cyclone/src/data/sampleData.ts

import type { Activity, Claim, Provider, Remittance } from "@/types";

export const sampleProviders: Provider[] = [
  {
    npi: "1730187395",
    name: "Cedar Park Family Medicine",
    taxId: "47-3829104",
    address: "1401 Medical Pkwy",
    city: "Cedar Park",
    state: "TX",
    zip: "78613",
    phone: "(512) 555-0142",
    claimCount: 1284,
    outstandingAr: 184320,
  },
  {
    npi: "1528471902",
    name: "Lakeside Orthopedics",
    taxId: "83-1172654",
    address: "900 W Lake Dr",
    city: "Austin",
    state: "TX",
    zip: "78746",
    phone: "(512) 555-0188",
    claimCount: 742,
    outstandingAr: 221540,
  },
  {
    npi: "1982036471",
    name: "Hill Country Pediatrics",
    taxId: "74-5520183",
    address: "205 State Hwy 27",
    city: "Marble Falls",
    state: "TX",
    zip: "78654",
    phone: "(830) 555-0117",
    claimCount: 956,
    outstandingAr: 96210,
  },
];

const payers = [
  "Blue Cross Blue Shield",
  "United Healthcare",
  "Aetna",
  "Cigna",
  "Humana",
  "Medicare",
  "Medicaid TX",
];

const cpts = ["99213", "99214", "99203", "93000", "85025", "80053", "73721", "20610"];

const firstNames = [
  "Avery",
  "Jordan",
  "Riley",
  "Casey",
  "Morgan",
  "Quinn",
  "Reese",
  "Sasha",
  "Drew",
  "Hayden",
];
const lastNames = [
  "Nguyen",
  "Patel",
  "Garcia",
  "Cohen",
  "Okafor",
  "Martinez",
  "Hwang",
  "Brooks",
  "Singh",
  "Tanaka",
];

function rand<T>(arr: T[]): T {
  return arr[Math.floor(Math.random() * arr.length)]!;
}
function daysAgo(n: number): string {
  const d = new Date();
  d.setDate(d.getDate() - n);
  return d.toISOString();
}

function buildClaims(): Claim[] {
  const claims: Claim[] = [];
  for (let i = 0; i < 96; i++) {
    const provider = rand(sampleProviders);
    const status = rand<Claim["status"]>([
      "submitted",
      "accepted",
      "denied",
      "paid",
      "paid",
      "paid",
      "pending",
    ]);
    const billed = 80 + Math.floor(Math.random() * 1400);
    const received =
      status === "paid" ? Math.floor(billed * (0.6 + Math.random() * 0.4))
      : status === "denied" ? 0
      : 0;
    claims.push({
      id: `CLM-${(10428 + i).toString()}`,
      patientName: `${rand(firstNames)} ${rand(lastNames)}`,
      providerNpi: provider.npi,
      payerName: rand(payers),
      cptCode: rand(cpts),
      billedAmount: billed,
      receivedAmount: received,
      status,
      submissionDate: daysAgo(Math.floor(Math.random() * 200)),
      denialReason:
        status === "denied" ?
          rand([
            "CO-97: Service included in another service",
            "CO-16: Claim lacks information",
            "CO-50: Non-covered service",
            "PR-1: Deductible amount",
          ])
        : undefined,
    });
  }
  return claims.sort(
    (a, b) => new Date(b.submissionDate).getTime() - new Date(a.submissionDate).getTime()
  );
}

function buildRemittances(claims: Claim[]): Remittance[] {
  const paid = claims.filter((c) => c.status === "paid");
  return paid.slice(0, 24).map((c, i) => ({
    id: `REM-${(7782 + i).toString()}`,
    claimId: c.id,
    payerName: c.payerName,
    paidAmount: c.receivedAmount,
    adjustmentAmount: Math.max(0, c.billedAmount - c.receivedAmount - 5),
    receivedDate: c.submissionDate,
    checkNumber: `EFT-${100000 + Math.floor(Math.random() * 899999)}`,
    status: rand<Remittance["status"]>(["received", "posted", "reconciled"]),
  }));
}

function buildActivity(claims: Claim[]): Activity[] {
  const events: Activity[] = claims.slice(0, 28).map((c) => {
    const kind: Activity["kind"] =
      c.status === "paid" ? "claim_paid" :
      c.status === "denied" ? "claim_denied" :
      c.status === "accepted" ? "claim_accepted" :
      "claim_submitted";
    return {
      id: `ACT-${c.id}`,
      kind,
      message:
        kind === "claim_paid" ?
          `Paid ${c.id} · ${c.patientName}` :
        kind === "claim_denied" ?
          `Denied ${c.id} · ${c.patientName}` :
        kind === "claim_accepted" ?
          `Accepted ${c.id} · ${c.patientName}` :
          `Submitted ${c.id} · ${c.patientName}`,
      timestamp: c.submissionDate,
      npi: c.providerNpi,
      amount: c.billedAmount,
    };
  });
  return events.sort(
    (a, b) => new Date(b.timestamp).getTime() - new Date(a.timestamp).getTime()
  );
}

const claims = buildClaims();

export const sampleClaims: Claim[] = claims;
export const sampleRemittances: Remittance[] = buildRemittances(claims);
export const sampleActivity: Activity[] = buildActivity(claims);