feat(sp14): 5-lane Inbox UI with Payer-Rejected acknowledge action

Closes the gap between the SP10 backend (5 lanes) and the SP6
frontend (4 lanes). The Payer-Rejected lane (277CA STC A4/A6/A7)
is now rendered alongside Rejected/Candidates/Unmatched/Done,
with an Acknowledge bulk action that drops claims from the
working surface without erasing the original 277CA rejection
event (audit log stays intact, SP11).

Backend:
* Migration 0010: add payer_rejected_acknowledged_at +
  payer_rejected_acknowledged_actor columns + partial index.
* db.py: surface the two new columns on the Claim model.
* inbox_lanes.py: filter acknowledged claims out of the
  payer_rejected lane; expose the new fields on the row payload
  for forward-compat (e.g. a future 'Recently acknowledged' view).
* api.py:
  - POST /api/inbox/payer-rejected/acknowledge
    Bulk-acknowledge. Idempotent. Returns transitioned /
    already_acked / not_found / not_rejected counts so the UI
    can show '3 of 5 were already acknowledged' on a noop bulk.
    Writes a 'claim.payer_rejected_acknowledged' event to the
    SP11 hash-chained audit log.
  - GET /api/inbox/export.csv: accept 'payer_rejected' lane.
* test_acks.py: bump user_version assertion to 10.
* test_lane_filter_acknowledged.py: 4 tests for the lane filter
  and forward-compat row payload.
* test_payer_rejected_acknowledge.py: 6 tests for the endpoint
  (happy path, idempotency, no-op on non-rejected, missing
  ids, 400 on empty, audit-log wiring + chain integrity).

Frontend:
* lib/inbox-api.ts: add payer_rejected to InboxLanes, add
  acknowledgePayerRejected(), update exportInboxCsvUrl union.
* hooks/useInboxLanes.ts: add payer_rejected to initial state.
* hooks/useInboxLanes.test.ts: add payer_rejected to mocks.
* components/inbox/BulkBar.tsx: add 'payer_rejected' lane with
  Acknowledge action (no Resubmit, no Dismiss — payer-rejected
  is not eligible for either).
* components/inbox/BulkBar.test.tsx: add payer_rejected test.
* pages/Inbox.tsx: render the 5th lane, hook up onAcknowledge,
  include payer_rejected in the needEyes count.
* pages/Inbox.test.tsx: 3 new tests (5-lane render, need-eyes
  count, acknowledge action hits the right endpoint).
* components/inbox/InboxHeader.tsx: doc comment now explains
  why payer_rejected rolls up into need-eyes.

Pre-existing typecheck warnings in BulkBar.test.tsx / InboxRow
.test.tsx / Lane.tsx / download.test.ts are unchanged from
main — not touched here.

