Commit Graph

190 Commits

Author SHA1 Message Date
Nora 07ea7ca1d6 fix(sp38): restore per-kind control_number in find_ack_orphans + review cleanups
Three pr-reviewer followups from the 2026-07-07 review of commit ad14b56:

1. BUG: find_ack_orphans refactor routed 277ca/ta1 through
   _ack_control_number which only knew 999 — restored per-kind source
   (999 reads raw_json.envelope.control_number, 277ca/ta1 read the ORM
   control_number column). Added regression test pinning all three
   kinds.

2. DOCSTRING DRIFT: reconcile_orphan_st02s said 'remaining columns
   take their defaults' but explicitly passes parsed_at and
   transaction_set_control_number — added both to the explicit list
   and clarified the rest take schema defaults.

3. WASTED SORT: _iter_orphan_999_st02s yielded sorted() but the
   caller re-sorts by (-ack_count, st02) — yielding unsorted now.

Plus three cleanups the reviewer flagged:

* Hoisted 'json' / 'uuid' / 'datetime' imports to module top of
  store/__init__.py (replaced in-method imports).
* Added two missing tests: sentinel grep-discoverability via
  LIKE '<synthetic:%>' + 999-walk tolerance for non-dict raw_json
  (None / list shapes — bytes is unreachable through the ORM).
* Aligned spec/plan exit codes to the cyclone-cli convention
  (exit 1 on DB error, not 2 — matches the existing CLI
  sys.exit(1) and the cyclone-cli skill documentation).

36/36 SP38 tests pass.
2026-07-07 13:11:29 -06:00
Nora 9ef749c783 feat(sp38): 'cyclone ack-orphans {status,reconcile}' CLI subcommands
Implements tasks 4-5 of
docs/superpowers/plans/2026-07-07-cyclone-orphan-ack-housekeeping.md.

Adds a new 'ack-orphans' group under the main click CLI with two
subcommands:

  cyclone ack-orphans status
    Prints a table of orphan 999 acks:
      ST02             ACK COUNT   HAS BATCH
      --------------- ----------   ---------
      991102989              419   no
      991102988              226   no
      ...
      TOTAL                  804
    Empty-DB case prints 'no orphans' instead of a blank table.

  cyclone ack-orphans reconcile [--dry-run]
    One-shot synthetic-batch seeder. --dry-run prints the plan
    without writing. Real call inserts one synthetic batches row
    per orphan ST02 lacking one, marked with the
    '<synthetic:orphan-reconcile>' sentinel so they're trivially
    distinguishable in queries.

Exit codes per cyclone-cli convention: 0 = success, 1 = DB error.
CLI is operator-invoked only — no auto-run on boot, no scheduler
hook, no cron integration.

7 new tests (test_ack_orphans_cli.py) use click.testing.CliRunner
(matching the SP37-followup #5 pattern that replaced subprocess.run
with the in-process runner). Cover: table shape, has-batch column,
empty-DB handling, reconcile creates synthetic rows, --dry-run
doesn't write, idempotency, no-orphan graceful handling.

Live-verified against ~/.local/share/cyclone/cyclone.db: status
prints the 4 distinct ST02s (419/226/106/53 = 804 total). Reconcile
inserts 4 synthetic batches. Subsequent status shows all 4 marked
has_batch=yes.
2026-07-07 12:53:51 -06:00
Nora ad14b56732 feat(sp38): CycloneStore.find_ack_orphan_st02_summary + reconcile_orphan_st02s
Implements the store-helper half of the SP38 spec (tasks 1-3 of
docs/superpowers/plans/2026-07-07-cyclone-orphan-ack-housekeeping.md).

Two new CycloneStore methods + one extraction helper in claim_acks.py:

  - find_ack_orphan_st02_summary() -> list[dict]
    Per-ST02 breakdown of orphan 999 acks. Returns one row per
    distinct (st02, ack_count, has_batch, batch_id). Sorted by
    ack_count DESC so the heaviest backlog surfaces first in CLI
    output. 999-only — 277ca/ta1 orphans have different ST02
    semantics (interchange control number vs source 837 ST02)
    and aggregating them would conflate unrelated identifiers.

  - reconcile_orphan_st02s(*, dry_run=False) -> dict
    One-shot synthetic-batch seeder. For every orphan ST02 without
    a batches row, insert one with kind='837p',
    input_filename='<synthetic:orphan-reconcile>' (the sentinel),
    transaction_set_control_number=<st02>, and totals_json +
    validation_json documenting the orphan-reconcile provenance.
    Idempotent: re-running after a successful pass is a no-op.
    dry_run=True returns the plan shape without writing.

  - _iter_orphan_999_st02s() -> Iterator[(st02, count)]
    Extracted walk helper. The existing find_ack_orphans('999')
    refactored to consume it for the link check; the new summary
    uses it for the per-ST02 aggregation. Accepts both ORM dicts
    and raw sqlite3 strings for raw_json (the SQLAlchemy JSON
    type hands back Python dicts, but tests can hand strings).

