Medplum

// SPDX-FileCopyrightText: Copyright Orangebot, Inc. and Medplum contributors // SPDX-License-Identifier: Apache-2.0 import { Button, Modal } from '@mantine/core'; import { useDisclosure } from '@mantine/hooks'; import { showNotification } from '@mantine/notifications'; import { getQuestionnaireAnswers, getReferenceString, normalizeErrorString, parseReference } from '@medplum/core'; import type { Coding, Coverage, CoverageEligibilityRequest, Organization, Patient, Practitioner, Questionnaire, QuestionnaireResponse, } from '@medplum/fhirtypes'; import { QuestionnaireForm, useMedplum, useMedplumProfile } from '@medplum/react'; import { IconCircleCheck, IconCircleOff } from '@tabler/icons-react'; import { useEffect, useState } from 'react'; import type { JSX } from 'react'; interface InitiateEligibilityRequestProps { readonly coverage: Coverage; } export function InitiateEligibilityRequest({ coverage }: InitiateEligibilityRequestProps): JSX.Element { const medplum = useMedplum(); const profile = useMedplumProfile() as Practitioner; const [opened, { toggle, close }] = useDisclosure(false); const [patient, setPatient] = useState<Patient | undefined>(); const [insurer, setInsurer] = useState<Organization | undefined>(); useEffect(() => { const fetchEligibilityDetails = async (): Promise<void> => { const parsedPatientReference = parseReference(coverage.beneficiary); const parsedInsurerReference = parseReference(coverage.payor[0]); const patientData = (await medplum.readResource(parsedPatientReference[0], parsedPatientReference[1])) as Patient; const insurerData = (await medplum.readResource( parsedInsurerReference[0], parsedInsurerReference[1] )) as Organization; setPatient(patientData); setInsurer(insurerData); }; fetchEligibilityDetails().catch((error) => console.error(error)); }); const onQuestionnaireSubmit = (formData: QuestionnaireResponse): void => { const answers = getQuestionnaireAnswers(formData); const startDate = answers.start.valueDate; const endDate = answers.end.valueDate; const serviceType = answers['service-type'].valueCoding; if (!startDate || !endDate || !serviceType) { throw new Error('Please make sure you have selected valid answers for all questions'); } createEligibilityRequest(startDate, endDate, serviceType).catch((error) => console.error(error)); close(); }; const createEligibilityRequest = async (start: string, end: string, serviceType: Coding): Promise<void> => { if (!patient || !insurer) { throw new Error('Invalid data'); } // Create a `CoverageEligibilityRequest`. For more details on eligibility checks see https://www.medplum.com/docs/billing/insurance-eligibility-checks const eligibilityRequest: CoverageEligibilityRequest = { resourceType: 'CoverageEligibilityRequest', status: 'active', purpose: ['benefits'], patient: { reference: getReferenceString(patient), }, created: new Date().toISOString(), insurer: { reference: getReferenceString(insurer), }, insurance: [ { coverage: { reference: getReferenceString(coverage), }, }, ], item: [ { category: { coding: [serviceType], }, }, ], servicedPeriod: { start, end, }, enterer: { reference: getReferenceString(profile), }, }; try { await medplum.createResource(eligibilityRequest); showNotification({ icon: <IconCircleCheck />, title: 'Success', message: 'Coverage Eligibility Request Created', }); } catch (error) { console.log(normalizeErrorString(error)); showNotification({ color: 'red', icon: <IconCircleOff />, title: 'Error', message: normalizeErrorString(error), }); } }; return ( <div> <Button p="0" fullWidth onClick={toggle}> Initiate Eligibility Request </Button> <Modal opened={opened} onClose={close}> <QuestionnaireForm questionnaire={initiateEligibilityRequestQuestionnaire} onSubmit={onQuestionnaireSubmit} /> </Modal> </div> ); } const initiateEligibilityRequestQuestionnaire: Questionnaire = { resourceType: 'Questionnaire', status: 'active', id: 'initiate-eligibility-request', title: 'Eligibility Request', item: [ { linkId: 'date', type: 'group', item: [ { linkId: 'start', text: 'Starting date of service', type: 'date', required: true, }, { linkId: 'end', text: 'Ending date of service', type: 'date', required: true, }, ], }, { linkId: 'service-type', text: 'What type of service is being provided?', type: 'choice', answerValueSet: 'https://example.org/x12-service-type-codes', required: true, }, ], };