@mindbill/react 0.77.36 → 0.77.37

package/dist/index.js

@@ -10049,14 +10049,14 @@ function RfaLink({ href, children, onSelect }) {
 }
 
 // src/rfa-task-board.tsx
-import { useEffect as useEffect14, useMemo as useMemo7, useRef as useRef13, useState as useState17 } from "react";
+import { useEffect as useEffect15, useMemo as useMemo7, useRef as useRef13, useState as useState18 } from "react";
 import { createRfaClient, createRfaLifecycleClient } from "@mindbill/browser";
 
 // src/rfa-delivery-panel.tsx
-import { useEffect as useEffect13, useRef as useRef11, useState as useState15 } from "react";
+import { useEffect as useEffect14, useRef as useRef11, useState as useState16 } from "react";
 
 // src/rfa-authorization-destination.tsx
-import { useEffect as useEffect12, useRef as useRef10, useState as useState14 } from "react";
+import { useEffect as useEffect13, useRef as useRef10, useState as useState15 } from "react";
 
 // src/rfa-identity-select.tsx
 import { useId as useId5, useRef as useRef9, useState as useState13 } from "react";
@@ -10120,28 +10120,131 @@ function RfaIdentitySelect({ label: label5, placeholder, searchPlaceholder, quer
   ] });
 }
 
+// src/rfa-official-fields.tsx
+import { useEffect as useEffect12, useState as useState14 } from "react";
+import { jsx as jsx23, jsxs as jsxs21 } from "react/jsx-runtime";
+var formDate = (value) => {
+  const match = /^(\d{4})-(\d{2})-(\d{2})/.exec(value ?? "");
+  return match ? `${match[2]}/${match[3]}/${match[1]}` : value ?? "";
+};
+function RfaRequired() {
+  return /* @__PURE__ */ jsx23("span", { className: "mbrfa-req", title: "Required", children: " *" });
+}
+function RfaPicker({ label: label5, children, required: required2 }) {
+  return /* @__PURE__ */ jsxs21("div", { className: "mbrfa-picker", children: [
+    /* @__PURE__ */ jsxs21("span", { children: [
+      label5,
+      required2 ? /* @__PURE__ */ jsx23(RfaRequired, {}) : null
+    ] }),
+    children
+  ] });
+}
+function RfaSavedField({ label: label5, value, span }) {
+  return /* @__PURE__ */ jsxs21("div", { className: `mbrfa-s${span} mbrfa-saved`, children: [
+    /* @__PURE__ */ jsx23("span", { children: label5 }),
+    /* @__PURE__ */ jsx23("strong", { children: value || "\u2014" })
+  ] });
+}
+function RfaEmployeeFields({ name, dateOfInjury, claimNumber, details }) {
+  return /* @__PURE__ */ jsxs21("div", { className: "mbrfa-form-grid", children: [
+    /* @__PURE__ */ jsx23(RfaSavedField, { span: 6, label: "Name (Last, First, Middle)", value: details?.formName || name }),
+    /* @__PURE__ */ jsx23(RfaSavedField, { span: 3, label: "Date of Injury (MM/DD/YYYY)", value: formDate(dateOfInjury) }),
+    /* @__PURE__ */ jsx23(RfaSavedField, { span: 3, label: "Date of Birth (MM/DD/YYYY)", value: formDate(details?.dateOfBirth) }),
+    /* @__PURE__ */ jsx23(RfaSavedField, { span: 3, label: "Claim Number", value: claimNumber }),
+    /* @__PURE__ */ jsx23(RfaSavedField, { span: 3, label: "Employer", value: details?.employer })
+  ] });
+}
+function formatRfaPhone(value) {
+  const raw = value ?? "";
+  if (/[^\d\s().+-]/.test(raw)) return raw;
+  let digits = raw.replace(/\D/g, "");
+  if (digits.length === 11 && digits.startsWith("1")) digits = digits.slice(1);
+  if (digits.length > 10) return raw;
+  if (digits.length < 4) return digits;
+  return digits.length < 7 ? `(${digits.slice(0, 3)}) ${digits.slice(3)}` : `(${digits.slice(0, 3)}) ${digits.slice(3, 6)}-${digits.slice(6)}`;
+}
+var contactRows = [
+  ["address", "Address", 500, 3],
+  ["city", "City", 100, 2],
+  ["state", "State", 2, 1],
+  ["zip", "Zip Code", 20, 2],
+  ["phone", "Phone", 30, 2],
+  ["fax", "Fax Number", 30, 2]
+];
+function RfaOfficialContactFields({ nameLabel, value, onChange, before, beforeEmail, required: required2 = [], editable = true }) {
+  const dial = (key2) => key2 === "phone" || key2 === "fax";
+  const mark = (key2) => required2.includes(key2) ? /* @__PURE__ */ jsx23(RfaRequired, {}) : null;
+  const field = (key2, label5, max, span) => editable ? /* @__PURE__ */ jsxs21("label", { className: `mbrfa-s${span}`, children: [
+    /* @__PURE__ */ jsxs21("span", { children: [
+      label5,
+      mark(key2)
+    ] }),
+    /* @__PURE__ */ jsx23("input", { type: key2 === "email" ? "email" : key2 === "phone" || key2 === "fax" ? "tel" : "text", maxLength: max, value: dial(key2) ? formatRfaPhone(value?.[key2]) : value?.[key2] ?? "", onChange: (event) => onChange({ ...value, [key2]: dial(key2) ? formatRfaPhone(event.target.value) : event.target.value }) })
+  ] }, key2) : /* @__PURE__ */ jsxs21("div", { className: `mbrfa-s${span} mbrfa-saved`, children: [
+    /* @__PURE__ */ jsxs21("span", { children: [
+      label5,
+      mark(key2)
+    ] }),
+    /* @__PURE__ */ jsx23("strong", { children: (dial(key2) ? formatRfaPhone(value?.[key2]) : value?.[key2])?.trim() || "\u2014" })
+  ] }, key2);
+  return /* @__PURE__ */ jsxs21("div", { className: "mbrfa-form-grid mbrfa-contact-grid", children: [
+    before,
+    field("name", nameLabel, 200, 3),
+    field("contactName", "Contact Name", 200, 3),
+    contactRows.map(([key2, label5, max, span]) => field(key2, label5, max, span)),
+    beforeEmail,
+    field("email", "E-mail Address", 254, 6)
+  ] });
+}
+function RfaManualToggle({ manual, onChange, disabled }) {
+  return /* @__PURE__ */ jsxs21("div", { className: "mbrfa-section-actions", children: [
+    /* @__PURE__ */ jsx23("button", { type: "button", className: manual ? "mbtd-primary" : void 0, disabled, "aria-pressed": manual, onClick: () => onChange(!manual), children: manual ? "Save" : "Edit manually" }),
+    manual ? /* @__PURE__ */ jsx23("span", { children: "Applies to this request only. The saved record is not changed." }) : null
+  ] });
+}
+function useRfaFormDetails(client, claimId, renderingProviderId, enabled) {
+  const [details, setDetails] = useState14();
+  useEffect12(() => {
+    let active = true;
+    setDetails(void 0);
+    if (!enabled || !claimId) return;
+    void client.getCreationContext({ claimId, renderingProviderId, limit: 1 }).then((context) => {
+      if (!active) return;
+      const claim = context.claims.find((value) => value.claimId === claimId), provider = context.renderingProviders.find((value) => value.id === renderingProviderId);
+      setDetails({ ...context.returnFax ? { returnFax: context.returnFax } : {}, ...context.returnEmail ? { returnEmail: context.returnEmail } : {}, ...claim ? { employee: { formName: claim.employeeFormName, dateOfBirth: claim.dateOfBirth, employer: claim.employer } } : {}, ...provider ? { physician: { specialty: provider.specialty } } : {} });
+    }).catch(() => void 0);
+    return () => {
+      active = false;
+    };
+  }, [client, claimId, renderingProviderId, enabled]);
+  return details;
+}
+
 // src/rfa-authorization-destination.tsx
 import { normalizeRfaFax, rfaAuthorizationDestinations, rfaAuthorizationGuidance as rfaAuthorizationGuidance2 } from "@mindbill/browser";
-import { Fragment as Fragment13, jsx as jsx23, jsxs as jsxs21 } from "react/jsx-runtime";
-function RfaAuthorizationDestination({ contextKey, directory, savedContact, loading = false, error, disabled = false, onChange, onSelectionStart, compact = false, onManualEntry }) {
+import { Fragment as Fragment13, jsx as jsx24, jsxs as jsxs22 } from "react/jsx-runtime";
+function RfaAuthorizationDestination({ contextKey, directory, savedContact, loading = false, error, disabled = false, onChange, onSelectionStart, compact = false, onManualEntry, autoSelectSingle = false }) {
   const options = loading || error ? [] : rfaAuthorizationDestinations(directory);
   const fax = savedContact?.fax ? normalizeRfaFax(savedContact.fax) : null;
   const savedLabel = savedContact?.contactName || savedContact?.name || "Saved request contact";
   if (fax && !options.some((option) => option.method === "fax" && option.destination === fax)) options.unshift({ method: "fax", destination: fax, label: savedLabel, ...savedContact?.contactName ? { recipientName: savedContact.contactName } : {} });
   if (savedContact?.email?.trim() && !options.some((option) => option.method === "email" && option.destination === savedContact.email?.trim())) options.unshift({ method: "email", destination: savedContact.email.trim(), label: savedLabel, ...savedContact?.contactName ? { recipientName: savedContact.contactName } : {} });
   const signature = JSON.stringify([contextKey, directory?.authorizationStatus, options, loading, error]);
-  const [selection, setSelection] = useState14("");
-  const [manual, setManual] = useState14("");
-  const [query, setQuery] = useState14("");
-  const [contactName, setContactName] = useState14("");
+  const [selection, setSelection] = useState15("");
+  const [manual, setManual] = useState15("");
+  const [query, setQuery] = useState15("");
+  const [contactName, setContactName] = useState15("");
   const needsAdjuster = directory?.authorizationStatus === "adjuster_specific_required";
   const callback = useRef10(onChange);
   callback.current = onChange;
-  useEffect12(() => {
-    setSelection("");
+  const auto = useRef10(autoSelectSingle);
+  auto.current = autoSelectSingle;
+  useEffect13(() => {
     setManual("");
-    setContactName("");
-    callback.current(null);
+    const only = auto.current && !needsAdjuster && options.length === 1 ? options[0] : void 0;
+    setSelection(only ? "0" : "");
+    setContactName(only?.recipientName ?? "");
+    callback.current(only ?? null);
   }, [signature]);
   const chosen = selection !== "" ? options[Number(selection)] : void 0;
   const emit = (nextSelection, value, name) => {
@@ -10164,16 +10267,16 @@ function RfaAuthorizationDestination({ contextKey, directory, savedContact, load
     setContactName(name);
     emit(value, "", name);
   };
-  const guidance = /* @__PURE__ */ jsxs21(Fragment13, { children: [
-    /* @__PURE__ */ jsx23("p", { style: { margin: 0 }, children: loading ? "Loading authorization contacts\u2026" : error ? "Directory details are unavailable. Confirm a destination with the handling adjuster." : rfaAuthorizationGuidance2(directory) }),
-    directory?.authorizationNotice ? /* @__PURE__ */ jsx23("p", { style: { margin: 0 }, children: directory.authorizationNotice }) : null
+  const guidance = /* @__PURE__ */ jsxs22(Fragment13, { children: [
+    /* @__PURE__ */ jsx24("p", { style: { margin: 0 }, children: loading ? "Loading authorization contacts\u2026" : error ? "Directory details are unavailable. Confirm a destination with the handling adjuster." : rfaAuthorizationGuidance2(directory) }),
+    directory?.authorizationNotice ? /* @__PURE__ */ jsx24("p", { style: { margin: 0 }, children: directory.authorizationNotice }) : null
   ] });
-  return /* @__PURE__ */ jsxs21("fieldset", { className: compact ? "mb-rfa-destination mbrfa-plain" : "mb-rfa-destination", disabled: disabled || loading, style: compact ? { display: "grid", gap: 8, minWidth: 0, overflowWrap: "anywhere" } : { border: "1px solid var(--mb-border, #d7e0df)", borderRadius: 10, padding: 16, display: "grid", gap: 12, minWidth: 0, overflowWrap: "anywhere" }, children: [
-    compact ? null : /* @__PURE__ */ jsxs21(Fragment13, { children: [
-      /* @__PURE__ */ jsx23("legend", { children: "Authorization destination" }),
+  return /* @__PURE__ */ jsxs22("fieldset", { className: compact ? "mb-rfa-destination mbrfa-plain" : "mb-rfa-destination", disabled: disabled || loading, style: compact ? { display: "grid", gap: 8, minWidth: 0, overflowWrap: "anywhere" } : { border: "1px solid var(--mb-border, #d7e0df)", borderRadius: 10, padding: 16, display: "grid", gap: 12, minWidth: 0, overflowWrap: "anywhere" }, children: [
+    compact ? null : /* @__PURE__ */ jsxs22(Fragment13, { children: [
+      /* @__PURE__ */ jsx24("legend", { children: "Authorization destination" }),
       guidance
     ] }),
-    compact ? /* @__PURE__ */ jsx23(
+    compact ? /* @__PURE__ */ jsx24(
       RfaIdentitySelect,
       {
         label: directory?.authorizationStatus === "claim_handling_location_routes" ? "Claim-handling office" : "Authorization contact",
@@ -10184,7 +10287,7 @@ function RfaAuthorizationDestination({ contextKey, directory, savedContact, load
         searchable: true,
         disabled: disabled || loading,
         value: selection,
-        options: [...options.map((option, index) => ({ id: String(index), label: option.label, detail: `${option.method === "fax" ? "Fax" : "E-mail"} ${option.destination}` })), ...onManualEntry ? [{ id: "manual-entry", label: needsAdjuster ? "Enter the handling adjuster\u2019s contact manually" : "Enter a different contact manually" }] : [{ id: "manual", label: needsAdjuster ? "Enter the handling adjuster\u2019s fax" : "Enter another confirmed authorization fax" }, { id: "manual-email", label: "Enter a confirmed authorization e-mail" }]].filter((option) => option.id === selection || `${option.label} ${"detail" in option ? option.detail : ""}`.toLowerCase().includes(query.trim().toLowerCase())),
+        options: [...options.map((option, index) => ({ id: String(index), .../[a-z]/i.test(option.label) ? { label: option.label, detail: option.method === "fax" ? `Fax ${formatRfaPhone(option.destination)}` : option.destination } : { label: option.method === "fax" ? "Authorization fax" : "Authorization e-mail", detail: option.method === "fax" ? formatRfaPhone(option.destination) : option.destination } })), ...onManualEntry ? [{ id: "manual-entry", label: needsAdjuster ? "Enter the handling adjuster\u2019s contact manually" : "Enter a different contact manually" }] : [{ id: "manual", label: needsAdjuster ? "Enter the handling adjuster\u2019s fax" : "Enter another confirmed authorization fax" }, { id: "manual-email", label: "Enter a confirmed authorization e-mail" }]].filter((option) => option.id === selection || `${option.label} ${"detail" in option ? option.detail : ""}`.toLowerCase().includes(query.trim().toLowerCase())),
         onSelect: (value) => {
           setQuery("");
           if (value === "manual-entry") {
@@ -10194,115 +10297,115 @@ function RfaAuthorizationDestination({ contextKey, directory, savedContact, load
           pick(value);
         }
       }
-    ) : /* @__PURE__ */ jsxs21("label", { style: { display: "grid", gap: 6, minWidth: 0 }, children: [
+    ) : /* @__PURE__ */ jsxs22("label", { style: { display: "grid", gap: 6, minWidth: 0 }, children: [
       directory?.authorizationStatus === "claim_handling_location_routes" ? "Claim-handling office" : "Authorization contact",
-      /* @__PURE__ */ jsxs21("select", { value: selection, onChange: (event) => pick(event.target.value), style: { padding: 10, width: "100%", minWidth: 0, maxWidth: "100%", font: "inherit" }, children: [
-        /* @__PURE__ */ jsx23("option", { value: "", children: "Choose a destination\u2026" }),
-        options.map((option, index) => /* @__PURE__ */ jsxs21("option", { value: String(index), children: [
+      /* @__PURE__ */ jsxs22("select", { value: selection, onChange: (event) => pick(event.target.value), style: { padding: 10, width: "100%", minWidth: 0, maxWidth: "100%", font: "inherit" }, children: [
+        /* @__PURE__ */ jsx24("option", { value: "", children: "Choose a destination\u2026" }),
+        options.map((option, index) => /* @__PURE__ */ jsxs22("option", { value: String(index), children: [
           option.label,
           " \xB7 ",
           option.method === "fax" ? "Fax" : "Email",
           ": ",
           option.destination
         ] }, `${option.method}:${option.destination}:${index}`)),
-        /* @__PURE__ */ jsx23("option", { value: "manual", children: needsAdjuster ? "Enter the handling adjuster\u2019s fax" : "Enter another confirmed authorization fax" }),
-        /* @__PURE__ */ jsx23("option", { value: "manual-email", children: "Enter a confirmed authorization email" })
+        /* @__PURE__ */ jsx24("option", { value: "manual", children: needsAdjuster ? "Enter the handling adjuster\u2019s fax" : "Enter another confirmed authorization fax" }),
+        /* @__PURE__ */ jsx24("option", { value: "manual-email", children: "Enter a confirmed authorization email" })
       ] })
     ] }),
-    selection !== "" && (needsAdjuster || selection === "manual" || selection === "manual-email") ? /* @__PURE__ */ jsxs21("label", { style: { display: "grid", gap: 6 }, children: [
+    selection !== "" && (needsAdjuster || selection === "manual" || selection === "manual-email") ? /* @__PURE__ */ jsxs22("label", { style: { display: "grid", gap: 6 }, children: [
       needsAdjuster ? "Handling adjuster name (required)" : "Recipient / attention (optional)",
-      /* @__PURE__ */ jsx23("input", { value: contactName, maxLength: 200, required: needsAdjuster, onChange: (event) => {
+      /* @__PURE__ */ jsx24("input", { value: contactName, maxLength: 200, required: needsAdjuster, onChange: (event) => {
         setContactName(event.target.value);
         emit(selection, manual, event.target.value);
       } })
     ] }) : null,
-    selection === "manual-email" ? /* @__PURE__ */ jsxs21("label", { children: [
+    selection === "manual-email" ? /* @__PURE__ */ jsxs22("label", { children: [
       "Authorization email address",
-      /* @__PURE__ */ jsx23("input", { type: "email", value: manual, onChange: (event) => {
+      /* @__PURE__ */ jsx24("input", { type: "email", value: manual, onChange: (event) => {
         const value = event.target.value;
         setManual(value);
         emit(selection, value, contactName);
       } })
-    ] }) : selection === "manual" ? /* @__PURE__ */ jsxs21("label", { style: { display: "grid", gap: 6, minWidth: 0 }, children: [
+    ] }) : selection === "manual" ? /* @__PURE__ */ jsxs22("label", { style: { display: "grid", gap: 6, minWidth: 0 }, children: [
       "Authorization fax number",
-      /* @__PURE__ */ jsx23("input", { type: "tel", value: manual, onChange: (event) => {
+      /* @__PURE__ */ jsx24("input", { type: "tel", value: manual, onChange: (event) => {
         const value = event.target.value;
         setManual(value);
         emit(selection, value, contactName);
       }, style: { padding: 10, width: "100%", minWidth: 0, boxSizing: "border-box", font: "inherit" } })
-    ] }) : selection !== "" && chosen ? /* @__PURE__ */ jsxs21(Fragment13, { children: [
-      chosen.method === "email" ? /* @__PURE__ */ jsxs21("p", { style: { margin: 0, overflowWrap: "anywhere" }, children: [
+    ] }) : selection !== "" && chosen ? /* @__PURE__ */ jsxs22(Fragment13, { children: [
+      chosen.method === "email" ? /* @__PURE__ */ jsxs22("p", { style: { margin: 0, overflowWrap: "anywhere" }, children: [
         "Email: ",
         chosen.destination,
         ". Review this recipient before preparing and sending the packet."
       ] }) : null,
-      chosen.phone ? /* @__PURE__ */ jsxs21("small", { children: [
+      chosen.phone ? /* @__PURE__ */ jsxs22("small", { children: [
         "Telephone for questions: ",
-        chosen.phone
+        formatRfaPhone(chosen.phone)
       ] }) : null
     ] }) : null,
-    compact ? /* @__PURE__ */ jsx23("small", { className: "mbrfa-guidance", children: guidance }) : null
+    compact ? /* @__PURE__ */ jsx24("small", { className: "mbrfa-guidance", children: guidance }) : null
   ] });
 }
 
 // src/rfa-delivery-panel.tsx
-import { Fragment as Fragment14, jsx as jsx24, jsxs as jsxs22 } from "react/jsx-runtime";
+import { Fragment as Fragment14, jsx as jsx25, jsxs as jsxs23 } from "react/jsx-runtime";
 function RfaPdfReview({ blob, title }) {
-  const [url, setUrl] = useState15("");
-  useEffect13(() => {
+  const [url, setUrl] = useState16("");
+  useEffect14(() => {
     const next = URL.createObjectURL(blob);
     setUrl(next);
     return () => URL.revokeObjectURL(next);
   }, [blob]);
-  return /* @__PURE__ */ jsx24("div", { children: url ? /* @__PURE__ */ jsxs22(Fragment14, { children: [
-    /* @__PURE__ */ jsxs22("div", { className: "mbtd-actions", children: [
-      /* @__PURE__ */ jsxs22("a", { href: url, target: "_blank", rel: "noopener noreferrer", children: [
+  return /* @__PURE__ */ jsx25("div", { children: url ? /* @__PURE__ */ jsxs23(Fragment14, { children: [
+    /* @__PURE__ */ jsxs23("div", { className: "mbtd-actions", children: [
+      /* @__PURE__ */ jsxs23("a", { href: url, target: "_blank", rel: "noopener noreferrer", children: [
         "Open ",
         title,
         " PDF"
       ] }),
-      /* @__PURE__ */ jsx24("a", { href: url, download: "authorization-packet.pdf", children: "Download PDF" })
+      /* @__PURE__ */ jsx25("a", { href: url, download: "authorization-packet.pdf", children: "Download PDF" })
     ] }),
-    /* @__PURE__ */ jsx24("iframe", { title, src: url, style: { width: "100%", height: 420, border: "1px solid var(--mb-border)", marginTop: 10 } })
+    /* @__PURE__ */ jsx25("iframe", { title, src: url, style: { width: "100%", height: 420, border: "1px solid var(--mb-border)", marginTop: 10 } })
   ] }) : null });
 }
 function RfaDeliveryPanel({ rfa, client, documentIds, directory, directoryLoading, directoryError, locked, environment, canSend, run, onUpdated }) {
-  const [mode, setMode] = useState15("send");
-  const [destination, setDestination] = useState15(null);
-  const [message, setMessage] = useState15("");
-  const [prepared, setPrepared] = useState15(null);
-  const [reviewed, setReviewed] = useState15(false);
-  const [confirmed, setConfirmed] = useState15(false);
+  const [mode, setMode] = useState16("send");
+  const [destination, setDestination] = useState16(null);
+  const [message, setMessage] = useState16("");
+  const [prepared, setPrepared] = useState16(null);
+  const [reviewed, setReviewed] = useState16(false);
+  const [confirmed, setConfirmed] = useState16(false);
   const keys = useRef11(/* @__PURE__ */ new Map());
   const fingerprint = JSON.stringify([rfa.id, rfa.contentRevision, documentIds, mode, destination?.method, destination?.destination, destination?.recipientName, message.trim()]);
   const current = useRef11(fingerprint);
   current.current = fingerprint;
-  useEffect13(() => {
+  useEffect14(() => {
     setPrepared(null);
     setReviewed(false);
     setConfirmed(false);
   }, [fingerprint]);
   const packet = prepared?.fingerprint === fingerprint ? prepared : null;
-  return /* @__PURE__ */ jsxs22("fieldset", { children: [
-    /* @__PURE__ */ jsx24("legend", { children: "Review packet and send" }),
-    !rfa.readiness.ready ? /* @__PURE__ */ jsxs22("p", { children: [
+  return /* @__PURE__ */ jsxs23("fieldset", { children: [
+    /* @__PURE__ */ jsx25("legend", { children: "Review packet and send" }),
+    !rfa.readiness.ready ? /* @__PURE__ */ jsxs23("p", { children: [
       "Still needed: ",
       rfa.readiness.missing.map((value) => value === "signedAt" ? "physician signature" : value.replace(/([a-z])([A-Z])/g, "$1 $2").replaceAll("_", " ").toLowerCase()).join(", ") || "Complete the request details",
       "."
     ] }) : null,
-    /* @__PURE__ */ jsxs22("label", { children: [
+    /* @__PURE__ */ jsxs23("label", { children: [
       "Delivery method",
-      /* @__PURE__ */ jsxs22("select", { disabled: locked, value: mode, onChange: (event) => setMode(event.target.value), children: [
-        /* @__PURE__ */ jsx24("option", { value: "send", children: "Send to claims administrator" }),
-        /* @__PURE__ */ jsx24("option", { value: "download", children: "Download for manual submission" })
+      /* @__PURE__ */ jsxs23("select", { disabled: locked, value: mode, onChange: (event) => setMode(event.target.value), children: [
+        /* @__PURE__ */ jsx25("option", { value: "send", children: "Send to claims administrator" }),
+        /* @__PURE__ */ jsx25("option", { value: "download", children: "Download for manual submission" })
       ] })
     ] }),
-    mode === "send" ? /* @__PURE__ */ jsx24(RfaAuthorizationDestination, { contextKey: `${rfa.id}:${rfa.claimsAdminId ?? "manual"}`, directory, savedContact: rfa.authorizationContact, loading: directoryLoading, error: directoryError, disabled: locked, onChange: setDestination }) : /* @__PURE__ */ jsx24("p", { children: "Downloading does not mark this request as sent. Keep proof of any submission made outside this dashboard." }),
-    /* @__PURE__ */ jsxs22("label", { children: [
+    mode === "send" ? /* @__PURE__ */ jsx25(RfaAuthorizationDestination, { contextKey: `${rfa.id}:${rfa.claimsAdminId ?? "manual"}`, directory, savedContact: rfa.authorizationContact, loading: directoryLoading, error: directoryError, disabled: locked, onChange: setDestination }) : /* @__PURE__ */ jsx25("p", { children: "Downloading does not mark this request as sent. Keep proof of any submission made outside this dashboard." }),
+    /* @__PURE__ */ jsxs23("label", { children: [
       destination?.method === "email" && mode === "send" ? "Email message (optional)" : "Fax cover sheet message (optional)",
-      /* @__PURE__ */ jsx24("textarea", { disabled: locked, maxLength: 1e3, rows: 3, value: message, onChange: (event) => setMessage(event.target.value) })
+      /* @__PURE__ */ jsx25("textarea", { disabled: locked, maxLength: 1e3, rows: 3, value: message, onChange: (event) => setMessage(event.target.value) })
     ] }),
-    /* @__PURE__ */ jsx24("button", { type: "button", disabled: locked || !rfa.signedAt || documentIds.length < 2 || mode === "send" && !destination, onClick: () => void run(async () => {
+    /* @__PURE__ */ jsx25("button", { type: "button", disabled: locked || !rfa.signedAt || documentIds.length < 2 || mode === "send" && !destination, onClick: () => void run(async () => {
       const requestFingerprint = fingerprint;
       const preview = await client.prepareDelivery(rfa.id, { documentIds, channel: mode === "download" ? "download" : destination.method, ...mode === "send" ? { to: destination.destination, ...destination.recipientName ? { recipientName: destination.recipientName } : {} } : {}, ...message.trim() ? { message: message.trim() } : {} });
       const blob = await client.getPacket(rfa.id, preview.packetId);
@@ -10312,25 +10415,25 @@ function RfaDeliveryPanel({ rfa, client, documentIds, directory, directoryLoadin
         setConfirmed(false);
       }
     }), children: "Prepare packet with cover sheet" }),
-    packet ? /* @__PURE__ */ jsxs22(Fragment14, { children: [
-      /* @__PURE__ */ jsx24(RfaPdfReview, { blob: packet.blob, title: "RFA submission packet" }),
-      /* @__PURE__ */ jsxs22("label", { className: "mbrfa-check", children: [
-        /* @__PURE__ */ jsx24("input", { type: "checkbox", disabled: locked, checked: reviewed, onChange: (event) => {
+    packet ? /* @__PURE__ */ jsxs23(Fragment14, { children: [
+      /* @__PURE__ */ jsx25(RfaPdfReview, { blob: packet.blob, title: "RFA submission packet" }),
+      /* @__PURE__ */ jsxs23("label", { className: "mbrfa-check", children: [
+        /* @__PURE__ */ jsx25("input", { type: "checkbox", disabled: locked, checked: reviewed, onChange: (event) => {
           setReviewed(event.target.checked);
           setConfirmed(false);
         } }),
         "I reviewed the assembled packet, including the cover sheet and clinical documents."
       ] })
     ] }) : null,
-    mode === "send" ? environment !== "live" ? /* @__PURE__ */ jsx24("p", { className: "mbtd-note", children: "Sandbox: review and prepare the packet here. External fax delivery is disabled. Email sending is also disabled." }) : !canSend ? /* @__PURE__ */ jsx24("p", { children: "Sending requires permission from your organization." }) : /* @__PURE__ */ jsxs22(Fragment14, { children: [
-      /* @__PURE__ */ jsxs22("label", { className: "mbrfa-check", children: [
-        /* @__PURE__ */ jsx24("input", { type: "checkbox", disabled: locked || !packet || !reviewed || !destination, checked: confirmed && !!packet, onChange: (event) => setConfirmed(event.target.checked) }),
+    mode === "send" ? environment !== "live" ? /* @__PURE__ */ jsx25("p", { className: "mbtd-note", children: "Sandbox: review and prepare the packet here. External fax delivery is disabled. Email sending is also disabled." }) : !canSend ? /* @__PURE__ */ jsx25("p", { children: "Sending requires permission from your organization." }) : /* @__PURE__ */ jsxs23(Fragment14, { children: [
+      /* @__PURE__ */ jsxs23("label", { className: "mbrfa-check", children: [
+        /* @__PURE__ */ jsx25("input", { type: "checkbox", disabled: locked || !packet || !reviewed || !destination, checked: confirmed && !!packet, onChange: (event) => setConfirmed(event.target.checked) }),
         "Send this reviewed packet to ",
         destination?.recipientName ? `${destination.recipientName} at ` : "",
         destination?.destination || "the selected authorization recipient",
         ". I verified the recipient for this claim."
       ] }),
-      /* @__PURE__ */ jsx24("button", { type: "button", className: "mbtd-primary", disabled: locked || !confirmed || !reviewed || !packet || !destination || !rfa.readiness.ready || !!rfa.submittedAt, onClick: () => void run(async () => {
+      /* @__PURE__ */ jsx25("button", { type: "button", className: "mbtd-primary", disabled: locked || !confirmed || !reviewed || !packet || !destination || !rfa.readiness.ready || !!rfa.submittedAt, onClick: () => void run(async () => {
         if (!packet || !destination || !confirmed || !reviewed) return;
         const body = { packetId: packet.preview.packetId, sha256: packet.preview.sha256, channel: destination.method, to: destination.destination, ...destination.recipientName ? { recipientName: destination.recipientName } : {}, ...message.trim() ? { message: message.trim() } : {} };
         const signature = JSON.stringify(body);
@@ -10346,13 +10449,13 @@ function RfaDeliveryPanel({ rfa, client, documentIds, directory, directoryLoadin
 }
 
