Tyler
2c0afbe9c5
- Add cyclone.parsers.models_277ca + parse_277ca (X12 005010X214)
- Per-Patient HL ClaimStatus with REF*1K (PCN), REF*EJ (tax ID),
STC category code, amount, service date
- STC classifier: A1-A3 accepted, A4/A6/A7 rejected, A8/A9 pended,
P1-P5 paid, anything else unknown
- Multiple STCs per Patient HL: last wins (canonical pattern for
'first pended, then paid' acknowledgments)
- Subscriber-level STCs surface in unscoped_statuses
- Add apply_277ca_rejections — stamps Claim.payer_rejected_* fields on
matching rows (lookup by patient_control_number, mirrors 999 path)
- New /api/parse-277ca, /api/277ca-acks, /api/277ca-acks/{id} endpoints
- New two77ca_acks table + Two77caAck ORM model
- New Claim columns: payer_rejected_at, _reason, _status_code, _by_277ca_id
- New payer_rejected lane in /api/inbox/lanes (distinct from 999
envelope rejected lane)
- New PayerConfig277CA block in config/payers.yaml + Pydantic model
- Migration 0008 bumps user_version to 8
Tests: 654 -> 688 (parser 22 + apply 6 + API 8 + config 6 + adjustments).
All 688 backend tests pass; 1 pre-existing skipped test class unaffected.
43 lines
998 B
Plaintext
43 lines
998 B
Plaintext
ISA*00* *00* *ZZ*COMEDICAID *ZZ*DZINESCO *240620*1200*^*00501*000000123*0*P*:~
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GS*HN*COMEDICAID*DZINESCO*20240620*1200*1*X*005010X214~
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ST*277CA*0001*005010X214~
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BHT*0085*08*REFNUM001*20240620*1200*TH~
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HL*1**20*1~
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NM1*PR*2*COLORADO MEDICAL ASSIST*****PI*COMEDICAID~
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TRN*2*REFNUM001~
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DTP*050*RD8*20240601-20240630~
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DTP*009*RD8*20240601-20240630~
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HL*2*1*21*1~
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NM1*41*2*DZINESCO*****46*11525703~
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TRN*2*REFNUM001~
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HL*3*2*19*1~
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NM1*IL*1*DOE*JOHN****MI*MEMBERID001~
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TRN*2*TRACE001~
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HL*4*3*PT~
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NM1*QC*1*DOE*JANE~
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REF*1K*CLAIM001~
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REF*EJ*721587149~
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STC*A3:19:PR*20240620*WQ*100.00~
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QTY*90*1~
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AMT*YU*100.00~
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DTP*472*RD8*20240615-20240615~
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HL*5*3*PT~
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NM1*QC*1*SMITH*ROBERT~
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REF*1K*CLAIM002~
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REF*EJ*721587149~
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STC*A6:19:PR*20240620*U*250.00~
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QTY*90*1~
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AMT*YU*250.00~
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DTP*472*D8*20240610~
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HL*6*3*PT~
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NM1*QC*1*GARCIA*MARIA~
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REF*1K*CLAIM003~
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REF*EJ*721587149~
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STC*A8:19:PR*20240620*U*175.50~
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QTY*90*1~
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AMT*YU*175.50~
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DTP*472*RD8*20240612-20240612~
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SE*40*0001~
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GE*1*1~
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IEA*1*000000123~
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