Commit Graph

9 Commits

Author SHA1 Message Date
Tyler 5c9365ec33 feat(sp14): 5-lane Inbox UI with Payer-Rejected acknowledge action
Closes the gap between the SP10 backend (5 lanes) and the SP6
frontend (4 lanes). The Payer-Rejected lane (277CA STC A4/A6/A7)
is now rendered alongside Rejected/Candidates/Unmatched/Done,
with an Acknowledge bulk action that drops claims from the
working surface without erasing the original 277CA rejection
event (audit log stays intact, SP11).

Backend:
* Migration 0010: add payer_rejected_acknowledged_at +
  payer_rejected_acknowledged_actor columns + partial index.
* db.py: surface the two new columns on the Claim model.
* inbox_lanes.py: filter acknowledged claims out of the
  payer_rejected lane; expose the new fields on the row payload
  for forward-compat (e.g. a future 'Recently acknowledged' view).
* api.py:
  - POST /api/inbox/payer-rejected/acknowledge
    Bulk-acknowledge. Idempotent. Returns transitioned /
    already_acked / not_found / not_rejected counts so the UI
    can show '3 of 5 were already acknowledged' on a noop bulk.
    Writes a 'claim.payer_rejected_acknowledged' event to the
    SP11 hash-chained audit log.
  - GET /api/inbox/export.csv: accept 'payer_rejected' lane.
* test_acks.py: bump user_version assertion to 10.
* test_lane_filter_acknowledged.py: 4 tests for the lane filter
  and forward-compat row payload.
* test_payer_rejected_acknowledge.py: 6 tests for the endpoint
  (happy path, idempotency, no-op on non-rejected, missing
  ids, 400 on empty, audit-log wiring + chain integrity).

Frontend:
* lib/inbox-api.ts: add payer_rejected to InboxLanes, add
  acknowledgePayerRejected(), update exportInboxCsvUrl union.
* hooks/useInboxLanes.ts: add payer_rejected to initial state.
* hooks/useInboxLanes.test.ts: add payer_rejected to mocks.
* components/inbox/BulkBar.tsx: add 'payer_rejected' lane with
  Acknowledge action (no Resubmit, no Dismiss — payer-rejected
  is not eligible for either).
* components/inbox/BulkBar.test.tsx: add payer_rejected test.
* pages/Inbox.tsx: render the 5th lane, hook up onAcknowledge,
  include payer_rejected in the needEyes count.
* pages/Inbox.test.tsx: 3 new tests (5-lane render, need-eyes
  count, acknowledge action hits the right endpoint).
* components/inbox/InboxHeader.tsx: doc comment now explains
  why payer_rejected rolls up into need-eyes.

Pre-existing typecheck warnings in BulkBar.test.tsx / InboxRow
.test.tsx / Lane.tsx / download.test.ts are unchanged from
main — not touched here.

Test counts: backend 724 -> 734 (+10). Frontend 350 -> 354 (+4).
2026-06-21 00:13:47 -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 0dd6d39424 test(sp7): update migration version assertion to 6 (SP7 + TA1 WIP) 2026-06-20 19:25:26 -06:00
Tyler 76278ec9f6 feat(ta1): TA1 interchange ACK parser, persistence, and API
Adds full TA1 (Interchange Acknowledgment, X12 envelope-level) support
to mirror the existing 999 transaction-set ACK pipeline.

Parser & models
- parsers/models_ta1.py: Pydantic Ta1Ack + ParseResultTa1 models
  (AckCode = Literal['A','E','R'], date serializer mirroring 999)
- parsers/parse_ta1.py: TA1 segment parser
  - Tolerant YYMMDD (6-digit) + CCYYMMDD (8-digit) date handling
    for CO Medicaid interchange_date / ack_generated_date
  - 106-char ISA validation (15-char sender/receiver IDs)
  - source_batch_id = 'TA1-<ISA13>'

Persistence
- migrations/0005_create_ta1_acks.sql: ta1_acks table + indexes
  on source_batch_id and ack_code
- db.py: Ta1Ack ORM model (flat columns + raw_json, mirrors Ack)
- store.py: add_ta1_ack, list_ta1_acks (returns all rows),
  get_ta1_ack
- db version bumped 4 -> 5 (test_acks.py updated)

API (api.py)
- POST /api/parse-ta1: text/file ingest, persists ta1_ack,
  returns detail-ready payload
- GET /api/ta1-acks: list with limit + total (mirrors 999 pattern)
- GET /api/ta1-acks/{ack_id}: detail
- _ta1_to_ui / _serialize_ta1 / _serialize_ta1_from_row helpers

Tests (17 new, 508 total passing)
- tests/test_parse_ta1.py (8): CCYYMMDD + YYMMDD acceptance,
  E/R codes, source_batch_id, missing ISA/TA1, short defaults
- tests/test_api_ta1.py (9): happy path, rejected persists,
  empty/malformed 400, missing file 422, detail regenerates
  segment, 404, empty list, newest-first
- tests/test_prodfiles_smoke.py: extended to smoke-test 352
  production TA1 files (A=0, R=352, E=0)
- tests/test_api_parse_persists.py: cross-pipeline reconciliation
  test asserting invariants across 837P + 835 prod files

Real-data finding: all 352 production TA1s are R (rejected);
operator follow-up warranted.
2026-06-20 18:58:56 -06:00
Tyler 1b1534d8d2 feat(sp6): migration 0004 — rejection columns + state-history index
Adds:
- claims.rejection_reason, claims.rejected_at, claims.resubmit_count
- claims.state_changed_at (was missing, needed for Done-today lane)
- ix_claims_state_changed_at composite index

Also fixes the ClaimState count assertion in test_db_models.py
(7 → 8) to match the REJECTED enum value added in the previous
commit, and bumps the user_version expectation in test_acks.py
(3 → 4) for the same reason.
2026-06-20 18:21:29 -06:00
Tyler b5e27927e0 fix(835): drop over-constraining UNIQUE constraints, add multi-BPR warning
Three related changes for real CO Medicaid data:

1. Drop UNIQUE(batch_id, patient_control_number) on claims and
   UNIQUE(batch_id, payer_claim_control_number) on remittances. The X12
   spec allows multiple CLM segments per 2000B subscriber loop and 835
   ERAs can repeat a payer_claim_control_number for reversals. Claim/
   remittance identity is provided by the primary key (claims.id = CLM01,
   remittances.id = CLP01).

2. Add validator rule R835_MULTI_BPR warning for files with multiple BPR
   segments (CO Medicaid split-payment pattern). The parser already sums
   BPR02 paid_amounts; this surfaces the non-standard data to operators.

3. Skip R835_BAL_BPR_vs_CLP04 when BPR01='I' (Information Only 835).
   In that mode BPR02 is informational and the per-claim CLP04 totals
   are authoritative — a diff is expected, not an error.

Migration 0003 handles the drop with IF EXISTS so fresh DBs skip cleanly.
Updates affected tests to reflect new schema (no UNIQUE constraint on
batch_id + patient_control_number / payer_claim_control_number).

Fixes test_api_835::test_prodfile_round_trip_persists_separately which
was failing on real production data.
2026-06-20 18:10:07 -06:00
Tyler fb2a98fc7a feat(parsers+api+ui+db): 999 ACK transaction set end-to-end (SP3 P3) 2026-06-20 08:03:37 -06:00