 // src/treatment-draft-shared.tsx
-import { useRef as useRef12, useState as useState16 } from "react";
-import { Fragment as Fragment15, jsx as jsx25, jsxs as jsxs23 } from "react/jsx-runtime";
+import { useRef as useRef12, useState as useState17 } from "react";
+import { Fragment as Fragment15, jsx as jsx26, jsxs as jsxs24 } from "react/jsx-runtime";
 function useDraftSave(onSave) {
   const pending = useRef12(false);
-  const [busy, setBusy] = useState16(false);
-  const [message, setMessage] = useState16("");
-  const [error, setError] = useState16(null);
+  const [busy, setBusy] = useState17(false);
+  const [message, setMessage] = useState17("");
+  const [error, setError] = useState17(null);
   const clear = () => {
     setMessage("");
     setError(null);
@@ -10379,8 +10482,8 @@ function useDraftSave(onSave) {
   return { busy, message, error, clear, save };
 }
 function TreatmentDraftShell({ title, description, children, hideHeading = false, appearance, className = "", style }) {
-  return /* @__PURE__ */ jsxs23("section", { className: `mbtd ${className}`.trim(), "aria-label": title, style: { ...mindBillAppearanceStyle(appearance), ...style }, children: [
-    /* @__PURE__ */ jsx25("style", { children: `.mbtd{font:14px/1.5 ui-sans-serif,system-ui,sans-serif;color:var(--mb-text);min-width:0}.mbtd *{box-sizing:border-box}.mbtd h2{font-size:22px;margin:0 0 6px}.mbtd p{margin:6px 0 16px;color:var(--mb-muted)}.mbtd form{display:grid;gap:16px}.mbtd fieldset{margin:0;padding:16px;border:1px solid var(--mb-border);border-radius:var(--mb-radius);background:var(--mb-surface);min-width:0}.mbtd legend{font-weight:600;padding:0 6px}.mbtd .mbtd-grid{display:grid;grid-template-columns:repeat(2,minmax(0,1fr));gap:12px}.mbtd label{display:grid;gap:5px;font-size:13px;min-width:0}.mbtd input,.mbtd select,.mbtd textarea,.mbtd button{font:inherit;max-width:100%;min-width:0;border:1px solid var(--mb-border);border-radius:var(--mb-control-radius);padding:9px 11px;color:var(--mb-text);background:var(--mb-input);min-height:40px}.mbtd .mbrfa-check{display:flex;align-items:flex-start;gap:8px}.mbtd .mbrfa-check input[type=checkbox]{width:16px;height:16px;min-height:16px;margin:2px 0 0;padding:0;flex-shrink:0}
+  return /* @__PURE__ */ jsxs24("section", { className: `mbtd ${className}`.trim(), "aria-label": title, style: { ...mindBillAppearanceStyle(appearance), ...style }, children: [
+    /* @__PURE__ */ jsx26("style", { children: `.mbtd{font:14px/1.5 ui-sans-serif,system-ui,sans-serif;color:var(--mb-text);min-width:0}.mbtd *{box-sizing:border-box}.mbtd h2{font-size:22px;margin:0 0 6px}.mbtd p{margin:6px 0 16px;color:var(--mb-muted)}.mbtd form{display:grid;gap:16px}.mbtd fieldset{margin:0;padding:16px;border:1px solid var(--mb-border);border-radius:var(--mb-radius);background:var(--mb-surface);min-width:0}.mbtd legend{font-weight:600;padding:0 6px}.mbtd .mbtd-grid{display:grid;grid-template-columns:repeat(2,minmax(0,1fr));gap:12px}.mbtd label{display:grid;gap:5px;font-size:13px;min-width:0}.mbtd input,.mbtd select,.mbtd textarea,.mbtd button{font:inherit;max-width:100%;min-width:0;border:1px solid var(--mb-border);border-radius:var(--mb-control-radius);padding:9px 11px;color:var(--mb-text);background:var(--mb-input);min-height:40px}.mbtd .mbrfa-check{display:flex;align-items:flex-start;gap:8px}.mbtd .mbrfa-check input[type=checkbox]{width:16px;height:16px;min-height:16px;margin:2px 0 0;padding:0;flex-shrink:0}
 .mbtd .mbrfa-request-details>.mbtd-grid{display:flex;flex-direction:column;gap:12px}
 .mbtd .mbrfa-request-types{display:grid;grid-template-columns:repeat(2,minmax(0,1fr));gap:12px;padding-bottom:12px;border-bottom:1px solid var(--mb-border)}
 .mbtd .mbrfa-request-details .mbrfa-check{min-height:44px;align-items:flex-start;gap:10px;line-height:20px;cursor:pointer}
@@ -10402,6 +10505,8 @@ function TreatmentDraftShell({ title, description, children, hideHeading = false
 .mbtd .mbrfa-picker p,.mbtd .mbrfa-guidance p{margin:0;font-size:12px}.mbtd .mbrfa-guidance{display:grid;gap:4px}
 .mbtd .mbrfa-section-actions{display:flex;gap:12px;align-items:center;margin-top:14px;font-size:12px;color:var(--mb-muted)}
 .mbtd .mbrfa-field-hint{font-size:12px;color:var(--mb-muted);font-weight:400}
+.mbtd .mbrfa-req{color:var(--mb-danger,#c0392b);font-weight:700}
+.mbtd .mbrfa-contact-grid{grid-template-columns:repeat(4,minmax(0,1fr))}.mbtd .mbrfa-contact-grid>.mbrfa-s3{grid-column:span 2}.mbtd .mbrfa-contact-grid>:is(.mbrfa-s1,.mbrfa-s2){grid-column:span 1}
 .mbtd .mbrfa-link-out{color:var(--mb-muted)!important;text-decoration:none}.mbtd .mbrfa-link-out:hover{text-decoration:underline}.mbtd .mbrfa-picker-links a{text-decoration:none}
 .mbtd button.mbrfa-link.mbrfa-link{border:0;background:none;padding:0;min-height:0;color:var(--mb-accent);font-size:12px;text-decoration:none}.mbtd button.mbrfa-link.mbrfa-link:hover,.mbtd .mbrfa-picker-links a:hover{text-decoration:underline}
 .mbtd fieldset.mbrfa-plain.mbrfa-plain{border:0;padding:0;margin:0;background:none;border-radius:0;min-width:0}
@@ -10431,9 +10536,9 @@ function TreatmentDraftShell({ title, description, children, hideHeading = false
 @media(max-width:640px){.mbtd .mbrfa-request-types{grid-template-columns:1fr;gap:4px}}
 @media(forced-colors:active){.mbtd .mbrfa-request-types input[type=radio]{appearance:auto}.mbtd .mbrfa-request-types input[type=radio]::after{display:none}}
 .mbtd textarea{resize:vertical;min-height:76px}.mbtd button{cursor:pointer;background:var(--mb-surface)}.mbtd button:disabled{opacity:.55;cursor:default}.mbtd .mbtd-primary{background:var(--mb-accent);color:var(--mb-accent-contrast);border-color:var(--mb-accent)}.mbtd .mbtd-actions{display:flex;gap:10px;align-items:center;flex-wrap:wrap;margin-top:12px}.mbtd .mbtd-wide{grid-column:1/-1}.mbtd [role=alert]{color:var(--mb-danger)}.mbtd [role=status]{margin:0}.mbtd :is(input,select,textarea,button):focus-visible{outline:2px solid var(--mb-accent);outline-offset:2px}.mbtd .mbtd-note{padding:12px;background:var(--mb-soft);border-radius:var(--mb-control-radius)}.mbtd a{color:var(--mb-accent)}@media(max-width:520px){.mbtd .mbtd-grid{grid-template-columns:minmax(0,1fr)}.mbtd fieldset{padding:12px}}` }),
-    !hideHeading ? /* @__PURE__ */ jsxs23(Fragment15, { children: [
-      /* @__PURE__ */ jsx25("h2", { children: title }),
-      /* @__PURE__ */ jsx25("p", { children: description })
+    !hideHeading ? /* @__PURE__ */ jsxs24(Fragment15, { children: [
+      /* @__PURE__ */ jsx26("h2", { children: title }),
+      /* @__PURE__ */ jsx26("p", { children: description })
     ] }) : null,
     children
   ] });
@@ -10443,7 +10548,7 @@ function isDraftDate(value) {
 }
 
 // src/rfa-task-board.tsx
-import { jsx as jsx26, jsxs as jsxs24 } from "react/jsx-runtime";
+import { jsx as jsx27, jsxs as jsxs25 } from "react/jsx-runtime";
 function rfaTaskState(task, now = Date.now()) {
   if (task.status === "resolved" || task.resolvedAt) return "Completed";
   return Date.parse(task.snoozedUntil ?? task.dueAt) > now ? "Scheduled" : "Due";
@@ -10485,37 +10590,37 @@ var date3 = (value) => new Date(value).toLocaleString();
 function RfaTaskBoard({ sessionEndpoint, getSession, apiBaseUrl, fetch: fetchOverride, ...props }) {
   const options = useMemo7(() => ({ ...sessionEndpoint ? { sessionEndpoint } : {}, ...getSession ? { getSession } : {}, ...apiBaseUrl ? { apiBaseUrl } : {}, ...fetchOverride ? { fetch: fetchOverride } : {} }), [sessionEndpoint, getSession, apiBaseUrl, fetchOverride]);
   const identity = useMemo7(() => crypto.randomUUID(), [options]);
-  return /* @__PURE__ */ jsx26(TaskBoardContent, { ...props, options }, `${identity}:${props.patientId ?? ""}:${props.claimId ?? ""}:${props.renderingProviderId ?? ""}`);
+  return /* @__PURE__ */ jsx27(TaskBoardContent, { ...props, options }, `${identity}:${props.patientId ?? ""}:${props.claimId ?? ""}:${props.renderingProviderId ?? ""}`);
 }
 function TaskBoardContent({ options, patientId, claimId, renderingProviderId, permissions = [], onSelect, embedded = false, presentation = "dashboard", query, getTaskHref, onNavigate, renderTaskIdentity, ...appearance }) {
   const client = useMemo7(() => createRfaLifecycleClient(options), [options]);
   const requests = useMemo7(() => createRfaClient(options), [options]);
-  const [requestIdentities, setRequestIdentities] = useState17({});
-  const [tasks, setTasks] = useState17([]);
-  const [error, setError] = useState17("");
-  const [loading, setLoading] = useState17(true);
-  const [now, setNow] = useState17(Date.now);
-  const [inboxCount, setInboxCount] = useState17(null);
-  useEffect14(() => {
+  const [requestIdentities, setRequestIdentities] = useState18({});
+  const [tasks, setTasks] = useState18([]);
+  const [error, setError] = useState18("");
+  const [loading, setLoading] = useState18(true);
+  const [now, setNow] = useState18(Date.now);
+  const [inboxCount, setInboxCount] = useState18(null);
+  useEffect15(() => {
     const timer = setInterval(() => setNow(Date.now()), 6e4);
     return () => clearInterval(timer);
   }, []);
-  const [view, setView] = useState17(query?.state ?? "Due");
-  const [selection, setSelection] = useState17(null);
+  const [view, setView] = useState18(query?.state ?? "Due");
+  const [selection, setSelection] = useState18(null);
   const list3 = presentation === "list";
-  useEffect14(() => {
+  useEffect15(() => {
     setView(query?.state ?? "Due");
     setSelection(null);
   }, [query]);
   const activeSelection = list3 ? query ?? {} : selection;
   const drilldown = useRef13(null);
-  useEffect14(() => {
+  useEffect15(() => {
     if (selection) {
       drilldown.current?.scrollIntoView?.({ block: "nearest" });
       drilldown.current?.focus({ preventScroll: true });
     }
   }, [selection]);
-  useEffect14(() => {
+  useEffect15(() => {
     let active = true;
     let pending = false;
     const load = async (background = false) => {
@@ -10565,7 +10670,7 @@ function TaskBoardContent({ options, patientId, claimId, renderingProviderId, pe
   const stateTasks = tasks.filter((task) => rfaTaskState(task, now) === view);
   const filtered = stateTasks.filter((task) => (!activeSelection?.kind || task.kind === activeSelection.kind) && (!activeSelection?.kinds || activeSelection.kinds.includes(task.kind)) && (!activeSelection?.bucket || rfaTaskAgeBucket(task.createdAt, now) === activeSelection.bucket));
   const visibleRequests = JSON.stringify(list3 && !renderTaskIdentity ? [...new Map(filtered.map((task) => [task.rfaId, task.claimId])).entries()].sort(([a], [b]) => a.localeCompare(b)) : []);
-  useEffect14(() => {
+  useEffect15(() => {
     let active = true;
     setRequestIdentities({});
     const load = async () => {
@@ -10591,15 +10696,15 @@ function TaskBoardContent({ options, patientId, claimId, renderingProviderId, pe
     if (renderTaskIdentity) return renderTaskIdentity(task);
     if (!list3) return null;
     const record2 = requestIdentities[task.rfaId];
-    return record2 ? /* @__PURE__ */ jsxs24("div", { className: "mbrfa-task-identity", children: [
-      /* @__PURE__ */ jsx26("span", { children: record2.employeeName }),
-      /* @__PURE__ */ jsxs24("small", { children: [
+    return record2 ? /* @__PURE__ */ jsxs25("div", { className: "mbrfa-task-identity", children: [
+      /* @__PURE__ */ jsx27("span", { children: record2.employeeName }),
+      /* @__PURE__ */ jsxs25("small", { children: [
         "Claim ",
         record2.claimNumber || record2.claimId,
         record2.displayReference ? ` \xB7 ${record2.displayReference}` : ""
       ] }),
-      /* @__PURE__ */ jsx26("small", { children: record2.items?.map((item) => item.serviceDescription).filter(Boolean).join("; ") || "Request for authorization" })
-    ] }) : /* @__PURE__ */ jsxs24("small", { children: [
+      /* @__PURE__ */ jsx27("small", { children: record2.items?.map((item) => item.serviceDescription).filter(Boolean).join("; ") || "Request for authorization" })
+    ] }) : /* @__PURE__ */ jsxs25("small", { children: [
       "Request ",
       task.rfaId,
       " \xB7 Claim ",
@@ -10611,19 +10716,19 @@ function TaskBoardContent({ options, patientId, claimId, renderingProviderId, pe
   const selectedTitle = activeSelection?.kind ? rfaTaskLabel(activeSelection.kind) : activeSelection?.title ?? (activeSelection?.kinds ? taskGroups.find((group) => group.kinds.length === activeSelection.kinds.length && group.kinds.every((kind) => activeSelection.kinds.includes(kind)))?.title ?? activeSelection.kinds.map(rfaTaskLabel).join(", ") : "All tasks");
   const selectionControl = (next, text3, ariaLabel) => {
     const target = { ...next, state: view };
-    if (!getTaskHref) return /* @__PURE__ */ jsx26("button", { type: "button", className: ariaLabel ? "mbrfa-task-count" : void 0, ...ariaLabel ? { "aria-label": ariaLabel } : {}, onClick: () => setSelection(next), children: text3 });
+    if (!getTaskHref) return /* @__PURE__ */ jsx27("button", { type: "button", className: ariaLabel ? "mbrfa-task-count" : void 0, ...ariaLabel ? { "aria-label": ariaLabel } : {}, onClick: () => setSelection(next), children: text3 });
     const href = getTaskHref(target);
-    return /* @__PURE__ */ jsx26("a", { href, className: ariaLabel ? "mbrfa-task-count" : "mbrfa-route-link", ...ariaLabel ? { "aria-label": ariaLabel } : {}, onClick: (event) => {
+    return /* @__PURE__ */ jsx27("a", { href, className: ariaLabel ? "mbrfa-task-count" : "mbrfa-route-link", ...ariaLabel ? { "aria-label": ariaLabel } : {}, onClick: (event) => {
       if (!onNavigate || event.button !== 0 || event.metaKey || event.ctrlKey || event.shiftKey || event.altKey) return;
       event.preventDefault();
       onNavigate(href);
     }, children: text3 });
   };
-  const countCell = (items, kind, bucket) => items.length ? selectionControl({ ...kind ? { kind } : {}, ...bucket ? { bucket } : {} }, items.length, `${rfaTaskLabel(kind ?? "all_tasks")}, ${bucket ? columns.find((column) => column.key === bucket)?.label : "total"}: ${items.length} ${view.toLowerCase()} tasks`) : /* @__PURE__ */ jsx26("span", { className: "mbrfa-task-zero", children: "0" });
-  return /* @__PURE__ */ jsxs24(TreatmentDraftShell, { ...appearance, hideHeading: embedded, title: list3 ? "RFA task list" : "RFA tasks", description: list3 ? "Follow-up tasks matching the selected status, action and age." : "Open follow-up work, grouped by next action and age.", children: [
-    /* @__PURE__ */ jsx26("style", { children: `.mbrfa-task-tabs{display:flex;gap:8px;margin:12px 0 18px;flex-wrap:wrap}.mbtd .mbrfa-task-tabs button[aria-pressed=true]{border-color:var(--mb-accent);background:var(--mb-soft);color:var(--mb-accent);font-weight:650}.mbrfa-task-group{border:1px solid var(--mb-border);border-radius:var(--mb-radius);overflow:auto;margin:14px 0;background:var(--mb-surface)}.mbrfa-task-group table{width:100%;border-collapse:collapse;min-width:620px;table-layout:fixed}.mbrfa-task-group th,.mbrfa-task-group td{padding:8px 14px;border-bottom:1px solid var(--mb-border);text-align:center}.mbrfa-task-group th:first-child,.mbrfa-task-group td:first-child{text-align:left;width:31%}.mbrfa-task-group thead th{font-size:12px;background:var(--mb-soft)}.mbrfa-task-group thead th:first-child{font-size:14px}.mbrfa-task-group th small{display:block;font-weight:400;color:var(--mb-muted)}.mbrfa-task-group tfoot{font-weight:650;background:var(--mb-soft)}.mbrfa-task-group tfoot td,.mbrfa-task-group tfoot th{border:0}.mbtd .mbrfa-task-count{display:inline-flex;align-items:center;justify-content:center;text-decoration:none;border:0;background:transparent;color:var(--mb-accent);font-weight:650;min-height:28px;padding:2px 10px}.mbrfa-task-zero{color:var(--mb-muted)}.mbrfa-task-drilldown{margin:20px 0}.mbrfa-task-drilldown table{width:100%;border-collapse:collapse}.mbrfa-task-drilldown th,.mbrfa-task-drilldown td{text-align:left;border-bottom:1px solid var(--mb-border);padding:10px;vertical-align:top}.mbrfa-task-drilldown td small{display:block;color:var(--mb-muted);overflow-wrap:anywhere}.mbrfa-task-scroll{overflow:auto}.mbrfa-task-drilldown h3{margin:0}.mbrfa-inbox{border-top:1px solid var(--mb-border);padding-top:18px;margin-top:20px}.mbrfa-inbox h3{margin-top:0}.mbrfa-list{display:grid;gap:8px;margin:12px 0}.mbrfa-card{display:flex;justify-content:space-between;align-items:center;gap:16px;padding:12px;border:1px solid var(--mb-border);border-radius:8px}.mbrfa-card span{display:block;margin-top:4px}.mbrfa-card p{margin:6px 0}.mbrfa-match-disclosure{margin-top:20px;border:1px solid var(--mb-border);border-radius:var(--mb-radius);padding:14px;background:var(--mb-surface)}.mbrfa-match-disclosure>summary{cursor:pointer;font-weight:650;color:var(--mb-accent)}@media(max-width:600px){.mbrfa-card{align-items:stretch;flex-direction:column}}` }),
-    /* @__PURE__ */ jsx26("strong", { children: "Task status" }),
-    /* @__PURE__ */ jsx26("div", { className: "mbrfa-task-tabs", role: "group", "aria-label": "Task status", children: ["Due", "Scheduled", "Completed"].map((state) => /* @__PURE__ */ jsxs24("button", { type: "button", "aria-pressed": view === state, onClick: () => {
+  const countCell = (items, kind, bucket) => items.length ? selectionControl({ ...kind ? { kind } : {}, ...bucket ? { bucket } : {} }, items.length, `${rfaTaskLabel(kind ?? "all_tasks")}, ${bucket ? columns.find((column) => column.key === bucket)?.label : "total"}: ${items.length} ${view.toLowerCase()} tasks`) : /* @__PURE__ */ jsx27("span", { className: "mbrfa-task-zero", children: "0" });
+  return /* @__PURE__ */ jsxs25(TreatmentDraftShell, { ...appearance, hideHeading: embedded, title: list3 ? "RFA task list" : "RFA tasks", description: list3 ? "Follow-up tasks matching the selected status, action and age." : "Open follow-up work, grouped by next action and age.", children: [
+    /* @__PURE__ */ jsx27("style", { children: `.mbrfa-task-tabs{display:flex;gap:8px;margin:12px 0 18px;flex-wrap:wrap}.mbtd .mbrfa-task-tabs button[aria-pressed=true]{border-color:var(--mb-accent);background:var(--mb-soft);color:var(--mb-accent);font-weight:650}.mbrfa-task-group{border:1px solid var(--mb-border);border-radius:var(--mb-radius);overflow:auto;margin:14px 0;background:var(--mb-surface)}.mbrfa-task-group table{width:100%;border-collapse:collapse;min-width:620px;table-layout:fixed}.mbrfa-task-group th,.mbrfa-task-group td{padding:8px 14px;border-bottom:1px solid var(--mb-border);text-align:center}.mbrfa-task-group th:first-child,.mbrfa-task-group td:first-child{text-align:left;width:31%}.mbrfa-task-group thead th{font-size:12px;background:var(--mb-soft)}.mbrfa-task-group thead th:first-child{font-size:14px}.mbrfa-task-group th small{display:block;font-weight:400;color:var(--mb-muted)}.mbrfa-task-group tfoot{font-weight:650;background:var(--mb-soft)}.mbrfa-task-group tfoot td,.mbrfa-task-group tfoot th{border:0}.mbtd .mbrfa-task-count{display:inline-flex;align-items:center;justify-content:center;text-decoration:none;border:0;background:transparent;color:var(--mb-accent);font-weight:650;min-height:28px;padding:2px 10px}.mbrfa-task-zero{color:var(--mb-muted)}.mbrfa-task-drilldown{margin:20px 0}.mbrfa-task-drilldown table{width:100%;border-collapse:collapse}.mbrfa-task-drilldown th,.mbrfa-task-drilldown td{text-align:left;border-bottom:1px solid var(--mb-border);padding:10px;vertical-align:top}.mbrfa-task-drilldown td small{display:block;color:var(--mb-muted);overflow-wrap:anywhere}.mbrfa-task-scroll{overflow:auto}.mbrfa-task-drilldown h3{margin:0}.mbrfa-inbox{border-top:1px solid var(--mb-border);padding-top:18px;margin-top:20px}.mbrfa-inbox h3{margin-top:0}.mbrfa-list{display:grid;gap:8px;margin:12px 0}.mbrfa-card{display:flex;justify-content:space-between;align-items:center;gap:16px;padding:12px;border:1px solid var(--mb-border);border-radius:8px}.mbrfa-card span{display:block;margin-top:4px}.mbrfa-card p{margin:6px 0}.mbrfa-match-disclosure{margin-top:20px;border:1px solid var(--mb-border);border-radius:var(--mb-radius);padding:14px;background:var(--mb-surface)}.mbrfa-match-disclosure>summary{cursor:pointer;font-weight:650;color:var(--mb-accent)}@media(max-width:600px){.mbrfa-card{align-items:stretch;flex-direction:column}}` }),
+    /* @__PURE__ */ jsx27("strong", { children: "Task status" }),
+    /* @__PURE__ */ jsx27("div", { className: "mbrfa-task-tabs", role: "group", "aria-label": "Task status", children: ["Due", "Scheduled", "Completed"].map((state) => /* @__PURE__ */ jsxs25("button", { type: "button", "aria-pressed": view === state, onClick: () => {
       if (list3 && getTaskHref) {
         const href = getTaskHref({ ...query, state });
         if (onNavigate) onNavigate(href);
@@ -10638,112 +10743,112 @@ function TaskBoardContent({ options, patientId, claimId, renderingProviderId, pe
       tasks.filter((task) => rfaTaskState(task, now) === state).length,
       ")"
     ] }, state)) }),
-    /* @__PURE__ */ jsx26("p", { className: "mbtd-note", children: taskViewDescriptions[view] }),
-    error ? /* @__PURE__ */ jsx26("p", { role: "alert", children: error }) : null,
-    loading ? /* @__PURE__ */ jsx26("p", { role: "status", children: "Loading tasks\u2026" }) : !error && !stateTasks.length ? /* @__PURE__ */ jsxs24("p", { children: [
+    /* @__PURE__ */ jsx27("p", { className: "mbtd-note", children: taskViewDescriptions[view] }),
+    error ? /* @__PURE__ */ jsx27("p", { role: "alert", children: error }) : null,
+    loading ? /* @__PURE__ */ jsx27("p", { role: "status", children: "Loading tasks\u2026" }) : !error && !stateTasks.length ? /* @__PURE__ */ jsxs25("p", { children: [
       "No ",
       view.toLowerCase(),
       " tasks."
     ] }) : null,
-    !list3 && !loading && stateTasks.length ? /* @__PURE__ */ jsx26("p", { children: "Calendar days since task opened. Select a count to see the tasks. Counts represent tasks, so one RFA may appear more than once." }) : null,
+    !list3 && !loading && stateTasks.length ? /* @__PURE__ */ jsx27("p", { children: "Calendar days since task opened. Select a count to see the tasks. Counts represent tasks, so one RFA may appear more than once." }) : null,
     !list3 ? groups2.map((group) => {
       const groupTasks = stateTasks.filter((task) => group.kinds.includes(task.kind));
-      return /* @__PURE__ */ jsx26("section", { className: "mbrfa-task-group", "aria-label": group.title, children: /* @__PURE__ */ jsxs24("table", { children: [
-        /* @__PURE__ */ jsx26("thead", { children: /* @__PURE__ */ jsxs24("tr", { children: [
-          /* @__PURE__ */ jsxs24("th", { scope: "col", children: [
+      return /* @__PURE__ */ jsx27("section", { className: "mbrfa-task-group", "aria-label": group.title, children: /* @__PURE__ */ jsxs25("table", { children: [
+        /* @__PURE__ */ jsx27("thead", { children: /* @__PURE__ */ jsxs25("tr", { children: [
+          /* @__PURE__ */ jsxs25("th", { scope: "col", children: [
             group.title,
-            /* @__PURE__ */ jsx26("small", { children: "By date task opened" })
+            /* @__PURE__ */ jsx27("small", { children: "By date task opened" })
           ] }),
-          columns.map((column) => /* @__PURE__ */ jsx26("th", { scope: "col", children: /* @__PURE__ */ jsx26("span", { className: "mbrfa-task-age", children: column.label }) }, column.key)),
-          /* @__PURE__ */ jsx26("th", { scope: "col", children: "Task total" })
+          columns.map((column) => /* @__PURE__ */ jsx27("th", { scope: "col", children: /* @__PURE__ */ jsx27("span", { className: "mbrfa-task-age", children: column.label }) }, column.key)),
+          /* @__PURE__ */ jsx27("th", { scope: "col", children: "Task total" })
         ] }) }),
-        /* @__PURE__ */ jsx26("tbody", { children: group.kinds.filter((kind) => groupTasks.some((task) => task.kind === kind)).map((kind) => {
+        /* @__PURE__ */ jsx27("tbody", { children: group.kinds.filter((kind) => groupTasks.some((task) => task.kind === kind)).map((kind) => {
           const items = groupTasks.filter((task) => task.kind === kind);
-          return /* @__PURE__ */ jsxs24("tr", { children: [
-            /* @__PURE__ */ jsxs24("th", { scope: "row", children: [
+          return /* @__PURE__ */ jsxs25("tr", { children: [
+            /* @__PURE__ */ jsxs25("th", { scope: "row", children: [
               rfaTaskLabel(kind),
-              descriptions[kind] && /* @__PURE__ */ jsx26("small", { children: descriptions[kind] })
+              descriptions[kind] && /* @__PURE__ */ jsx27("small", { children: descriptions[kind] })
             ] }),
-            columns.map((column) => /* @__PURE__ */ jsx26("td", { children: countCell(items.filter((task) => rfaTaskAgeBucket(task.createdAt, now) === column.key), kind, column.key) }, column.key)),
-            /* @__PURE__ */ jsx26("td", { children: countCell(items, kind) })
+            columns.map((column) => /* @__PURE__ */ jsx27("td", { children: countCell(items.filter((task) => rfaTaskAgeBucket(task.createdAt, now) === column.key), kind, column.key) }, column.key)),
+            /* @__PURE__ */ jsx27("td", { children: countCell(items, kind) })
           ] }, kind);
         }) }),
-        /* @__PURE__ */ jsx26("tfoot", { children: /* @__PURE__ */ jsxs24("tr", { children: [
-          /* @__PURE__ */ jsx26("th", { scope: "row", children: "Total" }),
+        /* @__PURE__ */ jsx27("tfoot", { children: /* @__PURE__ */ jsxs25("tr", { children: [
+          /* @__PURE__ */ jsx27("th", { scope: "row", children: "Total" }),
           [...columns, { key: "total", label: "Total" }].map((column) => {
             const items = column.key === "total" ? groupTasks : groupTasks.filter((task) => rfaTaskAgeBucket(task.createdAt, now) === column.key);
-            return /* @__PURE__ */ jsx26("td", { children: items.length ? selectionControl({ kinds: group.kinds, title: group.title, ...column.key !== "total" ? { bucket: column.key } : {} }, items.length, `${group.title}, ${column.label}: ${items.length} ${view.toLowerCase()} tasks`) : /* @__PURE__ */ jsx26("span", { className: "mbrfa-task-zero", children: "0" }) }, column.key);
+            return /* @__PURE__ */ jsx27("td", { children: items.length ? selectionControl({ kinds: group.kinds, title: group.title, ...column.key !== "total" ? { bucket: column.key } : {} }, items.length, `${group.title}, ${column.label}: ${items.length} ${view.toLowerCase()} tasks`) : /* @__PURE__ */ jsx27("span", { className: "mbrfa-task-zero", children: "0" }) }, column.key);
           })
         ] }) })
       ] }) }, group.title);
     }) : null,
-    !list3 && stateTasks.length ? /* @__PURE__ */ jsx26("div", { className: "mbtd-actions", children: selectionControl({}, `View all ${view.toLowerCase()} tasks (${stateTasks.length})`) }) : null,
-    list3 || selection ? /* @__PURE__ */ jsxs24("section", { ref: drilldown, tabIndex: -1, className: "mbrfa-task-drilldown", "aria-label": "Selected tasks", children: [
-      /* @__PURE__ */ jsxs24("div", { className: "mbtd-actions", children: [
-        /* @__PURE__ */ jsxs24("h3", { children: [
+    !list3 && stateTasks.length ? /* @__PURE__ */ jsx27("div", { className: "mbtd-actions", children: selectionControl({}, `View all ${view.toLowerCase()} tasks (${stateTasks.length})`) }) : null,
+    list3 || selection ? /* @__PURE__ */ jsxs25("section", { ref: drilldown, tabIndex: -1, className: "mbrfa-task-drilldown", "aria-label": "Selected tasks", children: [
+      /* @__PURE__ */ jsxs25("div", { className: "mbtd-actions", children: [
+        /* @__PURE__ */ jsxs25("h3", { children: [
           selectedTitle,
           activeSelection?.bucket ? ` \xB7 ${[...taskAgeColumns, { key: "unknown", label: "Unknown age" }].find((column) => column.key === activeSelection.bucket)?.label}` : "",
           " (",
           filtered.length,
           ")"
         ] }),
-        !list3 ? /* @__PURE__ */ jsx26("button", { type: "button", onClick: () => setSelection(null), children: "Close task list" }) : null
+        !list3 ? /* @__PURE__ */ jsx27("button", { type: "button", onClick: () => setSelection(null), children: "Close task list" }) : null
       ] }),
-      /* @__PURE__ */ jsx26("div", { className: "mbrfa-task-scroll", children: /* @__PURE__ */ jsxs24("table", { children: [
-        /* @__PURE__ */ jsx26("thead", { children: /* @__PURE__ */ jsxs24("tr", { children: [
-          /* @__PURE__ */ jsx26("th", { children: "Task / request" }),
-          /* @__PURE__ */ jsx26("th", { children: view === "Completed" ? "Completed" : "Follow up" }),
-          /* @__PURE__ */ jsx26("th", { children: "Assigned to" }),
-          /* @__PURE__ */ jsx26("th", { children: "Action" })
+      /* @__PURE__ */ jsx27("div", { className: "mbrfa-task-scroll", children: /* @__PURE__ */ jsxs25("table", { children: [
+        /* @__PURE__ */ jsx27("thead", { children: /* @__PURE__ */ jsxs25("tr", { children: [
+          /* @__PURE__ */ jsx27("th", { children: "Task / request" }),
+          /* @__PURE__ */ jsx27("th", { children: view === "Completed" ? "Completed" : "Follow up" }),
+          /* @__PURE__ */ jsx27("th", { children: "Assigned to" }),
+          /* @__PURE__ */ jsx27("th", { children: "Action" })
         ] }) }),
-        /* @__PURE__ */ jsx26("tbody", { children: filtered.map((task) => /* @__PURE__ */ jsxs24("tr", { children: [
-          /* @__PURE__ */ jsxs24("td", { children: [
-            /* @__PURE__ */ jsx26("strong", { children: rfaTaskLabel(task.kind) }),
+        /* @__PURE__ */ jsx27("tbody", { children: filtered.map((task) => /* @__PURE__ */ jsxs25("tr", { children: [
+          /* @__PURE__ */ jsxs25("td", { children: [
+            /* @__PURE__ */ jsx27("strong", { children: rfaTaskLabel(task.kind) }),
             taskIdentity(task),
-            task.responseFilename ? /* @__PURE__ */ jsx26("small", { children: task.responseFilename }) : null,
-            task.lastOutcome ? /* @__PURE__ */ jsxs24("small", { children: [
+            task.responseFilename ? /* @__PURE__ */ jsx27("small", { children: task.responseFilename }) : null,
+            task.lastOutcome ? /* @__PURE__ */ jsxs25("small", { children: [
               "Last outcome: ",
               task.lastOutcome.replaceAll("_", " ")
             ] }) : null,
-            task.lastNote ? /* @__PURE__ */ jsx26("small", { children: task.lastNote }) : null
+            task.lastNote ? /* @__PURE__ */ jsx27("small", { children: task.lastNote }) : null
           ] }),
-          /* @__PURE__ */ jsx26("td", { children: date3(view === "Completed" ? task.resolvedAt ?? task.updatedAt : task.snoozedUntil ?? task.dueAt) }),
-          /* @__PURE__ */ jsx26("td", { children: task.assigneeReference || "Unassigned" }),
-          /* @__PURE__ */ jsx26("td", { children: /* @__PURE__ */ jsx26("button", { type: "button", onClick: () => onSelect(task.rfaId, task.responseDocumentId ?? void 0), children: task.kind === "post_ur_decision" ? "Review response" : "Open request" }) })
+          /* @__PURE__ */ jsx27("td", { children: date3(view === "Completed" ? task.resolvedAt ?? task.updatedAt : task.snoozedUntil ?? task.dueAt) }),
+          /* @__PURE__ */ jsx27("td", { children: task.assigneeReference || "Unassigned" }),
+          /* @__PURE__ */ jsx27("td", { children: /* @__PURE__ */ jsx27("button", { type: "button", onClick: () => onSelect(task.rfaId, task.responseDocumentId ?? void 0), children: task.kind === "post_ur_decision" ? "Review response" : "Open request" }) })
         ] }, task.id)) })
       ] }) }),
-      !filtered.length ? /* @__PURE__ */ jsx26("p", { children: "No tasks match this selection." }) : null
+      !filtered.length ? /* @__PURE__ */ jsx27("p", { children: "No tasks match this selection." }) : null
     ] }) : null,
-    !list3 ? !patientId && !claimId && !renderingProviderId ? /* @__PURE__ */ jsxs24("details", { className: "mbrfa-match-disclosure", children: [
-      /* @__PURE__ */ jsxs24("summary", { children: [
+    !list3 ? !patientId && !claimId && !renderingProviderId ? /* @__PURE__ */ jsxs25("details", { className: "mbrfa-match-disclosure", children: [
+      /* @__PURE__ */ jsxs25("summary", { children: [
         "Match UR \xB7 Incoming responses",
         inboxCount !== null ? ` (${inboxCount})` : ""
       ] }),
-      /* @__PURE__ */ jsx26(InboundFaxInbox, { onCount: setInboxCount, options, editable: permissions.includes("act"), disabled: Boolean(appearance.disabled), onSelect })
-    ] }) : /* @__PURE__ */ jsx26("p", { className: "mbtd-note", children: "Open the organization-wide RFA dashboard to match incoming faxes that do not yet belong to a patient or claim." }) : null
+      /* @__PURE__ */ jsx27(InboundFaxInbox, { onCount: setInboxCount, options, editable: permissions.includes("act"), disabled: Boolean(appearance.disabled), onSelect })
+    ] }) : /* @__PURE__ */ jsx27("p", { className: "mbtd-note", children: "Open the organization-wide RFA dashboard to match incoming faxes that do not yet belong to a patient or claim." }) : null
   ] });
 }
 function InboundFaxInbox({ options, editable, disabled, onSelect, onCount }) {
   const client = useMemo7(() => createRfaLifecycleClient(options), [options]);
   const records = useMemo7(() => createRfaClient(options), [options]);
-  const [faxes, setFaxes] = useState17([]);
-  const [fax, setFax] = useState17(null);
-  const [pdf, setPdf] = useState17(null);
-  const [choices, setChoices] = useState17([]);
-  const [selected, setSelected] = useState17("");
-  const [search, setSearch] = useState17("");
-  const [error, setError] = useState17("");
-  const [busy, setBusy] = useState17(false);
-  const [loading, setLoading] = useState17(true);
-  const [reload, setReload] = useState17(0);
-  const [nextCursor, setNextCursor] = useState17(null);
-  const [pages, setPages] = useState17([void 0]);
-  const [confirmed, setConfirmed] = useState17(false);
+  const [faxes, setFaxes] = useState18([]);
+  const [fax, setFax] = useState18(null);
+  const [pdf, setPdf] = useState18(null);
+  const [choices, setChoices] = useState18([]);
+  const [selected, setSelected] = useState18("");
+  const [search, setSearch] = useState18("");
+  const [error, setError] = useState18("");
+  const [busy, setBusy] = useState18(false);
+  const [loading, setLoading] = useState18(true);
+  const [reload, setReload] = useState18(0);
+  const [nextCursor, setNextCursor] = useState18(null);
+  const [pages, setPages] = useState18([void 0]);
+  const [confirmed, setConfirmed] = useState18(false);
   const keys = useRef13(/* @__PURE__ */ new Map());
   const alive = useRef13(true);
   const pending = useRef13(false);
   const generation = useRef13(0);
-  useEffect14(() => {
+  useEffect15(() => {
     alive.current = true;
     return () => {
       alive.current = false;
@@ -10751,7 +10856,7 @@ function InboundFaxInbox({ options, editable, disabled, onSelect, onCount }) {
   }, []);
   const reviewingFax = useRef13(false);
   reviewingFax.current = Boolean(fax);
-  useEffect14(() => {
+  useEffect15(() => {
     let active = true;
     let refreshing = false;
     setFax(null);
@@ -10811,35 +10916,35 @@ function InboundFaxInbox({ options, editable, disabled, onSelect, onCount }) {
       if (alive.current) setBusy(false);
     }
   };
-  return /* @__PURE__ */ jsxs24("section", { className: "mbrfa-inbox", "aria-label": "Match UR", children: [
-    /* @__PURE__ */ jsx26("h3", { children: "Response inbox \xB7 Match UR" }),
-    /* @__PURE__ */ jsx26("p", { children: "Review incoming response faxes, then choose the matching request. Matching adds the response document and creates a Post UR task; it does not record a treatment decision." }),
-    error ? /* @__PURE__ */ jsx26("p", { role: "alert", children: error }) : null,
-    loading ? /* @__PURE__ */ jsx26("p", { role: "status", children: "Loading response faxes\u2026" }) : !error && !faxes.length ? /* @__PURE__ */ jsx26("p", { children: "No unmatched response faxes." }) : null,
-    pages.length > 1 || nextCursor ? /* @__PURE__ */ jsxs24("div", { className: "mbtd-actions", children: [
-      /* @__PURE__ */ jsx26("button", { type: "button", disabled: loading || busy || pages.length < 2, onClick: () => setPages((value) => value.slice(0, -1)), children: "Previous fax page" }),
-      /* @__PURE__ */ jsxs24("span", { children: [
+  return /* @__PURE__ */ jsxs25("section", { className: "mbrfa-inbox", "aria-label": "Match UR", children: [
+    /* @__PURE__ */ jsx27("h3", { children: "Response inbox \xB7 Match UR" }),
+    /* @__PURE__ */ jsx27("p", { children: "Review incoming response faxes, then choose the matching request. Matching adds the response document and creates a Post UR task; it does not record a treatment decision." }),
+    error ? /* @__PURE__ */ jsx27("p", { role: "alert", children: error }) : null,
+    loading ? /* @__PURE__ */ jsx27("p", { role: "status", children: "Loading response faxes\u2026" }) : !error && !faxes.length ? /* @__PURE__ */ jsx27("p", { children: "No unmatched response faxes." }) : null,
+    pages.length > 1 || nextCursor ? /* @__PURE__ */ jsxs25("div", { className: "mbtd-actions", children: [
+      /* @__PURE__ */ jsx27("button", { type: "button", disabled: loading || busy || pages.length < 2, onClick: () => setPages((value) => value.slice(0, -1)), children: "Previous fax page" }),
+      /* @__PURE__ */ jsxs25("span", { children: [
         "Page ",
         pages.length
       ] }),
-      /* @__PURE__ */ jsx26("button", { type: "button", disabled: loading || busy || !nextCursor, onClick: () => {
+      /* @__PURE__ */ jsx27("button", { type: "button", disabled: loading || busy || !nextCursor, onClick: () => {
         if (nextCursor) setPages((value) => [...value, nextCursor]);
       }, children: "Next fax page" })
     ] }) : null,
-    /* @__PURE__ */ jsx26("div", { className: "mbrfa-list", children: faxes.map((item) => /* @__PURE__ */ jsxs24("article", { className: "mbrfa-card", children: [
-      /* @__PURE__ */ jsxs24("div", { children: [
-        /* @__PURE__ */ jsxs24("strong", { children: [
+    /* @__PURE__ */ jsx27("div", { className: "mbrfa-list", children: faxes.map((item) => /* @__PURE__ */ jsxs25("article", { className: "mbrfa-card", children: [
+      /* @__PURE__ */ jsxs25("div", { children: [
+        /* @__PURE__ */ jsxs25("strong", { children: [
           "Response fax \xB7 ",
           date3(item.receivedAt)
         ] }),
-        /* @__PURE__ */ jsxs24("span", { children: [
+        /* @__PURE__ */ jsxs25("span", { children: [
           item.fromName || item.fromFax || "Sender not identified",
           " \xB7 ",
           item.pages ?? "Unknown",
           " pages"
         ] })
       ] }),
-      /* @__PURE__ */ jsx26("button", { type: "button", disabled: busy || disabled, onClick: () => {
+      /* @__PURE__ */ jsx27("button", { type: "button", disabled: busy || disabled, onClick: () => {
         const current = ++generation.current;
         setFax(item);
         setPdf(null);
@@ -10856,18 +10961,18 @@ function InboundFaxInbox({ options, editable, disabled, onSelect, onCount }) {
         });
       }, children: "Review fax" })
     ] }, item.id)) }),
-    fax ? /* @__PURE__ */ jsxs24("div", { style: { display: "grid", gap: 16 }, children: [
-      /* @__PURE__ */ jsxs24("div", { className: "mbtd-actions", children: [
-        /* @__PURE__ */ jsx26("h4", { children: "Match response fax" }),
-        /* @__PURE__ */ jsx26("button", { type: "button", disabled: busy, onClick: () => {
+    fax ? /* @__PURE__ */ jsxs25("div", { style: { display: "grid", gap: 16 }, children: [
+      /* @__PURE__ */ jsxs25("div", { className: "mbtd-actions", children: [
+        /* @__PURE__ */ jsx27("h4", { children: "Match response fax" }),
+        /* @__PURE__ */ jsx27("button", { type: "button", disabled: busy, onClick: () => {
           generation.current += 1;
           setFax(null);
           setPdf(null);
           setReload((value) => value + 1);
         }, children: "Close review" })
       ] }),
-      pdf ? /* @__PURE__ */ jsx26(RfaPdfReview, { blob: pdf, title: "Incoming utilization review response" }) : null,
-      /* @__PURE__ */ jsxs24("form", { onSubmit: (event) => {
+      pdf ? /* @__PURE__ */ jsx27(RfaPdfReview, { blob: pdf, title: "Incoming utilization review response" }) : null,
+      /* @__PURE__ */ jsxs25("form", { onSubmit: (event) => {
         event.preventDefault();
         void run(async () => {
           const result = await records.list({ search: search.trim(), limit: 50 });
@@ -10877,20 +10982,20 @@ function InboundFaxInbox({ options, editable, disabled, onSelect, onCount }) {
           }
         });
       }, children: [
-        /* @__PURE__ */ jsxs24("label", { children: [
+        /* @__PURE__ */ jsxs25("label", { children: [
           "Find patient, claim or RFA",
-          /* @__PURE__ */ jsx26("input", { value: search, maxLength: 200, required: true, onChange: (event) => setSearch(event.target.value) })
+          /* @__PURE__ */ jsx27("input", { value: search, maxLength: 200, required: true, onChange: (event) => setSearch(event.target.value) })
         ] }),
-        /* @__PURE__ */ jsx26("button", { type: "submit", disabled: busy || disabled, children: "Find requests" })
+        /* @__PURE__ */ jsx27("button", { type: "submit", disabled: busy || disabled, children: "Find requests" })
       ] }),
-      /* @__PURE__ */ jsxs24("label", { children: [
+      /* @__PURE__ */ jsxs25("label", { children: [
         "Matching request",
-        /* @__PURE__ */ jsxs24("select", { value: selected, disabled: busy || disabled, onChange: (event) => {
+        /* @__PURE__ */ jsxs25("select", { value: selected, disabled: busy || disabled, onChange: (event) => {
           setSelected(event.target.value);
           setConfirmed(false);
         }, children: [
-          /* @__PURE__ */ jsx26("option", { value: "", children: "Choose after reviewing the response" }),
-          choices.map((record2) => /* @__PURE__ */ jsxs24("option", { value: record2.id, disabled: !canMatchResponse(record2), children: [
+          /* @__PURE__ */ jsx27("option", { value: "", children: "Choose after reviewing the response" }),
+          choices.map((record2) => /* @__PURE__ */ jsxs25("option", { value: record2.id, disabled: !canMatchResponse(record2), children: [
             record2.employeeName,
             " \xB7 ",
             record2.claimNumber || "Claim not recorded",
@@ -10902,8 +11007,8 @@ function InboundFaxInbox({ options, editable, disabled, onSelect, onCount }) {
           ] }, record2.id))
         ] })
       ] }),
-      selected ? /* @__PURE__ */ jsx26("button", { type: "button", disabled: busy || disabled, onClick: () => onSelect(selected), children: "Review selected request" }) : null,
-      editable ? /* @__PURE__ */ jsxs24("form", { onSubmit: (event) => {
+      selected ? /* @__PURE__ */ jsx27("button", { type: "button", disabled: busy || disabled, onClick: () => onSelect(selected), children: "Review selected request" }) : null,
+      editable ? /* @__PURE__ */ jsxs25("form", { onSubmit: (event) => {
         event.preventDefault();
         if (!selected || !pdf || !confirmed || !editable || !choices.some((record2) => record2.id === selected && canMatchResponse(record2))) return;
         void run(async () => {
@@ -10922,18 +11027,18 @@ function InboundFaxInbox({ options, editable, disabled, onSelect, onCount }) {
           }
         });
       }, children: [
-        /* @__PURE__ */ jsxs24("label", { children: [
-          /* @__PURE__ */ jsx26("input", { type: "checkbox", required: true, checked: confirmed, onChange: (event) => setConfirmed(event.target.checked), disabled: busy || disabled }),
+        /* @__PURE__ */ jsxs25("label", { children: [
+          /* @__PURE__ */ jsx27("input", { type: "checkbox", required: true, checked: confirmed, onChange: (event) => setConfirmed(event.target.checked), disabled: busy || disabled }),
           " I reviewed the response and confirmed its patient, claim, and requested treatment match this request."
         ] }),
-        /* @__PURE__ */ jsx26("button", { type: "submit", disabled: busy || disabled || !selected || !pdf || !confirmed, children: "Match response and open Post UR" })
-      ] }) : /* @__PURE__ */ jsx26("p", { children: "Matching responses requires authorization from your administrator." })
+        /* @__PURE__ */ jsx27("button", { type: "submit", disabled: busy || disabled || !selected || !pdf || !confirmed, children: "Match response and open Post UR" })
+      ] }) : /* @__PURE__ */ jsx27("p", { children: "Matching responses requires authorization from your administrator." })
     ] }) : null
   ] });
 }
 
