Nora
e35e5e03b3
The fixture-driven test now exercises both spot-check batches: - spot_check_visits.csv (10 NOT_IN_835 visits) - spot_check_visits_batch2.csv (10 DENIED+PARTIAL visits) All 20 visits run through build_claim_output → serialize_837 → SP40 local validator (25 R-codes) → structural_spot_check. Full backend suite: 1568 passed (was 1567).
11 lines
2.1 KiB
CSV
11 lines
2.1 KiB
CSV
"Client","Visit Date","Payer","Authorized","Member ID","Auth Start Date","Auth End Date","Authorization #","ICD-10","Service","Procedure Code","Modifiers","Client Classes","Billable Hours","Billable Amount","Invoice #","Claimed"
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"O'Keefe , Laura","05/09/2026","COHCPF","yes","Y477643","03/10/2026","08/31/2026","9","R69","IHSS PCP T1019","T1019","KX, SC, U2","IHSS DR","8.5333","$237.57","INV-2026-05-09-Y477643","Yes"
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"O'Keefe , Laura","05/02/2026","COHCPF","yes","Y477643","03/10/2026","08/31/2026","9","R69","IHSS PCP T1019","T1019","KX, SC, U2","IHSS DR","8.5","$236.64","INV-2026-05-02-Y477643","Yes"
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"Wilson, Michelle","06/25/2026","COHCPF","yes","R649327","07/01/2025","06/30/2026","3","R69","SLS Respite S5150","S5150","U8","SLS/CES","8.1","$235.55","INV-2026-06-25-R649327-B2","Yes"
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"Stoumbaugh, Kiera","02/25/2026","COHCPF","yes","Y188426","02/01/2026","01/31/2027","2","R69","IHSS PCP T1019","T1019","KX, SC, U2","IHSS Salida, IHSS SR","8","$222.72","INV-2026-02-25-Y188426-B2","Yes"
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"Hannegrefs, Austyn","05/12/2026","COHCPF","yes","Y552218","06/01/2025","05/31/2026","6","R69","SLS Respite S5150","S5150","U8","SLS/CES","7.5667","$220.04","INV-2026-05-12-Y552218","Yes"
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"Stoumbaugh, Kiera","04/03/2026","COHCPF","yes","Y188426","02/01/2026","01/31/2027","2","R69","IHSS Attendant H0038","H0038","U2","IHSS Salida, IHSS SR","6","$218.40","INV-2026-04-03-Y188426","Yes"
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"Wilson, Michelle","03/05/2026","COHCPF","yes","R649327","07/01/2025","06/30/2026","3","R69","SLS Respite S5150","S5150","U8","SLS/CES","7.3333","$213.25","INV-2026-03-05-R649327","Yes"
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"Wilson, Michelle","06/11/2026","COHCPF","yes","R649327","07/01/2025","06/30/2026","3","R69","SLS Respite S5150","S5150","U8","SLS/CES","7.3333","$213.25","INV-2026-06-11-R649327-B2","Yes"
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"Wilson, Michelle","06/22/2026","COHCPF","yes","R649327","07/01/2025","06/30/2026","3","R69","SLS Respite S5150","S5150","U8","SLS/CES","7.3333","$213.25","INV-2026-06-22-R649327-B2","Yes"
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"Wilson, Michelle","03/02/2026","COHCPF","yes","R649327","07/01/2025","06/30/2026","3","R69","SLS Respite S5150","S5150","U8","SLS/CES","7.3167","$212.77","INV-2026-03-02-R649327","Yes" |