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Every route\n * is deterministic: the same inputs always produce the same plans, the same\n * disclosure text, and a confirmation number derived from the payload, so a\n * simulation run and a live demo call tell the same story.\n *\n * Routes (all POST, plain JSON in and out, shaped for Vapi apiRequest tools):\n * /lookup-member Is this caller already on file, and do we sell in their county\n * /recommend-plan Match prescriptions and doctors against the plan catalog\n * /get-disclosure The segmented terms and conditions script for a plan\n * /record-consent Write the consent record, return a confirmation number\n * GET /health Liveness plus the catalog the other routes read from\n */\n\nimport { Hono } from \"npm:hono\";\nimport { cors } from \"npm:hono/cors\";\n\nconst app = new Hono();\napp.use(\"*\", cors());\n\n// ---------------------------------------------------------------------------\n// Catalog\n// ---------------------------------------------------------------------------\n\ntype Plan = {\n planId: string;\n name: string;\n type: string;\n monthlyPremium: number;\n annualDeductible: number;\n maxOutOfPocket: number;\n formulary: string[];\n network: string[];\n highlights: string[];\n};\n\nconst PLANS: Plan[] = [\n {\n planId: \"SYN-ADV-PLUS\",\n name: \"Synergy Advantage Plus\",\n type: \"Medicare Advantage PPO\",\n monthlyPremium: 0,\n annualDeductible: 0,\n maxOutOfPocket: 4900,\n formulary: [\n \"atorvastatin\", \"lisinopril\", \"metformin\", \"levothyroxine\",\n \"amlodipine\", \"losartan\", \"gabapentin\", \"omeprazole\", \"eliquis\",\n ],\n network: [\n \"mercy general\", \"st. anne's\", \"riverside medical group\",\n \"miller\", \"reed\", \"brooks\", \"carter\", \"walsh\",\n ],\n highlights: [\n \"zero dollar monthly premium\",\n \"dental, vision and hearing included\",\n \"forty dollar quarterly over-the-counter allowance\",\n ],\n },\n {\n planId: \"SYN-SEC-CHOICE\",\n name: \"Synergy Secure Choice\",\n type: \"Medicare Advantage HMO\",\n monthlyPremium: 28,\n annualDeductible: 0,\n maxOutOfPocket: 3400,\n formulary: [\n \"atorvastatin\", \"lisinopril\", \"metformin\", \"levothyroxine\",\n \"amlodipine\", \"losartan\", \"gabapentin\", \"omeprazole\",\n \"eliquis\", \"jardiance\", \"ozempic\", \"xarelto\", \"trulicity\",\n ],\n network: [\n \"mercy general\", \"st. anne's\", \"riverside medical group\",\n \"lakeshore cardiology\", \"miller\", \"reed\", \"brooks\",\n \"carter\", \"walsh\", \"hayes\", \"bennett\",\n ],\n highlights: [\n \"lower out-of-pocket maximum\",\n \"broader specialty drug coverage\",\n \"primary care referrals required\",\n ],\n },\n {\n planId: \"SYN-SUPP-G\",\n name: \"Synergy Supplement Plan G\",\n type: \"Medicare Supplement\",\n monthlyPremium: 142,\n annualDeductible: 257,\n maxOutOfPocket: 257,\n formulary: [],\n network: [],\n highlights: [\n \"any provider that accepts Medicare\",\n \"no network restrictions\",\n \"prescription coverage sold separately as Part D\",\n ],\n },\n];\n\nconst ZIP_COUNTY: Record = {\n \"85251\": \"Maricopa County, AZ\",\n \"85254\": \"Maricopa County, AZ\",\n \"60614\": \"Cook County, IL\",\n \"60640\": \"Cook County, IL\",\n \"39401\": \"Forrest County, MS\",\n \"33139\": \"Miami-Dade County, FL\",\n};\n\n/** ZIPs we deliberately do not serve, so the \"out of area\" path is demoable. */\nconst UNSERVED = new Set([\"33139\"]);\n\n/** Members already on file. Keyed lowercase \"last,zip\". */\nconst MEMBERS: Record = {\n \"alvarez,85251\": { memberId: \"SYN-448201\", status: \"active\", currentPlan: \"SYN-ADV-PLUS\" },\n \"brennan,60614\": { memberId: \"SYN-501773\", status: \"lapsed\", currentPlan: \"SYN-SUPP-G\" },\n};\n\n// ---------------------------------------------------------------------------\n// Disclosure scripts\n// ---------------------------------------------------------------------------\n\n/**\n * Six segments standing in for the ~15 minute CMS-style script Synergy reads\n * today. Production would pull the approved text for the plan year rather than\n * hold it here, but the shape is the same: ordered, titled, read verbatim.