medicafe 0.250728.8__py3-none-any.whl → 0.250805.0__py3-none-any.whl

MediLink/MediLink_ClaimStatus.py

@@ -1,24 +1,86 @@
 # MediLink_ClaimStatus.py
 from datetime import datetime, timedelta
-import os
-import time
-import json
-import MediLink_API_v3
+import os, sys
 
+# Import centralized logging configuration
 try:
-    from MediLink import MediLink_ConfigLoader
+    from MediCafe.logging_config import DEBUG, PERFORMANCE_LOGGING
 except ImportError:
-    import MediLink_ConfigLoader
+    # Fallback to local flags if centralized config is not available
+    DEBUG = False
+    PERFORMANCE_LOGGING = False
 
-# Load configuration
-config, _ = MediLink_ConfigLoader.load_configuration()
+# Set up project paths first
+project_dir = os.path.abspath(os.path.join(os.path.dirname(__file__), ".."))
+if project_dir not in sys.path:
+    sys.path.insert(0, project_dir)
+
+# Use core utilities for standardized imports
+try:
+    from MediCafe.core_utils import get_shared_config_loader, get_api_client, create_config_cache
+    MediLink_ConfigLoader = get_shared_config_loader()
+except ImportError:
+    print("Error: Unable to import MediCafe.core_utils. Please ensure MediCafe package is properly installed.")
+    sys.exit(1)
+
+# Import api_core for claim operations
+try:
+    from MediCafe import api_core
+except ImportError:
+    api_core = None
+
+# Calculate start_date and end_date for the API: 
+# Official API documentation requires last date less than 31 days from the First Date
+# Use a conservative 30-day range to stay within the 31-day limit
+current_date = datetime.today()
+end_date = current_date - timedelta(days=1)      # Yesterday (avoid future dates)
+start_date = end_date - timedelta(days=29)       # 29 days before end date (30-day range total)
+
+# Validate date range according to official API documentation
+def validate_date_range(start_date, end_date):
+    """Validate date range according to official API documentation"""
+    current_date = datetime.today()
+    
+    if end_date > current_date:
+        raise ValueError("End date cannot be in the future")
+    
+    date_diff = (end_date - start_date).days
+    if date_diff > 30:  # Official docs say "less than 31 days"
+        raise ValueError("Date range must not exceed 30 days (official API limit)")
+    
+    if date_diff < 0:
+        raise ValueError("Start date must be before end date")
+    
+    # Check if dates are within reasonable range (last 24 months as per swagger)
+    max_start_date = current_date - timedelta(days=730)  # 24 months
+    if start_date < max_start_date:
+        raise ValueError("Start date must be within last 24 months")
+
+# Validate the calculated date range
+try:
+    validate_date_range(start_date, end_date)
+except ValueError as e:
+    print("Date validation error: {}".format(e))
+    # Fallback to a safe date range within 30 days
+    end_date = current_date - timedelta(days=1)
+    start_date = end_date - timedelta(days=15)  # 15-day range as fallback
 
-# Calculate start_date as 60 days before today's date and end_date as today's date
-end_date = datetime.today()
-start_date = end_date - timedelta(days=60)
 end_date_str = end_date.strftime('%m/%d/%Y')
 start_date_str = start_date.strftime('%m/%d/%Y')
 
+# Inline commentary: The official API documentation requires last date less than 31 days 
+# from the First Date, so we use a 30-day range to stay within this limit.
+if DEBUG:
+    print("Using date range for API compliance (30-day range, up to yesterday)")
+    print("  Start Date: {}".format(start_date_str))
+    print("  End Date: {}".format(end_date_str))
+
+# Use latest core_utils configuration cache for better performance
+_get_config, (_config_cache, _crosswalk_cache) = create_config_cache()
+
+# Load configuration using latest core_utils pattern
+config, _ = _get_config()
+
 # Get billing provider TIN from configuration
 billing_provider_tin = config['MediLink_Config'].get('billing_provider_tin')
 
@@ -26,8 +88,18 @@ billing_provider_tin = config['MediLink_Config'].get('billing_provider_tin')
 payer_ids = ['87726', '03432', '96385', '95467', '86050', '86047', '95378', '37602']
 # Allowed payer id's for UHC 87726, 03432, 96385, 95467, 86050, 86047, 95378, 37602. This api does not support payerId 06111.
 
