feat(sp41): summary CSV with REBILLED_A/B + EXCLUDED_* categories

This commit is contained in:
Nora
2026-07-07 21:47:50 -06:00
parent 39f578aa5e
commit 543422c343
2 changed files with 99 additions and 0 deletions
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"""Summary CSV for SP41.
One row per visit, classified into one of:
REBILLED_A — pipeline A emitted a frequency-7 replacement
REBILLED_B — pipeline B emitted a fresh 837P
EXCLUDED_CARC — CO-45/CO-26/CO-129 (or other excluded CARC)
EXCLUDED_PAYER — non-CO_TXIX payer per AxisCare API spot audit
EXCLUDED_NO_EVV — no Authorized=Yes AND no AxisCare EVV ref
EXCLUDED_TIMELY_FILING — DOS > 120 days before run date, no override
"""
import csv
from dataclasses import dataclass
from decimal import Decimal
from pathlib import Path
from cyclone.rebill.reconcile import VisitRow
REBILLED_A = "REBILLED_A"
REBILLED_B = "REBILLED_B"
EXCLUDED_CARC = "EXCLUDED_CARC"
EXCLUDED_PAYER = "EXCLUDED_PAYER"
EXCLUDED_NO_EVV = "EXCLUDED_NO_EVV"
EXCLUDED_TIMELY_FILING = "EXCLUDED_TIMELY_FILING"
@dataclass(frozen=True)
class SummaryRow:
"""One visit + its post-pipeline disposition for the operator audit trail."""
visit: VisitRow
disposition: str
unpaid: Decimal
cas_reasons: tuple[str, ...]
file_path: str # relative to dev/rebills/<date>/
def write_summary_csv(rows: list[SummaryRow], out_path: Path) -> int:
"""Write the summary CSV; return the number of rows written."""
out_path.parent.mkdir(parents=True, exist_ok=True)
with out_path.open("w", newline="") as f:
w = csv.writer(f)
w.writerow([
"dos", "member_id", "procedure", "billed",
"disposition", "unpaid", "cas_reasons", "file_path",
])
for r in rows:
w.writerow([
r.visit.date.isoformat(),
r.visit.member_id,
r.visit.procedure,
str(r.visit.billed),
r.disposition,
str(r.unpaid),
"|".join(r.cas_reasons),
r.file_path,
])
return len(rows)
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"""Summary CSV: one row per visit with its disposition."""
from datetime import date
from decimal import Decimal
from pathlib import Path
from cyclone.rebill.summary import (
SummaryRow,
write_summary_csv,
REBILLED_A, REBILLED_B, EXCLUDED_CARC, EXCLUDED_TIMELY_FILING,
EXCLUDED_PAYER, EXCLUDED_NO_EVV,
)
from cyclone.rebill.reconcile import VisitRow
def test_summary_csv_emits_one_row_per_visit(tmp_path: Path):
out = tmp_path / "summary.csv"
rows = [
SummaryRow(
visit=VisitRow(date=date(2026, 6, 27), member_id="J813715",
procedure="T1019", billed=Decimal("2.32")),
disposition=REBILLED_A, unpaid=Decimal("0.00"),
cas_reasons=("CO-45",), file_path="pipeline-a/x.837",
),
SummaryRow(
visit=VisitRow(date=date(2026, 1, 1), member_id="OLD",
procedure="T1019", billed=Decimal("2.32")),
disposition=EXCLUDED_TIMELY_FILING, unpaid=Decimal("2.32"),
cas_reasons=(), file_path="",
),
]
write_summary_csv(rows, out)
text = out.read_text()
assert "J813715" in text
assert "REBILLED_A" in text
assert "EXCLUDED_TIMELY_FILING" in text
assert "OLD" in text
def test_disposition_constants():
assert REBILLED_A == "REBILLED_A"
assert REBILLED_B == "REBILLED_B"
assert EXCLUDED_CARC == "EXCLUDED_CARC"
assert EXCLUDED_TIMELY_FILING == "EXCLUDED_TIMELY_FILING"