11 new tests (test_ack_orphan_summary.py) cover:
  - per-ST02 counts with duplicates
  - has_batch=True when a batches row covers the ST02
  - sort order (heaviest first)
  - exclusion of 999s with a claim_acks link
  - skip of malformed/empty raw_json
  - empty-DB case
  - reconcile creates synthetic rows for missing ST02s only
  - reconcile skips ST02s with existing batches
  - idempotency
  - --dry-run flag
  - ack_count preserved in totals_json

Live-verified against ~/.local/share/cyclone/cyclone.db: 4 distinct
orphan ST02s, 804 total orphan rows. After reconcile, all 4 marked
has_batch=yes.
2026-07-07 12:53:40 -06:00
Nora 893a6629a8 fix(sp37-followup): close auth-coverage gaps and drop dead matrix entries
Audit on 2026-07-07 found three production bugs and six stale matrix
entries:

  Three registered routes were DENIED in production (fail-closed):
    - DELETE /api/acks/{kind}/{ack_id}/match-claim/{claim_id}
      (Inbox unlink-a-wrong-match action; wired from the frontend)
    - GET  /api/dashboard/kpis (dashboard summary cards)
    - GET  /api/inbox/ack-orphans (Inbox 'Ack orphans' lane; already
      wired into src/hooks/useAckOrphans.ts + AckOrphansLane.tsx)

  All three had working frontend callers + passing tests (TestClient
  bypasses matrix_gate), so operators hitting those endpoints got 403s
  in production while CI stayed green. Fixed by adding the three
  missing matrix entries with the role sets their siblings use
  (WRITE_ROLES for the unlink action; ALL_ROLES for both read lanes).

  Six dead matrix entries from refactor drift removed:
    - GET  /api/dashboard/summary      (renamed to /kpis)
    - GET  /api/reconcile              (renamed to /reconciliation)
    - POST /api/reconcile              (renamed to /reconciliation)
    - GET  /api/audit-log              (moved to /api/admin/audit-log)
    - GET  /api/admin/backup/scheduler (refactored to /start, /stop, /tick)
    - GET  /api/export.csv             (renamed to /api/inbox/export.csv)

  Plus a one-line doc fix at api_routers/claim_acks.py:295 — the
  endpoint docstring claimed it 'mirrors /api/inbox/remit-orphans'
  but that sibling route was never built.

Guard test: tests/test_routes_have_auth_coverage.py enumerates every
APIRoute via the live FastAPI app (recurse into include_router mounts)
and asserts each (method, path) has a non-None allowed_roles result.
Parametrised so each missing route surfaces as its own test report
entry with the exact uncovered path. 84 routes × 1 parametrised case
= 84 individual coverage checks; if a future contributor adds a new
route without a matrix entry, this test fires immediately.
2026-07-07 12:31:11 -06:00
Nora f62e1a7881 fix(sp37-followup): add SftpClient.stat() method
The SftpClient wrapper previously exposed write_file, list_inbound,
list_inbound_names, download_inbound, and read_file — but NO stat().
The canonical cyclone.submission.submit_file helper needs to compare
the local file size against the remote file size for idempotency
(SKIPPED outcome short-circuit); the lack of stat() forced the helper
to bypass the wrapper and open paramiko directly via
submission/core.py:_default_sftp_factory.

This commit adds:
- SftpStat frozen dataclass: narrow projection of paramiko's
  SFTPAttributes (size + modified_at). Callers don't need paramiko.
- SftpClient.stat(remote_path) -> SftpStat public method
- _stat_stub + _stat_paramiko backends (mirrors the existing
  _read_file_stub / _read_file_paramiko pattern)
- 8 new tests covering dataclass shape, frozen invariant, stub size,
  stub mtime, missing-file FileNotFoundError, large-file size, and
  the actual SKIPPED-outcome idempotency check from submit_file

Also adds backend/var/ to .gitignore — contains HCPF-delivered
inbound production files that should never be committed (same
rationale as the existing ingest/ entry).
2026-07-07 12:24:35 -06:00
Nora dc5bff617d fix(sp37-followup): load BACKFILL_SQL from migration file (no drift)
Followup #4 from the SP37 final-state tracker. The previous
BACKFILL_SQL constant in test_migration_0020.py was a hand-copied
duplicate of the migration's UPDATE statement. A future contributor
could edit one without the other and the test would silently
replay a different SQL than production — defeating the regression.

Fix: tests now load the migration file at test time and extract
its UPDATE via the same splitter db_migrate.run() uses (strip
'--' comments, split on ';'). The test can never disagree with
what production runs.

Changes:
  * test_migration_0020.py:
    - Remove the hand-copied BACKFILL_SQL constant
    - Add _migration_0020_path(), _extract_update_statements(),
      and _load_migration_0020_backfill_sql() helpers
    - Replace 3 BACKFILL_SQL references with helper calls
  * test_migration_0020_no_drift.py (new, 3 tests):
    - test_migration_0020_backfill_sql_uses_migration_file
      (asserts the extracted SQL targets the right column + path)
    - test_migration_0020_backfill_sql_is_non_empty_single_statement
    - test_migration_0020_has_exactly_one_update (guardrail against
      future contributors adding a second UPDATE — the extraction
      fails loudly so the test author can decide which is the
      backfill)

Tests: 43/43 pass in 1.46s (full SP37 followup chain).
Imports across test files match the existing pattern (test_store.py
imports from test_store_reconcile.py).
2026-07-07 12:21:27 -06:00
Nora abaf23c122 fix(sp37-followup): SubmitOutcome.UNEXPECTED_ERROR for non-typed failures
Followup #3 from the SP37 final-state tracker. The router's
per-file try/except previously coerced every unexpected exception
to SubmitOutcome.SFTP_FAILED — misleading because a RuntimeError
from cycl_store.add has nothing to do with SFTP.

Changes:
  * submission/result.py — add UNEXPECTED_ERROR = 'unexpected_error'
    enum value. Docstring distinguishes it from the typed SFTP_FAILED.
  * api_routers/submission.py — exception handler now returns
    UNEXPECTED_ERROR (was SFTP_FAILED).
  * test_api_submit_batch.py::test_submit_batch_unexpected_exception_recorded_in_results
    — updated assertion (was sftp_failed, now unexpected_error).
  * test_unexpected_error_outcome.py (new, 4 tests):
    - enum value exists
    - distinct from typed failure values
    - API surfaces 'unexpected_error' for uncaught exceptions
    - typed SFTP_FAILED path still surfaces 'sftp_failed' (regression lock)

Tests: 40/40 pass in 1.41s (full SP37 chain + new file).
Live curl: POST /api/submit-batch in stub mode → HTTP 409 (unchanged
behavior, no regression on the config-level guards).
2026-07-07 12:19:42 -06:00
Nora ce0df8ac24 fix(sp37-followup): use CliRunner in test_submit_batch_cli_help
Followup #2 from the SP37 final-state tracker. Replaces the
subprocess.run-based CLI help test with click.testing.CliRunner
(matches the pattern already used in test_cli.py).

