diff --git a/.gitignore b/.gitignore
new file mode 100644
index 0000000..28a60e1
--- /dev/null
+++ b/.gitignore
@@ -0,0 +1,2 @@
+node_modules
+.cursor
\ No newline at end of file
diff --git a/backend/src/services/cohorts.js b/backend/src/services/cohorts.js
index b77f3a2..0c46df0 100644
--- a/backend/src/services/cohorts.js
+++ b/backend/src/services/cohorts.js
@@ -118,7 +118,7 @@ export async function createManualCohortPatients(cohort, rows, userId) {
       const doc = await OnboardedPatient.create({
         ...applyOnboardedPii({}, row),
         ...placement,
-        paymentStatus: 'Unpaid',
+        paymentStatus: 'Paid',
         onboardedBy: userId,
         reviewStatus: 'confirmed',
         reviewedBy: userId,
diff --git a/frontend/.gitignore b/frontend/.gitignore
new file mode 100644
index 0000000..b512c09
--- /dev/null
+++ b/frontend/.gitignore
@@ -0,0 +1 @@
+node_modules
\ No newline at end of file