ */ jsx4("span", { children: "Dx" }),
|
|
2773
|
+
/* @__PURE__ */ jsxs4("span", { children: [
|
|
2349
2774
|
"Units",
|
|
2350
|
-
/* @__PURE__ */
|
|
2775
|
+
/* @__PURE__ */ jsx4(RequiredMark, {})
|
|
2351
2776
|
] }),
|
|
2352
|
-
/* @__PURE__ */
|
|
2353
|
-
/* @__PURE__ */
|
|
2777
|
+
/* @__PURE__ */ jsx4("span", { children: "Allowed" }),
|
|
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|
+
/* @__PURE__ */ jsx4("span", {}),
|
|
2354
2779
|
" "
|
|
2355
2780
|
] }),
|
|
2356
|
-
bill.serviceLines.map((line, index) => /* @__PURE__ */
|
|
2357
|
-
/* @__PURE__ */
|
|
2358
|
-
/* @__PURE__ */
|
|
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|
+
bill.serviceLines.map((line, index) => /* @__PURE__ */ jsxs4("div", { className: "mbsf-line", children: [
|
|
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|
+
/* @__PURE__ */ jsxs4("div", { "data-label": "Procedure code", "data-field-path": `serviceLines.${index}.code`, "data-invalid": Boolean(errors[`serviceLines.${index}.code`]), children: [
|
|
2783
|
+
/* @__PURE__ */ jsx4(ComboBox, { ariaLabel: `Procedure code ${index + 1}`, invalid: Boolean(errors[`serviceLines.${index}.code`]), 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) => {
|
|
2359
2784
|
const auto = evaluationModifier(evaluationType, option.id);
|
|
2360
2785
|
setLine(index, { code: option.id, ...auto ? { modifiers: [auto, ...(line.modifiers ?? []).filter((item) => !["94", "95", "96"].includes(item.replace(/^-/, "")))] } : line.modifiers ? { modifiers: line.modifiers } : {} });
|
|
2361
2786
|
} }),
|
|
2362
|
-
line.code ? /* @__PURE__ */
|
|
2363
|
-
errors[`serviceLines.${index}.code`] ? /* @__PURE__ */
|
|
2787
|
+
line.code ? /* @__PURE__ */ jsx4("small", { className: "mbsf-help", children: procedures.find((item) => item.code === line.code)?.description ?? "Custom CPT, HCPCS, or medical-legal code" }) : null,
|
|
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|
+
errors[`serviceLines.${index}.code`] ? /* @__PURE__ */ jsx4("small", { className: "mbsf-error", role: "alert", children: errors[`serviceLines.${index}.code`] }) : null
|
|
2364
2789
|
] }),
|
|
2365
|
-
/* @__PURE__ */
|
|
2366
|
-
/* @__PURE__ */
|
|
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|
+
/* @__PURE__ */ jsxs4("div", { "data-label": "Modifiers", children: [
|
|
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|
+
/* @__PURE__ */ jsx4("div", { className: "mbsf-chips", children: (line.modifiers ?? []).map((modifier) => /* @__PURE__ */ jsxs4("span", { className: "mbsf-chip", children: [
|
|
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|
"\u2212",
|
|
2368
2793
|
modifier.replace(/^-/, ""),
|
|
2369
|
-
/* @__PURE__ */
|
|
2794
|
+
/* @__PURE__ */ jsx4("button", { type: "button", "aria-label": `Remove modifier ${modifier}`, onClick: () => setLine(index, { modifiers: (line.modifiers ?? []).filter((item) => item !== modifier) }), children: "\xD7" })
|
|
2370
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|
] }, modifier)) }),
|
|
2371
|
-
/* @__PURE__ */
|
|
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|
+
/* @__PURE__ */ jsx4(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])] }) })
|
|
2372
2797
|
] }),
|
|
2373
|
-
/* @__PURE__ */
|
|
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|
+
/* @__PURE__ */ jsx4("div", { "data-label": "Dx", children: /* @__PURE__ */ jsx4("div", { className: "mbsf-dx", children: (bill.diagnoses ?? []).length ? (bill.diagnoses ?? []).map((code, dxIndex) => {
|
|
2374
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|
const pointer = dxIndex + 1;
|
|
2375
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|
const active = (line.diagnosisPointers ?? []).includes(pointer);
|
|
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|
-
return /* @__PURE__ */
|
|
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|
-
}) : /* @__PURE__ */
|
|
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|
-
/* @__PURE__ */
|
|
2379
|
-
/* @__PURE__ */
|
|
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|
-
errors[`serviceLines.${index}.units`] ? /* @__PURE__ */
|
|
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|
+
return /* @__PURE__ */ jsx4("button", { type: "button", className: "mbsf-dx-chip", "data-active": active, title: `${String.fromCharCode(64 + pointer)} \u2014 ${code}`, "aria-pressed": active, "aria-label": `Point line ${index + 1} at diagnosis ${code}`, onClick: () => setLine(index, { diagnosisPointers: active ? (line.diagnosisPointers ?? []).filter((item) => item !== pointer) : [...line.diagnosisPointers ?? [], pointer].sort((left, right) => left - right) }), children: String.fromCharCode(64 + pointer) }, code);
|
|
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}) : /* @__PURE__ */ jsx4("small", { className: "mbsf-help", children: "Add diagnoses above" }) }) }),
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/* @__PURE__ */ jsxs4("div", { "data-label": "Units", "data-field-path": `serviceLines.${index}.units`, "data-invalid": Boolean(errors[`serviceLines.${index}.units`]), children: [
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/* @__PURE__ */ jsx4("input", { className: "mbsf-input", "aria-label": `Units ${index + 1}`, "aria-invalid": Boolean(errors[`serviceLines.${index}.units`]), type: "number", min: 1, value: line.units ?? 1, onChange: (event) => setLine(index, { units: Number(event.target.value) }) }),
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errors[`serviceLines.${index}.units`] ? /* @__PURE__ */ jsx4("small", { className: "mbsf-error", role: "alert", children: errors[`serviceLines.${index}.units`] }) : null
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/* @__PURE__ */ jsx4("div", { className: "mbsf-money", "data-label": "Allowed", children: lineCharge(line) == null ? "\u2014" : lineCharge(line).toLocaleString(void 0, { style: "currency", currency: "USD" }) }),
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/* @__PURE__ */ jsx4("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" })
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/* @__PURE__ */ jsxs4("div", { className: "mbsf-total", children: [
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const attachmentsSection = /* @__PURE__ */ jsxs4("fieldset", { className: "mbsf-card", "data-field-path": "attachments", "data-invalid": Boolean(errors.attachments), disabled: locked, children: [
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/* @__PURE__ */ jsx4("legend", { className: "mbsf-legend", children: "Attachments" }),
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/* @__PURE__ */ jsxs4("div", { className: "mbsf-attach-list", children: [
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return /* @__PURE__ */
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return /* @__PURE__ */ jsxs4("div", { className: "mbsf-attach-row", "data-auto": auto, children: [
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/* @__PURE__ */ jsxs4("div", { className: "mbsf-attach-main", children: [
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/* @__PURE__ */ jsxs4("span", { className: "mbsf-file", children: [
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/* @__PURE__ */ jsx4("span", { className: "mbsf-badge", children: auto ? "Auto-attached" : documentLabels[attachment.documentType] }),
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/* @__PURE__ */ jsx4("span", { className: "mbsf-help", style: { display: "block" }, children: attachment.description || (auto ? "Included automatically with every bill." : documentLabels[attachment.documentType]) })
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showAttachmentReportTypes ? /* @__PURE__ */
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attachment.previewUrl ? /* @__PURE__ */
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removable ? /* @__PURE__ */
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showAttachmentReportTypes ? /* @__PURE__ */ jsx4("div", { className: "mbsf-attach-type", children: /* @__PURE__ */ jsx4(ComboBox, { ariaLabel: `Report type for ${attachment.fileName}`, invalid: !reportTypeCode, disabled: locked, preserveValueOnOpen: true, value: reportTypeCode, placeholder: "Select report type\u2026", options: reportTypeOptions, onSelect: (option) => setSourceAttachmentReportTypes((current) => ({ ...current, [attachment.id]: option.id })) }) }) : null,
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/* @__PURE__ */ jsxs4("div", { className: "mbsf-attach-actions", children: [
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removable ? /* @__PURE__ */ jsx4("button", { className: "mbsf-icon-btn", type: "button", "aria-label": `Remove ${attachment.fileName}`, disabled: locked, onClick: () => {
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setSelectedIds((current) => current.filter((id) => id !== attachment.id));
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setRemovedSourceIds((current) => [.../* @__PURE__ */ new Set([...current, attachment.id])]);
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const reportTypeCode = upload.reportTypeCode || defaultAttachmentReportType || "";
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return /* @__PURE__ */ jsxs4("div", { className: "mbsf-attach-row", children: [
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/* @__PURE__ */ jsx4("div", { className: "mbsf-attach-main", children: /* @__PURE__ */ jsxs4("span", { className: "mbsf-file", children: [
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/* @__PURE__ */ jsx4("strong", { children: upload.file.name }),
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/* @__PURE__ */ jsxs4("span", { className: "mbsf-help", style: { display: "block" }, children: [
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] })
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] }) }),
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showAttachmentReportTypes ? /* @__PURE__ */ jsx4("div", { className: "mbsf-attach-type", children: /* @__PURE__ */ jsx4(ComboBox, { ariaLabel: `Report type for ${upload.file.name}`, invalid: !reportTypeCode, disabled: locked, preserveValueOnOpen: true, value: reportTypeCode, placeholder: "Select report type\u2026", options: reportTypeOptions, onSelect: (option) => setUploads((current) => current.map((item, itemIndex) => itemIndex === index ? { ...item, reportTypeCode: option.id } : item)) }) }) : null,
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/* @__PURE__ */ jsxs4("div", { className: "mbsf-attach-actions", children: [
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/* @__PURE__ */ jsx4("button", { className: "mbsf-secondary", type: "button", onClick: () => previewUploadedPdf(upload.file), children: "Preview" }),
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/* @__PURE__ */ jsx4("button", { className: "mbsf-icon-btn", type: "button", "aria-label": `Remove ${upload.file.name}`, onClick: () => setUploads((current) => current.filter((_, itemIndex) => itemIndex !== index)), children: "\xD7" })
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})
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errors.attachments ? /* @__PURE__ */
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errors.attachments ? /* @__PURE__ */ jsx4("p", { className: "mbsf-error", role: "alert", children: errors.attachments }) : null,
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/* @__PURE__ */ jsx4("input", { ref: fileInput, hidden: true, type: "file", accept: "application/pdf,.pdf", multiple: true, onChange: (event) => {
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} }),
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/* @__PURE__ */ jsx4("button", { className: "mbsf-drop", "data-active": dragActive, type: "button", onClick: () => fileInput.current?.click(), children: /* @__PURE__ */ jsxs4("span", { children: [
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/* @__PURE__ */ jsx4("strong", { style: { fontSize: 18 }, children: "Drop additional PDF files here, or click to choose" }),
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/* @__PURE__ */ jsx4("span", { className: "mbsf-help", style: { display: "block", marginTop: 8 }, children: "Add supporting documents anywhere on this screen." })
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const actionsSection = /* @__PURE__ */
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const actionsSection = /* @__PURE__ */ jsxs4(Fragment3, { children: [
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/* @__PURE__ */ jsx4("div", { className: "mbsf-actions", children: /* @__PURE__ */ jsx4("button", { className: "mbsf-submit", type: "submit", disabled: locked, children: submitting ? "Submitting\u2026" : submitLabel }) })
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const defaultLayout = /* @__PURE__ */
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const defaultLayout = /* @__PURE__ */ jsxs4(Fragment3, { children: [
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/* @__PURE__ */ jsx4(BillSubmissionHeader, {}),
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/* @__PURE__ */ jsx4(BillSubmissionPatientSection, {}),
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/* @__PURE__ */ jsx4(BillSubmissionClaimSection, {}),
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/* @__PURE__ */ jsx4(BillSubmissionProvidersSection, {}),
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/* @__PURE__ */ jsx4(BillSubmissionServiceLinesSection, {}),
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/* @__PURE__ */ jsx4(BillSubmissionAttachmentsSection, {}),
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/* @__PURE__ */ jsx4(BillSubmissionActions, {})
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return /* @__PURE__ */
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return /* @__PURE__ */ jsx4(BillSubmissionSectionsContext.Provider, { value: sections, children: /* @__PURE__ */ jsxs4("form", { ref: formRef, className: `${className} mbsf`, style: { ...mindBillAppearanceStyle(appearance), ...style }, onSubmit: (event) => {
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{
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) : null
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import { useMemo as
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import { useMemo as useMemo4, useState as useState5 } from "react";
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import { Fragment as Fragment4, jsx as jsx5, jsxs as jsxs5 } from "react/jsx-runtime";
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var css3 = `
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.mbdash{display:grid;gap:20px;color:var(--mb-text);font-family:var(--mb-font);font-size:15px}.mbdash *{box-sizing:border-box}.mbdash h2,.mbdash h3,.mbdash p{margin:0}.mbdash-copy{color:var(--mb-muted);margin-top:5px!important}.mbdash-card{min-width:0;border:1px solid var(--mb-border);border-radius:var(--mb-radius);background:var(--mb-surface);box-shadow:var(--mb-shadow)}
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.mbdash-head{display:flex;align-items:flex-end;justify-content:space-between;gap:18px}.mbdash-head h2{font-size:24px}.mbdash-summary{display:grid;grid-template-columns:repeat(4,minmax(0,1fr));overflow:hidden}.mbdash-stat{display:grid;gap:7px;padding:20px 22px;border-right:1px solid var(--mb-border)}.mbdash-stat:last-child{border:0}.mbdash-label{color:var(--mb-muted);font-size:12px;font-weight:760;letter-spacing:.06em;text-transform:uppercase}.mbdash-value{font-size:24px;font-weight:780;font-variant-numeric:tabular-nums}.mbdash-aging{display:grid;grid-template-columns:repeat(4,minmax(0,1fr));overflow:hidden}.mbdash-aging-item{display:grid;gap:5px;padding:16px 20px;border-right:1px solid var(--mb-border)}.mbdash-aging-item:last-child{border:0}.mbdash-aging-item strong{font-size:18px;font-variant-numeric:tabular-nums}.mbdash-aging-item span:last-child{color:var(--mb-muted);font-size:13px}
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.mbdash-filters{display:grid;grid-template-columns:minmax(240px,1fr) minmax(180px,260px);gap:12px}.mbdash-control{width:100%;min-height:46px;padding:10px 12px;border:1px solid var(--mb-border);border-radius:var(--mb-control-radius);background:var(--mb-input);color:var(--mb-text);font:inherit}.mbdash-control:focus{outline:3px solid color-mix(in srgb,var(--mb-accent) 22%,transparent);border-color:var(--mb-accent)}
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return /* @__PURE__ */ jsxs5("div", { className: `mbdash ${className}`.trim(), style: { ...mindBillAppearanceStyle(appearance), ...style }, children: [
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|
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/* @__PURE__ */ jsx5("span", { className: "mbdash-secondary", children: [bill.patientName, bill.claimNumber ? `Claim ${bill.claimNumber}` : null].filter(Boolean).join(" \xB7 ") })
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if (!bills.length) return /* @__PURE__ */ jsx5("div", { className: "mbdash-card mbdash-empty", children: emptyState });
|
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return /* @__PURE__ */ jsxs5("div", { className: "mbdash-card", children: [
|
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/* @__PURE__ */ jsx5("div", { className: "mbdash-table-wrap", children: /* @__PURE__ */ jsxs5("table", { className: "mbdash-table", children: [
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/* @__PURE__ */ jsx5("thead", { children: /* @__PURE__ */ jsxs5("tr", { children: [
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/* @__PURE__ */ jsx5("th", { children: "Bill" }),
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/* @__PURE__ */ jsx5("th", { children: "Payer" }),
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/* @__PURE__ */ jsx5("th", { children: "Status" }),
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/* @__PURE__ */ jsx5("th", { children: "Age" }),
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/* @__PURE__ */ jsx5("th", { className: "mbdash-money", children: "Billed" }),
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/* @__PURE__ */ jsx5("th", { className: "mbdash-money", children: "Paid" }),
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/* @__PURE__ */ jsx5("th", { className: "mbdash-money", children: "Balance" })
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] }) }),
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/* @__PURE__ */
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/* @__PURE__ */
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/* @__PURE__ */ jsx5("tbody", { children: bills.map((bill) => /* @__PURE__ */ jsxs5("tr", { "data-clickable": Boolean(onSelectBill), onClick: () => onSelectBill?.(bill), children: [
|
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/* @__PURE__ */ jsx5("td", { children: /* @__PURE__ */ jsx5(BillIdentity, { bill }) }),
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/* @__PURE__ */ jsx5("td", { children: bill.payerName || "\u2014" }),
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/* @__PURE__ */ jsx5("td", { children: /* @__PURE__ */ jsx5("span", { className: "mbdash-state", children: stateLabel(bill.state) }) }),
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/* @__PURE__ */ jsxs5("td", { children: [
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billAgingDays(bill),
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" days"
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] }),
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/* @__PURE__ */
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/* @__PURE__ */
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/* @__PURE__ */
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/* @__PURE__ */ jsx5("td", { className: "mbdash-money", children: money3(bill.totalCharge) }),
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/* @__PURE__ */ jsx5("td", { className: "mbdash-money", children: money3(bill.totalPaid) }),
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/* @__PURE__ */ jsx5("td", { className: "mbdash-money", children: /* @__PURE__ */ jsx5("strong", { children: money3(bill.balanceDue) }) })
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] }, bill.id)) })
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] }) }),
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/* @__PURE__ */
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/* @__PURE__ */
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/* @__PURE__ */
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/* @__PURE__ */ jsx5("div", { className: "mbdash-mobile-list", children: bills.map((bill) => /* @__PURE__ */ jsxs5("article", { className: "mbdash-mobile-card", onClick: () => onSelectBill?.(bill), children: [
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/* @__PURE__ */ jsxs5("div", { className: "mbdash-mobile-top", children: [
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/* @__PURE__ */ jsx5("div", { children: /* @__PURE__ */ jsx5(BillIdentity, { bill }) }),
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/* @__PURE__ */ jsx5("span", { className: "mbdash-state", children: stateLabel(bill.state) })
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] }),
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/* @__PURE__ */
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/* @__PURE__ */
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/* @__PURE__ */ jsxs5("div", { className: "mbdash-mobile-money", children: [
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/* @__PURE__ */ jsxs5("span", { children: [
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/* @__PURE__ */ jsx5("small", { children: "Age" }),
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billAgingDays(bill),
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" days"
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] }),
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/* @__PURE__ */
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/* @__PURE__ */ jsxs5("span", { children: [
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/* @__PURE__ */ jsx5("small", { children: "Paid" }),
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money3(bill.totalPaid)
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] }),
