Commit Graph

8 Commits

Author SHA1 Message Date
Tyler 40f184c858 feat(sp16): live MFT polling scheduler
Adds an asyncio-based background scheduler that polls the Gainwell
MFT inbound path, downloads new files, and routes them through the
appropriate parser (999 / 835 / 277CA / TA1). Idempotent (re-ticks
and restarts skip already-processed files via the new
processed_inbound_files table). Crash-safe (per-file try/except so
one bad file doesn't stop the loop).

Lifespan auto-configures from the seeded dzinesco clearhouse's SFTP
block; auto-start is opt-in via CYCLONE_SCHEDULER_AUTOSTART.

Five admin endpoints added:
  GET  /api/admin/scheduler/status
  POST /api/admin/scheduler/start
  POST /api/admin/scheduler/stop
  POST /api/admin/scheduler/tick
  GET  /api/admin/scheduler/processed-files?status=&limit=

20 new tests (15 unit + 5 API).
2026-06-21 09:20:58 -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 2893676c0b fix(835): correct SVC04/SVC05 mapping per X12 005010X221A1
X12 835 SVC segment:
  SVC01 = composite procedure
  SVC02 = charge
  SVC03 = payment
  SVC04 = Unit or Basis for Measurement Code (UN, MJ, DA, ...)
  SVC05 = Service Unit Count

The parser previously read SVC04 as the units count and SVC05 as the
unit type — backwards. On real 835s (and the canonical minimal
fixture), SVC04 carries the code 'UN' which fails Decimal parsing, so
the units always came out as None and the code string was assigned to
unit_type. SP7's line-level matcher couldn't compare units on the SVC
side against the claim side because of this.

- _consume_service_payment: SVC04 → unit_type, SVC05 → units count
- Default unit_type to 'UN' when only the count is present
- minimal_835.txt + unbalanced_835.txt: swap positions to match spec
- Add 2 regression tests (units-and-unit-type, default-unit-type-to-UN)
2026-06-20 20:44:28 -06:00
Tyler a665881d24 feat(parsers+api): 270/271 eligibility request + response (SP3 P4)
Adds API-only 270/271 eligibility flow per spec section 3.4 (no UI, no
DB persistence). Operator pastes a 270 query, gets back raw 270 text,
submits manually, pastes the 271 back.

New models (270 + 271):
  - InformationSource, InformationReceiver, Subscriber, Patient
  - EligibilityBenefitInquiry (EQ) and CoverageBenefit (EB)
  - Inline SERVICE_TYPE_CODES dict (566 codes, snapshot 2026-06-20)
  - service_type_description() lookup helper

Parsers (single segment walker, defensive, mirrors 835 pattern):
  - parse_270: HL*20/21/22/23 loops + EQ, NM1, DMG, TRN
  - parse_271: HL*20/21/22/23 loops + EB, DTP, MSG, AAA

Serializer:
  - serialize_270: ISA/GS/ST/BHT/HL*20/21/22/patient/EQ/SE/GE/IEA
  - round-trips: serialize -> parse -> serialize == identical

API:
  - POST /api/eligibility/request (JSON body -> {raw_270_text, parsed})
  - POST /api/eligibility/parse-271 (file upload -> structured summary)
  - 400 on missing fields / garbage; never 500.

Tests: 365 -> 408 backend (+43 new), 10 frontend unchanged.
TypeScript clean.
2026-06-20 08:22:31 -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
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
Tyler 2d509d92f4 test(backend): multi-claim CO Medicaid fixture + integration test 2026-06-19 15:54:46 -06:00
Tyler 9db793c108 test(backend): add minimal 837P fixture 2026-06-19 15:42:04 -06:00