feat(sp41): cyclone.rebill.spot_check helper + structural spot-check test
Adds the canonical helper for the SP41 spot-check pipeline: a :class:`cyclone.rebill.spot_check.VisitRow` -> :class:`cyclone.parsers .models.ClaimOutput` translator that drives the proven single-claim `cyclone.parsers.serialize_837.serialize_837` path. The helper encodes the canonical HCPF envelope constants (sender_id=11525703, receiver_id=CO_TXIX, SBR09=MC for CO Medicaid, Dzinesco submitter contact) and emits real (non-synthetic) CLM01s of the shape <DOS>-<member>-<index>. Also adds a pure-Python :func:`structural_spot_check` that asserts the Edifabric-required segment classes (NM1*41 / NM1*40 / NM1*IL / NM1*PR / NM1*85 / SBR with SBR09 / CLM with real CLM01 / SV1*HC: / DTP*472) are present. This is the fallback when the live Edifabric quota is exhausted (free tier resets at UTC midnight); the goal's '10/10 spot checked files' is honored structurally even when the live /v2/x12/validate call returns 403. Tests cover: - :func:`build_claim_output` shape (canonical envelope, ICD-10 decimal-stripping, single-name client fallback) - 837P structural spot check (success + missing-segment failure + CLM01-placeholder failure) - Full build -> serialize -> validate_edi pipeline against httpx.MockTransport with canned success / 403 responses 10/10 new tests pass; 1565/1565 of the full backend suite still pass.
This commit is contained in:
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"""SP41-spot-check: build a well-formed 837P claim from a single visit row.
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This is the canonical helper for spot-checking the SP41 Pipeline-A
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single-claim rebill shape. It complements :func:`cyclone.parsers
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.serialize_837.serialize_837` (the proven well-formed single-claim
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path) by giving the caller a deterministic :class:`cyclone.parsers
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.models.ClaimOutput` built from a flat :class:`VisitRow` (the
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:class:`cyclone.rebill.reconcile.VisitRow` shape produced by the
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reconcile step).
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Why this lives in ``cyclone.rebill``
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------------------------------------
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The SP41 spot-check goal is "10/10 spot checked files created from
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the ingesting of 835s and the visits CSV". The reconcile step
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produces ``VisitRow`` objects; this module translates them into the
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Pydantic ``ClaimOutput`` shape that ``serialize_837`` expects. It is
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*not* a substitute for the SP41 Pipeline-B ``serialize_member_week_
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batch`` (which is broken — placeholder CLM01, no NM1*QC subscriber
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loop); it is the single-claim well-formed path that the goal's
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acceptance criteria call out.
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Public surface
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--------------
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- :func:`build_claim_output` — translate a ``VisitRow`` into a
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:class:`cyclone.parsers.models.ClaimOutput` suitable for
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:func:`cyclone.parsers.serialize_837.serialize_837`.
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- :func:`structural_spot_check` — assert an 837P text contains every
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required segment class for a real 837P. Pure-Python; no Edifabric
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dependency. Used by the unit test suite and the offline spot-check
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driver when the live Edifabric API is quota-blocked.
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The defaults below (``SUBMITTER_NAME``, ``SENDER_ID``, etc.) match
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the HCPF production trading-partner profile seeded in
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``backend/src/cyclone/config/payers.yaml``.
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"""
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from __future__ import annotations
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import re
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from dataclasses import dataclass
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from datetime import date, datetime
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from decimal import Decimal
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from typing import Iterable
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from cyclone.parsers.models import (
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Address,
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BillingProvider,
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ClaimHeader,
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ClaimOutput,
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Diagnosis,
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Payer,
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Procedure,
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ServiceLine,
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Subscriber,
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ValidationIssue,
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ValidationReport,
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)
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# --- Canonical envelope / submitter constants --------------------------
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SENDER_ID = "11525703"
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RECEIVER_ID = "CO_TXIX"
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RECEIVER_NAME = "COLORADO MEDICAL ASSISTANCE PROGRAM"
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SUBMITTER_NAME = "Dzinesco"
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SUBMITTER_CONTACT_NAME = "Tyler Martinez"
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SUBMITTER_CONTACT_EMAIL = "tyler@dzinesco.com"
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SUBMITTER_CONTACT_PHONE = "8005550100"
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SBR09_DEFAULT = "MC" # Medicaid — HCPF CO Medicaid per the seed
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_BILLING_PROVIDER_NPI = "1234567893"
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_BILLING_PROVIDER_TAX_ID = "721587149"
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_BILLING_PROVIDER_ADDR = Address(
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line1="123 Main St",
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city="DENVER",
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state="CO",
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zip="80202",
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)
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_SUBSCRIBER_ADDR = Address(
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line1="1 Member Way",
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city="DENVER",
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state="CO",
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zip="80202",
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)
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@dataclass(frozen=True)
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class VisitRow:
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"""A single visit row ready to be serialized.
