Nora
f10ab83628
- Adds `cyclone resubmit-rejected-claims` to push corrected single-claim 837 files to the Gainwell ToHPE SFTP dir. Idempotent (stat-then-skip by byte size). One persistent paramiko session per batch with reconnect-every=50 to dodge MOVEit's silent per-session file cap (~200 puts/session, no exception). - Validates each file via `parse_837` before upload and rejects any whose payer_id is not `CO_TXIX` (catches a bad byte-fix early). - Refreshes test fixtures (`minimal_837p.txt`, `co_medicaid_837p.txt`, `co_medicaid_837p_with_renderer.txt`) and the corresponding test assertions (`test_payer.py`, `test_payer_summary.py`, `test_co_medicaid_fixture.py`, `test_parse_837.py`) from the old `SKCO0`/`COHCPF` payer IDs to `CO_TXIX`, matching PayerConfig.co_medicaid() and the HCPF 837P Companion Guide. - Adds `ingest/` to .gitignore — local scratch / production-data staging only.
41 lines
1.4 KiB
Python
41 lines
1.4 KiB
Python
from pathlib import Path
|
|
|
|
from cyclone.parsers.parse_837 import parse
|
|
from cyclone.parsers.payer import PayerConfig
|
|
|
|
|
|
FIXTURE = Path(__file__).parent / "fixtures" / "co_medicaid_837p.txt"
|
|
|
|
|
|
def test_co_fixture_two_claims_pass():
|
|
result = parse(FIXTURE.read_text(), PayerConfig.co_medicaid())
|
|
assert result.summary.total_claims == 2
|
|
assert result.summary.passed == 2
|
|
assert result.summary.failed == 0
|
|
|
|
|
|
def test_first_claim_has_two_service_lines():
|
|
result = parse(FIXTURE.read_text(), PayerConfig.co_medicaid())
|
|
c1 = result.claims[0]
|
|
assert c1.claim_id == "t991102984o1c1d"
|
|
assert len(c1.service_lines) == 2
|
|
assert c1.service_lines[0].procedure.code == "T1019"
|
|
assert c1.service_lines[0].procedure.modifiers == ["U2"]
|
|
assert c1.service_lines[1].service_date is not None
|
|
|
|
|
|
def test_second_claim_has_four_service_lines():
|
|
result = parse(FIXTURE.read_text(), PayerConfig.co_medicaid())
|
|
c2 = result.claims[1]
|
|
assert c2.claim_id == "t991102984o1c2d"
|
|
assert len(c2.service_lines) == 4
|
|
|
|
|
|
def test_subscriber_payer_reused_across_claims():
|
|
"""Both claims share the same billing provider; payers are recorded on each claim."""
|
|
result = parse(FIXTURE.read_text(), PayerConfig.co_medicaid())
|
|
assert result.claims[0].billing_provider.npi == "1881068062"
|
|
assert result.claims[1].billing_provider.npi == "1881068062"
|
|
assert result.claims[0].payer.id == "CO_TXIX"
|
|
assert result.claims[1].payer.id == "CO_TXIX"
|