The 837 ingest path (_claim_837_row in store.py:194) populated
Claim.patient_control_number from claim.subscriber.member_id — the
subscriber's 2010BA NM109 Medicaid ID — instead of from
claim.claim_id (CLM01, the claim submitter's identifier the 837
actually sent).
That silently broke every downstream join that uses this column as a
cross-reference key:
* reconcile.match() (reconcile.py:74) — joins
Claim.patient_control_number against
Remittance.payer_claim_control_number (which is parsed from CLP01,
the 835's echo of CLM01 per X12 spec). Member_id never matches
CLP01, so auto-match always fails.
* apply_999_rejections — same lookup, same broken key.
* apply_277ca_rejections — same lookup, same broken key.
* scoring.score_pair — same broken key.
Live DB probe (1,739 remits, 337 claims):
* Claim.id == Remit.payer_claim_control_number → 0 matches
* Claim.patient_control_number == Remit.payer_claim_control_number
→ 9 matches (substring coincidences; synthetic PCN strings share
alphanumeric characters with the human-readable member_ids)
* Claim.matched_remittance_id NOT NULL → 0 claims
This commit changes _claim_837_row to write
Claim.patient_control_number = claim.claim_id (= CLM01). The
reconcile matcher's existing join now hits the row the 835 echoes
back. Companion migration 0017 backfills the 337 pre-fix rows so
they're on equal footing with new ingests (UPDATE claims SET
patient_control_number = id WHERE patient_control_number IS DISTINCT
FROM id — idempotent).
Tests:
* 2 new RED→GREEN tests in test_store_reconcile.py:
- test_837_ingest_populates_patient_control_number_from_claim_id
pins the field semantics directly
- test_837_then_835_with_echoed_pcn_auto_pairs proves the full
end-to-end auto-match now fires
* 3 existing manual_match tests that relied on the bug (had setup
using member_id != claim_id to deliberately prevent auto-match)
updated to use distinct PCNs explicitly so the tests still
exercise the manual-match path with a real orphan pair.
* 3 store_claim_detail / api_gets tests adjusted for the same
reason.
Verified: 1,176 / 1,177 backend tests pass; the one failure is the
pre-existing flake in test_provider_extended_response.py noted before
this work started.
Caveat for the existing dev DB: the 1,739 remits already in the DB
were ingested from 835 fixtures whose CLP01 is a different synthetic
identifier than the 837's CLM01 (the test fixtures never echoed
CLM01 — a fixture-data limitation, not a code bug). After this fix,
new 837+835 ingest pairs whose payer echoes CLM01 in CLP01 will
auto-match as expected. The pre-existing 1,739 remits will continue
to land in the unmatched bucket; that can only be fixed by
regenerating the test fixtures (out of scope for this SP).
Cyclone Backend — X12 837P / 835 ERA Parser
Python module + CLI for parsing X12 837P professional claim files and X12 835 ERA (Health Care Claim Payment/Advice) files into one validated JSON per claim / payout. Output is consumed by the Cyclone Vite/React frontend via a FastAPI service (see REST API below).
Install
cd backend
python -m venv .venv
. .venv/bin/activate
pip install -e ".[dev]"
CLI
python -m cyclone.cli parse-837 path/to/837p.txt --output-dir ./claims
Options:
--payer {co_medicaid,generic_837p}— defaultco_medicaid--strict— promote warnings to errors--max-retries N— stub in v1 (no auto-fix yet)--include-raw-segments / --no-raw-segments— default: include--log-level {DEBUG,INFO,WARNING,ERROR}
Exit codes:
0— every claim parsed2— file-level failure (no envelope, no claims)1— unexpected exception
Output
claims/
├── claim-991102977-20260611-CLM001.json # one per claim
├── claim-991102977-20260611-CLM002.json
└── summary.json # batch summary
Programmatic use
from pathlib import Path
from cyclone.parsers.parse_837 import parse
from cyclone.parsers.payer import PayerConfig
from cyclone.parsers.writer import write_outputs
result = parse(Path("input.txt").read_text(), PayerConfig.co_medicaid())
write_outputs(result, Path("./claims"))
print(f"passed={result.summary.passed} failed={result.summary.failed}")
Tests
pytest -v
The CLI smoke test against docs/prodfiles/837p-from-axiscare/*.txt is
auto-skipped if no production files are present.
REST API
The Cyclone Vite/React frontend (default dev origin http://localhost:5173)
talks to the parser over HTTP. The API module is cyclone.api:app.
Run the server
uvicorn cyclone.api:app --reload --port 8000
# or, equivalently:
python -m cyclone serve
Endpoints
| Method | Path | Purpose |
|---|---|---|
| GET | /api/health |
Liveness probe: {"status": "ok", "version": ...} |
| POST | /api/parse-837 |
Upload an X12 837P file, get parsed claims back |
| POST | /api/parse-835 |
Upload an X12 835 ERA file, get parsed payouts back |
| POST | /api/parse-999 |
Upload an inbound 999 ACK and persist it |
| POST | /api/parse-ta1 |
Upload an inbound TA1 envelope ACK and persist it |
| POST | /api/parse-277ca |
Upload a 277CA claim acknowledgment and stamp payer_rejected claims |
| POST | /api/eligibility/request |
Build a 270 from JSON (subscriber / provider / payer) |
| POST | /api/eligibility/parse-271 |
Ingest a 271 and return structured coverage_benefits |
| GET | /api/clearhouse |
The clearhouse singleton (SP9) |
| POST | /api/clearhouse/submit |
Push a batch of generated 837 files via SFTP (SP9 stub, SP13 real) |
| POST | /api/admin/reload-config |
Re-read config/payers.yaml and refresh the in-process cache |
| GET | /api/admin/audit-log |
Paginated tamper-evident audit log (SP11) |
| GET | /api/admin/audit-log/verify |
Walk the audit_log hash chain (SP11) |
The full surface — claim / remittance / batch / inbox / stream endpoints, config lookups, and the 270/271 builder — is enumerated in the root README.