 // src/rfa-tracking-panel.tsx
-import { Fragment as Fragment17, useEffect as useEffect15, useMemo as useMemo8, useRef as useRef14, useState as useState18 } from "react";
+import { Fragment as Fragment17, useEffect as useEffect16, useMemo as useMemo8, useRef as useRef14, useState as useState19 } from "react";
 import { createRfaClient as createRfaClient2, createRfaLifecycleClient as createRfaLifecycleClient2 } from "@mindbill/browser";
 
 // src/rfa-detail-header.tsx
@@ -10956,43 +11061,43 @@ function rfaDecisionDueText(rfa) {
 }
 
 // src/rfa-detail-header.tsx
-import { Fragment as Fragment16, jsx as jsx27, jsxs as jsxs25 } from "react/jsx-runtime";
+import { Fragment as Fragment16, jsx as jsx28, jsxs as jsxs26 } from "react/jsx-runtime";
 function RfaDetailHeader({ rfa, getPatientHref, getClaimHref, getProviderHref, compact = false }) {
   const status = getRfaLifecycleStatus(rfa);
   const stages = ["Incomplete", "Sent", "Received", "Closed"];
   const current = status === "closed" ? 3 : status === "received" || rfa.receivedAt ? 2 : status === "sent" || rfa.submittedAt ? 1 : 0;
-  return /* @__PURE__ */ jsxs25(Fragment16, { children: [
-    /* @__PURE__ */ jsxs25("div", { className: "mbrfa-context", children: [
-      /* @__PURE__ */ jsxs25("div", { children: [
-        /* @__PURE__ */ jsx27("strong", { children: /* @__PURE__ */ jsx27(RfaLink, { href: getPatientHref?.(rfa), children: rfa.employeeName }) }),
-        /* @__PURE__ */ jsx27("span", { children: /* @__PURE__ */ jsxs25(RfaLink, { href: getClaimHref?.(rfa), children: [
+  return /* @__PURE__ */ jsxs26(Fragment16, { children: [
+    /* @__PURE__ */ jsxs26("div", { className: "mbrfa-context", children: [
+      /* @__PURE__ */ jsxs26("div", { children: [
+        /* @__PURE__ */ jsx28("strong", { children: /* @__PURE__ */ jsx28(RfaLink, { href: getPatientHref?.(rfa), children: rfa.employeeName }) }),
+        /* @__PURE__ */ jsx28("span", { children: /* @__PURE__ */ jsxs26(RfaLink, { href: getClaimHref?.(rfa), children: [
           "Claim ",
           rfa.claimNumber || "Not recorded"
         ] }) })
       ] }),
-      /* @__PURE__ */ jsxs25("div", { children: [
-        /* @__PURE__ */ jsx27("strong", { children: /* @__PURE__ */ jsx27(RfaLink, { href: getProviderHref?.(rfa), children: rfa.providerName }) }),
-        /* @__PURE__ */ jsx27("span", { children: "Requesting physician" })
+      /* @__PURE__ */ jsxs26("div", { children: [
+        /* @__PURE__ */ jsx28("strong", { children: /* @__PURE__ */ jsx28(RfaLink, { href: getProviderHref?.(rfa), children: rfa.providerName }) }),
+        /* @__PURE__ */ jsx28("span", { children: "Requesting physician" })
       ] }),
-      /* @__PURE__ */ jsxs25("div", { children: [
-        /* @__PURE__ */ jsx27("strong", { children: rfa.expedited ? "Expedited review" : `${rfa.reviewType.charAt(0).toUpperCase()}${rfa.reviewType.slice(1)} review` }),
-        /* @__PURE__ */ jsx27("span", { className: "mbrfa-update-note", children: "Updates automatically" })
+      /* @__PURE__ */ jsxs26("div", { children: [
+        /* @__PURE__ */ jsx28("strong", { children: rfa.expedited ? "Expedited review" : `${rfa.reviewType.charAt(0).toUpperCase()}${rfa.reviewType.slice(1)} review` }),
+        /* @__PURE__ */ jsx28("span", { className: "mbrfa-update-note", children: "Updates automatically" })
       ] })
     ] }),
-    !compact ? /* @__PURE__ */ jsxs25("section", { className: "mbrfa-progress", "aria-label": "Request status", children: [
-      /* @__PURE__ */ jsxs25("div", { className: "mbrfa-progress-heading", children: [
-        /* @__PURE__ */ jsxs25("div", { children: [
-          /* @__PURE__ */ jsx27("h3", { children: RFA_LIFECYCLE_LABELS[status] }),
-          /* @__PURE__ */ jsx27("p", { children: status === "failed" ? "Delivery needs attention. Review the delivery evidence before retrying." : status === "canceled" ? "This request was canceled." : rfa.submittedAt ? `Submitted ${new Date(rfa.submittedAt).toLocaleDateString()}` : "Not yet submitted" })
+    !compact ? /* @__PURE__ */ jsxs26("section", { className: "mbrfa-progress", "aria-label": "Request status", children: [
+      /* @__PURE__ */ jsxs26("div", { className: "mbrfa-progress-heading", children: [
+        /* @__PURE__ */ jsxs26("div", { children: [
+          /* @__PURE__ */ jsx28("h3", { children: RFA_LIFECYCLE_LABELS[status] }),
+          /* @__PURE__ */ jsx28("p", { children: status === "failed" ? "Delivery needs attention. Review the delivery evidence before retrying." : status === "canceled" ? "This request was canceled." : rfa.submittedAt ? `Submitted ${new Date(rfa.submittedAt).toLocaleDateString()}` : "Not yet submitted" })
         ] }),
-        /* @__PURE__ */ jsxs25("div", { className: "mbrfa-deadline", children: [
-          /* @__PURE__ */ jsx27("span", { children: "Decision due" }),
-          /* @__PURE__ */ jsx27("strong", { children: rfaDecisionDueText(rfa) })
+        /* @__PURE__ */ jsxs26("div", { className: "mbrfa-deadline", children: [
+          /* @__PURE__ */ jsx28("span", { children: "Decision due" }),
+          /* @__PURE__ */ jsx28("strong", { children: rfaDecisionDueText(rfa) })
         ] })
       ] }),
-      /* @__PURE__ */ jsx27("ol", { "aria-label": "Authorization progress", children: stages.map((stage, index) => /* @__PURE__ */ jsxs25("li", { className: index <= current ? "is-complete" : "", "aria-current": index === current ? "step" : void 0, children: [
-        /* @__PURE__ */ jsx27("span", { children: index < current ? "\u2713" : index + 1 }),
-        /* @__PURE__ */ jsx27("strong", { children: stage })
+      /* @__PURE__ */ jsx28("ol", { "aria-label": "Authorization progress", children: stages.map((stage, index) => /* @__PURE__ */ jsxs26("li", { className: index <= current ? "is-complete" : "", "aria-current": index === current ? "step" : void 0, children: [
+        /* @__PURE__ */ jsx28("span", { children: index < current ? "\u2713" : index + 1 }),
+        /* @__PURE__ */ jsx28("strong", { children: stage })
       ] }, stage)) })
     ] }) : null
   ] });
@@ -11006,7 +11111,7 @@ var rfaPolishCss = `
 var rfaSimpleCss = `.mbrfa-simple .mbrfa-detail-tabs{display:flex;overflow-x:auto;gap:4px}.mbrfa-simple .mbrfa-detail-tabs button{flex:1;white-space:nowrap}.mbrfa-simple [hidden]{display:none!important}.mbrfa-next-action{display:flex;align-items:center;justify-content:space-between;gap:16px;padding:16px 20px;border:1px solid var(--mb-border);border-radius:var(--mb-radius);background:var(--mb-soft)}.mbrfa-next-action p{margin:5px 0 0}.mbrfa-simple .mbrfa-bottom-actions{position:static}.mbrfa-simple .mbrfa-bottom-actions>.mbrfa-badge{display:none}@media(max-width:600px){.mbrfa-next-action{align-items:flex-start;flex-direction:column}.mbrfa-simple .mbrfa-detail-tabs button{padding:8px}}`;
 
 // src/rfa-history-entry.tsx
-import { jsx as jsx28, jsxs as jsxs26 } from "react/jsx-runtime";
+import { jsx as jsx29, jsxs as jsxs27 } from "react/jsx-runtime";
 var object = (value) => value && typeof value === "object" && !Array.isArray(value) ? value : {};
 var string = (value) => typeof value === "string" && value.trim() ? value : void 0;
 var words = (value) => value.replace(/^rfa\./, "").replaceAll("_", " ");
@@ -11080,9 +11185,9 @@ function rows2(value, omit = []) {
   });
 }
 function DefinitionList({ entries }) {
-  return /* @__PURE__ */ jsx28("dl", { children: entries.map(([label5, value]) => /* @__PURE__ */ jsxs26("div", { children: [
-    /* @__PURE__ */ jsx28("dt", { children: label5 }),
-    /* @__PURE__ */ jsx28("dd", { style: { whiteSpace: "pre-wrap" }, children: value })
+  return /* @__PURE__ */ jsx29("dl", { children: entries.map(([label5, value]) => /* @__PURE__ */ jsxs27("div", { children: [
+    /* @__PURE__ */ jsx29("dt", { children: label5 }),
+    /* @__PURE__ */ jsx29("dd", { style: { whiteSpace: "pre-wrap" }, children: value })
   ] }, label5)) });
 }
 function RfaHistoryEntry({ event, rfa, disabled, onDownload }) {
@@ -11107,12 +11212,12 @@ function RfaHistoryEntry({ event, rfa, disabled, onDownload }) {
   }
   const treatment = (id) => {
     const index = rfa.items.findIndex((value) => value.id === id);
-    return index >= 0 ? /* @__PURE__ */ jsxs26("a", { href: `#rfa-treatment-${id}`, children: [
+    return index >= 0 ? /* @__PURE__ */ jsxs27("a", { href: `#rfa-treatment-${id}`, children: [
       "Treatment ",
       index + 1,
       ": ",
       rfa.items[index].serviceDescription
-    ] }) : /* @__PURE__ */ jsxs26("span", { children: [
+    ] }) : /* @__PURE__ */ jsxs27("span", { children: [
       "Treatment reference: ",
       id
     ] });
@@ -11139,50 +11244,50 @@ function RfaHistoryEntry({ event, rfa, disabled, onDownload }) {
   const hasDetails = entries.length || appointment.length || decisionSections.length || evidence.length || changed.length;
   const actor = /^(system:|system$)/.test(event.actor) ? "System" : /^(native-user:|user:)/.test(event.actor) || /^partner:[^:]+:browser:/.test(event.actor) ? "Team member" : /^partner:/.test(event.actor) ? "Integration" : /^(developer:|integration:|api:)/.test(event.actor) ? "Integration" : event.actor;
   const action = string(payload.action) ?? event.eventType.replace(/^rfa\./, "");
-  return /* @__PURE__ */ jsxs26("tr", { children: [
-    /* @__PURE__ */ jsx28("td", { children: /* @__PURE__ */ jsx28("time", { dateTime: event.occurredAt ?? void 0, children: date4(event.occurredAt) }) }),
-    /* @__PURE__ */ jsx28("td", { className: "mbrfa-history-action", children: actions[action] ?? words(action) }),
-    /* @__PURE__ */ jsxs26("td", { children: [
-      /* @__PURE__ */ jsx28("span", { className: "mbrfa-sr-only", children: "Recorded by " }),
+  return /* @__PURE__ */ jsxs27("tr", { children: [
+    /* @__PURE__ */ jsx29("td", { children: /* @__PURE__ */ jsx29("time", { dateTime: event.occurredAt ?? void 0, children: date4(event.occurredAt) }) }),
+    /* @__PURE__ */ jsx29("td", { className: "mbrfa-history-action", children: actions[action] ?? words(action) }),
+    /* @__PURE__ */ jsxs27("td", { children: [
+      /* @__PURE__ */ jsx29("span", { className: "mbrfa-sr-only", children: "Recorded by " }),
       actor
     ] }),
-    /* @__PURE__ */ jsxs26("td", { children: [
-      ["text", "reason", "requestText", "note"].map((key2) => string(payload[key2]) ? /* @__PURE__ */ jsx28("p", { style: { whiteSpace: "pre-wrap" }, children: String(payload[key2]) }, key2) : null),
-      ids.size ? /* @__PURE__ */ jsx28("ul", { "aria-label": "Related treatments", children: [...ids].map((id) => /* @__PURE__ */ jsx28("li", { children: treatment(id) }, id)) }) : null,
-      hasDetails ? /* @__PURE__ */ jsxs26("details", { children: [
-        /* @__PURE__ */ jsx28("summary", { children: "Event details" }),
-        entries.length ? /* @__PURE__ */ jsx28(DefinitionList, { entries }) : null,
-        changed.length ? /* @__PURE__ */ jsxs26("p", { children: [
+    /* @__PURE__ */ jsxs27("td", { children: [
+      ["text", "reason", "requestText", "note"].map((key2) => string(payload[key2]) ? /* @__PURE__ */ jsx29("p", { style: { whiteSpace: "pre-wrap" }, children: String(payload[key2]) }, key2) : null),
+      ids.size ? /* @__PURE__ */ jsx29("ul", { "aria-label": "Related treatments", children: [...ids].map((id) => /* @__PURE__ */ jsx29("li", { children: treatment(id) }, id)) }) : null,
+      hasDetails ? /* @__PURE__ */ jsxs27("details", { children: [
+        /* @__PURE__ */ jsx29("summary", { children: "Event details" }),
+        entries.length ? /* @__PURE__ */ jsx29(DefinitionList, { entries }) : null,
+        changed.length ? /* @__PURE__ */ jsxs27("p", { children: [
           "Changed fields: ",
           changed.join(", ")
         ] }) : null,
-        appointment.length ? /* @__PURE__ */ jsxs26("section", { children: [
-          /* @__PURE__ */ jsx28("h4", { children: "Appointment details" }),
-          /* @__PURE__ */ jsx28(DefinitionList, { entries: appointment })
+        appointment.length ? /* @__PURE__ */ jsxs27("section", { children: [
+          /* @__PURE__ */ jsx29("h4", { children: "Appointment details" }),
+          /* @__PURE__ */ jsx29(DefinitionList, { entries: appointment })
         ] }) : null,
-        decisionSections.map((group) => /* @__PURE__ */ jsxs26("section", { children: [
-          /* @__PURE__ */ jsx28("h4", { children: group.title }),
-          group.value !== payload ? /* @__PURE__ */ jsx28(DefinitionList, { entries: rows2(group.value, ["reason"]) }) : null,
-          group.decisions.map((value, index) => /* @__PURE__ */ jsxs26("div", { children: [
+        decisionSections.map((group) => /* @__PURE__ */ jsxs27("section", { children: [
+          /* @__PURE__ */ jsx29("h4", { children: group.title }),
+          group.value !== payload ? /* @__PURE__ */ jsx29(DefinitionList, { entries: rows2(group.value, ["reason"]) }) : null,
+          group.decisions.map((value, index) => /* @__PURE__ */ jsxs27("div", { children: [
             string(value.itemId) ? treatment(String(value.itemId)) : null,
-            /* @__PURE__ */ jsx28(DefinitionList, { entries: rows2(value) })
+            /* @__PURE__ */ jsx29(DefinitionList, { entries: rows2(value) })
           ] }, index))
         ] }, group.title)),
-        evidence.length ? /* @__PURE__ */ jsx28("ul", { "aria-label": "Event documents", children: evidence.map((value) => {
+        evidence.length ? /* @__PURE__ */ jsx29("ul", { "aria-label": "Event documents", children: evidence.map((value) => {
           const filename = rfa.documents.find((document2) => document2.id === value.id)?.filename;
-          return /* @__PURE__ */ jsx28("li", { children: /* @__PURE__ */ jsxs26("button", { type: "button", disabled, onClick: () => onDownload(value.kind, value.id, filename ?? (value.kind === "packet" ? "RFA submission.pdf" : "RFA evidence.pdf")), children: [
+          return /* @__PURE__ */ jsx29("li", { children: /* @__PURE__ */ jsxs27("button", { type: "button", disabled, onClick: () => onDownload(value.kind, value.id, filename ?? (value.kind === "packet" ? "RFA submission.pdf" : "RFA evidence.pdf")), children: [
             value.label,
             filename ? `: ${filename}` : ""
           ] }) }, `${value.kind}:${value.id}`);
         }) }) : null
-      ] }) : !["text", "reason", "requestText", "note"].some((key2) => string(payload[key2])) && !ids.size ? /* @__PURE__ */ jsx28("span", { children: "\u2014" }) : null
+      ] }) : !["text", "reason", "requestText", "note"].some((key2) => string(payload[key2])) && !ids.size ? /* @__PURE__ */ jsx29("span", { children: "\u2014" }) : null
     ] })
   ] });
 }
 
