test(sp41): expand fixture to 10 actual batch-1 spot-check visits

This commit is contained in:
Tyler Martinez
2026-07-08 02:18:45 -06:00
parent 1978e696d7
commit 579e5d7438
+10 -5
View File
@@ -1,6 +1,11 @@
"Client","Visit Date","Payer","Authorized","Member ID","Auth Start Date","Auth End Date","Authorization #","ICD-10","Service","Procedure Code","Modifiers","Client Classes","Billable Hours","Billable Amount","Invoice #","Claimed" "Client","Visit Date","Payer","Authorized","Member ID","Auth Start Date","Auth End Date","Authorization #","ICD-10","Service","Procedure Code","Modifiers","Client Classes","Billable Hours","Billable Amount","Invoice #","Claimed"
"Roberts, Alice","02/05/2026","CO Medicaid","Yes","Q944140","01/01/2026","12/31/2026","3125","R69","PCS T1019","T1019","U1","DD Waiver","1","$333.62","INV-2026-02-05-Q944140","Yes" "Wilson, Michelle","01/01/2026","CO Medicaid","Yes","R649327","01/01/2026","12/31/2026","3","R69","Homemaker S5150","S5150","U8","DD Waiver","1","$212.77","INV-2026-01-01-R649327","Yes"
"Smith, Bob","06/25/2026","CO Medicaid","Yes","R649327","01/01/2026","12/31/2026","4521","R69","S5150","S5150","U8","DD Waiver","1","$235.55","INV-2026-06-25-R649327","Yes" "Roberts, Alice","02/05/2026","CO Medicaid","Yes","Q944140","01/01/2026","12/31/2026","3125","R69","PCS T1019","T1019","U1","DD Waiver","1","$112.29","INV-2026-02-05-Q944140","Yes"
"Davis, Carol","02/25/2026","CO Medicaid","Yes","Y188426","01/01/2026","12/31/2026","2890","R69","PCS T1019","T1019","KX:SC:U2","DD Waiver","1","$222.72","INV-2026-02-25-Y188426","Yes" "Wilson, Michelle","02/12/2026","CO Medicaid","Yes","R649327","01/01/2026","12/31/2026","3","R69","Homemaker S5150","S5150","U8","DD Waiver","1","$213.25","INV-2026-02-12-R649327","Yes"
"Lee, David","06/04/2026","CO Medicaid","Yes","R649327","01/01/2026","12/31/2026","4521","R69","S5150","S5150","U8","DD Waiver","1","$214.22","INV-2026-06-04-R649327","Yes" "Stoumbaugh, Kiera","02/25/2026","CO Medicaid","Yes","Y188426","01/01/2026","12/31/2026","2","R69","PCS T1019","T1019","KX:SC:U2","DD Waiver","1","$222.72","INV-2026-02-25-Y188426","Yes"
"Garcia, Eve","06/22/2026","CO Medicaid","Yes","R649327","01/01/2026","12/31/2026","4521","R69","S5150","S5150","U8","DD Waiver","1","$213.25","INV-2026-06-22-R649327","Yes" "Wilson, Michelle","06/04/2026","CO Medicaid","Yes","R649327","01/01/2026","12/31/2026","3","R69","Homemaker S5150","S5150","U8","DD Waiver","1","$214.22","INV-2026-06-04-R649327","Yes"
"Wilson, Michelle","06/11/2026","CO Medicaid","Yes","R649327","01/01/2026","12/31/2026","3","R69","Homemaker S5150","S5150","U8","DD Waiver","1","$213.25","INV-2026-06-11-R649327","Yes"
"Wilson, Michelle","06/22/2026","CO Medicaid","Yes","R649327","01/01/2026","12/31/2026","3","R69","Homemaker S5150","S5150","U8","DD Waiver","1","$213.25","INV-2026-06-22-R649327","Yes"
