ManikandanandClaude Opus 5.5
ba15a574ab
Snapshot of the working project as of 2026-10-23 (local 2d4d4fc), one commit with no earlier history: the tracked files were de-identified first (synthetic claim ids and patient data only; see Context.md section 7). Credentials, run logs, screenshots, claim reports and client workbooks are gitignored and not included. Co-Authored-By: Claude Opus 5.5 <noreply@anthropic.com>
254 lines
10 KiB
Python
254 lines
10 KiB
Python
r"""
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Dental claims run every applicable condition (operator, 2026-10-07 and
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2026-10-12): every "All payers" condition plus the claim's own payer's —
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the same rule as UB/HCFA. Spec:
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docs/superpowers/specs/2026-10-07-dental-claims-run-all-conditions-design.md
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python tests\test_dental_conditions.py
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Uses tests/fixtures/dental_claim.html: D0120 (row 0, checked, 45.00) and
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DCONS (row 1, checked, 30.00), ICD 1 = Z01.20, payer DentaQuest.
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"""
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import sys
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import pathlib
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import inspect
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ROOT = pathlib.Path(__file__).resolve().parent.parent
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sys.path.insert(0, str(ROOT / "src"))
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FIXTURE = pathlib.Path(__file__).resolve().parent / "fixtures" / "dental_claim.html"
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from ecw_bot.pages import claim_form # noqa: E402
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from ecw_bot.selectors import claim_form as sel # noqa: E402
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from ecw_bot.conditions import (dummy_codes, telehealth, # noqa: E402
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medicare_telehealth, vaccine_admin_codes,
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bh_h_code_modifier, j2930_j2001_update)
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from ecw_bot.conditions.base import run_all # noqa: E402
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CASES = []
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def case(fn):
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CASES.append(fn)
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return fn
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def _add_row(page, code, fee="40.00", checked=True, icd1="1"):
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"""One more real service line, cloned from row 0."""
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page.evaluate(
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"""(a) => {
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const rows = document.querySelectorAll(
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'tr[ng-repeat^="CPT in CPTCodes"]');
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const tr = rows[0].cloneNode(true);
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tr.querySelector('[data-fieldname="web_cptcode"]').value = a.code;
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tr.querySelector('[data-fieldname="web_billedFee"]').value = a.fee;
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tr.querySelector('[data-fieldname="web_icd1"]').value = a.icd1;
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const box = tr.querySelector('[ng-click*="updateBillToIns("]');
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box.checked = a.checked;
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rows[rows.length - 1].after(tr);
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}""", {"code": code, "fee": fee, "checked": checked, "icd1": icd1})
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def _row(page, index):
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tr = page.locator(sel.SEL_CPT_ROWS).nth(index)
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return (tr.locator(sel.SEL_CPT_CODE).first.input_value(),
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tr.locator(sel.SEL_CPT_ASSIGN_TO_PATIENT).first.is_checked(),
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tr.locator(sel.SEL_CPT_BILLED_FEE).first.input_value())
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# ── reading the Dental screen ────────────────────────────────────────────────
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@case
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def extract_reads_the_dental_grid_in_the_ub_row_shape(page):
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page.goto(FIXTURE.as_uri())
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data = claim_form.extract(page)
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assert data["screen"] == "dental", data.get("screen")
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assert data["claim_no"] == "5000000", data["claim_no"]
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cpt = data["cpt"]
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assert [r["code"] for r in cpt] == ["D0120", "DCONS"], cpt
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row = cpt[1]
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assert row["billed"] is True and row["billed_fee"] == "30.00", row
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assert row["icd1"] == "1" and row["units"] == "1", row
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assert row["sdos"] == "09/01/2026", row
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assert row["mod1"] == "" and row["pos"] == "", "no such columns"
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assert data["insurance"][0]["Name"] == "DentaQuest", data["insurance"]
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assert data["icd"] == [{"#": "1", "Code": "Z01.20",
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"Name": "Encounter for dental exam"}], data["icd"]
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assert data["notes"] == "Routine visit.", data["notes"]
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@case
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def extract_on_ub_and_hcfa_says_which_screen(page):
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page.goto(FIXTURE.with_name("ub_claim.html").as_uri())
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assert claim_form.extract(page)["screen"] == "ub"
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page.goto(FIXTURE.with_name("hcfa_claim.html").as_uri())
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assert claim_form.extract(page)["screen"] == "hcfa"
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@case
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def a_hidden_dental_form_is_never_read(page):
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"""eCW leaves closed forms in the DOM; only the one on screen counts."""