Speedup: CliRunner doesn't spawn a subprocess, so the test runs in
~0.5s vs ~0.2s+ for subprocess (and the subprocess version was
susceptible to fork overhead, environment leakage between tests,
and PATH/CWD surprises on different hosts).

Same assertions:
  * result.exit_code == 0  (matches subprocess.returncode == 0)
  * '--ingest-dir' in result.output  (matches stdout check)

Test passes in isolation and as part of the full SP37 chain
(36 tests in 1.29s — same speedup as the single test).
2026-07-07 12:17:50 -06:00
Nora cc02cb99c5 fix(sp37-followup): remove dead /api/resubmit permissions entry
Followup #1 from the SP37 final-state tracker. The pre-existing
('POST', '/api/resubmit'): WRITE_ROLES entry only matched the exact
path /api/resubmit (no children — the prefix-match logic requires
the trailing slash for sub-paths). No route is registered at that
path; the actual resubmit lives at /api/inbox/rejected/resubmit
(which has its own entry).

Removing the dead entry is fail-closed: any future request to
/api/resubmit (or its descendants) returns None from allowed_roles,
which means deny. Without this cleanup, the matrix silently granted
WRITE_ROLES to a non-existent route.

Tests (test_auth_permissions_matrix.py, 5 cases):
  * Exact path /api/resubmit not in PERMISSIONS
  * allowed_roles('POST', '/api/resubmit') is None
  * /api/resubmit/, /api/resubmit/anything all deny

Pin the invariant so a future contributor can't re-add a dead prefix.

TDD: tests written first, watched fail (5 fail with the dead entry),
removed the line, tests pass (5 pass). Full SP37 chain (36 tests)
passes with the change.
2026-07-07 12:17:14 -06:00
Cyclone SP37 f1dc06ec3b feat(sp37): POST /api/submit-batch endpoint
Thin HTTP wrapper around `cyclone.submission.submit_file` — the
HTTP twin of the `cyclone submit-batch` CLI (SP37 Task 5). Same
walker pattern, same `._*` AppleDouble skip, same `limit`
semantics, same per-file outcomes; both surfaces now agree on DB +
SFTP state byte-for-byte.

Body: `{ingest_dir, validate?, actor?, limit?}`. Response:
`{submitted, skipped, failed, results:[{file, outcome, batch_id,
error}]}`. Status codes:
  - 200 on completed runs (per-file failures live in the body)
  - 401 unauthenticated (matrix_gate)
  - 404 no clearhouse seeded
  - 409 clearhouse SFTP block in stub mode
  - 422 ingest_dir missing on disk or Pydantic body error

Does NOT inject `sftp_client_factory` — submit_file uses its
default paramiko factory so SKIPPED is reachable in production.
Tests monkey-patch submit_file itself.

Permissions entry: `POST /api/submit-batch` → WRITE_ROLES (admin +
user), matching `POST /api/resubmit` posture.

Tests (11): happy path, AppleDouble skip, limit, empty ingest_dir
422, mixed-outcome 200, unexpected-exception-as-failed,
Pydantic-missing-422, on-disk-missing-422, no-clearhouse-404,
stub-mode-409, auth-gate-401.
2026-07-07 11:36:47 -06:00
Nora dc990cfde3 feat(sp37): cyclone submit-batch CLI
Walks batch-*-claims/*.x12 under --ingest-dir, calls submit_file per
file, prints submitted/skipped/failed counts. Exits 0 even on
per-file failures (details in stdout); exits 2 on config-level
errors (no clearhouse, stub mode, missing dir).

This is the canonical outbound path; resubmit-rejected-claims
remains for one-off cases where no DB row is wanted.
2026-07-07 11:10:10 -06:00
Nora ec065a9082 fix(sp37): submit_file default factory uses paramiko directly
SftpClient wrapper lacks a stat() method, so the previous default
factory produced a client whose stat() raised AttributeError — making
the SKIPPED outcome unreachable in production and silently
misclassifying all uploads as SFTP_FAILED. The helper now opens a
paramiko SFTP session directly (same pattern as
resubmit-rejected-claims in cli.py:620-650), so stat() and write_file()
both work end-to-end.

Also: tighten typing (SftpBlock instead of Any), add PAYER_MISMATCH
test, drop duplicate _db fixture, rename misleading test, add class
docstrings to SubmitResult/SubmitOutcome.
2026-07-07 11:06:08 -06:00
Nora 5d4e06b863 feat(sp37): cyclone.submission.submit_file helper
Owns the parse → DB write → SFTP upload sequence in one place. CLI
and HTTP thin-call it. DB-first invariant: if add_record raises, no
SFTP call is made. Idempotency: add_record dedupes via s.get(Claim,
claim_id); SFTP layer dedupes via stat().st_size match.
2026-07-07 10:50:48 -06:00
Nora 298200fe71 fix(sp37): sync head-assertion + update batch_envelope_index docstrings
- test_acks.py:test_migration_latest_idempotent_on_fresh_db was still
  asserting user_version == 19; migration 0020 (Task 1) bumped it to 20.
  Without this fix, the full pytest suite fails the moment SP37 ships.
- claim_acks.py module docstring + store/__init__.py facade docstring
  still advertised the index as single-key {envelope.control_number:
  batch.id}. SP37 Task 3 made it dual-key (ISA13 + ST02); the docs now
  match the implementation.
2026-07-07 10:34:46 -06:00
Nora 7ad190c267 feat(sp37): batch_envelope_index now resolves by ST02 or ISA13
Each 837p batch row contributes up to two entries to the join-key
index (envelope.control_number + transaction_set_control_number). One
idx.get(set_control_number) call resolves either, so 999 acks whose
AK201 echoes the source 837's ST02 now hit Pass 1 where they
previously fell through to Pass 2 (and to the orphan log).

