# SP33 — Co TXIX Payer Fix Implementation Plan > **For agentic workers:** REQUIRED SUB-SKILL: Use `superpowers:executing-plans` (Tyler picked inline execution for SP33, single-operator night-shift). Steps use checkbox (`- [ ]`) syntax for tracking. **Goal:** Make dzinesco's CO Medicaid 837P submissions emit `NM1*PR*...*PI*CO_TXIX` (per HCPF companion guide), cascade existing 999-rejections into `claims.state=REJECTED`, backfill the 338 rejected claims, and resubmit corrected 837s to Gainwell SFTP — all in one tonight. **Architecture:** A 2-line payer-config edit + a 3-line `apply_999_rejections` signature fix unlock the cascade. Two new `cyclone.cli` subcommands do the backfill and the resubmit. The doc updates align the in-repo reference with the authoritative HCPF companion guide Tyler pasted. Atomic single merge into `main`. **Tech Stack:** Python 3.11, SQLAlchemy + SQLite/SQLCipher, paramiko (SFTP), pytest. Frontend untouched. **Spec:** [`docs/superpowers/specs/2026-07-02-cyclone-co-txix-payer-fix-design.md`](../specs/2026-07-02-cyclone-co-txix-payer-fix-design.md) **Authoritative source:** CO HCPF "Health Care Claim Professional (837) Transaction Standard Companion Guide" (June 2025 – Version 2.5). Loop 2010BB NM1 Payer Name says `NM108=PI`, `NM109=CO_TXIX` — confirmed by Tyler via chat 2026-07-02. In-repo reference for shape: [`docs/goodclaim.x12`](../../goodclaim.x12). --- ## File structure | Path | Action | Responsibility | |---|---|---| | `backend/src/cyclone/parsers/payer.py` | modify (lines 69-70) | `co_medicaid()` factory emits CO_TXIX | | `backend/src/cyclone/inbox_state.py` | modify (`apply_999_rejections` signature) | Cascade fix w/ batch_envelope_index | | `backend/src/cyclone/handlers/handle_999.py` | modify (caller) | Pass batch_envelope_index through | | `backend/src/cyclone/cli.py` | extend (2 new subcommands) | backfill-999-rejections, resubmit-rejected-claims | | `backend/tests/test_apply_999_rejections.py` | create | Cascade-fix coverage | | `backend/tests/test_serialize_837.py` | extend | Round-trip with CO_TXIX | | `docs/reference/837p.md` | modify (line 48) | Doc update | | `docs/reference/co-medicaid.md` | modify (line 118) | Doc update | ## Task 0: Pre-flight + branch **Files:** none (git only) - [ ] **Step 1: Verify clean tree** Run: `git status --short` Expected: only the spec commit `2e7ad47 docs(spec): SP33 CO TXIX payer fix design`. - [ ] **Step 2: Create branch off main** Run: `git checkout -b sp33-co-txix-payer-fix main` Expected: `Switched to a new branch 'sp33-co-txix-payer-fix'` (already on `main` at `2e7ad47` or `dfd6542+`). - [ ] **Step 3: Confirm Docker backend is up** Run: `docker ps --filter name=cyclone-backend-1 --format '{{.Names}} {{.Status}}'` Expected: `cyclone-backend-1 Up X minutes (healthy)`. ## Task 1: Fix `co_medicaid()` factory **Files:** - Modify: `backend/src/cyclone/parsers/payer.py:69-70` - [ ] **Step 1: Read the current block (sanity)** Run: `sed -n '67,72p' backend/src/cyclone/parsers/payer.py` Expected output: ``` allowed_bht06={"CH"}, payer_id="SKCO0", payer_name="COHCPF", no_patient_loop=True, ``` - [ ] **Step 2: Apply the fix (2 lines)** `search_replace` exact: OLD: ``` payer_id="SKCO0", payer_name="COHCPF", ``` NEW: ``` payer_id="CO_TXIX", payer_name="CO_TXIX", ``` (Drop the bad stale-comment line above it too — the `co_medicaid()` docstring still says "Source: `docs/companionguides/837p.md`" which is wrong; leave the docstring alone in this increment, ship only the data-fix tonight, docstring cleanup is a separate clean-up.) - [ ] **Step 3: Verify the diff** Run: `git diff backend/src/cyclone/parsers/payer.py` Expected: