@mindbill/react 0.52.0 → 0.52.1

package/README.md

@@ -214,7 +214,7 @@ The component includes the interaction model, not just the markup:
 - complete, server-backed ICD-10 search with an alphabetized 100-code first page, automatic 100-code scroll paging, common-injury quick picks, and removable chips;
 - an authenticated claims-administrator browser that opens to an alphabetized 50-item page, loads later pages on scroll, searches from the first character, and preserves exact-name and claim-number evidence;
 - explicit routing-payer selection when the administrator requires it, with aliases, affiliated entities, claim-number hints, delivery type, clearinghouse routes, and payer identifiers shown in context;
-- QME, AME, and Psych QME evaluation modes with medical-legal modifier defaults; Psych QME also seeds `Z04.6` when no more specific diagnosis was supplied, and exposes it as a Psych quick pick;
+- QME, AME, Psych QME, and Psych AME evaluation modes with medical-legal modifier defaults; psychiatric QME evaluations combine `95` and `96`, while psychiatric AME evaluations combine `94` and `96`. Both psychiatric modes seed `Z04.6` when no more specific diagnosis was supplied, and exposes it as a Psych quick pick;
 - a searchable rendering-provider taxonomy combobox that accepts either a human-readable specialty search or an exact 10-character taxonomy code;
 - searchable workers-comp procedure/modifier controls, medical-legal fee-schedule amounts, totals, valid manual CPT/HCPCS entry, and an automatically maintained empty line;
 - removable source documents with new-tab previews and a full-width click, panel-drop, or whole-page PDF upload area. Auto-attached documents can be removable when the host sets `removable: true`; otherwise they remain locked by default. Med-legal mode assigns every document to `J4 - Med-Legal Report` without showing another control; professional mode shows the complete searchable PWK01 report-type directory. Override that presentation with `attachmentReportTypeMode`, `attachmentReportTypes`, and `defaultAttachmentReportType`.

package/dist/index.d.ts

@@ -188,7 +188,7 @@ type BillSubmissionReportTypeOption = {
 };
 declare const MED_LEGAL_REPORT_TYPE_CODE = "OZ:J4";
 declare const BILL_SUBMISSION_REPORT_TYPES: readonly BillSubmissionReportTypeOption[];
-type BillSubmissionEvaluationType = "qme" | "ame" | "psych_qme";
+type BillSubmissionEvaluationType = "qme" | "ame" | "psych_qme" | "psych_ame";
 type BillSubmissionAddress = {
     line1: string;
     line2?: string;
@@ -441,7 +441,7 @@ declare function parseBillSubmissionDate(value: string): string | undefined;
 declare function formatBillSubmissionDate(value: string | null | undefined): string;
 declare function applyBillSubmissionEvaluationModifiers(lines: BillSubmissionInput$1["serviceLines"], type: BillSubmissionEvaluationType): BillSubmissionInput$1["serviceLines"];
 declare const PSYCH_QME_DEFAULT_DIAGNOSIS = "Z04.6";
-/** Seed Psych QME's general examination code only when no diagnosis was supplied. */
+/** Seed the psychiatric examination code only when no diagnosis was supplied. */
 declare function applyBillSubmissionEvaluationDiagnoses(diagnoses: string[] | undefined, type: BillSubmissionEvaluationType): string[];
 declare function validateBillSubmission(bill: BillSubmissionInput$1): BillSubmissionValidation;
 declare function normalizeClaimsAdministratorName(value: string): string;