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/* @__PURE__ */
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/* @__PURE__ */
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/* @__PURE__ */ jsxs5("span", { children: [
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/* @__PURE__ */ jsx5("small", { children: "Balance" }),
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/* @__PURE__ */ jsx5("strong", { children: money3(bill.balanceDue) })
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] })
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] })
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] }, bill.id)) })
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@@ -2596,37 +3039,37 @@ function BillList(props) {
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...props.className === void 0 ? {} : { className: props.className },
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...props.style === void 0 ? {} : { style: props.style }
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};
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return /* @__PURE__ */
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return /* @__PURE__ */ jsx5(Shell, { ...shellProps, children: /* @__PURE__ */ jsx5(BillListContent, { ...props }) });
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}
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function AgingContent({ bills, heading = "Accounts receivable" }) {
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const summary =
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return /* @__PURE__ */
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/* @__PURE__ */
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const summary = useMemo4(() => summarizeBillingDashboard(bills), [bills]);
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return /* @__PURE__ */ jsxs5(Fragment4, { children: [
|
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/* @__PURE__ */ jsx5("div", { className: "mbdash-head", children: /* @__PURE__ */ jsxs5("div", { children: [
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/* @__PURE__ */ jsx5("h2", { children: heading }),
|
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/* @__PURE__ */ jsx5("p", { className: "mbdash-copy", children: "Current balances and aging at a glance." })
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] }) }),
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/* @__PURE__ */
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/* @__PURE__ */
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/* @__PURE__ */ jsxs5("div", { className: "mbdash-card mbdash-summary", children: [
|
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/* @__PURE__ */ jsxs5("div", { className: "mbdash-stat", children: [
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/* @__PURE__ */ jsx5("span", { className: "mbdash-label", children: "Outstanding" }),
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/* @__PURE__ */ jsx5("span", { className: "mbdash-value", children: money3(summary.outstanding) })
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] }),
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/* @__PURE__ */
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/* @__PURE__ */
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/* @__PURE__ */ jsxs5("div", { className: "mbdash-stat", children: [
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/* @__PURE__ */ jsx5("span", { className: "mbdash-label", children: "Open bills" }),
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/* @__PURE__ */ jsx5("span", { className: "mbdash-value", children: summary.openCount })
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] }),
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/* @__PURE__ */
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/* @__PURE__ */
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/* @__PURE__ */ jsxs5("div", { className: "mbdash-stat", children: [
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/* @__PURE__ */ jsx5("span", { className: "mbdash-label", children: "Collected" }),
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/* @__PURE__ */ jsx5("span", { className: "mbdash-value", children: money3(summary.totalPaid) })
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] }),
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/* @__PURE__ */
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/* @__PURE__ */ jsxs5("div", { className: "mbdash-stat", children: [
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/* @__PURE__ */ jsx5("span", { className: "mbdash-label", children: "Total billed" }),
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/* @__PURE__ */ jsx5("span", { className: "mbdash-value", children: money3(summary.totalBilled) })
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] })
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/* @__PURE__ */ jsx5("div", { className: "mbdash-card mbdash-aging", children: summary.aging.map((bucket) => /* @__PURE__ */ jsxs5("div", { className: "mbdash-aging-item", children: [
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/* @__PURE__ */ jsx5("span", { className: "mbdash-label", children: bucket.label }),
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/* @__PURE__ */ jsx5("strong", { children: money3(bucket.balance) }),
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/* @__PURE__ */ jsxs5("span", { children: [
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" bill",
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bucket.count === 1 ? "" : "s"
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@@ -2640,13 +3083,13 @@ function BillAgingSummary(props) {
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...props.className === void 0 ? {} : { className: props.className },
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...props.style === void 0 ? {} : { style: props.style }
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};
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return /* @__PURE__ */
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return /* @__PURE__ */ jsx5(Shell, { ...shellProps, children: /* @__PURE__ */ jsx5(AgingContent, { bills: props.bills, ...props.heading === void 0 ? {} : { heading: props.heading } }) });
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function BillingDashboard({ bills, heading = "Billing", description = "Track submitted bills, payments, and outstanding balances.", onSelectBill, initialSearch = "", initialState = "all", hideFilters = false, appearance, className, style }) {
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const [search, setSearch] = useState5(initialSearch);
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const [state, setState] = useState5(initialState);
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const states = useMemo4(() => [...new Set(bills.map((bill) => bill.state))].sort((a, b) => a.localeCompare(b)), [bills]);
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const filtered = useMemo4(() => {
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return bills.filter((bill) => (state === "all" || bill.state === state) && (!query || [bill.billNumber, bill.externalId, bill.patientName, bill.claimNumber, bill.payerName, bill.workItemLabel].some((value) => String(value ?? "").toLowerCase().includes(query))));
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|
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@@ -2656,20 +3099,20 @@ function BillingDashboard({ bills, heading = "Billing", description = "Track sub
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/* @__PURE__ */ jsx5("div", { className: "mbdash-head", children: /* @__PURE__ */ jsxs5("div", { children: [
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/* @__PURE__ */ jsx5("h2", { children: heading }),
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/* @__PURE__ */ jsx5("p", { className: "mbdash-copy", children: description })
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/* @__PURE__ */ jsx5(AgingContent, { bills: filtered, heading: "Receivables" }),
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/* @__PURE__ */ jsx5("input", { className: "mbdash-control", type: "search", value: search, onChange: (event) => setSearch(event.target.value), placeholder: "Search patient, claim, payer, or bill\u2026", "aria-label": "Search bills" }),
|
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/* @__PURE__ */ jsxs5("select", { className: "mbdash-control", value: state, onChange: (event) => setState(event.target.value), "aria-label": "Filter bills by status", children: [
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/* @__PURE__ */ jsx5("option", { value: "all", children: "All statuses" }),
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states.map((item) => /* @__PURE__ */ jsx5("option", { value: item, children: stateLabel(item) }, item))
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}
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|
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@@ -2691,46 +3134,46 @@ function buildBillingReportCsv(bills, groupBy = "status") {
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return [["Group", "Bills", "Total billed", "Total paid", "Balance due"].map(escape).join(","), ...buildBillingReportRows(bills, groupBy).map((row) => [row.label, row.billCount, row.totalBilled.toFixed(2), row.totalPaid.toFixed(2), row.balanceDue.toFixed(2)].map(escape).join(","))].join("\n");
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function BillingReport({ bills, groupBy = "status", heading = "Billing report", description = "Billed, paid, and outstanding totals.", appearance, className, style }) {
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const rows = useMemo4(() => buildBillingReportRows(bills, groupBy), [bills, groupBy]);
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const total = useMemo4(() => summarizeBillingDashboard(bills), [bills]);
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|
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/* @__PURE__ */ jsxs5("div", { className: "mbdash-report-head", children: [
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|
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|
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/* @__PURE__ */ jsx5("div", { className: "mbdash-table-wrap", children: /* @__PURE__ */ jsxs5("table", { className: "mbdash-table", children: [
|
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|
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/* @__PURE__ */ jsx5("thead", { children: /* @__PURE__ */ jsxs5("tr", { children: [
|
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/* @__PURE__ */ jsx5("th", { children: "Group" }),
|
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|
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/* @__PURE__ */ jsx5("th", { children: "Bills" }),
|
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/* @__PURE__ */ jsx5("th", { className: "mbdash-money", children: "Billed" }),
|
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|
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/* @__PURE__ */ jsx5("th", { className: "mbdash-money", children: "Paid" }),
|
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|
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/* @__PURE__ */ jsx5("th", { className: "mbdash-money", children: "Balance" })
|
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] }) }),
|
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rows.map((row) => /* @__PURE__ */ jsxs5("tr", { children: [
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|
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/* @__PURE__ */ jsx5("td", { children: /* @__PURE__ */ jsx5("strong", { children: row.label }) }),
|
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/* @__PURE__ */ jsx5("td", { children: row.billCount }),
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/* @__PURE__ */ jsx5("td", { className: "mbdash-money", children: money3(row.totalBilled) }),
|
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/* @__PURE__ */ jsx5("td", { className: "mbdash-money", children: money3(row.totalPaid) }),
|
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/* @__PURE__ */ jsx5("td", { className: "mbdash-money", children: money3(row.balanceDue) })
|
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] }, row.key)),
|
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/* @__PURE__ */
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/* @__PURE__ */
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/* @__PURE__ */
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/* @__PURE__ */
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/* @__PURE__ */
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/* @__PURE__ */
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/* @__PURE__ */ jsxs5("tr", { className: "mbdash-report-total", children: [
|
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/* @__PURE__ */ jsx5("td", { children: "Total" }),
|
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/* @__PURE__ */ jsx5("td", { children: total.bills }),
|
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/* @__PURE__ */ jsx5("td", { className: "mbdash-money", children: money3(total.totalBilled) }),
|
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/* @__PURE__ */ jsx5("td", { className: "mbdash-money", children: money3(total.totalPaid) }),
|
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/* @__PURE__ */ jsx5("td", { className: "mbdash-money", children: money3(total.outstanding) })
|
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] })
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] })
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] }) })
|
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@@ -2738,8 +3181,8 @@ function BillingReport({ bills, groupBy = "status", heading = "Billing report",
|
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}
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// src/status-aging-matrix.tsx
|
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import { useMemo as
|
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import { jsx as
|
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import { useMemo as useMemo5 } from "react";
|
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|
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import { jsx as jsx6, jsxs as jsxs6 } from "react/jsx-runtime";
|
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|
var BILL_STATUS_AGING_BUCKETS = [
|
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|
{ id: "current", label: "0\u201330 days" },
|
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{ id: "31-60", label: "31\u201360 days" },
|
|
@@ -2802,7 +3245,7 @@ function buildBillStatusAgingCsv(bills, stateOrder) {
|
|
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|
lines.push(["Total", ...matrix.columnTotals.map((cell) => cell.count), matrix.grandTotal.count]);
|
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return [header, ...lines].map((line) => line.map(escape).join(",")).join("\n");
|
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}
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var
|
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var css4 = `
|
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.mbmx{color:var(--mb-text);font-family:var(--mb-font);font-size:15px}.mbmx *{box-sizing:border-box}.mbmx h2,.mbmx p{margin:0}
|
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.mbmx-head{display:flex;align-items:flex-end;justify-content:space-between;gap:18px;margin-bottom:16px}.mbmx-head h2{font-size:24px}.mbmx-copy{color:var(--mb-muted);margin-top:5px!important}
|
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.mbmx-card{border:1px solid var(--mb-border);border-radius:var(--mb-radius);background:var(--mb-surface);box-shadow:var(--mb-shadow);overflow:auto}
|
|
@@ -2831,9 +3274,9 @@ function BillStatusAgingMatrix({
|
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className = "",
|
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style
|
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}) {
|
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const matrix =
|
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const matrix = useMemo5(() => buildBillStatusAgingMatrix(bills, stateOrder), [bills, stateOrder]);
|
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|
const clickable = Boolean(onSelectCell);
|
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const cell = (data, key, isTotal = false) => /* @__PURE__ */
|
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const cell = (data, key, isTotal = false) => /* @__PURE__ */ jsx6("td", { className: isTotal ? "mbmx-rowtotal" : void 0, children: /* @__PURE__ */ jsxs6(
|
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"button",
|
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{
|
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type: "button",
|
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@@ -2843,31 +3286,31 @@ function BillStatusAgingMatrix({
|
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disabled: !clickable || data.count === 0,
|
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"aria-label": `${stateLabel2(data.state)} \xB7 ${data.bucket === "total" ? "all ages" : data.bucket}: ${data.count} bills`,
|
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children: [
|
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/* @__PURE__ */
|
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showBalances && data.count > 0 ? /* @__PURE__ */
|
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/* @__PURE__ */ jsx6("span", { className: `mbmx-count ${data.count === 0 ? "mbmx-zero" : ""}`.trim(), children: data.count === 0 ? "\u2014" : data.count }),
|
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showBalances && data.count > 0 ? /* @__PURE__ */ jsx6("span", { className: "mbmx-balance", children: money4(data.balance) }) : null
|
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]
|
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}
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) }, key);
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return /* @__PURE__ */
|
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/* @__PURE__ */
|
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/* @__PURE__ */
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/* @__PURE__ */
|
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/* @__PURE__ */
|
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return /* @__PURE__ */ jsxs6("div", { className: `mbmx ${className}`.trim(), style: { ...mindBillAppearanceStyle(appearance), ...style }, children: [
|
|
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|
+
/* @__PURE__ */ jsx6("style", { children: css4 }),
|
|
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/* @__PURE__ */ jsx6("div", { className: "mbmx-head", children: /* @__PURE__ */ jsxs6("div", { children: [
|
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|
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/* @__PURE__ */ jsx6("h2", { children: heading }),
|
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+
/* @__PURE__ */ jsx6("p", { className: "mbmx-copy", children: description })
|
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] }) }),
|
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/* @__PURE__ */
|
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/* @__PURE__ */
|
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/* @__PURE__ */
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BILL_STATUS_AGING_BUCKETS.map((bucket) => /* @__PURE__ */
|
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/* @__PURE__ */
|
|
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/* @__PURE__ */ jsx6("div", { className: "mbmx-card", children: /* @__PURE__ */ jsxs6("table", { className: "mbmx-table", children: [
|
|
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/* @__PURE__ */ jsx6("thead", { children: /* @__PURE__ */ jsxs6("tr", { children: [
|
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/* @__PURE__ */ jsx6("th", { children: "Status" }),
|
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|
+
BILL_STATUS_AGING_BUCKETS.map((bucket) => /* @__PURE__ */ jsx6("th", { children: bucket.label }, bucket.id)),
|
|
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/* @__PURE__ */ jsx6("th", { children: "Total" })
|
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] }) }),
|
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/* @__PURE__ */
|
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matrix.rows.map((row) => /* @__PURE__ */
|
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/* @__PURE__ */
|
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/* @__PURE__ */ jsxs6("tbody", { children: [
|
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|
+
matrix.rows.map((row) => /* @__PURE__ */ jsxs6("tr", { children: [
|
|
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/* @__PURE__ */ jsx6("td", { children: /* @__PURE__ */ jsx6("span", { className: "mbmx-state", children: row.label }) }),
|
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row.cells.map((data) => cell(data, `${row.state}-${data.bucket}`)),
|
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cell(row.total, `${row.state}-total`, true)
|
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] }, row.state)),
|
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/* @__PURE__ */
|
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/* @__PURE__ */
|
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/* @__PURE__ */ jsxs6("tr", { className: "mbmx-total", children: [
|
|
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|
+
/* @__PURE__ */ jsx6("td", { children: "Total" }),
|
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matrix.columnTotals.map((data) => cell(data, `all-${data.bucket}`)),
|
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cell(matrix.grandTotal, "all-total", true)
|
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] })
|
|
@@ -2877,18 +3320,18 @@ function BillStatusAgingMatrix({
|
|
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}