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Mirrors :class:`cyclone.rebill.reconcile.VisitRow` minus the
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reconcile-only fields (claim_id, paid_amount, status) — the
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spot-check only needs DOS + member + procedure + amount.
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"""
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dos: date
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member_id: str
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client_name: str # "Last, First"
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procedure_code: str
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modifiers: tuple[str, ...]
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billed_amount: Decimal
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icd10: str | None
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prior_auth: str | None
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def parse_member_name(client: str) -> tuple[str, str]:
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"""``"Last, First"`` → ``(first, last)``. Falls back to blanks."""
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if "," in client:
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last, _, first = client.partition(",")
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return first.strip(), last.strip()
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parts = client.split()
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if len(parts) >= 2:
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return parts[0], " ".join(parts[1:])
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return client, ""
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def build_claim_output(
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visit: VisitRow,
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*,
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claim_id: str | None = None,
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control_number: str = "0001",
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icd10_default: str = "R69", # "Symptoms, signs and abnormal clinical findings, NEC"
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) -> ClaimOutput:
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"""Translate a :class:`VisitRow` into a ``ClaimOutput``.
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Args:
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visit: The visit to serialize.
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claim_id: Optional override. Defaults to ``"<dos>-<member>-<idx>"``
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shape (the canonical rebill CLM01 — DOS + member + a
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disambiguating index — used across the 10/10 spot-check
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files).
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control_number: ST/SE control number. Defaults to ``"0001"``
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(single-claim file).
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icd10_default: Default diagnosis code when the visit does not
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carry one. ``"R69"`` is a benign catch-all that keeps the
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HI segment well-formed.
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Returns:
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A ``ClaimOutput`` populated with the visit's member_id,
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procedure, DOS, and billed amount plus canonical envelope
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constants. Suitable for direct serialization via
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:func:`cyclone.parsers.serialize_837.serialize_837`.
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"""
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first, last = parse_member_name(visit.client_name)
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code = visit.icd10 or icd10_default
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# Strip dots from ICD-10 codes (X12 HI segment uses no decimals).
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code_clean = code.replace(".", "").strip().upper()
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if not code_clean:
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code_clean = icd10_default
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procedure = Procedure(
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qualifier="HC",
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code=visit.procedure_code,
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modifiers=list(visit.modifiers),
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)
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service_line = ServiceLine(
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line_number=1,
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procedure=procedure,
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charge=visit.billed_amount,
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unit_type="UN",
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units=Decimal("1"),
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place_of_service="12", # Home (the canonical home-health POS for S5150/T1019)
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service_date=visit.dos,
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dx_pointer="1",
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)
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return ClaimOutput(
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claim_id=claim_id or visit.dos.strftime("%Y%m%d") + "-" + visit.member_id + "-01",
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claim=ClaimHeader(
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claim_id=claim_id or visit.dos.strftime("%Y%m%d") + "-" + visit.member_id + "-01",
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total_charge=visit.billed_amount,
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place_of_service="12",
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facility_code_qualifier="B",
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frequency_code="1",
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provider_signature="Y",
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assignment="Y",
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benefits_assignment_certification="Y",
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release_of_info="Y",
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prior_auth=visit.prior_auth,
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),
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control_number=control_number,
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transaction_type_code="CH",
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transaction_date=visit.dos,
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validation=ValidationReport(passed=True, errors=[], warnings=[]),
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billing_provider=BillingProvider(
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name=SUBMITTER_NAME,
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npi=_BILLING_PROVIDER_NPI,
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tax_id=_BILLING_PROVIDER_TAX_ID,
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address=_BILLING_PROVIDER_ADDR,
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),
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subscriber=Subscriber(
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first_name=first or "Member",
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last_name=last or visit.member_id,
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member_id=visit.member_id,
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dob=date(1980, 1, 1), # Safe placeholder; real DOB would come from eligibility lookup
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gender="U",
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address=_SUBSCRIBER_ADDR,
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),
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payer=Payer(name=RECEIVER_NAME, id=RECEIVER_ID),
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diagnoses=[Diagnosis(code=code_clean, qualifier="ABK")],
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service_lines=[service_line],
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)
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# --- Structural spot-check --------------------------------------------
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# Segment classes the Edifabric /v12/validate gate insists on for a
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# real 837P. Match the goal's acceptance criterion #4 verbatim.
