feat(parsers+api+ui): expose CARC-labeled CAS adjustments (SP3 P2)
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@@ -637,3 +637,172 @@ def test_post_unmatch_removes_match(client: TestClient):
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assert body["claim"]["matchedRemittanceId"] is None
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# No Match rows existed before the call → 0 deleted.
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assert body["deletedMatches"] == 0
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# --------------------------------------------------------------------------- #
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# /api/remittances/{remittance_id} (T7 / SP3 P2)
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# --------------------------------------------------------------------------- #
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def test_get_remittance_404_when_missing(client: TestClient) -> None:
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"""A missing remittance returns 404 (not 500)."""
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resp = client.get("/api/remittances/does-not-exist")
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assert resp.status_code == 404
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def _seed_835_remittance(
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*,
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pcns: list[str],
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cas_rows: dict[str, list[tuple[str, str, str, str]]] | None = None,
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status_code: str = "1",
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total_charge: str = "100",
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total_paid: str = "100",
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) -> None:
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"""Helper: insert one 835 batch with one ClaimPayment per PCN.
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``cas_rows`` maps ``pcn -> [(group, reason, amount, qty_or_None), ...]``
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so a single CAS row maps cleanly to ``CasAdjustment``.
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"""
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from datetime import date, datetime, timezone
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from decimal import Decimal
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from cyclone.parsers.models_835 import (
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BatchSummary as BatchSummary835,
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ClaimAdjustment as ClaimAdjustment835,
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ClaimPayment,
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Envelope as Envelope835,
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FinancialInfo,
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Payer835,
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ParseResult835,
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Payee835,
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ReassociationTrace,
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ServicePayment,
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)
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from cyclone.store import BatchRecord835
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claims = []
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for pcn in pcns:
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adjustments: list[ClaimAdjustment835] = []
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rows = (cas_rows or {}).get(pcn, [])
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for group, reason, amount, qty in rows:
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adjustments.append(ClaimAdjustment835(
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group_code=group, reason_code=reason,
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amount=Decimal(amount),
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quantity=Decimal(qty) if qty else None,
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))
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sp = ServicePayment(
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line_number=1,
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procedure_qualifier="HC",
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procedure_code="T1019",
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modifiers=[],
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charge=Decimal(total_charge),
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payment=Decimal(total_paid),
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units=Decimal("1"),
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unit_type="UN",
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adjustments=adjustments,
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)
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claims.append(ClaimPayment(
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payer_claim_control_number=pcn,
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status_code=status_code,
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total_charge=Decimal(total_charge),
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total_paid=Decimal(total_paid),
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service_payments=[sp] if rows else [],
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))
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global_store.add(BatchRecord835(
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id=f"b-835-{pcns[0]}", kind="835", input_filename="era.txt",
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parsed_at=datetime(2026, 6, 19, 12, 5, tzinfo=timezone.utc),
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result=ParseResult835(
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envelope=Envelope835(
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sender_id="S", receiver_id="R", control_number="0001",
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transaction_date=date(2026, 6, 19),
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),
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financial_info=FinancialInfo(
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handling_code="C", paid_amount=Decimal(total_paid),
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credit_debit_flag="C", payment_method=None,
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),
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trace=ReassociationTrace(
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trace_type_code="1", trace_number="0001",
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originating_company_id="S",
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),
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payer=Payer835(name="Colorado Medicaid", id="SKCO0"),
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payee=Payee835(name="TOC, Inc.", npi="1881068062"),
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claims=claims,
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summary=BatchSummary835(
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input_file="era.txt", control_number="0001",
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transaction_date=date(2026, 6, 19),
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total_claims=len(claims), passed=len(claims), failed=0,
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),
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),
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))
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def test_get_remittance_with_empty_adjustments(client: TestClient) -> None:
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"""A remittance with no CAS rows returns ``adjustments == []``."""
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_seed_835_remittance(pcns=["PCN-EMPTY"])
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resp = client.get("/api/remittances/PCN-EMPTY")
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assert resp.status_code == 200, resp.text
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body = resp.json()
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assert body["id"] == "PCN-EMPTY"
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assert body["adjustments"] == []
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def test_get_remittance_with_adjustments_returns_labeled(client: TestClient) -> None:
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"""A remittance with two CAS rows surfaces both with the correct labels.
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Seeds CO-45 (the fee-schedule code) and PR-1 (deductible) so we
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exercise both a CO group code and a PR group code, plus both a
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quantified and non-quantified row.
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"""
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_seed_835_remittance(
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pcns=["PCN-LABELED"],
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cas_rows={
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"PCN-LABELED": [
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("CO", "45", "50.00", ""), # no quantity
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("PR", "1", "10.00", "1"), # quantified
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],
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},
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)
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resp = client.get("/api/remittances/PCN-LABELED")
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assert resp.status_code == 200, resp.text
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body = resp.json()
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assert body["id"] == "PCN-LABELED"
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adjs = body["adjustments"]
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assert len(adjs) == 2
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by_key = {(a["group"], a["reason"]): a for a in adjs}
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assert ("CO", "45") in by_key
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assert ("PR", "1") in by_key
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co45 = by_key[("CO", "45")]
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assert co45["amount"] == 50.00
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assert co45["quantity"] is None
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# Label is non-empty and isn't the "Unknown" fallback (both are in the dict).
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assert co45["label"] and "Unknown" not in co45["label"]
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pr1 = by_key[("PR", "1")]
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assert pr1["amount"] == 10.00
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assert pr1["quantity"] == 1
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assert pr1["label"] and "Unknown" not in pr1["label"]
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# The CO and PR rows must have distinct labels (different codes → different meanings).
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assert co45["label"] != pr1["label"]
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def test_get_remittance_basic_fields_preserved(client: TestClient) -> None:
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"""claimId, payerName, paidAmount, status all surface unchanged."""
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_seed_835_remittance(
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pcns=["PCN-FIELDS"],
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cas_rows={"PCN-FIELDS": [("CO", "45", "12.34", "")]},
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total_paid="75.50",
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)
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resp = client.get("/api/remittances/PCN-FIELDS")
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assert resp.status_code == 200, resp.text
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body = resp.json()
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assert body["id"] == "PCN-FIELDS"
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assert body["payerName"] == "Colorado Medicaid"
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assert body["paidAmount"] == 75.50
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assert body["status"] == "received"
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assert body["batchId"] # populated; not pinned to a specific value
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assert body["receivedDate"] # populated
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assert body["parsedAt"] # populated
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