 // src/rfa-detail-cards.tsx
 import { getRfaLifecycleStatus as getRfaLifecycleStatus2, RFA_LIFECYCLE_LABELS as RFA_LIFECYCLE_LABELS2 } from "@mindbill/browser";
-import { jsx as jsx29, jsxs as jsxs27 } from "react/jsx-runtime";
+import { jsx as jsx30, jsxs as jsxs28 } from "react/jsx-runtime";
 var DECIDED = ["approved", "modified", "denied", "mixed", "closed"];
 var rfaShortDate = (value) => value && Number.isFinite(Date.parse(value)) ? new Date(value).toLocaleString(void 0, { dateStyle: "short", timeStyle: "short" }) : "\u2014";
 var rfaCalendarDate = (value) => {
@@ -11201,7 +11306,7 @@ function rfaOutcome(item) {
   return { label: sentence(item.outcome || "pending"), tone: "muted" };
 }
 function RfaPill({ tone = "muted", children }) {
-  return /* @__PURE__ */ jsx29("span", { className: "mbrfa-pill", "data-tone": tone, children });
+  return /* @__PURE__ */ jsx30("span", { className: "mbrfa-pill", "data-tone": tone, children });
 }
 function rfaLifecycleTone(rfa) {
   const status = getRfaLifecycleStatus2(rfa);
@@ -11218,41 +11323,41 @@ function RfaStatusCard({ rfa }) {
   const current = rfa.submittedAt && decided ? 4 : rfa.receivedAt ? 3 : rfa.submittedAt ? 2 : rfa.signedAt ? 1 : 0;
   const stopped = status === "canceled" || status === "failed";
   const detail = status === "canceled" ? "This request was canceled" : status === "failed" ? "Delivery needs attention" : rfa.submittedAt ? `Sent ${rfaShortDate(rfa.submittedAt)}` : rfa.signedAt ? "Signed, not yet sent" : "Not yet signed";
-  return /* @__PURE__ */ jsxs27("section", { className: "mbrfa-status", "aria-label": "Request status", "data-stopped": stopped || void 0, children: [
-    /* @__PURE__ */ jsxs27("div", { className: "mbrfa-status-heading", children: [
-      /* @__PURE__ */ jsxs27("div", { children: [
-        /* @__PURE__ */ jsx29("h3", { children: RFA_LIFECYCLE_LABELS2[status] }),
-        /* @__PURE__ */ jsx29("p", { children: detail })
+  return /* @__PURE__ */ jsxs28("section", { className: "mbrfa-status", "aria-label": "Request status", "data-stopped": stopped || void 0, children: [
+    /* @__PURE__ */ jsxs28("div", { className: "mbrfa-status-heading", children: [
+      /* @__PURE__ */ jsxs28("div", { children: [
+        /* @__PURE__ */ jsx30("h3", { children: RFA_LIFECYCLE_LABELS2[status] }),
+        /* @__PURE__ */ jsx30("p", { children: detail })
       ] }),
-      rfa.submittedAt && !stopped ? /* @__PURE__ */ jsxs27("div", { className: "mbrfa-status-due", children: [
-        /* @__PURE__ */ jsx29("span", { children: "Decision due" }),
-        /* @__PURE__ */ jsx29("strong", { children: rfaDecisionDueText(rfa) })
+      rfa.submittedAt && !stopped ? /* @__PURE__ */ jsxs28("div", { className: "mbrfa-status-due", children: [
+        /* @__PURE__ */ jsx30("span", { children: "Decision due" }),
+        /* @__PURE__ */ jsx30("strong", { children: rfaDecisionDueText(rfa) })
       ] }) : null
     ] }),
-    /* @__PURE__ */ jsx29("ol", { "aria-label": "Authorization progress", children: stages.map((stage, index) => /* @__PURE__ */ jsxs27("li", { "data-state": index < current ? "done" : index === current ? "current" : "todo", "aria-current": index === current ? "step" : void 0, children: [
-      /* @__PURE__ */ jsx29("span", { children: index < current ? "\u2713" : index + 1 }),
-      /* @__PURE__ */ jsx29("strong", { children: stage })
+    /* @__PURE__ */ jsx30("ol", { "aria-label": "Authorization progress", children: stages.map((stage, index) => /* @__PURE__ */ jsxs28("li", { "data-state": index < current ? "done" : index === current ? "current" : "todo", "aria-current": index === current ? "step" : void 0, children: [
+      /* @__PURE__ */ jsx30("span", { children: index < current ? "\u2713" : index + 1 }),
+      /* @__PURE__ */ jsx30("strong", { children: stage })
     ] }, stage)) })
   ] });
 }
 function RfaCard({ title, count, action, children, id, flush = false }) {
-  return /* @__PURE__ */ jsxs27("section", { className: "mbrfa-sheet", id, "aria-label": title, children: [
-    /* @__PURE__ */ jsxs27("header", { children: [
-      /* @__PURE__ */ jsxs27("h3", { children: [
+  return /* @__PURE__ */ jsxs28("section", { className: "mbrfa-sheet", id, "aria-label": title, children: [
+    /* @__PURE__ */ jsxs28("header", { children: [
+      /* @__PURE__ */ jsxs28("h3", { children: [
         title,
-        count !== void 0 ? /* @__PURE__ */ jsx29("span", { className: "mbrfa-count", children: count }) : null
+        count !== void 0 ? /* @__PURE__ */ jsx30("span", { className: "mbrfa-count", children: count }) : null
       ] }),
-      action ? /* @__PURE__ */ jsx29("div", { className: "mbrfa-sheet-action", children: action }) : null
+      action ? /* @__PURE__ */ jsx30("div", { className: "mbrfa-sheet-action", children: action }) : null
     ] }),
-    /* @__PURE__ */ jsx29("div", { className: flush ? "mbrfa-sheet-flush" : "mbrfa-sheet-body", children })
+    /* @__PURE__ */ jsx30("div", { className: flush ? "mbrfa-sheet-flush" : "mbrfa-sheet-body", children })
   ] });
 }
 function RfaFacts({ entries }) {
   const shown = entries.filter(([, value]) => value !== null && value !== void 0 && value !== "" && value !== false);
-  return shown.length ? /* @__PURE__ */ jsx29("dl", { className: "mbrfa-facts", children: shown.map(([name, value]) => /* @__PURE__ */ jsxs27("div", { children: [
-    /* @__PURE__ */ jsx29("dt", { children: name }),
-    /* @__PURE__ */ jsx29("dd", { children: value })
-  ] }, name)) }) : /* @__PURE__ */ jsx29("p", { className: "mbrfa-empty", children: "Not recorded." });
+  return shown.length ? /* @__PURE__ */ jsx30("dl", { className: "mbrfa-facts", children: shown.map(([name, value]) => /* @__PURE__ */ jsxs28("div", { children: [
+    /* @__PURE__ */ jsx30("dt", { children: name }),
+    /* @__PURE__ */ jsx30("dd", { children: value })
+  ] }, name)) }) : /* @__PURE__ */ jsx30("p", { className: "mbrfa-empty", children: "Not recorded." });
 }
 var rfaAddress = (contact) => [contact?.address, [contact?.city, [contact?.state, contact?.zip].filter(Boolean).join(" ")].filter(Boolean).join(", ")].filter(Boolean).join(", ");
 var rfaRequestTypeLabel = (rfa) => rfa.requestType === "resubmission_material_change" ? "Resubmission \u2013 Change in Material Facts" : "New Request";
@@ -11338,7 +11443,7 @@ var rfaCardsCss = `
 `;
 
