eddy 0.1.0

This diff represents the content of publicly available package versions that have been released to one of the supported registries. The information contained in this diff is provided for informational purposes only and reflects changes between package versions as they appear in their respective public registries.
Files changed (1154) hide show
  1. checksums.yaml +7 -0
  2. data/.gitignore +10 -0
  3. data/.rubocop.yml +159 -0
  4. data/.solargraph.yml +14 -0
  5. data/.travis.yml +7 -0
  6. data/.yardopts +2 -0
  7. data/CHANGELOG.md +1 -0
  8. data/Gemfile +3 -0
  9. data/Gemfile.lock +63 -0
  10. data/LICENSE.txt +21 -0
  11. data/README.md +49 -0
  12. data/Rakefile +21 -0
  13. data/bin/console +7 -0
  14. data/bin/docs +2 -0
  15. data/bin/setup +8 -0
  16. data/data/004010/code-lists/1002.tsv +4 -0
  17. data/data/004010/code-lists/1004.tsv +207 -0
  18. data/data/004010/code-lists/1005.tsv +62 -0
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data/data/004010/code-lists/1322.tsv ADDED
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+ 1 Appeal - Immediate
3
+ 2 Appeal - Standard
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+ 3 Cancel
5
+ 4 Extension
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+ 5 Notification
7
+ 6 Verification
8
+ A Certification of Current Cost and Pricing Data
9
+ B Certification of Overhead
10
+ C Certification Not Required
11
+ D Final
12
+ E Recertification
13
+ I Initial
14
+ R Renewal
15
+ S Revised
data/data/004010/code-lists/1327.tsv ADDED
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1
+ id definition
2
+ 0 Copay exempt
3
+ 1 Recipient did not pay when asked
4
+ 2 Recipient paid when asked
5
+ 3 Payment was not requested
data/data/004010/code-lists/1329.tsv ADDED
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1
+ id definition
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+ 0 Not Dispense As Written (DAW)
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+ 1 Physician Dispense As Written (DAW)
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+ 2 Patient Dispense As Written (DAW)
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+ 3 Pharmacy Dispense As Written (DAW)
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+ 4 No generic available
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+ 5 Brand Dispensed as Generic
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+ 6 Override
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+ 7 Substitution Not Allowed-Brand Drug Mandated by Law
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+ 8 Substitution Allowed-Generic Drug Not Available in Marketplace
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+ 9 Other
data/data/004010/code-lists/133.tsv ADDED
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+ 2 2nd Carrier after Origin Carrier
4
+ 3 3rd Carrier after Origin Carrier
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+ 4 4th Carrier after Origin Carrier
6
+ 5 5th Carrier after Origin Carrier
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+ 6 6th Carrier after Origin Carrier
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+ 7 7th Carrier after Origin Carrier
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+ 8 8th Carrier after Origin Carrier
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+ 9 9th Carrier after Origin Carrier
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+ A Origin Carrier, Agent's Routing (Rail)
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+ B Origin/Delivery Carrier (Any Mode)
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+ D DELY (Delivery Switch Carrier)
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+ H Haulage Rights Carrier and Junction
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+ I Origin Switch Carrier
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+ M Haulage Movement Carrier and Junction
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+ O Origin Carrier (Air, Motor, or Ocean)
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+ R Origin Carrier, Rule 11 Shipment
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+ S Origin Carrier, Shipper's Routing (Rail)
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+ V Intermediate Switch Carrier
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+ X Last Carrier in Route on Return Route Move
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+ Z Mutually Defined
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+ JD Junction Settlement Carrier Following (Destination carrier receiving revenues resulting from junction contract)
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+ JO Junction Settlement Carrier Predecessor (Origin carrier receiving revenues resulting from junction contract)
data/data/004010/code-lists/1330.tsv ADDED
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+ 02 Test Kits
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+ 03 Contraceptive Devices
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+ 04 Devices
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+ 05 Patch or Disc
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+ 06 Chewable (candy) Bar
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+ 07 Dosepak