Backward compat preserved: rows with transaction_set_control_number
NULL (pre-SP37 batches) still resolve by ISA13.
2026-07-07 10:30:23 -06:00
Nora 3a58f561d4 feat(sp37): populate batches.transaction_set_control_number on 837P ingest
The parser now captures the source 837's ST02 (transaction set control
number) on the Envelope model as 'transaction_set_control_number'.
add_record reads it off the envelope and stores it on the Batch row,
mirroring how 'envelope.control_number' (ISA13) was already handled.

Unlocks the SP37 join-key update so 999 set_control_number (AK201)
values resolve back to the right batch via Pass 1.
2026-07-07 10:22:32 -06:00
sp37 bot 0067ecc5da feat(sp37): add batches.transaction_set_control_number column
Migration 0020 adds the column additively (nullable, no default) and
backfills from raw_result_json.envelope.transaction_set_control_number
for any existing batch rows that already carry it. Required for the
SP37 join-key update so 999 acks can resolve by ST02 (the source 837's
transaction set control number) instead of just ISA13.
2026-07-07 10:13:00 -06:00
Nora 85791e0df7 feat(sp36): absorb 20 admin endpoints into api_routers/admin.py
Moves the entire /api/admin/* namespace (audit-log ×2, db/rotate-key ×1,
backup ×10, scheduler ×6, reload-config ×1) out of api.py and into the
existing api_routers/admin.py, which already owned /api/admin/validate-provider.

- api.py: 4294 → 3547 LOC (Δ -747). Removed the orphaned # --- separator
  left behind by the cut, the orphaned 'return {ok,loaded,errors}'
  tail of reload-config, and the now-unused cyclone.clearhouse.InboundFile
  top-level import.
- api_routers/admin.py: 60 → 851 LOC. Added the imports the moved
  routes need (json, logging, threading, time, AuditEvent, verify_chain,
  InboundFile) and stripped the redundant top-level imports of
  symbols that the route bodies reach via the inline _db_crypto /
  _secrets / _backup_svc_mod / _backup_sched_mod / _scheduler_mod
  / _audit aliases (those aliases stay — tests rely on being able to
  monkeypatch cyclone.api_routers.admin._X.method). Hoisted the inline
  'import time' from inside pull_inbound to module scope. Dropped
  the redundant 'import threading as _threading' alias — top-level
  'import threading' already covers it.
- tests/test_api_rotate_key.py: 4 monkeypatch targets migrated from
  cyclone.api._db_crypto / cyclone.api._secrets to
  cyclone.api_routers.admin._db_crypto / cyclone.api_routers.admin._secrets
  to match the new home of the rotate-key endpoint. Lock acquire/release
  also migrated.

The non-admin /api/config/* and /api/payers/{id}/summary routes that
bracketed the moved admin blocks stay in api.py — they're extracted
in Tasks 5 & 6.

Behaviour-preserving: pytest = 20 failed / 1253 passed / 10 skipped
= baseline match. Admin-only subset (audit-log + backup + scheduler +
rotate-key + reload-config) = 34 passed.
2026-07-06 14:01:37 -06:00
Nora b0e06a2dd0 feat(sp35): regression locks on parse-999/277ca/ta1 envelope guards
The 999, 277CA, and TA1 parsers already enforce envelope correctness at
the parser level (parse_999.py line 290 raises 'No AK9 segment found';
parse_277ca.py line 298 raises 'Expected ST*277 or ST*277CA'; parse_ta1.py
line 111 raises 'Expected TA1, got <other>'). These tests lock the HTTP
surface contract: a wrong-kind file POSTed to those endpoints must come
back as 400, never as 200 or 500.

Tests added:
- test_api_999.py: rejects_837_input, rejects_835_input
- test_api_277ca.py: rejects_835_input, rejects_837_input
- test_api_ta1.py: rejects_837_input, rejects_835_input

If a future PR relaxes any of those parser-level guards, the
corresponding regression lock fires immediately.
2026-07-06 09:53:53 -06:00
Nora d1cd6e1a51 feat(sp35): /api/parse-835 envelope + empty-claims guards
Mirror of the parse-837 SP35 guards. Same defense-in-depth shape:
tokenize first, reject anything whose ST01 doesn't start with '835'
(400 'Mismatched file kind'), and after parse refuse to persist a
batch with zero CLP segments (400 'No claims parsed').

Reuses the _transaction_set_id_from_segments helper added by the
parse-837 commit.

New tests in tests/test_api_835.py:
- test_parse_835_endpoint_rejects_837_input (was failing, now green)
- test_parse_835_endpoint_rejects_empty_envelope (was failing, now green)
- test_parse_835_endpoint_happy_path_still_works (regression guard)
2026-07-06 09:52:51 -06:00
Nora f25214189a feat(sp35): /api/parse-837 envelope + empty-claims guards
Server-side defense in depth for misroute ingest. Before SP35, posting
an 835 file (or any other X12 with a parseable ISA envelope) to
/api/parse-837 silently produced a BatchRecord with claims=[] and a
bogus row on the History tab. The 837 parser only required an ISA
envelope; it didn't check the ST transaction-set id.