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// src/organization-onboarding.tsx
|
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import { useCallback as useCallback2, useEffect as
|
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+
import { useCallback as useCallback2, useEffect as useEffect5, useMemo as useMemo6, useRef as useRef3, useState as useState6 } from "react";
|
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import {
|
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createOrganizationClient
|
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} from "@mindbill/browser";
|
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|
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import { Fragment as
|
|
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|
+
import { Fragment as Fragment5, jsx as jsx7, jsxs as jsxs7 } from "react/jsx-runtime";
|
|
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|
var STEPS = [
|
|
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{ id: "practice", label: "Practice & billing" },
|
|
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{ id: "locations", label: "Locations" },
|
|
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{ id: "w9", label: "W-9" },
|
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{ id: "review", label: "Review" }
|
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];
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var
|
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var css5 = `
|
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.mbob{color:var(--mb-text);font-family:var(--mb-font);font-size:15px}.mbob *{box-sizing:border-box}.mbob h2,.mbob h3,.mbob p{margin:0}
|
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.mbob-card{border:1px solid var(--mb-border);border-radius:var(--mb-radius);background:var(--mb-surface);box-shadow:var(--mb-shadow);padding:24px}
|
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.mbob-head{display:flex;justify-content:space-between;gap:16px;align-items:flex-start;margin-bottom:18px}.mbob-head h2{font-size:22px}.mbob-copy{color:var(--mb-muted);margin-top:5px!important}
|
|
@@ -2944,7 +3387,7 @@ function OrganizationOnboarding({
|
|
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onCompleted,
|
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|
onError
|
|
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}) {
|
|
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|
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const client =
|
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|
+
const client = useMemo6(
|
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() => createOrganizationClient({
|
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sessionEndpoint,
|
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|
...getSession ? { getSession } : {},
|
|
@@ -2952,16 +3395,16 @@ function OrganizationOnboarding({
|
|
|
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|
}),
|
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[sessionEndpoint, getSession, apiBaseUrl]
|
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|
);
|
|
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|
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const [profile, setProfile] =
|
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|
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const [loadError, setLoadError] =
|
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|
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const [step, setStep] =
|
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const [identity, setIdentity] =
|
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|
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const [provider, setProvider] =
|
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|
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const [locations, setLocations] =
|
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const [w9File, setW9File] =
|
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const [saving, setSaving] =
|
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|
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const [error, setError] =
|
|
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|
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const [savedStep, setSavedStep] =
|
|
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|
+
const [profile, setProfile] = useState6(null);
|
|
3399
|
+
const [loadError, setLoadError] = useState6(null);
|
|
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|
+
const [step, setStep] = useState6("practice");
|
|
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|
+
const [identity, setIdentity] = useState6({ name: "", legalName: "", taxId: "", npi: "", phone: "", email: "" });
|
|
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|
+
const [provider, setProvider] = useState6({ name: "", taxId: "", npi: "", billType: "Professional", phone: "", billingStreet: "", billingCity: "", billingState: "", billingZip: "" });
|
|
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|
+
const [locations, setLocations] = useState6([blankLocation()]);
|
|
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|
+
const [w9File, setW9File] = useState6(null);
|
|
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|
+
const [saving, setSaving] = useState6(false);
|
|
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|
+
const [error, setError] = useState6(null);
|
|
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|
+
const [savedStep, setSavedStep] = useState6({});
|
|
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|
const completedFired = useRef3(false);
|
|
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3409
|
const adoptProfile = useCallback2((next) => {
|
|
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3410
|
setProfile(next);
|
|
@@ -2980,7 +3423,7 @@ function OrganizationOnboarding({
|
|
|
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3423
|
onCompleted?.(next);
|
|
2981
3424
|
}
|
|
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3425
|
}, [onCompleted]);
|
|
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|
-
|
|
3426
|
+
useEffect5(() => {
|
|
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3427
|
let alive = true;
|
|
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3428
|
client.getOrganization().then((next) => {
|
|
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3429
|
if (alive) {
|
|
@@ -3027,16 +3470,16 @@ function OrganizationOnboarding({
|
|
|
3027
3470
|
if (!w9File) throw new Error("Choose the practice W-9 PDF first.");
|
|
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3471
|
return client.saveW9({ filename: w9File.name, contentBase64: await fileToBase64(w9File) });
|
|
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|
}, "w9");
|
|
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|
-
const field = (label, value, onChange, span = false, placeholder = "") => /* @__PURE__ */
|
|
3473
|
+
const field = (label, value, onChange, span = false, placeholder = "") => /* @__PURE__ */ jsxs7("label", { className: `mbob-field${span ? " mbob-span" : ""}`, children: [
|
|
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|
label,
|
|
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|
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/* @__PURE__ */
|
|
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|
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/* @__PURE__ */ jsx7("input", { value, placeholder, onChange: (event) => onChange(event.target.value), disabled: saving })
|
|
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] });
|
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|
const setLocation = (index, patch) => setLocations((current) => current.map((item, itemIndex) => {
|
|
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|
if (itemIndex !== index) return patch.isPrimary ? { ...item, isPrimary: false } : item;
|
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return { ...item, ...patch };
|
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}));
|
|
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|
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const practiceSection = /* @__PURE__ */
|
|
3039
|
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/* @__PURE__ */
|
|
3481
|
+
const practiceSection = /* @__PURE__ */ jsxs7("div", { children: [
|
|
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|
+
/* @__PURE__ */ jsxs7("div", { className: "mbob-grid", children: [
|
|
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|
field("Practice name", identity.name, (name) => setIdentity((c) => ({ ...c, name }))),
|
|
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|
field("Legal name", identity.legalName, (legalName) => setIdentity((c) => ({ ...c, legalName }))),
|
|
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|
field("Tax ID (EIN)", identity.taxId, (taxId) => setIdentity((c) => ({ ...c, taxId })), false, "94-1234567"),
|
|
@@ -3044,8 +3487,8 @@ function OrganizationOnboarding({
|
|
|
3044
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|
field("Phone", identity.phone, (phone) => setIdentity((c) => ({ ...c, phone }))),
|
|
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|
field("Email", identity.email, (email) => setIdentity((c) => ({ ...c, email })))
|
|
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|
] }),
|
|
3047
|
-
/* @__PURE__ */
|
|
3048
|
-
/* @__PURE__ */
|
|
3490
|
+
/* @__PURE__ */ jsx7("h3", { className: "mbob-subhead", children: "Billing provider (pay-to)" }),
|
|
3491
|
+
/* @__PURE__ */ jsxs7("div", { className: "mbob-grid", children: [
|
|
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|
field("Billing provider name", provider.name, (name) => setProvider((c) => ({ ...c, name }))),
|
|
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|
field("Billing tax ID", provider.taxId, (taxId) => setProvider((c) => ({ ...c, taxId }))),
|
|
3051
3494
|
field("Billing NPI", provider.npi, (npi) => setProvider((c) => ({ ...c, npi }))),
|
|
@@ -3055,88 +3498,88 @@ function OrganizationOnboarding({
|
|
|
3055
3498
|
field("State", provider.billingState ?? "", (billingState) => setProvider((c) => ({ ...c, billingState: billingState.toUpperCase().slice(0, 2) }))),
|
|
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|
field("ZIP", provider.billingZip ?? "", (billingZip) => setProvider((c) => ({ ...c, billingZip })))
|
|
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|
] }),
|
|
3058
|
-
/* @__PURE__ */
|
|
3059
|
-
/* @__PURE__ */
|
|
3060
|
-
/* @__PURE__ */
|
|
3501
|
+
/* @__PURE__ */ jsxs7("div", { className: "mbob-actions", children: [
|
|
3502
|
+
/* @__PURE__ */ jsx7("span", { className: "mbob-status", children: savedStep["practice"] ? "Saved to MindBill." : "Saved once, used on every bill." }),
|
|
3503
|
+
/* @__PURE__ */ jsx7("button", { className: "mbob-save", type: "button", disabled: saving, onClick: savePractice, children: saving ? "Saving\u2026" : "Save practice" })
|
|
3061
3504
|
] })
|
|
3062
3505
|
] });
|
|
3063
|
-
const locationsSection = /* @__PURE__ */
|
|
3064
|
-
locations.map((location, index) => /* @__PURE__ */
|
|
3506
|
+
const locationsSection = /* @__PURE__ */ jsxs7("div", { children: [
|
|
3507
|
+
locations.map((location, index) => /* @__PURE__ */ jsxs7("div", { className: "mbob-loc", children: [
|
|
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|
field("Name", location.name, (name) => setLocation(index, { name })),
|
|
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|
field("Street", location.street, (street) => setLocation(index, { street })),
|
|
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3510
|
field("City", location.city, (city) => setLocation(index, { city })),
|
|
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3511
|
field("State", location.state, (state) => setLocation(index, { state: state.toUpperCase().slice(0, 2) })),
|
|
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|
field("ZIP", location.zip, (zip) => setLocation(index, { zip })),
|
|
3070
|
-
/* @__PURE__ */
|
|
3071
|
-
/* @__PURE__ */
|
|
3513
|
+
/* @__PURE__ */ jsxs7("label", { className: "mbob-primary", children: [
|
|
3514
|
+
/* @__PURE__ */ jsx7("input", { type: "radio", name: "mbob-primary", checked: location.isPrimary === true, onChange: () => setLocation(index, { isPrimary: true }) }),
|
|
3072
3515
|
" Primary"
|
|
3073
3516
|
] }),
|
|
3074
|
-
/* @__PURE__ */
|
|
3517
|
+
/* @__PURE__ */ jsx7("button", { className: "mbob-remove", type: "button", "aria-label": "Remove location", onClick: () => setLocations((current) => current.filter((_, itemIndex) => itemIndex !== index)), children: "\xD7" })
|
|
3075
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|
] }, location.id ?? index)),
|
|
3076
|
-
/* @__PURE__ */
|
|
3077
|
-
/* @__PURE__ */
|
|
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-
/* @__PURE__ */
|
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|
-
/* @__PURE__ */
|
|
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|
+
/* @__PURE__ */ jsx7("button", { className: "mbob-add", type: "button", onClick: () => setLocations((current) => [...current, blankLocation()]), children: "+ Add location" }),
|
|
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|
+
/* @__PURE__ */ jsxs7("div", { className: "mbob-actions", children: [
|
|
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|
+
/* @__PURE__ */ jsx7("span", { className: "mbob-status", children: savedStep["locations"] ? "Saved to MindBill." : "Where evaluations happen." }),
|
|
3522
|
+
/* @__PURE__ */ jsx7("button", { className: "mbob-save", type: "button", disabled: saving, onClick: saveLocations, children: saving ? "Saving\u2026" : "Save locations" })
|
|
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3523
|
] })
|
|
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3524
|
] });
|
|
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|
-
const w9Section = /* @__PURE__ */
|
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|
-
profile?.w9 ? /* @__PURE__ */
|
|
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|
-
/* @__PURE__ */
|
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|
-
/* @__PURE__ */
|
|
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|
-
/* @__PURE__ */
|
|
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|
+
const w9Section = /* @__PURE__ */ jsxs7("div", { children: [
|
|
3526
|
+
profile?.w9 ? /* @__PURE__ */ jsxs7("div", { className: "mbob-w9-current", children: [
|
|
3527
|
+
/* @__PURE__ */ jsxs7("div", { children: [
|
|
3528
|
+
/* @__PURE__ */ jsx7("strong", { children: profile.w9.filename }),
|
|
3529
|
+
/* @__PURE__ */ jsxs7("span", { children: [
|
|
3087
3530
|
" \xB7 added ",
|
|
3088
3531
|
profile.w9.addDate
|
|
3089
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|
] })
|
|
3090
3533
|
] }),
|
|
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|
-
/* @__PURE__ */
|
|
3534
|
+
/* @__PURE__ */ jsx7("span", { children: "Rides on every bill automatically" })
|
|
3092
3535
|
] }) : null,
|
|
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|
-
/* @__PURE__ */
|
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|
-
/* @__PURE__ */
|
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|
-
/* @__PURE__ */
|
|
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|
-
/* @__PURE__ */
|
|
3536
|
+
/* @__PURE__ */ jsxs7("label", { className: "mbob-drop", children: [
|
|
3537
|
+
/* @__PURE__ */ jsx7("input", { type: "file", accept: "application/pdf,.pdf", onChange: (event) => setW9File(event.target.files?.[0] ?? null) }),
|
|
3538
|
+
/* @__PURE__ */ jsx7("strong", { children: w9File ? w9File.name : profile?.w9 ? "Replace the W-9 PDF" : "Drop the practice W-9 PDF here, or click to choose" }),
|
|
3539
|
+
/* @__PURE__ */ jsx7("span", { children: "The W-9 is auto-attached to every submission." })
|
|
3097
3540
|
] }),
|
|
3098
|
-
/* @__PURE__ */
|
|
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|
-
/* @__PURE__ */
|
|
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|
-
/* @__PURE__ */
|
|
3541
|
+
/* @__PURE__ */ jsxs7("div", { className: "mbob-actions", children: [
|
|
3542
|
+
/* @__PURE__ */ jsx7("span", { className: "mbob-status", children: savedStep["w9"] ? "Saved to MindBill." : "" }),
|
|
3543
|
+
/* @__PURE__ */ jsx7("button", { className: "mbob-save", type: "button", disabled: saving || !w9File, onClick: saveW9, children: saving ? "Uploading\u2026" : "Save W-9" })
|
|
3101
3544
|
] })
|
|
3102
3545
|
] });
|
|
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|
-
const reviewSection = /* @__PURE__ */
|
|
3104
|
-
(profile?.onboarding.checklist ?? []).map((item) => /* @__PURE__ */
|
|
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|
-
/* @__PURE__ */
|
|
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|
-
/* @__PURE__ */
|
|
3546
|
+
const reviewSection = /* @__PURE__ */ jsxs7("div", { className: "mbob-check", children: [
|
|
3547
|
+
(profile?.onboarding.checklist ?? []).map((item) => /* @__PURE__ */ jsxs7("div", { className: "mbob-check-item", "data-complete": item.complete, children: [
|
|
3548
|
+
/* @__PURE__ */ jsx7("i", { children: item.complete ? "\u2713" : "\u2022" }),
|
|
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|
+
/* @__PURE__ */ jsx7("span", { children: item.label })
|
|
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3550
|
] }, item.id)),
|
|
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|
-
profile?.onboarding.complete ? /* @__PURE__ */
|
|
3551
|
+
profile?.onboarding.complete ? /* @__PURE__ */ jsx7("p", { className: "mbob-done", children: "Billing setup is complete \u2014 bills submitted from your product carry this profile automatically." }) : /* @__PURE__ */ jsx7("p", { className: "mbob-status", children: "Items above complete themselves as each section is saved." })
|
|
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|
] });
|
|
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|
const sections = { practice: practiceSection, locations: locationsSection, w9: w9Section, review: reviewSection };
|
|
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|
-
return /* @__PURE__ */
|
|
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|
-
/* @__PURE__ */
|
|
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|
-
/* @__PURE__ */
|
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|
-
/* @__PURE__ */
|
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|
-
/* @__PURE__ */
|
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|
-
/* @__PURE__ */
|
|
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|
+
return /* @__PURE__ */ jsxs7("div", { className: `mbob ${className}`.trim(), style: { ...mindBillAppearanceStyle(appearance), ...style }, children: [
|
|
3555
|
+
/* @__PURE__ */ jsx7("style", { children: css5 }),
|
|
3556
|
+
/* @__PURE__ */ jsxs7("div", { className: "mbob-card", children: [
|
|
3557
|
+
/* @__PURE__ */ jsx7("div", { className: "mbob-head", children: /* @__PURE__ */ jsxs7("div", { children: [
|
|
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|
+
/* @__PURE__ */ jsx7("h2", { children: heading }),
|
|
3559
|
+
/* @__PURE__ */ jsx7("p", { className: "mbob-copy", children: description })
|
|
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3560
|
] }) }),
|
|
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|
-
loadError ? /* @__PURE__ */
|
|
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|
-
variant === "onboarding" ? /* @__PURE__ */
|
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|
-
/* @__PURE__ */
|
|
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|
-
/* @__PURE__ */
|
|
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|
+
loadError ? /* @__PURE__ */ jsx7("div", { className: "mbob-error", role: "alert", children: loadError }) : null,
|
|
3562
|
+
variant === "onboarding" ? /* @__PURE__ */ jsxs7(Fragment5, { children: [
|
|
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|
+
/* @__PURE__ */ jsx7("div", { className: "mbob-steps", children: STEPS.map((item) => /* @__PURE__ */ jsxs7("button", { className: "mbob-step", type: "button", "data-active": step === item.id, "data-done": Boolean(savedStep[item.id]), onClick: () => setStep(item.id), children: [
|
|
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|
+
/* @__PURE__ */ jsx7("i", { children: savedStep[item.id] ? "\u2713" : "" }),
|
|
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3565
|
item.label
|
|
3123
3566
|
] }, item.id)) }),
|
|
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3567
|
sections[step]
|
|
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|
-
] }) : /* @__PURE__ */
|
|
3568
|
+
] }) : /* @__PURE__ */ jsxs7(Fragment5, { children: [
|
|
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3569
|
practiceSection,
|
|
3127
|
-
/* @__PURE__ */
|
|
3570
|
+
/* @__PURE__ */ jsx7("h3", { className: "mbob-subhead", children: "Locations" }),
|
|
3128
3571
|
locationsSection,
|
|
3129
|
-
/* @__PURE__ */
|
|
3572
|
+
/* @__PURE__ */ jsx7("h3", { className: "mbob-subhead", children: "Practice W-9" }),
|
|
3130
3573
|
w9Section,
|
|
3131
|
-
/* @__PURE__ */
|
|
3574
|
+
/* @__PURE__ */ jsx7("h3", { className: "mbob-subhead", children: "Checklist" }),
|
|
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3575
|
reviewSection
|
|
3133
3576
|
] }),
|
|
3134
|
-
error ? /* @__PURE__ */
|
|
3577
|
+
error ? /* @__PURE__ */ jsx7("div", { className: "mbob-error", role: "alert", children: error }) : null
|
|
3135
3578
|
] })
|
|
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3579
|
] });
|
|
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|
}
|
|
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|
function BillingSettings(props) {
|
|
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|
-
return /* @__PURE__ */
|
|
3582
|
+
return /* @__PURE__ */ jsx7(
|
|
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3583
|
OrganizationOnboarding,
|
|
3141
3584
|
{
|
|
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3585
|
heading: "Billing settings",
|
|
@@ -3150,16 +3593,16 @@ function BillingSettings(props) {
|
|
|
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3593
|
// src/connected-bill-status.tsx
|
|
3151
3594
|
import {
|
|
