feat(release): v0.2.0 — batch 837 export, ClaimCard, theme tokens

Backend:

- New POST /api/batches/{id}/export-837: regenerate X12 837 files
  for a list of claim_ids into a ZIP using HCPF file naming standards,
  with a unique interchange/group control number per export. Wire
  the clearhouse Loop 1000A (NM1*41 + PER) and per-payer receiver
  (NM1*40) blocks so the serializer no longer falls back to
  CYCLONE / RECEIVER placeholders.
- /api/parse-837 and /api/parse-835 now surface the server-side
  batch_id in both JSON and NDJSON response shapes so the frontend
  can hit batch-scoped endpoints without an extra listBatches
  round-trip.
- Filename helpers and the 837 serializer updated to match the new
  HCPF envelope; tests cover batch export, parse batch_id, and the
  serializer's control-number uniqueness guarantee.

Frontend:
- New shared components: ClaimCard, ClaimCard837, DominantKpiCard,
  EditorialNote, ExportBar, TickerTape, and a charts/ set
  (BarChart, HBarChart, SegmentedBar, AgingBars).
- New useBatchExport hook driving ExportBar's download flow against
  the new endpoint.
- ClaimDrawer, Lane, and Layout migrated from raw CSS-variable
  colors to Tailwind theme tokens (bg-card, text-foreground,
  border/60, etc.) for consistency with the rest of the instrument
  chrome; the active tab indicator gains a subtle accent glow.
- Upload, Inbox, Batches, BatchDiff, Reconciliation, and Acks pages
  reworked to compose the new shared components and consume the new
  batch-scoped API surface (notably ExportBar wired into Batches).

Tooling / Docs:
- Add audit-uiux.mjs and a docs/goodclaim.x12 sample fixture.
- Update ClaimDrawer testids and add coverage for the new
  components and the useBatchExport hook.

Rolls up into the v0.2.0 release tag.
This commit is contained in:
Tyler
2026-06-22 11:01:58 -06:00
parent 35298907bc
commit 9bca4b608a
54 changed files with 6224 additions and 3871 deletions
+8
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@@ -101,6 +101,14 @@ def test_parse_837_endpoint_streams_ndjson(client: TestClient):
# Summary numbers match the JSON path.
assert parsed[3]["data"]["total_claims"] == 2
assert parsed[3]["data"]["passed"] == 2
# The streaming summary carries the server-side batch id so the
# frontend can call /api/batches/{id}/export-837 without a separate
# GET /api/batches round-trip (regression: it used to be missing
# on the stream path, only present on the JSON path, which made the
# Upload page's Export button say "no batch to export").
assert parsed[3]["type"] == "summary"
assert isinstance(parsed[3]["data"]["batch_id"], str)
assert len(parsed[3]["data"]["batch_id"]) == 32 # uuid4().hex
def test_parse_837_endpoint_streams_ndjson_without_raw_segments(client: TestClient):
+7
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@@ -82,6 +82,13 @@ def test_parse_835_endpoint_streams_ndjson(client: TestClient):
# Summary numbers match the JSON path.
assert parsed[7]["data"]["total_claims"] == 2
assert parsed[7]["data"]["passed"] == 2
# The streaming summary carries the server-side batch id so the
# frontend can call /api/batches/{id}/export-837 without a separate
# GET /api/batches round-trip (matches the parallel fix on
# /api/parse-837).
assert parsed[7]["type"] == "summary"
assert isinstance(parsed[7]["data"]["batch_id"], str)
assert len(parsed[7]["data"]["batch_id"]) == 32 # uuid4().hex
def test_parse_835_endpoint_streams_ndjson_without_raw_segments(client: TestClient):
+317
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@@ -0,0 +1,317 @@
"""Tests for POST /api/batches/{batch_id}/export-837.
Reads Claim.raw_json for each requested claim_id and returns a ZIP of
regenerated X12 837 files. No DB state mutation. Mirrors the
X-Cyclone-Serialize-Errors convention from /api/inbox/rejected/resubmit?download=true.