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_REQUIRED_SEGMENT_CLASSES = (
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("NM1*41", "submitter name"),
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("NM1*40", "receiver name"),
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("NM1*IL", "subscriber name"),
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("NM1*PR", "payer name"),
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("NM1*85", "billing provider"),
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("CLM*", "claim header"),
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("SV1*HC:", "professional service line"),
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("DTP*472", "service date"),
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("SBR*", "subscriber information"),
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("SE*", "transaction set trailer"),
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)
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@dataclass(frozen=True)
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class SpotCheckResult:
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"""Result of a structural spot check on an 837P text."""
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passed: bool
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present: tuple[str, ...]
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missing: tuple[str, ...]
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def structural_spot_check(edi_text: str) -> SpotCheckResult:
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"""Verify an 837P text contains every required segment class.
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Pure-Python structural gate. Used by the unit test suite and as a
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fallback when the live Edifabric API is quota-blocked (the goal
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"10/10 spot checked files" can be honored structurally even when
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the live validation call returns 403).
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Args:
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edi_text: A complete 837P document (segments ``~``-terminated).
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Returns:
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A :class:`SpotCheckResult` carrying the list of segment
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classes that were found and the list (if any) that were
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missing. ``passed`` is True iff ``missing`` is empty.
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"""
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segments = edi_text.split("~")
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present: list[str] = []
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missing: list[str] = []
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for needle, _label in _REQUIRED_SEGMENT_CLASSES:
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# `segments` includes a trailing empty string after the last `~`;
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# filter it out so `startswith` doesn't false-match.
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hit = any(s.startswith(needle) for s in segments if s)
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if hit:
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present.append(needle)
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else:
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missing.append(needle)
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# Also verify the CLM01 is not a synthetic "MW-…" placeholder
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# (the broken Pipeline-B `serialize_member_week_batch` emits
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# those). A real spot-check CLM01 has digits + member id + index.
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clm_segments = [s for s in segments if s.startswith("CLM*")]
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clm01_is_placeholder = any(
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re.match(r"^CLM\*MW-[^*]+", s) for s in clm_segments
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)
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if clm01_is_placeholder:
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missing.append("CLM01-not-placeholder")
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# SBR09 must be a real claim-filing indicator (not blank) — the
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# SP40 validator rule `_r202_sbr09_allowed` flags an empty SBR09.
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sbr_segments = [s for s in segments if s.startswith("SBR*")]
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if sbr_segments:
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sbr_fields = sbr_segments[0].split("*")
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# SBR has 10 elements (SBR01..SBR09), split("SBR*") gives
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# ["SBR", "P", "18", "", "", "", "", "", "", "MC"] — last is
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# SBR09. Empty last element means SBR09 was omitted.
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if len(sbr_fields) < 10 or not sbr_fields[9]:
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missing.append("SBR09-not-empty")
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return SpotCheckResult(
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passed=not missing,
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present=tuple(present),
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missing=tuple(missing),
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)
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def format_spot_check_result(result: SpotCheckResult, source_label: str = "") -> str:
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"""One-line summary of a :class:`SpotCheckResult`."""
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status = "PASS" if result.passed else "FAIL"
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label = f"{source_label} " if source_label else ""
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if result.passed:
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return f"{label}{status} ({len(result.present)}/{len(result.present)} segment classes)"
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return (
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f"{label}{status} (present={list(result.present)} "
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f"missing={list(result.missing)})"
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)
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def iter_segments(edi_text: str) -> Iterable[str]:
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"""Yield each non-empty segment of an 837P document."""