\n */\nconst DISCLOSURE: Record = {\n DEFAULT: [\n {\n title: \"Enrollment authorization\",\n text:\n \"By continuing, you are authorizing Synergy Insurance to submit an enrollment request on your behalf. \" +\n \"This is not a binding contract. Your enrollment is not effective until the Centers for Medicare and Medicaid Services confirms it.\",\n },\n {\n title: \"Effective date\",\n text:\n \"Coverage begins on the first day of the month following approval. \" +\n \"You remain responsible for any premiums or cost sharing under your current plan until that date.\",\n },\n {\n title: \"Provider network\",\n text:\n \"Provider networks can change during the plan year. \" +\n \"Synergy will notify you in writing at least thirty days before a provider leaves the network, \" +\n \"and you may change plans during an applicable enrollment period.\",\n },\n {\n title: \"Prescription drug coverage\",\n text:\n \"The formulary, meaning the list of covered drugs, can change during the plan year. \" +\n \"If a drug you take is removed, you will receive written notice and a transition supply of up to one month.\",\n },\n {\n title: \"Your right to cancel\",\n text:\n \"You may cancel this enrollment at any time before the effective date without penalty by calling the number on your confirmation letter. \" +\n \"After the effective date, changes are limited to Medicare enrollment periods.\",\n },\n {\n title: \"Recording and consent\",\n text:\n \"This call is being recorded for quality and compliance purposes, and the recording is retained for ten years as required by federal regulation. \" +\n \"Do you understand and agree to everything I have just read?\",\n },\n ],\n};\n\nDISCLOSURE[\"SYN-SUPP-G\"] = DISCLOSURE.DEFAULT.filter(\n (segment) => segment.title !== \"Prescription drug coverage\",\n);\n\n// ---------------------------------------------------------------------------\n// Helpers\n// ---------------------------------------------------------------------------\n\nconst norm = (value: unknown): string => String(value ?? \"\").trim().toLowerCase();\n\nconst asList = (value: unknown): string[] => {\n if (Array.isArray(value)) return value.map(norm).filter(Boolean);\n if (typeof value === \"string\") {\n return value.split(/[,;]|\\band\\b/).map(norm).filter(Boolean);\n }\n return [];\n};\n\n/** Last name only, so \"Dr. Miller\" and \"Doctor Anne Miller\" both match \"miller\". */\nconst lastNameOf = (name: string): string => {\n const cleaned = name.replace(/\\b(dr|doctor|md|do)\\b\\.?/g, \"\").trim();\n const parts = cleaned.split(/\\s+/).filter(Boolean);\n return parts.length ? parts[parts.length - 1] : cleaned;\n};\n\n/** Deterministic confirmation number, so a replayed demo shows the same value. */\nconst confirmationNumber = (seed: string): string => {\n let hash = 0;\n for (const char of seed) hash = (hash * 31 + char.charCodeAt(0)) >>> 0;\n return `SYN-${String(hash % 900000 + 100000)}`;\n};\n\nconst bodyRead = async (c: { req: { json: () => Promise } }): Promise> => {\n try {\n const parsed = await c.req.json();\n return (parsed && typeof parsed === \"object\") ? parsed as Record : {};\n } catch {\n return {};\n }\n};\n\n// ---------------------------------------------------------------------------\n// Routes\n// ---------------------------------------------------------------------------\n\napp.post(\"/lookup-member\", async (c) => {\n const body = await bodyRead(c);\n const lastName = norm(body.lastName);\n const zip = String(body.zip ?? \"\").replace(/\\D/g, \"\").slice(0, 5);\n const county = ZIP_COUNTY[zip] ?? null;\n\n if (!zip || zip.length !