a 2-line change, exactly the two `payer_id`/`payer_name` lines. - [ ] **Step 4: Add test** Create: `backend/tests/test_co_medicaid_payer_id_emits_CO_TXIX.py`: ```python """SP33 regression test: ``PayerConfig.co_medicaid()`` emits CO_TXIX.""" from __future__ import annotations def test_co_medicaid_factory_emits_CO_TXIX(): """Per HCPF 837P Companion Guide, NM1*PR NM109 must equal CO_TXIX.""" from cyclone.parsers.payer import PayerConfig cfg = PayerConfig.co_medicaid() assert cfg.payer_id == "CO_TXIX", ( f"co_medicaid().payer_id must be 'CO_TXIX' (HCPF guide), got {cfg.payer_id!r}" ) assert cfg.payer_name == "CO_TXIX", ( f"co_medicaid().payer_name must be 'CO_TXIX' (matches docs/goodclaim.x12), got {cfg.payer_name!r}" ) ``` - [ ] **Step 5: Run the test in the container (since the venv on host isn't trustworthy)** Run: ```bash docker exec cyclone-backend-1 bash -c "cd /var/lib/cyclone && .venv/bin/pytest tests/test_co_medicaid_payer_id_emits_CO_TXIX.py -v" ``` Expected: 1 passed. - [ ] **Step 6: Commit** ```bash git add backend/src/cyclone/parsers/payer.py backend/tests/test_co_medicaid_payer_id_emits_CO_TXIX.py git commit -m "feat(sp33): PayerConfig.co_medicaid() emits CO_TXIX" ``` ## Task 2: Fix `apply_999_rejections` cascade **Files:** - Modify: `backend/src/cyclone/inbox_state.py` (`apply_999_rejections` signature) - Modify: `backend/src/cyclone/handlers/handle_999.py:88-99` (caller) - [ ] **Step 1: Read current function** Run: `sed -n '44,90p' backend/src/cyclone/inbox_state.py` Expected: see `claim = claim_lookup(sr.set_control_number)` at ~line 56. - [ ] **Step 2: Apply signature + body change** OLD (the full function body, lines 44-69): ```python def apply_999_rejections( session: Session, parsed_999, *, claim_lookup: Callable[[str], Claim | None], ) -> Apply999Result: """For each set response with code R or E, look up the matching claim and move it to REJECTED. Idempotent on already-rejected claims. Args: session: SQLAlchemy session. parsed_999: a ParseResult999 (or any object with .set_responses). claim_lookup: callable from patient_control_number → Claim or None. Returns: Apply999Result with lists of matched claim ids and orphan PCNs. """ result = Apply999Result() now = datetime.now(timezone.utc) for sr in parsed_999.set_responses: code = sr.set_accept_reject.code if code not in ("R", "E", "X"): continue claim = claim_lookup(sr.set_control_number) if claim is None: result.orphans.append(sr.set_control_number) continue if claim.state == ClaimState.REJECTED: # Idempotent: don't double-mutate. continue claim.state = ClaimState.REJECTED claim.state_changed_at = now claim.rejected_at = now claim.rejection_reason = _build_reason( code, len(sr.segment_errors or []) ) result.matched.append(claim.id) if result.matched or result.orphans: session.commit() return result ``` NEW: ```python def apply_999_rejections( session: Session, parsed_999, *, claim_lookup: Callable[[str], Claim | None], batch_envelope_index: dict[str, list[str]] | None = None, ) -> Apply999Result: """For each set response with code R or E, look up the matching claim and move it to REJECTED. Idempotent on already-rejected claims. Args: session: SQLAlchemy session. parsed_999: a ParseResult999 (or any object with .set_responses). claim_lookup: callable from patient_control_number → Claim or None (legacy fallback; rarely hits with the batch_envelope_index path). batch_envelope_index: SP33 — mapping from SET control_number (the 837 envelope's ST02) to claim.id list for claims in that SET. Mirrors apply_999_acceptances so SET-level rejections correctly cascade. Returns: Apply999Result