-# Initialize the API client
-client = MediLink_API_v3.APIClient()
+# Initialize the API client via factory
+client = get_api_client()
+if client is None:
+    if DEBUG:
+        print("Warning: API client not available via factory")
+    # Fallback to direct instantiation
+    try:
+        from MediCafe import api_core
+        client = api_core.APIClient()
+    except ImportError:
+        print("Error: Unable to create API client")
+        client = None
 
 class ClaimCache:
     """In-memory cache for API responses"""
@@ -132,32 +204,89 @@ def extract_claim_data(claim):
         'claim_xwalk_data': claim['claimSummary']['clmXWalkData']
     }
 
+def handle_api_error(error, payer_id):
+    """Handle specific API errors according to official documentation"""
+    error_message = str(error)
+    
+    # Handle specific error codes from official documentation
+    if "LCLM_PS_102" in error_message:
+        return "Mandatory element missing in request (tin, firstServiceDt, lastServiceDt, or payerId)"
+    elif "LCLM_PS_105" in error_message or "LCLM_PS_202" in error_message:
+        return "Authorization error: Payer ID {} not allowed".format(payer_id)
+    elif "LCLM_PS_106" in error_message:
+        return "Invalid parameter combination: must use (firstServiceDt,lastServiceDt) or (transactionId)"
+    elif "LCLM_PS_107" in error_message:
+        return "Date range must be within last 24 months"
+    elif "LCLM_PS_108" in error_message or "LCLM_PS_111" in error_message:
+        return "Incorrect date format: use MM/dd/yyyy"
+    elif "LCLM_PS_112" in error_message:
+        return "Date range exceeds 30 days limit (official API constraint)"
+    elif "LCLM_PS_201" in error_message:
+        return "No data found with given request parameters"
+    elif "LCLM_PS_306" in error_message:
+        return "Search exceeds 500 claims limit - narrow date range"
+    elif "LCLM_PS_500" in error_message:
+        return "Server error: Exception from Claims 360 - try again later"
+    elif "401" in error_message:
+        return "Authentication error: check credentials"
+    elif "403" in error_message:
+        return "Authorization error: insufficient permissions"
+    elif "500" in error_message:
+        return "Server error: internal system failure"
+    else:
+        return "Unknown error: {}".format(error_message)
+
 def process_claims_with_payer_rotation(billing_provider_tin, start_date_str, end_date_str, 
                                      payer_ids, cache, consolidated_claims):
     """
     Process claims across multiple payer IDs with caching and consolidation
     """
-    client = MediLink_API_v3.APIClient()
+    from MediCafe.core_utils import get_api_client
+    client = get_api_client()
+    if client is None:
+        if DEBUG:
+            print("Warning: API client not available via factory")
+        # Fallback to direct instantiation
+        try:
+            from MediCafe import api_core
+            client = api_core.APIClient()
+        except ImportError:
+            print("Error: Unable to create API client")
+            return
     
     for payer_id in payer_ids:
-        print("Processing Payer ID: {}".format(payer_id))
+        if DEBUG:
+            print("Processing Payer ID: {}".format(payer_id))
         
         # Generate cache key
         cache_key = cache.get_cache_key(billing_provider_tin, start_date_str, end_date_str, payer_id)
         