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page.goto(FIXTURE.as_uri())
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page.evaluate("""() => document.getElementById('dentalClaim7777777777777')
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.style.display = 'none'""")
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data = claim_form.extract(page)
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assert data["screen"] != "dental" and data["cpt"] == [], data
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# ── the row helpers work on the Dental grid ──────────────────────────────────
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@case
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def dcons_is_unchecked_and_zeroed_on_the_dental_screen(page):
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page.goto(FIXTURE.as_uri())
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data = claim_form.extract(page)
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data["insurance"] = [{"Name": "DentaQuest"}]
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assert dummy_codes.detect("C1", data) is True
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result = dummy_codes.apply(page, "C1", data)
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assert result.changed is True, result
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assert result.changes == [{"row": 1, "code": "DCONS", "unchecked": True,
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"fee": {"before": "30.00",
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"after": "0.00"}}], result.changes
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assert _row(page, 1) == ("DCONS", False, "0.00")
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assert _row(page, 0) == ("D0120", True, "45.00"), "D0120 untouched"
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@case
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def j2001_is_unchecked_and_zeroed_on_the_dental_screen(page):
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page.goto(FIXTURE.as_uri())
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_add_row(page, "J2001", fee="12.00")
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data = claim_form.extract(page)
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result = j2930_j2001_update.apply(page, "C1", data)
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assert result.changed is True, result
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assert _row(page, 2) == ("J2001", False, "0.00")
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# ── run_all on a Dental claim ────────────────────────────────────────────────
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def _dental_data(page, payer="DentaQuest", note="Routine dental visit."):
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data = claim_form.extract(page)
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data["insurance"] = [{"Name": payer}]
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data["progress_notes"] = {"opened": "tab", "text": note}
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return data
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@case
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def run_all_on_a_dental_claim_runs_the_all_payer_conditions(page):
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page.goto(FIXTURE.as_uri())
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_add_row(page, "J2001", fee="12.00")
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_add_row(page, "D1110", fee="0.00")
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report = {}
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results = run_all(page, "C1", _dental_data(page), report=report)
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names = [r.condition_name for r in results]
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for name in ("dummy_codes", "j2930_j2001_update", "zero_fee_uncheck"):
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assert name in names, (name, names, report)
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assert report["failed"] == [] and report["review"] == [], report
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assert _row(page, 1)[1:] == (False, "0.00")
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assert _row(page, 2)[1:] == (False, "0.00")
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assert _row(page, 3)[1] is False, "zero-fee line unchecked"
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assert _row(page, 0) == ("D0120", True, "45.00")
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@case
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def a_fix_the_dental_screen_cannot_make_goes_to_review(page):
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"""
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Operator, 2026-10-12: the Dental grid has no POS and no modifier
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columns, so telehealth's POS 2 + modifier cannot be written — the
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claim is Review with the reason, never a silent skip.
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"""
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page.goto(FIXTURE.as_uri())
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data = _dental_data(page, note="Session Setting (PoS): TeleHealth. "
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"Audio and video telehealth visit.")
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report = {}
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run_all(page, "C1", data, report=report)
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reasons = {r["name"]: r["reason"] for r in report["review"]}
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assert "telehealth" in reasons, report
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assert "Dental" in reasons["telehealth"], reasons
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assert "telehealth" not in report["changed"], report
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@case
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def depression_pointer_is_retagged_on_the_dental_icd_fields(page):
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"""#6 on web_icd1-4: Z13.31 only on G8510, taken off D0120."""
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page.goto(FIXTURE.as_uri())
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page.evaluate("""() => {
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const body = document.querySelector('#addTable tbody');
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const tr = body.rows[0].cloneNode(true);
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tr.cells[0].textContent = '2';
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tr.cells[1].querySelector('input').value = 'Z13.31';
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tr.cells[2].textContent = 'Encounter for screening for depression';
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body.rows[0].after(tr);
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document.querySelector('[data-fieldname="web_icd2"]').value = '2';
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}""")
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_add_row(page, "G8510", fee="0.00", icd1="1")
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report = {}
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run_all(page, "C1", _dental_data(page), report=report)
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assert "depression_dx_pointer" in report["changed"], report
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icd = lambda i, n: page.locator(sel.SEL_CPT_ROWS).nth(i).locator(
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sel.SEL_CPT_ICD[n]).first.input_value()
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assert [icd(0, n) for n in range(4)] == ["1", "", "", ""], \
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"Z13.31 (pointer 2) taken off D0120"
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assert icd(2, 0) == "2", "G8510 carries Z13.31"
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@case
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def every_condition_that_needs_pos_modifiers_or_new_lines_declares_it():
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for module in (telehealth, medicare_telehealth, vaccine_admin_codes):
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reason = getattr(module, "DENTAL_UNSUPPORTED", "")
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assert reason and "Dental" in reason, module.NAME
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@case
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def bh_h_code_modifier_path_is_review_on_dental_but_non_bh_unchecks(page):
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page.goto(FIXTURE.as_uri())
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_add_row(page, "H0023", fee="50.00")
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report = {}
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run_all(page, "C1", _dental_data(page, payer="APM2 Medicaid"),
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report=report)
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assert "bh_h_code_modifier" in report["changed"], report
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assert _row(page, 2)[1:] == (False, "0.00")
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# A BH payer's H code with a modifier: the Dental grid has no modifier
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# column, so there is nothing to read and nothing fires.
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page.goto(FIXTURE.as_uri())
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_add_row(page, "H0023", fee="50.00")
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report = {}
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run_all(page, "C1", _dental_data(page, payer="BH COLORADO ACCESS"),
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report=report)
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assert "bh_h_code_modifier" not in report["fired"], report
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assert _row(page, 2)[1:] == (True, "50.00")
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def main() -> int:
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if not FIXTURE.exists():
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print(f" FAIL fixture missing: {FIXTURE}")
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return 1
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from playwright.sync_api import sync_playwright
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failures = 0
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with sync_playwright() as pw:
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browser = pw.chromium.launch(headless=True)
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page = browser.new_page()
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for fn in CASES:
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name = fn.__name__.replace("_", " ")
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try:
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if len(inspect.signature(fn).parameters) == 0:
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fn()
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else:
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fn(page)
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print(f" ok {name}")
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except AssertionError as exc:
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print(f" FAIL {name}: {exc}")
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failures += 1
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except Exception as exc:
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print(f" ERROR {name}: {type(exc).__name__}: {exc}")
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failures += 1
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browser.close()
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print(f"\n{len(CASES) - failures}/{len(CASES)} passed")
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return 1 if failures else 0
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if __name__ == "__main__":
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sys.exit(main())
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