"""
import io
import json
import zipfile
from pathlib import Path
from fastapi.testclient import TestClient
from cyclone.api import app
def _seed_batch(client: TestClient, filename: str = "claim.txt") -> dict:
"""Parse a single 837P file and return a dict with ``batch_id`` and
``claims``.
The parse-837 happy-path response does not currently surface
``batch_id`` at the top level (it's a server-side UUID, surfaced in
409 errors but not in 200s). We look it up from the DB — the Batch
row is already persisted by the time the parse endpoint returns.
"""
from cyclone import db
from cyclone.db import Batch
fixture = Path("tests/fixtures/co_medicaid_837p.txt").read_text()
r = client.post(
"/api/parse-837",
files={"file": (filename, io.BytesIO(fixture.encode()), "text/plain")},
headers={"Accept": "application/json"},
)
assert r.status_code == 200, r.text
body = r.json()
with db.SessionLocal()() as s:
most_recent = s.query(Batch).order_by(Batch.parsed_at.desc()).first()
assert most_recent is not None, "expected at least one Batch row after parse"
batch_id = most_recent.id
return {"batch_id": batch_id, "claims": body["claims"]}
def _claim_ids_from_seed(seeded: dict) -> list[str]:
return [c["claim_id"] for c in seeded["claims"]]
# ---------------------------------------------------------------------------
# Happy path
# ---------------------------------------------------------------------------
def test_happy_path_returns_zip_with_one_x12_per_claim():
with TestClient(app) as client:
seeded = _seed_batch(client)
batch_id = seeded["batch_id"]
claim_ids = _claim_ids_from_seed(seeded)
r = client.post(
f"/api/batches/{batch_id}/export-837",
json={"claim_ids": claim_ids},
)
assert r.status_code == 200, r.text
assert r.headers["content-type"].startswith("application/zip")
assert "attachment" in r.headers["content-disposition"]
assert (
f"batch-{batch_id}-{len(claim_ids)}-claims.zip"
in r.headers["content-disposition"]
)
# Per-claim failures header absent on full success.
assert "x-cyclone-serialize-errors" not in {k.lower() for k in r.headers.keys()}
with zipfile.ZipFile(io.BytesIO(r.content)) as zf:
names = zf.namelist()
assert len(names) == len(claim_ids)
# Each entry follows the HCPF outbound naming template
# "{tpid}-837P-{yyyymmddhhmmssSSS}-1of1.x12" (the seeded
# clearhouse TPID is "11525703"). Every name must be unique.
from cyclone.edi.filenames import is_outbound_filename
seen = set()
for name in names:
assert is_outbound_filename(name), (
f"expected HCPF outbound filename, got {name!r}"
)
assert name not in seen, f"duplicate filename: {name}"
seen.add(name)
with zf.open(name) as f:
first_line = f.readline().decode("ascii", errors="replace")
assert first_line.startswith("ISA*"), f"{name} didn't start with ISA"
def test_each_x12_in_zip_uses_clearhouse_submit_and_payer_receiver():
"""Regression: regenerated 837s used to emit 'CYCLONE' / 'RECEIVER'
placeholders. The export endpoint must thread the clearhouse
submitter (dzinesco's TPID 11525703) and payer receiver
(COMEDASSISTPROG) through to the serializer."""
with TestClient(app) as client:
seeded = _seed_batch(client)
batch_id = seeded["batch_id"]
claim_ids = _claim_ids_from_seed(seeded)
r = client.post(
f"/api/batches/{batch_id}/export-837",
json={"claim_ids": claim_ids},
)
assert r.status_code == 200, r.text
with zipfile.ZipFile(io.BytesIO(r.content)) as zf:
for name in zf.namelist():
with zf.open(name) as f:
text = f.read().decode("ascii")
# Submitter block must use the clearhouse TPID + name, not
# the 'CYCLONE' placeholder.
assert "CYCLONE" not in text, f"{name} still emits CYCLONE placeholder"
assert "11525703" in text, f"{name} missing clearhouse TPID"
assert "Dzinesco" in text, f"{name} missing clearhouse name"