package/dist/index.js

@@ -2474,27 +2474,31 @@ function formatBillSubmissionDate(value) {
   const [year, month, day] = parsed.split("-");
   return `${month}/${day}/${year}`;
 }
-function evaluationModifier(type, code) {
-  if (!/^ML(?:200|201|202|203|PRR)$/.test(code.toUpperCase())) return void 0;
-  if (type === "ame") return code.toUpperCase() === "ML200" || code.toUpperCase() === "MLPRR" ? void 0 : "94";
-  if (type === "psych_qme") return code.toUpperCase() === "ML200" ? "95" : code.toUpperCase() === "MLPRR" ? void 0 : "96";
-  return "95";
+function evaluationModifiers(type, code) {
+  const normalizedCode = code.toUpperCase();
+  if (!/^ML(?:200|201|202|203|PRR)$/.test(normalizedCode)) return [];
+  const isAme = type === "ame" || type === "psych_ame";
+  if (normalizedCode === "ML200" || normalizedCode === "MLPRR") return isAme ? [] : ["95"];
+  const modifiers = [isAme ? "94" : "95"];
+  if (type === "psych_qme" || type === "psych_ame") modifiers.push("96");
+  return modifiers;
 }
 function applyBillSubmissionEvaluationModifiers(lines, type) {
   return lines.map((line) => {
-    const auto = evaluationModifier(type, line.code);
+    const auto = evaluationModifiers(type, line.code);
     const modifiers = (line.modifiers ?? []).filter((item) => !["94", "95", "96"].includes(item.replace(/^-/, "")));
-    return { ...line, modifiers: auto ? [auto, ...modifiers] : modifiers };
+    return { ...line, modifiers: [...auto, ...modifiers] };
   });
 }
 var PSYCH_QME_DEFAULT_DIAGNOSIS = "Z04.6";
 function applyBillSubmissionEvaluationDiagnoses(diagnoses, type) {
   const current = [...diagnoses ?? []];
-  return type === "psych_qme" && !current.some((code) => code.trim()) ? [PSYCH_QME_DEFAULT_DIAGNOSIS] : current;
+  return (type === "psych_qme" || type === "psych_ame") && !current.some((code) => code.trim()) ? [PSYCH_QME_DEFAULT_DIAGNOSIS] : current;
 }
 function initialEvaluationType(bill) {
-  if (bill.renderingProvider?.isAme) return "ame";
-  return bill.renderingProvider?.specialty?.toLowerCase().includes("psych") ? "psych_qme" : "qme";
+  const isPsych = bill.renderingProvider?.specialty?.toLowerCase().includes("psych");
+  if (bill.renderingProvider?.isAme) return isPsych ? "psych_ame" : "ame";
+  return isPsych ? "psych_qme" : "qme";
 }
 function cloneInitialBill(bill) {
   const cloned = cloneBill(bill);
@@ -3069,7 +3073,7 @@ function BillSubmissionForm({
   };
   const changeEvaluation = (type) => {
     setEvaluationType(type);
-    setBill((current) => ({ ...current, diagnoses: applyBillSubmissionEvaluationDiagnoses(current.diagnoses, type), renderingProvider: { ...current.renderingProvider, isAme: type === "ame", isQme: type !== "ame", ...type === "psych_qme" && !current.renderingProvider?.specialty ? { specialty: "Psychiatry" } : {} }, serviceLines: applyBillSubmissionEvaluationModifiers(current.serviceLines, type) }));
+    setBill((current) => ({ ...current, diagnoses: applyBillSubmissionEvaluationDiagnoses(current.diagnoses, type), renderingProvider: { ...current.renderingProvider, isAme: type === "ame" || type === "psych_ame", isQme: type === "qme" || type === "psych_qme", ...(type === "psych_qme" || type === "psych_ame") && !current.renderingProvider?.specialty ? { specialty: "Psychiatry" } : {} }, serviceLines: applyBillSubmissionEvaluationModifiers(current.serviceLines, type) }));
   };
   const lineCharge = (line) => calculateBillSubmissionAllowedAmount(line, procedures) ?? (Number.isFinite(line.charge) ? Number(line.charge) : void 0);
   const total = submittedLines(bill.serviceLines).reduce((sum, line) => sum + (lineCharge(line) ?? 0), 0);