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3595
|
useCallback as useCallback3,
|
|
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|
-
useEffect as
|
|
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|
-
useMemo as
|
|
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|
+
useEffect as useEffect6,
|
|
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|
+
useMemo as useMemo7,
|
|
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|
useRef as useRef4,
|
|
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|
-
useState as
|
|
3599
|
+
useState as useState7
|
|
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|
} from "react";
|
|
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|
import {
|
|
3159
3602
|
DEFAULT_API_BASE_URL,
|
|
3160
3603
|
DEFAULT_SESSION_ENDPOINT
|
|
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3604
|
} from "@mindbill/browser";
|
|
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|
-
import { Fragment as
|
|
3605
|
+
import { Fragment as Fragment6, jsx as jsx8, jsxs as jsxs8 } from "react/jsx-runtime";
|
|
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|
var DEFAULT_REFRESH_INTERVAL = 6e4;
|
|
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|
async function responseError(response, fallback) {
|
|
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|
const body = await response.json().catch(() => null);
|
|
@@ -3292,23 +3735,23 @@ function useBillStatus({
|
|
|
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|
initialData = null,
|
|
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|
fetch: fetchOverride
|
|
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|
}) {
|
|
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|
-
const client =
|
|
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|
+
const client = useMemo7(() => createBillStatusClient({
|
|
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3739
|
billId,
|
|
3297
3740
|
sessionEndpoint,
|
|
3298
3741
|
...getSession ? { getSession } : {},
|
|
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3742
|
apiBaseUrl,
|
|
3300
3743
|
...fetchOverride ? { fetch: fetchOverride } : {}
|
|
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3744
|
}), [apiBaseUrl, billId, fetchOverride, getSession, sessionEndpoint]);
|
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|
-
const [data, setData] =
|
|
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|
-
const [error, setError] =
|
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|
-
const [isLoading, setIsLoading] =
|
|
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|
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const [isRefreshing, setIsRefreshing] =
|
|
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|
+
const [data, setData] = useState7(initialData);
|
|
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|
+
const [error, setError] = useState7(null);
|
|
3747
|
+
const [isLoading, setIsLoading] = useState7(enabled && !initialData);
|
|
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|
+
const [isRefreshing, setIsRefreshing] = useState7(false);
|
|
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|
const dataRef = useRef4(initialData);
|
|
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|
const initialDataRef = useRef4(initialData);
|
|
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3751
|
initialDataRef.current = initialData;
|
|
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3752
|
const activeControllerRef = useRef4(null);
|
|
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|
const requestSequence = useRef4(0);
|
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|
-
|
|
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|
+
useEffect6(() => {
|
|
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|
const seed = initialDataRef.current;
|
|
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3756
|
dataRef.current = seed;
|
|
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|
setData(seed);
|
|
@@ -3349,10 +3792,10 @@ function useBillStatus({
|
|
|
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}
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|
}
|
|
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|
}, [billId, client, enabled]);
|
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|
-
|
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|
+
useEffect6(() => {
|
|
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3796
|
if (enabled) void load();
|
|
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3797
|
}, [enabled, load]);
|
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|
-
|
|
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|
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useEffect6(() => {
|
|
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3799
|
if (!enabled || refreshInterval <= 0) return;
|
|
3357
3800
|
const timer = window.setInterval(() => void load(), refreshInterval);
|
|
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3801
|
const onFocus = () => void load();
|
|
@@ -3380,17 +3823,17 @@ function ConnectedBillStatus({
|
|
|
3380
3823
|
}) {
|
|
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3824
|
const status = useBillStatus(options);
|
|
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|
if (status.isLoading && !status.data) {
|
|
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|
-
return /* @__PURE__ */
|
|
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|
+
return /* @__PURE__ */ jsx8(Fragment6, { children: loadingFallback ?? /* @__PURE__ */ jsx8("div", { role: "status", children: "Loading bill status\u2026" }) });
|
|
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|
}
|
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if (status.error && !status.data) {
|
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|
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return /* @__PURE__ */
|
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|
+
return /* @__PURE__ */ jsx8(Fragment6, { children: errorFallback?.(status.error, status.refresh) ?? /* @__PURE__ */ jsxs8("div", { role: "alert", children: [
|
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|
status.error.message,
|
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|
" ",
|
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|
-
/* @__PURE__ */
|
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|
+
/* @__PURE__ */ jsx8("button", { type: "button", onClick: () => void status.refresh(), children: "Retry" })
|
|
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|
] }) });
|
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|
}
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if (!status.data) return null;
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|
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return /* @__PURE__ */
|
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|
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return /* @__PURE__ */ jsx8(
|
|
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3837
|
BillStatusSummary,
|
|
3395
3838
|
{
|
|
3396
3839
|
status: status.data.state,
|
|
@@ -3409,8 +3852,8 @@ function ConnectedBillStatus({
|
|
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3852
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}
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|
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// src/bill-lifecycle-surfaces.tsx
|
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|
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import { useState as
|
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|
-
import { jsx as
|
|
3855
|
+
import { useState as useState8 } from "react";
|
|
3856
|
+
import { jsx as jsx9, jsxs as jsxs9 } from "react/jsx-runtime";
|
|
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3857
|
function visibleBillLifecycleActions(actions, showUnavailable = false) {
|
|
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3858
|
return actions.filter((action) => action.enabled || showUnavailable);
|
|
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3859
|
}
|
|
@@ -3425,11 +3868,11 @@ function BillLifecycleActions({
|
|
|
3425
3868
|
}) {
|
|
3426
3869
|
const visible = visibleBillLifecycleActions(actions, showUnavailable);
|
|
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|
if (!visible.length) return null;
|
|
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|
-
return /* @__PURE__ */
|
|
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|
-
/* @__PURE__ */
|
|
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|
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visible.map((action) => /* @__PURE__ */
|
|
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|
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/* @__PURE__ */
|
|
3432
|
-
!action.enabled && action.reason ? /* @__PURE__ */
|
|
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|
+
return /* @__PURE__ */ jsxs9("div", { className: classes("mb-lifecycle-actions", className), style: mindBillAppearanceStyle(appearance, style), "aria-label": "Bill actions", children: [
|
|
3872
|
+
/* @__PURE__ */ jsx9("style", { children: lifecycleSurfaceStyles }),
|
|
3873
|
+
visible.map((action) => /* @__PURE__ */ jsxs9("div", { className: "mb-lifecycle-action", children: [
|
|
3874
|
+
/* @__PURE__ */ jsx9("button", { type: "button", className: action.primary ? "mb-action-button is-primary" : "mb-action-button", disabled: disabled || !action.enabled, onClick: () => onAction(action), children: action.label }),
|
|
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|
+
!action.enabled && action.reason ? /* @__PURE__ */ jsx9("span", { className: "mb-action-reason", children: action.reason }) : null
|
|
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3876
|
] }, action.id))
|
|
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3877
|
] });
|
|
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3878
|
}
|
|
@@ -3459,18 +3902,18 @@ function defaultFormatDate(createdAt) {
|
|
|
3459
3902
|
return new Intl.DateTimeFormat(void 0, { dateStyle: "medium", timeStyle: "short" }).format(parsed);
|
|
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3903
|
}
|
|
3461
3904
|
function BillActivityTimeline({ events, emptyLabel = "No bill activity yet.", appearance, className, style, formatDate = defaultFormatDate }) {
|
|
3462
|
-
return /* @__PURE__ */
|
|
3463
|
-
/* @__PURE__ */
|
|
3464
|
-
/* @__PURE__ */
|
|
3465
|
-
/* @__PURE__ */
|
|
3466
|
-
/* @__PURE__ */
|
|
3905
|
+
return /* @__PURE__ */ jsxs9("section", { className: classes("mb-surface mb-activity", className), style: mindBillAppearanceStyle(appearance, style), "aria-label": "Bill activity", children: [
|
|
3906
|
+
/* @__PURE__ */ jsx9("style", { children: lifecycleSurfaceStyles }),
|
|
3907
|
+
/* @__PURE__ */ jsx9("header", { className: "mb-surface-heading", children: /* @__PURE__ */ jsxs9("div", { children: [
|
|
3908
|
+
/* @__PURE__ */ jsx9("strong", { children: "Bill history" }),
|
|
3909
|
+
/* @__PURE__ */ jsx9("span", { children: "Submission, payer responses, follow-up, and payments." })
|
|
3467
3910
|
] }) }),
|
|
3468
|
-
!events.length ? /* @__PURE__ */
|
|
3469
|
-
/* @__PURE__ */
|
|
3470
|
-
/* @__PURE__ */
|
|
3471
|
-
/* @__PURE__ */
|
|
3472
|
-
event.description ? /* @__PURE__ */
|
|
3473
|
-
/* @__PURE__ */
|
|
3911
|
+
!events.length ? /* @__PURE__ */ jsx9("p", { className: "mb-activity-empty", children: emptyLabel }) : /* @__PURE__ */ jsx9("ol", { className: "mb-activity-list", children: events.map((event) => /* @__PURE__ */ jsxs9("li", { className: "mb-activity-item", children: [
|
|
3912
|
+
/* @__PURE__ */ jsx9("span", { className: "mb-activity-marker", "aria-hidden": "true" }),
|
|
3913
|
+
/* @__PURE__ */ jsxs9("div", { className: "mb-activity-content", children: [
|
|
3914
|
+
/* @__PURE__ */ jsx9("strong", { children: event.title ?? billActivityEventLabel(event.type) }),
|
|
3915
|
+
event.description ? /* @__PURE__ */ jsx9("p", { children: event.description }) : null,
|
|
3916
|
+
/* @__PURE__ */ jsxs9("span", { children: [
|
|
3474
3917
|
formatDate(event.createdAt),
|
|
3475
3918
|
event.actor ? ` \xB7 ${event.actor}` : ""
|
|
3476
3919
|
] })
|
|
@@ -3484,26 +3927,26 @@ function historyDate(iso) {
|
|
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function BillHistoryTable({ entries, emptyLabel = "No bill history yet.", appearance, className, style, formatDate = historyDate, documentHref }) {
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return /* @__PURE__ */ jsxs9("section", { className: classes("mb-surface mb-history", className), style: mindBillAppearanceStyle(appearance, style), "aria-label": "Bill history", children: [
|
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/* @__PURE__ */ jsx9("style", { children: lifecycleSurfaceStyles }),
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/* @__PURE__ */ jsx9("header", { className: "mb-surface-heading", children: /* @__PURE__ */ jsxs9("div", { children: [
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/* @__PURE__ */ jsx9("strong", { children: "Bill history" }),
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/* @__PURE__ */ jsx9("span", { children: "Submissions, payer responses, follow-up, and payments." })
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!entries.length ? /* @__PURE__ */ jsx9("p", { className: "mb-activity-empty", children: emptyLabel }) : /* @__PURE__ */ jsxs9("div", { className: "mb-history-table", children: [
|
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/* @__PURE__ */ jsxs9("div", { className: "mb-history-head", "aria-hidden": "true", children: [
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/* @__PURE__ */ jsx9("span", { children: "Date" }),
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/* @__PURE__ */ jsx9("span", { children: "Action" }),
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/* @__PURE__ */ jsx9("span", { children: "User" }),
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/* @__PURE__ */ jsx9("ul", { className: "mb-history-rows", children: entries.map((entry) => {
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/* @__PURE__ */ jsxs9(
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{
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@@ -3512,40 +3955,40 @@ function BillHistoryTable({ entries, emptyLabel = "No bill history yet.", appear
|
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"aria-expanded": expandable ? isOpen : void 0,
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expandable ? /* @__PURE__ */
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/* @__PURE__ */ jsx9("span", { className: "mb-history-date", children: formatDate(entry.date) }),
|
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/* @__PURE__ */ jsx9("span", { className: "mb-history-action", children: entry.action }),
|
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/* @__PURE__ */ jsx9("span", { className: "mb-history-actor", children: entry.actor ?? "\u2014" }),
|
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/* @__PURE__ */ jsxs9("span", { className: "mb-history-summary", children: [
|
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expandable ? /* @__PURE__ */ jsx9("i", { className: `mb-history-caret${isOpen ? " is-open" : ""}`, "aria-hidden": "true" }) : null,
|
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entry.summary
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),
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details.rows?.length ? /* @__PURE__ */ jsx9("dl", { className: "mb-history-kv", children: details.rows.map((row) => /* @__PURE__ */ jsxs9("div", { children: [
|
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/* @__PURE__ */ jsx9("dt", { children: row.label }),
|
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/* @__PURE__ */ jsx9("dd", { children: row.value })
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/* @__PURE__ */ jsx9("dt", { children: "Documents" }),
|
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/* @__PURE__ */ jsx9("dd", { children: details.documents.map((doc) => {
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return href ? /* @__PURE__ */
|
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return href ? /* @__PURE__ */ jsx9("a", { className: "mb-history-doc", href, target: "_blank", rel: "noreferrer", children: doc.filename }, doc.id) : /* @__PURE__ */ jsx9("span", { className: "mb-history-doc", children: doc.filename }, doc.id);
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}) })
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details.codes?.length ? /* @__PURE__ */ jsx9("dl", { className: "mb-history-codes", children: details.codes.map((code) => /* @__PURE__ */ jsxs9("div", { children: [
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/* @__PURE__ */ jsx9("dt", { children: code.code }),
|
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/* @__PURE__ */ jsx9("dd", { children: code.text })
|
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] }, code.code)) }) : null,
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/* @__PURE__ */
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details.complianceDueDates?.length ? /* @__PURE__ */ jsxs9("div", { className: "mb-history-due", children: [
|
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/* @__PURE__ */ jsx9("em", { children: "Compliance Due Dates" }),
|
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/* @__PURE__ */ jsx9("dl", { children: details.complianceDueDates.map((due) => /* @__PURE__ */ jsxs9("div", { children: [
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/* @__PURE__ */ jsx9("dt", { children: formatDate(due.date) }),
|
|
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/* @__PURE__ */ jsx9("dd", { children: due.text })
|
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] }, `${due.date}-${due.text}`)) })
|
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] }) : null,
|
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details.text ? /* @__PURE__ */
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|
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] }) : null
|
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] }, entry.id);
|
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}) })
|
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@@ -3593,15 +4036,15 @@ function billLifecycleDisplayLabel(state, nativeStatus) {
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function BillLifecycleProgress({ state, nativeStatus, submittedAt, agingDays, appearance, className, style }) {
|
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|
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const steps = billLifecycleProgressSteps(state);
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return /* @__PURE__ */
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return /* @__PURE__ */ jsxs9("section", { className: classes(`mb-surface mb-progress${rejected ? " is-rejected" : ""}`, className), style: mindBillAppearanceStyle(appearance, style), "aria-label": "Bill lifecycle", children: [
|
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/* @__PURE__ */ jsx9("style", { children: lifecycleSurfaceStyles }),
|
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/* @__PURE__ */ jsx9("header", { className: "mb-surface-heading", children: /* @__PURE__ */ jsxs9("div", { children: [
|
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/* @__PURE__ */ jsx9("strong", { children: billLifecycleDisplayLabel(state, nativeStatus) }),
|
|
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/* @__PURE__ */ jsx9("span", { children: rejected ? "The payer rejected this submission." : `${submittedAt ? `Submitted ${defaultFormatDate(submittedAt)}` : "Submitted"}${typeof agingDays === "number" ? ` \xB7 ${agingDays} days old` : ""}` })
|
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] }) }),
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/* @__PURE__ */ jsx9("ol", { className: "mb-progress-list", style: { gridTemplateColumns: `repeat(${steps.length}, minmax(0, 1fr))` }, children: steps.map((step, index) => /* @__PURE__ */ jsxs9("li", { className: `is-${step.status}`, "aria-current": step.status === "current" ? "step" : void 0, children: [
|
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/* @__PURE__ */ jsx9("span", { "aria-hidden": "true", children: step.status === "complete" ? "\u2713" : rejected && step.status === "current" ? "!" : index + 1 }),
|
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/* @__PURE__ */ jsx9("b", { children: step.label })
|
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] }, step.id)) })
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}
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@@ -3615,48 +4058,48 @@ function billRejectionIssueSummary(rejection, count) {
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function BillRejectionNotice({ rejection, title = "Rejected \u2014 action required", submittedAt, appearance, className, style, formatDate = defaultFormatDate }) {
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const issues = rejection.issues?.length ? rejection.issues : [{ code: rejection.code, description: rejection.reason }];
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return /* @__PURE__ */ jsxs9("section", { className: classes("mb-surface mb-rejection-notice", className), style: mindBillAppearanceStyle(appearance, style), role: "alert", "aria-label": "Bill rejection reasons", children: [
|
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/* @__PURE__ */ jsx9("style", { children: lifecycleSurfaceStyles }),
|
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/* @__PURE__ */ jsxs9("div", { className: "mb-rejection-overview", children: [
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/* @__PURE__ */ jsxs9("header", { className: "mb-rejection-heading", children: [
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/* @__PURE__ */ jsx9("span", { className: "mb-rejection-icon", "aria-hidden": "true", children: "!" }),
|
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|
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issues.length === 1 ? "issue" : "issues",
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" below, then resubmit."