# Receiver block must use the CO_TXIX payer config
# (COMEDASSISTPROG), not the 'RECEIVER' placeholder.
assert "RECEIVER" not in text, f"{name} still emits RECEIVER placeholder"
assert "COMEDASSISTPROG" in text, f"{name} missing receiver id"
# Loop 1000A requires PER — must be present, not omitted.
assert "PER*IC*" in text, f"{name} missing required PER segment"
# SBR09 should be 'MC' (Medicaid claim filing indicator),
# not the member id.
sbr_line = next(seg for seg in text.split("~") if seg.startswith("SBR*"))
sbr09 = sbr_line.rstrip("~").split("*")[9]
assert sbr09 == "MC", f"{name} SBR09 expected 'MC', got {sbr09!r}"
def test_each_x12_in_zip_round_trips_through_parser():
"""Fidelity check: each .x12 must parse back to a ClaimOutput deep-equal
to the source row's raw_json (modulo recomputed validation)."""
from cyclone.parsers.parse_837 import parse
from cyclone.parsers.payer import PayerConfig
with TestClient(app) as client:
seeded = _seed_batch(client)
batch_id = seeded["batch_id"]
claim_ids = _claim_ids_from_seed(seeded)
r = client.post(
f"/api/batches/{batch_id}/export-837",
json={"claim_ids": claim_ids},
)
assert r.status_code == 200, r.text
by_id = {c["claim_id"]: c for c in seeded["claims"]}
with zipfile.ZipFile(io.BytesIO(r.content)) as zf:
for name in zf.namelist():
with zf.open(name) as f:
text = f.read().decode("ascii")
result = parse(text, PayerConfig(name="CO_MEDICAID"))
assert result.claims, f"{name} didn't parse back to any claims"
# Claim ids must round-trip (proves the serializer didn't drop
# or rewrite the id).
assert result.claims[0].claim.claim_id in by_id, (
f"{name} parsed to an unknown claim_id"
)
# ---------------------------------------------------------------------------
# Partial-failure surface
# ---------------------------------------------------------------------------
def test_partial_failure_one_claim_with_no_raw_json_returns_zip_and_errors_header():
"""If one claim has raw_json=None, the ZIP still returns for the others
and the failure is surfaced via X-Cyclone-Serialize-Errors."""
from cyclone import db
from cyclone.edi.filenames import is_outbound_filename
with TestClient(app) as client:
seeded = _seed_batch(client)
batch_id = seeded["batch_id"]
claim_ids = _claim_ids_from_seed(seeded)
assert len(claim_ids) >= 2, "fixture must produce at least 2 claims"
# Wipe raw_json on one claim to simulate a corrupted row.
with db.SessionLocal()() as s:
from cyclone.db import Claim
target = s.get(Claim, claim_ids[0])
target.raw_json = None
s.commit()
r = client.post(
f"/api/batches/{batch_id}/export-837",
json={"claim_ids": claim_ids},
)
assert r.status_code == 200, r.text
# Filename uses SUCCESS count, not requested count.
expected_success = len(claim_ids) - 1
assert (
f"batch-{batch_id}-{expected_success}-claims.zip"
in r.headers["content-disposition"]
)
err_header = r.headers.get("x-cyclone-serialize-errors")
assert err_header, "expected X-Cyclone-Serialize-Errors header"
errs = json.loads(err_header)
assert len(errs) == 1
assert errs[0]["claim_id"] == claim_ids[0]
assert "raw_json" in errs[0]["reason"].lower()
with zipfile.ZipFile(io.BytesIO(r.content)) as zf:
names = zf.namelist()
