Adds a 'Reissue claims (SP24)' section under the Manual SFTP mode
heading, pointing the operator at the new CLI subcommand with a
worked example against the dzinesco July-8 billing layout.
Covers:
- the canonical command (full flag set, full output path)
- the 5-step workflow (parse / validate / serialize / write / zip)
- the exit-code contract (0/1/2)
- the IG-correctness guard's purpose + the regression story
- the 'no SFTP' boundary so the operator doesn't expect this
to push files to Gainwell (use submit-batch for that)
Locks in:
- cyclone.reissue subpackage (parse_inputs / emit_outputs /
zip_outputs / ig_correctness_check — pure functions, no Click).
- @main.command('reissue-claims') thin wrapper in cli.py.
- PATIENT_LOOP_DEFAULT_INCLUDED public constant in serialize_837.py
(replaces inspect.signature on the private _build_subscriber_block).
- IG-correctness regression test in test_serialize_837.py pinning the
constant to False.
- deprecation shim at scripts/reissue_claims.py.
- RUNBOOK entry under 'Operator workflows → Reissue claims'.
Workflow coverage: the dzinesco July-8 batches (4 files, 358 claims)
that triggered the 999 '2000C HL must be absent when 2000B SBR02=18'
rejection on 2026-07-08.
Covers three things:
1. _build_per / _build_sbr call-site fixes so the serializer always
emits PER-02/03/04 + SBR-09 (Edifabric rejects the current shape).
2. New cyclone.edifabric HTTP client wrapping the two-step
/x12/read -> /x12/validate flow against api.edination.com.
3. Pre-upload gate inside resubmit-rejected-claims so an
Edifabric-invalid file can't reach Gainwell.
Public eval API key 3ecf6b1c5cf34bd797a5f4c57951a1cf for dev.
Production is operator-supplied via cyclone secrets set
edifabric.api_key <paid-key>.
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.
Implements task 6 of
docs/superpowers/plans/2026-07-07-cyclone-orphan-ack-housekeeping.md.
Adds 'Known historical drift — the 804 orphan 999s' section under
the existing operator-triage content. Covers:
- What the orphans are (real production 999s whose source 837s
predate the current DB snapshot; valid audit history that
cannot be auto-linked)
- Why they cannot be auto-linked (source 837s were transmitted
to HPE and never came back; Cyclone is downstream and does
not retain copies of outbound 837s)
- Triage path via the Inbox AckOrphansLane (already working
as of SP37-followup 893a662)
- Optional synthetic-batch seeding via 'cyclone ack-orphans
reconcile' (one-shot, idempotent, --dry-run available)
- 'cyclone ack-orphans status' for the per-ST02 breakdown
Explicitly calls out what the housekeeping is NOT:
- Not a backfill (no claims rows are synthesized)
- Not auto-runnable (operator-invoked only)
- Not a deletion (orphans are valid audit history)
References the SP38 spec and plan for the design rationale.
Adds docs/superpowers/specs/2026-07-07-cyclone-orphan-ack-housekeeping-design.md.
The current cyclone.db holds 805 ack rows, 804 of which are unresolved
orphans — 999s whose source 837 batches pre-date the current DB
snapshot and were never re-ingested. Investigation on 2026-07-07
confirmed the source 837s are not recoverable (Clearinghouse does not
echo them back; only the 999s were preserved in ingest/ + SFTP
staging). SP37's canonical submit-batch flow already captures ST02
going forward, so the orphan count stays flat — not a forward-looking
bug, just historical drift.
This SP captures that situation and adds housekeeping around it:
- RUNBOOK.md entry under 'Known historical drift' explaining the
root cause and the operator's triage path (Inbox AckOrphansLane,
which now works as of SP37-followup 893a662).
- 'cyclone ack-orphans status' CLI: distinct orphan ST02s + ack
count per ST02 + total.
- 'cyclone ack-orphans reconcile' CLI: one-shot, idempotent
synthetic-batch seeder. Marks synthetic rows with
input_filename '<synthetic:orphan-reconcile>' so they're
distinguishable in queries and the codebase can grep the
sentinel.
No UI change, no auto-runnable reconcile, no schema migration, no
attempt to backfill claim rows for the orphan ST02s (the source
data is gone). Per the canonical SP-N spec template, header is
'Draft, awaiting user sign-off' until the plan is signed off.
Branch: sp38-orphan-ack-housekeeping (off main, ahead by 893a662).
Next step: plan at docs/superpowers/plans/2026-07-07-cyclone-orphan-ack-housekeeping.md.
RUNBOOK gets a 'Submitting claims (canonical)' section with both CLI
and HTTP examples, the shared cyclone.submission.submit_file helper,
and a 'submit-batch vs resubmit-rejected-claims' decision rule.
CLAUDE.md gets a pointer to cyclone/submission/ in the 'Backend at a
glance' subpackage list.
8-task implementation plan covering migration, ORM update, join-key
wiring, the cyclone.submission helper, CLI, HTTP endpoint, and merge.
Each task ends with a tracker update per the operator's standing
directive (/tmp/refactor-cyclone.md).
Adds a parse → DB write → SFTP upload pipeline that closes the gap
where 837P submissions leave no DB row, making every 999 ack an
orphan. Locks the four brainstorming decisions (canonical submit flow,
DB-first ordering, new Batch.transaction_set_control_number column,
additive deprecation posture) and the architecture for one new CLI +
one new HTTP endpoint sharing a cyclone.submission helper.
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').
The original SP28 spec assumed `Claim.patient_control_number == 999.set_control_number`.
Empirically that's wrong: Gainwell's 999 echoes the source 837's ST02, not its
CLM01, and TOC's billing software fills them differently. Measured against
prod on 2026-07-02: the PCN join matches 0 / 1,398 acks.
Fix: two-pass join. Primary is `Batch.envelope.control_number (== 837 ST02)
→ claims via batch_id`; fallback is `Claim.patient_control_number` (for
senders that fill CLM01 == ST02). Coverage after fix: 727 / 1,398 (52%);
the remaining 671 are real orphans (ST02=0001 placeholder, no matching 837
batch in our DB).
Spec adds D10 + a critical-correction paragraph at the top of §1. Plan
gains the `lookup_claims_for_ack_set_response` pure helper, the
`batch_envelope_index()` store method, and three new tests covering the
two-pass join + the false-positive guard + the one-ack-to-many case.
Fresh plan that supersedes the 2026-06-21 line-number-anchored plan.
Reflects the resumed state: store.py at 2,995 LOC, 14 target modules,
1,176/1/10 test baseline, 3 new symbols to extract (dashboard_kpis +
_claim_state_str → kpis.py; check_matched_pair_drift → claim_detail.py),
3 private-helper re-exports (added _persist_835_remit + _remittance_835_row
discovered during the audit).
Per-task code copies dropped in favor of function-name references +
read-store.py guidance — the line numbers in the original plan are
inherently stale against a 2,995-LOC file under active development.
The original 2026-06-21 plan is preserved on disk as historical record
of the design conversation.
Update the 2026-06-21 approved spec with the post-SP27 reality:
store.py grew 2,412 → 2,995 LOC. Three new top-level symbols
(dashboard_kpis, _claim_state_str, check_matched_pair_drift) get
slotted into the new kpis.py and claim_detail.py. Three private
helpers (the original _claim_status_from_validation + the newly-
discovered _persist_835_remit and _remittance_835_row) are re-
exported from the facade to preserve the 4 test files that
import them. Branch bumped to sp21-store-split per SP-N convention.
All previously-locked Decisions are preserved verbatim.
Nora
cyclone