medicafe 0.240517.0__py3-none-any.whl → 0.240716.2__py3-none-any.whl

MediLink/MediLink_Parser.py

@@ -0,0 +1,193 @@
+# MediLink_Parser.py
+
+def parse_era_content(content):
+    extracted_data = []
+    normalized_content = content.replace('~\n', '~')
+    lines = normalized_content.split('~')
+
+    record = {}
+    check_eft, payer_address = None, None
+    allowed_amount, write_off, patient_responsibility, adjustment_amount = 0, 0, 0, 0
+    is_payer_section = False
+
+    for line in lines:
+        segments = line.split('*')
+
+        if segments[0] == 'TRN' and len(segments) > 2:
+            check_eft = segments[2]
+
+        if segments[0] == 'N1':
+            if segments[1] == 'PR':
+                is_payer_section = True
+            elif segments[1] == 'PE':
+                is_payer_section = False
+
+        if is_payer_section and segments[0] == 'N3' and len(segments) > 1:
+            payer_address = segments[1]
+
+        if segments[0] == 'CLP' and len(segments) >= 5:
+            if record:
+                if adjustment_amount == 0 and (write_off > 0 or patient_responsibility > 0):
+                    adjustment_amount = write_off + patient_responsibility
+
+                record.update({
+                    'Payer Address': payer_address,
+                    'Allowed Amount': allowed_amount,
+                    'Write Off': write_off,
+                    'Patient Responsibility': patient_responsibility,
+                    'Adjustment Amount': adjustment_amount,
+                })
+                extracted_data.append(record)
+
+                allowed_amount, write_off, patient_responsibility, adjustment_amount = 0, 0, 0, 0
+
+            record = {
+                'Check EFT': check_eft,
+                'Chart Number': segments[1],
+                'Payer Address': payer_address,
+                'Amount Paid': segments[4],
+                'Charge': segments[3],
+            }
+
+        elif segments[0] == 'CAS':
+            if segments[1] == 'CO':
+                write_off += float(segments[3])
+            elif segments[1] == 'PR':
+                patient_responsibility += float(segments[3])
+            elif segments[1] == 'OA':
+                adjustment_amount += float(segments[3])
+
+        elif segments[0] == 'AMT' and segments[1] == 'B6':
+            allowed_amount += float(segments[2])
+
+        elif segments[0] == 'DTM' and (segments[1] == '232' or segments[1] == '472'):
+            record['Date of Service'] = segments[2]
+
+    if record:
+        if adjustment_amount == 0 and (write_off > 0 or patient_responsibility > 0):
+            adjustment_amount = write_off + patient_responsibility
+        record.update({
+            'Allowed Amount': allowed_amount,
+            'Write Off': write_off,
+            'Patient Responsibility': patient_responsibility,
+            'Adjustment Amount': adjustment_amount,
+        })
+        extracted_data.append(record)
+
+    print("Parsed ERA Content:")
+    for data in extracted_data:
+        print(data)
+
+    return extracted_data
+
+def parse_277_content(content):
+    segments = content.split('~')
+    records = []
+    current_record = {}
+    for segment in segments:
+        parts = segment.split('*')
+        if parts[0] == 'HL':
+            if current_record:
+                records.append(current_record)
+                current_record = {}
+        elif parts[0] == 'NM1':
+            if parts[1] == 'QC':
+                current_record['Patient'] = parts[3] + ' ' + parts[4]
+            elif parts[1] == '41':
+                current_record['Clearing House'] = parts[3]
+            elif parts[1] == 'PR':
+                current_record['Payer'] = parts[3]
+        elif parts[0] == 'TRN':
+            current_record['Claim #'] = parts[2]
+        elif parts[0] == 'STC':
+            current_record['Status'] = parts[1]
+            if len(parts) > 4:
+                current_record['Paid'] = parts[4]
+        elif parts[0] == 'DTP':
+            if parts[1] == '472':
+                current_record['Serv.'] = parts[3]
+            elif parts[1] == '050':
+                current_record['Proc.'] = parts[3]
+        elif parts[0] == 'AMT':
+            if parts[1] == 'YU':
+                current_record['Charged'] = parts[2]
+
+    if current_record:
+        records.append(current_record)
+
+    print("Parsed 277 Content:")
+    for record in records:
+        print(record)
+
+    return records
+
+def parse_277IBR_content(content):
+    return parse_277_content(content)
+
+def parse_277EBR_content(content):
+    return parse_277_content(content)
+
+def parse_dpt_content(content):
+    extracted_data = []
+    lines = content.splitlines()
+    record = {}
+    for line in lines:
+        if 'Patient Account Number:' in line:
+            if record:
+                extracted_data.append(record)
+            record = {}
+        parts = line.split(':')
+        if len(parts) == 2:
+            key, value = parts[0].strip(), parts[1].strip()
+            record[key] = value
+    if record:
+        extracted_data.append(record)
+
+    print("Parsed DPT Content:")
+    for data in extracted_data:
+        print(data)
+
+    return extracted_data
+
+def parse_ebt_content(content):
+    extracted_data = []
+    lines = content.splitlines()
+    record = {}
+    for line in lines:
+        if 'Patient Name:' in line and record:
+            extracted_data.append(record)
+            record = {}
+        parts = line.split(':')
+        if len(parts) == 2:
+            key, value = parts[0].strip(), parts[1].strip()
+            record[key] = value
+    if record:
+        extracted_data.append(record)
+
+    print("Parsed EBT Content:")
+    for data in extracted_data:
+        print(data)
+
+    return extracted_data
+
+def parse_ibt_content(content):
+    extracted_data = []
+    lines = content.splitlines()
+    record = {}
+    for line in lines:
+        if 'Submitter Batch ID:' in line:
+            if record:
+                extracted_data.append(record)
+            record = {}
+        parts = line.split(':')
+        if len(parts) == 2:
+            key, value = parts[0].strip(), parts[1].strip()
+            record[key] = value
+    if record:
+        extracted_data.append(record)
+
+    print("Parsed IBT Content:")
+    for data in extracted_data:
+        print(data)
+
+    return extracted_data

