// screen-cfo.jsx — CFO / Admin RCM dashboard (R19) in the app shell. // Hero metric: revenue leakage. Computed live from the store's claims. const PCC_t = window.PCT; const PCC_d = window.PCA; function CFOScreen() { const store = useStore(); const claims = store.state.claims; const mode = store.state.mode; // ── Live KPI calculations ──────────────────────────── const totals = React.useMemo(() => { const billed = claims.reduce((s, c) => s + (c.estimatedCost || 0), 0); const collected = claims.filter(c => c.status === 'SETTLED').reduce((s, c) => s + (c.finalSettled || c.approvedAmount || 0), 0); const inAr = claims.filter(c => ['CLAIM_SUBMITTED','CLAIM_QUERY','PREAUTH_PARTIAL','PREAUTH_APPROVED','ACTIVE_STAY','CLAIM_READY'].includes(c.status)) .reduce((s, c) => s + (c.approvedAmount || c.estimatedCost || 0), 0); // Leakage = idle claims > 48h that need action + SLA breaches + missing items const now = Date.now(); const idle48 = claims.filter(c => ['PREAUTH_QUERY','CLAIM_QUERY'].includes(c.status) && c.queries && c.queries.some(q => q.status === 'OPEN' && (now - q.raisedAt) > 48 * 3600 * 1000) ); const slaBreach = claims.filter(c => c.slaDeadlineAt && c.slaDeadlineAt < now && c.status === 'PREAUTH_SUBMITTED'); const implantMissing = claims.filter(c => (c.charges || []).some(ch => ch.implantMissing)); const leakage = [...idle48, ...slaBreach, ...implantMissing].reduce((s, c) => s + (c.approvedAmount || c.estimatedCost || 0) * 0.15, 0); const approved = claims.filter(c => c.approvedAmount != null && c.approvedAmount > 0).length; const responded = claims.filter(c => c.approvedAmount != null).length; const approvalRate = responded > 0 ? (approved / responded) * 100 : 0; const denied = claims.filter(c => ['PREAUTH_DENIED','DENIED'].includes(c.status)).length; const denialRate = responded > 0 ? (denied / responded) * 100 : 0; const cashless = claims.filter(c => c.claimType === 'CASHLESS').length; const reimb = claims.filter(c => c.claimType === 'REIMBURSEMENT').length; return { billed, collected, inAr, leakage, approvalRate, denialRate, cashlessSplit: cashless ? Math.round(cashless * 100 / (cashless + reimb)) : 0, reimbursementSplit: reimb ? Math.round(reimb * 100 / (cashless + reimb)) : 0, idleClaims: idle48, slaBreaches: slaBreach, implantMissing, }; }, [claims]); // ── Aging by claim age ─────────────────────────────── const aging = React.useMemo(() => { const buckets = [ { label:'0–30', min:0, max:30, amount:0, count:0 }, { label:'31–60', min:31, max:60, amount:0, count:0 }, { label:'61–90', min:61, max:90, amount:0, count:0 }, { label:'90+', min:91, max:9999,amount:0, count:0 }, ]; const now = Date.now(); claims.filter(c => !['SETTLED','CLOSED'].includes(c.status)).forEach(c => { const days = Math.floor((now - c.admittedAt) / (24*3600*1000)); const b = buckets.find(x => days >= x.min && days <= x.max); if (b) { b.amount += c.approvedAmount || c.estimatedCost || 0; b.count += 1; } }); return buckets; }, [claims]); // ── Payer scorecard ────────────────────────────────── const payerScores = React.useMemo(() => { return PCC_d.insurers.map(ins => { const own = claims.filter(c => c.insurer === ins.id); const billed = own.reduce((s, c) => s + (c.estimatedCost || 0), 0); const settled = own.filter(c => c.status === 'SETTLED'); const collected = settled.reduce((s, c) => s + (c.finalSettled || c.approvedAmount || 0), 0); const responded = own.filter(c => c.approvedAmount != null); const approved = responded.filter(c => c.approvedAmount > 0); const approvalRate = responded.length > 0 ? Math.round(approved.length * 100 / responded.length) : 0; const daysToSettle = settled.length > 0 ? Math.round(settled.reduce((s, c) => s + (c.settledAt - c.admittedAt) / (24*3600*1000), 0) / settled.length) : 0; const sla = own.filter(c => c.slaDeadlineAt && c.slaDeadlineAt > 0); const slaPass = sla.length === 0 ? 100 : Math.round(sla.filter(c => c.slaDeadlineAt > c.preauthSubmittedAt + 60 * 60 * 1000).length * 100 / Math.max(sla.length, 1)); return { insurer: ins, billed, collected, approvalRate, daysToSettle, sla: 100 - Math.min(slaPass, 20), claimCount: own.length }; }).filter(p => p.claimCount > 0).sort((a, b) => b.billed - a.billed); }, [claims]); return ( Export } >
10 ? 'warning' : 'success'}/> 0 ? 'error' : 'success'}/>
); } function DateRangeButton() { return (
May 2026 · MTD
); } function HeroStrip({ d }) { return (
Revenue leakage · MTD
{PCC_d.inr(d.leakage)}
Recoverable money sitting idle > 48 hours in claims that need an action. Click a reason on the right to open the worklist.
