Commit Graph

6 Commits

Author SHA1 Message Date
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
Tyler 9bca4b608a feat(release): v0.2.0 — batch 837 export, ClaimCard, theme tokens
Backend:

- New POST /api/batches/{id}/export-837: regenerate X12 837 files
  for a list of claim_ids into a ZIP using HCPF file naming standards,
  with a unique interchange/group control number per export. Wire
  the clearhouse Loop 1000A (NM1*41 + PER) and per-payer receiver
  (NM1*40) blocks so the serializer no longer falls back to
  CYCLONE / RECEIVER placeholders.
- /api/parse-837 and /api/parse-835 now surface the server-side
  batch_id in both JSON and NDJSON response shapes so the frontend
  can hit batch-scoped endpoints without an extra listBatches
  round-trip.
- Filename helpers and the 837 serializer updated to match the new
  HCPF envelope; tests cover batch export, parse batch_id, and the
  serializer's control-number uniqueness guarantee.

Frontend:
- New shared components: ClaimCard, ClaimCard837, DominantKpiCard,
  EditorialNote, ExportBar, TickerTape, and a charts/ set
  (BarChart, HBarChart, SegmentedBar, AgingBars).
- New useBatchExport hook driving ExportBar's download flow against
  the new endpoint.
- ClaimDrawer, Lane, and Layout migrated from raw CSS-variable
  colors to Tailwind theme tokens (bg-card, text-foreground,
  border/60, etc.) for consistency with the rest of the instrument
  chrome; the active tab indicator gains a subtle accent glow.
- Upload, Inbox, Batches, BatchDiff, Reconciliation, and Acks pages
  reworked to compose the new shared components and consume the new
  batch-scoped API surface (notably ExportBar wired into Batches).

Tooling / Docs:
- Add audit-uiux.mjs and a docs/goodclaim.x12 sample fixture.
- Update ClaimDrawer testids and add coverage for the new
  components and the useBatchExport hook.

Rolls up into the v0.2.0 release tag.
2026-06-22 11:01:58 -06:00
Tyler de09959377 test(835): update prodfile test for PCN dedup behavior
The store dedupes remittances by PCN. Refine the assertions:
- total_clps counts the raw CLP segments across all files (3374)
- unique_pcns counts distinct PCNs (persisted row count)
- Read claimId via the API response shape, not the SQLAlchemy attribute
2026-06-20 18:12:59 -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 12ac72f915 fix(backend): make 835 summary counts consistent with total_claims 2026-06-19 17:07:54 -06:00
Tyler 8ea951f436 feat(backend): 835 ERA parser with BPR/CLP/SVC balancing, CO Medicaid config, CLI, and FastAPI route 2026-06-19 17:01:57 -06:00