"""Tests for the 835 ERA parser orchestrator.""" from datetime import date from pathlib import Path import pytest from cyclone.parsers.exceptions import CycloneParseError from cyclone.parsers.parse_835 import parse from cyclone.parsers.payer import PayerConfig835 FIXTURE = Path(__file__).parent / "fixtures" / "minimal_835.txt" def test_parse_minimal_fixture_returns_one_claim(): text = FIXTURE.read_text() result = parse(text, PayerConfig835.co_medicaid_835()) assert len(result.claims) == 1 c = result.claims[0] assert c.payer_claim_control_number == "CLM001" assert c.status_code == "1" assert c.status_label == "Processed as Primary" assert c.total_charge == 100.00 assert c.total_paid == 85.00 assert c.patient_responsibility == 15.00 assert c.claim_filing_indicator == "MC" assert c.facility_type == "12" assert c.frequency_code == "1" def test_parse_envelope_captured(): result = parse(FIXTURE.read_text(), PayerConfig835.co_medicaid_835()) assert result.envelope is not None assert result.envelope.control_number == "991102984" assert result.envelope.transaction_date == date(2026, 6, 17) assert result.envelope.sender_id == "COMEDASSISTPROG" assert result.envelope.implementation_guide == "005010X221A1" def test_parse_financial_info(): result = parse(FIXTURE.read_text(), PayerConfig835.co_medicaid_835()) f = result.financial_info assert f.handling_code == "C" assert f.paid_amount == 85.00 assert f.credit_debit_flag == "C" assert f.payment_method == "ACH" assert f.payer_tax_id == "81-1725341" assert f.payment_date == date(2026, 6, 17) def test_parse_trace(): result = parse(FIXTURE.read_text(), PayerConfig835.co_medicaid_835()) t = result.trace assert t.trace_type_code == "1" # X12 standard: TRN02 = Reference Identification (trace number), # TRN03 = Originating Company Identifier. The CO guide labels # TRN03 as the Payer Tax ID, so for CO Medicaid 835s the # originating_company_id is "81-1725341" and the trace number is # the provider's TPID. assert t.trace_number == "TPID001" assert t.originating_company_id == "81-1725341" assert t.payer_id is None # TRN04 is not present in this fixture def test_parse_payer_and_payee(): result = parse(FIXTURE.read_text(), PayerConfig835.co_medicaid_835()) p = result.payer assert p.name == "CO_TXIX" assert p.id == "7912900843" assert p.contact_url == "hcpf.colorado.gov" assert p.address is not None assert p.address.city == "DENVER" pe = result.payee assert pe.name == "TOC, Inc." assert pe.npi == "1881068062" assert pe.address is not None assert pe.address.zip == "814014063" def test_parse_claim_has_two_service_lines(): result = parse(FIXTURE.read_text(), PayerConfig835.co_medicaid_835()) c = result.claims[0] assert len(c.service_payments) == 2 s1, s2 = c.service_payments assert s1.line_number == 1 assert s1.procedure_code == "S5130" assert s1.procedure_qualifier == "HC" assert s1.modifiers == ["U2"] assert s1.payment == 50.00 assert s1.service_date == date(2026, 6, 2) assert s2.line_number == 2 assert s2.payment == 35.00 assert s2.service_date == date(2026, 6, 3) def test_parse_summary_counts(): result = parse(FIXTURE.read_text(), PayerConfig835.co_medicaid_835()) assert result.summary.total_claims == 1 assert result.summary.input_file == "" # The orchestrator sets passed/failed from the validation report. # Without running validation it remains 0 — the CLI / API does that. assert result.summary.passed == 0 def test_parse_preserves_raw_segments(): result = parse(FIXTURE.read_text(), PayerConfig835.co_medicaid_835()) c = result.claims[0] assert any(s[0] == "CLP" for s in c.raw_segments) assert any(s[0] == "SVC" for s in c.raw_segments) def test_parse_uses_generic_config(): """Generic config shouldn't suppress parser errors but accepts any payer.""" result = parse(FIXTURE.read_text(), PayerConfig835.generic_835()) assert len(result.claims) == 1 def test_parse_no_bpr_raises(): text = ( "ISA*00* *00* *ZZ*COMEDASSISTPROG*ZZ*TPID001 *260617*1937*^*00501*991102990*1*P*:~" "ST*835*991102990*005010X221A1~" "SE*1*991102990~" "GE*1*991102990~" "IEA*1*991102990~" ) with pytest.raises(CycloneParseError, match="No BPR"): parse(text, PayerConfig835.co_medicaid_835())