0 ? `${Math.round(d.collected/d.billed*100)}% of billed` : ''}/> 0 ? `${Math.round(d.inAr/d.billed*100)}% of billed` : ''}/>
); } function HeroNum({ label, value, tone, sub }) { const c = { success: PCC_t.c.success, warning: PCC_t.c.warning, error: PCC_t.c.error }[tone] || PCC_t.c.text; return (
{label}
{PCC_d.inr(value)}
{sub &&
{sub}
}
); } function CashFlowCard({ d }) { // Daily series const days = 26; const series = Array.from({ length: days }, (_, i) => { const billed = 480000 + Math.sin(i * 0.7) * 120000 + (i > 18 ? 80000 : 0); const collected = billed * (0.55 + Math.sin(i * 0.4 + 2) * 0.15); return { day: i + 1, billed, collected }; }); const maxV = Math.max(...series.map(s => s.billed)); return (
Billed vs collected · daily
Billed Collected
1 → 26 May
{series.map(s => (
))}
17142126
); } function Mini({ label, value, sub }) { return (
{label}
{value}
{sub}
); } function AgingCard({ aging }) { const total = aging.reduce((s, b) => s + b.amount, 0); const tones = [PCC_t.c.success, PCC_t.c.accent, PCC_t.c.warning, PCC_t.c.error]; return ( AR aging buckets
{aging.map((b, i) => total > 0 && (
))}
{aging.map((b, i) => (
{b.label} d
0 ? `${(b.amount/total)*100}%` : '0%', background: tones[i], opacity:.65 }}/>
{b.count} clm
))}
); } function PayerScorecard({ scores }) { return (
Payer scorecard
Sorted by billed value
Payer
Billed
Collected
Approval
Claims
{scores.length === 0 && ( )} {scores.map((row, i) => (
{row.billed > 0 &&
{Math.round(row.collected/row.billed*100)}%
}
= 88} bad={row.approvalRate < 80}/>
{row.claimCount}
))} ); } function BarCell({ value, good, bad }) { const tone = good ? PCC_t.c.success : bad ? PCC_t.c.error : PCC_t.c.warning; return (
{value}%
); } function LeakageReasonsCard({ d }) { const reasons = [ { reason:'Idle > 48h after query', count: d.idleClaims.length, amount: d.idleClaims.reduce((s, c) => s + (c.approvedAmount || c.estimatedCost || 0) * 0.2, 0) }, { reason:'Pre-auth SLA breached', count: d.slaBreaches.length, amount: d.slaBreaches.reduce((s, c) => s + (c.estimatedCost || 0) * 0.1, 0) }, { reason:'Missing implant barcode', count: d.implantMissing.length, amount: d.implantMissing.reduce((s, c) => s + (c.approvedAmount || c.estimatedCost || 0) * 0.15, 0) }, { reason:'Tariff overage acknowledged', count: 6, amount: 98000 }, { reason:'Discharge summary incomplete', count: 2, amount: 84000 }, ].filter(r => r.count > 0 || r.amount > 0); return (
Leakage by reason {reasons.length} reasons
{reasons.map((r, i) => (
{r.reason}
{r.count} claim{r.count !== 1 ? 's' : ''}
))}
Open worklist ); } function OpsMetric({ label, value, tone }) { const c = { success: PCC_t.c.success, warning: PCC_t.c.warning, error: PCC_t.c.error }[tone] || PCC_t.c.text; return (
{label}
{value}
 ); } Object.assign(window, { CFOScreen });