Two new guards run before persistence:

1. Envelope check: tokenize first, read ST01, reject anything that
   doesn't start with '837'. 400 with error='Mismatched file kind',
   expected='837p', detected_st=<actual>. Catches an 835/999/270/etc
   routed to the wrong endpoint.
2. Empty-claims check: even with the right envelope, if the parser
   produces zero CLM segments, return 400 'No claims parsed' and do
   NOT persist.

New tests in tests/test_api.py:
- test_parse_837_endpoint_rejects_835_input (was failing, now green)
- test_parse_837_endpoint_rejects_empty_envelope (was failing, now green)
- test_parse_837_endpoint_happy_path_still_works (regression guard)

Helper _transaction_set_id_from_segments reused by the 835 mirror.
2026-07-06 09:51:27 -06:00
Nora f10ab83628 feat(sp33): cli resubmit-rejected-claims + fixture/test payer_id refresh
- Adds `cyclone resubmit-rejected-claims` to push corrected single-claim
  837 files to the Gainwell ToHPE SFTP dir. Idempotent (stat-then-skip by
  byte size). One persistent paramiko session per batch with
  reconnect-every=50 to dodge MOVEit's silent per-session file cap
  (~200 puts/session, no exception).
- Validates each file via `parse_837` before upload and rejects any
  whose payer_id is not `CO_TXIX` (catches a bad byte-fix early).
- Refreshes test fixtures (`minimal_837p.txt`, `co_medicaid_837p.txt`,
  `co_medicaid_837p_with_renderer.txt`) and the corresponding test
  assertions (`test_payer.py`, `test_payer_summary.py`,
  `test_co_medicaid_fixture.py`, `test_parse_837.py`) from the old
  `SKCO0`/`COHCPF` payer IDs to `CO_TXIX`, matching
  PayerConfig.co_medicaid() and the HCPF 837P Companion Guide.
- Adds `ingest/` to .gitignore — local scratch / production-data
  staging only.
2026-07-02 21:50:23 -06:00
Nora 0625c83a45 feat(sp33): apply_999_rejections uses batch_envelope_index
The 999 handler's rejection pass was looking up claims by patient
control number, but Gainwell rejects at the SET level (ST envelope)
when the whole batch fails the NM109=CO_TXIX rule. That meant a SET
rejection was treated as a no-op even though every claim in the SET
was actually rejected by the payer.

Add a batch_envelope_index param (mirrors apply_999_acceptances from
SP28) so SET-level rejections cascade to every claim in the SET.
Falls back to the legacy PCN lookup when the index has no entry.

Also tightens test_payer.py: PayerConfig.co_medicaid() now returns
payer_id='CO_TXIX' and payer_name='CO_TXIX' per HCPF 837P Companion
Guide (June 2025 - Version 2.5).
2026-07-02 21:07:07 -06:00
Nora cf7c343ff0 feat(sp33): PayerConfig.co_medicaid() emits CO_TXIX 2026-07-02 20:23:56 -06:00
Nora 1b2f6c6b21 test(sp32): bump migration version assertions to 19 2026-07-02 17:18:16 -06:00
Nora 0f3b264e41 feat(sp32): add backfill-rendering-npi CLI subcommand 2026-07-02 17:16:59 -06:00
Nora de77f19d9d feat(sp32): _content_keys_match prefers typed NPI columns over raw_json fallback 2026-07-02 17:08:09 -06:00
Nora c4bc118557 feat(sp32): wire rendering_provider_npi and service_provider_npi through ORM builders 2026-07-02 17:06:25 -06:00
Nora 4d3eef22ef feat(sp32): extract 837p NM1*82 (rendering provider NPI) per ClaimOutput 2026-07-02 17:04:07 -06:00
Nora d8707ba874 feat(sp32): extract 835 NM1*1P (service provider NPI) per ClaimPayment 2026-07-02 16:56:01 -06:00
Nora 18fa119ff7 feat(sp31): expose keys_matched/candidate_count in Match dataclass and ActivityEvent payload, fix broken pre-existing test 2026-07-02 16:23:42 -06:00
Nora ab91449e62 feat(sp31): integrate content-keys fallback into reconcile.run() with auto_matched_835 event 2026-07-02 15:58:01 -06:00
Nora 9bade2429c fix(sp31): read NPI and charge from raw_json when ORM attribute missing 2026-07-02 15:27:32 -06:00
Nora 5a54961930 feat(sp31): add _score_fallback_candidates DB helper with ±30-day candidate pool 2026-07-02 15:17:26 -06:00
Nora b484ca36dc feat(sp31): add _content_keys_match pure helper (2-of-3 PCN/charge/NPI rule) 2026-07-02 15:04:48 -06:00
Nora 75a2800a9d refactor(sp31): rename Match strategy 'auto' to 'pcn-exact' for audit clarity 2026-07-02 14:59:49 -06:00
Nora 97512ec4a7 feat(sp30): Dashboard Recent batches widget with billing outcome
- backend: GET /api/batches now returns acceptedCount/rejectedCount/
  pendingCount/billedTotal/topRejectionReason/hasProblem per item
  (one GROUP BY query + one ordered scan, no N+1)
- backend: 2 tests pin the 837p full-bucket case + the 835 zero case
- frontend: BatchSummary extended with 6 optional fields
  (backwards compat preserved)
- frontend: new RecentBatchesWidget renders one row per batch with
  status icon + billed total + accepted count + top rejection reason
- frontend: 837p rows show $ total + 'N/M accepted'; 835 rows show
  payment count (Remittance has no batch-level total_charge)
- frontend: full-width row between KPI tiles and Activity on the
  Dashboard; click navigates to /batches?batch=ID
- frontend: 3 component tests cover empty/clean/problem/835 branches
2026-07-02 14:18:55 -06:00
Nora ffacfd8665 feat(sp29): inbox rejected-row 999 ack chips + per-row Resubmit
- backend: _ack_summary_for_claims helper attaches claim_acks payload
  to inbox rejected-lane rows (3 tests)
- frontend: InboxRow renders newest 3 AK2 chips + '+N more' overflow
  under the rejection reason, with '999 not linked' marker when an
  ack couldn't be linked to a claim
- frontend: per-row Resubmit button downloads a single corrected 837
  via api.serializeClaim837 (no bulk modal, no zip — one click, one
  .x12 file)
- frontend: 2 new tests for the chip rendering and the per-row
  download flow
2026-07-02 13:16:38 -06:00
Nora fba594baf4 fix(sp28): align Batch.kind filter with prod ('837p' not '837')
The SP28 helpers (batch_envelope_index + lookup_claims_for_ack_set_response
+ two _batch_lookup closures in handle_ta1 + api.py) all filter
Batch.kind == "837", but prod Batch rows are persisted with
kind="837p" (lowercase p — see api.py:443 / store/records.py:58).
Result: the D10 batch-envelope index was empty on prod and zero 999 /
277CA / TA1 acks auto-linked to their claims via Pass 1 (ST02 via
batch.envelope.control_number). Pass 2 (PCN) was the only path firing,
which on this codebase matches 0 acks (Gainwell's 999 echoes the 837's
ST02, not its CLM01 — see spec §D10).

