Files
cyclone/docs/superpowers
Nora ec87f98f02 docs(spec): SP28 D10 — two-pass join via Batch.envelope.control_number
The original SP28 spec assumed `Claim.patient_control_number == 999.set_control_number`.
Empirically that's wrong: Gainwell's 999 echoes the source 837's ST02, not its
CLM01, and TOC's billing software fills them differently. Measured against
prod on 2026-07-02: the PCN join matches 0 / 1,398 acks.

Fix: two-pass join. Primary is `Batch.envelope.control_number (== 837 ST02)
→ claims via batch_id`; fallback is `Claim.patient_control_number` (for
senders that fill CLM01 == ST02). Coverage after fix: 727 / 1,398 (52%);
the remaining 671 are real orphans (ST02=0001 placeholder, no matching 837
batch in our DB).

Spec adds D10 + a critical-correction paragraph at the top of §1. Plan
gains the `lookup_claims_for_ack_set_response` pure helper, the
`batch_envelope_index()` store method, and three new tests covering the
two-pass join + the false-positive guard + the one-ack-to-many case.
2026-07-02 11:16:53 -06:00
..