         # Check cache first
         if cache.is_cached(cache_key):
-            print("  Using cached response for Payer ID: {}".format(payer_id))
+            if DEBUG:
+                print("  Using cached response for Payer ID: {}".format(payer_id))
             claim_summary = cache.get_cached_response(cache_key)
         else:
-            print("  Making API call for Payer ID: {}".format(payer_id))
+            if DEBUG:
+                print("  Making API call for Payer ID: {}".format(payer_id))
             try:
-                claim_summary = MediLink_API_v3.get_claim_summary_by_provider(
-                    client, billing_provider_tin, start_date_str, end_date_str, payer_id=payer_id
+                # Import api_core locally to ensure it's available
+                from MediCafe import api_core
+                claim_summary = api_core.get_claim_summary_by_provider(
+                    client, billing_provider_tin, start_date_str, end_date_str, 
+                    payer_id=payer_id
                 )
                 cache.cache_response(cache_key, claim_summary, payer_id)
             except Exception as e:
-                print("  Error processing Payer ID {}: {}".format(payer_id, e))
+                error_msg = handle_api_error(e, payer_id)
+                print("  Error processing Payer ID {}: {}".format(payer_id, error_msg))
+                
+                # Log the error for debugging (file only, not console)
+                MediLink_ConfigLoader.log(
+                    "API Error for Payer ID {}: {}".format(payer_id, error_msg),
+                    level="ERROR",
+                    console_output=False
+                )
                 continue
         
         # Process claims from this payer
@@ -219,14 +348,16 @@ def display_consolidated_claims(consolidated_claims, output_file):
                 clm508Cd = xwalk['clm508Cd']
                 clm508CdDesc = xwalk['clm508CdDesc']
                 clmIcnSufxCd = xwalk['clmIcnSufxCd']
-                print("  507: {} ({}) | 508: {} ({}) | ICN Suffix: {}".format(
-                    clm507Cd, clm507CdDesc, clm508Cd, clm508CdDesc, clmIcnSufxCd))
+                if DEBUG:
+                    print("  507: {} ({}) | 508: {} ({}) | ICN Suffix: {}".format(
+                        clm507Cd, clm507CdDesc, clm508Cd, clm508CdDesc, clmIcnSufxCd))
     
     # Display duplicate warnings (terminal and log only, not file)
     if consolidated_claims.duplicate_warnings:
-        print("\n" + "="*80)
-        print("DUPLICATE CLAIM WARNINGS:")
-        print("="*80)
+        if DEBUG:
+            print("\n" + "="*80)
+            print("DUPLICATE CLAIM WARNINGS:")
+            print("="*80)
         
         for warning in consolidated_claims.duplicate_warnings:
             warning_msg = (
@@ -244,12 +375,14 @@ def display_consolidated_claims(consolidated_claims, output_file):
                     warning['new_data']['total_paid_amount']
                 )
             )
-            print(warning_msg)
+            if DEBUG:
+                print(warning_msg)
             
-            # Log the warning
+            # Log the warning (file only, not console)
             MediLink_ConfigLoader.log(
                 "Duplicate claim warning: {}".format(warning_msg),
-                level="WARNING"
+                level="WARNING",
+                console_output=False
             )
 
 # Initialize cache and consolidated claims
@@ -262,12 +395,25 @@ process_claims_with_payer_rotation(
 )
 
 # Display consolidated results
-output_file_path = os.path.join(os.getenv('TEMP'), 'claim_summary_report.txt')
+temp_dir = os.getenv('TEMP') or os.getenv('TMP') or '/tmp'  # Cross-platform temp directory
+output_file_path = os.path.join(temp_dir, 'claim_summary_report.txt')
 with open(output_file_path, 'w') as output_file:
     display_consolidated_claims(consolidated_claims, output_file)
 
 # Clear cache after consolidated table is generated
 cache.clear_cache()
 
-# Open the generated file in Notepad
-os.startfile(output_file_path)  # Use os.startfile for better handling
+# Open the generated file (cross-platform approach)
+try:
+    if os.name == 'nt':  # Windows
+        os.startfile(output_file_path)
+    elif os.name == 'posix':  # Unix/Linux/MacOS
+        import subprocess
+        subprocess.call(['xdg-open', output_file_path])
+    else:
+        if DEBUG:
+            print("File saved to: {}".format(output_file_path))
+except Exception as e:
+    if DEBUG:
+        print("File saved to: {}".format(output_file_path))
+        print("Could not open file automatically: {}".format(e))