 // src/rfa-tracking-panel.tsx
-import { Fragment as Fragment18, jsx as jsx30, jsxs as jsxs28 } from "react/jsx-runtime";
+import { Fragment as Fragment18, jsx as jsx31, jsxs as jsxs29 } from "react/jsx-runtime";
 var words2 = (value) => value.replace(/^rfa\./, "").replaceAll("_", " ");
 var capital = (value) => value.charAt(0).toUpperCase() + value.slice(1);
 var date5 = (value) => value ? new Date(value).toLocaleString() : "Not recorded";
@@ -11360,32 +11465,32 @@ var localTime = (value) => {
 };
 function RfaTrackingPanel(props) {
   const identity = useMemo8(() => crypto.randomUUID(), [props.options]);
-  return /* @__PURE__ */ jsx30(RfaTrackingContent, { ...props }, `${identity}:${props.rfa.id}`);
+  return /* @__PURE__ */ jsx31(RfaTrackingContent, { ...props }, `${identity}:${props.rfa.id}`);
 }
 function RfaTrackingContent({ rfa: provided, options, permissions = [], onUpdated, view = "all", embedded = false, cards = false, ...appearance }) {
-  const [rfa, setRfa] = useState18(provided);
-  useEffect15(() => setRfa(provided), [provided]);
+  const [rfa, setRfa] = useState19(provided);
+  useEffect16(() => setRfa(provided), [provided]);
   const client = useMemo8(() => createRfaLifecycleClient2(options), [options]);
   const records = useMemo8(() => createRfaClient2(options), [options]);
-  const [scheduling, setScheduling] = useState18([]);
-  const [history, setHistory] = useState18([]);
-  const [loadErrors, setLoadErrors] = useState18([]);
-  const [loading, setLoading] = useState18(true);
-  const [reload, setReload] = useState18(0);
-  const [busy, setBusy] = useState18(false);
-  const [error, setError] = useState18("");
-  const [message, setMessage] = useState18("");
-  const [noteOpen, setNoteOpen] = useState18(false);
+  const [scheduling, setScheduling] = useState19([]);
+  const [history, setHistory] = useState19([]);
+  const [loadErrors, setLoadErrors] = useState19([]);
+  const [loading, setLoading] = useState19(true);
+  const [reload, setReload] = useState19(0);
+  const [busy, setBusy] = useState19(false);
+  const [error, setError] = useState19("");
+  const [message, setMessage] = useState19("");
+  const [noteOpen, setNoteOpen] = useState19(false);
   const alive = useRef14(true);
   const pending = useRef14(false);
   const keys = useRef14(/* @__PURE__ */ new Map());
-  useEffect15(() => {
+  useEffect16(() => {
     alive.current = true;
     return () => {
       alive.current = false;
     };
   }, []);
-  useEffect15(() => {
+  useEffect16(() => {
     let active = true;
     void Promise.allSettled([client.listScheduling(rfa.id), client.listHistory(rfa.id)]).then(([appointments, events]) => {
       if (!active) return;
@@ -11401,7 +11506,7 @@ function RfaTrackingContent({ rfa: provided, options, permissions = [], onUpdate
       active = false;
     };
   }, [client, rfa.id, rfa.updatedAt, reload]);
-  useEffect15(() => {
+  useEffect16(() => {
     const refresh = () => {
       if (!pending.current && document.visibilityState !== "hidden") setReload((value) => value + 1);
     };
@@ -11461,11 +11566,11 @@ function RfaTrackingContent({ rfa: provided, options, permissions = [], onUpdate
       if (alive.current) setError(reason instanceof Error ? reason.message : "The evidence could not be opened.");
     }
   };
-  const evidence = (id, title) => id ? /* @__PURE__ */ jsx30("button", { type: "button", disabled, onClick: () => void download(id, rfa.documents.find((document2) => document2.id === id)?.filename ?? `${title}.pdf`), children: title }) : null;
+  const evidence = (id, title) => id ? /* @__PURE__ */ jsx31("button", { type: "button", disabled, onClick: () => void download(id, rfa.documents.find((document2) => document2.id === id)?.filename ?? `${title}.pdf`), children: title }) : null;
   const canCorrect = permissions.includes("act") && ["received", "under_review", "information_requested", "approved", "modified", "denied", "mixed"].includes(rfa.status);
   const canClose = permissions.includes("edit") && ["submitted", "received", "under_review", "information_requested", "incomplete", "deferred"].includes(rfa.status);
   const otherInformation = (item) => typeof item.metadata?.otherInformation === "string" && item.metadata.otherInformation.trim() ? item.metadata.otherInformation : [item.quantity != null ? `Quantity: ${item.quantity}` : "", item.units != null ? `Units: ${item.units}` : "", item.frequency, item.duration, item.requestedFrom ? `From: ${rfaCalendarDate(item.requestedFrom)}` : "", item.requestedTo ? `Through: ${rfaCalendarDate(item.requestedTo)}` : ""].filter(Boolean).join("; ");
-  const noteForm = /* @__PURE__ */ jsxs28("form", { className: "mbrfa-row", onSubmit: (event) => {
+  const noteForm = /* @__PURE__ */ jsxs29("form", { className: "mbrfa-row", onSubmit: (event) => {
     event.preventDefault();
     const form = event.currentTarget;
     try {
@@ -11483,77 +11588,77 @@ function RfaTrackingContent({ rfa: provided, options, permissions = [], onUpdate
       setError(reason instanceof Error ? reason.message : "Enter a note.");
     }
   }, children: [
-    /* @__PURE__ */ jsxs28("label", { children: [
+    /* @__PURE__ */ jsxs29("label", { children: [
       "Note",
-      /* @__PURE__ */ jsx30("textarea", { name: "note", required: true, maxLength: 1e4, autoFocus: true, disabled })
+      /* @__PURE__ */ jsx31("textarea", { name: "note", required: true, maxLength: 1e4, autoFocus: true, disabled })
     ] }),
-    /* @__PURE__ */ jsxs28("div", { className: "mbtd-actions", children: [
-      /* @__PURE__ */ jsx30("button", { type: "submit", className: "mbtd-primary", disabled, children: "Save note" }),
-      /* @__PURE__ */ jsx30("button", { type: "button", onClick: () => setNoteOpen(false), children: "Cancel" })
+    /* @__PURE__ */ jsxs29("div", { className: "mbtd-actions", children: [
+      /* @__PURE__ */ jsx31("button", { type: "submit", className: "mbtd-primary", disabled, children: "Save note" }),
+      /* @__PURE__ */ jsx31("button", { type: "button", onClick: () => setNoteOpen(false), children: "Cancel" })
     ] })
   ] });
-  const cardContent = /* @__PURE__ */ jsxs28("div", { className: "mbrfa-stack", children: [
-    error ? /* @__PURE__ */ jsx30("p", { role: "alert", children: error }) : null,
-    message ? /* @__PURE__ */ jsx30("p", { role: "status", children: message }) : null,
-    loadErrors.map((value) => /* @__PURE__ */ jsx30("p", { role: "alert", children: value }, value)),
-    view !== "history" ? /* @__PURE__ */ jsx30(RfaCard, { title: "Requested Treatment", count: rfa.items.length, flush: true, children: rfa.items.length ? /* @__PURE__ */ jsx30("div", { className: "mbrfa-table-scroll", children: /* @__PURE__ */ jsxs28("table", { className: "mbrfa-grid-table mbrfa-treatment-table", children: [
-      /* @__PURE__ */ jsx30("thead", { children: /* @__PURE__ */ jsxs28("tr", { children: [
-        /* @__PURE__ */ jsx30("th", { scope: "col", children: "#" }),
-        /* @__PURE__ */ jsx30("th", { scope: "col", children: "Service/Good Requested" }),
-        /* @__PURE__ */ jsx30("th", { scope: "col", children: "Diagnosis" }),
-        /* @__PURE__ */ jsx30("th", { scope: "col", children: "CPT/HCPCS" }),
-        /* @__PURE__ */ jsx30("th", { scope: "col", children: "Other Information" }),
-        /* @__PURE__ */ jsx30("th", { scope: "col", children: "Decision" })
+  const cardContent = /* @__PURE__ */ jsxs29("div", { className: "mbrfa-stack", children: [
+    error ? /* @__PURE__ */ jsx31("p", { role: "alert", children: error }) : null,
+    message ? /* @__PURE__ */ jsx31("p", { role: "status", children: message }) : null,
+    loadErrors.map((value) => /* @__PURE__ */ jsx31("p", { role: "alert", children: value }, value)),
+    view !== "history" ? /* @__PURE__ */ jsx31(RfaCard, { title: "Requested Treatment", count: rfa.items.length, flush: true, children: rfa.items.length ? /* @__PURE__ */ jsx31("div", { className: "mbrfa-table-scroll", children: /* @__PURE__ */ jsxs29("table", { className: "mbrfa-grid-table mbrfa-treatment-table", children: [
+      /* @__PURE__ */ jsx31("thead", { children: /* @__PURE__ */ jsxs29("tr", { children: [
+        /* @__PURE__ */ jsx31("th", { scope: "col", children: "#" }),
+        /* @__PURE__ */ jsx31("th", { scope: "col", children: "Service/Good Requested" }),
+        /* @__PURE__ */ jsx31("th", { scope: "col", children: "Diagnosis" }),
+        /* @__PURE__ */ jsx31("th", { scope: "col", children: "CPT/HCPCS" }),
+        /* @__PURE__ */ jsx31("th", { scope: "col", children: "Other Information" }),
+        /* @__PURE__ */ jsx31("th", { scope: "col", children: "Decision" })
       ] }) }),
-      /* @__PURE__ */ jsx30("tbody", { children: rfa.items.map((item, index) => {
+      /* @__PURE__ */ jsx31("tbody", { children: rfa.items.map((item, index) => {
         const appointment = scheduling.find((value) => value.itemId === item.id);
         const outcome = rfaOutcome(item);
         const showAppointment = !!appointment && (appointment.eligible || appointment.version > 0);
         const closable = canClose && item.outcome === "pending" && !item.decidedAt;
         const correctable = canCorrect && !!item.currentDecisionEventId && item.outcome !== "pending";
-        return /* @__PURE__ */ jsxs28(Fragment17, { children: [
-          /* @__PURE__ */ jsxs28("tr", { id: `rfa-treatment-${item.id}`, tabIndex: -1, children: [
-            /* @__PURE__ */ jsx30("td", { children: index + 1 }),
-            /* @__PURE__ */ jsx30("td", { children: /* @__PURE__ */ jsx30("strong", { children: item.serviceDescription }) }),
-            /* @__PURE__ */ jsxs28("td", { children: [
-              /* @__PURE__ */ jsx30("span", { className: "mbrfa-code", children: item.diagnosisCode }),
-              item.diagnosisDescription ? /* @__PURE__ */ jsx30("small", { children: item.diagnosisDescription }) : null
+        return /* @__PURE__ */ jsxs29(Fragment17, { children: [
+          /* @__PURE__ */ jsxs29("tr", { id: `rfa-treatment-${item.id}`, tabIndex: -1, children: [
+            /* @__PURE__ */ jsx31("td", { children: index + 1 }),
+            /* @__PURE__ */ jsx31("td", { children: /* @__PURE__ */ jsx31("strong", { children: item.serviceDescription }) }),
+            /* @__PURE__ */ jsxs29("td", { children: [
+              /* @__PURE__ */ jsx31("span", { className: "mbrfa-code", children: item.diagnosisCode }),
+              item.diagnosisDescription ? /* @__PURE__ */ jsx31("small", { children: item.diagnosisDescription }) : null
             ] }),
-            /* @__PURE__ */ jsx30("td", { children: /* @__PURE__ */ jsx30("span", { className: "mbrfa-code", children: item.procedureCode || "\u2014" }) }),
-            /* @__PURE__ */ jsx30("td", { children: otherInformation(item) || "\u2014" }),
-            /* @__PURE__ */ jsxs28("td", { children: [
-              /* @__PURE__ */ jsx30(RfaPill, { tone: outcome.tone, children: outcome.label }),
-              item.outcome !== "pending" ? /* @__PURE__ */ jsxs28(Fragment18, { children: [
-                item.authorizationNumber ? /* @__PURE__ */ jsxs28("small", { children: [
+            /* @__PURE__ */ jsx31("td", { children: /* @__PURE__ */ jsx31("span", { className: "mbrfa-code", children: item.procedureCode || "\u2014" }) }),
+            /* @__PURE__ */ jsx31("td", { children: otherInformation(item) || "\u2014" }),
+            /* @__PURE__ */ jsxs29("td", { children: [
+              /* @__PURE__ */ jsx31(RfaPill, { tone: outcome.tone, children: outcome.label }),
+              item.outcome !== "pending" ? /* @__PURE__ */ jsxs29(Fragment18, { children: [
+                item.authorizationNumber ? /* @__PURE__ */ jsxs29("small", { children: [
                   "Authorization ",
                   item.authorizationNumber
                 ] }) : null,
-                item.authorizedProcedureCode || item.authorizedQuantity != null || item.authorizedUnits != null ? /* @__PURE__ */ jsxs28("small", { children: [
+                item.authorizedProcedureCode || item.authorizedQuantity != null || item.authorizedUnits != null ? /* @__PURE__ */ jsxs29("small", { children: [
                   "Authorized ",
                   [item.authorizedProcedureCode || item.procedureCode, item.authorizedQuantity != null ? `quantity ${item.authorizedQuantity}` : "", item.authorizedUnits != null ? `units ${item.authorizedUnits}` : ""].filter(Boolean).join(" \xB7 ")
                 ] }) : null,
-                item.effectiveFrom || item.effectiveTo ? /* @__PURE__ */ jsxs28("small", { children: [
+                item.effectiveFrom || item.effectiveTo ? /* @__PURE__ */ jsxs29("small", { children: [
                   rfaCalendarDate(item.effectiveFrom) || "Not specified",
                   " \u2013 ",
                   rfaCalendarDate(item.effectiveTo) || "Not specified"
                 ] }) : null,
-                /* @__PURE__ */ jsxs28("small", { children: [
+                /* @__PURE__ */ jsxs29("small", { children: [
                   "Decided ",
                   rfaShortDate(item.decidedAt)
                 ] })
               ] }) : null
             ] })
           ] }),
-          item.decisionReason || item.reviewerName || item.decisionClosure || closable || showAppointment || correctable || item.currentResponseDocumentId || item.currentImrDocumentId ? /* @__PURE__ */ jsxs28("tr", { className: "mbrfa-subrow", children: [
-            /* @__PURE__ */ jsx30("td", {}),
-            /* @__PURE__ */ jsx30("td", { colSpan: 5, children: /* @__PURE__ */ jsxs28("div", { className: "mbrfa-manage", children: [
-              item.decisionReason ? /* @__PURE__ */ jsx30("p", { children: item.decisionReason }) : null,
-              item.reviewerName ? /* @__PURE__ */ jsxs28("p", { children: [
+          item.decisionReason || item.reviewerName || item.decisionClosure || closable || showAppointment || correctable || item.currentResponseDocumentId || item.currentImrDocumentId ? /* @__PURE__ */ jsxs29("tr", { className: "mbrfa-subrow", children: [
+            /* @__PURE__ */ jsx31("td", {}),
+            /* @__PURE__ */ jsx31("td", { colSpan: 5, children: /* @__PURE__ */ jsxs29("div", { className: "mbrfa-manage", children: [
+              item.decisionReason ? /* @__PURE__ */ jsx31("p", { children: item.decisionReason }) : null,
+              item.reviewerName ? /* @__PURE__ */ jsxs29("p", { children: [
                 "Reviewer: ",
                 item.reviewerName,
                 item.reviewerPhone ? ` \xB7 ${item.reviewerPhone}` : ""
               ] }) : null,
-              item.decisionClosure ? /* @__PURE__ */ jsxs28("p", { children: [
+              item.decisionClosure ? /* @__PURE__ */ jsxs29("p", { children: [
                 item.decisionClosure.closed ? "Closed" : "Reopened",
                 " by ",
                 item.decisionClosure.updatedBy,
@@ -11562,125 +11667,125 @@ function RfaTrackingContent({ rfa: provided, options, permissions = [], onUpdate
                 " \u2014 ",
                 item.decisionClosure.reason
               ] }) : null,
-              item.currentResponseDocumentId || item.currentImrDocumentId ? /* @__PURE__ */ jsxs28("div", { className: "mbtd-actions", children: [
+              item.currentResponseDocumentId || item.currentImrDocumentId ? /* @__PURE__ */ jsxs29("div", { className: "mbtd-actions", children: [
                 evidence(item.currentResponseDocumentId, "View decision evidence"),
                 evidence(item.currentImrDocumentId, "View independent medical review form")
               ] }) : null,
-              showAppointment ? /* @__PURE__ */ jsx30(AppointmentForm, { appointment, editable: permissions.includes("edit"), disabled: disabled || loadErrors.some((value) => value.startsWith("Appointments")), onError: setError, onSave: (input) => run(`appointment:${item.id}`, input, async (key2) => {
+              showAppointment ? /* @__PURE__ */ jsx31(AppointmentForm, { appointment, editable: permissions.includes("edit"), disabled: disabled || loadErrors.some((value) => value.startsWith("Appointments")), onError: setError, onSave: (input) => run(`appointment:${item.id}`, input, async (key2) => {
                 await client.updateScheduling(rfa.id, item.id, input, key2);
                 return records.get(rfa.id);
               }) }, `${item.id}:${appointment.version}:${appointment.authorizationToken}`) : null,
-              closable ? /* @__PURE__ */ jsx30(TreatmentClosureForm, { item, disabled, onError: setError, onSave: (input) => run(`closure:${item.id}`, input, (key2) => client.updateTreatmentClosure(rfa.id, item.id, input, key2)) }, `${item.id}:${item.decisionClosure?.version ?? 0}`) : null,
-              correctable ? /* @__PURE__ */ jsxs28("details", { children: [
-                /* @__PURE__ */ jsx30("summary", { children: "Correct this decision" }),
-                /* @__PURE__ */ jsx30("p", { children: "The original decision and its evidence remain in history. Corrections require a reason and response evidence. Requests already used for a bill or a scheduled appointment cannot be corrected." }),
-                /* @__PURE__ */ jsx30(CorrectionForm, { item, documents: rfa.documents, disabled: disabled || loading || loadErrors.length > 0 || scheduling.some((value) => value.disposition === "scheduled"), onError: setError, onSave: (input) => run(`correction:${item.id}`, input, (key2) => client.correctDecision(rfa.id, input, key2)) }, `${item.id}:${item.currentDecisionEventId}`)
+              closable ? /* @__PURE__ */ jsx31(TreatmentClosureForm, { item, disabled, onError: setError, onSave: (input) => run(`closure:${item.id}`, input, (key2) => client.updateTreatmentClosure(rfa.id, item.id, input, key2)) }, `${item.id}:${item.decisionClosure?.version ?? 0}`) : null,
+              correctable ? /* @__PURE__ */ jsxs29("details", { children: [
+                /* @__PURE__ */ jsx31("summary", { children: "Correct this decision" }),
+                /* @__PURE__ */ jsx31("p", { children: "The original decision and its evidence remain in history. Corrections require a reason and response evidence. Requests already used for a bill or a scheduled appointment cannot be corrected." }),
+                /* @__PURE__ */ jsx31(CorrectionForm, { item, documents: rfa.documents, disabled: disabled || loading || loadErrors.length > 0 || scheduling.some((value) => value.disposition === "scheduled"), onError: setError, onSave: (input) => run(`correction:${item.id}`, input, (key2) => client.correctDecision(rfa.id, input, key2)) }, `${item.id}:${item.currentDecisionEventId}`)
               ] }) : null
             ] }) })
           ] }) : null
         ] }, item.id);
       }) })
-    ] }) }) : /* @__PURE__ */ jsx30("p", { className: "mbrfa-sheet-body mbrfa-empty", children: "No treatments recorded." }) }) : null,
-    view !== "treatments" ? /* @__PURE__ */ jsxs28(Fragment18, { children: [
-      /* @__PURE__ */ jsxs28(RfaCard, { title: "History", action: permissions.includes("edit") && !noteOpen ? /* @__PURE__ */ jsx30("button", { type: "button", disabled, onClick: () => setNoteOpen(true), children: "Add note" }) : null, flush: true, children: [
-        /* @__PURE__ */ jsx30("div", { className: "mbrfa-rows", children: noteOpen ? noteForm : null }),
-        loading ? /* @__PURE__ */ jsx30("p", { className: "mbrfa-sheet-body", children: "Loading history\u2026" }) : history.length ? /* @__PURE__ */ jsx30("div", { className: "mbrfa-table-scroll", children: /* @__PURE__ */ jsxs28("table", { className: "mbrfa-history-table", children: [
-          /* @__PURE__ */ jsx30("thead", { children: /* @__PURE__ */ jsxs28("tr", { children: [
-            /* @__PURE__ */ jsx30("th", { scope: "col", children: "Date" }),
-            /* @__PURE__ */ jsx30("th", { scope: "col", children: "Action" }),
-            /* @__PURE__ */ jsx30("th", { scope: "col", children: "User" }),
-            /* @__PURE__ */ jsx30("th", { scope: "col", children: "Details" })
+    ] }) }) : /* @__PURE__ */ jsx31("p", { className: "mbrfa-sheet-body mbrfa-empty", children: "No treatments recorded." }) }) : null,
+    view !== "treatments" ? /* @__PURE__ */ jsxs29(Fragment18, { children: [
+      /* @__PURE__ */ jsxs29(RfaCard, { title: "History", action: permissions.includes("edit") && !noteOpen ? /* @__PURE__ */ jsx31("button", { type: "button", disabled, onClick: () => setNoteOpen(true), children: "Add note" }) : null, flush: true, children: [
+        /* @__PURE__ */ jsx31("div", { className: "mbrfa-rows", children: noteOpen ? noteForm : null }),
+        loading ? /* @__PURE__ */ jsx31("p", { className: "mbrfa-sheet-body", children: "Loading history\u2026" }) : history.length ? /* @__PURE__ */ jsx31("div", { className: "mbrfa-table-scroll", children: /* @__PURE__ */ jsxs29("table", { className: "mbrfa-history-table", children: [
+          /* @__PURE__ */ jsx31("thead", { children: /* @__PURE__ */ jsxs29("tr", { children: [
+            /* @__PURE__ */ jsx31("th", { scope: "col", children: "Date" }),
+            /* @__PURE__ */ jsx31("th", { scope: "col", children: "Action" }),
+            /* @__PURE__ */ jsx31("th", { scope: "col", children: "User" }),
+            /* @__PURE__ */ jsx31("th", { scope: "col", children: "Details" })
           ] }) }),
-          /* @__PURE__ */ jsx30("tbody", { children: history.map((event) => /* @__PURE__ */ jsx30(RfaHistoryEntry, { event, rfa, disabled, onDownload: (kind, id, filename) => void download(id, filename, kind) }, event.id)) })
-        ] }) }) : !loadErrors.some((value) => value.startsWith("History")) ? /* @__PURE__ */ jsx30("p", { className: "mbrfa-sheet-body mbrfa-empty", children: "No history entries have been recorded." }) : null
+          /* @__PURE__ */ jsx31("tbody", { children: history.map((event) => /* @__PURE__ */ jsx31(RfaHistoryEntry, { event, rfa, disabled, onDownload: (kind, id, filename) => void download(id, filename, kind) }, event.id)) })
+        ] }) }) : !loadErrors.some((value) => value.startsWith("History")) ? /* @__PURE__ */ jsx31("p", { className: "mbrfa-sheet-body mbrfa-empty", children: "No history entries have been recorded." }) : null
       ] }),
-      rfa.transmissions.length ? /* @__PURE__ */ jsx30(RfaCard, { title: "Delivery", count: rfa.transmissions.length, flush: true, children: /* @__PURE__ */ jsx30("div", { className: "mbrfa-table-scroll", children: /* @__PURE__ */ jsxs28("table", { className: "mbrfa-grid-table", children: [
-        /* @__PURE__ */ jsx30("thead", { children: /* @__PURE__ */ jsxs28("tr", { children: [
-          /* @__PURE__ */ jsx30("th", { scope: "col", children: "Date" }),
-          /* @__PURE__ */ jsx30("th", { scope: "col", children: "Method" }),
-          /* @__PURE__ */ jsx30("th", { scope: "col", children: "Status" }),
-          /* @__PURE__ */ jsx30("th", { scope: "col", children: "Recipient" }),
-          /* @__PURE__ */ jsx30("th", { scope: "col", children: "Confirmed receipt" }),
-          /* @__PURE__ */ jsx30("th", { scope: "col", children: /* @__PURE__ */ jsx30("span", { className: "mbrfa-sr-only", children: "Receipt" }) })
+      rfa.transmissions.length ? /* @__PURE__ */ jsx31(RfaCard, { title: "Delivery", count: rfa.transmissions.length, flush: true, children: /* @__PURE__ */ jsx31("div", { className: "mbrfa-table-scroll", children: /* @__PURE__ */ jsxs29("table", { className: "mbrfa-grid-table", children: [
+        /* @__PURE__ */ jsx31("thead", { children: /* @__PURE__ */ jsxs29("tr", { children: [
+          /* @__PURE__ */ jsx31("th", { scope: "col", children: "Date" }),
+          /* @__PURE__ */ jsx31("th", { scope: "col", children: "Method" }),
+          /* @__PURE__ */ jsx31("th", { scope: "col", children: "Status" }),
+          /* @__PURE__ */ jsx31("th", { scope: "col", children: "Recipient" }),
+          /* @__PURE__ */ jsx31("th", { scope: "col", children: "Confirmed receipt" }),
+          /* @__PURE__ */ jsx31("th", { scope: "col", children: /* @__PURE__ */ jsx31("span", { className: "mbrfa-sr-only", children: "Receipt" }) })
         ] }) }),
-        /* @__PURE__ */ jsx30("tbody", { children: rfa.transmissions.map((transmission) => /* @__PURE__ */ jsxs28("tr", { children: [
-          /* @__PURE__ */ jsx30("td", { children: rfaShortDate(transmission.occurredAt) }),
-          /* @__PURE__ */ jsxs28("td", { children: [
+        /* @__PURE__ */ jsx31("tbody", { children: rfa.transmissions.map((transmission) => /* @__PURE__ */ jsxs29("tr", { children: [
+          /* @__PURE__ */ jsx31("td", { children: rfaShortDate(transmission.occurredAt) }),
+          /* @__PURE__ */ jsxs29("td", { children: [
             capital(words2(transmission.channel)),
-            /* @__PURE__ */ jsxs28("small", { children: [
+            /* @__PURE__ */ jsxs29("small", { children: [
               capital(words2(transmission.direction)),
               transmission.purpose ? ` \xB7 ${words2(transmission.purpose)}` : ""
             ] })
           ] }),
-          /* @__PURE__ */ jsx30("td", { children: /* @__PURE__ */ jsx30(RfaPill, { tone: ["delivered", "received", "sent"].includes(transmission.status) ? "ok" : transmission.status === "failed" ? "bad" : "muted", children: capital(words2(transmission.status)) }) }),
-          /* @__PURE__ */ jsxs28("td", { children: [
+          /* @__PURE__ */ jsx31("td", { children: /* @__PURE__ */ jsx31(RfaPill, { tone: ["delivered", "received", "sent"].includes(transmission.status) ? "ok" : transmission.status === "failed" ? "bad" : "muted", children: capital(words2(transmission.status)) }) }),
+          /* @__PURE__ */ jsxs29("td", { children: [
             transmission.destination || "\u2014",
-            transmission.providerMessageId ? /* @__PURE__ */ jsxs28("small", { children: [
+            transmission.providerMessageId ? /* @__PURE__ */ jsxs29("small", { children: [
               "Reference ",
               transmission.providerMessageId
             ] }) : null
           ] }),
-          /* @__PURE__ */ jsx30("td", { children: rfaShortDate(transmission.receivedAt) }),
-          /* @__PURE__ */ jsx30("td", { className: "mbrfa-row-actions", children: evidence(transmission.proofDocumentId, "Receipt") })
+          /* @__PURE__ */ jsx31("td", { children: rfaShortDate(transmission.receivedAt) }),
+          /* @__PURE__ */ jsx31("td", { className: "mbrfa-row-actions", children: evidence(transmission.proofDocumentId, "Receipt") })
         ] }, transmission.id)) })
       ] }) }) }) : null
     ] }) : null
   ] });
-  const content = /* @__PURE__ */ jsx30(Fragment18, { children: /* @__PURE__ */ jsxs28("div", { style: { display: "grid", gap: 16 }, children: [
-    error ? /* @__PURE__ */ jsx30("p", { role: "alert", children: error }) : null,
-    message ? /* @__PURE__ */ jsx30("p", { role: "status", children: message }) : null,
-    loadErrors.map((value) => /* @__PURE__ */ jsx30("p", { role: "alert", children: value }, value)),
-    /* @__PURE__ */ jsxs28("div", { hidden: view === "history", className: "mbrfa-treatment-list", children: [
-      /* @__PURE__ */ jsx30("h3", { children: "Requested treatments" }),
+  const content = /* @__PURE__ */ jsx31(Fragment18, { children: /* @__PURE__ */ jsxs29("div", { style: { display: "grid", gap: 16 }, children: [
+    error ? /* @__PURE__ */ jsx31("p", { role: "alert", children: error }) : null,
+    message ? /* @__PURE__ */ jsx31("p", { role: "status", children: message }) : null,
+    loadErrors.map((value) => /* @__PURE__ */ jsx31("p", { role: "alert", children: value }, value)),
+    /* @__PURE__ */ jsxs29("div", { hidden: view === "history", className: "mbrfa-treatment-list", children: [
+      /* @__PURE__ */ jsx31("h3", { children: "Requested treatments" }),
       rfa.items.map((item, index) => {
         const appointment = scheduling.find((value) => value.itemId === item.id);
-        return /* @__PURE__ */ jsxs28("fieldset", { id: `rfa-treatment-${item.id}`, tabIndex: -1, children: [
-          /* @__PURE__ */ jsxs28("legend", { children: [
+        return /* @__PURE__ */ jsxs29("fieldset", { id: `rfa-treatment-${item.id}`, tabIndex: -1, children: [
+          /* @__PURE__ */ jsxs29("legend", { children: [
             index + 1,
             ". ",
             item.serviceDescription
           ] }),
-          /* @__PURE__ */ jsxs28("p", { children: [
+          /* @__PURE__ */ jsxs29("p", { children: [
             item.procedureCode || "No procedure code",
             " \xB7 Diagnosis ",
             item.diagnosisCode,
             " \xB7 ",
             item.decisionClosure?.closed ? "Decision no longer required" : words2(item.outcome)
           ] }),
-          /* @__PURE__ */ jsx30("dl", { className: "mbrfa-request-details", children: [["Diagnosis description", item.diagnosisDescription], ["Quantity", item.quantity], ["Units", item.units], ["Frequency", item.frequency], ["Duration", item.duration], ["Requested from", item.requestedFrom], ["Requested through", item.requestedTo]].filter(([, value]) => value !== null && value !== void 0 && value !== "").map(([title, value]) => /* @__PURE__ */ jsxs28("div", { children: [
-            /* @__PURE__ */ jsx30("dt", { children: title }),
-            /* @__PURE__ */ jsx30("dd", { children: value })
+          /* @__PURE__ */ jsx31("dl", { className: "mbrfa-request-details", children: [["Diagnosis description", item.diagnosisDescription], ["Quantity", item.quantity], ["Units", item.units], ["Frequency", item.frequency], ["Duration", item.duration], ["Requested from", item.requestedFrom], ["Requested through", item.requestedTo]].filter(([, value]) => value !== null && value !== void 0 && value !== "").map(([title, value]) => /* @__PURE__ */ jsxs29("div", { children: [
+            /* @__PURE__ */ jsx31("dt", { children: title }),
+            /* @__PURE__ */ jsx31("dd", { children: value })
           ] }, title)) }),
-          item.decisionClosure ? /* @__PURE__ */ jsxs28("p", { children: [
+          item.decisionClosure ? /* @__PURE__ */ jsxs29("p", { children: [
             item.decisionClosure.closed ? "Closed" : "Reopened",
             " by ",
             item.decisionClosure.updatedBy,
             " \xB7 ",
             date5(item.decisionClosure.updatedAt),
-            /* @__PURE__ */ jsx30("br", {}),
+            /* @__PURE__ */ jsx31("br", {}),
             item.decisionClosure.reason
           ] }) : null,
-          canClose && item.outcome === "pending" && !item.decidedAt ? /* @__PURE__ */ jsx30(TreatmentClosureForm, { item, disabled, onError: setError, onSave: (input) => run(`closure:${item.id}`, input, (key2) => client.updateTreatmentClosure(rfa.id, item.id, input, key2)) }, `${item.id}:${item.decisionClosure?.version ?? 0}`) : null,
-          item.outcome !== "pending" ? /* @__PURE__ */ jsxs28(Fragment18, { children: [
-            /* @__PURE__ */ jsxs28("p", { children: [
+          canClose && item.outcome === "pending" && !item.decidedAt ? /* @__PURE__ */ jsx31(TreatmentClosureForm, { item, disabled, onError: setError, onSave: (input) => run(`closure:${item.id}`, input, (key2) => client.updateTreatmentClosure(rfa.id, item.id, input, key2)) }, `${item.id}:${item.decisionClosure?.version ?? 0}`) : null,
+          item.outcome !== "pending" ? /* @__PURE__ */ jsxs29(Fragment18, { children: [
+            /* @__PURE__ */ jsxs29("p", { children: [
               "Decision: ",
               date5(item.decidedAt),
               item.authorizationNumber ? ` \xB7 Authorization ${item.authorizationNumber}` : ""
             ] }),
-            item.authorizedProcedureCode || item.authorizedQuantity || item.authorizedUnits ? /* @__PURE__ */ jsxs28("p", { children: [
+            item.authorizedProcedureCode || item.authorizedQuantity || item.authorizedUnits ? /* @__PURE__ */ jsxs29("p", { children: [
               "Authorized: ",
               item.authorizedProcedureCode || item.procedureCode || "Treatment",
               item.authorizedQuantity != null ? ` \xB7 Quantity ${item.authorizedQuantity}` : "",
               item.authorizedUnits != null ? ` \xB7 Units ${item.authorizedUnits}` : ""
             ] }) : null,
-            item.effectiveFrom || item.effectiveTo ? /* @__PURE__ */ jsxs28("p", { children: [
+            item.effectiveFrom || item.effectiveTo ? /* @__PURE__ */ jsxs29("p", { children: [
               "Authorization dates: ",
               item.effectiveFrom ?? "Not specified",
               " through ",
               item.effectiveTo ?? "Not specified"
             ] }) : null,
-            item.decisionReason ? /* @__PURE__ */ jsx30("p", { children: item.decisionReason }) : null,
-            item.reviewerName ? /* @__PURE__ */ jsxs28("p", { children: [
+            item.decisionReason ? /* @__PURE__ */ jsx31("p", { children: item.decisionReason }) : null,
+            item.reviewerName ? /* @__PURE__ */ jsxs29("p", { children: [
               "Reviewer: ",
               item.reviewerName,
               item.reviewerPhone ? ` \xB7 ${item.reviewerPhone}` : ""
@@ -11689,57 +11794,57 @@ function RfaTrackingContent({ rfa: provided, options, permissions = [], onUpdate
             " ",
             evidence(item.currentImrDocumentId, "View independent medical review form")
           ] }) : null,
-          loading ? /* @__PURE__ */ jsx30("p", { children: "Loading appointment\u2026" }) : appointment ? /* @__PURE__ */ jsx30(AppointmentForm, { appointment, editable: permissions.includes("edit"), disabled: disabled || loadErrors.some((value) => value.startsWith("Appointments")), onError: setError, onSave: (input) => run(`appointment:${item.id}`, input, async (key2) => {
+          loading ? /* @__PURE__ */ jsx31("p", { children: "Loading appointment\u2026" }) : appointment ? /* @__PURE__ */ jsx31(AppointmentForm, { appointment, editable: permissions.includes("edit"), disabled: disabled || loadErrors.some((value) => value.startsWith("Appointments")), onError: setError, onSave: (input) => run(`appointment:${item.id}`, input, async (key2) => {
             await client.updateScheduling(rfa.id, item.id, input, key2);
             return records.get(rfa.id);
           }) }, `${item.id}:${appointment.version}:${appointment.authorizationToken}`) : null,
-          canCorrect && item.currentDecisionEventId && item.outcome !== "pending" ? /* @__PURE__ */ jsxs28("details", { children: [
-            /* @__PURE__ */ jsx30("summary", { children: "Correct this decision" }),
-            /* @__PURE__ */ jsx30("p", { children: "The original decision and its evidence remain in history. Corrections require a reason and response evidence. Requests already used for a bill or a scheduled appointment cannot be corrected." }),
-            /* @__PURE__ */ jsx30(CorrectionForm, { item, documents: rfa.documents, disabled: disabled || loading || loadErrors.length > 0 || scheduling.some((value) => value.disposition === "scheduled"), onError: setError, onSave: (input) => run(`correction:${item.id}`, input, (key2) => client.correctDecision(rfa.id, input, key2)) }, `${item.id}:${item.currentDecisionEventId}`)
+          canCorrect && item.currentDecisionEventId && item.outcome !== "pending" ? /* @__PURE__ */ jsxs29("details", { children: [
+            /* @__PURE__ */ jsx31("summary", { children: "Correct this decision" }),
+            /* @__PURE__ */ jsx31("p", { children: "The original decision and its evidence remain in history. Corrections require a reason and response evidence. Requests already used for a bill or a scheduled appointment cannot be corrected." }),
+            /* @__PURE__ */ jsx31(CorrectionForm, { item, documents: rfa.documents, disabled: disabled || loading || loadErrors.length > 0 || scheduling.some((value) => value.disposition === "scheduled"), onError: setError, onSave: (input) => run(`correction:${item.id}`, input, (key2) => client.correctDecision(rfa.id, input, key2)) }, `${item.id}:${item.currentDecisionEventId}`)
           ] }) : null
         ] }, item.id);
       })
     ] }),
-    /* @__PURE__ */ jsxs28("div", { hidden: view === "treatments", className: "mbrfa-history-content", children: [
-      /* @__PURE__ */ jsxs28("details", { className: "mbrfa-delivery-evidence", children: [
-        /* @__PURE__ */ jsxs28("summary", { children: [
+    /* @__PURE__ */ jsxs29("div", { hidden: view === "treatments", className: "mbrfa-history-content", children: [
+      /* @__PURE__ */ jsxs29("details", { className: "mbrfa-delivery-evidence", children: [
+        /* @__PURE__ */ jsxs29("summary", { children: [
           "Delivery evidence (",
           rfa.transmissions.length,
           ")"
         ] }),
-        rfa.transmissions.length ? rfa.transmissions.map((transmission) => /* @__PURE__ */ jsxs28("article", { style: { paddingBlock: 8 }, children: [
-          /* @__PURE__ */ jsxs28("strong", { children: [
+        rfa.transmissions.length ? rfa.transmissions.map((transmission) => /* @__PURE__ */ jsxs29("article", { style: { paddingBlock: 8 }, children: [
+          /* @__PURE__ */ jsxs29("strong", { children: [
             words2(transmission.channel),
             " \xB7 ",
             words2(transmission.status)
           ] }),
-          /* @__PURE__ */ jsxs28("p", { children: [
+          /* @__PURE__ */ jsxs29("p", { children: [
             words2(transmission.direction),
             transmission.purpose ? ` \xB7 ${words2(transmission.purpose)}` : "",
             " \xB7 ",
             date5(transmission.occurredAt)
           ] }),
-          transmission.destination ? /* @__PURE__ */ jsxs28("p", { children: [
+          transmission.destination ? /* @__PURE__ */ jsxs29("p", { children: [
             "Recipient: ",
             transmission.destination
           ] }) : null,
-          transmission.providerMessageId ? /* @__PURE__ */ jsxs28("p", { children: [
+          transmission.providerMessageId ? /* @__PURE__ */ jsxs29("p", { children: [
             "Delivery reference: ",
             transmission.providerMessageId
           ] }) : null,
-          transmission.receivedAt ? /* @__PURE__ */ jsxs28("p", { children: [
+          transmission.receivedAt ? /* @__PURE__ */ jsxs29("p", { children: [
             "Confirmed receipt: ",
             date5(transmission.receivedAt)
           ] }) : null,
           evidence(transmission.proofDocumentId, "Download transmission receipt")
-        ] }, transmission.id)) : /* @__PURE__ */ jsx30("p", { children: "No transmission evidence has been recorded." })
+        ] }, transmission.id)) : /* @__PURE__ */ jsx31("p", { children: "No transmission evidence has been recorded." })
       ] }),
-      /* @__PURE__ */ jsxs28("section", { className: "mbrfa-history-card", "aria-label": "History and notes", children: [
-        /* @__PURE__ */ jsx30("h3", { children: "History and notes" }),
-        permissions.includes("edit") ? /* @__PURE__ */ jsxs28("details", { className: "mbrfa-note-form", children: [
-          /* @__PURE__ */ jsx30("summary", { children: "Add a note" }),
-          /* @__PURE__ */ jsx30("form", { onSubmit: (event) => {
+      /* @__PURE__ */ jsxs29("section", { className: "mbrfa-history-card", "aria-label": "History and notes", children: [
+        /* @__PURE__ */ jsx31("h3", { children: "History and notes" }),
+        permissions.includes("edit") ? /* @__PURE__ */ jsxs29("details", { className: "mbrfa-note-form", children: [
+          /* @__PURE__ */ jsx31("summary", { children: "Add a note" }),
+          /* @__PURE__ */ jsx31("form", { onSubmit: (event) => {
             event.preventDefault();
             const form = event.currentTarget;
             try {
@@ -11753,51 +11858,51 @@ function RfaTrackingContent({ rfa: provided, options, permissions = [], onUpdate
             } catch (reason) {
               setError(reason instanceof Error ? reason.message : "Enter a note.");
             }
-          }, children: /* @__PURE__ */ jsxs28("fieldset", { disabled, children: [
-            /* @__PURE__ */ jsx30("legend", { children: "Add a note" }),
-            /* @__PURE__ */ jsxs28("label", { children: [
+          }, children: /* @__PURE__ */ jsxs29("fieldset", { disabled, children: [
+            /* @__PURE__ */ jsx31("legend", { children: "Add a note" }),
+            /* @__PURE__ */ jsxs29("label", { children: [
               "Note",
-              /* @__PURE__ */ jsx30("textarea", { name: "note", required: true, maxLength: 1e4 })
+              /* @__PURE__ */ jsx31("textarea", { name: "note", required: true, maxLength: 1e4 })
             ] }),
-            /* @__PURE__ */ jsx30("button", { type: "submit", children: "Save note" })
+            /* @__PURE__ */ jsx31("button", { type: "submit", children: "Save note" })
           ] }) })
         ] }) : null,
-        loading ? /* @__PURE__ */ jsx30("p", { children: "Loading history\u2026" }) : history.length ? /* @__PURE__ */ jsx30("div", { className: "mbrfa-table-scroll", children: /* @__PURE__ */ jsxs28("table", { className: "mbrfa-history-table", children: [
-          /* @__PURE__ */ jsx30("thead", { children: /* @__PURE__ */ jsxs28("tr", { children: [
-            /* @__PURE__ */ jsx30("th", { scope: "col", children: "Date" }),
-            /* @__PURE__ */ jsx30("th", { scope: "col", children: "Action" }),
-            /* @__PURE__ */ jsx30("th", { scope: "col", children: "User" }),
-            /* @__PURE__ */ jsx30("th", { scope: "col", children: "Details" })
+        loading ? /* @__PURE__ */ jsx31("p", { children: "Loading history\u2026" }) : history.length ? /* @__PURE__ */ jsx31("div", { className: "mbrfa-table-scroll", children: /* @__PURE__ */ jsxs29("table", { className: "mbrfa-history-table", children: [
+          /* @__PURE__ */ jsx31("thead", { children: /* @__PURE__ */ jsxs29("tr", { children: [
+            /* @__PURE__ */ jsx31("th", { scope: "col", children: "Date" }),
+            /* @__PURE__ */ jsx31("th", { scope: "col", children: "Action" }),
+            /* @__PURE__ */ jsx31("th", { scope: "col", children: "User" }),
+            /* @__PURE__ */ jsx31("th", { scope: "col", children: "Details" })
           ] }) }),
-          /* @__PURE__ */ jsx30("tbody", { children: history.map((event) => /* @__PURE__ */ jsx30(RfaHistoryEntry, { event, rfa, disabled, onDownload: (kind, id, filename) => void download(id, filename, kind) }, event.id)) })
-        ] }) }) : !loadErrors.some((value) => value.startsWith("History")) ? /* @__PURE__ */ jsx30("p", { children: "No history entries have been recorded." }) : null
+          /* @__PURE__ */ jsx31("tbody", { children: history.map((event) => /* @__PURE__ */ jsx31(RfaHistoryEntry, { event, rfa, disabled, onDownload: (kind, id, filename) => void download(id, filename, kind) }, event.id)) })
+        ] }) }) : !loadErrors.some((value) => value.startsWith("History")) ? /* @__PURE__ */ jsx31("p", { children: "No history entries have been recorded." }) : null
       ] })
     ] })
   ] }) });
-  if (cards) return /* @__PURE__ */ jsx30("div", { className: "mbrfa-tracking", children: cardContent });
-  return embedded ? /* @__PURE__ */ jsx30("div", { className: "mbrfa-tracking", children: content }) : /* @__PURE__ */ jsxs28(TreatmentDraftShell, { ...appearance, title: "Treatments and history", description: "Review each treatment's authorization, appointments, delivery evidence, and notes.", children: [
-    /* @__PURE__ */ jsx30("style", { children: rfaDetailCss }),
+  if (cards) return /* @__PURE__ */ jsx31("div", { className: "mbrfa-tracking", children: cardContent });
+  return embedded ? /* @__PURE__ */ jsx31("div", { className: "mbrfa-tracking", children: content }) : /* @__PURE__ */ jsxs29(TreatmentDraftShell, { ...appearance, title: "Treatments and history", description: "Review each treatment's authorization, appointments, delivery evidence, and notes.", children: [
+    /* @__PURE__ */ jsx31("style", { children: rfaDetailCss }),
     content
   ] });
 }
 function AppointmentForm({ appointment, editable, disabled, onError, onSave }) {
-  const [disposition, setDisposition] = useState18(appointment.disposition === "canceled" && appointment.version > 0 ? "canceled" : appointment.eligible && appointment.disposition === "no_appointment" ? "no_appointment" : appointment.eligible ? "scheduled" : "canceled");
-  return /* @__PURE__ */ jsxs28("section", { children: [
-    /* @__PURE__ */ jsx30("h4", { children: "Appointment" }),
-    /* @__PURE__ */ jsxs28("p", { children: [
+  const [disposition, setDisposition] = useState19(appointment.disposition === "canceled" && appointment.version > 0 ? "canceled" : appointment.eligible && appointment.disposition === "no_appointment" ? "no_appointment" : appointment.eligible ? "scheduled" : "canceled");
+  return /* @__PURE__ */ jsxs29("section", { children: [
+    /* @__PURE__ */ jsx31("h4", { children: "Appointment" }),
+    /* @__PURE__ */ jsxs29("p", { children: [
       words2(appointment.disposition),
       appointment.appointmentAt ? ` \xB7 ${date5(appointment.appointmentAt)}` : ""
     ] }),
-    appointment.providerName ? /* @__PURE__ */ jsxs28("p", { children: [
+    appointment.providerName ? /* @__PURE__ */ jsxs29("p", { children: [
       appointment.providerName,
       " \xB7 ",
       appointment.location
     ] }) : null,
-    appointment.reason ? /* @__PURE__ */ jsx30("p", { children: appointment.reason }) : null,
-    appointment.version > 0 && !appointment.current ? /* @__PURE__ */ jsx30("p", { role: "status", children: "Authorization has changed. Review the current decision before updating this appointment." }) : null,
-    editable && (appointment.eligible || appointment.version > 0) ? /* @__PURE__ */ jsxs28("details", { children: [
-      /* @__PURE__ */ jsx30("summary", { children: "Update appointment" }),
-      /* @__PURE__ */ jsx30("form", { onSubmit: (event) => {
+    appointment.reason ? /* @__PURE__ */ jsx31("p", { children: appointment.reason }) : null,
+    appointment.version > 0 && !appointment.current ? /* @__PURE__ */ jsx31("p", { role: "status", children: "Authorization has changed. Review the current decision before updating this appointment." }) : null,
+    editable && (appointment.eligible || appointment.version > 0) ? /* @__PURE__ */ jsxs29("details", { children: [
+      /* @__PURE__ */ jsx31("summary", { children: "Update appointment" }),
+      /* @__PURE__ */ jsx31("form", { onSubmit: (event) => {
         event.preventDefault();
         if (disabled) return;
         try {
@@ -11808,42 +11913,42 @@ function AppointmentForm({ appointment, editable, disabled, onError, onSave }) {
         } catch (reason) {
           onError(reason instanceof Error ? reason.message : "Review the appointment details.");
         }
-      }, children: /* @__PURE__ */ jsxs28("fieldset", { disabled, children: [
-        /* @__PURE__ */ jsx30("legend", { children: "Appointment details" }),
-        /* @__PURE__ */ jsxs28("label", { children: [
+      }, children: /* @__PURE__ */ jsxs29("fieldset", { disabled, children: [
+        /* @__PURE__ */ jsx31("legend", { children: "Appointment details" }),
+        /* @__PURE__ */ jsxs29("label", { children: [
           "Disposition",
-          /* @__PURE__ */ jsxs28("select", { value: disposition, onChange: (event) => setDisposition(event.target.value), children: [
-            appointment.eligible ? /* @__PURE__ */ jsxs28(Fragment18, { children: [
-              /* @__PURE__ */ jsx30("option", { value: "scheduled", children: "Scheduled" }),
-              /* @__PURE__ */ jsx30("option", { value: "no_appointment", children: "No appointment needed" })
+          /* @__PURE__ */ jsxs29("select", { value: disposition, onChange: (event) => setDisposition(event.target.value), children: [
+            appointment.eligible ? /* @__PURE__ */ jsxs29(Fragment18, { children: [
+              /* @__PURE__ */ jsx31("option", { value: "scheduled", children: "Scheduled" }),
+              /* @__PURE__ */ jsx31("option", { value: "no_appointment", children: "No appointment needed" })
             ] }) : null,
-            appointment.version > 0 ? /* @__PURE__ */ jsx30("option", { value: "canceled", children: "Canceled" }) : null
+            appointment.version > 0 ? /* @__PURE__ */ jsx31("option", { value: "canceled", children: "Canceled" }) : null
           ] })
         ] }),
-        disposition === "scheduled" ? /* @__PURE__ */ jsxs28("div", { className: "mbtd-grid", children: [
-          /* @__PURE__ */ jsxs28("label", { children: [
+        disposition === "scheduled" ? /* @__PURE__ */ jsxs29("div", { className: "mbtd-grid", children: [
+          /* @__PURE__ */ jsxs29("label", { children: [
             "Date and time (your local time)",
-            /* @__PURE__ */ jsx30("input", { name: "appointmentAt", type: "datetime-local", required: true, defaultValue: localTime(appointment.appointmentAt) })
+            /* @__PURE__ */ jsx31("input", { name: "appointmentAt", type: "datetime-local", required: true, defaultValue: localTime(appointment.appointmentAt) })
           ] }),
-          /* @__PURE__ */ jsxs28("label", { children: [
+          /* @__PURE__ */ jsxs29("label", { children: [
             "Provider name",
-            /* @__PURE__ */ jsx30("input", { name: "providerName", required: true, maxLength: 200, defaultValue: appointment.providerName ?? "" })
+            /* @__PURE__ */ jsx31("input", { name: "providerName", required: true, maxLength: 200, defaultValue: appointment.providerName ?? "" })
           ] }),
-          /* @__PURE__ */ jsxs28("label", { children: [
+          /* @__PURE__ */ jsxs29("label", { children: [
             "Location",
-            /* @__PURE__ */ jsx30("input", { name: "location", required: true, maxLength: 500, defaultValue: appointment.location ?? "" })
+            /* @__PURE__ */ jsx31("input", { name: "location", required: true, maxLength: 500, defaultValue: appointment.location ?? "" })
           ] })
-        ] }) : /* @__PURE__ */ jsxs28("label", { children: [
+        ] }) : /* @__PURE__ */ jsxs29("label", { children: [
           "Reason",
-          /* @__PURE__ */ jsx30("textarea", { name: "reason", required: true, maxLength: 2e3, defaultValue: appointment.reason ?? "" })
+          /* @__PURE__ */ jsx31("textarea", { name: "reason", required: true, maxLength: 2e3, defaultValue: appointment.reason ?? "" })
         ] }),
-        /* @__PURE__ */ jsx30("button", { type: "submit", children: "Save appointment" })
+        /* @__PURE__ */ jsx31("button", { type: "submit", children: "Save appointment" })
       ] }) })
-    ] }) : !appointment.eligible && appointment.disposition === "pending" ? /* @__PURE__ */ jsx30("p", { children: "Appointments become available after treatment is authorized." }) : null
+    ] }) : !appointment.eligible && appointment.disposition === "pending" ? /* @__PURE__ */ jsx31("p", { children: "Appointments become available after treatment is authorized." }) : null
   ] });
 }
 function CorrectionForm({ item, documents, disabled, onError, onSave }) {
-  const [outcome, setOutcome] = useState18(item.outcome);
+  const [outcome, setOutcome] = useState19(item.outcome);
   const submit = (event) => {
     event.preventDefault();
     if (disabled) return;
@@ -11867,90 +11972,90 @@ function CorrectionForm({ item, documents, disabled, onError, onSave }) {
       onError(reason instanceof Error ? reason.message : "Review the correction details.");
     }
   };
-  return /* @__PURE__ */ jsx30("form", { onSubmit: submit, children: /* @__PURE__ */ jsxs28("fieldset", { disabled, children: [
-    /* @__PURE__ */ jsx30("legend", { children: "Decision correction" }),
-    /* @__PURE__ */ jsxs28("div", { className: "mbtd-grid", children: [
-      /* @__PURE__ */ jsxs28("label", { children: [
+  return /* @__PURE__ */ jsx31("form", { onSubmit: submit, children: /* @__PURE__ */ jsxs29("fieldset", { disabled, children: [
+    /* @__PURE__ */ jsx31("legend", { children: "Decision correction" }),
+    /* @__PURE__ */ jsxs29("div", { className: "mbtd-grid", children: [
+      /* @__PURE__ */ jsxs29("label", { children: [
         "Correction reason",
-        /* @__PURE__ */ jsx30("textarea", { name: "reason", required: true, maxLength: 2e4 })
+        /* @__PURE__ */ jsx31("textarea", { name: "reason", required: true, maxLength: 2e4 })
       ] }),
-      /* @__PURE__ */ jsxs28("label", { children: [
+      /* @__PURE__ */ jsxs29("label", { children: [
         "Corrected decision",
-        /* @__PURE__ */ jsxs28("select", { value: outcome, onChange: (event) => setOutcome(event.target.value), children: [
-          /* @__PURE__ */ jsx30("option", { value: "approved", children: "Approved" }),
-          /* @__PURE__ */ jsx30("option", { value: "modified", children: "Modified" }),
-          /* @__PURE__ */ jsx30("option", { value: "denied", children: "Denied" })
+        /* @__PURE__ */ jsxs29("select", { value: outcome, onChange: (event) => setOutcome(event.target.value), children: [
+          /* @__PURE__ */ jsx31("option", { value: "approved", children: "Approved" }),
+          /* @__PURE__ */ jsx31("option", { value: "modified", children: "Modified" }),
+          /* @__PURE__ */ jsx31("option", { value: "denied", children: "Denied" })
         ] })
       ] }),
-      /* @__PURE__ */ jsxs28("label", { children: [
+      /* @__PURE__ */ jsxs29("label", { children: [
         "Decision time",
-        /* @__PURE__ */ jsx30("input", { name: "decidedAt", type: "datetime-local", required: true, defaultValue: localTime(item.decidedAt) })
+        /* @__PURE__ */ jsx31("input", { name: "decidedAt", type: "datetime-local", required: true, defaultValue: localTime(item.decidedAt) })
       ] }),
-      /* @__PURE__ */ jsxs28("label", { children: [
+      /* @__PURE__ */ jsxs29("label", { children: [
         "Decision response evidence",
-        /* @__PURE__ */ jsxs28("select", { name: "responseDocumentId", required: true, defaultValue: item.currentResponseDocumentId ?? "", children: [
-          /* @__PURE__ */ jsx30("option", { value: "", children: "Choose evidence" }),
-          documents.filter((document2) => document2.documentType === "ur_response").map((document2) => /* @__PURE__ */ jsx30("option", { value: document2.id, children: document2.filename }, document2.id))
+        /* @__PURE__ */ jsxs29("select", { name: "responseDocumentId", required: true, defaultValue: item.currentResponseDocumentId ?? "", children: [
+          /* @__PURE__ */ jsx31("option", { value: "", children: "Choose evidence" }),
+          documents.filter((document2) => document2.documentType === "ur_response").map((document2) => /* @__PURE__ */ jsx31("option", { value: document2.id, children: document2.filename }, document2.id))
         ] })
       ] }),
-      outcome !== "approved" ? /* @__PURE__ */ jsxs28(Fragment18, { children: [
-        /* @__PURE__ */ jsxs28("label", { children: [
+      outcome !== "approved" ? /* @__PURE__ */ jsxs29(Fragment18, { children: [
+        /* @__PURE__ */ jsxs29("label", { children: [
           "Independent medical review form",
-          /* @__PURE__ */ jsxs28("select", { name: "imrDocumentId", required: true, defaultValue: item.currentImrDocumentId ?? "", children: [
-            /* @__PURE__ */ jsx30("option", { value: "", children: "Choose a form" }),
-            documents.filter((document2) => document2.documentType === "imr_form").map((document2) => /* @__PURE__ */ jsx30("option", { value: document2.id, children: document2.filename }, document2.id))
+          /* @__PURE__ */ jsxs29("select", { name: "imrDocumentId", required: true, defaultValue: item.currentImrDocumentId ?? "", children: [
+            /* @__PURE__ */ jsx31("option", { value: "", children: "Choose a form" }),
+            documents.filter((document2) => document2.documentType === "imr_form").map((document2) => /* @__PURE__ */ jsx31("option", { value: document2.id, children: document2.filename }, document2.id))
           ] })
         ] }),
-        /* @__PURE__ */ jsxs28("label", { children: [
+        /* @__PURE__ */ jsxs29("label", { children: [
           "Decision reason",
-          /* @__PURE__ */ jsx30("textarea", { name: "decisionReason", required: true, defaultValue: item.decisionReason ?? "" })
+          /* @__PURE__ */ jsx31("textarea", { name: "decisionReason", required: true, defaultValue: item.decisionReason ?? "" })
         ] }),
-        /* @__PURE__ */ jsxs28("label", { children: [
+        /* @__PURE__ */ jsxs29("label", { children: [
           "Reviewer name",
-          /* @__PURE__ */ jsx30("input", { name: "reviewerName", required: true, defaultValue: item.reviewerName ?? "" })
+          /* @__PURE__ */ jsx31("input", { name: "reviewerName", required: true, defaultValue: item.reviewerName ?? "" })
         ] }),
-        /* @__PURE__ */ jsxs28("label", { children: [
+        /* @__PURE__ */ jsxs29("label", { children: [
           "Reviewer phone",
-          /* @__PURE__ */ jsx30("input", { name: "reviewerPhone", required: true, defaultValue: item.reviewerPhone ?? "" })
+          /* @__PURE__ */ jsx31("input", { name: "reviewerPhone", required: true, defaultValue: item.reviewerPhone ?? "" })
         ] })
       ] }) : null,
-      outcome !== "denied" ? /* @__PURE__ */ jsxs28(Fragment18, { children: [
-        /* @__PURE__ */ jsxs28("label", { children: [
+      outcome !== "denied" ? /* @__PURE__ */ jsxs29(Fragment18, { children: [
+        /* @__PURE__ */ jsxs29("label", { children: [
           "Authorization number",
-          /* @__PURE__ */ jsx30("input", { name: "authorizationNumber", required: true, defaultValue: item.authorizationNumber ?? "" })
+          /* @__PURE__ */ jsx31("input", { name: "authorizationNumber", required: true, defaultValue: item.authorizationNumber ?? "" })
         ] }),
-        /* @__PURE__ */ jsxs28("label", { children: [
+        /* @__PURE__ */ jsxs29("label", { children: [
           "Authorized procedure code",
-          /* @__PURE__ */ jsx30("input", { name: "authorizedProcedureCode", defaultValue: item.authorizedProcedureCode ?? "" })
+          /* @__PURE__ */ jsx31("input", { name: "authorizedProcedureCode", defaultValue: item.authorizedProcedureCode ?? "" })
         ] }),
-        /* @__PURE__ */ jsxs28("label", { children: [
+        /* @__PURE__ */ jsxs29("label", { children: [
           "Authorized quantity",
-          /* @__PURE__ */ jsx30("input", { name: "authorizedQuantity", type: "number", min: "0.001", step: "any", defaultValue: item.authorizedQuantity ?? "" })
+          /* @__PURE__ */ jsx31("input", { name: "authorizedQuantity", type: "number", min: "0.001", step: "any", defaultValue: item.authorizedQuantity ?? "" })
         ] }),
-        /* @__PURE__ */ jsxs28("label", { children: [
+        /* @__PURE__ */ jsxs29("label", { children: [
           "Authorized units",
-          /* @__PURE__ */ jsx30("input", { name: "authorizedUnits", type: "number", min: "1", defaultValue: item.authorizedUnits ?? "" })
+          /* @__PURE__ */ jsx31("input", { name: "authorizedUnits", type: "number", min: "1", defaultValue: item.authorizedUnits ?? "" })
         ] }),
-        /* @__PURE__ */ jsxs28("label", { children: [
+        /* @__PURE__ */ jsxs29("label", { children: [
           "Effective from",
-          /* @__PURE__ */ jsx30("input", { name: "effectiveFrom", type: "date", defaultValue: item.effectiveFrom?.slice(0, 10) ?? "" })
+          /* @__PURE__ */ jsx31("input", { name: "effectiveFrom", type: "date", defaultValue: item.effectiveFrom?.slice(0, 10) ?? "" })
         ] }),
-        /* @__PURE__ */ jsxs28("label", { children: [
+        /* @__PURE__ */ jsxs29("label", { children: [
           "Effective through",
-          /* @__PURE__ */ jsx30("input", { name: "effectiveTo", type: "date", defaultValue: item.effectiveTo?.slice(0, 10) ?? "" })
+          /* @__PURE__ */ jsx31("input", { name: "effectiveTo", type: "date", defaultValue: item.effectiveTo?.slice(0, 10) ?? "" })
         ] })
       ] }) : null
     ] }),
-    /* @__PURE__ */ jsx30("button", { type: "submit", children: "Save decision correction" })
+    /* @__PURE__ */ jsx31("button", { type: "submit", children: "Save decision correction" })
   ] }) });
 }
 function TreatmentClosureForm({ item, disabled, onError, onSave }) {
   const closed = Boolean(item.decisionClosure?.closed);
   const title = closed ? "Reopen treatment follow-up" : "Decision no longer required";
-  return /* @__PURE__ */ jsxs28("details", { children: [
-    /* @__PURE__ */ jsx30("summary", { children: title }),
-    /* @__PURE__ */ jsx30("p", { children: closed ? "Resume waiting for a decision on this treatment. Its original review deadline still applies." : "Close follow-up for this treatment without recording an approval or denial. Other treatments remain active. This does not withdraw the request with the claims administrator." }),
-    /* @__PURE__ */ jsx30("form", { onSubmit: (event) => {
+  return /* @__PURE__ */ jsxs29("details", { children: [
+    /* @__PURE__ */ jsx31("summary", { children: title }),
+    /* @__PURE__ */ jsx31("p", { children: closed ? "Resume waiting for a decision on this treatment. Its original review deadline still applies." : "Close follow-up for this treatment without recording an approval or denial. Other treatments remain active. This does not withdraw the request with the claims administrator." }),
+    /* @__PURE__ */ jsx31("form", { onSubmit: (event) => {
       event.preventDefault();
       if (disabled) return;
       try {
@@ -11959,112 +12064,112 @@ function TreatmentClosureForm({ item, disabled, onError, onSave }) {
       } catch (reason) {
         onError(reason instanceof Error ? reason.message : "Enter a reason.");
       }
-    }, children: /* @__PURE__ */ jsxs28("fieldset", { disabled, children: [
-      /* @__PURE__ */ jsx30("legend", { children: closed ? "Reopen this treatment" : "Close this treatment" }),
-      /* @__PURE__ */ jsxs28("label", { children: [
+    }, children: /* @__PURE__ */ jsxs29("fieldset", { disabled, children: [
+      /* @__PURE__ */ jsx31("legend", { children: closed ? "Reopen this treatment" : "Close this treatment" }),
+      /* @__PURE__ */ jsxs29("label", { children: [
         closed ? "Reason for reopening" : "Reason a decision is no longer required",
-        /* @__PURE__ */ jsx30("textarea", { name: "closureReason", required: true, maxLength: 2e3 })
+        /* @__PURE__ */ jsx31("textarea", { name: "closureReason", required: true, maxLength: 2e3 })
       ] }),
-      /* @__PURE__ */ jsx30("div", { className: "mbtd-actions", children: /* @__PURE__ */ jsx30("button", { type: "submit", children: closed ? "Reopen treatment" : "Close treatment" }) })
+      /* @__PURE__ */ jsx31("div", { className: "mbtd-actions", children: /* @__PURE__ */ jsx31("button", { type: "submit", children: closed ? "Reopen treatment" : "Close treatment" }) })
     ] }) })
   ] });
 }
 