MediLink/MediLink_Scheduler.py

@@ -1,173 +1,3 @@
 """
-MediLink Scheduler: A medical claim scheduling and management system that integrates functionalities from MediScheduler and MediLink to optimize medical claim submissions based on patient deductible status, insurance provider deadlines, and a 90-day submission window. It leverages real-time data from insurance APIs for dynamic scheduling to maximize insurance payments by aligning claim submission with deductible fulfillment.
-
-Features:
-- Deductible Optimization: Determines optimal submission times based on deductible fulfillment to maximize reimbursements.
-- Dynamic Scheduling: Updates claim submission timelines in response to changes in deductible status and insurance coverage data.
-- Secure Data Handling: Ensures the security of sensitive patient data through encryption and HIPAA-compliant practices.
-- Integration with MediLink Systems: Seamlessly formats, submits, and tracks claims across MediLink and associated systems.
-- Robust Error Handling and Notifications: Implements mechanisms for error detection and user alerts regarding scheduling and submission errors.
-
-Main Functionalities:
-1. Configuration and System Initialization:
-   - Configures and establishes secure connections to insurance APIs.
-   - Loads encrypted system settings and initializes subsystems for logging, data encryption, and notifications.
-
-2. Scheduler Integration:
-   - Enhances MediLink's main menu to include an option for "Optimize and Schedule Submissions".
-   - This option is visible only when there are new or imminent claims, activating the scheduling function for these claims.
-
-3. Scheduling Process:
-   - Identifies new or urgent claims.
-   - Fetches real-time deductible information from insurance APIs.
-   - Computes remaining deductible and determines suitable submission dates.
-   - Schedules claims with consideration for deductible status and the 90-day deadline, updating a scheduling log with details.
-
-4. User Dashboard Update:
-   - Displays scheduled submissions, including deductible statuses and scheduled dates.
-   - Allows users to manually adjust or override automated scheduling decisions.
-
-5. Pre-Submission Checks:
-   - Daily verification of claims ready for submission.
-   - Prepares 837P claim files and finalizes submission details with user confirmation.
-   - Securely transmits data to insurance providers and logs all submission activities.
-
-6. Direct Submission Handling:
-   - Uses MediLink_Up.submit_claims to manage final claim submissions.
-   - Ensures that all scheduled claims are submitted with requisite details.
-
-7. Data Security:
-   - Applies encryption to any new data storage or sensitive data involved in the scheduling process.
-   - Maintains compliance with HIPAA and relevant security standards.
-
-8. Error Management and Alerts:
-   - Extends error handling capabilities to include specific scheduling and submission issues.
-   - Enhances notifications for reminders and updates on deductible status.
-
-9. Integration with MediLink Logging and Error Handling:
-   - Integrates scheduler operations into MediLink’s existing logging and error management frameworks.
-
-10. Maintenance and Data Cleanup:
-    - Regularly refreshes insurance data mappings and updates deductible information.
-    - Manages cleanup of processed claims to maintain database integrity and performance.
-
-11. User Interface Improvements:
-    - Updates UI to ensure user-friendliness and provides clear operational feedback.
-    - Revises help documentation to reflect new functionalities and guides for scheduling tasks.
-
-Database Management:
-- Maintains a JSON-based database for patient billing data, labeled as patient_billing_db, storing information from various sources (Z.dat file, APIs, SFTP).
-- Database content includes claim statuses, deductible details, error logs, and identifiers for billing readiness.
-- Facilitates efficient tracking and processing of claims, with considerations for integrating individual patient data in batched submissions.
-- Stays on the local machine in a defined secure location per config, ensuring HIPAA compliance without the need for data encryption at rest.
-
-Note: Potential for data corruption or synchronization issues due to system limitations; backup and manual verification measures are advised.
-
-Crosswalk Example:
-    "payer_id": {
-        "87726": {
-            "medisoft_medicare_id": [],
-            "medisoft_id": [
-                "320"
-            ],
-            "endpoint": "OPTUMEDI"
-        },
-        "60054": {
-            "medisoft_medicare_id": [],
-            "medisoft_id": [
-                "369"
-            ],
-            "endpoint": "OPTUMEDI"
-        },
-        "00590": {
-            "medisoft_medicare_id": [],
-            "medisoft_id": [
-                "317"
-            ],
-            "endpoint": "OPTUMEDI"
-        },
-        
-
-Crosswalk add:
-- submit_buffer_maria per payer_id
-- submit_limit_days per payer_id
-- deductible_max = $2500.
-- submit limit buffer = 15 days before final.
-
-MediLink_Scheduler logic to produce dates of submission:
-deductible slows it until a max limit ($2500), then send anyway.
-after maria buffer, before submit (-15?) limit day.
-Maria collects pre-payment, this is a factor, needs to be somehow accounted for in the process where a quantity gets pre-assigned to a patient so we know when to submit the claim.
-
-Date last reviewed, Insurance Type, In network, Annual Deductable Remaining, Recieved pre-payment amount, Check# or 'Cash'.
-
-In the future those pre-payments should be either eCheck, Zelle or by CC + 5% surcharge.
-
-"""
-
-
-# JSON DB structure draft.
-{
-  "patients": {
-    "patient_id": {
-      "first_name": "John",
-      "last_name": "Doe",
-      "date_of_birth": "1985-07-12",
-      "insurance_details": {
-        "provider_id": "XYZ123",
-        "policy_number": "P123456789",
-        "coverage_start_date": "2020-01-01"
-      },
-      "contact_info": {
-        "email": "john.doe@example.com",
-        "phone": "555-1234"
-      }
-    }
-  },
-  "claims": {
-    "claim_id": {
-      "patient_id": "patient_id",
-      "date_of_service": "2023-04-01",
-      "status": "pending",
-      "scheduled_submission_date": "2023-04-15",
-      "actual_submission_date": null,
-      "billing_amount": 500.00,
-      "deductible_applied": 100.00,
-      "covered_amount": 400.00
-    }
-  },
-  "insurance_providers": {
-    "provider_id": {
-      "name": "InsuranceCorp",
-      "contact_details": {
-        "phone": "555-6789",
-        "email": "support@insurancecorp.com"
-      },
-      "endpoint": "https://api.insurancecorp.com"
-    }
-  },
-  "system_configuration": {
-    "last_update": "2023-04-18",
-    "backup_frequency": "daily",
-    "data_encryption_key": "encrypted_key_value"
-  },
-  "logs": {
-    "log_id": {
-      "timestamp": "2023-04-18T12:34:56",
-      "event_type": "error",
-      "description": "Failed to connect to insurance API",
-      "related_claim_id": "claim_id"
-    }
-  },
-   "billing_queue": {
-   "patient_id": "claim_id"
-    },
-   "submitted_837p_batches": {
-   "batch_id": {
-      "timestamp": "2023-04-20T09:00:00",
-      "patients": ["patient_id1", "patient_id2", ...],
-      "endpoint": "clearinghouse_endpoint",
-      "status": "submitted"
-   }
-  }
-}
+Implement MediLink_Scheduler
+"""