with lists of matched claim ids and orphan PCNs. """ result = Apply999Result() now = datetime.now(timezone.utc) index = batch_envelope_index or {} for sr in parsed_999.set_responses: code = sr.set_accept_reject.code if code not in ("R", "E", "X"): continue # SP33: prefer batch_envelope_index (SCN -> [claim_id]) so a SET-level # rejection correctly flips every claim in the SET. Fall back to # the legacy claim_lookup when the index is empty for this SCN. candidate_ids = index.get(sr.set_control_number, []) or [] claims_to_reject = [] if candidate_ids: claims_to_reject = ( session.query(Claim) .filter(Claim.id.in_(candidate_ids)) .all() ) else: legacy = claim_lookup(sr.set_control_number) if legacy is not None: claims_to_reject = [legacy] else: result.orphans.append(sr.set_control_number) continue for claim in claims_to_reject: if claim.state == ClaimState.REJECTED: # Idempotent: don't double-mutate. continue claim.state = ClaimState.REJECTED claim.state_changed_at = now claim.rejected_at = now claim.rejection_reason = _build_reason( code, len(sr.segment_errors or []) ) result.matched.append(claim.id) if result.matched or result.orphans: session.commit() return result ``` - [ ] **Step 3: Update the caller in handle_999.py** OLD (line 88): ```python rejection_result = apply_999_rejections( session, result, claim_lookup=_lookup, ) ``` NEW: ```python rejection_result = apply_999_rejections( session, result, claim_lookup=_lookup, batch_envelope_index=batch_index, ) ``` - [ ] **Step 4: Create the cascade test** Create: `backend/tests/test_apply_999_rejections.py`: ```python """SP33: apply_999_rejections must use batch_envelope_index (mirrors SP28's apply_999_acceptances fix) so SET-level 999 rejections cascade to claim state transitions. """ from __future__ import annotations from types import SimpleNamespace from unittest.mock import MagicMock import pytest from cyclone.db import Claim, ClaimState from cyclone.inbox_state import apply_999_rejections, Apply999Result def _mk_set_response(code: str = "R", scn: str = "991102994"): """Build a stand-in for ParseResult999.set_responses[0].""" return SimpleNamespace( set_accept_reject=SimpleNamespace(code=code), set_control_number=scn, segment_errors=[], ) def _mk_claim(state: str = "SUBMITTED"): c = MagicMock(spec=Claim) c.id = "claim-" + state.lower() c.state = state return c def test_set_level_rejection_cascades_via_envelope_index(): session = MagicMock() session.query.return_value.filter.return_value.all.return_value = [_mk_claim()] parsed = SimpleNamespace( set_responses=[_mk_set_response(code="R", scn="991102994")] ) index = {"991102994": ["claim-submitted"]} result = apply_999_rejections( session, parsed, claim_lookup=lambda _pcn: None, batch_envelope_index=index, ) assert len(result.matched) == 1 assert result.matched[0] == "claim-submitted" assert result.orphans == [] session.commit.assert_called_once() def test_set_level_rejection_without_index_still_uses_legacy_lookup(): """Backwards compat: when batch_envelope_index is None, the function must fall back to claim_lookup (existing behavior preserved).""" session = MagicMock() parsed = SimpleNamespace( set_responses=[_mk_set_response(code="R", scn="991102994")] ) legacy_claim = _mk_claim() result = apply_999_rejections( session, parsed, claim_lookup=lambda scn: legacy_claim if scn == "991102994" else None, ) assert result.matched == ["claim-submitted"] def test_no_envelope_index_no_match_becomes_orphan(): session = MagicMock() parsed = SimpleNamespace( set_responses=[_mk_set_response(code="R", scn="991102999")] ) result = apply_999_rejections( session, parsed, claim_lookup=lambda _pcn: None, batch_envelope_index={}, # empty index ) assert result.matched == [] assert "991102999" in result.orphans def test_accepted_999_does_not_reject(): session = MagicMock() parsed = SimpleNamespace( set_responses=[_mk_set_response(code="A", scn="991102994")] ) result = apply_999_rejections( session, parsed, claim_lookup=lambda _pcn: None, batch_envelope_index={"991102994": ["claim-x"]}, ) assert result.matched == [] session.commit.assert_not_called() def test_already_rejected_is_idempotent(): session = MagicMock() already_rejected = _mk_claim(state="REJECTED") session.query.return_value.filter.return_value.all.return_value = [already_rejected] parsed = SimpleNamespace( set_responses=[_mk_set_response(code="R", scn="991102994")] ) result = apply_999_rejections( session, parsed, claim_lookup=lambda _pcn: None, batch_envelope_index={"991102994": ["claim-rejected"]}, ) assert result.matched == [] # nothing was mutated on the already-rejected claim assert already_rejected.state == "REJECTED" ``` - [ ] **Step 5: Run both test files** Run: ```bash docker exec cyclone-backend-1 bash -c "cd /var/lib/cyclone && .venv/bin/pytest tests/test_apply_999_rejections.py tests/test_co_medicaid_payer_id_emits_CO_TXIX.py -v" ``` Expected: 6 passed (1 from Task 1 + 5 from Task 2). - [ ] **Step 6: Commit** ```bash git add backend/src/cyclone/inbox_state.py backend/src/cyclone/handlers/handle_999.py backend/tests/test_apply_999_rejections.py git commit -m "feat(sp33): apply_999_rejections uses batch_envelope_index" ``` ## Task 3: CLI subcommand `backfill-999-rejections` **Files:** - Modify: `backend/src/cyclone/cli.py` (add subcommand) - [ ] **Step 1: Locate the cli.py entry point** Run: `grep -n '@click.command\|def cli\|^@' backend/src/cyclone/cli.py | head -20` Find an existing subcommand (e.g. `parse-837`) and copy its structure. - [ ] **Step 2: Add `backfill-999-rejections` subcommand** Insert after an existing subcommand. The exact insertion point depends on the layout — pick a sensible spot. Use this implementation: ```python @click.command(name="backfill-999-rejections") @click.option("--dry-run", is_flag=True, default=False, help="Print the would-be changes without writing.") @click.option("--actor", default="sp33-backfill", help="Audit log actor for the claim.rejected events.") def backfill_999_rejections(dry_run: bool, actor: str): """Replay existing 999 rejections onto already-linked claims. SP33. Idempotent — claims already in REJECTED state are skipped. Walks claim_acks JOIN acks WHERE set_accept_reject_code='R', then sets claims.state='REJECTED' and fills payer_rejected_* fields. """ from sqlalchemy import select from cyclone import db as cycl_db from cyclone.audit_log import AuditEvent, append_event from cyclone.models import Claim as ClaimModel, ClaimAck, Ack cycl_db.init_db() with cycl_db.SessionLocal()() as session: rows = session.execute( select(ClaimAck.claim_id, Claim.ack_code, ClaimAck.set_control_number, ClaimAck.set_accept_reject_code, ClaimAck.ak2_index) .join(Ack, Ack.id == ClaimAck.ack_id) .join(ClaimModel, ClaimModel.id == ClaimAck.claim_id) .where(ClaimAck.set_accept_reject_code == "R") ).all() matched = already = errors = 0 from datetime import datetime, timezone now = datetime.now(timezone.utc) for (claim_id, ack_code, scn, arc, ak2_idx) in rows: claim = session.get(ClaimModel, claim_id) if claim is None: errors += 1 continue if claim.state == "REJECTED": already += 1 continue if not dry_run: claim.state = "REJECTED" claim.state_changed_at = now claim.rejected_at = now claim.rejection_reason = f"999 AK5={ack_code or 'R'} SCN={scn} ak2={ak2_idx}" claim.payer_rejected_at = now claim.payer_rejected_reason = f"999 SET-level reject at SCN={scn}" claim.payer_rejected_status_code = "R" append_event(session, AuditEvent( event_type="claim.rejected", entity_type="claim", entity_id=claim_id, payload={"source": "backfill-999-rejections", "scn": scn}, actor=actor, )) matched += 1 if not dry_run: session.commit() click.echo( f"matched={matched} already_rejected={already} errors={errors} dry_run={dry_run}" ) ``` The exact model class names (`Claim`, `ClaimAck`, `Ack`) and module names (`cyclone.models`, `cyclone.db`, `cyclone.audit_log`) may differ slightly — verify against the existing imports at the top of `cli.py` and adjust. - [ ] **Step 3: Sanity check (dry-run)** Run: `docker exec cyclone-backend-1 bash -c "cd /var/lib/cyclone && .venv/bin/python -m cyclone.cli backfill-999-rejections --dry-run"` Expected: `matched=338 already_rejected=0 errors=0 dry_run=True` (or similar; the exact number depends on how many unique claim_ids have R-coded links). - [ ] **Step 4: Run for real** Run: `docker exec cyclone-backend-1 bash -c "cd /var/lib/cyclone && .venv/bin/python -m cyclone.cli backfill-999-rejections"` Expected: `matched=338 already_rejected=0 errors=0 dry_run=False`. - [ ] **Step 5: Verify claim states flipped in the DB** Run: ```bash docker exec cyclone-backend-1 python3 -c " import sqlite3 conn = sqlite3.connect('/var/lib/cyclone/db/cyclone.db') cur = conn.cursor() cur.execute('SELECT state, count(*) FROM claims GROUP BY state ORDER BY 2 DESC') for row in cur.fetchall(): print(row) " ``` Expected: `('REJECTED', 341)` and `('SUBMITTED', 334)` (338 newly-rejected + the 3 pre-existing rejected = 341; original 672 minus 338 = 334). - [ ] **Step 6: Commit (CLI only — backfill itself is a live op, no commit for that)** ```bash git add backend/src/cyclone/cli.py git commit -m "feat(sp33): cli backfill-999-rejections" ``` ## Task 4: CLI subcommand `resubmit-rejected-claims` **Files:** - Modify: `backend/src/cyclone/cli.py` (add subcommand) - [ ] **Step 1: Add `resubmit-rejected-claims` subcommand** ```python @click.command(name="resubmit-rejected-claims") @click.option("--payer", default="co_medicaid", help="Payer factory key (default: co_medicaid).") @click.option("--ingest-dir", default="/home/tyler/dev/cyclone/ingest", help="Directory holding batch-*-claims/ subfolders (per Tyler's split).") @click.option("--actor", default="sp33-resubmit", help="Audit log actor for the clearhouse.submitted events.") @click.option("--dry-run", is_flag=True, default=False, help="Replace + validate but do not upload.") def resubmit_rejected_claims(payer: str, ingest_dir: str, actor: str, dry_run: bool): """Byte-level SKCO0->CO_TXIX fix + SFTP resubmit of rejected claims. SP33. For each claims row in REJECTED state, locate the matching single- claim 837 file in ingest_dir/batch---claims/*.x12, replace PI*SKCO0 with PI*CO_TXIX in the bytes, validate via parse_837_text, then upload via SftpClient. Idempotent per claim (resubmit_count gates re-run). """ from pathlib import Path import glob from cyclone import db as cycl_db from cyclone.audit_log import AuditEvent, append_event from cyclone.clearhouse import SftpClient from cyclone.parsers.parse_837 import parse_837_text cycl_db.init_db() upload_root = "/CO XIX/PROD/coxix_prod_11525703/ToHPE" # 1. collect rejected claims with cycl_db.SessionLocal()() as session: from sqlalchemy import select from cyclone.models import Claim as ClaimModel rows = session.execute( select(ClaimModel.id, ClaimModel.batch_id, ClaimModel.patient_control_number, ClaimModel.resubmit_count, ClaimModel.charge_amount) .where(ClaimModel.state == "REJECTED") .order_by(ClaimModel.batch_id, ClaimModel.id) ).all() # 2. discover candidate files files_by_batch = {} for batch_dir in glob.glob(os.path.join(ingest_dir, "batch-*-*-claims")): batch_id = os.path.basename(batch_dir).split("-")[1] # batch---claims files_by_batch[batch_id] = sorted(glob.glob(os.path.join(batch_dir, "*.x12"))) ok = err = skip = 0 for (cid, bid, pcn, prev_resub, charge) in rows: if prev_resub and prev_resub > 0: skip += 1; continue candidate_files = files_by_batch.get(bid, []) # Find the file whose CLM01 == this claim's pcn target_path = None for fp in candidate_files: with open(fp, "rb") as fh: txt = fh.read().decode("ascii", errors="replace") if pcn in txt: target_path = fp break if target_path is None: click.echo(f" no-file claim={cid} pcn={pcn}", err=True) err += 1 continue # Byte-level fix with open(target_path, "rb") as fh: raw = fh.read() if b"PI*SKCO0" not in raw: click.echo(f" no-replace claim={cid} file={os.path.basename(target_path)}", err=True) err += 1; continue fixed = raw.replace(b"PI*SKCO0", b"PI*CO_TXIX") # Validate try: parsed = parse_837_text(fixed.decode("ascii")) except Exception as exc: click.echo(f" parse-fail claim={cid} {exc.__class__.__name__}: {exc}", err=True) err += 1; continue # Upload remote_name = os.path.basename(target_path) if not dry_run: # Write the fixed bytes to a sibling tmp file for the upload tmp_path = target_path + ".fixed" with open(tmp_path, "wb") as fh: fh.write(fixed) try: SftpClient().put(tmp_path, f"{upload_root}/{remote_name}") finally: os.unlink(tmp_path) claim = session.get(ClaimModel, cid) claim.resubmit_count = (claim.resubmit_count or 0) + 1 append_event(session, AuditEvent( event_type="clearhouse.submitted", entity_type="claim", entity_id=cid, payload={"file": remote_name, "scn": parsed.envelope.control_number}, actor=actor, )) session.commit() click.echo(f" ok claim={cid} file={remote_name}") ok += 1 click.echo(f"\nDONE ok={ok} err={err} skip={skip} dry_run={dry_run}") ``` Imports needed: `import os` (glob, path). Confirm the `SftpClient` constructor — it may take an SFTP block or a config; check existing usage in `backend/src/cyclone/api.py` (the `/api/clearhouse/submit` endpoint) and mirror it. - [ ] **Step 2: Run with --dry-run first** Run: `docker exec cyclone-backend-1 bash -c "cd /var/lib/cyclone && CYCLONE_INGEST_DIR=/tmp/ingest_passthrough .venv/bin/python -m cyclone.cli resubmit-rejected-claims --dry-run"` Expected: a line per claim plus a `DONE ok=338 err=0 skip=0 dry_run=True` summary. - [ ] **Step 3: Run for real (upload)** Mount /home/tyler/dev/cyclone/ingest into the container so the `--ingest-dir` resolves correctly. Easiest: copy the batch-* subdirs into the container: ```bash docker exec cyclone-backend-1 mkdir -p /tmp/ingest_split tar -C /home/tyler/dev/cyclone/ingest -cf - 'batch-*-*-claims' | docker exec -i cyclone-backend-1 tar -xf - -C /tmp/ingest_split ``` Then: `docker exec cyclone-backend-1 bash -c "cd /var/lib/cyclone && .venv/bin/python -m cyclone.cli resubmit-rejected-claims --ingest-dir /tmp/ingest_split"` Expected: `DONE ok=338 err=0 skip=0 dry_run=False`. - [ ] **Step 4: Verify the upload landed** Connect to SFTP and check the latest 338 files in `/ToHPE/`: ```bash docker exec cyclone-backend-1 bash -c " import paramiko, time ssh = paramiko.SSHClient(); ssh.set_missing_host_key_policy(paramiko.AutoAddPolicy()) ssh.connect('mft.gainwelltechnologies.com', username='colorado-fts\\\\coxix_prod_11525703', password=\$(cat /run/secrets/cyclone_sftp_password)) sftp = ssh.open_sftp() files = sorted(sftp.listdir_attr('/CO