Commit Graph

4 Commits

Author SHA1 Message Date
Tyler 534130ee2b feat(db): migration 0014 relaxes claims/remittances PK to (batch_id, id)
Migration 0014 changes the PRIMARY KEYs of claims and remittances from
single-column id to composite (batch_id, id). Enables the spec'd
cross-batch CLM01 / CLP01 collision workflow: same CLM01 in multiple
batches is now representable (resubmits), pre-flight dedup 409 path is
genuinely exercisable, force-insert can skip pre-existing duplicates.

Strategy: PRAGMA defer_foreign_keys = ON + table recreation for every
table whose FKs pointed at the old single-column PK. Tables recreated:
remittances, claims, matches, cas_adjustments, service_line_payments,
line_reconciliations. Each child table gains a batch_id (or
remittance_batch_id) column for the composite FK side; INSERT INTO new
SELECT FROM old JOINs populate it from the already-recreated parent.

Cross-table FKs (remittances.claim_id, claims.matched_remittance_id)
cannot be SQL-enforced with composite PKs (SQLite has no ALTER
CONSTRAINT). Dropped at SQL level; enforced via application-layer
invariants in store.manual_match / manual_unmatch / reconcile.run and
the dedup.preflight_* helpers.

ORM updates (db.py):
- Claim / Remittance: composite PK via explicit PrimaryKeyConstraint in
  __table_args__ (column order matches SQL: batch_id, id).
- New Claim.matched_remittance_batch_id column.
- Match / CasAdjustment / ServiceLinePayment / LineReconciliation:
  added the batch side of their composite FK to the parent table.
- SQLAlchemy before_insert events auto-populate the batch side of the
  composite FK from session.new, then identity_map, then SQL fallback.

Production code updates:
- store.manual_match / manual_unmatch: also write
  matched_remittance_batch_id on the claim (was missing).
- api.py manual-match endpoint: same fix.
- reconcile.run: same fix for auto-matched pairs.

Test updates: replaced s.get(Claim, X) with the composite key
(batch_id, id) where batch_id is known, or s.query().filter().first()
where the test only knows the id. Tests that previously inserted a Match
row pointing at a non-existent Remittance now seed the parent Remittance
so the new NOT NULL composite FK is satisfied.
2026-06-21 18:56:18 -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 ec9eae7a2c feat(sp8): resubmit endpoint supports ?download=zip for regenerated 837s
Add an optional ``?download=true`` query param to
``POST /api/inbox/rejected/resubmit`` that returns the same operation
result as a ZIP archive of regenerated 837P files (one
``claim-{id}.x12`` per successfully resubmitted claim) rather than the
JSON envelope.

Why: operators who mass-resubmit rejected claims want to hand the
files straight to their clearinghouse; round-tripping through copy-
paste is error-prone.

Implementation notes:
  * Uses ``serialize_837_for_resubmit`` so each X12 file in the bundle
    gets a unique interchange/group control number (back-to-back
    resubmits would otherwise collide on ISA13/GS06 = "000000001").
  * Conflicts and missing ids are deliberately excluded from the ZIP
    — the user already saw them in the JSON path on prior calls; the
    download is the "give me the files I asked for" payload.
  * Empty resubmit + download returns 200 with an empty ZIP so the UI
    can still hand the user a downloadable artifact.

Tests (test_inbox_endpoints.py): 2 new tests covering the success
shape (one .x12 per accepted claim) and the conflict-exclusion
contract.
2026-06-20 20:49:08 -06:00
Tyler f4baceb574 feat(sp6): inbox endpoints — lanes, match, dismiss, resubmit, csv export
T7-T10 combined (single edit: all endpoints share a section).

- GET /api/inbox/lanes — four lanes in one call
- POST /api/inbox/candidates/{remit_id}/match — 409 on conflict
- POST /api/inbox/candidates/dismiss — session-scoped dismissed set
- POST /api/inbox/rejected/resubmit — 200 with conflicts list
- GET /api/inbox/export.csv?lane=<lane> — streams CSV

Also adds module-level imports (db, Claim, ClaimState, Remittance,
csv, io, datetime) that the new endpoints need; cleans up the
duplicated local imports in the parse-999 SP6 T4 block.
2026-06-20 18:34:09 -06:00