assert len(names) == expected_success
# Every entry follows HCPF outbound template; none is the
# 'claim-CLM-X.x12' placeholder from the old endpoint.
for name in names:
assert is_outbound_filename(name), f"non-HCPF name: {name!r}"
def test_all_claims_fail_to_serialize_returns_422():
from cyclone import db
with TestClient(app) as client:
seeded = _seed_batch(client)
batch_id = seeded["batch_id"]
claim_ids = _claim_ids_from_seed(seeded)
assert len(claim_ids) >= 1
with db.SessionLocal()() as s:
from cyclone.db import Claim
for cid in claim_ids:
c = s.get(Claim, cid)
c.raw_json = None
s.commit()
r = client.post(
f"/api/batches/{batch_id}/export-837",
json={"claim_ids": claim_ids},
)
assert r.status_code == 422, r.text
body = r.json()
# The 422 body surfaces the failure list so the UI can show details
# without parsing a header.
errs = body.get("detail", {}).get("serialize_errors") or body.get("serialize_errors")
assert errs is not None
assert len(errs) == len(claim_ids)
for entry in errs:
assert entry["claim_id"] in claim_ids
# ---------------------------------------------------------------------------
# Error cases
# ---------------------------------------------------------------------------
def test_empty_claim_ids_returns_400():
with TestClient(app) as client:
seeded = _seed_batch(client)
batch_id = seeded["batch_id"]
r = client.post(
f"/api/batches/{batch_id}/export-837",
json={"claim_ids": []},
)
assert r.status_code == 400, r.text
def test_missing_claim_ids_key_returns_400():
with TestClient(app) as client:
seeded = _seed_batch(client)
batch_id = seeded["batch_id"]
r = client.post(
f"/api/batches/{batch_id}/export-837",
json={},
)
assert r.status_code == 400, r.text
def test_unknown_batch_id_returns_404():
with TestClient(app) as client:
r = client.post(
"/api/batches/BATCH-DOES-NOT-EXIST/export-837",
json={"claim_ids": ["CLM-1"]},
)
assert r.status_code == 404, r.text
body = r.json()
assert "BATCH-DOES-NOT-EXIST" in (body.get("detail") or "")
def test_unknown_claim_id_silently_omitted():
"""A claim_id that doesn't exist is omitted from the ZIP and surfaced
in the errors header — same convention as the resubmit endpoint."""
with TestClient(app) as client:
seeded = _seed_batch(client)
batch_id = seeded["batch_id"]
real_ids = _claim_ids_from_seed(seeded)
assert real_ids, "fixture must produce at least 1 claim"
requested = real_ids + ["CLM-GHOST"]
r = client.post(
f"/api/batches/{batch_id}/export-837",
json={"claim_ids": requested},
)
assert r.status_code == 200, r.text
# Filename uses success count = len(real_ids), not len(requested).
assert (
f"batch-{batch_id}-{len(real_ids)}-claims.zip"
in r.headers["content-disposition"]
)
err_header = r.headers.get("x-cyclone-serialize-errors")
assert err_header
errs = json.loads(err_header)
assert any(e["claim_id"] == "CLM-GHOST" for e in errs)
with zipfile.ZipFile(io.BytesIO(r.content)) as zf:
names = zf.namelist()
# HCPF outbound filenames, one per real claim. We don't pin the
# exact ts (it depends on the wall clock at test time), but the
# count and the HCPF template must match.
from cyclone.edi.filenames import is_outbound_filename
assert len(names) == len(real_ids)
for name in names:
assert is_outbound_filename(name), f"non-HCPF name: {name!r}"
@@ -0,0 +1,29 @@
"""Tests that /api/parse-837 includes the persisted batch_id in its
JSON response, so the frontend can correlate its in-memory batch with
the server's row (and later call /api/batches/{id}/export-837).
The 409 (duplicate) path has always included batch_id; the 200 path
did not. This brings the 200 path in line so the frontend doesn't have
to query listBatches after every parse just to learn the server's id.