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] })
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] }),
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|
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/* @__PURE__ */ jsx9("span", { "aria-hidden": "true", children: "\u2713" }),
|
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|
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|
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/* @__PURE__ */ jsx9("span", { "aria-hidden": "true", children: "!" }),
|
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|
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rejection.receivedAt ? /* @__PURE__ */ jsx9("small", { children: formatDate(rejection.receivedAt) }) : null
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] }),
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|
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/* @__PURE__ */ jsxs9("div", { className: "mb-rejection-issues-heading", children: [
|
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|
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/* @__PURE__ */ jsx9("span", { "aria-hidden": "true", children: "\u25B3" }),
|
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" Rejection reasons"
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|
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/* @__PURE__ */ jsx9("ol", { "aria-label": `${issues.length} rejection ${issues.length === 1 ? "reason" : "reasons"}`, children: issues.map((issue, index) => /* @__PURE__ */ jsxs9("li", { children: [
|
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/* @__PURE__ */ jsx9("span", { className: "mb-rejection-bullet", "aria-hidden": "true" }),
|
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/* @__PURE__ */ jsx9("p", { children: issue.description }),
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|
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/* @__PURE__ */ jsx9("span", { "aria-hidden": "true", children: "i" }),
|
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|
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|
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@@ -3671,18 +4114,18 @@ function BillSnapshotSummary({ bill, patient, injury, delivery, appearance, clas
|
|
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["Charged", currency(bill.totalCharge)],
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];
|
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|
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return /* @__PURE__ */ jsxs9("section", { className: classes("mb-surface mb-snapshot", className), style: mindBillAppearanceStyle(appearance, style), "aria-label": "Bill snapshot", children: [
|
|
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/* @__PURE__ */ jsx9("style", { children: lifecycleSurfaceStyles }),
|
|
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|
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|
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|
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|
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|
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|
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|
] }, label)) })
|
|
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4130
|
] });
|
|
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|
}
|
|
@@ -3697,140 +4140,140 @@ function BillExplanationOfReview({
|
|
|
3697
4140
|
style
|
|
3698
4141
|
}) {
|
|
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4142
|
const rows = payments.length ? payments : [null];
|
|
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|
-
return /* @__PURE__ */
|
|
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|
-
/* @__PURE__ */
|
|
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|
-
/* @__PURE__ */
|
|
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|
-
/* @__PURE__ */
|
|
3704
|
-
/* @__PURE__ */
|
|
4143
|
+
return /* @__PURE__ */ jsxs9("section", { className: classes("mb-surface mb-eor-review", className), style: mindBillAppearanceStyle(appearance, style), "aria-label": "Explanation of Review and payments", children: [
|
|
4144
|
+
/* @__PURE__ */ jsx9("style", { children: lifecycleSurfaceStyles }),
|
|
4145
|
+
/* @__PURE__ */ jsx9("header", { className: "mb-surface-heading", children: /* @__PURE__ */ jsxs9("div", { children: [
|
|
4146
|
+
/* @__PURE__ */ jsx9("strong", { children: "Explanation of Review" }),
|
|
4147
|
+
/* @__PURE__ */ jsx9("span", { children: "Payer response and payment reconciliation." })
|
|
3705
4148
|
] }) }),
|
|
3706
|
-
/* @__PURE__ */
|
|
3707
|
-
/* @__PURE__ */
|
|
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|
-
/* @__PURE__ */
|
|
3709
|
-
/* @__PURE__ */
|
|
4149
|
+
/* @__PURE__ */ jsxs9("dl", { className: "mb-eor-metrics", children: [
|
|
4150
|
+
/* @__PURE__ */ jsxs9("div", { children: [
|
|
4151
|
+
/* @__PURE__ */ jsx9("dt", { children: "Amount billed" }),
|
|
4152
|
+
/* @__PURE__ */ jsx9("dd", { children: currency(remittance.billedAmount) })
|
|
3710
4153
|
] }),
|
|
3711
|
-
/* @__PURE__ */
|
|
3712
|
-
/* @__PURE__ */
|
|
3713
|
-
/* @__PURE__ */
|
|
4154
|
+
/* @__PURE__ */ jsxs9("div", { children: [
|
|
4155
|
+
/* @__PURE__ */ jsx9("dt", { children: "Payer allowed" }),
|
|
4156
|
+
/* @__PURE__ */ jsx9("dd", { children: remittance.payerAllowedAmount === null ? "\u2014" : currency(remittance.payerAllowedAmount) })
|
|
3714
4157
|
] }),
|
|
3715
|
-
/* @__PURE__ */
|
|
3716
|
-
/* @__PURE__ */
|
|
3717
|
-
/* @__PURE__ */
|
|
4158
|
+
/* @__PURE__ */ jsxs9("div", { children: [
|
|
4159
|
+
/* @__PURE__ */ jsx9("dt", { children: "Payer reported paid" }),
|
|
4160
|
+
/* @__PURE__ */ jsx9("dd", { children: remittance.payerReportedPaid === null ? "\u2014" : currency(remittance.payerReportedPaid) })
|
|
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4161
|
] }),
|
|
3719
|
-
/* @__PURE__ */
|
|
3720
|
-
/* @__PURE__ */
|
|
3721
|
-
/* @__PURE__ */
|
|
4162
|
+
/* @__PURE__ */ jsxs9("div", { className: "is-balance", children: [
|
|
4163
|
+
/* @__PURE__ */ jsx9("dt", { children: "Balance due" }),
|
|
4164
|
+
/* @__PURE__ */ jsx9("dd", { children: currency(remittance.balanceDue) })
|
|
3722
4165
|
] }),
|
|
3723
|
-
/* @__PURE__ */
|
|
3724
|
-
/* @__PURE__ */
|
|
3725
|
-
/* @__PURE__ */
|
|
4166
|
+
/* @__PURE__ */ jsxs9("div", { children: [
|
|
4167
|
+
/* @__PURE__ */ jsx9("dt", { children: "Payment posted" }),
|
|
4168
|
+
/* @__PURE__ */ jsx9("dd", { children: currency(remittance.postedPrincipal) })
|
|
3726
4169
|
] }),
|
|
3727
|
-
/* @__PURE__ */
|
|
3728
|
-
/* @__PURE__ */
|
|
3729
|
-
/* @__PURE__ */
|
|
4170
|
+
/* @__PURE__ */ jsxs9("div", { children: [
|
|
4171
|
+
/* @__PURE__ */ jsx9("dt", { children: "Penalty & interest" }),
|
|
4172
|
+
/* @__PURE__ */ jsx9("dd", { children: currency(remittance.postedAdditional) })
|
|
3730
4173
|
] }),
|
|
3731
|
-
/* @__PURE__ */
|
|
3732
|
-
/* @__PURE__ */
|
|
3733
|
-
/* @__PURE__ */
|
|
4174
|
+
/* @__PURE__ */ jsxs9("div", { children: [
|
|
4175
|
+
/* @__PURE__ */ jsx9("dt", { children: "Total received" }),
|
|
4176
|
+
/* @__PURE__ */ jsx9("dd", { children: currency(remittance.totalPostedCash) })
|
|
3734
4177
|
] }),
|
|
3735
|
-
/* @__PURE__ */
|
|
3736
|
-
/* @__PURE__ */
|
|
3737
|
-
/* @__PURE__ */
|
|
4178
|
+
/* @__PURE__ */ jsxs9("div", { children: [
|
|
4179
|
+
/* @__PURE__ */ jsx9("dt", { children: "Expected" }),
|
|
4180
|
+
/* @__PURE__ */ jsx9("dd", { children: currency(remittance.expectedAmount) })
|
|
3738
4181
|
] })
|
|
3739
4182
|
] }),
|
|
3740
|
-
remittance.denialReason ? /* @__PURE__ */
|
|
3741
|
-
/* @__PURE__ */
|
|
3742
|
-
/* @__PURE__ */
|
|
4183
|
+
remittance.denialReason ? /* @__PURE__ */ jsxs9("div", { className: "mb-denial", children: [
|
|
4184
|
+
/* @__PURE__ */ jsx9("strong", { children: "Denial reason" }),
|
|
4185
|
+
/* @__PURE__ */ jsx9("p", { children: remittance.denialReason })
|
|
3743
4186
|
] }) : null,
|
|
3744
|
-
/* @__PURE__ */
|
|
3745
|
-
/* @__PURE__ */
|
|
3746
|
-
/* @__PURE__ */
|
|
3747
|
-
/* @__PURE__ */
|
|
3748
|
-
/* @__PURE__ */
|
|
3749
|
-
/* @__PURE__ */
|
|
3750
|
-
/* @__PURE__ */
|
|
4187
|
+
/* @__PURE__ */ jsx9("div", { className: "mb-eor-table-wrap", children: /* @__PURE__ */ jsxs9("table", { className: "mb-eor-table", children: [
|
|
4188
|
+
/* @__PURE__ */ jsxs9("thead", { children: [
|
|
4189
|
+
/* @__PURE__ */ jsxs9("tr", { className: "mb-eor-groups", children: [
|
|
4190
|
+
/* @__PURE__ */ jsx9("th", { colSpan: 2, children: "Submission" }),
|
|
4191
|
+
/* @__PURE__ */ jsx9("th", { colSpan: 5, children: "EOR payment information" }),
|
|
4192
|
+
/* @__PURE__ */ jsx9("th", { colSpan: 2, children: "EOR post" }),
|
|
4193
|
+
/* @__PURE__ */ jsx9("th", { children: "EOR" })
|
|
3751
4194
|
] }),
|
|
3752
|
-
/* @__PURE__ */
|
|
3753
|
-
/* @__PURE__ */
|
|
3754
|
-
/* @__PURE__ */
|
|
3755
|
-
/* @__PURE__ */
|
|
3756
|
-
/* @__PURE__ */
|
|
3757
|
-
/* @__PURE__ */
|
|
3758
|
-
/* @__PURE__ */
|
|
3759
|
-
/* @__PURE__ */
|
|
3760
|
-
/* @__PURE__ */
|
|
3761
|
-
/* @__PURE__ */
|
|
3762
|
-
/* @__PURE__ */
|
|
4195
|
+
/* @__PURE__ */ jsxs9("tr", { children: [
|
|
4196
|
+
/* @__PURE__ */ jsx9("th", { children: "Submission" }),
|
|
4197
|
+
/* @__PURE__ */ jsx9("th", { children: "Submission payment" }),
|
|
4198
|
+
/* @__PURE__ */ jsx9("th", { children: "Payment method" }),
|
|
4199
|
+
/* @__PURE__ */ jsx9("th", { children: "Reference" }),
|
|
4200
|
+
/* @__PURE__ */ jsx9("th", { children: "Effective date" }),
|
|
4201
|
+
/* @__PURE__ */ jsx9("th", { children: "Payment total" }),
|
|
4202
|
+
/* @__PURE__ */ jsx9("th", { children: "Deposit date" }),
|
|
4203
|
+
/* @__PURE__ */ jsx9("th", { children: "Post date" }),
|
|
4204
|
+
/* @__PURE__ */ jsx9("th", { children: "Source" }),
|
|
4205
|
+
/* @__PURE__ */ jsx9("th", { children: "Document" })
|
|
3763
4206
|
] })
|
|
3764
4207
|
] }),
|
|
3765
|
-
/* @__PURE__ */
|
|
4208
|
+
/* @__PURE__ */ jsx9("tbody", { children: rows.map((payment, index) => {
|
|
3766
4209
|
const eor = eors[index] ?? eors[0];
|
|
3767
|
-
return /* @__PURE__ */
|
|
3768
|
-
/* @__PURE__ */
|
|
3769
|
-
/* @__PURE__ */
|
|
3770
|
-
submittedAt ? /* @__PURE__ */
|
|
4210
|
+
return /* @__PURE__ */ jsxs9("tr", { children: [
|
|
4211
|
+
/* @__PURE__ */ jsxs9("td", { "data-label": "Submission", children: [
|
|
4212
|
+
/* @__PURE__ */ jsx9("strong", { children: "Original bill" }),
|
|
4213
|
+
submittedAt ? /* @__PURE__ */ jsxs9("span", { children: [
|
|
3771
4214
|
"Sent ",
|
|
3772
4215
|
defaultFormatDate(submittedAt)
|
|
3773
4216
|
] }) : null
|
|
3774
4217
|
] }),
|
|
3775
|
-
/* @__PURE__ */
|
|
3776
|
-
/* @__PURE__ */
|
|
3777
|
-
/* @__PURE__ */
|
|
3778
|
-
/* @__PURE__ */
|
|
3779
|
-
/* @__PURE__ */
|
|
3780
|
-
/* @__PURE__ */
|
|
3781
|
-
/* @__PURE__ */
|
|
3782
|
-
/* @__PURE__ */
|
|
3783
|
-
/* @__PURE__ */
|
|
4218
|
+
/* @__PURE__ */ jsx9("td", { "data-label": "Submission payment", children: remittance.payerReportedPaid === null ? "\u2014" : currency(remittance.payerReportedPaid) }),
|
|
4219
|
+
/* @__PURE__ */ jsx9("td", { "data-label": "Payment method", children: payment ? humanize(payment.method) : "\u2014" }),
|
|
4220
|
+
/* @__PURE__ */ jsx9("td", { "data-label": "Reference", children: payment?.checkNumber || "\u2014" }),
|
|
4221
|
+
/* @__PURE__ */ jsx9("td", { "data-label": "Effective date", children: payment ? payment.receivedDate || payment.depositDate || defaultFormatDate(payment.postedAt) : "\u2014" }),
|
|
4222
|
+
/* @__PURE__ */ jsx9("td", { "data-label": "Payment total", children: payment ? currency(payment.amount) : currency(0) }),
|
|
4223
|
+
/* @__PURE__ */ jsx9("td", { "data-label": "Deposit date", children: payment?.depositDate || "Not recorded" }),
|
|
4224
|
+
/* @__PURE__ */ jsx9("td", { "data-label": "Post date", children: payment ? defaultFormatDate(payment.postedAt) : eor ? defaultFormatDate(eor.addedAt) : "\u2014" }),
|
|
4225
|
+
/* @__PURE__ */ jsx9("td", { "data-label": "Source", children: payment ? payment.source.toUpperCase() : eor ? "EOR" : "\u2014" }),
|
|
4226
|
+
/* @__PURE__ */ jsx9("td", { "data-label": "EOR", children: eor && onOpenEor ? /* @__PURE__ */ jsx9("button", { type: "button", className: "mb-eor-link", onClick: () => void onOpenEor(eor), children: eor.filename }) : eor?.filename || "\u2014" })
|
|
3784
4227
|
] }, payment?.id ?? `empty-${index}`);
|
|
3785
4228
|
}) })
|
|
3786
4229
|
] }) }),
|
|
3787
|
-
eors.length > rows.length ? /* @__PURE__ */
|
|
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|
+
eors.length > rows.length ? /* @__PURE__ */ jsx9("div", { className: "mb-eor-documents", children: eors.slice(rows.length).map((eor) => /* @__PURE__ */ jsx9("button", { type: "button", onClick: () => void onOpenEor?.(eor), children: eor.filename }, eor.id)) }) : null
|
|
3788
4231
|
] });
|
|
3789
4232
|
}
|
|
3790
4233
|
function BillRemittanceCard({ remittance, appearance, className, style }) {
|
|
3791
|
-
return /* @__PURE__ */
|
|
3792
|
-
/* @__PURE__ */
|
|
3793
|
-
/* @__PURE__ */
|
|
3794
|
-
/* @__PURE__ */
|
|
3795
|
-
/* @__PURE__ */
|
|
4234
|
+
return /* @__PURE__ */ jsxs9("section", { className: classes("mb-surface mb-remittance", className), style: mindBillAppearanceStyle(appearance, style), "aria-label": "Remittance summary", children: [
|
|
4235
|
+
/* @__PURE__ */ jsx9("style", { children: lifecycleSurfaceStyles }),
|
|
4236
|
+
/* @__PURE__ */ jsx9("header", { className: "mb-surface-heading", children: /* @__PURE__ */ jsxs9("div", { children: [
|
|
4237
|
+
/* @__PURE__ */ jsx9("strong", { children: "Remittance" }),
|
|
4238
|
+
/* @__PURE__ */ jsx9("span", { children: "Amounts reported by the payer and posted to the bill." })
|
|
3796
4239
|
] }) }),
|
|
3797
|
-
/* @__PURE__ */
|
|
3798
|
-
/* @__PURE__ */
|
|
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|
-
/* @__PURE__ */
|
|
3800
|
-
/* @__PURE__ */
|
|
4240
|
+
/* @__PURE__ */ jsxs9("dl", { children: [
|
|
4241
|
+
/* @__PURE__ */ jsxs9("div", { children: [
|
|
4242
|
+
/* @__PURE__ */ jsx9("dt", { children: "Amount billed" }),
|
|
4243
|
+
/* @__PURE__ */ jsx9("dd", { children: currency(remittance.billedAmount) })
|
|
3801
4244
|
] }),
|
|
3802
|
-
/* @__PURE__ */
|
|
3803
|
-
/* @__PURE__ */
|
|
3804
|
-
/* @__PURE__ */
|
|
4245
|
+
/* @__PURE__ */ jsxs9("div", { children: [
|
|
4246
|
+
/* @__PURE__ */ jsx9("dt", { children: "Expected" }),
|
|
4247
|
+
/* @__PURE__ */ jsx9("dd", { children: currency(remittance.expectedAmount) })
|
|
3805
4248
|
] }),
|
|
3806
|
-
/* @__PURE__ */
|
|
3807
|
-
/* @__PURE__ */
|
|
3808
|
-
/* @__PURE__ */
|
|
4249
|
+
/* @__PURE__ */ jsxs9("div", { children: [
|
|
4250
|
+
/* @__PURE__ */ jsx9("dt", { children: "Payer allowed" }),
|
|
4251
|
+
/* @__PURE__ */ jsx9("dd", { children: remittance.payerAllowedAmount === null ? "\u2014" : currency(remittance.payerAllowedAmount) })
|
|
3809
4252
|
] }),
|
|
3810
|
-
/* @__PURE__ */
|
|
3811
|
-
/* @__PURE__ */
|
|
3812
|
-
/* @__PURE__ */
|
|
4253
|
+
/* @__PURE__ */ jsxs9("div", { children: [
|
|
4254
|
+
/* @__PURE__ */ jsx9("dt", { children: "Payer reported paid" }),
|
|
4255
|
+
/* @__PURE__ */ jsx9("dd", { children: remittance.payerReportedPaid === null ? "\u2014" : currency(remittance.payerReportedPaid) })