POST /api/parse-837 accepts multipart/form-data with a single file
field. Optional query parameters:
payer—co_medicaid(default) orgeneric_837pinclude_raw_segments—true(default) orfalsestrict—false(default) ortrue(promote warnings to errors)
The response shape depends on the request's Accept header:
Accept: application/json→ a singleParseResult-shaped JSON object (envelope, claims, summary).- No
Acceptheader (or anything that isn'tapplication/json) →application/x-ndjsonstreaming, one JSON object per line in this order:{"type": "envelope", "data": {...}}, one{"type": "claim", "data": {...}}per claim, then{"type": "summary", "data": {...}}.
Error responses are JSON of the form {"error": "...", "detail": "..."}:
400— file-level parse error (CycloneParseError) or unknownpayer422— at least one claim failed validation (body still includes the fullParseResultso the client can render the errors)500— unexpected internal error
CORS is configured to allow http://localhost:5173 with GET and POST
and any headers.
Example: upload + JSON response
curl -X POST http://localhost:8000/api/parse-837 \
-F "file=@./samples/co_837p.txt" \
-H "Accept: application/json"
{
"envelope": { "sender_id": "...", "receiver_id": "...", ... },
"claims": [ { "claim_id": "C1", ... }, { "claim_id": "C2", ... } ],
"summary": { "total_claims": 2, "passed": 2, "failed": 0, ... }
}
Example: stream NDJSON from the browser
const resp = await fetch("http://localhost:8000/api/parse-837", {
method: "POST",
body: formData, // FormData with a "file" entry
});
const reader = resp.body.getReader();
const decoder = new TextDecoder();
let buffer = "";
while (true) {
const { value, done } = await reader.read();
if (done) break;
buffer += decoder.decode(value, { stream: true });
for (const line of buffer.split("\n")) {
if (!line) continue;
const evt = JSON.parse(line);
if (evt.type === "claim") renderClaim(evt.data);
else if (evt.type === "summary") showSummary(evt.data);
}
buffer = buffer.slice(buffer.lastIndexOf("\n") + 1);
}
Spec & plan
- Design:
docs/superpowers/specs/2026-06-19-cyclone-837p-parser-design.md - Plan:
docs/superpowers/plans/2026-06-19-cyclone-837p-parser.md
835 ERA parser
The 835 ERA parser mirrors the 837P architecture but is a separate
module (cyclone.parsers.parse_835) with its own models
(cyclone.parsers.models_835), writer (cyclone.parsers.writer_835),
validator (cyclone.parsers.validator_835), and PayerConfig835 preset.
It parses one 835 batch into:
envelope— ISA / GS / ST control segmentsfinancial_info— BPR (total paid, handling code, payer tax id, date)trace— TRN (reassociation trace number + originating company id)payer— Loop 1000A (NM1*PR + N3/N4/PER contact URL)payee— Loop 1000B (NM1*PE + N3/N4)claims— oneClaimPaymentper Loop 2100 CLP, with embeddedServicePaymentrows for each Loop 2110 SVCsummary— sameBatchSummaryused by 837P
835 CLI
python -m cyclone.cli parse-835 path/to/835.txt --output-dir ./payouts
Options:
--payer {co_medicaid_835,generic_835}— defaultco_medicaid_835--strict— promote warnings to errors--include-raw-segments / --no-raw-segments— default: include--log-level {DEBUG,INFO,WARNING,ERROR}
Output:
payouts/
├── payout-991102984-20260617-CLM001.json # one per claim, with envelope/financial/trace/payer/payee embedded
├── payout-991102984-20260617-CLM002.json
└── summary.json
835 programmatic use
from pathlib import Path
from cyclone.parsers.parse_835 import parse
from cyclone.parsers.payer import PayerConfig835
from cyclone.parsers.validator_835 import validate
from cyclone.parsers.writer_835 import write_outputs_835
result = parse(Path("input.txt").read_text(), PayerConfig835.co_medicaid_835())
report = validate(result, PayerConfig835.co_medicaid_835())
print(f"passed={report.passed} errors={len(report.errors)}")
write_outputs_835(result, Path("./payouts"))
835 payout balancing
The 835 validator enforces two monetary-balancing rules:
R835_BAL_BPR_vs_CLP04— the BPR02 total paid must equal the sum ofCLP04(total claim paid) across all claims in the batch. Tolerance is $0.01.R835_BAL_CLP04_vs_SVC03— eachCLP04must equal the sum of its embeddedSVC03service payment amounts. Tolerance is $0.01.
These rules catch the common "BPR doesn't match the sum of the claims" mismatch (often caused by a missing or duplicated claim in the batch).
835 REST API
POST /api/parse-835 mirrors POST /api/parse-837 exactly:
multipart/form-datawith a singlefilefield- Query params:
payer(defaultco_medicaid_835),include_raw_segments(defaulttrue),strict(defaultfalse) - Content negotiation:
Accept: application/json→ singleParseResult835object; default → NDJSON stream withenvelope → financial_info → trace → payer → payee → claim_payment (×N) → summarylines 400onCycloneParseErroror unknownpayer422whenvalidate()reports errors (body still includes the fullParseResult835so the UI can show the issues)
curl -X POST http://localhost:8000/api/parse-835 \
-F "file=@./samples/co_835.txt" \
-H "Accept: application/json"