"""
import io
from pathlib import Path
from fastapi.testclient import TestClient
from cyclone.api import app
def test_parse_837_happy_path_includes_batch_id_in_response():
with TestClient(app) as client:
fixture = Path("tests/fixtures/co_medicaid_837p.txt").read_text()
r = client.post(
"/api/parse-837",
files={"file": ("claim.txt", io.BytesIO(fixture.encode()), "text/plain")},
headers={"Accept": "application/json"},
)
assert r.status_code == 200, r.text
body = r.json()
assert "batch_id" in body, "parse-837 response must include batch_id so the frontend can call /api/batches/{id}/export-837"
# Sanity: the batch_id should be a non-empty string (UUID-shaped).
assert isinstance(body["batch_id"], str) and body["batch_id"]
+15 -5
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@@ -27,7 +27,8 @@ MT = ZoneInfo("America/Denver")
def test_build_outbound_with_explicit_mt():
now = datetime(2026, 6, 20, 13, 22, 43, 505_000, tzinfo=MT)
name = build_outbound_filename("11525703", "837P", now_mt=now)
assert name == "11525703-837P-20260620132243505-1of1.x12"
# HCPF outbound format: tp prefix on the tpid
assert name == "tp11525703-837P-20260620132243505-1of1.x12"
def test_build_outbound_default_extension():
@@ -39,15 +40,17 @@ def test_build_outbound_default_extension():
def test_build_outbound_custom_extension():
now = datetime(2026, 6, 20, 13, 22, 43, 505_000, tzinfo=MT)
name = build_outbound_filename("11525703", "837P", ext="txt", now_mt=now)
assert name == "11525703-837P-20260620132243505-1of1.txt"
assert name == "tp11525703-837P-20260620132243505-1of1.txt"
def test_build_outbound_uses_mt_when_no_arg():
# Snapshot test — the timestamp will be very recent; check format only
name = build_outbound_filename("11525703", "837P")
assert OUTBOUND_RE.match(name), name
# tp11525703-837P-YYYYMMDDhhmmssSSS-1of1.x12 — 4 dash-separated parts
parts = name.split("-")
assert len(parts) == 4
assert parts[0] == "tp11525703"
assert len(parts[2]) == 17 # yyyymmddhhmmssSSS
@@ -128,8 +131,9 @@ def test_parse_inbound_rejects_non_x12_ext():
def test_roundtrip_outbound_to_inbound():
# Outbound tpid is bare (no TP); inbound tpid is bare inside TP{...}
# The two regexes use different shapes — round-trip via tpid only.
# Outbound uses tp{...}, inbound uses TP{...} (case differs but both
# prefixes are required). The two regexes use different shapes —
# round-trip via tpid only.
now = datetime(2026, 6, 20, 13, 22, 43, 505_000, tzinfo=MT)
out = build_outbound_filename("11525703", "837P", now_mt=now)
assert OUTBOUND_RE.match(out)
@@ -142,13 +146,19 @@ def test_roundtrip_outbound_to_inbound():
def test_is_outbound_filename():
assert is_outbound_filename("11525703-837P-20260620132243505-1of1.x12")
# HCPF outbound always has the lowercase "tp" prefix
assert is_outbound_filename("tp11525703-837P-20260620132243505-1of1.x12")
# Bare tpid (no tp prefix) is no longer a valid outbound filename
assert not is_outbound_filename("11525703-837P-20260620132243505-1of1.x12")
# Uppercase TP prefix is the inbound shape, not outbound
assert not is_outbound_filename("TP11525703-837P-20260620132243505-1of1.x12")
assert not is_outbound_filename("not-a-filename")
def test_is_inbound_filename():
assert is_inbound_filename("TP11525703-837P_M019048402-20260520231513488-1of1_999.x12")
# Lowercase tp prefix is the outbound shape, not inbound
assert not is_inbound_filename("tp11525703-837P_M019048402-20260520231513488-1of1_999.x12")
assert not is_inbound_filename("11525703-837P-20260620132243505-1of1.x12")
+215 -8
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@@ -65,6 +65,21 @@ def test_build_gs_emits_gs_segment_with_hc_functional_id():
assert parts[6] == "1"
def test_build_gs_uses_gs04_yyyymmdd_8_digits():
"""GS-04 must be CCYYMMDD (8 digits) per X12; ISA uses YYMMDD (6).
A 6-digit value like '260622' is rejected by EDI validators with
'Element GS-04 must use CCYYMMDD date format'.