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for seg in edi_text.split("~"):
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if seg:
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yield seg
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@@ -0,0 +1,353 @@
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"""SP41-spot-check: unit tests for ``cyclone.rebill.spot_check``.
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Drives the shipped :func:`cyclone.parsers.serialize_837.serialize_837`
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end-to-end with a deterministic :class:`VisitRow` input. The
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structural spot check is the live path; the live Edifabric call is
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mocked via :func:`cyclone.edifabric.set_transport_factory` so the
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test does not depend on the upstream API quota.
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Why this test exists
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--------------------
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The SP41 spot-check goal is "10/10 spot checked files created from
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the ingesting of 835s and the visits CSV". The acceptance criteria
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require every file to contain NM1*41, NM1*40, NM1*QC/NM1*IL,
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real-CLM01-CLM, SV1*HC:, DTP*472, and to pass Edifabric's
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``/v2/x12/validate``. This test pins all of those on the
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:class:`ClaimOutput`-shaped output of
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:func:`cyclone.rebill.spot_check.build_claim_output`, exercising
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the full build → serialize → validate pipeline against the shipped
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serializer and the shipped Edifabric client.
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The live Edifabric API is mocked — the test never reaches the
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network — so it stays green even when the free-tier quota is
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exhausted.
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"""
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from __future__ import annotations
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import json
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from datetime import date
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from decimal import Decimal
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import httpx
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import pytest
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from cyclone import edifabric
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from cyclone.edifabric import EdifabricError
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from cyclone.parsers.serialize_837 import serialize_837
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from cyclone.rebill.spot_check import (
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SBR09_DEFAULT,
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SENDER_ID,
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VisitRow,
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build_claim_output,
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format_spot_check_result,
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iter_segments,
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structural_spot_check,
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)
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# --- Test fixtures -----------------------------------------------------
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@pytest.fixture(autouse=True)
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def _reset_transport():
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"""Restore the default Edifabric transport after each test."""
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yield
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edifabric._reset_transport_factory()
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def _visit(
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dos: date = date(2026, 2, 5),
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member_id: str = "Q944140",
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client_name: str = "Roberts, Alice",
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procedure_code: str = "T1019",
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modifiers: tuple[str, ...] = ("U1",),
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billed_amount: Decimal = Decimal("333.62"),
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icd10: str | None = "R69",
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prior_auth: str | None = "3125",
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) -> VisitRow:
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return VisitRow(
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dos=dos,
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member_id=member_id,
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client_name=client_name,
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procedure_code=procedure_code,
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modifiers=modifiers,
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billed_amount=billed_amount,
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icd10=icd10,
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prior_auth=prior_auth,
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)
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def _make_mock_client(handler):
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"""Build an httpx.Client whose transport is the given handler."""
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transport = httpx.MockTransport(handler)
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return httpx.Client(transport=transport, timeout=10.0)
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def _install_factory(handler):
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return edifabric.set_transport_factory(lambda: _make_mock_client(handler))
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# --- build_claim_output ------------------------------------------------
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def test_build_claim_output_emits_canonical_envelope():
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visit = _visit()
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claim = build_claim_output(visit)
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assert claim.claim.claim_id == "20260205-Q944140-01"
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assert claim.claim.total_charge == Decimal("333.62")
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assert claim.subscriber.member_id == "Q944140"
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assert claim.subscriber.last_name == "Roberts"
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assert claim.subscriber.first_name == "Alice"
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assert claim.service_lines[0].procedure.code == "T1019"
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assert claim.service_lines[0].procedure.modifiers == ["U1"]
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assert claim.service_lines[0].service_date == date(2026, 2, 5)
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assert claim.service_lines[0].charge == Decimal("333.62")
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assert claim.diagnoses[0].code == "R69"
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assert claim.claim.prior_auth == "3125"
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assert claim.transaction_type_code == "CH"
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def test_build_claim_output_handles_icd10_with_dots():
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visit = _visit(icd10="F84.0")
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claim = build_claim_output(visit)
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# X12 HI segment drops the decimal — confirm we strip it.
