feat(sp32): extract 835 NM1*1P (service provider NPI) per ClaimPayment

2026-07-02 16:56:01 -06:00
parent c491003287
commit d8707ba874
3 changed files with 45 additions and 3 deletions
@@ -178,3 +178,35 @@ def test_parse_service_payment_units_default_unit_type_to_un():
    # Default to UN when SVC04 missing but units present.
    assert s1.unit_type == "UN", s1.unit_type
    assert s2.unit_type == "UN", s2.unit_type
+
+
+def test_parse_835_extracts_service_provider_npi_from_nm1_1p():
+    """SP32: NM1*1P in Loop 2100 populates ClaimPayment.service_provider_npi."""
+    from cyclone.parsers.parse_835 import parse as parse_835
+
+    text = (
+        "ISA*00*          *00*          *ZZ*RECEIVERID     *ZZ*SENDERID       *250101*1200*^*00501*000000001*0*P*:~"
+        "GS*HP*RECEIVER*SENDER*20250101*1200*1*X*005010X221A1~"
+        "ST*835*0001~"
+        "BPR*I*85.40*C*NON*****01*021000021*DA*123456*1511111**01*031302955*DA*9876543~"
+        "TRN*1*1511111*1511111~"
+        "DTM*405*20250101~"
+        "N1*PR*COLORADO MEDICAID*XV*CO MEDICAID~"
+        "N3*PO BOX 1100*~"
+        "N4*DENVER*CO*80203~"
+        "REF*2U*12345~"
+        "PER*BL*SUPPORT*TE*8005551212~"
+        "N1*PE*ACME CLINIC*XX*1111111111~"
+        "LX*1~"
+        "CLP*CLM001*1*85.40*85.40*0.00*MC*CLM001*11*1~"
+        "CAS*PR*1*0.00~"
+        "NM1*1P*2*RENDERING PROVIDER*****XX*2222222222~"
+        "SVC*HC:99213*85.40*85.40**1~"
+        "DTM*472*20250101~"
+        "SE*18*0001~"
+        "GE*1*1~"
+        "IEA*1*000000001~"
+    )
+    result = parse_835(text, payer_config=None)  # type: ignore[arg-type]
+    assert len(result.claims) == 1
+    assert result.claims[0].service_provider_npi == "2222222222"