Tyler
126 lines
3.4 KiB
Python
126 lines
3.4 KiB
Python
"""TDD: 4-field weighted scoring for Inbox candidate pairs.
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Plan: docs/superpowers/plans/2026-06-20-cyclone-workflow-automation.md
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Task 5 (T5).
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"""
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from __future__ import annotations
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from dataclasses import dataclass
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from datetime import date
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from decimal import Decimal
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import pytest
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from cyclone.scoring import score_pair
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@dataclass
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class FakeClaim:
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patient_control_number: str = "PCN-001"
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service_date_from: date | None = date(2026, 6, 10)
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charge_amount: Decimal = Decimal("100.00")
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provider_npi: str | None = "1234567890"
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@dataclass
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class FakeRemit:
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patient_control_number: str = "PCN-001"
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service_date: date | None = date(2026, 6, 10)
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charge_amount: Decimal = Decimal("100.00")
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rendering_provider_npi: str | None = "1234567890"
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def test_perfect_match_scores_100():
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s = score_pair(FakeClaim(), FakeRemit())
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assert s.total == 100
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assert s.patient == 1.0
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assert s.date == 1.0
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assert s.amount == 1.0
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assert s.provider == 1.0
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def test_date_within_3_days_scores_partial():
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s = score_pair(
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FakeClaim(service_date_from=date(2026, 6, 10)),
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FakeRemit(service_date=date(2026, 6, 12)),
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)
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assert s.date == pytest.approx(1 - 2/3) # 0.333
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def test_date_beyond_3_days_scores_zero():
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s = score_pair(
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FakeClaim(service_date_from=date(2026, 6, 10)),
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FakeRemit(service_date=date(2026, 6, 14)),
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)
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assert s.date == 0.0
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def test_amount_within_10pct_scores_partial():
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s = score_pair(
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FakeClaim(charge_amount=Decimal("100.00")),
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FakeRemit(charge_amount=Decimal("108.00")),
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)
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assert s.amount == pytest.approx(1 - 8/10)
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def test_amount_beyond_10pct_scores_zero():
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s = score_pair(
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FakeClaim(charge_amount=Decimal("100.00")),
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FakeRemit(charge_amount=Decimal("120.00")),
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)
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assert s.amount == 0.0
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def test_patient_normalized_exact_match():
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s = score_pair(
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FakeClaim(patient_control_number="PCN-001"),
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FakeRemit(patient_control_number=" pcn-001 "),
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)
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assert s.patient == 1.0
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def test_patient_mismatch_scores_zero():
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s = score_pair(
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FakeClaim(patient_control_number="PCN-001"),
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FakeRemit(patient_control_number="PCN-002"),
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)
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assert s.patient == 0.0
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def test_missing_provider_npi_scores_zero():
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s = score_pair(
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FakeClaim(provider_npi=None),
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FakeRemit(rendering_provider_npi="1234567890"),
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)
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assert s.provider == 0.0
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def test_missing_service_date_scores_zero():
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s = score_pair(
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FakeClaim(service_date_from=None),
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FakeRemit(service_date=date(2026, 6, 10)),
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)
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assert s.date == 0.0
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def test_threshold_boundaries():
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"""Tier boundaries: ≥75 strong, 50–74 weak, <50 hidden."""
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# All fields 0 except amount = 0.75 (exact) → 15 pts → total 15 → hidden
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s = score_pair(
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FakeClaim(
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patient_control_number="X", # 0
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service_date_from=date(2026, 6, 10),
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charge_amount=Decimal("100.00"),
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provider_npi="1234567890",
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),
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FakeRemit(
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patient_control_number="Y", # 0
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service_date=date(2026, 6, 10),
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charge_amount=Decimal("100.00"),
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rendering_provider_npi="1234567890",
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),
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)
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# patient=0, date=1, amount=1, provider=1 → 0+25+20+15 = 60 → weak tier
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assert 50 <= s.total < 75 # weak tier
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assert s.tier == "weak"
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