Tyler
41 lines
1.4 KiB
Python
41 lines
1.4 KiB
Python
from pathlib import Path
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from cyclone.parsers.parse_837 import parse
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from cyclone.parsers.payer import PayerConfig
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FIXTURE = Path(__file__).parent / "fixtures" / "co_medicaid_837p.txt"
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def test_co_fixture_two_claims_pass():
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result = parse(FIXTURE.read_text(), PayerConfig.co_medicaid())
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assert result.summary.total_claims == 2
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assert result.summary.passed == 2
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assert result.summary.failed == 0
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def test_first_claim_has_two_service_lines():
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result = parse(FIXTURE.read_text(), PayerConfig.co_medicaid())
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c1 = result.claims[0]
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assert c1.claim_id == "t991102984o1c1d"
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assert len(c1.service_lines) == 2
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assert c1.service_lines[0].procedure.code == "T1019"
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assert c1.service_lines[0].procedure.modifiers == ["U2"]
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assert c1.service_lines[1].service_date is not None
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def test_second_claim_has_four_service_lines():
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result = parse(FIXTURE.read_text(), PayerConfig.co_medicaid())
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c2 = result.claims[1]
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assert c2.claim_id == "t991102984o1c2d"
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assert len(c2.service_lines) == 4
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def test_subscriber_payer_reused_across_claims():
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"""Both claims share the same billing provider; payers are recorded on each claim."""
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result = parse(FIXTURE.read_text(), PayerConfig.co_medicaid())
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assert result.claims[0].billing_provider.npi == "1881068062"
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assert result.claims[1].billing_provider.npi == "1881068062"
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assert result.claims[0].payer.id == "SKCO0"
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assert result.claims[1].payer.id == "SKCO0"
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