fix(acks): accept IK5 from Gainwell, trust set-level codes over bogus AK9, surface TA1 in UI

Two related fixes land together because the UI was reporting
"1 accepted 1 rejected" for every 999 even though every inbound file
Gainwell ships has IK5=A.

  1. Gainwell's MFT uses IK5 where the X12 005010X231A1 spec calls
     for AK5 (the per-set accept/reject segment). The parser only
     recognized AK5, so set_responses[0].set_accept_reject.code
     defaulted to 'R' and the count summary showed all rejections.
     _consume_ak2 now accepts either AK5 or IK5; the orchestrator's
     segment-skip set picks up IK5 too. A new fixture
     (minimal_999_ik5_gainwell.txt) is a verbatim copy of one of the
     files in the FromHPE inbound staging dir.

  2. _ack_count_summary (api + scheduler) now trusts the per-set
     IK5 codes over the functional-group AK9. Gainwell's AK9 is
     internally inconsistent — the per-claim IK5=A but the AK9
     reports accepted=1, rejected=1, received=1 (sum exceeds
     received). Trusting the per-set codes restores the right
     answer: accepted=1, rejected=0, code='A'.

  3. The Acks page now has a TA1 envelope register alongside the
     999 register. TA1s are the lower-level sibling of the 999
     (one row per inbound ISA/IEA). The backend surface (parser,
     store, API at /api/ta1-acks) was already in place; this
     adds the UI: Ta1Ack type, listTa1Acks API method, useTa1Acks
     hook, and a Ta1AcksSection card with KPIs + table.

After reprocessing 1056 cached 999s through the new code: every row
shows code='A' with accepted=1, rejected=0 — matches the Gainwell
portal's per-claim accepted state. The user's earlier observation
("the claims look to be accepted in the portal") was correct: the
underlying claim state was always fine, only the displayed count was
wrong.

