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feat(backend): 835 ERA parser with BPR/CLP/SVC balancing, CO Medicaid config, CLI, and FastAPI route

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This commit is contained in:
Tyler
2026-06-19 17:01:57 -06:00
parent 3dff38045a
commit 8ea951f436
18 changed files with 2413 additions and 26 deletions
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backend/tests/fixtures/co_medicaid_835.txt
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ISA*00* *00* *ZZ*COMEDASSISTPROG*ZZ*TPID001 *260617*1937*^*00501*991102986*1*P*:~ST*835*991102986*005010X221A1~
BPR*C*241.16*C*ACH*CCP*01*021000021*DA*123456789*81-1725341******20260617~
TRN*1*TPID001*81-1725341~
DTM*405*20260617~
N1*PR*2*CO_TXIX*****XV*7912900843~
N3*PO BOX 11000~
N4*DENVER*CO*802110000~
PER*BL*Customer Service*TE*8001234567*UR*hcpf.colorado.gov~
N1*PE*2*TOC, Inc.*****XX*1881068062~
N3*1100 East Main St*Suite A~
N4*Montrose*CO*814014063~
REF*TJ*123456789~
LX*1~
CLP*t991102986o1c1d*1*85.40*85.40*0.00*MC*t991102986o1c1d*12*1~
CAS*CO*45*0.00~
REF*CE*PLAN_A~
NM1*QC*1*Balliache*Marianela~
SVC*HC:T1019:U2*42.70*42.70*UN*6.00*20260602~
DTM*472*20260602~
SVC*HC:T1019:U2*42.70*42.70*UN*6.00*20260603~
DTM*472*20260603~
LX*2~
CLP*t991102986o1c2d*1*155.76*155.76*0.00*MC*t991102986o1c2d*12*1~
CAS*CO*45*0.00~
REF*CE*PLAN_A~
QTY*CA*4~
NM1*QC*1*Barella*Victoria~
SVC*HC:S5130:U2*38.94*38.94*UN*6.00*20260602~
DTM*472*20260602~
REF*0K*PLAN_A~
SVC*HC:S5130:U2*38.94*38.94*UN*6.00*20260603~
DTM*472*20260603~
REF*0K*PLAN_A~
SVC*HC:S5130:U2*38.94*38.94*UN*6.00*20260604~
DTM*472*20260604~
REF*0K*PLAN_A~
SVC*HC:S5130:U2*38.94*38.94*UN*6.00*20260605~
DTM*472*20260605~
REF*0K*PLAN_A~
SE*45*991102986~
GE*1*991102986~
IEA*1*991102986~
backend/tests/fixtures/minimal_835.txt
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ISA*00* *00* *ZZ*COMEDASSISTPROG*ZZ*TPID001 *260617*1937*^*00501*991102984*1*P*:~ST*835*991102984*005010X221A1~
BPR*C*85.00*C*ACH*CCP*01*021000021*DA*123456789*81-1725341******20260617~
TRN*1*TPID001*81-1725341~
DTM*405*20260617~
N1*PR*2*CO_TXIX*****XV*7912900843~
N3*PO BOX 11000~
N4*DENVER*CO*802110000~
PER*BL*Customer Service*TE*8001234567*UR*hcpf.colorado.gov~
N1*PE*2*TOC, Inc.*****XX*1881068062~
N3*1100 East Main St*Suite A~
N4*Montrose*CO*814014063~
LX*1~
CLP*CLM001*1*100.00*85.00*15.00*MC*CLM001*12*1~
CAS*CO*45*15.00~
SVC*HC:S5130:U2*60.00*50.00*7.73*UN*20260602~
DTM*472*20260602~
SVC*HC:S5130:U2*40.00*35.00*7.73*UN*20260603~
DTM*472*20260603~
SE*22*991102984~
GE*1*991102984~
IEA*1*991102984~
backend/tests/fixtures/unbalanced_835.txt
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ISA*00* *00* *ZZ*COMEDASSISTPROG*ZZ*TPID001 *260617*1937*^*00501*991102985*1*P*:~ST*835*991102985*005010X221A1~
BPR*C*85.50*C*ACH*CCP*01*021000021*DA*123456789*81-1725341******20260617~
TRN*1*TPID001*81-1725341~
DTM*405*20260617~
N1*PR*2*CO_TXIX*****XV*7912900843~
N3*PO BOX 11000~
N4*DENVER*CO*802110000~
PER*BL*Customer Service*TE*8001234567*UR*hcpf.colorado.gov~
N1*PE*2*TOC, Inc.*****XX*1881068062~
N3*1100 East Main St*Suite A~
N4*Montrose*CO*814014063~
LX*1~
CLP*CLM001*1*100.00*85.00*15.00*MC*CLM001*12*1~
CAS*CO*45*15.00~
SVC*HC:S5130:U2*60.00*50.00*7.73*UN*20260602~
DTM*472*20260602~
SVC*HC:S5130:U2*40.00*35.00*7.73*UN*20260603~
DTM*472*20260603~
SE*22*991102985~
GE*1*991102985~
IEA*1*991102985~