Commit Graph

10 Commits

Author SHA1 Message Date
Nora 3bf5622010 docs(sp33): update reference docs to CO_TXIX (per HCPF 837P Companion Guide)
docs/reference/837p.md line 48: the CO Medicaid trading-partner line
was still saying 'SKCO0 (sender) <-> COHCPF (receiver)'. The HCPF
837P Companion Guide (June 2025 - Version 2.5) requires
NM1*PR NM109 = CO_TXIX; SKCO0 causes Gainwell to reject the SET
('2010BB NM109 must equal CO_TXIX or CO_BHA').

docs/reference/co-medicaid.md line 118 + the Trading Partner table at
the top: same fix, with a pointer to the SP33 spec for the
root-cause story.

No code changes. Pure doc fix to match what the source now emits
(PayerConfig.co_medicaid().payer_id = 'CO_TXIX').
2026-07-02 21:07:12 -06:00
Nora dd7da18279 fix(sftp): swap inbound/outbound paths — FromHPE is inbound, ToHPE is outbound
The dzinesco SP9 seed had `paths.inbound` and `paths.outbound` mapped to
the wrong Gainwell MFT directories:

  - paths.outbound  was  FromHPE/   (HPE sends files FROM here TO us — inbound)
  - paths.inbound   was  ToHPE/     (we send files TO here — outbound)

So `/api/clearhouse/submit` was writing 837P claims to FromHPE (where
HPE puts acks/835s) and the SP16 scheduler was polling ToHPE (where our
claims go). 999 / TA1 / 835 files in the real FromHPE inbox were
unreachable.

Semantics per operator (2026-06-24):
  - FromHPE = HPE/Gainwell → us  = 999, TA1, 835  (inbound)
  - ToHPE   = us → HPE/Gainwell = 837P claims    (outbound)

**Runtime code (the actual fix):**
  - backend/src/cyclone/store.py            — SP9 seed paths flipped
  - backend/src/cyclone/edi/filenames.py    — docstring corrected

**Test fixtures + assertions (would otherwise fail on the new seed):**
  - backend/tests/test_clearhouse_api.py
  - backend/tests/test_providers_seed.py
  - backend/tests/test_sftp_stub.py        — incl. inbound dir paths
  - backend/tests/test_sftp_paramiko.py
  - backend/tests/test_store_update_clearhouse.py
  - backend/tests/test_api_clearhouse_patch.py
  - backend/tests/test_scheduler.py
  - backend/tests/test_api_scheduler.py

**Docs (text-only — keeps the codebase self-consistent):**
  - README.md
  - docs/reference/co-medicaid.md
  - docs/superpowers/specs/2026-06-20-cyclone-multi-payer-npi-sftp-design.md

**Operator action required after merge:** the existing clearhouse row in
`~/.local/share/cyclone/cyclone.db` was seeded with the old wrong
paths. Easiest recovery:
  1. `rm ~/.local/share/cyclone/cyclone.db` and let `ensure_clearhouse_seeded` re-run on next boot, OR
  2. PATCH /api/clearhouse with the new `paths` block (the SP25
     reconfigure hook picks it up live, including by the running scheduler).

**Verification:**
  - 82 tests in the affected files pass (test_clearhouse_api, test_providers_seed,
    test_sftp_stub, test_sftp_paramiko, test_store_update_clearhouse,
    test_api_clearhouse_patch, test_scheduler, test_api_scheduler, test_filenames).
  - Full backend suite: 1029 pass + 36 pre-existing order-dependent flakes
    unrelated to this change (verified by running the same tests in isolation).
2026-06-24 22:05:55 -06:00
Tyler d54c44f04a feat(sp12): SQLCipher encryption at rest (optional)
- New cyclone.db_crypto module:
  * is_sqlcipher_available() — capability check
  * is_encryption_enabled() — Keychain key + sqlcipher3 present
  * get_db_key() — reads 'cyclone.db.key' from Keychain
  * make_sqlcipher_connect_creator(url, key) — SQLAlchemy creator
- db._make_engine() now switches to SQLCipher when key is present
- pyproject.toml: optional 'sqlcipher' extra (sqlcipher3>=0.6,<1)
- Fallback: without Keychain key, DB stays plain SQLite (no surprise
  behavior for operators who haven't set up encryption yet)
- Verified: encrypted file is unreadable as plain SQLite, wrong key
  raises on first query, migrations + ORM work transparently
- HIPAA §164.312(a)(2)(iv) compliance note in docs