"Wilson, Michelle","06/25/2026","CO Medicaid","Yes","R649327","01/01/2026","12/31/2026","3","R69","Homemaker S5150","S5150","U8","DD Waiver","1","$235.55","INV-2026-06-25-R649327","Yes"
"Wilson, Michelle","02/02/2026","CO Medicaid","Yes","R649327","01/01/2026","12/31/2026","3","R69","Homemaker S5150","S5150","U8","DD Waiver","1","$212.28","INV-2026-02-02-R649327","Yes"
"Wilson, Michelle","02/05/2026","CO Medicaid","Yes","R649327","01/01/2026","12/31/2026","3","R69","Homemaker S5150","S5150","U8","DD Waiver","1","$212.28","INV-2026-02-05-R649327","Yes"
1 Client Visit Date Payer Authorized Member ID Auth Start Date Auth End Date Authorization # ICD-10 Service Procedure Code Modifiers Client Classes Billable Hours Billable Amount Invoice # Claimed
2 Roberts, Alice Wilson, Michelle 02/05/2026 01/01/2026 CO Medicaid Yes Q944140 R649327 01/01/2026 12/31/2026 3125 3 R69 PCS T1019 Homemaker S5150 T1019 S5150 U1 U8 DD Waiver 1 $333.62 $212.77 INV-2026-02-05-Q944140 INV-2026-01-01-R649327 Yes
3 Smith, Bob Roberts, Alice 06/25/2026 02/05/2026 CO Medicaid Yes R649327 Q944140 01/01/2026 12/31/2026 4521 3125 R69 S5150 PCS T1019 S5150 T1019 U8 U1 DD Waiver 1 $235.55 $112.29 INV-2026-06-25-R649327 INV-2026-02-05-Q944140 Yes
4 Davis, Carol Wilson, Michelle 02/25/2026 02/12/2026 CO Medicaid Yes Y188426 R649327 01/01/2026 12/31/2026 2890 3 R69 PCS T1019 Homemaker S5150 T1019 S5150 KX:SC:U2 U8 DD Waiver 1 $222.72 $213.25 INV-2026-02-25-Y188426 INV-2026-02-12-R649327 Yes
5 Lee, David Stoumbaugh, Kiera 06/04/2026 02/25/2026 CO Medicaid Yes R649327 Y188426 01/01/2026 12/31/2026 4521 2 R69 S5150 PCS T1019 S5150 T1019 U8 KX:SC:U2 DD Waiver 1 $214.22 $222.72 INV-2026-06-04-R649327 INV-2026-02-25-Y188426 Yes
6 Garcia, Eve Wilson, Michelle 06/22/2026 06/04/2026 CO Medicaid Yes R649327 01/01/2026 12/31/2026 4521 3 R69 S5150 Homemaker S5150 S5150 U8 DD Waiver 1 $213.25 $214.22 INV-2026-06-22-R649327 INV-2026-06-04-R649327 Yes
7 Wilson, Michelle 06/11/2026 CO Medicaid Yes R649327 01/01/2026 12/31/2026 3 R69 Homemaker S5150 S5150 U8 DD Waiver 1 $213.25 INV-2026-06-11-R649327 Yes
8 Wilson, Michelle 06/22/2026 CO Medicaid Yes R649327 01/01/2026 12/31/2026 3 R69 Homemaker S5150 S5150 U8 DD Waiver 1 $213.25 INV-2026-06-22-R649327 Yes
9 Wilson, Michelle 06/25/2026 CO Medicaid Yes R649327 01/01/2026 12/31/2026 3 R69 Homemaker S5150 S5150 U8 DD Waiver 1 $235.55 INV-2026-06-25-R649327 Yes
10 Wilson, Michelle 02/02/2026 CO Medicaid Yes R649327 01/01/2026 12/31/2026 3 R69 Homemaker S5150 S5150 U8 DD Waiver 1 $212.28 INV-2026-02-02-R649327 Yes
11 Wilson, Michelle 02/05/2026 CO Medicaid Yes R649327 01/01/2026 12/31/2026 3 R69 Homemaker S5150 S5150 U8 DD Waiver 1 $212.28 INV-2026-02-05-R649327 Yes