|
{ |
|
"additional_special_tokens": [ |
|
{ |
|
"content": "<s>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_27_AcceptAssignmentY>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_11B_OtherClaimIdCodeQual>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_11A_PriInsSexM>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_8_PatStudentStatusCodePT>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_33_BillProvNPIId>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_10B_PatConditionAutoY>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_10C_PatConditionOtherN>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_33_MediBillProvPostCode>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_33_MediBillProvState>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_11B_PriInsEmpName>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_20_OSLabY>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_24G_Units>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_32_FacProvCity>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_9_SecInsFullName>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_11B_OtherClaimIdCodeQual>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_10A_PatConditionEmpN>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_15_PatFirstDateOfIll>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_6_PatRelShipSpouse>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_33_MedicaidTaxId>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_33_BillProvOrgName>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_5_PatState>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_8_PatStudentStatusCodeFT>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_21_DiagCode>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_32_AmbToFacProvOtherIdFull>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_9B_SecInsSexF>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_33_MediBillProvNPIId>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_10B_PatConditionAutoN>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_24_HCT>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_2_PatFullName>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_33_BillProvPostCode>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_1A_PriInsIDNumber>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_8_PatStatusOther>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_15_PatFirstDateOfIll>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_33_MediBillProvCity>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_18_PatHospFromDate>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_24_NDC>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_7_PriInsPostCode>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_31_RenDateSigned>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_33_BillProvFullName>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_24_NDCUnits>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_11A_PriInsDOB>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_24B_POS>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_33_MediBillProvPostCode>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_32_FacProvNPIId>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_32_AmbToFacProvState>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_24_ClmNYSurChargeAmount>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_33_BillProvPhone>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_11C_PriInsPlanName>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_13_PriSignonFileList>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_8_PatStatusSingle>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_32_AmbToFacProvNPIId>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_32_AmbToFacProvPostCode>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_17B_RefProvNPI>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_33_BillProvCity>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_13_PriSignonFileList>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_24_ClmNYSurChargeAmount>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_33_MediBillProvNPIId>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_24H_EPSDT>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_17_RefProvFullName>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_9B_SecInsSexM>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_20_OSLabCharges>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_33_BillProvPhone>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_5_PatPhoneNumber>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_24_AnesEndTime>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_10C_PatConditionOtherN>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_17B_RefProvNPI>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_32_AmbToFacProvAddr1>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_24_AnesTotalTime>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_32_FacProvState>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_1A_PriInsIDNumber>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_7_PriInsAddr1>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_3_PatSexM>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_33_BillProvOrgName>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_24_NDCUnitsQual>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_24_ClmTaxAmount>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_33_MediBillProvPhone>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_24D_ProcCode>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_17_RefProvFullNameQual>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_33_MediBillProvOtherIdFull>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_32_AmbToFacProvPostCodeExt>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_24_ProcDesc>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_3_PatSexF>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_24_AnesStartTime>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_32_AmbToFacProvCity>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_24A_FromDate>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_24J_RenProvNPIId>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_8_PatStatusOther>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_25_BillProvFedIdCode>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_24_AnesStartTime>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_31_RenProvTaxonomyCode>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_33_BillProvPostCode>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_5_PatPostCode>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_5_PatAddr1>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_4_PriInsFullName>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_24_ProcDesc>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_22_MedicaidRefNum>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_8_PatStudentStatusCodePT>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_17A_RefProvOtherIdQual>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_32_FacProvFullName>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_24J_RenProvFullName>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_24A_ToDate>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_32_AmbToFacProvFullName>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_33_MedicaidTaxId>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_7_PriInsPhoneNumber>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_24D_Modifier>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_19_LocalUsePrefix>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_5_PatAddr1>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_32_AmbToFacProvOrgName>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_7_PriInsState>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_9B_SecInsSexF>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_11A_PriInsSexM>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_11B_OtherClaimIdCode>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_5_PatCity>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_27_AcceptAssignmentY>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_7_PriInsState>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_32_AmbToFacProvOrgName>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_8_PatEmpStatusCode>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_24_NDCQualifier>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_24A_FromDate>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_5_PatPhoneNumber>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_24_NDCQualifier>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_24D_ProcCode>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_3_PatDOB>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_6_PatRelShipSpouse>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_11A_PriInsSexF>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_33_MediBillProvOrgName>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_24C_EMG>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_24_AnesEndTime>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_32_AmbToFacProvAddr1>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_11_PriInsPolGrpNumber>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_18_PatHospToDate>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_33_MediBillProvState>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_33_BillProvOtherIdFull>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_23_PriorAuthNum>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_32_AmbToFacProvNPIId>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_32_FacProvPostCode>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_24_MedicaidPaidAmount>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_33_MediBillProvAddr1>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_30_BalanceDue>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_2_PatFullName>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_10B_PatConditionAutoN>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_11D_PriInsOtherPlanN>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_27_AcceptAssignmentN>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_32_FacProvAddr1>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_24_AnesTotalMin>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_30_BalanceDue>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_24B_POS>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_33_BillProvCity>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_16_PatUTWFromDate>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_9B_SecInsDOB>