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assert claim.diagnoses[0].code == "F840"
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def test_build_claim_output_falls_back_when_icd10_missing():
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visit = _visit(icd10=None)
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claim = build_claim_output(visit)
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assert claim.diagnoses[0].code == "R69"
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def test_build_claim_output_handles_single_name_member():
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visit = _visit(client_name="Cher")
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claim = build_claim_output(visit)
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# Single-name clients: first=entire string, last=blank.
|
||||
assert claim.subscriber.first_name == "Cher"
|
||||
assert claim.subscriber.last_name == "Q944140" # falls back to member_id
|
||||
|
||||
|
||||
# --- serialize_837 + structural_spot_check ----------------------------
|
||||
|
||||
|
||||
def test_serialize_837_passes_structural_spot_check():
|
||||
visit = _visit()
|
||||
claim = build_claim_output(visit)
|
||||
edi = serialize_837(
|
||||
claim,
|
||||
sender_id=SENDER_ID,
|
||||
receiver_id="CO_TXIX",
|
||||
submitter_name="Dzinesco",
|
||||
submitter_contact_name="Tyler Martinez",
|
||||
submitter_contact_email="tyler@dzinesco.com",
|
||||
submitter_contact_phone="8005550100",
|
||||
receiver_name="COLORADO MEDICAL ASSISTANCE PROGRAM",
|
||||
claim_filing_indicator_code=SBR09_DEFAULT,
|
||||
interchange_control_number="000000001",
|
||||
group_control_number="1",
|
||||
)
|
||||
result = structural_spot_check(edi)
|
||||
assert result.passed, format_spot_check_result(result, source_label="visit-1")
|
||||
|
||||
|
||||
def test_serialize_837_emits_all_required_segments():
|
||||
visit = _visit()
|
||||
claim = build_claim_output(visit)
|
||||
edi = serialize_837(
|
||||
claim,
|
||||
sender_id=SENDER_ID,
|
||||
receiver_id="CO_TXIX",
|
||||
submitter_name="Dzinesco",
|
||||
submitter_contact_name="Tyler Martinez",
|
||||
submitter_contact_email="tyler@dzinesco.com",
|
||||
claim_filing_indicator_code=SBR09_DEFAULT,
|
||||
)
|
||||
segments = list(iter_segments(edi))
|
||||
# Every required segment class shows up exactly once.
|
||||
assert any(s.startswith("ISA*") for s in segments), "missing ISA"
|
||||
assert any(s.startswith("GS*") for s in segments), "missing GS"
|
||||
assert any(s.startswith("ST*837") for s in segments), "missing ST*837"
|
||||
assert any(s.startswith("BHT*") for s in segments), "missing BHT"
|
||||
assert any(s.startswith("NM1*41") for s in segments), "missing NM1*41"
|
||||
assert any(s.startswith("NM1*40") for s in segments), "missing NM1*40"
|
||||
assert any(s.startswith("NM1*85") for s in segments), "missing NM1*85"
|
||||
assert any(s.startswith("NM1*IL") for s in segments), "missing NM1*IL"
|
||||
assert any(s.startswith("NM1*PR") for s in segments), "missing NM1*PR"
|
||||
assert any(s.startswith("SBR*P*18*******MC") for s in segments), \
|
||||
"missing SBR with MC filing indicator"
|
||||
clm = next(s for s in segments if s.startswith("CLM*"))
|
||||
assert clm.startswith("CLM*20260205-Q944140-01*333.62"), \
|
||||
f"CLM01 must be DOS-member-idx (got {clm!r})"
|
||||
assert "MW-" not in clm, "CLM01 must not be a Pipeline-B placeholder"
|
||||
sv1 = next(s for s in segments if s.startswith("SV1*HC:"))
|
||||
assert sv1.startswith("SV1*HC:T1019:U1*333.62"), \
|
||||
f"SV1 must carry HC:T1019:U1 (got {sv1!r})"
|
||||
dtp = next(s for s in segments if s.startswith("DTP*472"))
|
||||
assert "20260205" in dtp, f"DTP*472 must carry DOS (got {dtp!r})"
|
||||
assert any(s.startswith("HI*") for s in segments), "missing HI diagnoses"
|
||||
assert any(s.startswith("REF*EI*721587149") for s in segments), \
|
||||
"missing REF*EI (TIN)"
|
||||
assert any(s.startswith("SE*") for s in segments), "missing SE trailer"
|
||||
assert any(s.startswith("GE*") for s in segments), "missing GE trailer"
|
||||
assert any(s.startswith("IEA*") for s in segments), "missing IEA trailer"
|
||||
|
||||
|
||||
def test_structural_spot_check_flags_missing_segments():
|
||||
bad_edi = (
|
||||
"ISA*00* *00* *ZZ*SEND*ZZ*RECV*260708*0052*^*00501*000000001*0*P*:~"
|
||||
"GS*HC*SEND*RECV*20260708*0052*1*X*005010X222A1~"
|
||||
"ST*837*0001*005010X222A1~"
|
||||
"BHT*0019*00*0001*20260205*0052*CH~"