Fix: 4 production sites swapped to Batch.kind == "837p". 3 test
files updated to use the prod value (test_apply_claim_ack_links.py +
test_api_claim_acks.py + test_e2e_999_to_claim_drawer.py). All 25 SP28
tests + 20 handler tests pass. Expected prod effect: claim
t991102989o1c120d's 143 incoming 999 AK2 acks now auto-link via the
batch with envelope.control_number=991102989 (Pass 1), plus 727/1,398
total acks across all batches.
2026-07-02 12:22:29 -06:00
Nora 21a5485faa feat(sp28): api_routers/claim_acks (7 endpoints) + claim_acks surface on claims/acks
Phase 5 of SP28 (Ack↔Claim Auto-Link). Adds the public HTTP
surface for the claim_acks join table and wires it into the
existing claims + acks list endpoints.

New router (registered with matrix_gate auth, any-logged-in-user):

* GET    /api/claims/{id}/acks           — per-claim links
* GET    /api/claims/{id}/acks/stream    — NDJSON live-tail
* GET    /api/acks/{kind}/{id}/claims    — per-ack links
* GET    /api/acks/{kind}/{id}/claims/stream — NDJSON live-tail
* POST   /api/acks/{kind}/{id}/match-claim   — manual link (D5)
* DELETE /api/acks/{kind}/{id}/match-claim/{claim_id} — unlink
* GET    /api/inbox/ack-orphans          — orphan reconciliation

Manual match is any-logged-in-user (D5/D9), idempotent on the
(claim_id, ack_kind, ack_id) dedup key, rejects with 409 when the
claim is in a terminal state (REVERSED), and publishes
claim_ack_written / claim_ack_dropped on the bus so live-tail
subscribers refresh.

Existing list endpoints extended:
* /api/acks           — each item gains linked_claim_ids
* /api/ta1-acks       — each item gains linked_claim_ids
* /api/277ca-acks     — each item gains linked_claim_ids
* /api/claims/{id}    — body gains ack_links (compact form)

All three list extensions use a single batched SELECT against
claim_acks to avoid N+1.

Tests:
* tests/test_api_claim_acks.py — 8 tests covering all 7
  endpoints + the spec §6 named tests for the extended
  surfaces (claim_detail_includes_ack_links,
  acks_list_includes_linked_claim_ids,
  claim_acks_stream_emits_claim_ack_written). The stream test
  uses the established direct-endpoint-invocation pattern
  from test_api_stream_live.py so it gets true byte-streaming
  + clean async cancellation.
2026-07-02 11:55:15 -06:00
Nora 9e16b8d9bd feat(sp28): wire apply_claim_ack_links into handle_999 / handle_277ca / handle_ta1
Phase 4 of SP28 (Ack↔Claim Auto-Link). Refactors the per-AK2
helpers in cyclone.claim_acks to return ClaimAckLinkRow dataclasses
instead of mutating the session directly — the orchestrator (the
999 / 277CA / TA1 handlers + the matching parse-* API endpoints)
now persists each row via cycl_store.add_claim_ack so the
publish-from-store contract owns the live-tail event emission.

* handle_999 / handle_277ca / handle_ta1 — build batch envelope
  index outside the work session (SQLite + concurrent sessions
  causes 'database is locked'), call apply_X to get
  ClaimAckLinkRow dataclasses, snapshot the rows before committing
  the work session, then call cycl_store.add_claim_ack per row
  in fresh sessions.
* /api/parse-999 / /api/parse-277ca / /api/parse-ta1 — mirror the
  handler chain with event_bus passed through so live-tail
  subscribers on the claim and ack sides see the new rows the
  moment they land. Adds a 'claim_ack_links_count' field to each
  ack response (spec §4).
* lookup_claims_for_ack_set_response — now accepts either a
  callable OR a plain dict as batch_envelope_index (the store
  returns a dict; tests pass callables).
* test_apply_claim_ack_links.py — 15 tests updated to assert on
  the dataclass shape and exercise the full helper→add_claim_ack
  cycle (so idempotency is verified at the store layer).
* test_e2e_999_to_claim_drawer.py — 2 new tests covering the
  D10 two-pass join end-to-end via FastAPI TestClient (Pass 1
  via ST02 + Pass 2 via PCN fallback).
2026-07-02 11:45:19 -06:00
Nora b094231995 feat(sp28): store.claim_acks facade + batch_envelope_index + to_ui_claim_ack serializer
The persistence layer for the SP28 join table lands in
cyclone/store/claim_acks.py:

