Tyler
c62826daea
- providers table seeded with 3 NPIs (Montrose, Delta, Salida) - payers + payer_configs (per-tx config) join table - clearhouse singleton (dzinesco identity, SFTP block, filename block) - config/payers.yaml loader with Pydantic schema validation - cyclone/edi/filenames.py: HCPF X12 File Naming Standards helpers - cyclone/clearhouse/sftp.py: stub that copies to ./var/sftp/staging/... - cyclone/secrets.py: macOS Keychain wrapper via keyring - 11 new validation rules R200-R210 (CO MAP + HCPF naming) - 6 new API endpoints (/api/clearhouse/*, /api/config/*, /api/admin/reload-config) - migration 0007 - 72 new tests (646 total passing, was 574) See spec: docs/superpowers/specs/2026-06-20-cyclone-multi-payer-npi-sftp-design.md
45 lines
1.6 KiB
YAML
45 lines
1.6 KiB
YAML
# Cyclone payer configuration
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# SP9 — loaded at boot by cyclone.payers.load_payer_configs()
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# Schema-validated against Pydantic models in cyclone.providers
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# See spec: docs/superpowers/specs/2026-06-20-cyclone-multi-payer-npi-sftp-design.md
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payers:
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# Colorado Medical Assistance Program (FFS) — the user's primary payer
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- payer_id: CO_TXIX
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name: "Colorado Medical Assistance Program"
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receiver_name: "COLORADO MEDICAL ASSISTANCE PROGRAM"
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receiver_id: "COMEDASSISTPROG"
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configs:
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"837P":
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submitter_name: "Dzinesco"
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submitter_contact_name: "Tyler Martinez"
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submitter_contact_email: "tyler@dzinesco.com"
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receiver_name: "COLORADO MEDICAL ASSISTANCE PROGRAM"
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receiver_id_qualifier: "46"
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receiver_id: "COMEDASSISTPROG"
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bht06_allowed: ["CH", "RP"]
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bht06_default: "CH"
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sbr09_default: "MC"
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sbr09_allowed: ["MC", "16", "MA", "MB", "ZZ"]
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payer_id_qualifier: "PI"
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# Per spec: NM1*PR NM109 = "CO_TXIX".
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# Production reality (June 2026): SKCO0 is still being sent in
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# the prod 837P files. SP9 emits CO_TXIX per the CO MAP companion
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# guide. If Gainwell rejects CO_TXIX, set this to "SKCO0".
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payer_id: "CO_TXIX"
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pwk_supported: false
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cas_2320_group_allowed: false
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claim_type_codes:
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"11": "Office"
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"12": "Home"
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"99": "Other"
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"835":
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expected_payer_tax_ids:
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- "81-1725341"
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- "811725341"
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- "84-0644739"
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- "840644739"
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- "1811725341"
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expected_payer_health_plan_id: "7912900843"
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payer_name_pattern: "^CO_(TXIX|BHA)$"
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