feat(parsers+api+ui): expose CARC-labeled CAS adjustments (SP3 P2)
This commit is contained in:
@@ -335,14 +335,23 @@ def to_ui_remittance(
|
||||
f"CLP02 code {code} not in payer allowlist"
|
||||
)
|
||||
|
||||
# Aggregate adjustmentAmount across ALL service-line CAS rows, not just
|
||||
# the first line. Mirrors the SUM the reconcile aggregator (T10)
|
||||
# computes against persisted CasAdjustment rows; this inline version
|
||||
# is the write-path equivalent (used when streaming 835 NDJSON
|
||||
# responses before persistence finishes).
|
||||
adjustment_total = Decimal("0")
|
||||
for sp in cp.service_payments:
|
||||
for adj in sp.adjustments:
|
||||
adjustment_total += adj.amount
|
||||
|
||||
parsed_iso = parsed_at.isoformat().replace("+00:00", "Z")
|
||||
return {
|
||||
"id": cp.payer_claim_control_number,
|
||||
"claimId": cp.original_claim_id or "",
|
||||
"payerName": payer_name,
|
||||
"paidAmount": float(cp.total_paid or 0.0),
|
||||
# TODO: aggregate from CAS segments when reconciliation lands (sub-project 2)
|
||||
"adjustmentAmount": 0.0,
|
||||
"adjustmentAmount": float(adjustment_total),
|
||||
"status": status,
|
||||
"denialReason": denial_reason,
|
||||
"validationWarnings": validation_warnings,
|
||||
@@ -443,6 +452,53 @@ def to_ui_remittance_from_orm(
|
||||
}
|
||||
|
||||
|
||||
def to_ui_remittance_with_adjustments(
|
||||
row: Remittance,
|
||||
*,
|
||||
batch_id: str,
|
||||
parsed_at: datetime,
|
||||
cas_rows: list["db.CasAdjustment"] | None = None,
|
||||
) -> dict:
|
||||
"""Same shape as :func:`to_ui_remittance_from_orm` plus an ``adjustments`` array.
|
||||
|
||||
Each persisted ``CasAdjustment`` row is rendered as
|
||||
``{"group", "reason", "label", "amount", "quantity"}``. The ``label``
|
||||
is resolved through :func:`cyclone.parsers.cas_codes.reason_label`
|
||||
so the UI does not have to ship its own CARC dictionary.
|
||||
|
||||
``cas_rows`` is optional so callers that don't have the rows handy
|
||||
can still get the base dict; in that case ``adjustments`` is ``[]``.
|
||||
Pass ``cas_rows`` to avoid an extra round-trip; the endpoint at
|
||||
``GET /api/remittances/{id}`` passes them in to keep this mapper a
|
||||
pure function.
|
||||
"""
|
||||
base = to_ui_remittance_from_orm(
|
||||
row, batch_id=batch_id, parsed_at=parsed_at,
|
||||
)
|
||||
if not cas_rows:
|
||||
base["adjustments"] = []
|
||||
return base
|
||||
|
||||
# Lazy import to avoid the circular store ↔ parsers import that
|
||||
# happens on cold start; mirrors the same pattern used elsewhere
|
||||
# in this module.
|
||||
from cyclone.parsers.cas_codes import reason_label
|
||||
|
||||
base["adjustments"] = [
|
||||
{
|
||||
"group": c.group_code,
|
||||
"reason": c.reason_code,
|
||||
"label": reason_label(c.group_code, c.reason_code),
|
||||
"amount": float(c.amount or 0),
|
||||
"quantity": (
|
||||
float(c.quantity) if c.quantity is not None else None
|
||||
),
|
||||
}
|
||||
for c in cas_rows
|
||||
]
|
||||
return base
|
||||
|
||||
|
||||
def to_ui_provider(
|
||||
*,
|
||||
npi: str,
|
||||
@@ -766,6 +822,35 @@ class CycloneStore:
|
||||
)
|
||||
return [self._row_to_record(r) for r in rows]
|
||||
|
||||
def get_remittance(self, remittance_id: str) -> dict | None:
|
||||
"""Return a UI-shaped remittance dict with ``adjustments`` array.
|
||||
|
||||
Joins the persisted ``CasAdjustment`` rows for ``remittance_id``
|
||||
and labels each via :mod:`cyclone.parsers.cas_codes`. Returns
|
||||
``None`` when the remittance is not found so the API layer can
|
||||
map that to a 404.
|
||||
"""
|
||||
with db.SessionLocal()() as s:
|
||||
row = s.get(Remittance, remittance_id)
|
||||
if row is None:
|
||||
return None
|
||||
cas_rows = (
|
||||
s.query(CasAdjustment)
|
||||
.filter(CasAdjustment.remittance_id == remittance_id)
|
||||
.all()
|
||||
)
|
||||
parsed_at = (
|
||||
row.batch.parsed_at if row.batch is not None else row.received_at
|
||||
)
|
||||
if parsed_at is not None and parsed_at.tzinfo is None:
|
||||
parsed_at = parsed_at.replace(tzinfo=timezone.utc)
|
||||
return to_ui_remittance_with_adjustments(
|
||||
row,
|
||||
batch_id=row.batch_id,
|
||||
parsed_at=parsed_at,
|
||||
cas_rows=cas_rows,
|
||||
)
|
||||
|
||||
def all(self) -> list[BatchRecord]:
|
||||
"""Return every ``BatchRecord``, oldest first (no pagination)."""
|
||||
with db.SessionLocal()() as s:
|
||||
|
||||
Reference in New Issue
Block a user