sp41-bot
39 lines
1.7 KiB
Python
39 lines
1.7 KiB
Python
"""835 SVC-level parser with member_id at SVC scope."""
|
|
from pathlib import Path
|
|
from collections import defaultdict
|
|
from decimal import Decimal
|
|
from cyclone.rebill.parse_835_svc import parse_835_svc
|
|
|
|
FIX = Path(__file__).parent / "fixtures" / "835_sample_svc_with_member.txt"
|
|
|
|
def test_parse_835_svc_extracts_member_id():
|
|
"""NM1*QC NM109 at the CLP scope must propagate to that CLP's SVC rows;
|
|
the multi-claim fixture confirms each CLP's NM1*QC lands on its own SVCs."""
|
|
rows = list(parse_835_svc(FIX))
|
|
assert len(rows) >= 1
|
|
by_claim: dict[str, list[str]] = defaultdict(list)
|
|
for r in rows:
|
|
by_claim[r.claim_id].append(r.member_id)
|
|
assert r.procedure # non-empty
|
|
assert r.svc_date # non-empty
|
|
assert r.charge > 0
|
|
# First CLP (T1001) -> original fixture member
|
|
assert all(mid == "J813715" for mid in by_claim["T1001"]), by_claim
|
|
# Second CLP (T1002, status 4) -> its own NM1*QC
|
|
assert all(mid == "OTHER-MEMBER-A" for mid in by_claim["T1002"]), by_claim
|
|
# Third CLP (T1003, status 22) -> its own NM1*QC
|
|
assert all(mid == "OTHER-MEMBER-B" for mid in by_claim["T1003"]), by_claim
|
|
|
|
def test_parse_835_svc_extracts_cas_reasons():
|
|
"""CAS segments after DTM*472 must be captured (post-DTM*472 ordering)."""
|
|
rows = list(parse_835_svc(FIX))
|
|
# at least one row should have an OA-18 reason
|
|
assert any("OA-18" in r.cas_reasons for r in rows)
|
|
|
|
def test_parse_835_svc_picks_up_status_22_reversals():
|
|
"""Status 22 (reversal of previous payment) must be preserved, along with
|
|
status 1 (primary) and status 4 (denied)."""
|
|
rows = list(parse_835_svc(FIX))
|
|
statuses = {r.status for r in rows}
|
|
assert statuses == {"1", "4", "22"}
|