"""
gs = _build_gs("SENDER", "RECEIVER", "1")
parts = gs.rstrip("~").split("*")
# parts[4] = GS-04 date
assert len(parts[4]) == 8, f"expected 8-digit CCYYMMDD, got {parts[4]!r}"
# Must parse as a CCYYMMDD date
from datetime import datetime
datetime.strptime(parts[4], "%Y%m%d")
def test_build_st_emits_837_segment():
st = _build_st("0001")
assert st.startswith("ST*837*0001*005010X222A1~")
@@ -100,12 +115,15 @@ def test_build_nm1_person_entity_splits_first_last():
assert parts[4] == "Jane"
def test_build_per_returns_empty_when_no_contact():
assert _build_per(None, None) == ""
assert _build_per("", "") == ""
def test_build_per_emits_per01_even_with_no_contact():
"""PER is required by X12 Loop 1000A — at least PER01 must be present."""
per = _build_per(None, None)
assert per == "PER*IC~"
per = _build_per("", "")
assert per == "PER*IC~"
def test_build_per_emits_segment_with_contact():
def test_build_per_emits_segment_with_phone_contact():
per = _build_per("Jane Doe", "5551234567")
parts = per.rstrip("~").split("*")
assert parts[0] == "PER"
@@ -115,6 +133,25 @@ def test_build_per_emits_segment_with_contact():
assert parts[4] == "5551234567"
def test_build_per_emits_segment_with_email_contact():
"""When email is given, it wins over phone (HCPF expects email)."""
per = _build_per("Tyler Martinez", None, contact_email="tyler@dzinesco.com")
parts = per.rstrip("~").split("*")
assert parts[0] == "PER"
assert parts[1] == "IC"
assert parts[2] == "Tyler Martinez"
assert parts[3] == "EM"
assert parts[4] == "tyler@dzinesco.com"
def test_build_per_email_takes_precedence_over_phone():
"""If both phone and email are given, email is emitted (PER04)."""
per = _build_per("Tyler", "555-1234", contact_email="t@example.com")
parts = per.rstrip("~").split("*")
assert parts[3] == "EM"
assert parts[4] == "t@example.com"
def test_build_n3_returns_empty_when_no_address():
assert _build_n3(None, None) == ""
assert _build_n3("", "") == ""
@@ -133,12 +170,33 @@ def test_build_hl_emits_segment():
assert hl == "HL*1**20*1~"
def test_build_sbr_emits_segment():
sbr = _build_sbr("18", "M123", "PAYER")
def test_build_sbr_emits_segment_with_correct_slots():
"""SBR01=Payer Responsibility Seq Code (default 'P'),
SBR02=Individual Relationship Code (e.g. '18' for self),
SBR09=Claim Filing Indicator Code (e.g. 'MC' for Medicaid)."""
sbr = _build_sbr("18", "MC")
parts = sbr.rstrip("~").split("*")
assert parts[0] == "SBR"
assert parts[1] == "18"
assert parts[9] == "M123"
# SBR01 — primary
assert parts[1] == "P"
# SBR02 — individual relationship (self = 18)
assert parts[2] == "18"
# SBR09 — claim filing indicator
assert parts[9] == "MC"
# Member ID and payer name do NOT belong in SBR — they live in
# NM109 and NM1*PR.NM103 respectively.
assert "M123" not in sbr
assert "PAYER" not in sbr
def test_build_sbr_defaults_relationship_to_self_and_filing_to_empty():
"""When called with all-None, SBR01/02 fall back to safe defaults
and SBR09 is left empty (the validator's R202 rule will then skip)."""
sbr = _build_sbr(None, None)
parts = sbr.rstrip("~").split("*")
assert parts[1] == "P"
assert parts[2] == "18"
assert parts[9] == ""
def test_build_ref_returns_empty_when_no_value():
@@ -200,6 +258,34 @@ def test_build_clm_emits_clm01_to_clm05():
assert parts[5] == "11:1"
def test_build_clm_emits_clm08_defaulting_to_y():
"""CLM-08 (Benefits Assignment Certification) is required by X12
837P when CLM-07 = 'Y'. Default to 'Y' when the source didn't
capture one (matches what 99% of HCPF files look like).
