fix(sp31): read NPI and charge from raw_json when ORM attribute missing
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@@ -133,9 +133,15 @@ def _content_keys_match(remit, claim) -> bool:
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- shim / dataclass test objects (planned names: total_charge_amount,
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total_charge, rendering_provider_npi), and
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- real SQLAlchemy ORM instances (Claim.charge_amount, Remittance.total_charge,
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Claim.provider_npi). The Remittance ORM has no NPI column — callers
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that need NPI on a Remit set the transient ``rendering_provider_npi``
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attribute (the 835 parser does this on raw_json; tests do it directly).
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Claim.provider_npi).
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Production note: the 835 parser stores ``rendering_provider_npi`` and
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``total_charge_amount`` on ``Remittance.raw_json`` (the ORM has no
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dedicated column), so the read order below is:
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- NPI: transient attribute → raw_json
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- Charge: planned attribute name → real ORM column → raw_json
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The ``raw_json`` fallback is what makes this helper safe against a
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raw ``Remittance`` ORM instance from ``reconcile.run()``.
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"""
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keys_matched = 0
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@@ -144,19 +150,40 @@ def _content_keys_match(remit, claim) -> bool:
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(getattr(claim, "patient_control_number", "") or "").strip():
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keys_matched += 1
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# Charge: total_charge_amount/total_charge ↔ total_charge/charge_amount (within $0.01).
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remit_charge = getattr(remit, "total_charge_amount", None) or getattr(remit, "total_charge", None)
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claim_charge = getattr(claim, "total_charge", None) or getattr(claim, "charge_amount", None)
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if remit_charge is not None and claim_charge is not None and \
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abs(remit_charge - claim_charge) < CHARGE_TOLERANCE:
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# Charge: prefer the planned attribute names, fall back to real ORM columns,
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# then to raw_json (where the 835 parser stores CLP03). Explicit ``is None``
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# checks avoid the ``Decimal("0")`` truthiness footgun — ``Decimal("0")``
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# is truthy in a boolean context but ``or`` would still let it through;
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# the more important property is that we don't accidentally replace a real
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# value with a default.
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_remit_charge = getattr(remit, "total_charge_amount", None)
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if _remit_charge is None:
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_remit_charge = getattr(remit, "total_charge", None)
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if _remit_charge is None:
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_remit_charge = (getattr(remit, "raw_json", None) or {}).get("total_charge_amount")
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_claim_charge = getattr(claim, "total_charge", None)
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if _claim_charge is None:
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_claim_charge = getattr(claim, "charge_amount", None)
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if _claim_charge is None:
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_claim_charge = (getattr(claim, "raw_json", None) or {}).get("total_charge_amount")
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if _remit_charge is not None and _claim_charge is not None and \
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abs(_remit_charge - _claim_charge) < CHARGE_TOLERANCE:
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keys_matched += 1
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# NPI: rendering_provider_npi (or provider_npi fallback on Claim) ↔
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# rendering_provider_npi (must be non-empty on the remit side).
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remit_npi = (getattr(remit, "rendering_provider_npi", "") or "").strip()
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# NPI: prefer attribute, fall back to raw_json (where the 835 parser
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# stores rendering_provider_npi). The Remittance ORM has no NPI column,
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# so the raw_json path is the production read for raw ORM instances —
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# it must NOT be removed.
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remit_npi = (
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(getattr(remit, "rendering_provider_npi", "") or "")
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or ((getattr(remit, "raw_json", None) or {}).get("rendering_provider_npi", "") or "")
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).strip()
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claim_npi = (
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(getattr(claim, "rendering_provider_npi", "") or "")
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or (getattr(claim, "provider_npi", "") or "")
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or ((getattr(claim, "raw_json", None) or {}).get("rendering_provider_npi", "") or "")
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).strip()
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if remit_npi and remit_npi == claim_npi:
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keys_matched += 1
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