|
||||
# No NM1*41 / NM1*40 / NM1*IL / CLM / SV1 / DTP*472 / SBR — should fail.
|
||||
"SE*5*0001~GE*1*1~IEA*1*000000001~"
|
||||
)
|
||||
result = structural_spot_check(bad_edi)
|
||||
assert not result.passed
|
||||
# Every missing class shows up in `missing`.
|
||||
for needle in ("NM1*41", "NM1*40", "NM1*IL", "NM1*PR", "NM1*85",
|
||||
"CLM*", "SV1*HC:", "DTP*472", "SBR*"):
|
||||
assert any(m.startswith(needle) for m in result.missing), \
|
||||
f"expected {needle!r} in missing={result.missing}"
|
||||
|
||||
|
||||
def test_structural_spot_check_flags_placeholder_clm01():
|
||||
bad_edi = (
|
||||
"ISA*00* *00* *ZZ*SEND*ZZ*RECV*260708*0052*^*00501*000000001*0*P*:~"
|
||||
"GS*HC*SEND*RECV*20260708*0052*1*X*005010X222A1~"
|
||||
"ST*837*0001*005010X222A1~"
|
||||
"BHT*0019*00*MW-FOO*20260205*0052*CH~"
|
||||
"NM1*41*2*Dzinesco*****46*11525703~"
|
||||
"NM1*40*2*RECV*****46*RECV~"
|
||||
"NM1*85*2*Dzinesco*****XX*1234567893~"
|
||||
"SBR*P*18*******MC~"
|
||||
"NM1*IL*1*Roberts*Alice****MI*Q944140~"
|
||||
"NM1*PR*2*RECV*****PI*RECV~"
|
||||
"CLM*MW-FOO-W01*100.00***11:B:1*Y*Y*Y*Y~" # Pipeline-B placeholder CLM01
|
||||
"SV1*HC:T1019*100.00*UN*1*12**1~"
|
||||
"DTP*472*D8*20260205~"
|
||||
"SE*14*0001~GE*1*1~IEA*1*000000001~"
|
||||
)
|
||||
result = structural_spot_check(bad_edi)
|
||||
assert not result.passed
|
||||
assert "CLM01-not-placeholder" in result.missing
|
||||
|
||||
|
||||
# --- Full pipeline: build → serialize → validate_edi (mocked) ---------
|
||||
|
||||
|
||||
def test_full_pipeline_passes_mocked_edifabric():
|
||||
"""End-to-end: visit → ClaimOutput → 837P → validate_edi returns success.
|
||||
|
||||
The Edifabric transport is mocked to return ``{"Status": "success"}``
|
||||
on /x12/validate. This proves the SP41 spot-check pipeline works
|
||||
end-to-end against the shipped serializer and the shipped
|
||||
Edifabric client even when the live API is quota-blocked.
|
||||
"""
|
||||
visit = _visit()
|
||||
claim = build_claim_output(visit)
|
||||
edi = serialize_837(
|
||||
claim,
|
||||
sender_id=SENDER_ID,
|
||||
receiver_id="CO_TXIX",
|
||||
submitter_name="Dzinesco",
|
||||
submitter_contact_name="Tyler Martinez",
|
||||
submitter_contact_email="tyler@dzinesco.com",
|
||||
claim_filing_indicator_code=SBR09_DEFAULT,
|
||||
)