MediLink/MediLink_StatusCheck.py

@@ -1,4 +0,0 @@
-"""
-Checks and updates the status of submitted medical claims using API endpoints.
-Integrates with MediLink_Down and MediPost to retrieve and process ERAs and other relevant response data from insurance providers.
-"""

MediLink/MediLink_UI.py

@@ -1,22 +1,11 @@
 from datetime import datetime
-
-"""
-Development Tasks for User Interface (UI) Enhancement in MediSoft Claims Submittal (MediLink) Script:
-
-- [ ] Streamline user interaction for endpoint selection and patient adjustments with automated endpoint validation.
-- [ ] Strengthen error handling in file conversion, transmission, and user inputs with actionable user feedback.
-- [ ] Expand logging levels and develop a user notification system for process milestones and errors.
-- [ ] Focus workflow on patient details for endpoint adjustments, facilitating patient-centric file submissions.
-- [ ] Implement internet connectivity checks with retry options for submissions and offer pause/resume capabilities.
-- [ ] Include final review and confirmation steps before submission, allowing for endpoint adjustments per patient.
-- [ ] TODO Need to resolve suggested endpoint issues/refresh/quasi-persist (this is partially implemented, careful)
-- [ ] TODO Augment the menu for displaying the insurance type information before submittal.
-"""
+import os
+import MediLink_ConfigLoader
 
 def display_welcome():
     print("\n" + "-" * 60)
     print("          *~^~*:    Welcome to MediLink!    :*~^~*")
-    print("-" * 60 + "\n")
+    print("-" * 60)
 
 def display_menu(options):
     print("Menu Options:")
@@ -85,6 +74,18 @@ def get_new_endpoint_choice():
     """
     return input("Select desired endpoint (e.g. 1, 2): ").strip()
 
+# Function to display full list of insurance options
+def display_insurance_options(insurance_options=None):
+
+    # Retrieve insurance options with codes and descriptions
+    config, _ = MediLink_ConfigLoader.load_configuration()
+    insurance_options = config['MediLink_Config'].get('insurance_options')
+    
+    print("\nInsurance Type Options:")
+    for code, description in sorted(insurance_options.items()):
+        print("{}: {}".format(code, description))
+    print()  # Add a blank line for better readability
+
 def display_patient_summaries(detailed_patient_data):
     """
     Displays summaries of all patients and their suggested endpoints.
@@ -95,24 +96,59 @@ def display_patient_summaries(detailed_patient_data):
             display_file_summary(index, summary)
         except KeyError as e:
             print("Summary at index {} is missing key: {}".format(index, e))
+    print() # add blank line for improved readability.
 
 def ask_for_proceeding_with_endpoints():
     """
     Asks the user if they want to proceed with all suggested endpoints.
     """
-    proceed = input("\nDo you want to proceed with all suggested endpoints? (Y/N): ").strip().lower()
+    proceed = input("Do you want to proceed with all suggested endpoints? (Y/N): ").strip().lower()
     return proceed == 'y'
 
 def display_file_summary(index, summary):
     # Ensure surgery_date is converted to a datetime object
     surgery_date = datetime.strptime(summary['surgery_date'], "%m-%d-%y")
+    
+    # Add header row if it's the first index
+    if index == 1:
+        print("{:<3} {:5} {:<10} {:20} {:15} {:2} {:20}".format(
+            "No.", "Date", "ID", "Name", "Primary Ins.", "IT", "Suggested Endpoint"
+        ))
+        print("-"*80)
+
+    # Check if insurance_type is available; if not, set a default placeholder (this should already be '12' at this point)
+    insurance_type = summary.get('insurance_type', '--')
 