== 5) {\n return c.json({\n ok: false,\n reason: \"invalid_zip\",\n message: \"A five digit ZIP code is required to check the service area.\",\n }, 200);\n }\n\n if (UNSERVED.has(zip) || !county) {\n return c.json({\n ok: true,\n inServiceArea: false,\n county,\n message: county\n ? `Synergy is not licensed in ${county} for the current plan year.`\n : \"That ZIP code is outside every county Synergy is licensed in.\",\n });\n }\n\n const existing = MEMBERS[`${lastName},${zip}`];\n\n return c.json({\n ok: true,\n inServiceArea: true,\n county,\n existingMember: Boolean(existing),\n memberId: existing?.memberId ?? null,\n memberStatus: existing?.status ?? \"prospect\",\n currentPlanId: existing?.currentPlan ?? null,\n });\n});\n\napp.post(\"/recommend-plan\", async (c) => {\n const body = await bodyRead(c);\n const zip = String(body.zip ?? \"\").replace(/\\D/g, \"\").slice(0, 5);\n const medications = asList(body.medications);\n const doctors = asList(body.doctors).map(lastNameOf);\n const county = ZIP_COUNTY[zip] ?? null;\n\n if (!county || UNSERVED.has(zip)) {\n return c.json({\n ok: false,\n reason: \"out_of_area\",\n message: \"No plans are available in that ZIP code for the current plan year.\",\n }, 200);\n }\n\n const scored = PLANS.map((plan) => {\n const isSupplement = plan.type === \"Medicare Supplement\";\n\n const coveredDrugs = medications.filter((med) =>\n plan.formulary.some((f) => med.includes(f) || f.includes(med))\n );\n const uncoveredDrugs = medications.filter((med) => !coveredDrugs.includes(med));\n\n const inNetworkDoctors = doctors.filter((doc) =>\n plan.network.some((n) => n.includes(doc) || doc.includes(n))\n );\n const outOfNetworkDoctors = doctors.filter((doc) => !inNetworkDoctors.includes(doc));\n\n // A supplement has no network or formulary to miss, so it never loses\n // points on coverage. It loses on premium instead, which is the real\n // tradeoff a licensed agent would walk the caller through.\n const drugScore = isSupplement\n ? 0\n : (medications.length ? coveredDrugs.length / medications.length : 1) * 50;\n const networkScore = isSupplement\n ? 40\n : (doctors.length ? inNetworkDoctors.length / doctors.length : 1) * 40;\n const premiumScore = Math.max(0, 20 - plan.monthlyPremium / 10);\n\n return {\n planId: plan.planId,\n name: plan.name,\n type: plan.type,\n monthlyPremium: plan.monthlyPremium,\n annualDeductible: plan.annualDeductible,\n maxOutOfPocket: plan.maxOutOfPocket,\n highlights: plan.highlights,\n coveredDrugs,\n uncoveredDrugs,\n inNetworkDoctors,\n outOfNetworkDoctors,\n matchScore: Math.round(drugScore + networkScore + premiumScore),\n };\n }).sort((a, b) => b.matchScore - a.matchScore);\n\n const top = scored.slice(0, 2);\n\n return c.json({\n ok: true,\n county,\n evaluated: { medications, doctors },\n recommendedPlanId: top[0].planId,\n plans: top,\n });\n});\n\napp.post(\"/get-disclosure\", async (c) => {\n const body = await bodyRead(c);\n const planId = String(body.planId ?? \"\").toUpperCase();\n const plan = PLANS.find((p) => p.planId === planId);\n\n // The model is required to send a planId and the schema offers an enum, so\n // with nothing in context it will otherwise pick the first member and read a\n // different plan's legal script. NOT_PROVIDED is the explicit escape hatch,\n // and the response is written as an instruction because a tool result beats\n // the system prompt.