 // src/rfa-request-summary.tsx
-import { jsx as jsx31, jsxs as jsxs29 } from "react/jsx-runtime";
+import { jsx as jsx32, jsxs as jsxs30 } from "react/jsx-runtime";
 var readable = (value) => value.replaceAll("_", " ");
 var calendarDate = (value) => value?.match(/^\d{4}-\d{2}-\d{2}/)?.[0] ?? value;
 function Details({ entries }) {
-  return /* @__PURE__ */ jsx31("dl", { className: "mbrfa-request-details", children: entries.filter(([, value]) => value !== null && value !== void 0 && value !== "").map(([name, value]) => /* @__PURE__ */ jsxs29("div", { children: [
-    /* @__PURE__ */ jsx31("dt", { children: name }),
-    /* @__PURE__ */ jsx31("dd", { children: value })
+  return /* @__PURE__ */ jsx32("dl", { className: "mbrfa-request-details", children: entries.filter(([, value]) => value !== null && value !== void 0 && value !== "").map(([name, value]) => /* @__PURE__ */ jsxs30("div", { children: [
+    /* @__PURE__ */ jsx32("dt", { children: name }),
+    /* @__PURE__ */ jsx32("dd", { children: value })
   ] }, name)) });
 }
 function Contact({ title, contact }) {
   const entries = [["Name", contact?.name], ["Contact", contact?.contactName], ["Address", contact?.address], ["City", contact?.city], ["State", contact?.state], ["ZIP", contact?.zip], ["Phone", contact?.phone], ["Fax", contact?.fax], ["Email", contact?.email]];
-  return /* @__PURE__ */ jsxs29("section", { className: "mbrfa-info-card", children: [
-    /* @__PURE__ */ jsx31("h3", { children: title }),
-    /* @__PURE__ */ jsx31("div", { className: "mbrfa-info-body", children: entries.some(([, value]) => value) ? /* @__PURE__ */ jsx31(Details, { entries }) : /* @__PURE__ */ jsx31("p", { children: "Not recorded." }) })
+  return /* @__PURE__ */ jsxs30("section", { className: "mbrfa-info-card", children: [
+    /* @__PURE__ */ jsx32("h3", { children: title }),
+    /* @__PURE__ */ jsx32("div", { className: "mbrfa-info-body", children: entries.some(([, value]) => value) ? /* @__PURE__ */ jsx32(Details, { entries }) : /* @__PURE__ */ jsx32("p", { children: "Not recorded." }) })
   ] });
 }
 function RfaRequestSummary({ rfa, onViewClaimsAdministrator, getPatientHref, getClaimHref, getProviderHref, hideTreatments = false, collapseContacts = false }) {
-  const contacts2 = /* @__PURE__ */ jsxs29("div", { className: "mbtd-grid", children: [
-    /* @__PURE__ */ jsxs29("section", { className: "mbrfa-info-card", children: [
-      /* @__PURE__ */ jsx31("h3", { children: "Patient and injury" }),
-      /* @__PURE__ */ jsx31("div", { className: "mbrfa-info-body", children: /* @__PURE__ */ jsx31(Details, { entries: [["Patient", /* @__PURE__ */ jsx31(RfaLink, { href: getPatientHref?.(rfa), children: rfa.employeeName })], ["Claim number", /* @__PURE__ */ jsx31(RfaLink, { href: getClaimHref?.(rfa), children: rfa.claimNumber || "Not recorded" })], ["Injury", rfa.injuryDescription ? /* @__PURE__ */ jsx31(RfaLink, { href: getClaimHref?.(rfa), children: rfa.injuryDescription }) : null], ["Date of injury", calendarDate(rfa.dateOfInjury) || "Not recorded"]] }) })
+  const contacts2 = /* @__PURE__ */ jsxs30("div", { className: "mbtd-grid", children: [
+    /* @__PURE__ */ jsxs30("section", { className: "mbrfa-info-card", children: [
+      /* @__PURE__ */ jsx32("h3", { children: "Patient and injury" }),
+      /* @__PURE__ */ jsx32("div", { className: "mbrfa-info-body", children: /* @__PURE__ */ jsx32(Details, { entries: [["Patient", /* @__PURE__ */ jsx32(RfaLink, { href: getPatientHref?.(rfa), children: rfa.employeeName })], ["Claim number", /* @__PURE__ */ jsx32(RfaLink, { href: getClaimHref?.(rfa), children: rfa.claimNumber || "Not recorded" })], ["Injury", rfa.injuryDescription ? /* @__PURE__ */ jsx32(RfaLink, { href: getClaimHref?.(rfa), children: rfa.injuryDescription }) : null], ["Date of injury", calendarDate(rfa.dateOfInjury) || "Not recorded"]] }) })
     ] }),
-    /* @__PURE__ */ jsxs29("section", { className: "mbrfa-info-card", children: [
-      /* @__PURE__ */ jsx31("h3", { children: "Requesting physician" }),
-      /* @__PURE__ */ jsx31("div", { className: "mbrfa-info-body", children: /* @__PURE__ */ jsx31(Details, { entries: [["Name", /* @__PURE__ */ jsx31(RfaLink, { href: getProviderHref?.(rfa), children: rfa.providerName })], ["NPI", rfa.providerNpi], ["Phone", rfa.providerPhone], ["Fax", rfa.providerFax]] }) })
+    /* @__PURE__ */ jsxs30("section", { className: "mbrfa-info-card", children: [
+      /* @__PURE__ */ jsx32("h3", { children: "Requesting physician" }),
+      /* @__PURE__ */ jsx32("div", { className: "mbrfa-info-body", children: /* @__PURE__ */ jsx32(Details, { entries: [["Name", /* @__PURE__ */ jsx32(RfaLink, { href: getProviderHref?.(rfa), children: rfa.providerName })], ["NPI", rfa.providerNpi], ["Phone", rfa.providerPhone], ["Fax", rfa.providerFax]] }) })
     ] }),
-    /* @__PURE__ */ jsx31(Contact, { title: "Requesting practice", contact: rfa.requestingPractice }),
-    /* @__PURE__ */ jsxs29("section", { className: "mbrfa-info-card", children: [
-      /* @__PURE__ */ jsx31("h3", { children: "Claims administrator" }),
-      /* @__PURE__ */ jsx31("div", { className: "mbrfa-info-body", children: /* @__PURE__ */ jsx31(Details, { entries: [["Name", /* @__PURE__ */ jsx31(RfaLink, { onSelect: onViewClaimsAdministrator, children: rfa.claimsAdminName || rfa.authorizationContact?.name || "Not recorded" })], ["Contact", rfa.authorizationContact?.contactName], ["Phone", rfa.authorizationContact?.phone], ["Fax", rfa.authorizationContact?.fax], ["Email", rfa.authorizationContact?.email], ["Address", [rfa.authorizationContact?.address, rfa.authorizationContact?.city, rfa.authorizationContact?.state, rfa.authorizationContact?.zip].filter(Boolean).join(", ")]] }) })
+    /* @__PURE__ */ jsx32(Contact, { title: "Requesting practice", contact: rfa.requestingPractice }),
+    /* @__PURE__ */ jsxs30("section", { className: "mbrfa-info-card", children: [
+      /* @__PURE__ */ jsx32("h3", { children: "Claims administrator" }),
+      /* @__PURE__ */ jsx32("div", { className: "mbrfa-info-body", children: /* @__PURE__ */ jsx32(Details, { entries: [["Name", /* @__PURE__ */ jsx32(RfaLink, { onSelect: onViewClaimsAdministrator, children: rfa.claimsAdminName || rfa.authorizationContact?.name || "Not recorded" })], ["Contact", rfa.authorizationContact?.contactName], ["Phone", rfa.authorizationContact?.phone], ["Fax", rfa.authorizationContact?.fax], ["Email", rfa.authorizationContact?.email], ["Address", [rfa.authorizationContact?.address, rfa.authorizationContact?.city, rfa.authorizationContact?.state, rfa.authorizationContact?.zip].filter(Boolean).join(", ")]] }) })
     ] })
   ] });
-  return /* @__PURE__ */ jsxs29("section", { className: "mbrfa-stack mbrfa-request", "aria-label": "Saved request details", children: [
-    /* @__PURE__ */ jsx31("style", { children: `.mbrfa-request-details{display:grid;gap:9px;margin:0}.mbrfa-request-details>div{min-width:0}.mbrfa-request-details dt{font-size:12px;color:var(--mb-muted)}.mbrfa-request-details dd{margin:0;white-space:pre-wrap;overflow-wrap:anywhere}.mbrfa-request h3{font-size:16px;margin:0}.mbrfa-request-treatments{display:grid;gap:14px}.mbrfa-request-treatments article{border-top:1px solid var(--mb-border);padding-top:12px}.mbrfa-request-treatments article:first-child{border-top:0;padding-top:0}.mbrfa-request-treatments h4{margin:0 0 10px;overflow-wrap:anywhere}.mbrfa-request-treatments dl{grid-template-columns:repeat(2,minmax(0,1fr))}@media(max-width:520px){.mbrfa-request-treatments dl{grid-template-columns:minmax(0,1fr)}}` }),
+  return /* @__PURE__ */ jsxs30("section", { className: "mbrfa-stack mbrfa-request", "aria-label": "Saved request details", children: [
+    /* @__PURE__ */ jsx32("style", { children: `.mbrfa-request-details{display:grid;gap:9px;margin:0}.mbrfa-request-details>div{min-width:0}.mbrfa-request-details dt{font-size:12px;color:var(--mb-muted)}.mbrfa-request-details dd{margin:0;white-space:pre-wrap;overflow-wrap:anywhere}.mbrfa-request h3{font-size:16px;margin:0}.mbrfa-request-treatments{display:grid;gap:14px}.mbrfa-request-treatments article{border-top:1px solid var(--mb-border);padding-top:12px}.mbrfa-request-treatments article:first-child{border-top:0;padding-top:0}.mbrfa-request-treatments h4{margin:0 0 10px;overflow-wrap:anywhere}.mbrfa-request-treatments dl{grid-template-columns:repeat(2,minmax(0,1fr))}@media(max-width:520px){.mbrfa-request-treatments dl{grid-template-columns:minmax(0,1fr)}}` }),
     !collapseContacts ? contacts2 : null,
-    /* @__PURE__ */ jsxs29("section", { className: "mbrfa-info-card", children: [
-      /* @__PURE__ */ jsx31("h3", { children: "Request information" }),
-      /* @__PURE__ */ jsx31("div", { className: "mbrfa-info-body", children: /* @__PURE__ */ jsx31(Details, { entries: [["Request", rfa.requestType ? readable(rfa.requestType) : "Not recorded"], ["Review type", readable(rfa.reviewType)], ["Expedited review", rfa.expedited ? "Yes" : "No"], ["Written confirmation of prior oral request", rfa.writtenConfirmation || rfa.requestType === "oral_authorization_confirmation" ? "Yes" : "No"], ["Place of service", rfa.placeOfServiceCode], ["Clinical rationale", rfa.rationale], ["Change in material facts", rfa.materialChange]] }) })
+    /* @__PURE__ */ jsxs30("section", { className: "mbrfa-info-card", children: [
+      /* @__PURE__ */ jsx32("h3", { children: "Request information" }),
+      /* @__PURE__ */ jsx32("div", { className: "mbrfa-info-body", children: /* @__PURE__ */ jsx32(Details, { entries: [["Request", rfa.requestType ? readable(rfa.requestType) : "Not recorded"], ["Review type", readable(rfa.reviewType)], ["Expedited review", rfa.expedited ? "Yes" : "No"], ["Written confirmation of prior oral request", rfa.writtenConfirmation || rfa.requestType === "oral_authorization_confirmation" ? "Yes" : "No"], ["Place of service", rfa.placeOfServiceCode], ["Clinical rationale", rfa.rationale], ["Change in material facts", rfa.materialChange]] }) })
     ] }),
-    collapseContacts ? /* @__PURE__ */ jsxs29("details", { className: "mbrfa-detail-card", children: [
-      /* @__PURE__ */ jsx31("summary", { children: "Patient, physician & claim details" }),
+    collapseContacts ? /* @__PURE__ */ jsxs30("details", { className: "mbrfa-detail-card", children: [
+      /* @__PURE__ */ jsx32("summary", { children: "Patient, physician & claim details" }),
       contacts2
     ] }) : null,
-    !hideTreatments ? /* @__PURE__ */ jsxs29("fieldset", { children: [
-      /* @__PURE__ */ jsx31("legend", { children: "Requested services" }),
-      /* @__PURE__ */ jsx31("div", { className: "mbrfa-request-treatments", children: rfa.items.map((item, index) => /* @__PURE__ */ jsxs29("article", { children: [
-        /* @__PURE__ */ jsxs29("h4", { children: [
+    !hideTreatments ? /* @__PURE__ */ jsxs30("fieldset", { children: [
+      /* @__PURE__ */ jsx32("legend", { children: "Requested services" }),
+      /* @__PURE__ */ jsx32("div", { className: "mbrfa-request-treatments", children: rfa.items.map((item, index) => /* @__PURE__ */ jsxs30("article", { children: [
+        /* @__PURE__ */ jsxs30("h4", { children: [
           index + 1,
           ". ",
           item.serviceDescription
         ] }),
-        /* @__PURE__ */ jsx31(Details, { entries: [["Diagnosis", item.diagnosisCode], ["Diagnosis description", item.diagnosisDescription], ["CPT / HCPCS", item.procedureCode || "Not specified"], ["Quantity", item.quantity], ["Units", item.units], ["Frequency", item.frequency], ["Duration", item.duration], ["Requested from", calendarDate(item.requestedFrom)], ["Requested through", calendarDate(item.requestedTo)]] })
+        /* @__PURE__ */ jsx32(Details, { entries: [["Diagnosis", item.diagnosisCode], ["Diagnosis description", item.diagnosisDescription], ["CPT / HCPCS", item.procedureCode || "Not specified"], ["Quantity", item.quantity], ["Units", item.units], ["Frequency", item.frequency], ["Duration", item.duration], ["Requested from", calendarDate(item.requestedFrom)], ["Requested through", calendarDate(item.requestedTo)]] })
       ] }, item.id)) }),
-      rfa.items.length === 0 ? /* @__PURE__ */ jsx31("p", { children: "No services recorded." }) : null
+      rfa.items.length === 0 ? /* @__PURE__ */ jsx32("p", { children: "No services recorded." }) : null
     ] }) : null
   ] });
 }
 