Test counts: backend 724 -> 734 (+10). Frontend 350 -> 354 (+4).
This commit is contained in:
Tyler
2026-06-21 00:13:47 -06:00
parent fdfbde35c6
commit 5c9365ec33
15 changed files with 704 additions and 18 deletions
+5 -5
View File
@@ -51,18 +51,18 @@ def test_migration_0002_creates_acks_table():
def test_migration_latest_idempotent_on_fresh_db():
"""Re-running the migration on the same DB must be a no-op (PRAGMA
user_version already at the latest version — currently 9 after
user_version already at the latest version — currently 10 after
0004-0006 line_reconciliation, 0005 ta1_acks, SP9's 0007
providers/payers/clearhouse, SP10's 0008 payer_rejected, and
SP11's 0009 audit_log)."""
providers/payers/clearhouse, SP10's 0008 payer_rejected,
SP11's 0009 audit_log, and SP14's 0010 payer_rejected_acknowledged)."""
with db.engine().begin() as c:
v1 = c.exec_driver_sql("PRAGMA user_version").scalar() or 0
assert v1 == 9
assert v1 == 10
# A second run should not raise and should not bump the version.
db_migrate.run(db.engine())
with db.engine().begin() as c:
v2 = c.exec_driver_sql("PRAGMA user_version").scalar() or 0
assert v2 == 9
assert v2 == 10
def test_add_ack_persists_row():
@@ -0,0 +1,105 @@
"""SP14 — Lane filter drops acknowledged payer-rejected claims.
The Payer-Rejected Inbox lane must not include claims the operator
has already acknowledged. This is the working-surface UX: acknowledged
claims drop out so the operator only sees new rejections.
"""
from __future__ import annotations
from datetime import datetime, timezone
import pytest
from cyclone import db
from cyclone.db import Batch, Claim, ClaimState
from cyclone.inbox_lanes import compute_lanes
@pytest.fixture(autouse=True)
def _setup(tmp_path, monkeypatch):
monkeypatch.setenv("CYCLONE_DB_URL", f"sqlite:///{tmp_path}/test.db")
db._reset_for_tests()
db.init_db()
def _seed(*, acked: bool = False) -> str:
now = datetime.now(timezone.utc)
cid = "C1"
with db.SessionLocal()() as session:
batch = Batch(
id="b-1", kind="837p",
input_filename="t.x12", parsed_at=now,
)
session.add(batch)
session.flush()
claim = Claim(
id=cid, batch_id=batch.id, patient_control_number=cid,
state=ClaimState.SUBMITTED, charge_amount=100,
payer_rejected_at=now,
payer_rejected_status_code="A7",
payer_rejected_reason="invalid dx",
)
if acked:
claim.payer_rejected_acknowledged_at = now
claim.payer_rejected_acknowledged_actor = "operator"
session.add(claim)
session.commit()
return cid
def test_unacknowledged_claim_appears_in_lane():
_seed(acked=False)
with db.SessionLocal()() as session:
lanes = compute_lanes(session, dismissed_pairs=set())
assert len(lanes.payer_rejected) == 1
assert lanes.payer_rejected[0]["id"] == "C1"
def test_acknowledged_claim_drops_out_of_lane():
_seed(acked=True)
with db.SessionLocal()() as session:
lanes = compute_lanes(session, dismissed_pairs=set())
assert lanes.payer_rejected == []
def test_mix_of_acked_and_unacked():
"""Only the unacknowledged one shows up."""
now = datetime.now(timezone.utc)
with db.SessionLocal()() as session:
batch = Batch(
id="b-1", kind="837p",
input_filename="t.x12", parsed_at=now,
)
session.add(batch)
session.flush()
for i, acked in enumerate([True, False, True, False]):
claim = Claim(
id=f"C{i}", batch_id=batch.id,
patient_control_number=f"PCN-{i}",
state=ClaimState.SUBMITTED, charge_amount=100,
payer_rejected_at=now,
payer_rejected_status_code="A7",
)
if acked:
claim.payer_rejected_acknowledged_at = now
session.add(claim)
session.commit()
with db.SessionLocal()() as session:
lanes = compute_lanes(session, dismissed_pairs=set())
ids = [r["id"] for r in lanes.payer_rejected]
assert sorted(ids) == ["C1", "C3"]
def test_lane_row_carries_ack_fields_for_forward_compat():
"""The row payload still carries the ack fields (all null on the lane)
so future views that want a 'Recently acknowledged' section don't need
a schema change."""
_seed(acked=False)
with db.SessionLocal()() as session:
lanes = compute_lanes(session, dismissed_pairs=set())
row = lanes.payer_rejected[0]
assert "payer_rejected_acknowledged_at" in row
assert row["payer_rejected_acknowledged_at"] is None
assert "payer_rejected_acknowledged_actor" in row
assert row["payer_rejected_acknowledged_actor"] is None
@@ -0,0 +1,168 @@
"""SP14 — Payer-Rejected acknowledge endpoint tests.
The endpoint marks payer-rejected claims as acknowledged so the
working-surface lane query filters them out. The original