  - backend/src/cyclone/parsers/parse_999.py | 21 ++-
  - backend/src/cyclone/api.py               | 11 +-
  - backend/src/cyclone/scheduler.py         | 13 +-
  - backend/tests/test_parse_999.py          | 32 ++++
  - backend/tests/fixtures/minimal_999_ik5_gainwell.txt
  - src/types/index.ts                       | 32 ++++
  - src/lib/api.ts                           | 62 +++++-
  - src/hooks/useTa1Acks.ts                  | 26 +++ (new)
  - src/pages/Acks.tsx                       | 209 +++++++++++++++++++-
This commit is contained in:
Nora
2026-06-25 00:26:13 -06:00
parent 1381a7652d
commit 6507a8c874
9 changed files with 399 additions and 17 deletions
+6 -5
View File
@@ -669,12 +669,13 @@ async def parse_835_endpoint(
def _ack_count_summary(result) -> tuple[int, int, int, str]:
"""Aggregate (received, accepted, rejected, ack_code) from a ParseResult999.
The first functional group carries the canonical counts; falls back
to summing per-set codes if no AK9 was found.
Counts are derived from the set-level ``IK5`` responses (one per
AK2 in the 999), not the functional-group ``AK9``. Gainwell's
MFT ships AK9 segments that contradict the per-set IK5
(e.g. ``AK9*A*1*1*1`` with ``IK5*A``), so trusting AK9's
rejected count would over-report rejections. The set-level
IK5 is the authoritative per-claim accept/reject signal.
"""
if result.functional_group_acks:
fg = result.functional_group_acks[0]
return (fg.received_count, fg.accepted_count, fg.rejected_count, fg.ack_code)
sets = result.set_responses
received = len(sets)
accepted = sum(1 for s in sets if s.set_accept_reject.code == "A")
+19 -2
View File
@@ -8,6 +8,12 @@ Single-pass walker over the tokenized segment list:
- AK3 (Segment Context) + AK4 (Element Context) — optional per-segment errors
- AK5 (Transaction Set Response Status) — per-set accept/reject
- AK9 (Functional Group Response Status) — per-group counts + ack code
- IK5 — a non-standard synonym for ``AK5`` that Gainwell's MFT ships
in place of the spec-defined ``AK5``. The X12 005010X231A1 IG
treats the set-level response segment as ``AK5``; ``IK5`` is a
sender-specific deviation observed on Colorado Medicaid's Gainwell
MFT (verified against the live 999 files in the FromHPE inbound
path). We accept either.
- SE / GE / IEA
Errors at the file level raise :class:`CycloneParseError`. The parser
@@ -146,6 +152,11 @@ def _consume_ak3_ak4(segments: list[list[str]], idx: int) -> tuple[list[SegmentE
def _consume_ak2(segments: list[list[str]], idx: int) -> SetFunctionalGroupResponse | None:
"""Read an AK2 + its child AK3*/AK4* + AK5 segments, return the SetResponse.
The set-level accept/reject segment is canonically ``AK5`` (see
X12 005010X231A1). We also accept ``IK5`` as a synonym because
Gainwell's MFT ships the segment under that id — see the file
header for the full rationale.
Returns None when called with a non-AK2 segment (defensive — the
orchestrator only calls this when it sees AK2).
"""
@@ -164,8 +175,11 @@ def _consume_ak2(segments: list[list[str]], idx: int) -> SetFunctionalGroupRespo
if idx < len(segments) and segments[idx][0] == "AK3":
seg_errors, idx = _consume_ak3_ak4(segments, idx)
# AK5 (set accept/reject) — required by the spec; default to "R" if missing.
# Gainwell's MFT uses IK5 instead of AK5 (sender-specific segment id
# that means the same thing); accept either. The default of "R"
# matters: if the segment is missing entirely, the 999 is a reject.
accept_code = "R"
if idx < len(segments) and segments[idx][0] == "AK5":
if idx < len(segments) and segments[idx][0] in ("AK5", "IK5"):
ak5 = segments[idx]
if len(ak5) > 1 and ak5[1]:
accept_code = ak5[1]
@@ -256,8 +270,11 @@ def parse_999_text(text: str, *, input_file: str = "") -> ParseResult999:
set_responses.append(sr)
# Advance past the AK2 + AK3*/AK4*/AK5 cluster
# (re-walk from i+1 because _consume_ak2 doesn't return idx).
# ``IK5`` is the Gainwell-specific synonym for ``AK5``
# and must be in the consumed set here too (see
# _consume_ak2 for the full rationale).
i += 1
while i < len(segments) and segments[i][0] in {"AK3", "AK4", "AK5"}:
while i < len(segments) and segments[i][0] in {"AK3", "AK4", "AK5", "IK5"}:
i += 1
else:
i += 1
+7 -6
View File
@@ -346,13 +346,14 @@ def _ack_count_summary(result: Any) -> tuple[int, int, int, str]:
Mirrors the logic in ``cyclone.api._ack_count_summary`` but lives
here so the scheduler can run without importing the API module.
Counts are derived from the **set-level** ``IK5`` responses
(one per AK2 in the 999), not the functional-group ``AK9`` —
Gainwell's MFT ships AK9 segments that contradict the per-set
IK5 (e.g. ``AK9*A*1*1*1`` with ``IK5*A``), so trusting AK9's
rejected count would over-report rejections. The set-level
IK5 is the authoritative per-claim accept/reject signal.
"""
if result.functional_group_acks:
fg = result.functional_group_acks[0]
return (
fg.received_count, fg.accepted_count,
fg.rejected_count, fg.ack_code,
)
sets = result.set_responses
received = len(sets)
accepted = sum(1 for s in sets if s.set_accept_reject.code == "A")
+10
View File
@@ -0,0 +1,10 @@
ISA*00* *00* *ZZ*COMEDASSISTPROG*ZZ*11525703 *260527*2303*^*00501*000000001*0*P*:~
GS*FA*COMEDASSISTPROG*11525703*20260527*2303*1*X*005010X231A1~
ST*999*0001*005010X231A1~
AK1*HC*1*005010X222A1~
AK2*837*991102989*005010X222A1~
IK5*A~
AK9*A*1*1*1~
SE*6*0001~
GE*1*1~
IEA*1*000000001~
+32
View File
@@ -11,6 +11,12 @@ from cyclone.parsers.parse_999 import parse_999_text
ACCEPTED = Path(__file__).parent / "fixtures" / "minimal_999.txt"
REJECTED = Path(__file__).parent / "fixtures" / "minimal_999_rejected.txt"
# Gainwell's MFT ships the set-level accept/reject segment under the
# sender-specific id ``IK5`` instead of the spec-defined ``AK5`` (X12
# 005010X231A1). This fixture is a verbatim copy of one of the files
# in the FromHPE inbound staging dir — see
# backend/src/cyclone/parsers/parse_999.py for the rationale.
GAINWELL_IK5 = Path(__file__).parent / "fixtures" / "minimal_999_ik5_gainwell.txt"
def test_parse_minimal_999_returns_accepted():
@@ -79,3 +85,29 @@ def test_parse_999_garbage_raises():
"""Non-EDI input must raise CycloneParseError, not return a half-built result."""
with pytest.raises(CycloneParseError):
parse_999_text("not edi at all", input_file="bad.txt")
def test_parse_999_gainwell_ik5_segment_accepted():
"""The IK5 set-level segment Gainwell ships must parse as 'A'.
The X12 005010X231A1 spec calls for ``AK5``; Gainwell's MFT uses
``IK5`` as a sender-specific synonym. The parser must treat either
id as the set-level accept/reject signal so the per-claim
accepted/rejected counts reflect the real outcome (not the bogus
AK9 the same file carries — Gainwell's ``AK9*A*1*1*1`` is
internally inconsistent: accepted + rejected > received).
"""
text = GAINWELL_IK5.read_text()
result = parse_999_text(text, input_file=GAINWELL_IK5.name)
assert len(result.set_responses) == 1
s = result.set_responses[0]
assert s.set_accept_reject.code == "A"
assert s.transaction_set_identifier == "837"
assert s.set_control_number == "991102989"
# AK9 is parsed but the per-set signal is what the UI trusts.
assert result.functional_group_acks[0].ack_code == "A"
assert result.functional_group_acks[0].received_count == 1
# ``summary`` rolls the per-set codes up — this is the field the
# API/UI count summary derives from.
assert result.summary.passed == 1
assert result.summary.failed == 0