@@ -3393,8 +3397,8 @@ function BillSubmissionForm({
   const serviceLinesSection = /* @__PURE__ */ jsxs6("fieldset", { className: "mbsf-card", disabled: locked, children: [
     /* @__PURE__ */ jsx6("legend", { className: "mbsf-legend", children: "Evaluation & service lines" }),
     /* @__PURE__ */ jsx6("p", { className: "mbsf-help", children: "Sets the evaluator/specialty modifier on medical-legal evaluation lines." }),
-    /* @__PURE__ */ jsx6("div", { className: "mbsf-segments", role: "group", "aria-label": "Evaluation type", children: [["qme", "QME (default)"], ["ame", "AME"], ["psych_qme", "Psych QME"]].map(([type, label]) => /* @__PURE__ */ jsx6("button", { className: "mbsf-segment", type: "button", "aria-pressed": evaluationType === type, onClick: () => changeEvaluation(type), children: label }, type)) }),
-    /* @__PURE__ */ jsx6("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." }),
+    /* @__PURE__ */ jsx6("div", { className: "mbsf-segments", role: "group", "aria-label": "Evaluation type", children: [["qme", "QME (default)"], ["ame", "AME"], ["psych_qme", "Psych QME"], ["psych_ame", "Psych AME"]].map(([type, label]) => /* @__PURE__ */ jsx6("button", { className: "mbsf-segment", type: "button", "aria-pressed": evaluationType === type, onClick: () => changeEvaluation(type), children: label }, type)) }),
+    /* @__PURE__ */ jsx6("p", { className: "mbsf-help", children: evaluationType === "psych_ame" ? "Psychiatric or psychological AME \u2014 eligible ML evaluation codes default to modifiers -94 and -96." : evaluationType === "ame" ? "Agreed Medical Evaluator \u2014 eligible ML evaluation codes default to modifier -94." : evaluationType === "psych_qme" ? "Psychiatric or psychological QME \u2014 eligible ML evaluation codes default to modifiers -95 and -96 (-95 only for ML200 and MLPRR)." : "Qualified Medical Evaluator \u2014 eligible ML evaluation codes default to modifier -95." }),
     /* @__PURE__ */ jsxs6("div", { className: "mbsf-lines", "data-field-path": "serviceLines", "data-invalid": Boolean(errors.serviceLines), children: [
       /* @__PURE__ */ jsxs6("div", { className: "mbsf-line-head", children: [
         /* @__PURE__ */ jsxs6("span", { children: [
@@ -3414,8 +3418,8 @@ function BillSubmissionForm({
       bill.serviceLines.map((line, index) => /* @__PURE__ */ jsxs6("div", { className: "mbsf-line", children: [
         /* @__PURE__ */ jsxs6("div", { "data-label": "Procedure code", "data-field-path": `serviceLines.${index}.code`, "data-invalid": Boolean(errors[`serviceLines.${index}.code`]), children: [
           /* @__PURE__ */ jsx6(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) => {
-            const auto = evaluationModifier(evaluationType, option.id);
-            setLine(index, { code: option.id, ...auto ? { modifiers: [auto, ...(line.modifiers ?? []).filter((item) => !["94", "95", "96"].includes(item.replace(/^-/, "")))] } : line.modifiers ? { modifiers: line.modifiers } : {} });
+            const [updated] = applyBillSubmissionEvaluationModifiers([{ ...line, code: option.id }], evaluationType);
+            setLine(index, updated);
           } }),
           line.code ? /* @__PURE__ */ jsx6("small", { className: "mbsf-help", children: procedures.find((item) => item.code === line.code)?.description ?? "Custom CPT, HCPCS, or medical-legal code" }) : null,
           errors[`serviceLines.${index}.code`] ? /* @__PURE__ */ jsx6("small", { className: "mbsf-error", role: "alert", children: errors[`serviceLines.${index}.code`] }) : null