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+ 10 Tablet
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+ 11 Enteric Coated Tablet
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+ 12 Sustained Release Tablet
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+ 13 Buccal or Sublingual Tablet
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+ 14 Chewable Tablet
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+ 15 Soluble Tablet
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+ 16 Tablet Unspecified
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+ 20 Capsule
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+ 21 Sustained Release Capsule
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+ 22 Capsule Unspecified
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+ 23 Tablet 21 Day Supply
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+ 24 Tablet 28 Day Supply
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+ 25 Enteric Coated Capsule
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+ 30 Lozenge or Troche
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+ 31 Internal Powder
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+ 33 Granules
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+ 34 Swabs
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+ 40 Injection
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+ 41 Sustained Release Injection
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+ 42 Injectable Unspecified
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+ 43 Injectable Lyophilized Powder
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+ 50 Opthalmic
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+ 51 Opthalmic Liquid
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+ 52 Opthalmic or Otic
34
+ 53 Ophthalmic Liquid (Compliance Cap)
35
+ 60 Elixir
36
+ 61 Suspension
37
+ 62 Syrup
38
+ 63 Solution
39
+ 64 Emulsion
40
+ 65 Drops
41
+ 66 Pediatric Liquid
42
+ 67 Liquid
43
+ 68 Oral, Liquid and Sustained Release
44
+ 69 Rectal Cream or Ointment
45
+ 70 Rectal Suppository
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+ 72 Vaginal Tablet
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+ 73 Vaginal Cream
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+ 74 Vaginal Foam
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+ 75 Urethral Suppository
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+ 76 Enema
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+ 77 Douche
53
+ 78 Vaginal Ointment
54
+ 79 Contraceptive Sponge
55
+ 80 External Ointment
56
+ 81 External Cream
57
+ 82 Dental Product
58
+ 83 Aerosol Powder
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+ 84 Aerosol Spray
60
+ 85 External Liquid
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+ 86 External Powder
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+ 87 Dental Mouth Rinse
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+ 88 Inhalant (Refill Canister Only)
64
+ 89 External Powder
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+ 90 Irrigant
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+ 91 Gargle
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+ 92 Throat Spray and Swabs
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+ 93 Nasal
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+ 94 Inhalant
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+ 95 Otic
71
+ 96 Soap
72
+ 97 Stick
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+ 98 Dressing or Bandage
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+ 99 Miscellaneous Unspecified
data/data/004010/code-lists/1332.tsv ADDED
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+ id definition
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data/data/004010/code-lists/1333.tsv ADDED
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+ C Content
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+ E Formula
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+ F Federal
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+ S State
data/data/004010/code-lists/1335.tsv ADDED
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data/data/004010/code-lists/1336.tsv ADDED
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+ id definition
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+ 13 Medicare Secondary End-Stage Renal Disease Beneficiary in the 12 month coordination period with an employer's group health plan
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+ 41 Medicare Secondary Black Lung
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+ 42 Medicare Secondary Veteran's Administration
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+ 47 Medicare Secondary, Other Liability Insurance is Primary
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+ AP Auto Insurance Policy
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+ C1 Commercial
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+ CO Consolidated Omnibus Budget Reconciliation Act (COBRA)
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+ CP Medicare Conditionally Primary
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+ DB Disability Benefits