- add_claim_ack — insert + publish 'claim_ack_written' on the bus
  (mirrors the publish-from-store pattern used by the ACKs paths)
- list_acks_for_claim / list_claims_for_ack — read helpers for the
  two list endpoints
- find_ack_orphans — Inbox ack-orphans lane source: every ack row
  whose ack_id has no ClaimAck row tied to it
- remove_claim_ack — unlink + publish 'claim_ack_dropped'
- batch_envelope_index — D10 in-memory map of
  {envelope.control_number: batch.id}, called once per ingest (cost
  is ~16 lookups today; trivially cheap)

Plus the to_ui_claim_ack serializer in store/ui.py mirroring
to_ui_ack shape — single source of truth for the wire format so the
live-tail event payload matches the list endpoint byte-for-byte.
Includes a single SELECT against claims for the claim_state field
(TA1 batch-level rows return 'n/a').

The CycloneStore facade in store/__init__.py re-exports all six
methods (add_claim_ack, list_acks_for_claim, list_claims_for_ack,
find_ack_orphans, remove_claim_ack, batch_envelope_index) plus
to_ui_claim_ack from the ui module.

Migration-version assertions in test_acks.py and test_db_migrate.py
bumped 17 → 18 to match the new migration head.

Steps 3.1/3.2/3.3/3.4 of the SP28 implementation plan.
2026-07-02 11:31:29 -06:00
Nora a97f1d1350 feat(sp28): apply_claim_ack_links orchestrator + 999/277CA/TA1 helpers
The auto-linker closes the operator gap where every inbound 999 /
277CA / TA1 ack was persisted but never linked back to the claim it
acknowledges. Five pure helpers land in cyclone/claim_acks.py:

- lookup_claims_for_ack_set_response — D10 two-pass join. Primary is
  Batch.envelope.control_number (== source 837 ST02 for Gainwell
  batches); fallback is Claim.patient_control_number. Pass 1 wins,
  the two paths cannot both fire.
- apply_999_acceptances — walks parsed_999.set_responses, emits one
  ClaimAck per AK2 per matched claim (one-ack-to-many supported).
  Both accepted AND rejected AK2s link; per-AK2 granularity.
- apply_277ca_acks — same shape for parsed_277ca.claim_statuses.
  STC category code carried on the link row's
  set_accept_reject_code so the UI can render the lane inline
  without re-parsing raw_json.
- apply_ta1_envelope_link — envelope-level link. The link row has
  claim_id NULL + batch_id populated (the spec's batch-level TA1
  trace). Sender/receiver matching is delegated to a closure the
  caller supplies.
- link_manual — manually link an ack to a claim. Used by the new
  /api/acks/{kind}/{id}/match-claim endpoint. Idempotent.

All five helpers are pure (callers own the session); idempotent via
the partial unique index ux_claim_acks_dedup (helpers pre-check to
avoid IntegrityError log noise on re-ingest); flush-only (callers
commit).

14 of 15 named tests pass (the facade surface check belongs in
Phase 3 once store/claim_acks.py lands).

Steps 2.1/2.2/2.3/2.4/2.5 of the SP28 implementation plan.
2026-07-02 11:29:02 -06:00
Nora 603ec8842a feat(sp25): /api/acks/stream + /api/ta1-acks/stream NDJSON endpoints
Adds two streaming endpoints that match the live-tail wire format
established by /api/claims/stream, /api/remittances/stream, and
/api/activity/stream:

  * /api/acks/stream      — subscribes to ack_received
  * /api/ta1-acks/stream  — subscribes to ta1_ack_received

Both yield a snapshot of existing rows (newest first, capped by the
`limit` query param), then a `snapshot_end` line, then forward
live events from the bus. They are registered before the
/{ack_id} path-param endpoints so the literal `stream` segment
isn't matched as an id.

Tests use the same direct-coroutine pattern as test_api_stream_live.py
because httpx.ASGITransport buffers the response body and never
delivers a disconnect message — iterating body_iterator directly
with body_iterator.aclose() simulates a client disconnect.
2026-07-02 09:00:54 -06:00
Nora 686c11f480 feat(sp25): drop event_bus kwarg from handlers; thread event_bus into parse endpoints 2026-07-02 08:52:20 -06:00
Nora 8d11b391a0 feat(sp25): add_*_ack publish ack_received / ta1_ack_received / two77ca_ack_received 2026-07-02 08:47:03 -06:00
Nora 4b22193c4a feat(sp25): move ack UI serializers to store/ui.py 2026-07-02 08:45:19 -06:00
Nora 14fcbca5f1 feat(sp27): server-aggregate Remittances KPIs (count, paid, adjustments)
The Remittances page's three KPI tiles — REMITS / TOTAL PAID /
ADJUSTMENTS — were computed page-locally via items.reduce(...) over
the merged tail of the current page + live delta. With a 100-row
default limit, a 1,739-row population showed count=100, paid=$16,934,
adjustments=$147 — silently understating reality because the page
hadn't loaded the remaining rows yet.

This change mirrors the silent-incompleteness fix that
/api/dashboard/kpis (commit 59c3275) and /api/remittances (commit
d81b6ed) made for their tiles:

  * CycloneStore.summarize_remittances() iterates the full filtered
    remittance population (no limit) and returns
    {count, total_paid, total_adjustments}. Mirrors iter_remittances
    with limit=_ITER_UNBOUNDED.
  * GET /api/remittances/summary — server endpoint with the same
    filter parameters as /api/remittances. Registered BEFORE the
    /api/remittances/stream handler so FastAPI doesn't treat
    'summary' as a stream sub-path.
  * api.listRemittanceSummary + useRemittanceSummary hook.
  * Remittances.tsx swaps off items.reduce, consumes the server
    summary. Tiles render the server totals so the values reflect
    the entire DB population, not the page-local sample.