Tests: 705 -> 717 (12 new for SQLCipher). All 717 backend tests pass.
2026-06-20 23:52:41 -06:00
Tyler 62bb09f183 feat(sp11): tamper-evident hash-chained audit_log
- New audit_log table (migration 0009, user_version=9):
  * id, event_type, entity_type, entity_id, actor, payload_json,
    created_at, prev_hash, hash
  * Indexes on (entity_type, entity_id), event_type, created_at
- New cyclone.audit_log module:
  * append_event(session, AuditEvent) — appends one chained row
  * verify_chain(session) — walks the chain, returns first bad id
  * SHA-256 hash over canonical row form (unit-separator delimited)
  * Genesis prev_hash = 64 zeros (Bitcoin-style sentinel)
- New AuditLog ORM model
- New admin API endpoints:
  * GET /api/admin/audit-log (paginated, filterable)
  * GET /api/admin/audit-log/verify (returns ok/first_bad_id/reason)
- Hooked into existing endpoints to append events:
  * /api/parse-999 → 'claim.rejected' per matched claim
  * /api/parse-277ca → 'claim.payer_rejected' per matched claim
  * /api/clearhouse/submit → 'clearhouse.submitted' per claim
- HIPAA §164.316(b)(2) compliance note in docs

Tests: 688 -> 705 (9 audit + 8 audit-API). All 705 backend tests pass.
2026-06-20 23:45:43 -06:00
Tyler 2c0afbe9c5 feat(sp10): 277CA parser + Payer-Rejected Inbox lane
- Add cyclone.parsers.models_277ca + parse_277ca (X12 005010X214)
  - Per-Patient HL ClaimStatus with REF*1K (PCN), REF*EJ (tax ID),
    STC category code, amount, service date
  - STC classifier: A1-A3 accepted, A4/A6/A7 rejected, A8/A9 pended,
    P1-P5 paid, anything else unknown
  - Multiple STCs per Patient HL: last wins (canonical pattern for
    'first pended, then paid' acknowledgments)
  - Subscriber-level STCs surface in unscoped_statuses
- Add apply_277ca_rejections — stamps Claim.payer_rejected_* fields on
  matching rows (lookup by patient_control_number, mirrors 999 path)
- New /api/parse-277ca, /api/277ca-acks, /api/277ca-acks/{id} endpoints
- New two77ca_acks table + Two77caAck ORM model
- New Claim columns: payer_rejected_at, _reason, _status_code, _by_277ca_id
- New payer_rejected lane in /api/inbox/lanes (distinct from 999
  envelope rejected lane)
- New PayerConfig277CA block in config/payers.yaml + Pydantic model
- Migration 0008 bumps user_version to 8

Tests: 654 -> 688 (parser 22 + apply 6 + API 8 + config 6 + adjustments).
All 688 backend tests pass; 1 pre-existing skipped test class unaffected.
2026-06-20 23:41:01 -06:00
Tyler c62826daea feat(sp9): multi-payer, multi-NPI, SFTP stub for dzinesco/TOC
- providers table seeded with 3 NPIs (Montrose, Delta, Salida)
- payers + payer_configs (per-tx config) join table
- clearhouse singleton (dzinesco identity, SFTP block, filename block)
- config/payers.yaml loader with Pydantic schema validation
- cyclone/edi/filenames.py: HCPF X12 File Naming Standards helpers
- cyclone/clearhouse/sftp.py: stub that copies to ./var/sftp/staging/...
- cyclone/secrets.py: macOS Keychain wrapper via keyring
- 11 new validation rules R200-R210 (CO MAP + HCPF naming)
- 6 new API endpoints (/api/clearhouse/*, /api/config/*, /api/admin/reload-config)
- migration 0007
- 72 new tests (646 total passing, was 574)

See spec: docs/superpowers/specs/2026-06-20-cyclone-multi-payer-npi-sftp-design.md
2026-06-20 23:07:31 -06:00
Tyler 307a8d3b69 docs: add co-medicaid reference note 2026-06-19 19:49:34 -06:00
Tyler 8c12e3c81a docs: add x12 naming reference note 2026-06-19 19:49:26 -06:00
Tyler 5927636b7b docs: add 835 reference note 2026-06-19 19:49:15 -06:00
Tyler 9fe41b7269 docs: add 837p reference note 2026-06-19 19:49:02 -06:00