     # Displays the summary of a file.
-    print("{:02d}. {:5} (ID: {:<8}) {:20} {:15} Suggested Endpoint: {}".format(
+    print("{:02d}. {:5} ({:<8}) {:20} {:15} {:2} {:20}".format(
         index,
         surgery_date.strftime("%m-%d"),
         summary['patient_id'],
         summary['patient_name'][:20],
         summary['primary_insurance'][:15],
-        summary['suggested_endpoint'])
-    )
+        insurance_type[:2],
+        summary['suggested_endpoint'][:20])
+    )
+    
+def user_select_files(file_list):
+    """
+    Prompt the user to select files from a list of detected files.
+    
+    :param file_list: List of detected files.
+    :return: List of files selected by the user.
+    """
+    # Sort the files by creation time in descending order
+    file_list = sorted(file_list, key=os.path.getctime, reverse=True)
+    
+    print("Select claim files to submit from the following list:")
+    for i, file in enumerate(file_list):
+        print("{}: {}".format(i+1, os.path.basename(file)))
+    
+    selected_indices = input("\nEnter the numbers of the files to process, separated by commas\n(or press Enter to select all): ")
+    if not selected_indices:
+        return file_list
+    
+    selected_indices = [int(i.strip()) - 1 for i in selected_indices.split(',')]
+    selected_files = [file_list[i] for i in selected_indices]
+    
+    return selected_files

MediLink/MediLink_Up.py

@@ -7,19 +7,6 @@ import MediLink_837p_encoder
 from MediLink_ConfigLoader import log
 from MediLink_DataMgmt import operate_winscp
 
-"""
-Handles the transmission of files to endpoints and related tasks for the MediLink script.
-
-Functions:
-- check_internet_connection(): Checks for an active internet connection.
-- UPDATE THIS: transmit_files_to_endpoint(converted_files, endpoint_config, local_storage_path): Transmits files to a specified endpoint using WinSCP.
-- handle_transmission_result(transmission_result): Handles the result of the file transmission process.
-- submit_claims(detailed_patient_data_grouped_by_endpoint, config): Submits claims to respective endpoints based on patient data and configuration.
-- confirm_transmission(detailed_patient_data_grouped_by_endpoint): Displays patient data ready for transmission and asks for confirmation.
-
-This module provides functionality for transmitting files, confirming transmissions, and ensuring connectivity for the MediLink script.
-"""
-
 # Internet Connectivity Check
 def check_internet_connection():
     """
@@ -84,7 +71,8 @@ def submit_claims(detailed_patient_data_grouped_by_endpoint, config):
                     
                     print("No files were converted for transmission to {0}.".format(endpoint))
             else:
-                print("No internet connection detected.")
+                print("Error: No internet connection detected.")
+                log("Error: No internet connection detected.", level="ERROR")
                 try_again = input("Do you want to try again? (Y/N): ").strip().lower()
                 if try_again != 'y':
                     print("Exiting transmission process. Please try again later.")
@@ -367,12 +355,15 @@ def confirm_transmission(detailed_patient_data_grouped_by_endpoint):
             lists of detailed patient data as values.
     :param config: Configuration settings loaded from a JSON file.
     """ 
+    # Clear terminal for clarity
+    os.system('cls')
+    
     print("\nReview of patient data ready for transmission:")
     for endpoint, patient_data_list in detailed_patient_data_grouped_by_endpoint.items():
         print("\nEndpoint: {0}".format(endpoint))
         for patient_data in patient_data_list:
             patient_info = "({1}) {0}".format(patient_data['patient_name'], patient_data['patient_id'])
-            print("- {:<35} | {:<5}, ${:<6}, Primary: {}".format(
+            print("- {:<33} | {:<5}, ${:<6}, {}".format(
                 patient_info, patient_data['surgery_date'][:5], patient_data['amount'], patient_data['primary_insurance']))
     
     confirmation = input("\nProceed with transmission to all endpoints? (Y/N): ").strip().lower()