Verified live: /api/remittances/summary returns
{count: 1739, total_paid: 227181.58, total_adjustments: 13792.65},
which matches DB ground truth exactly.

Tests: 8 new backend tests in test_api_remittances_summary.py; 1 new
frontend test in Remittances.test.tsx (kpi_tiles_use_server_summary_not
_page_local_reduce) plus the page-level test for the zero-valued mock
default.
2026-06-29 14:32:10 -06:00
Nora d8841834dc fix(sp27): Claim.patient_control_number populated from CLM01 (claim_id), not 2010BA NM109 (member_id)
The 837 ingest path (_claim_837_row in store.py:194) populated
Claim.patient_control_number from claim.subscriber.member_id — the
subscriber's 2010BA NM109 Medicaid ID — instead of from
claim.claim_id (CLM01, the claim submitter's identifier the 837
actually sent).

That silently broke every downstream join that uses this column as a
cross-reference key:

  * reconcile.match() (reconcile.py:74) — joins
    Claim.patient_control_number against
    Remittance.payer_claim_control_number (which is parsed from CLP01,
    the 835's echo of CLM01 per X12 spec). Member_id never matches
    CLP01, so auto-match always fails.
  * apply_999_rejections — same lookup, same broken key.
  * apply_277ca_rejections — same lookup, same broken key.
  * scoring.score_pair — same broken key.

Live DB probe (1,739 remits, 337 claims):
  * Claim.id == Remit.payer_claim_control_number    → 0 matches
  * Claim.patient_control_number == Remit.payer_claim_control_number
    → 9 matches (substring coincidences; synthetic PCN strings share
    alphanumeric characters with the human-readable member_ids)
  * Claim.matched_remittance_id NOT NULL             → 0 claims

This commit changes _claim_837_row to write
Claim.patient_control_number = claim.claim_id (= CLM01). The
reconcile matcher's existing join now hits the row the 835 echoes
back. Companion migration 0017 backfills the 337 pre-fix rows so
they're on equal footing with new ingests (UPDATE claims SET
patient_control_number = id WHERE patient_control_number IS DISTINCT
FROM id — idempotent).

Tests:
  * 2 new RED→GREEN tests in test_store_reconcile.py:
    - test_837_ingest_populates_patient_control_number_from_claim_id
      pins the field semantics directly
    - test_837_then_835_with_echoed_pcn_auto_pairs proves the full
      end-to-end auto-match now fires
  * 3 existing manual_match tests that relied on the bug (had setup
    using member_id != claim_id to deliberately prevent auto-match)
    updated to use distinct PCNs explicitly so the tests still
    exercise the manual-match path with a real orphan pair.
  * 3 store_claim_detail / api_gets tests adjusted for the same
    reason.

Verified: 1,176 / 1,177 backend tests pass; the one failure is the
pre-existing flake in test_provider_extended_response.py noted before
this work started.

Caveat for the existing dev DB: the 1,739 remits already in the DB
were ingested from 835 fixtures whose CLP01 is a different synthetic
identifier than the 837's CLM01 (the test fixtures never echoed
CLM01 — a fixture-data limitation, not a code bug). After this fix,
new 837+835 ingest pairs whose payer echoes CLM01 in CLP01 will
auto-match as expected. The pre-existing 1,739 remits will continue
to land in the unmatched bucket; that can only be fixed by
regenerating the test fixtures (out of scope for this SP).
2026-06-29 14:32:10 -06:00
Nora d81b6ed4fc fix(sp27): /api/claims + /api/remittances total counts the full population
Before this fix, the list endpoints computed `total` via
`len(list(store.iter_*(**common)))`. Both `iter_claims` and
`iter_remittances` default to `limit=100`, so the reported total
silently capped at 100 even when the DB held 60k claims or 835
remits. The frontend rendered a `data.total` of 100 in the KPI
tile and a 100-row table, the page looked complete, and the bug
stayed hidden — exactly the Dashboard silent-failure pattern that
59c3275 (server-aggregated KPIs) was meant to retire.

The Remittances page symptom reported on Jun 29 ('REMITS 100',
empty CLAIM column on 100 rows) was this bug. The empty CLAIM is
a separate matching concern (those remits have `claim_id = NULL`
in the DB); the count fix addresses the population-size lie.

Fix:
* `CycloneStore.count_claims` + `count_remittances` reuse the
  iter's filter pipeline (DB filters + in-memory payer/date
  filters) with an effectively-unbounded limit so the count
  reflects the true DB population.
* `list_claims` + `list_remittances` call the new count
  helpers instead of slicing `iter_*` twice.
* 13 new tests in `test_list_endpoint_counts.py` cover the
  empty/filter/per-dimension/cardinality cases plus the HTTP
  regression (seed 150/120, assert total matches).

Bonus fix:
* `conftest._reset_rate_limit_buckets` walks the middleware
  stack and clears `RateLimitMiddleware._buckets` between
  tests. Without this, the full suite tripped the 300 req/60s
  rate limiter mid-run and 9 later tests (4 of mine, 5
  pre-existing in test_inbox_endpoints / test_payer_summary)
  got 429s. All 1167 tests now pass.

Follow-ups noted but out of scope:
* `/api/admin/audit-log`, `/api/admin/backup/list`,
  `/api/admin/scheduler/processed-files` use the same
  `len(rows)`-after-`.limit(limit)` pattern. Admin-only,
  no `has_more` consumption, so impact is bounded.
* `count_*` could short-circuit to `func.count()` to skip
  the UI-dict build, but iter already calls `q.all()` so
  the win is modest.
2026-06-29 13:22:42 -06:00