npm install playwright

import { chromium } from 'playwright';

const browser = await chromium.launch();
const page = await browser.newPage();

// Navigate to CMS PECOS system
await page.goto('https://www.cms.gov/medicare/forms-notices/cms-forms-list');

// Start new provider enrollment application
await page.click('[data-testid="new-enrollment"]');
await page.selectOption('[name="provider_type"]', 'physician');

// Provider information
await page.fill('[name="npi_number"]', '1234567890');
await page.fill('[name="first_name"]', 'Sarah');
await page.fill('[name="middle_name"]', 'Elizabeth');
await page.fill('[name="last_name"]', 'Williams');
await page.fill('[name="ssn"]', '123-45-6789');
await page.fill('[name="date_of_birth"]', '04/12/1978');

// Contact information
await page.fill('[name="practice_address"]', '456 Medical Plaza, Suite 200');
await page.fill('[name="city"]', 'Houston');
await page.selectOption('[name="state"]', 'TX');
await page.fill('[name="zip"]', '77002');
await page.fill('[name="phone"]', '713-555-0147');
await page.fill('[name="fax"]', '713-555-0148');
await page.fill('[name="email"]', 'swilliams@houstonmedical.com');

// Practice information
await page.fill('[name="practice_name"]', 'Houston Medical Associates');
await page.fill('[name="tax_id"]', '12-3456789');
await page.selectOption('[name="organization_type"]', 'professional_corporation');
await page.fill('[name="group_npi"]', '9876543210');

// Specialty and certification
await page.selectOption('[name="primary_specialty"]', 'internal_medicine');
await page.selectOption('[name="board_certification"]', 'abim');
await page.fill('[name="certification_date"]', '06/15/2005');
await page.fill('[name="certification_expiration"]', '06/15/2025');

// Medical education
await page.fill('[name="medical_school"]', 'Baylor College of Medicine');
await page.fill('[name="graduation_year"]', '2002');
await page.fill('[name="residency_program"]', 'Massachusetts General Hospital');
await page.fill('[name="residency_completion"]', '2005');

// License information
await page.fill('[name="license_number"]', 'TX-M12345');
await page.selectOption('[name="license_state"]', 'TX');
await page.fill('[name="license_issue_date"]', '07/01/2005');
await page.fill('[name="license_expiration"]', '07/01/2026');
await page.check('[name="license_active_status"]');

// Medicare enrollment
await page.selectOption('[name="enrollment_type"]', 'initial');
await page.fill('[name="effective_date"]', '02/01/2025');
await page.check('[name="opt_in_assignment"]');

// Practice locations
await page.click('[data-testid="add-practice-location"]');
await page.fill('[name="location_address"]', '789 Community Health Center');
await page.fill('[name="location_city"]', 'Katy');
await page.selectOption('[name="location_state"]', 'TX');
await page.fill('[name="location_zip"]', '77494');
await page.fill('[name="location_phone"]', '281-555-0199');

// Hospital affiliations
await page.fill('[name="hospital_name"]', 'Memorial Hermann Hospital');
await page.fill('[name="hospital_npi"]', '5555555555');
await page.selectOption('[name="admitting_privileges"]', 'active');

// Malpractice insurance
await page.fill('[name="insurance_carrier"]', 'Texas Medical Liability Trust');
await page.fill('[name="policy_number"]', 'TMLT-2024-789456');
await page.fill('[name="coverage_amount"]', '1000000');
await page.fill('[name="policy_effective']', '01/01/2024');
await page.fill('[name="policy_expiration"]', '12/31/2024');

// Background information
await page.selectOption('[name="felony_conviction"]', 'no');
await page.selectOption('[name="license_revocation"]', 'no');
await page.selectOption('[name="medicare_sanctions"]', 'no');
await page.selectOption('[name="medicaid_exclusion"]', 'no');

// Banking information for EFT
await page.fill('[name="bank_name"]', 'Wells Fargo Bank');
await page.fill('[name="routing_number"]', '111000025');
await page.fill('[name="account_number"]', '1234567890123');
await page.selectOption('[name="account_type"]', 'checking');

// Supporting documentation
await page.click('[data-testid="upload-medical-license"]');
await page.setInputFiles('[name="license_document"]', './documents/tx_medical_license.pdf');
await page.click('[data-testid="upload-board-certification"]');
await page.setInputFiles('[name="certification_document"]', './documents/abim_certificate.pdf');
await page.click('[data-testid="upload-malpractice-insurance"]');
await page.setInputFiles('[name="insurance_document"]', './documents/malpractice_policy.pdf');

// Signature and certification
await page.check('[name="certify_accuracy"]');
await page.check('[name="agree_to_terms"]');
await page.fill('[name="signature_name"]', 'Sarah Elizabeth Williams MD');
await page.fill('[name="signature_title"]', 'Physician');
await page.fill('[name="signature_date"]', '01/20/2025');
await page.click('[data-testid="submit-enrollment"]');

// Download confirmation
await page.click('[data-testid="download-confirmation"]');

await browser.close();