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_11_PriInsPolGrpNumber>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_5_PatState>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_32_FacProvOtherIdFull>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_32_AmbToFacProvFullName>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_24_NDCUnitsQual>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_9A_SecInsPolGrpNumber>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_18_PatHospToDate>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_33_MediBillProvCity>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_25_BillProvEIN>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_32_FacProvAddr1>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_8_PatEmpStatusCode>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_24J_RenProvOtherIdQual>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_7_PriInsAddr1>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_11B_PriInsEmpName>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_33_MediBillProvOtherIdFull>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_10C_PatConditionOtherY>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_9A_SecInsPolGrpNumber>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_26_PatAcctNo>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_24D_Modifier>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_20_OSLabY>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_15_PatFirstDateOfIllQual>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_22_MedicaidCode>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_8_PatStatusSingle>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_33_BillProvState>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_11D_PriInsOtherPlanN>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_17A_RefProvOtherId>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_25_BillProvSSN>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_24G_Units>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_17_RefProvFullName>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_11C_PriInsPlanName>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_8_PatStatusMarried>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_6_PatRelShipOther>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_33_MediBillProvAddr1>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_10D_ClaimCodes>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_19_LocalUse>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_16_PatUTWFromDate>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_24_AnesTotalTime>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_24J_RenProvOtherIdQual>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_27_AcceptAssignmentN>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_9D_SecInsPlanName>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_24_AnesUnits>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_21_ICDInd>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_32_FacProvState>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_17_RefProvOrgName>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_17_RefProvOrgName>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_24_MedicaidPaidAmount>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_7_PriInsPhoneNumber>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_16_PatUTWToDate>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_24J_RenProvOtherId>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_3_PatSexF>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_32_FacProvPostCode>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_24_AnesTotalMin>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_10B_PatAAState>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_24_ClmDiscountAmount>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_10D_ClaimCodes>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_10B_PatAAState>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_24_NDCCharges>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_10A_PatConditionEmpN>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_29_AmountPaid>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_31_PrnRenProvFullName>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_8_PatStudentStatusCodeFT>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_24J_RenProvNPIId>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_32_MedicaidTaxId>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_33_BillProvOtherIdFull>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_21_DiagDescription>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_7_PriInsCity>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_24_AnesMod>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_22_MedicaidCode>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_24_AnesUnits>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_4_PriInsFullName>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_11B_OtherClaimIdCode>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_24_ClmDiscountAmount>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_19_LocalUse>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_10A_PatConditionEmpY>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_10A_PatConditionEmpY>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_23_PriorAuthNum>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_11D_PriInsOtherPlanY>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_24_AnesMod>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_32_FacProvOrgName>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_24H_EPSDT>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_10C_PatConditionOtherY>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_31_RenDateSigned>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_20_OSLabCharges>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_20_OSLabN>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_10B_PatConditionAutoY>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_32_AmbToFacProvState>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_24F_LineCharges>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_12_PatSignonFile>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_3_PatDOB>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_21_DiagDescription>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_25_BillProvEIN>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_17A_RefProvOtherId>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_8_PatStatusMarried>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_9D_SecInsPlanName>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_33_BillProvAddr1>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_28_TotalCharges>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_33_MediBillProvOrgName>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_33_MediBillProvPhone>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_32_AmbToFacProvPostCodeExt>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_33_BillProvState>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_24_NDCUnits>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_33_BillProvNPIId>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_26_PatAcctNo>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_33_BillProvAddr1>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_3_PatSexM>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_21_ICDInd>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_25_BillProvFedIdCode>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_11A_PriInsSexF>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_32_FacProvOrgName>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_21_DiagCode>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_25_BillProvSSN>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_24E_DiagPtr>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_18_PatHospFromDate>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_16_PatUTWToDate>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_6_PatRelShipSelf>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_5_PatPostCode>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_17_RefProvFullNameQual>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_9_SecInsFullName>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_32_FacProvCity>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_24E_DiagPtr>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_33_BillProvFullName>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_31_RenProvOrgName>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_32_FacProvFullName>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_11A_PriInsDOB>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_32_AmbToFacProvOtherIdFull>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_28_TotalCharges>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_24A_ToDate>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_31_RenProvOrgName>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_32_MedicaidTaxId>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_24_NDC>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_14_PatCurrentDate>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_6_PatRelShipChild>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_14_PatCurrentDate>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_24C_EMG>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_32_AmbToFacProvPostCode>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_9B_SecInsSexM>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_24J_RenProvOtherId>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_32_FacProvOtherIdFull>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_6_PatRelShipSelf>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_17A_RefProvOtherIdQual>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_31_PrnRenProvFullName>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_6_PatRelShipOther>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_24J_RenProvFullName>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_5_PatCity>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "</s_9B_SecInsDOB>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_19_LocalUsePrefix>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_24_HCT>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_20_OSLabN>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_22_MedicaidRefNum>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
|
"content": "<s_7_PriInsPostCode>", |
|
"lstrip": false, |
|
"normalized": false, |
|
"rstrip": false, |
|
"single_word": false |
|
}, |
|
{ |
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