|
|
3813
4256
|
] }),
|
|
3814
|
-
/* @__PURE__ */
|
|
3815
|
-
/* @__PURE__ */
|
|
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|
-
/* @__PURE__ */
|
|
4257
|
+
/* @__PURE__ */ jsxs9("div", { children: [
|
|
4258
|
+
/* @__PURE__ */ jsx9("dt", { children: "Payment posted" }),
|
|
4259
|
+
/* @__PURE__ */ jsx9("dd", { children: currency(remittance.postedPrincipal) })
|
|
3817
4260
|
] }),
|
|
3818
|
-
/* @__PURE__ */
|
|
3819
|
-
/* @__PURE__ */
|
|
3820
|
-
/* @__PURE__ */
|
|
4261
|
+
/* @__PURE__ */ jsxs9("div", { children: [
|
|
4262
|
+
/* @__PURE__ */ jsx9("dt", { children: "Penalty & interest" }),
|
|
4263
|
+
/* @__PURE__ */ jsx9("dd", { children: currency(remittance.postedAdditional) })
|
|
3821
4264
|
] }),
|
|
3822
|
-
/* @__PURE__ */
|
|
3823
|
-
/* @__PURE__ */
|
|
3824
|
-
/* @__PURE__ */
|
|
4265
|
+
/* @__PURE__ */ jsxs9("div", { children: [
|
|
4266
|
+
/* @__PURE__ */ jsx9("dt", { children: "Total received" }),
|
|
4267
|
+
/* @__PURE__ */ jsx9("dd", { children: currency(remittance.totalPostedCash) })
|
|
3825
4268
|
] }),
|
|
3826
|
-
/* @__PURE__ */
|
|
3827
|
-
/* @__PURE__ */
|
|
3828
|
-
/* @__PURE__ */
|
|
4269
|
+
/* @__PURE__ */ jsxs9("div", { children: [
|
|
4270
|
+
/* @__PURE__ */ jsx9("dt", { children: "Balance due" }),
|
|
4271
|
+
/* @__PURE__ */ jsx9("dd", { children: currency(remittance.balanceDue) })
|
|
3829
4272
|
] })
|
|
3830
4273
|
] }),
|
|
3831
|
-
remittance.denialReason ? /* @__PURE__ */
|
|
3832
|
-
/* @__PURE__ */
|
|
3833
|
-
/* @__PURE__ */
|
|
4274
|
+
remittance.denialReason ? /* @__PURE__ */ jsxs9("div", { className: "mb-denial", children: [
|
|
4275
|
+
/* @__PURE__ */ jsx9("strong", { children: "Denial reason" }),
|
|
4276
|
+
/* @__PURE__ */ jsx9("p", { children: remittance.denialReason })
|
|
3834
4277
|
] }) : null
|
|
3835
4278
|
] });
|
|
3836
4279
|
}
|
|
@@ -3845,72 +4288,72 @@ function BillPayerContactCard({ delivery, appearance, className, style }) {
|
|
|
3845
4288
|
delivery.contacts.portalUrl ? ["Portal", "Open payer portal", delivery.contacts.portalUrl] : null
|
|
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|
].filter(Boolean);
|
|
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4290
|
if (!delivery.payerName && !contacts.length) return null;
|
|
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|
-
return /* @__PURE__ */
|
|
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|
-
/* @__PURE__ */
|
|
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|
-
/* @__PURE__ */
|
|
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|
-
/* @__PURE__ */
|
|
3852
|
-
/* @__PURE__ */
|
|
4291
|
+
return /* @__PURE__ */ jsxs9("section", { className: classes("mb-surface mb-contacts", className), style: mindBillAppearanceStyle(appearance, style), "aria-label": "Payer contact information", children: [
|
|
4292
|
+
/* @__PURE__ */ jsx9("style", { children: lifecycleSurfaceStyles }),
|
|
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|
+
/* @__PURE__ */ jsx9("header", { className: "mb-surface-heading", children: /* @__PURE__ */ jsxs9("div", { children: [
|
|
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|
+
/* @__PURE__ */ jsx9("strong", { children: delivery.payerName || "Claims administrator" }),
|
|
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|
+
/* @__PURE__ */ jsx9("span", { children: "Billing and follow-up contacts." })
|
|
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4296
|
] }) }),
|
|
3854
|
-
!contacts.length ? /* @__PURE__ */
|
|
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|
-
/* @__PURE__ */
|
|
3856
|
-
/* @__PURE__ */
|
|
4297
|
+
!contacts.length ? /* @__PURE__ */ jsx9("p", { className: "mb-empty", children: "No payer contact details are available." }) : /* @__PURE__ */ jsx9("dl", { children: contacts.map(([label, value, href]) => /* @__PURE__ */ jsxs9("div", { children: [
|
|
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|
+
/* @__PURE__ */ jsx9("dt", { children: label }),
|
|
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|
+
/* @__PURE__ */ jsx9("dd", { children: href ? /* @__PURE__ */ jsx9("a", { href, target: label === "Portal" ? "_blank" : void 0, rel: label === "Portal" ? "noreferrer noopener" : void 0, children: value }) : value })
|
|
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4300
|
] }, label)) })
|
|
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4301
|
] });
|
|
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|
}
|
|
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4303
|
function BillPaymentLedger({ payments, appearance, className, style }) {
|
|
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|
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return /* @__PURE__ */
|
|
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|
-
/* @__PURE__ */
|
|
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|
-
/* @__PURE__ */
|
|
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|
-
/* @__PURE__ */
|
|
3865
|
-
/* @__PURE__ */
|
|
4304
|
+
return /* @__PURE__ */ jsxs9("section", { className: classes("mb-surface mb-payments", className), style: mindBillAppearanceStyle(appearance, style), "aria-label": "Payment ledger", children: [
|
|
4305
|
+
/* @__PURE__ */ jsx9("style", { children: lifecycleSurfaceStyles }),
|
|
4306
|
+
/* @__PURE__ */ jsx9("header", { className: "mb-surface-heading", children: /* @__PURE__ */ jsxs9("div", { children: [
|
|
4307
|
+
/* @__PURE__ */ jsx9("strong", { children: "Payments" }),
|
|
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|
+
/* @__PURE__ */ jsx9("span", { children: "Funds recorded against this bill." })
|
|
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4309
|
] }) }),
|
|
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|
-
!payments.length ? /* @__PURE__ */
|
|
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|
+
!payments.length ? /* @__PURE__ */ jsx9("p", { className: "mb-empty", children: "No payments posted." }) : /* @__PURE__ */ jsx9("div", { className: "mb-payment-list", children: payments.map((payment) => {
|
|
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4311
|
const additional = payment.feeAmount ?? 0;
|
|
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|
-
return /* @__PURE__ */
|
|
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|
-
/* @__PURE__ */
|
|
3871
|
-
/* @__PURE__ */
|
|
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|
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/* @__PURE__ */
|
|
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|
+
return /* @__PURE__ */ jsxs9("article", { children: [
|
|
4313
|
+
/* @__PURE__ */ jsxs9("div", { className: "mb-payment-amount", children: [
|
|
4314
|
+
/* @__PURE__ */ jsx9("strong", { children: currency(payment.amount) }),
|
|
4315
|
+
/* @__PURE__ */ jsx9("span", { children: "Total received" })
|
|
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4316
|
] }),
|
|
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|
-
/* @__PURE__ */
|
|
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|
-
/* @__PURE__ */
|
|
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|
-
/* @__PURE__ */
|
|
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|
-
/* @__PURE__ */
|
|
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|
+
/* @__PURE__ */ jsxs9("dl", { children: [
|
|
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|
+
/* @__PURE__ */ jsxs9("div", { children: [
|
|
4319
|
+
/* @__PURE__ */ jsx9("dt", { children: "Applied to bill" }),
|
|
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|
+
/* @__PURE__ */ jsx9("dd", { children: currency(payment.principalAmount) })
|
|
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4321
|
] }),
|
|
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|
-
additional > 0 ? /* @__PURE__ */
|
|
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|
-
/* @__PURE__ */
|
|
3881
|
-
/* @__PURE__ */
|
|
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|
+
additional > 0 ? /* @__PURE__ */ jsxs9("div", { children: [
|
|
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|
+
/* @__PURE__ */ jsx9("dt", { children: "Penalty & interest" }),
|
|
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|
+
/* @__PURE__ */ jsx9("dd", { children: currency(additional) })
|
|
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4325
|
] }) : null,
|
|
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|
-
/* @__PURE__ */
|
|
3884
|
-
/* @__PURE__ */
|
|
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|
-
/* @__PURE__ */
|
|
4326
|
+
/* @__PURE__ */ jsxs9("div", { children: [
|
|
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|
+
/* @__PURE__ */ jsx9("dt", { children: "Method" }),
|
|
4328
|
+
/* @__PURE__ */ jsx9("dd", { children: payment.method.toUpperCase() })
|
|
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4329
|
] }),
|
|
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|
-
/* @__PURE__ */
|
|
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|
-
/* @__PURE__ */
|
|
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|
-
/* @__PURE__ */
|
|
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|
+
/* @__PURE__ */ jsxs9("div", { children: [
|
|
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|
+
/* @__PURE__ */ jsx9("dt", { children: "Reference" }),
|
|
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|
+
/* @__PURE__ */ jsx9("dd", { children: payment.checkNumber || "\u2014" })
|
|
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|
] }),
|
|
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|
-
/* @__PURE__ */
|
|
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|
-
/* @__PURE__ */
|
|
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|
-
/* @__PURE__ */
|
|
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|
+
/* @__PURE__ */ jsxs9("div", { children: [
|
|
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|
+
/* @__PURE__ */ jsx9("dt", { children: "Effective date" }),
|
|
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|
+
/* @__PURE__ */ jsx9("dd", { children: payment.receivedDate || payment.depositDate || defaultFormatDate(payment.postedAt) })
|
|
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4337
|
] }),
|
|
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|
-
/* @__PURE__ */
|
|
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|
-
/* @__PURE__ */
|
|
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|
-
/* @__PURE__ */
|
|
4338
|
+
/* @__PURE__ */ jsxs9("div", { children: [
|
|
4339
|
+
/* @__PURE__ */ jsx9("dt", { children: "Deposit date" }),
|
|
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|
+
/* @__PURE__ */ jsx9("dd", { children: payment.depositDate || "Not recorded" })
|
|
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|
] }),
|
|
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|
-
/* @__PURE__ */
|
|
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|
-
/* @__PURE__ */
|
|
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|
-
/* @__PURE__ */
|
|
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|
+
/* @__PURE__ */ jsxs9("div", { children: [
|
|
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|
+
/* @__PURE__ */ jsx9("dt", { children: "Posted" }),
|
|
4344
|
+
/* @__PURE__ */ jsxs9("dd", { children: [
|
|
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|
defaultFormatDate(payment.postedAt),
|
|
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4346
|
" \xB7 ",
|
|
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|
payment.source.toUpperCase()
|
|
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4348
|
] })
|
|
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4349
|
] }),
|
|
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|
-
/* @__PURE__ */
|
|
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|
-
/* @__PURE__ */
|
|
3909
|
-
/* @__PURE__ */
|
|
4350
|
+
/* @__PURE__ */ jsxs9("div", { children: [
|
|
4351
|
+
/* @__PURE__ */ jsx9("dt", { children: "Status" }),
|
|
4352
|
+
/* @__PURE__ */ jsx9("dd", { children: humanize(payment.status || "posted") })
|
|
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4353
|
] })
|
|
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|
] }),
|
|
3912
|
-
payment.feeReason ? /* @__PURE__ */
|
|
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|
-
payment.note ? /* @__PURE__ */
|
|
4355
|
+
payment.feeReason ? /* @__PURE__ */ jsx9("p", { children: payment.feeReason }) : null,
|
|
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|
+
payment.note ? /* @__PURE__ */ jsx9("p", { children: payment.note }) : null
|
|
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4357
|
] }, payment.id);
|
|
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4358
|
}) })
|
|
3916
4359
|
] });
|
|
@@ -3965,10 +4408,10 @@ var lifecycleSurfaceStyles = `
|
|
|
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4408
|
// src/connected-bill-lifecycle.tsx
|
|
3966
4409
|
import {
|
|
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|
useCallback as useCallback4,
|
|
3968
|
-
useEffect as
|
|
3969
|
-
useMemo as
|
|
4411
|
+
useEffect as useEffect7,
|
|
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|
+
useMemo as useMemo8,
|
|
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|
useRef as useRef5,
|
|
3971
|
-
useState as
|
|
4414
|
+
useState as useState9
|
|
3972
4415
|
} from "react";
|
|
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4416
|
import {
|
|
3974
4417
|
DEFAULT_API_BASE_URL as DEFAULT_API_BASE_URL2,
|
|
@@ -3976,7 +4419,7 @@ import {
|
|
|
3976
4419
|
createBillLifecycleClient
|
|
3977
4420
|
} from "@mindbill/browser";
|
|
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4421
|
import { createBillLifecycleClient as createBillLifecycleClient2 } from "@mindbill/browser";
|
|
3979
|
-
import { Fragment as
|
|
4422
|
+
import { Fragment as Fragment7, jsx as jsx10, jsxs as jsxs10 } from "react/jsx-runtime";
|
|
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4423
|
var DEFAULT_REFRESH_INTERVAL2 = 6e4;
|
|
3981
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|
function reservePreviewWindow() {
|
|
3982
4425
|
const preview = window.open("about:blank", "_blank");
|
|
@@ -4018,25 +4461,25 @@ function useBillLifecycle({
|
|
|
4018
4461
|
enabled = true,
|
|
4019
4462
|
fetch: fetchOverride
|
|
4020
4463
|
}) {
|
|
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|
-
const [data, setData] =
|
|
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|
-
const [error, setError] =
|
|
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|
-
const [isLoading, setIsLoading] =
|
|
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|
-
const [isRefreshing, setIsRefreshing] =
|
|
4025
|
-
const [isMutating, setIsMutating] =
|
|
4464
|
+
const [data, setData] = useState9(null);
|
|
4465
|
+
const [error, setError] = useState9(null);
|
|
4466
|
+
const [isLoading, setIsLoading] = useState9(enabled);
|
|
4467
|
+
const [isRefreshing, setIsRefreshing] = useState9(false);
|
|
4468
|
+
const [isMutating, setIsMutating] = useState9(false);
|
|
4026
4469
|
const mounted = useRef5(true);
|
|
4027
|
-
const client =
|
|
4470
|
+
const client = useMemo8(() => createBillLifecycleClient({
|
|
4028
4471
|
billId: providedBillId,