 // src/rfa-packets.tsx
-import { useEffect as useEffect16, useMemo as useMemo9, useRef as useRef15, useState as useState19 } from "react";
+import { useEffect as useEffect17, useMemo as useMemo9, useRef as useRef15, useState as useState20 } from "react";
 import { createRfaPacketsClient } from "@mindbill/browser";
-import { Fragment as Fragment19, jsx as jsx32, jsxs as jsxs30 } from "react/jsx-runtime";
+import { Fragment as Fragment19, jsx as jsx33, jsxs as jsxs31 } from "react/jsx-runtime";
 function RfaPacketsPanel({ sessionEndpoint, getSession, apiBaseUrl, fetch: fetchOverride, ...props }) {
   const options = useMemo9(() => ({ ...sessionEndpoint ? { sessionEndpoint } : {}, ...getSession ? { getSession } : {}, ...apiBaseUrl ? { apiBaseUrl } : {}, ...fetchOverride ? { fetch: fetchOverride } : {} }), [sessionEndpoint, getSession, apiBaseUrl, fetchOverride]);
   const identity = useMemo9(() => crypto.randomUUID(), [options]);
-  return /* @__PURE__ */ jsx32(PacketsContent, { options, ...props }, `${identity}:${props.rfa.id}:${props.rfa.contentRevision}:${props.rfa.status}:${props.environment}:${props.permissions?.join(",")}`);
+  return /* @__PURE__ */ jsx33(PacketsContent, { options, ...props }, `${identity}:${props.rfa.id}:${props.rfa.contentRevision}:${props.rfa.status}:${props.environment}:${props.permissions?.join(",")}`);
 }
 function PacketsContent({ rfa, options, permissions = [], environment = "sandbox", disabled = false, onForwarded }) {
   const client = useMemo9(() => createRfaPacketsClient(options), [options]);
-  const [history, setHistory] = useState19(null);
-  const [selected, setSelected] = useState19("");
-  const [prepared, setPrepared] = useState19(null);
-  const [channel, setChannel] = useState19("fax");
-  const [recipient, setRecipient] = useState19("");
-  const [reviewed, setReviewed] = useState19(false);
-  const [confirmed, setConfirmed] = useState19(false);
-  const [loading, setLoading] = useState19(true);
-  const [busy, setBusy] = useState19(false);
-  const [error, setError] = useState19("");
-  const [notice, setNotice] = useState19("");
-  const [reload, setReload] = useState19(0);
+  const [history, setHistory] = useState20(null);
+  const [selected, setSelected] = useState20("");
+  const [prepared, setPrepared] = useState20(null);
+  const [channel, setChannel] = useState20("fax");
+  const [recipient, setRecipient] = useState20("");
+  const [reviewed, setReviewed] = useState20(false);
+  const [confirmed, setConfirmed] = useState20(false);
+  const [loading, setLoading] = useState20(true);
+  const [busy, setBusy] = useState20(false);
+  const [error, setError] = useState20("");
+  const [notice, setNotice] = useState20("");
+  const [reload, setReload] = useState20(0);
   const pending = useRef15(false);
   const keys = useRef15(/* @__PURE__ */ new Map());
   const completed = useRef15(/* @__PURE__ */ new Set());
   const alive = useRef15(true);
   const currentSelection = useRef15(selected);
   currentSelection.current = selected;
-  useEffect16(() => {
+  useEffect17(() => {
     alive.current = true;
     return () => {
       alive.current = false;
     };
   }, []);
-  useEffect16(() => {
+  useEffect17(() => {
     let active = true;
     setLoading(true);
     setError("");
@@ -12140,23 +12245,23 @@ function PacketsContent({ rfa, options, permissions = [], environment = "sandbox
       if (alive.current) setBusy(false);
     }
   };
-  return /* @__PURE__ */ jsxs30("section", { "aria-label": "Saved RFA packets", children: [
-    /* @__PURE__ */ jsx32("h3", { children: "Saved packets" }),
-    /* @__PURE__ */ jsx32("p", { children: "Open the exact PDF retained for a download or submission. Forwarding preserves the original request and review deadline." }),
-    error ? /* @__PURE__ */ jsx32("p", { role: "alert", children: error }) : null,
-    notice ? /* @__PURE__ */ jsx32("p", { role: "status", children: notice }) : null,
-    loading ? /* @__PURE__ */ jsx32("p", { role: "status", children: "Loading saved packets\u2026" }) : null,
-    !loading && !history ? /* @__PURE__ */ jsx32("button", { type: "button", onClick: () => setReload((value) => value + 1), children: "Retry loading packets" }) : null,
-    history?.packets.length === 0 ? /* @__PURE__ */ jsx32("p", { children: "No saved packets yet." }) : history ? /* @__PURE__ */ jsxs30(Fragment19, { children: [
-      /* @__PURE__ */ jsxs30("label", { children: [
+  return /* @__PURE__ */ jsxs31("section", { "aria-label": "Saved RFA packets", children: [
+    /* @__PURE__ */ jsx33("h3", { children: "Saved packets" }),
+    /* @__PURE__ */ jsx33("p", { children: "Open the exact PDF retained for a download or submission. Forwarding preserves the original request and review deadline." }),
+    error ? /* @__PURE__ */ jsx33("p", { role: "alert", children: error }) : null,
+    notice ? /* @__PURE__ */ jsx33("p", { role: "status", children: notice }) : null,
+    loading ? /* @__PURE__ */ jsx33("p", { role: "status", children: "Loading saved packets\u2026" }) : null,
+    !loading && !history ? /* @__PURE__ */ jsx33("button", { type: "button", onClick: () => setReload((value) => value + 1), children: "Retry loading packets" }) : null,
+    history?.packets.length === 0 ? /* @__PURE__ */ jsx33("p", { children: "No saved packets yet." }) : history ? /* @__PURE__ */ jsxs31(Fragment19, { children: [
+      /* @__PURE__ */ jsxs31("label", { children: [
         "Saved packet",
-        /* @__PURE__ */ jsxs30("select", { disabled: locked, value: selected, onChange: (event) => {
+        /* @__PURE__ */ jsxs31("select", { disabled: locked, value: selected, onChange: (event) => {
           setSelected(event.target.value);
           setPrepared(null);
           resetReview();
         }, children: [
-          /* @__PURE__ */ jsx32("option", { value: "", children: "Choose a saved packet" }),
-          history.packets.map((value) => /* @__PURE__ */ jsxs30("option", { value: value.id, children: [
+          /* @__PURE__ */ jsx33("option", { value: "", children: "Choose a saved packet" }),
+          history.packets.map((value) => /* @__PURE__ */ jsxs31("option", { value: value.id, children: [
             value.source === "submission" ? "Submission" : "Download",
             " \xB7 revision ",
             value.contentRevision,
@@ -12165,68 +12270,68 @@ function PacketsContent({ rfa, options, permissions = [], environment = "sandbox
           ] }, value.id))
         ] })
       ] }),
-      /* @__PURE__ */ jsx32("button", { type: "button", disabled: locked || !packet, onClick: () => void view(), children: "View saved PDF" }),
-      blob ? /* @__PURE__ */ jsx32(RfaPdfReview, { blob, title: "Saved RFA packet" }) : null,
-      !canForward ? /* @__PURE__ */ jsx32("p", { children: environment !== "live" ? "Sandbox: saved PDFs are available for review. External forwarding is disabled." : "Forwarding requires permission from your organization." }) : selected && !eligible ? /* @__PURE__ */ jsx32("p", { children: "This packet is not eligible for forwarding. Submission packets require a successful original dispatch." }) : /* @__PURE__ */ jsxs30("fieldset", { disabled: locked, children: [
-        /* @__PURE__ */ jsx32("legend", { children: "Forward saved packet" }),
-        /* @__PURE__ */ jsx32("p", { children: "The saved packet may contain the original recipient\u2019s cover sheet. Review all pages before forwarding." }),
-        /* @__PURE__ */ jsxs30("label", { children: [
+      /* @__PURE__ */ jsx33("button", { type: "button", disabled: locked || !packet, onClick: () => void view(), children: "View saved PDF" }),
+      blob ? /* @__PURE__ */ jsx33(RfaPdfReview, { blob, title: "Saved RFA packet" }) : null,
+      !canForward ? /* @__PURE__ */ jsx33("p", { children: environment !== "live" ? "Sandbox: saved PDFs are available for review. External forwarding is disabled." : "Forwarding requires permission from your organization." }) : selected && !eligible ? /* @__PURE__ */ jsx33("p", { children: "This packet is not eligible for forwarding. Submission packets require a successful original dispatch." }) : /* @__PURE__ */ jsxs31("fieldset", { disabled: locked, children: [
+        /* @__PURE__ */ jsx33("legend", { children: "Forward saved packet" }),
+        /* @__PURE__ */ jsx33("p", { children: "The saved packet may contain the original recipient\u2019s cover sheet. Review all pages before forwarding." }),
+        /* @__PURE__ */ jsxs31("label", { children: [
           "Forward by",
-          /* @__PURE__ */ jsxs30("select", { value: channel, onChange: (event) => {
+          /* @__PURE__ */ jsxs31("select", { value: channel, onChange: (event) => {
             setChannel(event.target.value);
             resetReview();
           }, children: [
-            /* @__PURE__ */ jsx32("option", { value: "fax", children: "Fax" }),
-            /* @__PURE__ */ jsx32("option", { value: "email", children: "Email" })
+            /* @__PURE__ */ jsx33("option", { value: "fax", children: "Fax" }),
+            /* @__PURE__ */ jsx33("option", { value: "email", children: "Email" })
           ] })
         ] }),
-        channel === "email" ? /* @__PURE__ */ jsx32("p", { children: "Email forwarding requires email delivery to be enabled for your organization. The server will reject requests when it is unavailable." }) : null,
-        /* @__PURE__ */ jsxs30("label", { children: [
+        channel === "email" ? /* @__PURE__ */ jsx33("p", { children: "Email forwarding requires email delivery to be enabled for your organization. The server will reject requests when it is unavailable." }) : null,
+        /* @__PURE__ */ jsxs31("label", { children: [
           channel === "fax" ? "Recipient fax (with country code)" : "Recipient email",
-          /* @__PURE__ */ jsx32("input", { type: channel === "fax" ? "tel" : "email", value: recipient, onChange: (event) => {
+          /* @__PURE__ */ jsx33("input", { type: channel === "fax" ? "tel" : "email", value: recipient, onChange: (event) => {
             setRecipient(event.target.value);
             resetReview();
           } })
         ] }),
-        /* @__PURE__ */ jsxs30("label", { className: "mbrfa-check", children: [
-          /* @__PURE__ */ jsx32("input", { type: "checkbox", disabled: !blob || !eligible, checked: reviewed, onChange: (event) => {
+        /* @__PURE__ */ jsxs31("label", { className: "mbrfa-check", children: [
+          /* @__PURE__ */ jsx33("input", { type: "checkbox", disabled: !blob || !eligible, checked: reviewed, onChange: (event) => {
             setReviewed(event.target.checked);
             setConfirmed(false);
           } }),
           "I reviewed this saved packet and its attachments."
         ] }),
-        /* @__PURE__ */ jsxs30("label", { className: "mbrfa-check", children: [
-          /* @__PURE__ */ jsx32("input", { type: "checkbox", disabled: !reviewed || !validRecipient || !eligible, checked: confirmed, onChange: (event) => setConfirmed(event.target.checked) }),
+        /* @__PURE__ */ jsxs31("label", { className: "mbrfa-check", children: [
+          /* @__PURE__ */ jsx33("input", { type: "checkbox", disabled: !reviewed || !validRecipient || !eligible, checked: confirmed, onChange: (event) => setConfirmed(event.target.checked) }),
           "I verified that ",
           destination || "this recipient",
           " is authorized to receive this patient\u2019s packet."
         ] }),
-        alreadyForwarded ? /* @__PURE__ */ jsx32("p", { children: "A forward to this recipient is already recorded or pending. Check delivery history." }) : null,
-        /* @__PURE__ */ jsx32("button", { type: "button", disabled: !canForward || !eligible || !blob || !reviewed || !confirmed || !validRecipient || alreadyForwarded, onClick: () => void forward(), children: busy ? "Working\u2026" : `Forward packet by ${channel}` })
+        alreadyForwarded ? /* @__PURE__ */ jsx33("p", { children: "A forward to this recipient is already recorded or pending. Check delivery history." }) : null,
+        /* @__PURE__ */ jsx33("button", { type: "button", disabled: !canForward || !eligible || !blob || !reviewed || !confirmed || !validRecipient || alreadyForwarded, onClick: () => void forward(), children: busy ? "Working\u2026" : `Forward packet by ${channel}` })
       ] })
     ] }) : null
   ] });
 }
 
 // src/rfa-draft-actions.tsx
-import { useEffect as useEffect17, useMemo as useMemo10, useRef as useRef16, useState as useState20 } from "react";
+import { useEffect as useEffect18, useMemo as useMemo10, useRef as useRef16, useState as useState21 } from "react";
 import { createRfaDraftActionsClient } from "@mindbill/browser";
-import { Fragment as Fragment20, jsx as jsx33, jsxs as jsxs31 } from "react/jsx-runtime";
+import { Fragment as Fragment20, jsx as jsx34, jsxs as jsxs32 } from "react/jsx-runtime";
 function RfaDraftActions({ sessionEndpoint, getSession, apiBaseUrl, fetch: fetchOverride, ...props }) {
   const options = useMemo10(() => ({ ...sessionEndpoint ? { sessionEndpoint } : {}, ...getSession ? { getSession } : {}, ...apiBaseUrl ? { apiBaseUrl } : {}, ...fetchOverride ? { fetch: fetchOverride } : {} }), [sessionEndpoint, getSession, apiBaseUrl, fetchOverride]);
   const identity = useMemo10(() => crypto.randomUUID(), [options]);
-  return /* @__PURE__ */ jsx33(DraftActionsContent, { options, ...props }, `${identity}:${props.rfa.id}:${props.rfa.contentRevision}:${props.rfa.status}:${props.rfa.signedAt}:${props.rfa.submittedAt}`);
+  return /* @__PURE__ */ jsx34(DraftActionsContent, { options, ...props }, `${identity}:${props.rfa.id}:${props.rfa.contentRevision}:${props.rfa.status}:${props.rfa.signedAt}:${props.rfa.submittedAt}`);
 }
 function DraftActionsContent({ rfa, options, permissions = [], disabled = false, onCopied, onCanceled }) {
   const client = useMemo10(() => createRfaDraftActionsClient(options), [options]);
-  const [confirming, setConfirming] = useState20(null);
-  const [busy, setBusy] = useState20(false);
-  const [error, setError] = useState20("");
-  const [completed, setCompleted] = useState20(null);
+  const [confirming, setConfirming] = useState21(null);
+  const [busy, setBusy] = useState21(false);
+  const [error, setError] = useState21("");
+  const [completed, setCompleted] = useState21(null);
   const pending = useRef16(false);
   const keys = useRef16({});
   const alive = useRef16(true);
-  useEffect17(() => {
+  useEffect18(() => {
     alive.current = true;
     return () => {
       alive.current = false;
@@ -12255,112 +12360,112 @@ function DraftActionsContent({ rfa, options, permissions = [], disabled = false,
       if (alive.current) setBusy(false);
     }
   };
-  return /* @__PURE__ */ jsxs31("section", { "aria-label": "RFA draft actions", children: [
-    error ? /* @__PURE__ */ jsx33("p", { role: "alert", children: error }) : null,
-    completed ? /* @__PURE__ */ jsx33("p", { role: "status", children: completed === "copy" ? "A new unsigned draft was created." : "The draft was canceled. Its audit history is retained." }) : confirming && (confirming === "copy" ? canCopy : canCancel) ? /* @__PURE__ */ jsxs31("div", { className: "mbtd-note", children: [
-      confirming === "copy" ? /* @__PURE__ */ jsxs31(Fragment20, { children: [
-        /* @__PURE__ */ jsx33("p", { children: "Create a new draft with this patient, injury, physician, and requested treatments? Review the new draft and attach supporting documents before signing it." }),
-        /* @__PURE__ */ jsx33("p", { children: "Signatures, supporting documents, decisions, and delivery history remain on the original request." })
-      ] }) : /* @__PURE__ */ jsx33("p", { children: "Cancel this unsigned draft? It will no longer be available for submission. The request and its audit history will be retained." }),
-      /* @__PURE__ */ jsxs31("div", { className: "mbtd-actions", children: [
-        /* @__PURE__ */ jsx33("button", { type: "button", disabled: disabled || busy, onClick: () => {
+  return /* @__PURE__ */ jsxs32("section", { "aria-label": "RFA draft actions", children: [
+    error ? /* @__PURE__ */ jsx34("p", { role: "alert", children: error }) : null,
+    completed ? /* @__PURE__ */ jsx34("p", { role: "status", children: completed === "copy" ? "A new unsigned draft was created." : "The draft was canceled. Its audit history is retained." }) : confirming && (confirming === "copy" ? canCopy : canCancel) ? /* @__PURE__ */ jsxs32("div", { className: "mbtd-note", children: [
+      confirming === "copy" ? /* @__PURE__ */ jsxs32(Fragment20, { children: [
+        /* @__PURE__ */ jsx34("p", { children: "Create a new draft with this patient, injury, physician, and requested treatments? Review the new draft and attach supporting documents before signing it." }),
+        /* @__PURE__ */ jsx34("p", { children: "Signatures, supporting documents, decisions, and delivery history remain on the original request." })
+      ] }) : /* @__PURE__ */ jsx34("p", { children: "Cancel this unsigned draft? It will no longer be available for submission. The request and its audit history will be retained." }),
+      /* @__PURE__ */ jsxs32("div", { className: "mbtd-actions", children: [
+        /* @__PURE__ */ jsx34("button", { type: "button", disabled: disabled || busy, onClick: () => {
           void mutate(confirming);
         }, children: busy ? "Saving\u2026" : confirming === "copy" ? "Create draft copy" : "Confirm cancellation" }),
-        /* @__PURE__ */ jsx33("button", { type: "button", disabled: busy, onClick: () => {
+        /* @__PURE__ */ jsx34("button", { type: "button", disabled: busy, onClick: () => {
           setConfirming(null);
           setError("");
         }, children: "Keep current request" })
       ] })
-    ] }) : /* @__PURE__ */ jsxs31("div", { className: "mbtd-actions", children: [
-      canCopy ? /* @__PURE__ */ jsx33("button", { type: "button", disabled: disabled || busy, onClick: () => setConfirming("copy"), children: "Copy to new draft" }) : null,
-      canCancel ? /* @__PURE__ */ jsx33("button", { type: "button", disabled: disabled || busy, onClick: () => setConfirming("cancel"), children: "Cancel draft" }) : null
+    ] }) : /* @__PURE__ */ jsxs32("div", { className: "mbtd-actions", children: [
+      canCopy ? /* @__PURE__ */ jsx34("button", { type: "button", disabled: disabled || busy, onClick: () => setConfirming("copy"), children: "Copy to new draft" }) : null,
+      canCancel ? /* @__PURE__ */ jsx34("button", { type: "button", disabled: disabled || busy, onClick: () => setConfirming("cancel"), children: "Cancel draft" }) : null
     ] })
   ] });
 }
 
 // src/rfa-list-view.tsx
 import { getRfaLifecycleStatus as getRfaLifecycleStatus3, RFA_LIFECYCLE_LABELS as RFA_LIFECYCLE_LABELS3 } from "@mindbill/browser";
-import { jsx as jsx34, jsxs as jsxs32 } from "react/jsx-runtime";
+import { jsx as jsx35, jsxs as jsxs33 } from "react/jsx-runtime";
 var date6 = (value) => value ? new Date(value).toLocaleDateString() : "\u2014";
 var label2 = (value) => value.replaceAll("_", " ");
 function RfaListView({ records, view, onViewChange, sortBy, sortDirection, onSort, onSelect, lifecycleAvailable = true, hideViewSwitch = false, getRfaHref, getPatientHref, getClaimHref, getProviderHref }) {
-  const heading = (field, title) => /* @__PURE__ */ jsx34("th", { scope: "col", "aria-sort": sortBy === field ? sortDirection === "asc" ? "ascending" : "descending" : "none", children: /* @__PURE__ */ jsxs32("button", { type: "button", onClick: () => onSort(field), children: [
+  const heading = (field, title) => /* @__PURE__ */ jsx35("th", { scope: "col", "aria-sort": sortBy === field ? sortDirection === "asc" ? "ascending" : "descending" : "none", children: /* @__PURE__ */ jsxs33("button", { type: "button", onClick: () => onSort(field), children: [
     title,
     sortBy === field ? sortDirection === "asc" ? " \u2191" : " \u2193" : " \u2195"
   ] }) });
-  return /* @__PURE__ */ jsxs32("div", { className: "mbrfa-list", children: [
-    /* @__PURE__ */ jsx34("style", { children: `.mbrfa-table-scroll{overflow-x:auto;border:1px solid var(--mb-border);border-radius:var(--mb-control-radius)}.mbrfa-table{width:100%;border-collapse:collapse;text-align:left;font-size:13px}.mbrfa-table th,.mbrfa-table td{padding:12px;border-bottom:1px solid var(--mb-border);vertical-align:top;min-width:110px}.mbrfa-table th{background:var(--mb-soft)}.mbrfa-table td small{display:block;color:var(--mb-muted);margin-top:4px}.mbrfa-table tr:last-child td{border-bottom:0}.mbtd .mbrfa-table th button{white-space:nowrap;border:0;background:transparent;padding:0;min-height:28px;font-size:12px;font-weight:650;color:var(--mb-muted)}.mbrfa-table th{font-size:12px;font-weight:650;color:var(--mb-muted)}.mbrfa-table tbody tr:hover{background:var(--mb-soft)}.mbrfa-table td{overflow-wrap:anywhere}.mbrfa-table td:first-child button{color:var(--mb-accent);font-weight:600;background:transparent;border-color:var(--mb-border)}.mbtd .mbrfa-text-link{border:0;background:transparent;padding:0;min-height:0;color:var(--mb-accent);font-weight:600;text-decoration:none;text-align:left;line-height:1.5}.mbtd .mbrfa-text-link:hover{text-decoration:underline}.mbrfa-view button[aria-pressed=true]{background:var(--mb-soft);font-weight:600}` }),
-    !hideViewSwitch ? /* @__PURE__ */ jsxs32("div", { className: "mbrfa-list-mode", children: [
-      /* @__PURE__ */ jsxs32("label", { children: [
+  return /* @__PURE__ */ jsxs33("div", { className: "mbrfa-list", children: [
+    /* @__PURE__ */ jsx35("style", { children: `.mbrfa-table-scroll{overflow-x:auto;border:1px solid var(--mb-border);border-radius:var(--mb-control-radius)}.mbrfa-table{width:100%;border-collapse:collapse;text-align:left;font-size:13px}.mbrfa-table th,.mbrfa-table td{padding:12px;border-bottom:1px solid var(--mb-border);vertical-align:top;min-width:110px}.mbrfa-table th{background:var(--mb-soft)}.mbrfa-table td small{display:block;color:var(--mb-muted);margin-top:4px}.mbrfa-table tr:last-child td{border-bottom:0}.mbtd .mbrfa-table th button{white-space:nowrap;border:0;background:transparent;padding:0;min-height:28px;font-size:12px;font-weight:650;color:var(--mb-muted)}.mbrfa-table th{font-size:12px;font-weight:650;color:var(--mb-muted)}.mbrfa-table tbody tr:hover{background:var(--mb-soft)}.mbrfa-table td{overflow-wrap:anywhere}.mbrfa-table td:first-child button{color:var(--mb-accent);font-weight:600;background:transparent;border-color:var(--mb-border)}.mbtd .mbrfa-text-link{border:0;background:transparent;padding:0;min-height:0;color:var(--mb-accent);font-weight:600;text-decoration:none;text-align:left;line-height:1.5}.mbtd .mbrfa-text-link:hover{text-decoration:underline}.mbrfa-view button[aria-pressed=true]{background:var(--mb-soft);font-weight:600}` }),
+    !hideViewSwitch ? /* @__PURE__ */ jsxs33("div", { className: "mbrfa-list-mode", children: [
+      /* @__PURE__ */ jsxs33("label", { children: [
         "Show",
-        /* @__PURE__ */ jsxs32("select", { value: view, onChange: (event) => onViewChange(event.target.value), children: [
-          /* @__PURE__ */ jsx34("option", { value: "rfas", children: "RFAs \u2014 one row per request" }),
-          /* @__PURE__ */ jsx34("option", { value: "treatments", children: "Treatments \u2014 one row per service" })
+        /* @__PURE__ */ jsxs33("select", { value: view, onChange: (event) => onViewChange(event.target.value), children: [
+          /* @__PURE__ */ jsx35("option", { value: "rfas", children: "RFAs \u2014 one row per request" }),
+          /* @__PURE__ */ jsx35("option", { value: "treatments", children: "Treatments \u2014 one row per service" })
         ] })
       ] }),
-      /* @__PURE__ */ jsx34("p", { children: view === "rfas" ? "One RFA can request several treatments. Open a request to review its treatments and decisions." : "Each treatment belongs to an RFA and can receive its own decision. Page controls move between requests." })
+      /* @__PURE__ */ jsx35("p", { children: view === "rfas" ? "One RFA can request several treatments. Open a request to review its treatments and decisions." : "Each treatment belongs to an RFA and can receive its own decision. Page controls move between requests." })
     ] }) : null,
-    !records.length ? /* @__PURE__ */ jsx34("p", { children: "No requests match this view." }) : /* @__PURE__ */ jsx34("div", { className: "mbrfa-table-scroll", tabIndex: 0, role: "region", "aria-label": view === "rfas" ? "RFA table" : "Requested treatments table", children: /* @__PURE__ */ jsxs32("table", { className: "mbrfa-table", children: [
-      /* @__PURE__ */ jsx34("thead", { children: /* @__PURE__ */ jsxs32("tr", { children: [
-        /* @__PURE__ */ jsx34("th", { scope: "col", children: view === "rfas" ? "Request" : "Request / treatment" }),
+    !records.length ? /* @__PURE__ */ jsx35("p", { children: "No requests match this view." }) : /* @__PURE__ */ jsx35("div", { className: "mbrfa-table-scroll", tabIndex: 0, role: "region", "aria-label": view === "rfas" ? "RFA table" : "Requested treatments table", children: /* @__PURE__ */ jsxs33("table", { className: "mbrfa-table", children: [
+      /* @__PURE__ */ jsx35("thead", { children: /* @__PURE__ */ jsxs33("tr", { children: [
+        /* @__PURE__ */ jsx35("th", { scope: "col", children: view === "rfas" ? "Request" : "Request / treatment" }),
         heading("employeeName", "Patient"),
         heading("providerName", "Requesting physician"),
-        /* @__PURE__ */ jsx34("th", { scope: "col", children: view === "rfas" ? "Claims administrator" : "Service / diagnosis" }),
+        /* @__PURE__ */ jsx35("th", { scope: "col", children: view === "rfas" ? "Claims administrator" : "Service / diagnosis" }),
         heading("submittedAt", "Sent"),
-        /* @__PURE__ */ jsx34("th", { scope: "col", children: "Decision due" }),
-        view === "rfas" ? heading(lifecycleAvailable ? "lifecycleStatus" : "status", lifecycleAvailable ? "Status" : "Clinical status") : /* @__PURE__ */ jsx34("th", { scope: "col", children: "Treatment decision" }),
+        /* @__PURE__ */ jsx35("th", { scope: "col", children: "Decision due" }),
+        view === "rfas" ? heading(lifecycleAvailable ? "lifecycleStatus" : "status", lifecycleAvailable ? "Status" : "Clinical status") : /* @__PURE__ */ jsx35("th", { scope: "col", children: "Treatment decision" }),
         heading("createdAt", "Created")
       ] }) }),
-      /* @__PURE__ */ jsx34("tbody", { children: records.flatMap((rfa) => view === "rfas" ? [/* @__PURE__ */ jsxs32("tr", { children: [
-        /* @__PURE__ */ jsxs32("td", { children: [
-          /* @__PURE__ */ jsx34(RfaLink, { href: getRfaHref?.(rfa.id), onSelect: () => onSelect(rfa.id), children: rfaTitle(rfa) }),
-          rfa.displayReference ? /* @__PURE__ */ jsx34("small", { children: rfa.displayReference }) : null
+      /* @__PURE__ */ jsx35("tbody", { children: records.flatMap((rfa) => view === "rfas" ? [/* @__PURE__ */ jsxs33("tr", { children: [
+        /* @__PURE__ */ jsxs33("td", { children: [
+          /* @__PURE__ */ jsx35(RfaLink, { href: getRfaHref?.(rfa.id), onSelect: () => onSelect(rfa.id), children: rfaTitle(rfa) }),
+          rfa.displayReference ? /* @__PURE__ */ jsx35("small", { children: rfa.displayReference }) : null
         ] }),
-        /* @__PURE__ */ jsxs32("td", { children: [
-          /* @__PURE__ */ jsx34(RfaLink, { href: getPatientHref?.(rfa), children: rfa.employeeName }),
-          /* @__PURE__ */ jsx34("small", { children: /* @__PURE__ */ jsxs32(RfaLink, { href: getClaimHref?.(rfa), children: [
+        /* @__PURE__ */ jsxs33("td", { children: [
+          /* @__PURE__ */ jsx35(RfaLink, { href: getPatientHref?.(rfa), children: rfa.employeeName }),
+          /* @__PURE__ */ jsx35("small", { children: /* @__PURE__ */ jsxs33(RfaLink, { href: getClaimHref?.(rfa), children: [
             "Claim ",
             rfa.claimNumber || "not recorded"
           ] }) })
         ] }),
-        /* @__PURE__ */ jsx34("td", { children: /* @__PURE__ */ jsx34(RfaLink, { href: getProviderHref?.(rfa), children: rfa.providerName }) }),
-        /* @__PURE__ */ jsx34("td", { children: rfa.claimsAdminName || rfa.authorizationContact?.name || "Not recorded" }),
-        /* @__PURE__ */ jsx34("td", { children: date6(rfa.submittedAt) }),
-        /* @__PURE__ */ jsx34("td", { children: rfaDecisionDueText(rfa) }),
-        /* @__PURE__ */ jsx34("td", { children: RFA_LIFECYCLE_LABELS3[getRfaLifecycleStatus3(rfa)] }),
-        /* @__PURE__ */ jsx34("td", { children: date6(rfa.createdAt) })
-      ] }, rfa.id)] : rfa.items.map((item) => /* @__PURE__ */ jsxs32("tr", { children: [
-        /* @__PURE__ */ jsxs32("td", { children: [
-          /* @__PURE__ */ jsx34(RfaLink, { href: getRfaHref?.(rfa.id, { treatmentId: item.id }), onSelect: () => onSelect(rfa.id, item.id), children: item.serviceDescription }),
-          rfa.displayReference ? /* @__PURE__ */ jsx34("small", { children: rfa.displayReference }) : null
+        /* @__PURE__ */ jsx35("td", { children: /* @__PURE__ */ jsx35(RfaLink, { href: getProviderHref?.(rfa), children: rfa.providerName }) }),
+        /* @__PURE__ */ jsx35("td", { children: rfa.claimsAdminName || rfa.authorizationContact?.name || "Not recorded" }),
+        /* @__PURE__ */ jsx35("td", { children: date6(rfa.submittedAt) }),
+        /* @__PURE__ */ jsx35("td", { children: rfaDecisionDueText(rfa) }),
+        /* @__PURE__ */ jsx35("td", { children: RFA_LIFECYCLE_LABELS3[getRfaLifecycleStatus3(rfa)] }),
+        /* @__PURE__ */ jsx35("td", { children: date6(rfa.createdAt) })
+      ] }, rfa.id)] : rfa.items.map((item) => /* @__PURE__ */ jsxs33("tr", { children: [
+        /* @__PURE__ */ jsxs33("td", { children: [
+          /* @__PURE__ */ jsx35(RfaLink, { href: getRfaHref?.(rfa.id, { treatmentId: item.id }), onSelect: () => onSelect(rfa.id, item.id), children: item.serviceDescription }),
+          rfa.displayReference ? /* @__PURE__ */ jsx35("small", { children: rfa.displayReference }) : null
         ] }),
-        /* @__PURE__ */ jsxs32("td", { children: [
-          /* @__PURE__ */ jsx34(RfaLink, { href: getPatientHref?.(rfa), children: rfa.employeeName }),
-          /* @__PURE__ */ jsx34("small", { children: /* @__PURE__ */ jsxs32(RfaLink, { href: getClaimHref?.(rfa), children: [
+        /* @__PURE__ */ jsxs33("td", { children: [
+          /* @__PURE__ */ jsx35(RfaLink, { href: getPatientHref?.(rfa), children: rfa.employeeName }),
+          /* @__PURE__ */ jsx35("small", { children: /* @__PURE__ */ jsxs33(RfaLink, { href: getClaimHref?.(rfa), children: [
             "Claim ",
             rfa.claimNumber || "not recorded"
           ] }) })
         ] }),
-        /* @__PURE__ */ jsx34("td", { children: /* @__PURE__ */ jsx34(RfaLink, { href: getProviderHref?.(rfa), children: rfa.providerName }) }),
-        /* @__PURE__ */ jsxs32("td", { children: [
+        /* @__PURE__ */ jsx35("td", { children: /* @__PURE__ */ jsx35(RfaLink, { href: getProviderHref?.(rfa), children: rfa.providerName }) }),
+        /* @__PURE__ */ jsxs33("td", { children: [
           item.serviceDescription,
-          /* @__PURE__ */ jsxs32("small", { children: [
+          /* @__PURE__ */ jsxs33("small", { children: [
             item.procedureCode || "No procedure code",
             " \xB7 ",
             item.diagnosisCode
           ] })
         ] }),
-        /* @__PURE__ */ jsx34("td", { children: date6(rfa.submittedAt) }),
-        /* @__PURE__ */ jsx34("td", { children: item.decisionClosure?.closed ? "\u2014" : rfaDecisionDueText(rfa) }),
-        /* @__PURE__ */ jsxs32("td", { children: [
+        /* @__PURE__ */ jsx35("td", { children: date6(rfa.submittedAt) }),
+        /* @__PURE__ */ jsx35("td", { children: item.decisionClosure?.closed ? "\u2014" : rfaDecisionDueText(rfa) }),
+        /* @__PURE__ */ jsxs33("td", { children: [
           item.decisionClosure?.closed ? "Decision no longer required" : label2(item.outcome),
-          /* @__PURE__ */ jsx34("small", { children: date6(item.decidedAt) }),
-          item.authorizationNumber ? /* @__PURE__ */ jsxs32("small", { children: [
+          /* @__PURE__ */ jsx35("small", { children: date6(item.decidedAt) }),
+          item.authorizationNumber ? /* @__PURE__ */ jsxs33("small", { children: [
             "Authorization ",
             item.authorizationNumber
           ] }) : null
         ] }),
-        /* @__PURE__ */ jsx34("td", { children: date6(rfa.createdAt) })
+        /* @__PURE__ */ jsx35("td", { children: date6(rfa.createdAt) })
       ] }, `${rfa.id}:${item.id}`))) })
     ] }) })
   ] });
@@ -12368,58 +12473,58 @@ function RfaListView({ records, view, onViewChange, sortBy, sortDirection, onSor
 
