feat(backend): Pydantic v2 models for 837P claims
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import json
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from datetime import date
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from decimal import Decimal
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import pytest
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from pydantic import ValidationError as PydanticValidationError
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from cyclone.parsers.models import (
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Address,
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BillingProvider,
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ClaimHeader,
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ClaimOutput,
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Diagnosis,
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Envelope,
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Payer,
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Procedure,
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ServiceLine,
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Subscriber,
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ValidationIssue,
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ValidationReport,
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)
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def test_address_round_trip():
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a = Address(line1="1100 East Main St", line2="Suite A", city="Montrose", state="CO", zip="81401")
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d = a.model_dump()
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assert d["line1"] == "1100 East Main St"
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assert d["line2"] == "Suite A"
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assert Address.model_validate(d) == a
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def test_address_line2_optional():
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a = Address(line1="1 Main", city="X", state="CO", zip="80000")
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assert a.line2 is None
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def test_subscriber_splits_name():
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s = Subscriber(first_name="John", last_name="Doe", member_id="ABC", dob=date(1980, 1, 1), gender="M", address=Address(line1="x", city="x", state="CO", zip="80000"))
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assert s.first_name == "John"
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assert s.gender == "M"
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def test_service_line_units_are_decimal():
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sl = ServiceLine(
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line_number=1,
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procedure=Procedure(qualifier="HC", code="99213", modifiers=[]),
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charge=Decimal("100.00"),
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unit_type="UN",
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units=Decimal("1.0"),
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)
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assert sl.units == Decimal("1.0")
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def test_claim_header_total_charge_decimal():
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h = ClaimHeader(claim_id="C1", total_charge=Decimal("151.72"), place_of_service="12", frequency_code="1", provider_signature="Y", assignment="Y", release_of_info="Y", prior_auth="3173")
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assert h.total_charge == Decimal("151.72")
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def test_validation_issue_strict_severity():
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issue = ValidationIssue(rule="R001", severity="error", message="bad")
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assert issue.severity == "error"
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with pytest.raises(PydanticValidationError):
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ValidationIssue(rule="R001", severity="WTF", message="bad")
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def test_validation_report_passed_true_when_no_errors():
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r = ValidationReport(passed=True, errors=[], warnings=[])
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assert r.passed is True
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def test_envelope_serializes_to_iso_date():
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e = Envelope(
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sender_id="11525703",
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receiver_id="COMEDASSISTPROG",
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control_number="991102977",
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transaction_date=date(2026, 6, 11),
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transaction_time="081417",
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implementation_guide="005010X222A1",
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)
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d = e.model_dump()
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assert d["transaction_date"] == "2026-06-11"
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def test_claim_output_full_round_trip():
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claim = ClaimOutput(
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claim_id="C1",
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control_number="991102977",
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transaction_date=date(2026, 6, 11),
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billing_provider=BillingProvider(name="X", npi="1234567890", tax_id="123456789", address=Address(line1="1", city="x", state="CO", zip="80000")),
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subscriber=Subscriber(first_name="J", last_name="D", member_id="M", dob=date(1980, 1, 1), gender="M", address=Address(line1="1", city="x", state="CO", zip="80000")),
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payer=Payer(name="P", id="SKCO0"),
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claim=ClaimHeader(claim_id="C1", total_charge=Decimal("100"), place_of_service="12", frequency_code="1", provider_signature="Y", assignment="Y", release_of_info="Y"),
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diagnoses=[Diagnosis(code="R69", qualifier="ABK")],
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service_lines=[],
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validation=ValidationReport(passed=True, errors=[], warnings=[]),
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raw_segments=[["CLM", "C1", "100"]],
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)
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blob = json.loads(claim.model_dump_json())
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assert blob["claim_id"] == "C1"
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assert blob["billing_provider"]["npi"] == "1234567890"
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assert blob["raw_segments"] == [["CLM", "C1", "100"]]
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assert ClaimOutput.model_validate(blob).claim_id == "C1"
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