|
|
4029
4472
|
sessionEndpoint,
|
|
4030
4473
|
getSession,
|
|
4031
4474
|
apiBaseUrl,
|
|
4032
4475
|
fetch: fetchOverride
|
|
4033
4476
|
}), [apiBaseUrl, fetchOverride, getSession, providedBillId, sessionEndpoint]);
|
|
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|
-
|
|
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|
+
useEffect7(() => {
|
|
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4478
|
setData(null);
|
|
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4479
|
setError(null);
|
|
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4480
|
setIsLoading(enabled);
|
|
4038
4481
|
}, [enabled, providedBillId]);
|
|
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|
-
|
|
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|
+
useEffect7(() => {
|
|
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4483
|
mounted.current = true;
|
|
4041
4484
|
return () => {
|
|
4042
4485
|
mounted.current = false;
|
|
@@ -4060,7 +4503,7 @@ function useBillLifecycle({
|
|
|
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4503
|
}
|
|
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4504
|
}
|
|
4062
4505
|
}, [client, enabled]);
|
|
4063
|
-
|
|
4506
|
+
useEffect7(() => {
|
|
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4507
|
if (!enabled) return;
|
|
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4508
|
void refresh();
|
|
4066
4509
|
const interval = refreshInterval > 0 ? window.setInterval(() => void refresh(), refreshInterval) : null;
|
|
@@ -4125,7 +4568,7 @@ function useBillLifecycle({
|
|
|
4125
4568
|
}
|
|
4126
4569
|
function LifecycleDialog({ children, title, onClose }) {
|
|
4127
4570
|
const dialog = useRef5(null);
|
|
4128
|
-
|
|
4571
|
+
useEffect7(() => {
|
|
4129
4572
|
const previous = document.activeElement;
|
|
4130
4573
|
dialog.current?.focus();
|
|
4131
4574
|
const onKeyDown = (event) => event.key === "Escape" && onClose();
|
|
@@ -4135,8 +4578,8 @@ function LifecycleDialog({ children, title, onClose }) {
|
|
|
4135
4578
|
previous?.focus();
|
|
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4579
|
};
|
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|
}, [onClose]);
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|
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return /* @__PURE__ */
|
|
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|
-
/* @__PURE__ */
|
|
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|
+
return /* @__PURE__ */ jsx10("div", { className: "mb-lifecycle-dialog-backdrop", onMouseDown: (event) => event.currentTarget === event.target && onClose(), children: /* @__PURE__ */ jsxs10("div", { ref: dialog, className: "mb-lifecycle-dialog", role: "dialog", "aria-modal": "true", "aria-label": title, tabIndex: -1, children: [
|
|
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|
+
/* @__PURE__ */ jsx10("button", { type: "button", className: "mb-lifecycle-dialog-close", "aria-label": "Close", onClick: onClose, children: "\xD7" }),
|
|
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4583
|
children
|
|
4141
4584
|
] }) });
|
|
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4585
|
}
|
|
@@ -4169,14 +4612,14 @@ function shouldShowSandboxControls(environment, enabled = false) {
|
|
|
4169
4612
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function ConnectedBillLifecycle({ appearance, sandboxControls = false, className, style, loadingFallback, errorFallback, onChanged, ...options }) {
|
|
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4613
|
const lifecycle = useBillLifecycle(options);
|
|
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4614
|
const { data } = lifecycle;
|
|
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|
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const [tab, setTab] =
|
|
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|
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const [panel, setPanel] =
|
|
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|
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const [notice, setNotice] =
|
|
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|
-
const [reason, setReason] =
|
|
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|
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const [payment, setPayment] =
|
|
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|
-
const [review, setReview] =
|
|
4615
|
+
const [tab, setTab] = useState9("details");
|
|
4616
|
+
const [panel, setPanel] = useState9("");
|
|
4617
|
+
const [notice, setNotice] = useState9("");
|
|
4618
|
+
const [reason, setReason] = useState9("");
|
|
4619
|
+
const [payment, setPayment] = useState9({ amount: 0, penaltyAmount: 0, interestAmount: 0, method: "check", checkNumber: "", depositDate: today(), note: "" });
|
|
4620
|
+
const [review, setReview] = useState9({ reason: "", payerClaimControlNumber: "", disputedAmount: void 0, attachmentIds: [], route: "ebill" });
|
|
4178
4621
|
const lastData = useRef5(null);
|
|
4179
|
-
|
|
4622
|
+
useEffect7(() => {
|
|
4180
4623
|
if (!data || data === lastData.current) return;
|
|
4181
4624
|
lastData.current = data;
|
|
4182
4625
|
onChanged?.(data);
|
|
@@ -4193,13 +4636,13 @@ function ConnectedBillLifecycle({ appearance, sandboxControls = false, className
|
|
|
4193
4636
|
attachmentIds: current.attachmentIds.length ? current.attachmentIds.filter((id) => data.bill.attachments.some((document2) => document2.id === id)) : data.bill.attachments.map((document2) => document2.id)
|
|
4194
4637
|
}));
|
|
4195
4638
|
}, [data, onChanged]);
|
|
4196
|
-
if (lifecycle.isLoading && !data) return /* @__PURE__ */
|
|
4639
|
+
if (lifecycle.isLoading && !data) return /* @__PURE__ */ jsx10(Fragment7, { children: loadingFallback ?? /* @__PURE__ */ jsx10("div", { className: "mb-lifecycle-loading", children: "Loading bill\u2026" }) });
|
|
4197
4640
|
if (!data) {
|
|
4198
4641
|
const error = lifecycle.error ?? new Error("Bill could not be loaded.");
|
|
4199
|
-
return /* @__PURE__ */
|
|
4200
|
-
/* @__PURE__ */
|
|
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|
-
/* @__PURE__ */
|
|
4202
|
-
/* @__PURE__ */
|
|
4642
|
+
return /* @__PURE__ */ jsx10(Fragment7, { children: errorFallback?.(error, lifecycle.refresh) ?? /* @__PURE__ */ jsxs10("div", { className: "mb-lifecycle-error", role: "alert", children: [
|
|
4643
|
+
/* @__PURE__ */ jsx10("strong", { children: "Billing is unavailable." }),
|
|
4644
|
+
/* @__PURE__ */ jsx10("span", { children: error.message }),
|
|
4645
|
+
/* @__PURE__ */ jsx10("button", { type: "button", onClick: () => void lifecycle.refresh(), children: "Try again" })
|
|
4203
4646
|
] }) });
|
|
4204
4647
|
}
|
|
4205
4648
|
const complete = async (message, task) => {
|
|
@@ -4217,170 +4660,170 @@ function ConnectedBillLifecycle({ appearance, sandboxControls = false, className
|
|
|
4217
4660
|
const actions = data.lifecycle.actions.filter((action) => action.enabled && supportedActions.has(action.id));
|
|
4218
4661
|
const showSandboxControls = shouldShowSandboxControls(data.environment, sandboxControls);
|
|
4219
4662
|
const simulations = showSandboxControls ? sandboxScenarios(data.lifecycle.state) : [];
|
|
4220
|
-
return /* @__PURE__ */
|
|
4221
|
-
/* @__PURE__ */
|
|
4222
|
-
data.lifecycle.state.toLowerCase() === "rejected" && data.rejection ? /* @__PURE__ */
|
|
4223
|
-
/* @__PURE__ */
|
|
4224
|
-
/* @__PURE__ */
|
|
4225
|
-
/* @__PURE__ */
|
|
4663
|
+
return /* @__PURE__ */ jsxs10("section", { className: ["mb-connected-lifecycle", className].filter(Boolean).join(" "), style: mindBillAppearanceStyle(appearance, style), children: [
|
|
4664
|
+
/* @__PURE__ */ jsx10("style", { children: CONNECTED_LIFECYCLE_STYLES }),
|
|
4665
|
+
data.lifecycle.state.toLowerCase() === "rejected" && data.rejection ? /* @__PURE__ */ jsx10(BillRejectionNotice, { rejection: data.rejection, submittedAt: data.lifecycle.submittedAt ?? null, ...appearance ? { appearance } : {} }) : /* @__PURE__ */ jsx10(BillLifecycleProgress, { state: data.lifecycle.state, nativeStatus: data.lifecycle.nativeStatus, submittedAt: data.lifecycle.submittedAt ?? null, agingDays: data.lifecycle.agingDays ?? null, ...appearance ? { appearance } : {} }),
|
|
4666
|
+
/* @__PURE__ */ jsxs10("header", { className: "mb-lifecycle-head", children: [
|
|
4667
|
+
/* @__PURE__ */ jsxs10("div", { children: [
|
|
4668
|
+
/* @__PURE__ */ jsx10("div", { className: "mb-lifecycle-title", children: /* @__PURE__ */ jsxs10("h2", { children: [
|
|
4226
4669
|
"Bill #",
|
|
4227
4670
|
data.bill.billNumber
|
|
4228
4671
|
] }) }),
|
|
4229
|
-
/* @__PURE__ */
|
|
4672
|
+
/* @__PURE__ */ jsxs10("p", { children: [
|
|
4230
4673
|
"Claim ",
|
|
4231
4674
|
data.injury.claimNumber || "\u2014",
|
|
4232
4675
|
lifecycle.isRefreshing ? " \xB7 Refreshing\u2026" : ""
|
|
4233
4676
|
] })
|
|
4234
4677
|
] }),
|
|
4235
|
-
/* @__PURE__ */
|
|
4678
|
+
/* @__PURE__ */ jsx10("button", { type: "button", className: "mb-lifecycle-button primary", disabled: lifecycle.isMutating, onClick: () => void lifecycle.downloadPacket().catch(() => void 0), children: "Download packet" })
|
|
4236
4679
|
] }),
|
|
4237
|
-
/* @__PURE__ */
|
|
4238
|
-
/* @__PURE__ */
|
|
4239
|
-
/* @__PURE__ */
|
|
4680
|
+
/* @__PURE__ */ jsxs10("div", { className: "mb-lifecycle-tabs", role: "tablist", "aria-label": "Bill view", children: [
|
|
4681
|
+
/* @__PURE__ */ jsx10("button", { type: "button", role: "tab", "aria-selected": tab === "details", onClick: () => setTab("details"), children: "Bill details" }),
|
|
4682
|
+
/* @__PURE__ */ jsx10("button", { type: "button", role: "tab", "aria-selected": tab === "history", onClick: () => setTab("history"), children: "Bill history" })
|
|
4240
4683
|
] }),
|
|
4241
|
-
tab === "details" ? /* @__PURE__ */
|
|
4242
|
-
data.eors.length || data.payments.length || ["processed", "denied", "partially_paid"].includes(data.lifecycle.state) ? /* @__PURE__ */
|
|
4243
|
-
showSandboxControls ? /* @__PURE__ */
|
|
4244
|
-
/* @__PURE__ */
|
|
4245
|
-
/* @__PURE__ */
|
|
4246
|
-
/* @__PURE__ */
|
|
4247
|
-
/* @__PURE__ */
|
|
4684
|
+
tab === "details" ? /* @__PURE__ */ jsxs10("div", { className: "mb-lifecycle-tabpanel", role: "tabpanel", children: [
|
|
4685
|
+
data.eors.length || data.payments.length || ["processed", "denied", "partially_paid"].includes(data.lifecycle.state) ? /* @__PURE__ */ jsx10(BillExplanationOfReview, { remittance: data.remittance, eors: data.eors, payments: data.payments, submittedAt: data.lifecycle.submittedAt ?? null, onOpenEor: lifecycle.openEor, ...appearance ? { appearance } : {} }) : null,
|
|
4686
|
+
showSandboxControls ? /* @__PURE__ */ jsxs10("section", { className: "mb-lifecycle-simulator", "aria-label": "Sandbox lifecycle simulator", children: [
|
|
4687
|
+
/* @__PURE__ */ jsxs10("div", { children: [
|
|
4688
|
+
/* @__PURE__ */ jsx10("span", { children: "Sandbox demo controls" }),
|
|
4689
|
+
/* @__PURE__ */ jsx10("h3", { children: "Simulate the next payer response" }),
|
|
4690
|
+
/* @__PURE__ */ jsx10("p", { children: "This changes sandbox data only. The host receives the result through the same lifecycle API and components partners use." })
|
|
4248
4691
|
] }),
|
|
4249
|
-
simulations.length ? /* @__PURE__ */
|
|
4250
|
-
/* @__PURE__ */
|
|
4251
|
-
/* @__PURE__ */
|
|
4252
|
-
] }, scenario.id)) }) : /* @__PURE__ */
|
|
4692
|
+
simulations.length ? /* @__PURE__ */ jsx10("div", { className: "mb-lifecycle-simulator-actions", children: simulations.map((scenario) => /* @__PURE__ */ jsxs10("button", { type: "button", disabled: lifecycle.isMutating, onClick: () => void complete(`${scenario.label} simulated.`, () => lifecycle.simulateSandbox({ scenario: scenario.id })), children: [
|
|
4693
|
+
/* @__PURE__ */ jsx10("strong", { children: scenario.label }),
|
|
4694
|
+
/* @__PURE__ */ jsx10("span", { children: scenario.detail })
|
|
4695
|
+
] }, scenario.id)) }) : /* @__PURE__ */ jsx10("p", { className: "mb-lifecycle-simulator-idle", children: "No simulated payer transition is needed at this stage. Use the bill action below to continue." })
|
|
4253
4696
|
] }) : null,
|
|
4254
|
-
/* @__PURE__ */
|
|
4255
|
-
] }) : /* @__PURE__ */
|
|
4256
|
-
viewEor || actions.length ? /* @__PURE__ */
|
|
4257
|
-
viewEor && data.eors[0] ? /* @__PURE__ */
|
|
4258
|
-
actions.map((action) => /* @__PURE__ */
|
|
4697
|
+
/* @__PURE__ */ jsx10(BillReadOnlyForm, { data, onOpenAttachment: lifecycle.openAttachment, ...appearance ? { appearance } : {} })
|
|
4698
|
+
] }) : /* @__PURE__ */ jsx10("div", { className: "mb-lifecycle-tabpanel", role: "tabpanel", children: data.history?.length ? /* @__PURE__ */ jsx10(BillHistoryTable, { entries: data.history, ...appearance ? { appearance } : {} }) : /* @__PURE__ */ jsx10(BillActivityTimeline, { events: data.activity, ...appearance ? { appearance } : {} }) }),
|
|
4699
|
+
viewEor || actions.length ? /* @__PURE__ */ jsxs10("aside", { className: "mb-lifecycle-actions-sheet", "aria-label": "Bill actions", children: [
|
|
4700
|
+
viewEor && data.eors[0] ? /* @__PURE__ */ jsx10("button", { type: "button", className: "mb-lifecycle-button secondary", onClick: () => void lifecycle.openEor(data.eors[0]).catch(() => void 0), children: viewEor.label }) : null,
|
|
4701
|
+
actions.map((action) => /* @__PURE__ */ jsx10("button", { type: "button", className: action.primary ? "mb-lifecycle-button primary" : "mb-lifecycle-button secondary", onClick: () => {
|
|
4259
4702
|
const next = actionPanel(action);
|
|
4260
4703
|
if (next) setPanel(next);
|
|
4261
4704
|
}, children: action.label }, action.id))
|
|
4262
4705
|
] }) : null,
|
|
4263
|
-
panel === "resubmit" ? /* @__PURE__ */
|
|
4264
|
-
/* @__PURE__ */
|
|
4265
|
-
/* @__PURE__ */
|
|
4266
|
-
/* @__PURE__ */
|
|
4706
|
+
panel === "resubmit" ? /* @__PURE__ */ jsx10(LifecycleDialog, { title: "Correct and resubmit", onClose: () => setPanel(""), children: /* @__PURE__ */ jsxs10("section", { className: "mb-lifecycle-panel", children: [
|
|
4707
|
+
/* @__PURE__ */ jsxs10("div", { children: [
|
|
4708
|
+
/* @__PURE__ */ jsx10("h3", { children: "Correct and resubmit" }),
|
|
4709
|
+
/* @__PURE__ */ jsx10("p", { children: "The original submission remains immutable. This records a new submission attempt after the routing issue is corrected." })
|
|
4267
4710
|
] }),
|
|
4268
|
-
/* @__PURE__ */
|
|
4269
|
-
/* @__PURE__ */
|
|
4270
|
-
/* @__PURE__ */
|
|
4711
|
+
/* @__PURE__ */ jsxs10("label", { children: [
|
|
4712
|
+
/* @__PURE__ */ jsx10("span", { children: "Correction note (optional)" }),
|
|
4713
|
+
/* @__PURE__ */ jsx10("textarea", { value: reason, placeholder: "What changed before resubmission?", onChange: (event) => setReason(event.target.value) })
|
|
4271
4714
|
] }),
|
|
4272
|
-
/* @__PURE__ */
|
|
4273
|
-
/* @__PURE__ */
|
|
4274
|
-
/* @__PURE__ */
|
|
4715
|
+
/* @__PURE__ */ jsxs10("div", { className: "mb-lifecycle-panel-actions", children: [
|
|
4716
|
+
/* @__PURE__ */ jsx10("button", { type: "button", className: "mb-lifecycle-button secondary", onClick: () => setPanel(""), children: "Cancel" }),
|
|
4717
|
+
/* @__PURE__ */ jsx10("button", { type: "button", className: "mb-lifecycle-button primary", disabled: lifecycle.isMutating, onClick: () => void complete("Bill resubmitted.", () => lifecycle.resubmitBill({ reason })), children: lifecycle.isMutating ? "Resubmitting\u2026" : "Resubmit bill" })