 // src/rfa-overview.tsx
 import { RFA_LIFECYCLE_LABELS as RFA_LIFECYCLE_LABELS4 } from "@mindbill/browser";
-import { jsx as jsx35, jsxs as jsxs33 } from "react/jsx-runtime";
+import { jsx as jsx36, jsxs as jsxs34 } from "react/jsx-runtime";
 var buckets = [{ id: "0_5", label: "0\u20135 days" }, { id: "6_14", label: "6\u201314 days" }, { id: "15_30", label: "15\u201330 days" }, { id: "31_plus", label: "31+ days" }];
 var groups = [{ title: "Needs attention", tone: "attention", states: ["incomplete", "failed"] }, { title: "Awaiting decision", tone: "waiting", states: ["sent", "received"] }, { title: "Finished", tone: "finished", states: ["closed", "canceled"] }];
 function RfaOverview({ summary, onSelect, combined = false }) {
   const aging = summary.aging;
-  const countButton = (count, title, status, bucket) => count ? /* @__PURE__ */ jsx35("button", { type: "button", className: "mbrfa-count", "aria-label": `${title}: ${count} requests`, onClick: () => onSelect(status, bucket), children: count.toLocaleString() }) : /* @__PURE__ */ jsx35("span", { className: "mbrfa-zero", children: "0" });
-  if (!summary.byLifecycleStatus) return /* @__PURE__ */ jsxs33("section", { className: "mbrfa-overview", "aria-label": "Clinical review overview", children: [
-    /* @__PURE__ */ jsx35("h3", { children: "Clinical review counts" }),
-    /* @__PURE__ */ jsx35("div", { className: "mbrfa-legacy-grid", children: Object.entries(summary.byStatus).map(([status, count]) => /* @__PURE__ */ jsxs33("button", { type: "button", onClick: () => onSelect(status), children: [
-      /* @__PURE__ */ jsx35("span", { children: status.replaceAll("_", " ") }),
-      /* @__PURE__ */ jsx35("strong", { children: count })
+  const countButton = (count, title, status, bucket) => count ? /* @__PURE__ */ jsx36("button", { type: "button", className: "mbrfa-count", "aria-label": `${title}: ${count} requests`, onClick: () => onSelect(status, bucket), children: count.toLocaleString() }) : /* @__PURE__ */ jsx36("span", { className: "mbrfa-zero", children: "0" });
+  if (!summary.byLifecycleStatus) return /* @__PURE__ */ jsxs34("section", { className: "mbrfa-overview", "aria-label": "Clinical review overview", children: [
+    /* @__PURE__ */ jsx36("h3", { children: "Clinical review counts" }),
+    /* @__PURE__ */ jsx36("div", { className: "mbrfa-legacy-grid", children: Object.entries(summary.byStatus).map(([status, count]) => /* @__PURE__ */ jsxs34("button", { type: "button", onClick: () => onSelect(status), children: [
+      /* @__PURE__ */ jsx36("span", { children: status.replaceAll("_", " ") }),
+      /* @__PURE__ */ jsx36("strong", { children: count })
     ] }, status)) })
   ] });
-  return /* @__PURE__ */ jsxs33("div", { className: "mbrfa-overview", children: [
-    /* @__PURE__ */ jsxs33("div", { className: "mbrfa-overview-title", children: [
-      /* @__PURE__ */ jsxs33("div", { children: [
-        /* @__PURE__ */ jsx35("h3", { children: combined ? "Requests awaiting a decision" : "Status and aging" }),
-        /* @__PURE__ */ jsx35("p", { className: "mbrfa-aging-basis", children: "Calendar days since submission" })
+  return /* @__PURE__ */ jsxs34("div", { className: "mbrfa-overview", children: [
+    /* @__PURE__ */ jsxs34("div", { className: "mbrfa-overview-title", children: [
+      /* @__PURE__ */ jsxs34("div", { children: [
+        /* @__PURE__ */ jsx36("h3", { children: combined ? "Requests awaiting a decision" : "Status and aging" }),
+        /* @__PURE__ */ jsx36("p", { className: "mbrfa-aging-basis", children: "Calendar days since submission" })
       ] }),
-      /* @__PURE__ */ jsxs33("span", { children: [
+      /* @__PURE__ */ jsxs34("span", { children: [
         summary.total.toLocaleString(),
         " total requests"
       ] })
     ] }),
-    groups.filter((group) => !combined || group.tone === "waiting").map((group) => /* @__PURE__ */ jsxs33("section", { className: `mbrfa-status-group mbrfa-${group.tone}`, "aria-label": group.title, children: [
-      /* @__PURE__ */ jsxs33("div", { className: "mbrfa-aging-grid mbrfa-group-heading", children: [
-        /* @__PURE__ */ jsxs33("h4", { children: [
-          /* @__PURE__ */ jsx35("i", { "aria-hidden": "true" }),
+    groups.filter((group) => !combined || group.tone === "waiting").map((group) => /* @__PURE__ */ jsxs34("section", { className: `mbrfa-status-group mbrfa-${group.tone}`, "aria-label": group.title, children: [
+      /* @__PURE__ */ jsxs34("div", { className: "mbrfa-aging-grid mbrfa-group-heading", children: [
+        /* @__PURE__ */ jsxs34("h4", { children: [
+          /* @__PURE__ */ jsx36("i", { "aria-hidden": "true" }),
           group.title
         ] }),
-        buckets.map((bucket) => /* @__PURE__ */ jsx35("span", { className: "mbrfa-age-heading", children: bucket.label }, bucket.id)),
-        /* @__PURE__ */ jsx35("span", { className: "mbrfa-total-heading", children: "Total" })
+        buckets.map((bucket) => /* @__PURE__ */ jsx36("span", { className: "mbrfa-age-heading", children: bucket.label }, bucket.id)),
+        /* @__PURE__ */ jsx36("span", { className: "mbrfa-total-heading", children: "Total" })
       ] }),
-      group.states.map((status) => /* @__PURE__ */ jsxs33("div", { className: "mbrfa-aging-grid mbrfa-aging-row", children: [
-        /* @__PURE__ */ jsx35("strong", { children: RFA_LIFECYCLE_LABELS4[status] }),
-        buckets.map((bucket) => /* @__PURE__ */ jsxs33("span", { className: "mbrfa-age-cell", children: [
-          /* @__PURE__ */ jsx35("span", { className: "mbrfa-mobile-age", children: bucket.label }),
-          group.tone === "waiting" && aging ? countButton(aging.byLifecycleStatus[status]?.[bucket.id] ?? 0, `${RFA_LIFECYCLE_LABELS4[status]} \xB7 ${bucket.label} since submission`, status, bucket.id) : /* @__PURE__ */ jsx35("span", { className: "mbrfa-zero", "aria-label": "Not applicable", children: "\u2014" })
+      group.states.map((status) => /* @__PURE__ */ jsxs34("div", { className: "mbrfa-aging-grid mbrfa-aging-row", children: [
+        /* @__PURE__ */ jsx36("strong", { children: RFA_LIFECYCLE_LABELS4[status] }),
+        buckets.map((bucket) => /* @__PURE__ */ jsxs34("span", { className: "mbrfa-age-cell", children: [
+          /* @__PURE__ */ jsx36("span", { className: "mbrfa-mobile-age", children: bucket.label }),
+          group.tone === "waiting" && aging ? countButton(aging.byLifecycleStatus[status]?.[bucket.id] ?? 0, `${RFA_LIFECYCLE_LABELS4[status]} \xB7 ${bucket.label} since submission`, status, bucket.id) : /* @__PURE__ */ jsx36("span", { className: "mbrfa-zero", "aria-label": "Not applicable", children: "\u2014" })
         ] }, bucket.id)),
-        /* @__PURE__ */ jsx35("span", { className: "mbrfa-row-total", children: countButton(summary.byLifecycleStatus?.[status] ?? 0, RFA_LIFECYCLE_LABELS4[status], status) })
+        /* @__PURE__ */ jsx36("span", { className: "mbrfa-row-total", children: countButton(summary.byLifecycleStatus?.[status] ?? 0, RFA_LIFECYCLE_LABELS4[status], status) })
       ] }, status))
     ] }, group.title)),
-    /* @__PURE__ */ jsxs33("p", { className: "mbrfa-overview-footnote", children: [
+    /* @__PURE__ */ jsxs34("p", { className: "mbrfa-overview-footnote", children: [
       "Aging counts calendar days since submission, separately from the decision deadline. Only requests awaiting a treatment decision are aged.",
       !aging ? " Aging is unavailable from this server." : ""
     ] }),
-    /* @__PURE__ */ jsxs33("button", { type: "button", className: "mbrfa-all-requests", onClick: () => onSelect(""), children: [
-      /* @__PURE__ */ jsx35("strong", { children: "All requests" }),
-      /* @__PURE__ */ jsxs33("span", { children: [
+    /* @__PURE__ */ jsxs34("button", { type: "button", className: "mbrfa-all-requests", onClick: () => onSelect(""), children: [
+      /* @__PURE__ */ jsx36("strong", { children: "All requests" }),
+      /* @__PURE__ */ jsxs34("span", { children: [
         summary.total.toLocaleString(),
         " ",
-        /* @__PURE__ */ jsx35("span", { "aria-hidden": "true", children: "\u2192" })
+        /* @__PURE__ */ jsx36("span", { "aria-hidden": "true", children: "\u2192" })
       ] })
     ] })
   ] });
@@ -12439,21 +12544,21 @@ var rfaDashboardCss = `
 import { useCallback as useCallback3, useEffect as useEffect24, useState as useState27 } from "react";
 
 // src/rfa-claim-setup.tsx
-import { useEffect as useEffect18, useRef as useRef17, useState as useState21 } from "react";
-import { jsx as jsx36, jsxs as jsxs34 } from "react/jsx-runtime";
+import { useEffect as useEffect19, useRef as useRef17, useState as useState22 } from "react";
+import { jsx as jsx37, jsxs as jsxs35 } from "react/jsx-runtime";
 function RfaClaimSetup({ client, disabled, onCreated, onCancel }) {
-  const [fields2, setFields] = useState21({ firstName: "", lastName: "", dateOfBirth: "", phone: "", line1: "", line2: "", city: "", state: "CA", postalCode: "", claimNumber: "", employer: "", dateOfInjury: "", injuryState: "CA", description: "" });
-  const [search, setSearch] = useState21("");
-  const [administrators, setAdministrators] = useState21([]);
-  const [administratorId, setAdministratorId] = useState21("");
-  const [payerId, setPayerId] = useState21("");
-  const [busy, setBusy] = useState21(false);
-  const [searching, setSearching] = useState21(false);
-  const [error, setError] = useState21("");
-  const [searched, setSearched] = useState21(false);
+  const [fields2, setFields] = useState22({ firstName: "", lastName: "", dateOfBirth: "", phone: "", line1: "", line2: "", city: "", state: "CA", postalCode: "", claimNumber: "", employer: "", dateOfInjury: "", injuryState: "CA", description: "" });
+  const [search, setSearch] = useState22("");
+  const [administrators, setAdministrators] = useState22([]);
+  const [administratorId, setAdministratorId] = useState22("");
+  const [payerId, setPayerId] = useState22("");
+  const [busy, setBusy] = useState22(false);
+  const [searching, setSearching] = useState22(false);
+  const [error, setError] = useState22("");
+  const [searched, setSearched] = useState22(false);
   const identities = useRef17(null);
   const attempt = useRef17(null);
-  useEffect18(() => {
+  useEffect19(() => {
     let active = true;
     const term = search.trim();
     setAdministrators([]);
@@ -12485,11 +12590,11 @@ function RfaClaimSetup({ client, disabled, onCreated, onCancel }) {
   const administrator = administrators.find((value) => value.id === administratorId);
   const availablePayers = administrator?.payers?.filter((value) => value.active !== false) ?? [];
   const locked = disabled || busy;
-  const input = (name, label5, maxLength, required2 = true, type = "text") => /* @__PURE__ */ jsxs34("label", { children: [
+  const input = (name, label5, maxLength, required2 = true, type = "text") => /* @__PURE__ */ jsxs35("label", { children: [
     label5,
-    /* @__PURE__ */ jsx36("input", { required: required2, type, maxLength, value: fields2[name], onChange: (event) => setFields((value) => ({ ...value, [name]: event.target.value })) })
+    /* @__PURE__ */ jsx37("input", { required: required2, type, maxLength, value: fields2[name], onChange: (event) => setFields((value) => ({ ...value, [name]: event.target.value })) })
   ] });
-  return /* @__PURE__ */ jsx36("form", { onSubmit: async (event) => {
+  return /* @__PURE__ */ jsx37("form", { onSubmit: async (event) => {
     event.preventDefault();
     if (locked || !administrator || !client.provisionClaim || administrator.payerSelectionRequired && !payerId) return;
     setBusy(true);
@@ -12509,10 +12614,10 @@ function RfaClaimSetup({ client, disabled, onCreated, onCancel }) {
     } finally {
       setBusy(false);
     }
-  }, children: /* @__PURE__ */ jsxs34("fieldset", { disabled: locked, children: [
-    /* @__PURE__ */ jsx36("legend", { children: "New patient and injury" }),
-    /* @__PURE__ */ jsx36("p", { children: "Save the patient and injury to use for this authorization request. No bill is required." }),
-    /* @__PURE__ */ jsxs34("div", { className: "mbtd-grid", children: [
+  }, children: /* @__PURE__ */ jsxs35("fieldset", { disabled: locked, children: [
+    /* @__PURE__ */ jsx37("legend", { children: "New patient and injury" }),
+    /* @__PURE__ */ jsx37("p", { children: "Save the patient and injury to use for this authorization request. No bill is required." }),
+    /* @__PURE__ */ jsxs35("div", { className: "mbtd-grid", children: [
       input("firstName", "Patient first name", 100),
       input("lastName", "Patient last name", 100),
       input("dateOfBirth", "Date of birth", 10, true, "date"),
@@ -12528,138 +12633,46 @@ function RfaClaimSetup({ client, disabled, onCreated, onCancel }) {
       input("injuryState", "Injury state", 2),
       input("description", "Injury description (optional)", 1e3, false)
     ] }),
-    /* @__PURE__ */ jsxs34("label", { children: [
+    /* @__PURE__ */ jsxs35("label", { children: [
       "Search claims administrators",
-      /* @__PURE__ */ jsx36("input", { type: "search", maxLength: 200, value: search, onChange: (event) => {
+      /* @__PURE__ */ jsx37("input", { type: "search", maxLength: 200, value: search, onChange: (event) => {
         setSearch(event.target.value);
         setAdministratorId("");
         setPayerId("");
         setError("");
       } })
     ] }),
-    searching ? /* @__PURE__ */ jsx36("p", { role: "status", children: "Searching claims administrators\u2026" }) : null,
-    /* @__PURE__ */ jsxs34("label", { children: [
+    searching ? /* @__PURE__ */ jsx37("p", { role: "status", children: "Searching claims administrators\u2026" }) : null,
+    /* @__PURE__ */ jsxs35("label", { children: [
       "Claims administrator",
-      /* @__PURE__ */ jsxs34("select", { required: true, disabled: searching, value: administratorId, onChange: (event) => {
+      /* @__PURE__ */ jsxs35("select", { required: true, disabled: searching, value: administratorId, onChange: (event) => {
         setAdministratorId(event.target.value);
         setPayerId("");
       }, children: [
-        /* @__PURE__ */ jsx36("option", { value: "", children: "Choose a claims administrator" }),
-        administrators.map((value) => /* @__PURE__ */ jsx36("option", { value: value.id, children: value.name }, value.id))
+        /* @__PURE__ */ jsx37("option", { value: "", children: "Choose a claims administrator" }),
+        administrators.map((value) => /* @__PURE__ */ jsx37("option", { value: value.id, children: value.name }, value.id))
       ] })
     ] }),
-    searched && !administrators.length ? /* @__PURE__ */ jsx36("p", { children: "No administrators match this search. Try another name, or add a custom claims administrator in Settings." }) : null,
-    availablePayers.length ? /* @__PURE__ */ jsxs34("label", { children: [
+    searched && !administrators.length ? /* @__PURE__ */ jsx37("p", { children: "No administrators match this search. Try another name, or add a custom claims administrator in Settings." }) : null,
+    availablePayers.length ? /* @__PURE__ */ jsxs35("label", { children: [
       "Payer",
       administrator?.payerSelectionRequired ? "" : " (optional)",
-      /* @__PURE__ */ jsxs34("select", { required: administrator?.payerSelectionRequired, value: payerId, onChange: (event) => setPayerId(event.target.value), children: [
-        /* @__PURE__ */ jsx36("option", { value: "", children: "Choose a payer" }),
-        availablePayers.map((value) => /* @__PURE__ */ jsx36("option", { value: value.id, children: value.label }, value.id))
+      /* @__PURE__ */ jsxs35("select", { required: administrator?.payerSelectionRequired, value: payerId, onChange: (event) => setPayerId(event.target.value), children: [
+        /* @__PURE__ */ jsx37("option", { value: "", children: "Choose a payer" }),
+        availablePayers.map((value) => /* @__PURE__ */ jsx37("option", { value: value.id, children: value.label }, value.id))
       ] })
     ] }) : null,
-    administrator?.payerSelectionRequired && !availablePayers.length ? /* @__PURE__ */ jsx36("p", { role: "alert", children: "This administrator needs a payer selection, but no active payers are available. Choose another administrator or contact your administrator." }) : null,
-    error ? /* @__PURE__ */ jsx36("p", { role: "alert", children: error }) : null,
-    /* @__PURE__ */ jsxs34("div", { className: "mbtd-actions", children: [
-      /* @__PURE__ */ jsx36("button", { type: "button", onClick: onCancel, children: "Cancel new patient" }),
-      /* @__PURE__ */ jsx36("button", { className: "mbtd-primary", type: "submit", disabled: !administrator || !client.provisionClaim || !!(administrator.payerSelectionRequired && !payerId), children: busy ? "Saving patient and injury\u2026" : "Save patient and injury" })
+    administrator?.payerSelectionRequired && !availablePayers.length ? /* @__PURE__ */ jsx37("p", { role: "alert", children: "This administrator needs a payer selection, but no active payers are available. Choose another administrator or contact your administrator." }) : null,
+    error ? /* @__PURE__ */ jsx37("p", { role: "alert", children: error }) : null,
+    /* @__PURE__ */ jsxs35("div", { className: "mbtd-actions", children: [
+      /* @__PURE__ */ jsx37("button", { type: "button", onClick: onCancel, children: "Cancel new patient" }),
+      /* @__PURE__ */ jsx37("button", { className: "mbtd-primary", type: "submit", disabled: !administrator || !client.provisionClaim || !!(administrator.payerSelectionRequired && !payerId), children: busy ? "Saving patient and injury\u2026" : "Save patient and injury" })
     ] })
   ] }) });
 }
 
 // src/rfa-practice-picker.tsx
 import { useEffect as useEffect20, useRef as useRef18, useState as useState23 } from "react";
-
-// src/rfa-official-fields.tsx
-import { useEffect as useEffect19, useState as useState22 } from "react";
-import { jsx as jsx37, jsxs as jsxs35 } from "react/jsx-runtime";
-var formDate = (value) => {
-  const match = /^(\d{4})-(\d{2})-(\d{2})/.exec(value ?? "");
-  return match ? `${match[2]}/${match[3]}/${match[1]}` : value ?? "";
-};
-function RfaPicker({ label: label5, children }) {
-  return /* @__PURE__ */ jsxs35("div", { className: "mbrfa-picker", children: [
-    /* @__PURE__ */ jsx37("span", { children: label5 }),
-    children
-  ] });
-}
-function RfaSavedField({ label: label5, value, span }) {
-  return /* @__PURE__ */ jsxs35("div", { className: `mbrfa-s${span} mbrfa-saved`, children: [
-    /* @__PURE__ */ jsx37("span", { children: label5 }),
-    /* @__PURE__ */ jsx37("strong", { children: value || "\u2014" })
-  ] });
-}
-function RfaEmployeeFields({ name, dateOfInjury, claimNumber, details }) {
-  return /* @__PURE__ */ jsxs35("div", { className: "mbrfa-form-grid", children: [
-    /* @__PURE__ */ jsx37(RfaSavedField, { span: 6, label: "Name (Last, First, Middle)", value: details?.formName || name }),
-    /* @__PURE__ */ jsx37(RfaSavedField, { span: 3, label: "Date of Injury (MM/DD/YYYY)", value: formDate(dateOfInjury) }),
-    /* @__PURE__ */ jsx37(RfaSavedField, { span: 3, label: "Date of Birth (MM/DD/YYYY)", value: formDate(details?.dateOfBirth) }),
-    /* @__PURE__ */ jsx37(RfaSavedField, { span: 3, label: "Claim Number", value: claimNumber }),
-    /* @__PURE__ */ jsx37(RfaSavedField, { span: 3, label: "Employer", value: details?.employer })
-  ] });
-}
-function formatRfaPhone(value) {
-  const raw = value ?? "";
-  if (/[^\d\s().+-]/.test(raw)) return raw;
-  let digits = raw.replace(/\D/g, "");
-  if (digits.length === 11 && digits.startsWith("1")) digits = digits.slice(1);
-  if (digits.length > 10) return raw;
-  if (digits.length < 4) return digits;
-  return digits.length < 7 ? `(${digits.slice(0, 3)}) ${digits.slice(3)}` : `(${digits.slice(0, 3)}) ${digits.slice(3, 6)}-${digits.slice(6)}`;
-}
-var contactRows = [
-  ["address", "Address", 500, 3],
-  ["city", "City", 100, 2],
-  ["state", "State", 2, 1],
-  ["zip", "Zip Code", 20, 2],
-  ["phone", "Phone", 30, 2],
-  ["fax", "Fax Number", 30, 2]
-];
-function RfaOfficialContactFields({ nameLabel, value, onChange, before, beforeEmail, faxHint, editable = true }) {
-  const dial = (key2) => key2 === "phone" || key2 === "fax";
-  const hint = (key2) => key2 === "fax" && faxHint && !value?.fax?.trim() ? /* @__PURE__ */ jsx37("small", { className: "mbrfa-field-hint", children: faxHint }) : null;
-  const field = (key2, label5, max, span) => editable ? /* @__PURE__ */ jsxs35("label", { className: `mbrfa-s${span}`, children: [
-    label5,
-    /* @__PURE__ */ jsx37("input", { type: key2 === "email" ? "email" : key2 === "phone" || key2 === "fax" ? "tel" : "text", maxLength: max, value: dial(key2) ? formatRfaPhone(value?.[key2]) : value?.[key2] ?? "", onChange: (event) => onChange({ ...value, [key2]: dial(key2) ? formatRfaPhone(event.target.value) : event.target.value }) }),
-    hint(key2)
-  ] }, key2) : /* @__PURE__ */ jsxs35("div", { className: `mbrfa-s${span} mbrfa-saved`, children: [
-    /* @__PURE__ */ jsx37("span", { children: label5 }),
-    /* @__PURE__ */ jsx37("strong", { children: (dial(key2) ? formatRfaPhone(value?.[key2]) : value?.[key2])?.trim() || "\u2014" }),
-    hint(key2)
-  ] }, key2);
-  return /* @__PURE__ */ jsxs35("div", { className: "mbrfa-form-grid", children: [
-    before,
-    field("name", nameLabel, 200, 3),
-    field("contactName", "Contact Name", 200, 3),
-    contactRows.map(([key2, label5, max, span]) => field(key2, label5, max, span)),
-    beforeEmail,
-    field("email", "E-mail Address", 254, 6)
-  ] });
-}
-function RfaManualToggle({ manual, onChange, disabled }) {
-  return /* @__PURE__ */ jsxs35("div", { className: "mbrfa-section-actions", children: [
-    /* @__PURE__ */ jsx37("button", { type: "button", className: manual ? "mbtd-primary" : void 0, disabled, "aria-pressed": manual, onClick: () => onChange(!manual), children: manual ? "Save" : "Edit manually" }),
-    manual ? /* @__PURE__ */ jsx37("span", { children: "Applies to this request only. The saved record is not changed." }) : null
-  ] });
-}
-function useRfaFormDetails(client, claimId, renderingProviderId, enabled) {
-  const [details, setDetails] = useState22();
-  useEffect19(() => {
-    let active = true;
-    setDetails(void 0);
-    if (!enabled || !claimId) return;
-    void client.getCreationContext({ claimId, renderingProviderId, limit: 1 }).then((context) => {
-      if (!active) return;
-      const claim = context.claims.find((value) => value.claimId === claimId), provider = context.renderingProviders.find((value) => value.id === renderingProviderId);
-      setDetails({ ...context.returnFax ? { returnFax: context.returnFax } : {}, ...context.returnEmail ? { returnEmail: context.returnEmail } : {}, ...claim ? { employee: { formName: claim.employeeFormName, dateOfBirth: claim.dateOfBirth, employer: claim.employer } } : {}, ...provider ? { physician: { specialty: provider.specialty } } : {} });
-    }).catch(() => void 0);
-    return () => {
-      active = false;
-    };
-  }, [client, claimId, renderingProviderId, enabled]);
-  return details;
-}
-
-// src/rfa-practice-picker.tsx
 import { Fragment as Fragment21, jsx as jsx38, jsxs as jsxs36 } from "react/jsx-runtime";
 function RfaPracticePicker({ profile, value, onChange, managePracticeHref, manageLocationsHref, onEditPractice, onEditLocation, onChosen }) {
   const practices = profile?.billingProviders ?? [];
@@ -12769,11 +12782,17 @@ function RfaDiagnosisFields({ code, description, onChange, search, officialForm
       setQuery("");
     }, error }) }) }) : null,
     /* @__PURE__ */ jsxs37("label", { className: "mbrfa-s4", children: [
-      "Diagnosis (Required)",
+      /* @__PURE__ */ jsxs37("span", { children: [
+        "Diagnosis",
+        /* @__PURE__ */ jsx39(RfaRequired, {})
+      ] }),
       /* @__PURE__ */ jsx39("input", { required: true, maxLength: 1e3, value: description ?? "", onChange: (event) => onChange({ diagnosisCode: code, diagnosisDescription: event.target.value }) })
     ] }),
     /* @__PURE__ */ jsxs37("label", { className: "mbrfa-s2", children: [
-      "ICD-Code (Required)",
+      /* @__PURE__ */ jsxs37("span", { children: [
+        "ICD-Code",
+        /* @__PURE__ */ jsx39(RfaRequired, {})
+      ] }),
       /* @__PURE__ */ jsx39("input", { required: true, maxLength: 16, value: code, onChange: (event) => onChange({ diagnosisCode: event.target.value, diagnosisDescription: description ?? "" }) })
     ] })
   ] });
@@ -12864,7 +12883,9 @@ function RfaContactPicker({ administratorId, claimNumber, contextKey, value, onC
     };
   }, [query, claimNumber, searchClaimsAdministrators]);
   if (officialForm) {
-    const shown = value ?? { ...directory?.name ? { name: directory.name } : {}, ...directory?.mailingAddresses?.[0]?.address ? { address: directory.mailingAddresses[0].address } : {}, ...directory?.telephoneNumbers?.[0] ? { phone: directory.telephoneNumbers[0] } : {} };
+    const mailing = directory?.mailingAddresses?.[0]?.address?.trim(), parts = mailing ? /^(.+?),\s*([^,]+),\s*([A-Za-z]{2})\.?\s+(\d{5}(?:-\d{4})?)$/.exec(mailing) : null;
+    const named = (text3) => text3 && /[a-z]/i.test(text3) ? text3 : void 0;
+    const shown = value ?? { ...directory?.name ? { name: directory.name } : {}, ...parts ? { address: parts[1], city: parts[2], state: parts[3].toUpperCase(), zip: parts[4] } : mailing ? { address: mailing } : {}, ...directory?.telephoneNumbers?.[0] ? { phone: directory.telephoneNumbers[0] } : {} };
     return /* @__PURE__ */ jsxs38("fieldset", { children: [
       /* @__PURE__ */ jsx40("legend", { children: "Claims Administrator Information" }),
       /* @__PURE__ */ jsxs38("div", { className: "mbrfa-pickers", "data-columns": "2", children: [
@@ -12872,12 +12893,14 @@ function RfaContactPicker({ administratorId, claimNumber, contextKey, value, onC
           const option = options.find((item) => item.id === id);
           if (option) choose(option);
         } }) }) : null,
-        /* @__PURE__ */ jsx40(RfaPicker, { label: directory?.authorizationStatus === "claim_handling_location_routes" ? "Claim-handling office" : "Authorization contact", children: /* @__PURE__ */ jsx40(RfaAuthorizationDestination, { compact: true, onManualEntry: () => setManual(true), contextKey: `${contextKey}:${administratorId ?? ""}`, directory, loading, error, disabled, onChange: (destination) => {
+        /* @__PURE__ */ jsx40(RfaPicker, { label: directory?.authorizationStatus === "claim_handling_location_routes" ? "Claim-handling office" : "Authorization contact", children: /* @__PURE__ */ jsx40(RfaAuthorizationDestination, { compact: true, autoSelectSingle: !value, onManualEntry: () => setManual(true), contextKey: `${contextKey}:${administratorId ?? ""}`, directory, loading, error, disabled, onChange: (destination) => {
           if (!destination) return;
           const kept = { ...shown };
           delete kept.fax;
           delete kept.email;
-          onChange(administratorId, { ...kept, name: directory?.name ?? shown.name ?? "", contactName: destination.recipientName ?? destination.label, ...destination.phone ? { phone: destination.phone } : {}, ...destination.method === "fax" ? { fax: destination.destination } : { email: destination.destination } });
+          delete kept.contactName;
+          const contactName = named(destination.recipientName) ?? named(destination.label);
+          onChange(administratorId, { ...kept, name: directory?.name ?? shown.name ?? "", ...contactName ? { contactName } : {}, ...destination.phone ? { phone: destination.phone } : {}, ...destination.method === "fax" ? { fax: destination.destination } : { email: destination.destination } });
         } }) })
       ] }),
       /* @__PURE__ */ jsx40("fieldset", { className: "mbrfa-plain", disabled, children: /* @__PURE__ */ jsx40(RfaOfficialContactFields, { editable: manual, nameLabel: "Company Name", value: shown, onChange: (contact) => onChange(administratorId, contact) }) }),
@@ -13091,7 +13114,7 @@ function RfaDraftForm({ initialDraft, identity, officialForm = false, formDetail
     event.preventDefault();
     if (locked) return;
     const next = normalizeRfaDraft(draft2);
-    void action.save(next, validateRfaDraft(next) ?? (officialForm && intentRef.current === "review" && !next.requestingPractice?.fax?.trim() ? "Enter the Requesting Physician fax number. The claims administrator faxes the decision back to it." : null));
+    void action.save(next, validateRfaDraft(next) ?? (officialForm && intentRef.current === "review" && !next.requestingPractice?.fax?.trim() ? "Requesting Physician fax number is required." : null));
   };
   const saveError = action.error ? /* @__PURE__ */ jsxs39("p", { role: "alert", children: [
     action.error,
@@ -13135,7 +13158,7 @@ function RfaDraftForm({ initialDraft, identity, officialForm = false, formDetail
       /* @__PURE__ */ jsxs39("fieldset", { children: [
         /* @__PURE__ */ jsx41("legend", { children: "Requesting Physician Information" }),
         /* @__PURE__ */ jsxs39("div", { className: "mbrfa-pickers", "data-columns": selectors?.physician ? 3 : 2, children: [
-          selectors?.physician ? /* @__PURE__ */ jsx41(RfaPicker, { label: "Requesting physician", children: selectors.physician }) : null,
+          selectors?.physician ? /* @__PURE__ */ jsx41(RfaPicker, { required: true, label: "Requesting physician", children: selectors.physician }) : null,
           /* @__PURE__ */ jsx41(RfaPracticePicker, { profile: organizationProfile, value: draft2.requestingPractice, onChange: (requestingPractice) => update({ requestingPractice }), ...managePracticeHref ? { managePracticeHref } : {}, ...manageLocationsHref ? { manageLocationsHref } : {}, onEditPractice, onEditLocation, onChosen: () => setPracticeManual(false) })
         ] }),
         /* @__PURE__ */ jsx41("fieldset", { className: "mbrfa-plain", disabled: locked, children: /* @__PURE__ */ jsx41(
@@ -13145,7 +13168,7 @@ function RfaDraftForm({ initialDraft, identity, officialForm = false, formDetail
             nameLabel: "Practice Name",
             value: draft2.requestingPractice,
             onChange: (requestingPractice) => update({ requestingPractice }),
-            faxHint: "Required to send. The decision is faxed back here. Save it on the practice location to fill it automatically.",
+            required: ["fax"],
             before: /* @__PURE__ */ jsx41(RfaSavedField, { span: 6, label: "Physician Name", value: draft2.providerName }),
             beforeEmail: /* @__PURE__ */ jsxs39(Fragment23, { children: [
               /* @__PURE__ */ jsx41(RfaSavedField, { span: 3, label: "Specialty", value: formDetails?.physician?.specialty ?? savedPhysician?.specialty }),
@@ -13166,7 +13189,10 @@ function RfaDraftForm({ initialDraft, identity, officialForm = false, formDetail
         /* @__PURE__ */ jsxs39("div", { className: "mbrfa-form-grid", children: [
           /* @__PURE__ */ jsx41(RfaDiagnosisFields, { officialForm: true, code: item.diagnosisCode, ...item.diagnosisDescription !== void 0 ? { description: item.diagnosisDescription } : {}, ...searchDiagnosisCodes ? { search: searchDiagnosisCodes } : {}, onChange: (value) => updateItem(index, value) }),
           /* @__PURE__ */ jsxs39("label", { className: "mbrfa-s4", children: [
-            "Service/Good Requested (Required)",
+            /* @__PURE__ */ jsxs39("span", { children: [
+              "Service/Good Requested",
+              /* @__PURE__ */ jsx41(RfaRequired, {})
+            ] }),
             /* @__PURE__ */ jsx41("textarea", { required: true, maxLength: 1e3, value: item.serviceDescription, onChange: (event) => updateItem(index, { serviceDescription: event.target.value }) })
           ] }),
           /* @__PURE__ */ jsxs39("label", { className: "mbrfa-s2", children: [