XIX/PROD/coxix_prod_11525703/ToHPE'), key=lambda a: a.st_mtime)[-10:] for f in files: print(f.filename, time.ctime(f.st_mtime)) " ``` Expected: ~10 837P files dated 2026-07-02 (or now). - [ ] **Step 5: Commit** ```bash git add backend/src/cyclone/cli.py git commit -m "feat(sp33): cli resubmit-rejected-claims" ``` ## Task 5: Doc updates **Files:** - Modify: `docs/reference/837p.md:48` - Modify: `docs/reference/co-medicaid.md:118` - [ ] **Step 1: Update `docs/reference/837p.md` line 48** OLD line: ``` - Trading partner: `SKCO0` (sender) ↔ `COHCPF` (receiver) on `NM1*PR` / `NM1*40` ``` NEW line: ``` - Trading partners: `COMEDASSISTPROG` (NM1*40 NM109, 1000B receiver) and `CO_TXIX` (NM1*PR NM109, 2010BB payer). See `docs/goodclaim.x12` for a canonical example and the HCPF 837P Companion Guide for the full segment table. ``` - [ ] **Step 2: Update `docs/reference/co-medicaid.md` line 118** OLD: ``` - `NM1*PR N104 = "SKCO0"` (COHCPF) ``` NEW: ``` - `NM1*PR NM108 = "PI"`, `NM1*PR NM109 = "CO_TXIX"` (per HCPF 837P Companion Guide, June 2025 — Version 2.5). dzinesco submits against this code under dzinesco TPID `11525703`. The legacy trading-partner ID `SKCO0` is no longer accepted as the payer identifier. ``` - [ ] **Step 3: Commit** ```bash git add docs/reference/837p.md docs/reference/co-medicaid.md git commit -m "docs(sp33): update reference docs to CO_TXIX (per HCPF 837P Companion Guide)" ``` ## Task 6: Verify + final test run **Files:** none (verification only) - [ ] **Step 1: Full test suite** Run: `docker exec cyclone-backend-1 bash -c "cd /var/lib/cyclone && .venv/bin/pytest -x -q"` Expected: all tests pass. The 4 affected test files (this plan + Spec §6 list) all green. - [ ] **Step 2: Smoke-test the live DB dashboard widget** Run: ```bash curl -fsS http://localhost:8000/api/batches | python3 -m json.tool | head -30 ``` Expected: the dashboard reflects the freshly-REJECTED batches (acceptedCount=0 for the 4 affected batches — this is now correct! They were rejected by Gainwell, and the cascade now shows that). - [ ] **Step 3: Atomic merge** ```bash git checkout main git merge --no-ff sp33-co-txix-payer-fix -m "merge: SP33 Co TXIX payer fix + 999 cascade repair into main" git log --oneline -3 ``` Expected: a single merge commit `merge: SP33 ...` on top of `dfd6542` (current main tip pre-SP33), with the SP33 branch's commits visible as parents. ## Acceptance checklist (must all be true before claiming "done") - [ ] `cyclone -m cyclone.cli backfill-999-rejections` reports `matched=338 already_rejected=0 errors=0` - [ ] `claims.state` count: REJECTED ≥ 341, SUBMITTED ≤ 334 - [ ] 338 new 837 files visible on SFTP `/CO XIX/PROD/cox17_prod_11525703/ToHPE/` with `CO_TXIX` in their bytes - [ ] `claims.resubmit_count > 0` for the 338 claims - [ ] `audit_log` shows 338 `claim.rejected` + 338 `clearhouse.submitted` events with actor=`sp33-*` - [ ] Dashboard "Recent batches" widget for the 4 affected batches shows the same `acceptedCount` it was showing — but now it's accurate (0 rejected by Gainwell, not 0 accepted by Gainwell) ## Rollback If anything breaks and SP33 needs to back out: 1. `git revert -m 1 ` on `main` — produces a fresh revert commit, preserves history. 2. The 2 cli subcommands revert cleanly (pure additions). 3. To un-reject the 338 claims after the revert, run a sister SQL: `UPDATE claims SET state='SUBMITTED', rejection_reason=NULL, rejected_at=NULL, payer_rejected_at=NULL, payer_rejected_reason=NULL, payer_rejected_status_code=NULL WHERE resubmit_count > 0;` 4. The 338 837 files already on SFTP /ToHPE/ cannot be unsent — Gainwell will pick them up regardless. Discretion required.