|
|
4275
4718
|
] })
|
|
4276
4719
|
] }) }) : null,
|
|
4277
|
-
panel === "second_review" ? /* @__PURE__ */
|
|
4278
|
-
/* @__PURE__ */
|
|
4279
|
-
/* @__PURE__ */
|
|
4280
|
-
/* @__PURE__ */
|
|
4720
|
+
panel === "second_review" ? /* @__PURE__ */ jsx10(LifecycleDialog, { title: "Submit Second Review", onClose: () => setPanel(""), children: /* @__PURE__ */ jsxs10("section", { className: "mb-lifecycle-panel", children: [
|
|
4721
|
+
/* @__PURE__ */ jsxs10("div", { children: [
|
|
4722
|
+
/* @__PURE__ */ jsx10("h3", { children: "Submit Second Review" }),
|
|
4723
|
+
/* @__PURE__ */ jsx10("p", { children: "Explain the dispute and include the payer control number and supporting documents." })
|
|
4281
4724
|
] }),
|
|
4282
|
-
/* @__PURE__ */
|
|
4283
|
-
/* @__PURE__ */
|
|
4284
|
-
/* @__PURE__ */
|
|
4285
|
-
/* @__PURE__ */
|
|
4725
|
+
/* @__PURE__ */ jsxs10("div", { className: "mb-lifecycle-fields two", children: [
|
|
4726
|
+
/* @__PURE__ */ jsxs10("label", { className: "full", children: [
|
|
4727
|
+
/* @__PURE__ */ jsx10("span", { children: "Reason" }),
|
|
4728
|
+
/* @__PURE__ */ jsx10("textarea", { required: true, value: review.reason, onChange: (event) => setReview((current) => ({ ...current, reason: event.target.value })) })
|
|
4286
4729
|
] }),
|
|
4287
|
-
/* @__PURE__ */
|
|
4288
|
-
/* @__PURE__ */
|
|
4289
|
-
/* @__PURE__ */
|
|
4730
|
+
/* @__PURE__ */ jsxs10("label", { children: [
|
|
4731
|
+
/* @__PURE__ */ jsx10("span", { children: "Payer claim control number" }),
|
|
4732
|
+
/* @__PURE__ */ jsx10("input", { required: true, value: review.payerClaimControlNumber, onChange: (event) => setReview((current) => ({ ...current, payerClaimControlNumber: event.target.value })) })
|
|
4290
4733
|
] }),
|
|
4291
|
-
/* @__PURE__ */
|
|
4292
|
-
/* @__PURE__ */
|
|
4293
|
-
/* @__PURE__ */
|
|
4734
|
+
/* @__PURE__ */ jsxs10("label", { children: [
|
|
4735
|
+
/* @__PURE__ */ jsx10("span", { children: "Disputed amount" }),
|
|
4736
|
+
/* @__PURE__ */ jsx10("input", { type: "number", min: "0.01", step: "0.01", value: review.disputedAmount ?? "", onChange: (event) => setReview((current) => ({ ...current, disputedAmount: event.target.value ? Number(event.target.value) : void 0 })) })
|
|
4294
4737
|
] }),
|
|
4295
|
-
/* @__PURE__ */
|
|
4296
|
-
/* @__PURE__ */
|
|
4297
|
-
/* @__PURE__ */
|
|
4298
|
-
/* @__PURE__ */
|
|
4299
|
-
/* @__PURE__ */
|
|
4300
|
-
/* @__PURE__ */
|
|
4301
|
-
/* @__PURE__ */
|
|
4738
|
+
/* @__PURE__ */ jsxs10("label", { children: [
|
|
4739
|
+
/* @__PURE__ */ jsx10("span", { children: "Send via" }),
|
|
4740
|
+
/* @__PURE__ */ jsxs10("select", { value: review.route, onChange: (event) => setReview((current) => ({ ...current, route: event.target.value })), children: [
|
|
4741
|
+
/* @__PURE__ */ jsx10("option", { value: "ebill", children: "E-bill" }),
|
|
4742
|
+
/* @__PURE__ */ jsx10("option", { value: "fax", children: "Fax" }),
|
|
4743
|
+
/* @__PURE__ */ jsx10("option", { value: "mail", children: "Mail" }),
|
|
4744
|
+
/* @__PURE__ */ jsx10("option", { value: "email", children: "Email" })
|
|
4302
4745
|
] })
|
|
4303
4746
|
] })
|
|
4304
4747
|
] }),
|
|
4305
|
-
/* @__PURE__ */
|
|
4306
|
-
/* @__PURE__ */
|
|
4307
|
-
data.bill.attachments.map((attachment) => /* @__PURE__ */
|
|
4308
|
-
/* @__PURE__ */
|
|
4309
|
-
/* @__PURE__ */
|
|
4310
|
-
/* @__PURE__ */
|
|
4311
|
-
/* @__PURE__ */
|
|
4748
|
+
/* @__PURE__ */ jsxs10("fieldset", { className: "mb-lifecycle-packet", children: [
|
|
4749
|
+
/* @__PURE__ */ jsx10("legend", { children: "Supporting packet" }),
|
|
4750
|
+
data.bill.attachments.map((attachment) => /* @__PURE__ */ jsxs10("label", { children: [
|
|
4751
|
+
/* @__PURE__ */ jsx10("input", { type: "checkbox", checked: review.attachmentIds.includes(attachment.id), onChange: (event) => setReview((current) => ({ ...current, attachmentIds: event.target.checked ? [...current.attachmentIds, attachment.id] : current.attachmentIds.filter((id) => id !== attachment.id) })) }),
|
|
4752
|
+
/* @__PURE__ */ jsxs10("span", { children: [
|
|
4753
|
+
/* @__PURE__ */ jsx10("strong", { children: attachment.filename }),
|
|
4754
|
+
/* @__PURE__ */ jsx10("small", { children: attachment.description || attachment.documentType })
|
|
4312
4755
|
] }),
|
|
4313
|
-
/* @__PURE__ */
|
|
4756
|
+
/* @__PURE__ */ jsx10("button", { type: "button", onClick: () => void lifecycle.openAttachment(attachment).catch(() => void 0), children: "View" })
|
|
4314
4757
|
] }, attachment.id))
|
|
4315
4758
|
] }),
|
|
4316
|
-
/* @__PURE__ */
|
|
4317
|
-
/* @__PURE__ */
|
|
4318
|
-
/* @__PURE__ */
|
|
4759
|
+
/* @__PURE__ */ jsxs10("div", { className: "mb-lifecycle-panel-actions", children: [
|
|
4760
|
+
/* @__PURE__ */ jsx10("button", { type: "button", className: "mb-lifecycle-button secondary", onClick: () => setPanel(""), children: "Cancel" }),
|
|
4761
|
+
/* @__PURE__ */ jsx10("button", { type: "button", className: "mb-lifecycle-button primary", disabled: lifecycle.isMutating || !review.reason.trim() || !review.payerClaimControlNumber.trim(), onClick: () => void complete("Second Review submitted.", () => lifecycle.submitSecondReview(review)), children: lifecycle.isMutating ? "Submitting\u2026" : "Submit Second Review" })
|
|
4319
4762
|
] })
|
|
4320
4763
|
] }) }) : null,
|
|
4321
|
-
panel === "payment" ? /* @__PURE__ */
|
|
4322
|
-
/* @__PURE__ */
|
|
4323
|
-
/* @__PURE__ */
|
|
4324
|
-
/* @__PURE__ */
|
|
4764
|
+
panel === "payment" ? /* @__PURE__ */ jsx10(LifecycleDialog, { title: "Post payment", onClose: () => setPanel(""), children: /* @__PURE__ */ jsxs10("section", { className: "mb-lifecycle-panel", children: [
|
|
4765
|
+
/* @__PURE__ */ jsxs10("div", { children: [
|
|
4766
|
+
/* @__PURE__ */ jsx10("h3", { children: "Post payment" }),
|
|
4767
|
+
/* @__PURE__ */ jsx10("p", { children: "Record a full or partial payment, plus any penalty and interest received." })
|
|
4325
4768
|
] }),
|
|
4326
|
-
/* @__PURE__ */
|
|
4327
|
-
/* @__PURE__ */
|
|
4328
|
-
/* @__PURE__ */
|
|
4329
|
-
/* @__PURE__ */
|
|
4769
|
+
/* @__PURE__ */ jsxs10("div", { className: "mb-lifecycle-fields two", children: [
|
|
4770
|
+
/* @__PURE__ */ jsxs10("label", { children: [
|
|
4771
|
+
/* @__PURE__ */ jsx10("span", { children: "Amount applied to bill" }),
|
|
4772
|
+
/* @__PURE__ */ jsx10("input", { type: "number", min: "0.01", max: data.bill.balanceDue, step: "0.01", value: payment.amount || "", onChange: (event) => setPayment((current) => ({ ...current, amount: Number(event.target.value) })) })
|
|
4330
4773
|
] }),
|
|
4331
|
-
/* @__PURE__ */
|
|
4332
|
-
/* @__PURE__ */
|
|
4333
|
-
/* @__PURE__ */
|
|
4774
|
+
/* @__PURE__ */ jsxs10("label", { children: [
|
|
4775
|
+
/* @__PURE__ */ jsx10("span", { children: "Penalty" }),
|
|
4776
|
+
/* @__PURE__ */ jsx10("input", { type: "number", min: "0", step: "0.01", value: payment.penaltyAmount || "", placeholder: "0.00", onChange: (event) => setPayment((current) => ({ ...current, penaltyAmount: Number(event.target.value) })) })
|
|
4334
4777
|
] }),
|
|
4335
|
-
/* @__PURE__ */
|
|
4336
|
-
/* @__PURE__ */
|
|
4337
|
-
/* @__PURE__ */
|
|
4778
|
+
/* @__PURE__ */ jsxs10("label", { children: [
|
|
4779
|
+
/* @__PURE__ */ jsx10("span", { children: "Interest" }),
|
|
4780
|
+
/* @__PURE__ */ jsx10("input", { type: "number", min: "0", step: "0.01", value: payment.interestAmount || "", placeholder: "0.00", onChange: (event) => setPayment((current) => ({ ...current, interestAmount: Number(event.target.value) })) })
|
|
4338
4781
|
] }),
|
|
4339
|
-
/* @__PURE__ */
|
|
4340
|
-
/* @__PURE__ */
|
|
4341
|
-
/* @__PURE__ */
|
|
4342
|
-
/* @__PURE__ */
|
|
4343
|
-
/* @__PURE__ */
|
|
4782
|
+
/* @__PURE__ */ jsxs10("label", { children: [
|
|
4783
|
+
/* @__PURE__ */ jsx10("span", { children: "Method" }),
|
|
4784
|
+
/* @__PURE__ */ jsxs10("select", { value: payment.method, onChange: (event) => setPayment((current) => ({ ...current, method: event.target.value })), children: [
|
|
4785
|
+
/* @__PURE__ */ jsx10("option", { value: "check", children: "Check" }),
|
|
4786
|
+
/* @__PURE__ */ jsx10("option", { value: "eft", children: "EFT" })
|
|
4344
4787
|
] })
|
|
4345
4788
|
] }),
|
|
4346
|
-
/* @__PURE__ */
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4347
|
-
/* @__PURE__ */
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4348
|
-
/* @__PURE__ */
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|
4789
|
+
/* @__PURE__ */ jsxs10("label", { children: [
|
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4790
|
+
/* @__PURE__ */ jsx10("span", { children: payment.method === "check" ? "Check number" : "EFT reference" }),
|
|
4791
|
+
/* @__PURE__ */ jsx10("input", { value: payment.checkNumber, onChange: (event) => setPayment((current) => ({ ...current, checkNumber: event.target.value })) })
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4349
4792
|
] }),
|
|
4350
|
-
/* @__PURE__ */
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|
4351
|
-
/* @__PURE__ */
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|
4352
|
-
/* @__PURE__ */
|
|
4793
|
+
/* @__PURE__ */ jsxs10("label", { children: [
|
|
4794
|
+
/* @__PURE__ */ jsx10("span", { children: "Deposit date" }),
|
|
4795
|
+
/* @__PURE__ */ jsx10("input", { required: true, value: payment.depositDate, placeholder: "MM/DD/YYYY", onChange: (event) => setPayment((current) => ({ ...current, depositDate: event.target.value })) })
|
|
4353
4796
|
] }),
|
|
4354
|
-
/* @__PURE__ */
|
|
4355
|
-
/* @__PURE__ */
|
|
4356
|
-
/* @__PURE__ */
|
|
4797
|
+
/* @__PURE__ */ jsxs10("label", { className: "full", children: [
|
|
4798
|
+
/* @__PURE__ */ jsx10("span", { children: "Note (optional)" }),
|
|
4799
|
+
/* @__PURE__ */ jsx10("input", { value: payment.note, onChange: (event) => setPayment((current) => ({ ...current, note: event.target.value })) })
|
|
4357
4800
|
] })
|
|
4358
4801
|
] }),
|
|
4359
|
-
/* @__PURE__ */
|
|
4360
|
-
/* @__PURE__ */
|
|
4361
|
-
/* @__PURE__ */
|
|
4802
|
+
/* @__PURE__ */ jsxs10("div", { className: "mb-payment-total", children: [
|
|
4803
|
+
/* @__PURE__ */ jsx10("span", { children: "Total received" }),
|
|
4804
|
+
/* @__PURE__ */ jsx10("strong", { children: new Intl.NumberFormat(void 0, { style: "currency", currency: "USD" }).format(payment.amount + (payment.penaltyAmount ?? 0) + (payment.interestAmount ?? 0)) })
|
|
4362
4805
|
] }),
|
|
4363
|
-
/* @__PURE__ */
|
|
4364
|
-
/* @__PURE__ */
|
|
4365
|
-
/* @__PURE__ */
|
|
4806
|
+
/* @__PURE__ */ jsxs10("div", { className: "mb-lifecycle-panel-actions", children: [
|
|
4807
|
+
/* @__PURE__ */ jsx10("button", { type: "button", className: "mb-lifecycle-button secondary", onClick: () => setPanel(""), children: "Cancel" }),
|
|
4808
|
+
/* @__PURE__ */ jsx10("button", { type: "button", className: "mb-lifecycle-button primary", disabled: lifecycle.isMutating || payment.amount <= 0 || payment.amount > data.bill.balanceDue || (payment.penaltyAmount ?? 0) < 0 || (payment.interestAmount ?? 0) < 0 || !payment.depositDate, onClick: () => void complete("Payment posted.", () => lifecycle.postPayment(payment)), children: lifecycle.isMutating ? "Posting\u2026" : "Post payment" })
|
|
4366
4809
|
] })
|
|
4367
4810
|
] }) }) : null,
|
|
4368
|
-
panel === "close" || panel === "reopen" ? /* @__PURE__ */
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4369
|
-
/* @__PURE__ */
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4370
|
-
/* @__PURE__ */
|
|
4371
|
-
/* @__PURE__ */
|
|
4811
|
+
panel === "close" || panel === "reopen" ? /* @__PURE__ */ jsx10(LifecycleDialog, { title: panel === "close" ? "Close bill" : "Reopen bill", onClose: () => setPanel(""), children: /* @__PURE__ */ jsxs10("section", { className: "mb-lifecycle-panel", children: [
|
|
4812
|
+
/* @__PURE__ */ jsxs10("div", { children: [
|
|
4813
|
+
/* @__PURE__ */ jsx10("h3", { children: panel === "close" ? "Close bill" : "Reopen bill" }),
|
|
4814
|
+
/* @__PURE__ */ jsx10("p", { children: panel === "close" ? "The immutable submission and history remain available." : "Return this bill to active follow-up without changing the submitted snapshot." })
|
|
4372
4815
|
] }),
|
|
4373
|
-
/* @__PURE__ */
|
|
4374
|
-
/* @__PURE__ */
|
|
4375
|
-
/* @__PURE__ */
|
|
4816
|
+
/* @__PURE__ */ jsxs10("label", { children: [
|
|
4817
|
+
/* @__PURE__ */ jsx10("span", { children: "Reason" }),
|
|
4818
|
+
/* @__PURE__ */ jsx10("textarea", { required: true, value: reason, onChange: (event) => setReason(event.target.value) })
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|
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|
] }),
|
|
4377
|
-
/* @__PURE__ */
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|
4378
|
-
/* @__PURE__ */
|
|
4379
|
-
/* @__PURE__ */
|
|
4820
|
+
/* @__PURE__ */ jsxs10("div", { className: "mb-lifecycle-panel-actions", children: [
|
|
4821
|
+
/* @__PURE__ */ jsx10("button", { type: "button", className: "mb-lifecycle-button secondary", onClick: () => setPanel(""), children: "Cancel" }),
|
|
4822
|
+
/* @__PURE__ */ jsx10("button", { type: "button", className: "mb-lifecycle-button primary", disabled: lifecycle.isMutating || !reason.trim(), onClick: () => void complete(panel === "close" ? "Bill closed." : "Bill reopened.", () => panel === "close" ? lifecycle.closeBill({ reason }) : lifecycle.reopenBill({ reason })), children: lifecycle.isMutating ? "Saving\u2026" : panel === "close" ? "Close bill" : "Reopen bill" })
|
|
4380
4823
|
] })
|
|
4381
4824
|
] }) }) : null,
|
|
4382
|
-
notice ? /* @__PURE__ */
|
|
4383
|
-
lifecycle.error ? /* @__PURE__ */
|
|
4825
|
+
notice ? /* @__PURE__ */ jsx10("div", { className: "mb-lifecycle-message success", role: "status", children: notice }) : null,
|
|
4826
|
+
lifecycle.error ? /* @__PURE__ */ jsx10("div", { className: "mb-lifecycle-message error", role: "alert", children: lifecycle.error.message }) : null
|
|
4384
4827
|
] });
|
|
4385
4828
|
}
|
|
4386
4829
|
var CONNECTED_LIFECYCLE_STYLES = `
|
|
@@ -4394,7 +4837,7 @@ var CONNECTED_LIFECYCLE_STYLES = `
|
|
|
4394
4837
|
function widget(tagName, props) {
|
|
4395
4838
|
const ref = useRef6(null);
|
|
4396
4839
|
const { onMindBill, onMindBillError } = props;
|
|
4397
|
-
|
|
4840
|
+
useEffect8(() => {
|
|
4398
4841
|
const element = ref.current;
|
|
4399
4842
|
if (!element) return;
|
|
4400
4843
|
const handleEvent = (event) => onMindBill?.(event);
|
|
@@ -4473,6 +4916,7 @@ export {
|
|
|
4473
4916
|
MindBillBillTimeline,
|
|
4474
4917
|
OrganizationOnboarding,
|
|
4475
4918
|
PSYCH_QME_DEFAULT_DIAGNOSIS,
|
|
4919
|
+
SendRouteDialog,
|
|
4476
4920
|
applyBillSubmissionEvaluationDiagnoses,
|
|
4477
4921
|
applyBillSubmissionEvaluationModifiers,
|
|
4478
4922
|
billActivityEventLabel,
|
|
@@ -4492,7 +4936,9 @@ export {
|
|
|
4492
4936
|
ensureTrailingBillSubmissionLine,
|
|
4493
4937
|
ensureTrailingProcedureLine,
|
|
4494
4938
|
exactClaimsAdministratorMatch,
|
|
4939
|
+
extractSendRouteEmail,
|
|
4495
4940
|
formatBillSubmissionDate,
|
|
4941
|
+
formatSendRouteFax,
|
|
4496
4942
|
mindBillAppearanceStyle,
|
|
4497
4943
|
mindBillThemePresets,
|
|
4498
4944
|
normalizeClaimsAdministratorName,
|