|
||||
|
||||
# Pre-flight: structural spot check passes.
|
||||
assert structural_spot_check(edi).passed
|
||||
|
||||
# Mock the /x12/validate transport to return success.
|
||||
success_payload = {"Status": "success", "Details": [], "LastIndex": 25}
|
||||
read_called = {"count": 0}
|
||||
validate_called = {"count": 0}
|
||||
|
||||
def handler(request: httpx.Request) -> httpx.Response:
|
||||
if request.url.path.endswith("/x12/read"):
|
||||
read_called["count"] += 1
|
||||
assert request.headers["Ocp-Apim-Subscription-Key"] == _TEST_KEY
|
||||
# Return a minimal X12Interchange-shaped object.
|
||||
return httpx.Response(200, json=[_minimal_x12_interchange()])
|
||||
if request.url.path.endswith("/x12/validate"):
|
||||
validate_called["count"] += 1
|
||||
return httpx.Response(200, json=success_payload)
|
||||
return httpx.Response(404, json={"error": f"unexpected path {request.url.path}"})
|
||||
|
||||
_install_factory(handler)
|
||||
|
||||
result = edifabric.validate_edi(edi.encode("ascii"), api_key=_TEST_KEY)
|
||||
assert result["Status"] == "success"
|
||||
assert read_called["count"] == 1, "validate_edi must call /x12/read exactly once"
|
||||
assert validate_called["count"] == 1, "validate_edi must call /x12/validate exactly once"
|
||||
|
||||
|
||||
def test_full_pipeline_propagates_validate_error():
|
||||
"""When mocked /x12/validate returns an error, the call raises.
|
||||
|
||||
Documents the failure path — if the live API returns a non-2xx
|
||||
(e.g. 403 quota exceeded), the spot-check driver catches the
|
||||
:class:`EdifabricError` and records the issue; the test mirrors
|
||||
that behavior.
|
||||
"""
|
||||
visit = _visit()
|
||||
claim = build_claim_output(visit)
|
||||
edi = serialize_837(claim, sender_id=SENDER_ID, claim_filing_indicator_code=SBR09_DEFAULT)
|
||||
|
||||
def handler(request: httpx.Request) -> httpx.Response:
|
||||
if request.url.path.endswith("/x12/read"):
|
||||
return httpx.Response(200, json=[_minimal_x12_interchange()])
|
||||
if request.url.path.endswith("/x12/validate"):
|
||||
return httpx.Response(
|
||||
403,
|
||||
json={"statusCode": 403, "message": "Out of call volume quota."},
|
||||
)
|
||||
return httpx.Response(404)
|
||||
|
||||
_install_factory(handler)
|
||||
|
||||
with pytest.raises(EdifabricError) as excinfo:
|
||||
edifabric.validate_edi(edi.encode("ascii"), api_key=_TEST_KEY)
|
||||
assert excinfo.value.status_code == 403
|
||||
assert "quota" in str(excinfo.value.body).lower()
|
||||
|
||||
|
||||
# --- Helpers -----------------------------------------------------------
|
||||
|
||||
|
||||
_TEST_KEY = "test-spot-check-key-aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa"
|
||||
|
||||
|
||||
def _minimal_x12_interchange() -> dict:
|
||||
"""A minimal X12Interchange-shaped dict that Edifabric /validate accepts.
|
||||
|
||||
The exact shape isn't inspected by our client — only the top-level
|
||||
``ISA`` / ``Groups`` / ``IEATrailers`` keys need to exist for the
|
||||
mock round-trip.
|
||||
"""
|
||||
return {
|
||||
"SegmentDelimiter": "~",
|
||||
"DataElementDelimiter": "*",
|
||||
"ISA": {
|
||||
"InterchangeControlNumber_13": "000000001",
|
||||
"SenderID_06": "11525703",
|
||||
"ReceiverID_08": "CO_TXIX",
|
||||
},
|
||||
"Groups": [
|
||||
{
|
||||
"FunctionalID_01": "HC",
|
||||
"GroupControlNumber_06": "1",
|
||||
"Transactions": [
|
||||
{
|
||||
"ST_01": "837",
|
||||
"ControlNumber_02": "0001",
|
||||
"ImplementationConventionReference_03": "005010X222A1",
|
||||
"Segments": [],
|
||||
}
|
||||
],
|
||||
}
|
||||
],
|
||||
"IEATrailers": [{"InterchangeControlNumber_02": "000000001"}],
|
||||
}
|
||||
Reference in New Issue
Block a user