feat(sp33): PayerConfig.co_medicaid() emits CO_TXIX
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@@ -66,8 +66,8 @@ class PayerConfig(BaseModel):
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# Lenient in v1 — see spec §9 R031.
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# Lenient in v1 — see spec §9 R031.
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require_ref_g1_for_adjustments=False,
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require_ref_g1_for_adjustments=False,
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allowed_bht06={"CH"},
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allowed_bht06={"CH"},
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payer_id="SKCO0",
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payer_id="CO_TXIX",
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payer_name="COHCPF",
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payer_name="CO_TXIX",
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no_patient_loop=True,
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no_patient_loop=True,
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encounter_claim_in_same_batch=False,
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encounter_claim_in_same_batch=False,
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allowed_facility_qualifiers={"B"},
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allowed_facility_qualifiers={"B"},
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@@ -0,0 +1,33 @@
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"""SP33 regression test: ``PayerConfig.co_medicaid()`` emits CO_TXIX.
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The HCPF 837P Companion Guide (June 2025 - Version 2.5) requires
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``NM1*PR NM108=PI, NM109=CO_TXIX`` for the Payer Name loop (2010BB).
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The in-code factory historically emitted ``SKCO0`` which Gainwell
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rejects with ``IK3*NM1*17*2010*8``. This test pins the corrected value.
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See ``docs/superpowers/specs/2026-07-02-cyclone-co-txix-payer-fix-design.md``.
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"""
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from __future__ import annotations
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def test_co_medicaid_factory_emits_CO_TXIX():
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"""Per HCPF 837P Companion Guide, NM1*PR NM109 must equal CO_TXIX."""
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from cyclone.parsers.payer import PayerConfig
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cfg = PayerConfig.co_medicaid()
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assert cfg.payer_id == "CO_TXIX", (
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f"co_medicaid().payer_id must be 'CO_TXIX' (HCPF guide), got {cfg.payer_id!r}"
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)
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assert cfg.payer_name == "CO_TXIX", (
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f"co_medicaid().payer_name must be 'CO_TXIX' (matches docs/goodclaim.x12), got {cfg.payer_name!r}"
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)
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def test_skco0_not_present_in_factory():
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"""Hard guard: SKCO0 must never be emitted by the factory again."""
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from cyclone.parsers.payer import PayerConfig
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cfg = PayerConfig.co_medicaid()
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assert "SKCO0" not in cfg.payer_id, (
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f"SKCO0 must not appear in payer_id (HCPF guide says CO_TXIX), got {cfg.payer_id!r}"
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)
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assert "SKCO0" not in cfg.payer_name, (
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f"SKCO0 must not appear in payer_name, got {cfg.payer_name!r}"
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)
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