\n if (!planId || planId === \"NOT_PROVIDED\") {\n return c.json({\n ok: false,\n reason: \"plan_not_supplied\",\n next_step:\n \"You were not given a plan. Do NOT read any disclosure and do NOT pick a plan yourself. Ask the caller which Synergy plan they are enrolling in today, wait for their answer, then call this tool again with that plan.\",\n message: \"No plan was supplied, so no disclosure can be retrieved.\",\n }, 200);\n }\n\n if (!plan) {\n return c.json({\n ok: false,\n reason: \"unknown_plan\",\n next_step:\n \"That plan id is not on file. Do NOT read any disclosure. Ask the caller to confirm which Synergy plan they are enrolling in, then call this tool again.\",\n message: `No disclosure script is on file for plan ${planId}.`,\n }, 200);\n }\n\n const segments = (DISCLOSURE[planId] ?? DISCLOSURE.DEFAULT).map((segment, index) => ({\n index: index + 1,\n title: segment.title,\n text: segment.text,\n }));\n\n return c.json({\n ok: true,\n planId,\n planName: plan.name,\n totalSegments: segments.length,\n segments,\n });\n});\n\napp.post(\"/record-consent\", async (c) => {\n const body = await bodyRead(c);\n const planId = String(body.planId ?? \"\").toUpperCase();\n const memberName = String(body.memberName ?? \"\").trim();\n const consented = body.consented === true || norm(body.consented) === \"true\";\n const segmentsCompleted = Number(body.segmentsCompleted ?? 0) || 0;\n const outcome = String(body.outcome ?? (consented ? \"consented\" : \"declined\"));\n\n if (!planId || !memberName) {\n return c.json({\n ok: false,\n reason: \"missing_fields\",\n message: \"planId and memberName are both required to write a consent record.\",\n }, 200);\n }\n\n // A model-assembled field landing in a compliance record needs validating,\n // not trusting. Observed live: the agent wrote the literal string\n // \"{{memberName}}\" into a consent record when the call carried no variables\n // at all (variableSubstitute returns the template unchanged in that case),\n // and wrote the placeholder \"not provided\" as though it were a name.\n const looksUnresolved =\n /\\{\\{|\\}\\}/.test(memberName) ||\n [\"not provided\", \"not_provided\", \"unknown\", \"n/a\", \"none\"].includes(norm(memberName));\n\n if (looksUnresolved) {\n return c.json({\n ok: false,\n reason: \"member_name_unresolved\",\n received: memberName,\n next_step:\n \"The caller name you sent is a placeholder, not a real name. Do not write it. Ask the caller for their full name, then call this tool again with what they tell you.\",\n message: \"No consent was recorded because the caller name was not a real name.\",\n }, 200);\n }\n\n // Compliance gate, enforced here rather than in the prompt. Three rounds of\n // prompt rules failed to stop the agent accepting consent after reading two\n // of six segments when a caller pushed, which is a model ceiling, not a\n // wording problem. A tool result beats the system prompt, so the refusal and\n // the instruction both live in the response.\n const plan = PLANS.find((p) => p.planId === planId);\n const required = plan ? (DISCLOSURE[planId] ?? DISCLOSURE.DEFAULT).length : 0;\n\n if (consented && required && segmentsCompleted < required) {\n return c.json({\n ok: false,\n reason: \"disclosure_incomplete\",\n segmentsCompleted,\n segmentsRequired: required,\n next_step:\n `Consent cannot be recorded yet. Only ${segmentsCompleted} of ${required} required disclosure segments have been read aloud. ` +\n `Tell the caller warmly that you have a little more to read before you can accept their agreement, then read segment ${segmentsCompleted + 1} word for word and continue in order. ` +\n `Do not call this tool again with consented true until all ${required} segments have been read.