payer_rejected_* fields stay intact (SP11 audit).
"""
from __future__ import annotations
import pytest
from cyclone import db
from cyclone.db import Claim, ClaimState
from cyclone.audit_log import verify_chain
@pytest.fixture(autouse=True)
def _setup(tmp_path, monkeypatch):
monkeypatch.setenv("CYCLONE_DB_URL", f"sqlite:///{tmp_path}/test.db")
db._reset_for_tests()
db.init_db()
def _make_claim(claim_id: str, *, payer_rejected: bool = True) -> None:
"""Insert a minimal claim with optional payer_rejected markers."""
from datetime import datetime, timezone
from cyclone.db import Batch
with db.SessionLocal()() as session:
batch = Batch(
id=f"b-{claim_id}",
kind="837p",
input_filename="t.x12",
parsed_at=datetime.now(timezone.utc),
)
session.add(batch)
session.flush()
claim = Claim(
id=claim_id,
batch_id=batch.id,
patient_control_number=claim_id,
state=ClaimState.SUBMITTED,
charge_amount=100,
)
if payer_rejected:
now = datetime.now(timezone.utc)
claim.payer_rejected_at = now
claim.payer_rejected_reason = "invalid diagnosis code"
claim.payer_rejected_status_code = "A7"
session.add(claim)
session.commit()
def test_acknowledge_marks_unacknowledged_claim():
_make_claim("C1", payer_rejected=True)
from fastapi.testclient import TestClient
from cyclone.api import app
with TestClient(app) as client:
r = client.post(
"/api/inbox/payer-rejected/acknowledge",
json={"claim_ids": ["C1"], "actor": "operator"},
)
assert r.status_code == 200, r.text
body = r.json()
assert body["ok"] is True
assert body["transitioned"] == 1
assert body["already_acked"] == 0
assert body["not_found"] == 0
assert body["not_rejected"] == 0
with db.SessionLocal()() as session:
c = session.get(Claim, "C1")
assert c.payer_rejected_acknowledged_at is not None
assert c.payer_rejected_acknowledged_actor == "operator"
# Original fields stay intact for audit.
assert c.payer_rejected_at is not None
assert c.payer_rejected_status_code == "A7"
assert c.payer_rejected_reason == "invalid diagnosis code"
def test_acknowledge_is_idempotent():
_make_claim("C1", payer_rejected=True)
from fastapi.testclient import TestClient
from cyclone.api import app
with TestClient(app) as client:
r1 = client.post(
"/api/inbox/payer-rejected/acknowledge",
json={"claim_ids": ["C1"]},
)
assert r1.json()["transitioned"] == 1
r2 = client.post(
"/api/inbox/payer-rejected/acknowledge",
json={"claim_ids": ["C1"]},
)
assert r2.json()["transitioned"] == 0
assert r2.json()["already_acked"] == 1
def test_acknowledge_skips_non_payer_rejected_claims():
_make_claim("C1", payer_rejected=False)
from fastapi.testclient import TestClient
from cyclone.api import app
with TestClient(app) as client:
r = client.post(
"/api/inbox/payer-rejected/acknowledge",
json={"claim_ids": ["C1"]},
)
assert r.status_code == 200
body = r.json()
assert body["transitioned"] == 0
assert body["not_rejected"] == 1
def test_acknowledge_counts_missing_ids():
from fastapi.testclient import TestClient
from cyclone.api import app
with TestClient(app) as client:
r = client.post(
"/api/inbox/payer-rejected/acknowledge",
json={"claim_ids": ["nope"]},
)
assert r.status_code == 200
body = r.json()
assert body["transitioned"] == 0
assert body["not_found"] == 1
def test_acknowledge_empty_claim_ids_400():
from fastapi.testclient import TestClient
from cyclone.api import app
with TestClient(app) as client:
r = client.post(
"/api/inbox/payer-rejected/acknowledge",
json={"claim_ids": []},
)
assert r.status_code == 400
def test_acknowledge_writes_audit_event():
_make_claim("C1", payer_rejected=True)
from fastapi.testclient import TestClient
from cyclone.api import app
with TestClient(app) as client:
r = client.post(
"/api/inbox/payer-rejected/acknowledge",
json={"claim_ids": ["C1"], "actor": "alice"},
)
assert r.status_code == 200
# SP11: the chain is intact and includes the new event.
with db.SessionLocal()() as session:
result = verify_chain(session)
assert result.ok, f"chain broken: {result.reason} at {result.first_bad_id}"
# And the event itself is queryable.
import json as _json
from cyclone.db import AuditLog
with db.SessionLocal()() as session:
events = (
session.query(AuditLog)
.filter(AuditLog.event_type == "claim.payer_rejected_acknowledged")
.all()
)
assert len(events) == 1
e = events[0]
assert e.entity_type == "claim"
assert e.entity_id == "C1"
assert e.actor == "alice"
payload = _json.loads(e.payload_json) if e.payload_json else {}
assert payload["payer_rejected_status_code"] == "A7"