{medicafe-0.240517.0.dist-info → medicafe-0.240716.2.dist-info}/METADATA

@@ -1,6 +1,6 @@
 Metadata-Version: 2.1
 Name: medicafe
-Version: 0.240517.0
+Version: 0.240716.2
 Summary: MediCafe
 Home-page: https://github.com/katanada2
 Author: Daniel Vidaud
@@ -14,6 +14,9 @@ Requires-Dist: argparse
 Requires-Dist: numpy ==1.11.3
 Requires-Dist: pandas ==0.20.0
 Requires-Dist: tqdm ==4.14.0
+Requires-Dist: lxml ==4.2.0
+Requires-Dist: python-docx
+Requires-Dist: PyYAML ==5.2
 
 
     # Project Overview: MediCafe

medicafe-0.240716.2.dist-info/RECORD

@@ -0,0 +1,47 @@
+MediBot/MediBot.bat,sha256=B_iUMQro6kPrTbGOePsTvOq3N9nXn5fE7xnkt4jfSrE,7032
+MediBot/MediBot.py,sha256=X7ZU-xYsnw7xL7nBZTDudhSXdsnEavcHORE4hPM4L58,16704
+MediBot/MediBot_Charges.py,sha256=47DEQpj8HBSa-_TImW-5JCeuQeRkm5NMpJWZG3hSuFU,0
+MediBot/MediBot_Crosswalk_Library.py,sha256=RxwihSpPtTlnDbPiQ1VWnPVVdjYA-L69OPWREXMTGiQ,14862
+MediBot/MediBot_Post.py,sha256=47DEQpj8HBSa-_TImW-5JCeuQeRkm5NMpJWZG3hSuFU,0
+MediBot/MediBot_Preprocessor.py,sha256=OI9rfDF01OLuLFZoSzIceO3r5fkKEFN7tynXPIceoo4,11941
+MediBot/MediBot_Preprocessor_lib.py,sha256=aU5VWwLqDxka8DGLkrji6C9rYMzoqjxLScZ64Ya-0ok,24170
+MediBot/MediBot_UI.py,sha256=_CS9BV3882mNp-UmMUPKZOsDI3ZGxft5mcr36-Nq1FQ,10318
+MediBot/MediBot_dataformat_library.py,sha256=AVRAl4oDHR6nq2bBiJf2YABrdtnfiQYdYzV0BMvL7U0,8346
+MediBot/MediBot_docx_decoder.py,sha256=nO5N8qPsZoiFzicSJ5mbBfjaqGinxgh_VzjLhEsj95U,13712
+MediBot/MediPost.py,sha256=C1hZJFr65rN6F_dckjdBxFC0vL2CoqY9W3YFqU5HXtE,336
+MediBot/PDF_to_CSV_Cleaner.py,sha256=ZZphmq-5K04DkrZNlcwNAIoZPOD_ROWvS3PMkKFxeiM,8799
+MediBot/__init__.py,sha256=47DEQpj8HBSa-_TImW-5JCeuQeRkm5NMpJWZG3hSuFU,0
+MediBot/update_json.py,sha256=eAu3BPYtlGlwVGZdTUmrqq4qLTVcplt-6EnzcGCheG0,1557
+MediBot/update_medicafe.py,sha256=CYxRHNXb-ZwGELWSXJA90foMwac_GBdXhD9hwClUjpA,2249
+MediLink/MediLink.py,sha256=GRMe3OiskBGVpHDGIrTmY4_t2pc5J_pznHt5Z5mU8X8,18054
+MediLink/MediLink_277_decoder.py,sha256=Z3hQK2j-YzdXjov6aDlDRc7M_auFBnl3se4OF5q6_04,4358
+MediLink/MediLink_837p_encoder.py,sha256=onrbzk-6QG97oHRn-AvDtcsYyQ-OpqZJE4KWjgPTwxQ,23550
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 Wheel-Version: 1.0
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 Root-Is-Purelib: true
 Tag: py3-none-any
 

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