`,\n message: \"The disclosure is not complete, so no consent was recorded.\",\n }, 200);\n }\n\n const recordedAt = new Date().toISOString();\n const confirmation = confirmationNumber(`${planId}|${memberName}|${outcome}`);\n\n return c.json({\n ok: true,\n confirmationNumber: confirmation,\n planId,\n memberName,\n outcome,\n consented,\n segmentsCompleted,\n recordedAt,\n message: consented\n ? `Consent recorded. Confirmation number ${confirmation}.`\n : `Declination recorded. Reference number ${confirmation}. No enrollment was submitted.`,\n });\n});\n\n/**\n * Drug cost lookup. Added during a Composer walkthrough, because the disclosure\n * reader had no way to answer \"what does this cost me\" and was transferring\n * instead. Tier and copay are derived from the plan's formulary position so the\n * answer stays consistent with what recommend-plan already told the caller.\n */\napp.post(\"/drug-cost\", async (c) => {\n const body = await bodyRead(c);\n const planId = String(body.planId ?? \"\").toUpperCase();\n const drugName = norm(body.drugName);\n const plan = PLANS.find((p) => p.planId === planId);\n\n if (!plan) {\n return c.json({\n ok: false,\n reason: \"unknown_plan\",\n message: `No formulary is on file for plan ${planId || \"(none supplied)\"}.`,\n }, 200);\n }\n\n if (!drugName) {\n return c.json({\n ok: false,\n reason: \"missing_drug\",\n message: \"A drug name is required to look up a cost.\",\n }, 200);\n }\n\n // A supplement carries no formulary at all, which is a real answer rather\n // than a miss, and it is the one the caller most needs to hear.\n if (plan.type === \"Medicare Supplement\") {\n return c.json({\n ok: true,\n planId,\n planName: plan.name,\n drugName,\n covered: false,\n reason: \"no_drug_benefit\",\n message:\n `${plan.name} does not include prescription drug coverage. Drug costs are billed under a separate Part D plan.`,\n });\n }\n\n const index = plan.formulary.findIndex(\n (f) => drugName.includes(f) || f.includes(drugName),\n );\n\n if (index === -1) {\n return c.json({\n ok: true,\n planId,\n planName: plan.name,\n drugName,\n covered: false,\n tier: null,\n message:\n `${drugName} is not on the ${plan.name} formulary for this plan year. A licensed agent can check for a covered alternative.`,\n });\n }\n\n // Earlier in the formulary means a lower, cheaper tier. Deterministic, so a\n // replayed demo and a simulation quote the same number.\n const tier = index < 4 ? 1 : index < 8 ? 2 : 3;\n const copay30Day = tier === 1 ? 0 : tier === 2 ? 12 : 47;\n\n return c.json({\n ok: true,\n planId,\n planName: plan.name,\n drugName,\n covered: true,\n tier,\n tierLabel: tier === 1 ? \"preferred generic\" : tier === 2 ? \"generic\" : \"preferred brand\",\n copay30Day,\n copay90DayMailOrder: copay30Day === 0 ? 0 : copay30Day * 2,\n priorAuthRequired: tier === 3,\n message:\n copay30Day === 0\n ? `${drugName} is a tier 1 preferred generic on ${plan.name}, with a zero dollar copay for a thirty day supply.`\n : `${drugName} is tier ${tier} on ${plan.name}, at ${copay30Day} dollars for a thirty day supply.`,\n });\n});\n\napp.get(\"/health\", (c) =>\n c.json({\n ok: true,\n service: \"synergy-insurance-demo-backend\",\n routes: [\"/lookup-member\", \"/recommend-plan\", \"/get-disclosure\", \"/record-consent\", \"/drug-cost\"],\n plans: PLANS.map((p) => ({ 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