"""
claim = _stub_claim_header()
clm = _build_clm(claim)
parts = clm.rstrip("~").split("*")
# parts[8] = CLM-08
assert parts[8] == "Y", f"CLM-08 should default to 'Y', got {parts[8]!r}"
def test_build_clm_propagates_captured_clm08():
from cyclone.parsers.models import ClaimHeader
claim = ClaimHeader(
claim_id="CLM-1",
total_charge=Decimal("100.00"),
place_of_service="11",
frequency_code="1",
assignment="Y",
benefits_assignment_certification="N",
release_of_info="Y",
)
clm = _build_clm(claim)
parts = clm.rstrip("~").split("*")
assert parts[8] == "N"
def test_build_ref_g1_returns_empty_when_no_prior_auth():
assert _build_ref_g1(None) == ""
assert _build_ref_g1("") == ""
@@ -242,6 +328,57 @@ def test_build_sv1_emits_procedure_modifiers_charge_units():
assert parts[4] == "1"
def test_build_sv1_emits_sv1_06_and_sv1_07_when_dx_pointer_given():
"""SV1-07 (Diagnosis Code Pointer) is required by X12/HCPF when the
parent claim has an HI segment (i.e. has at least one diagnosis).
Per 005010X222A1, SV1-06 is "Not Used" by the guide and MUST be
empty. Unit basis (UN/MJ/...) goes only in SV1-03.
"""
line = _stub_service_line()
sv1 = _build_sv1(line, dx_pointer="1")
parts = sv1.rstrip("~").split("*")
# parts layout: SV1, comp(SV1-01), charge(02), unit_basis(03),
# units(04), pos(05), ""(06 NOT USED), sv1_07(07)
assert len(parts) == 8, f"expected 8 elements, got {parts}"
# SV1-03 = unit basis
assert parts[3] == "UN"
# SV1-06 = "" (Not Used by 837P guide)
assert parts[6] == "", f"SV1-06 must be empty (Not Used by 837P), got {parts[6]!r}"
# SV1-07 = pointer
assert parts[7] == "1"
def test_build_sv1_omits_sv1_07_when_no_dx_pointer():
"""When the claim has no HI segment, SV1-07 should be empty."""
line = _stub_service_line()
sv1 = _build_sv1(line) # no dx_pointer kwarg
parts = sv1.rstrip("~").split("*")
assert len(parts) == 8
assert parts[6] == "" # SV1-06 still empty
assert parts[7] == "" # SV1-07 empty
def test_build_sv1_matches_goodclaim_layout():
"""Layout must match the known-good reference at docs/goodclaim.x12:
SV1*HC:T1019:U1:KX*125.40*UN*19.00***1~
i.e. 8 fields total: comp, charge, UN, units, '', '', '1'.
"""
from cyclone.parsers.models import Procedure, ServiceLine
line = ServiceLine(
line_number=1,
procedure=Procedure(qualifier="HC", code="T1019", modifiers=["U1", "KX"]),
charge=Decimal("125.40"),
units=Decimal("19.00"),
unit_type="UN",
place_of_service=None,
)
sv1 = _build_sv1(line, dx_pointer="1")
assert sv1 == "SV1*HC:T1019:U1:KX*125.40*UN*19.00***1~"
def test_build_dtp_472_emits_service_date():
assert _build_dtp_472(date(2026, 6, 15)) == "DTP*472*D8*20260615~"
@@ -369,6 +506,76 @@ def test_serialize_837_uses_custom_sender_receiver_ids():
parse(text, _CFG)
def test_serialize_837_emits_per_segment_in_submitter_block():
"""X12 Loop 1000A (Submitter Name) requires a PER segment after
NM1*41. The serializer must emit one even with no contact info
(PER01='IC' is the only required element)."""
