Nora
e35e5e03b3
The fixture-driven test now exercises both spot-check batches: - spot_check_visits.csv (10 NOT_IN_835 visits) - spot_check_visits_batch2.csv (10 DENIED+PARTIAL visits) All 20 visits run through build_claim_output → serialize_837 → SP40 local validator (25 R-codes) → structural_spot_check. Full backend suite: 1568 passed (was 1567).
2.1 KiB
2.1 KiB
| 1 | Client | Visit Date | Payer | Authorized | Member ID | Auth Start Date | Auth End Date | Authorization # | ICD-10 | Service | Procedure Code | Modifiers | Client Classes | Billable Hours | Billable Amount | Invoice # | Claimed |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2 | O'Keefe , Laura | 05/09/2026 | COHCPF | yes | Y477643 | 03/10/2026 | 08/31/2026 | 9 | R69 | IHSS PCP T1019 | T1019 | KX, SC, U2 | IHSS DR | 8.5333 | $237.57 | INV-2026-05-09-Y477643 | Yes |
| 3 | O'Keefe , Laura | 05/02/2026 | COHCPF | yes | Y477643 | 03/10/2026 | 08/31/2026 | 9 | R69 | IHSS PCP T1019 | T1019 | KX, SC, U2 | IHSS DR | 8.5 | $236.64 | INV-2026-05-02-Y477643 | Yes |
| 4 | Wilson, Michelle | 06/25/2026 | COHCPF | yes | R649327 | 07/01/2025 | 06/30/2026 | 3 | R69 | SLS Respite S5150 | S5150 | U8 | SLS/CES | 8.1 | $235.55 | INV-2026-06-25-R649327-B2 | Yes |
| 5 | Stoumbaugh, Kiera | 02/25/2026 | COHCPF | yes | Y188426 | 02/01/2026 | 01/31/2027 | 2 | R69 | IHSS PCP T1019 | T1019 | KX, SC, U2 | IHSS Salida, IHSS SR | 8 | $222.72 | INV-2026-02-25-Y188426-B2 | Yes |
| 6 | Hannegrefs, Austyn | 05/12/2026 | COHCPF | yes | Y552218 | 06/01/2025 | 05/31/2026 | 6 | R69 | SLS Respite S5150 | S5150 | U8 | SLS/CES | 7.5667 | $220.04 | INV-2026-05-12-Y552218 | Yes |
| 7 | Stoumbaugh, Kiera | 04/03/2026 | COHCPF | yes | Y188426 | 02/01/2026 | 01/31/2027 | 2 | R69 | IHSS Attendant H0038 | H0038 | U2 | IHSS Salida, IHSS SR | 6 | $218.40 | INV-2026-04-03-Y188426 | Yes |
| 8 | Wilson, Michelle | 03/05/2026 | COHCPF | yes | R649327 | 07/01/2025 | 06/30/2026 | 3 | R69 | SLS Respite S5150 | S5150 | U8 | SLS/CES | 7.3333 | $213.25 | INV-2026-03-05-R649327 | Yes |
| 9 | Wilson, Michelle | 06/11/2026 | COHCPF | yes | R649327 | 07/01/2025 | 06/30/2026 | 3 | R69 | SLS Respite S5150 | S5150 | U8 | SLS/CES | 7.3333 | $213.25 | INV-2026-06-11-R649327-B2 | Yes |
| 10 | Wilson, Michelle | 06/22/2026 | COHCPF | yes | R649327 | 07/01/2025 | 06/30/2026 | 3 | R69 | SLS Respite S5150 | S5150 | U8 | SLS/CES | 7.3333 | $213.25 | INV-2026-06-22-R649327-B2 | Yes |
| 11 | Wilson, Michelle | 03/02/2026 | COHCPF | yes | R649327 | 07/01/2025 | 06/30/2026 | 3 | R69 | SLS Respite S5150 | S5150 | U8 | SLS/CES | 7.3167 | $212.77 | INV-2026-03-02-R649327 | Yes |