claim = _load_claim()
text = serialize_837(claim)
# The first NM1*41 should be followed immediately by a PER segment.
seg_ids = [seg.split("*")[0] for seg in text.split("~") if seg]
nm1_41_idx = seg_ids.index("NM1") # first NM1 is the submitter
assert nm1_41_idx >= 0
# The very next segment must be PER (PER01='IC' is required by spec).
assert seg_ids[nm1_41_idx + 1] == "PER"
per_line = next(seg for seg in text.split("~") if seg.startswith("PER*IC"))
assert per_line.startswith("PER*IC")
def test_serialize_837_per_segment_includes_email_from_kwargs():
"""Passing submitter_contact_email should emit PER*IC*<name>*EM*<email>."""
claim = _load_claim()
text = serialize_837(
claim,
sender_id="DZINESCO",
submitter_name="Dzinesco",
submitter_contact_name="Tyler Martinez",
submitter_contact_email="tyler@dzinesco.com",
)
assert "PER*IC*Tyler Martinez*EM*tyler@dzinesco.com" in text
# And the ISA sender id should be the clearhouse TPID, not "CYCLONE".
assert "ZZ*DZINESCO" in text
assert "ZZ*CYCLONE" not in text
def test_serialize_837_sbr09_uses_claim_filing_indicator_code_kwarg():
"""SBR09 must be the claim filing indicator (e.g. 'MC' for Medicaid),
not the member id. The serializer takes it from the kwarg."""
claim = _load_claim()
text = serialize_837(claim, claim_filing_indicator_code="MC")
sbr_line = next(seg for seg in text.split("~") if seg.startswith("SBR*"))
parts = sbr_line.rstrip("~").split("*")
# SBR01 = P (primary), SBR02 = 18 (self), SBR09 = MC
assert parts[1] == "P"
assert parts[2] == "18"
assert parts[9] == "MC"
# And the member id should NOT be in SBR.
assert claim.subscriber.member_id not in sbr_line
def test_serialize_837_for_resubmit_forwards_kwargs_to_serialize_837():
"""serialize_837_for_resubmit is a thin wrapper — it must forward
clearhouse + payer kwargs so the export endpoint can use it."""
claim = _load_claim()
text = serialize_837_for_resubmit(
claim,
interchange_index=7,
sender_id="DZINESCO",
submitter_name="Dzinesco",
submitter_contact_name="Tyler Martinez",
submitter_contact_email="tyler@dzinesco.com",
receiver_id="COMEDASSISTPROG",
receiver_name="COLORADO MEDICAL ASSISTANCE PROGRAM",
claim_filing_indicator_code="MC",
)
assert "ZZ*DZINESCO" in text
assert "ZZ*COMEDASSISTPROG" in text
assert "PER*IC*Tyler Martinez*EM*tyler@dzinesco.com" in text
# Control numbers reflect the resubmit index.
isa = next(seg for seg in text.split("~") if seg.startswith("ISA*"))
assert "000000007" in isa
def test_serialize_error_is_an_exception():
assert issubclass(SerializeError, Exception)
+2 -2
View File
@@ -31,13 +31,13 @@ def sftp_block(tmp_path):
def test_stub_writes_preserving_remote_path(sftp_block, tmp_path):
client = SftpClient(sftp_block)
remote = "/CO XIX/PROD/coxix_prod_11525703/FromHPE/11525703-837P-20260620132243505-1of1.x12"
remote = "/CO XIX/PROD/coxix_prod_11525703/FromHPE/tp11525703-837P-20260620132243505-1of1.x12"
target = client.write_file(remote, b"ISA*00*...~IEA*1*1~")
assert target.exists()
assert target.read_bytes() == b"ISA*00*...~IEA*1*1~"
# Confirm the full nested MFT path is preserved under staging
rel = target.relative_to(sftp_block.staging_dir)
assert str(rel) == "CO XIX/PROD/coxix_prod_11525703/FromHPE/11525703-837P-20260620132243505-1of1.x12"
assert str(rel) == "CO XIX/PROD/coxix_prod_11525703/FromHPE/tp11525703-837P-20260620132243505-1of1.x12"
def test_stub_creates_parent_dirs(sftp_block):