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+ EP Exclusive Provider Organization
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+ FF Family or Friends
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+ GP Group Policy
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+ HM Health Maintenance Organization (HMO)
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+ HN Health Maintenance Organization (HMO) - Medicare Risk
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+ HS Special Low Income Medicare Beneficiary
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+ IN Indemnity
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+ IP Individual Policy
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+ LC Long Term Care
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+ LD Long Term Policy
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+ LI Life Insurance
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+ LT Litigation
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+ MA Medicare Part A
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+ MB Medicare Part B
31
+ MC Medicaid
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+ MH Medigap Part A
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+ MI Medigap Part B
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+ MP Medicare Primary
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+ OT Other
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+ PE Property Insurance - Personal
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+ PL Personal
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+ PP Personal Payment (Cash - No Insurance)
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+ PR Preferred Provider Organization (PPO)
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+ PS Point of Service (POS)
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+ QM Qualified Medicare Beneficiary
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+ RP Property Insurance - Real
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+ SP Supplemental Policy
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+ TF Tax Equity Fiscal Responsibility Act (TEFRA)
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+ WC Workers Compensation
46
+ WU Wrap Up Policy
data/data/004010/code-lists/1337.tsv ADDED
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2
+ 1 Skilled Nursing Facility (SNF)
3
+ 2 Intermediate Care Facility (ICF)
4
+ 3 Intermediate Care Facility - Mentally Retarded (ICF-MR)
5
+ 4 Chronic Disease Hospital (CD)
6
+ 5 Intermediate Care Facility (ICF) Level II
7
+ 6 Special Skilled Nursing Facility (SNF)
8
+ 7 Nursing Facility (NF)
9
+ 8 Hospice
data/data/004010/code-lists/1338.tsv ADDED
@@ -0,0 +1,18 @@
1
+ id definition
2
+ I Initial
3
+ L Limited Treatment
4
+ R Routine
5
+ U Urgent
6
+ 00 Not specified
7
+ 01 Patient Consultation
8
+ 02 Home delivery
9
+ 03 Emergency
10
+ 04 24 Hour
11
+ 05 Patient Consultation Regarding Generic Product Selection
12
+ 06 As Needed
13
+ 09 Other
14
+ 10 Initial Office Visit
15
+ 11 Follow-up Office Visit
16
+ F1 Full Treatment - Phase One
17
+ F2 Full Treatment - Phase Two
18
+ NBC Newborn Care
data/data/004010/code-lists/1340.tsv ADDED
@@ -0,0 +1,4 @@
1
+ id definition
2
+ N Non-Multiple Procedure
3
+ P Primary
4
+ S Secondary
data/data/004010/code-lists/1342.tsv ADDED
@@ -0,0 +1,8 @@
1
+ id definition
2
+ A Acute Condition
3
+ C Chronic Condition
4
+ D Non-acute
5
+ E Non-Life Threatening
6
+ F Routine
7
+ G Symptomatic
8
+ M Acute Manifestation of a Chronic Condition
data/data/004010/code-lists/1343.tsv ADDED
@@ -0,0 +1,48 @@
1
+ id definition
2
+ A Anesthesia
3
+ L Livery
4
+ O Other
5
+ P Psychologist
6
+ S Surgery
7
+ T Transportation
8
+ V Vision
9
+ AA Alcohol Abuse
10
+ AM Ambulance
11
+ AN Anesthesia Nurse
12
+ CF Convalescent Care Facility
13
+ CH Chiropractic
14
+ CS Christian Science Practitioner
15
+ DA Drug Abuse
16
+ DD Dentist or Dental
17
+ DM Durable Medical Equipment Supplier
18
+ DN Denturist
19
+ ER Emergency Room
20
+ HH Home Health
21
+ HS Hospital
22
+ IF Intermediate Care Facility
23
+ IL Independent Lab
24
+ LT Long-term Care
25
+ MD Physician or Medical
26
+ MF Marriage Family and Child Counselor
27
+ MH Mental Health
28
+ MI Midwife
29
+ MO Mail Order Drug
30
+ MS Multiple Type of Service
31
+ NM Non-medical Provider
32
+ NP Nurse Practitioner
33
+ NS Nursing Service
34
+ OC Occupational Therapy
35
+ OP Optometrist
36
+ OT Optician
37
+ OX Oxygen
38
+ PA Physician's Assistant
39
+ PD Podiatry
40
+ PE Parental or Enteral (PEN)
41
+ PF Physician's Office-based Facility
42
+ PS Psychiatric Social Worker
43
+ PT Physical Therapy
44
+ RX Pharmacy or Drug
45
+ SC Screening
46
+ SN Skilled Nursing
47
+ ST Speech or Language Therapy
48
+ TX Taxi
data/data/004010/code-lists/1344.tsv ADDED
@@ -0,0 +1,4 @@
1
+ id definition
2
+ L Lab or Clinical Reports
3
+ N Visiting Nurse
4
+ O Other
data/data/004010/code-lists/1345.tsv ADDED
@@ -0,0 +1,10 @@
1
+ id definition
2
+ 1 Transferred to Intermediate Care Facility - Mentally Retarded (ICF-MR)
3
+ 2 Newly Admitted
4
+ 3 Newly Eligible
5
+ 4 No Longer Eligible
6
+ 5 Still a Resident
7
+ 6 Temporary Absence - Hospital
8
+ 7 Temporary Absence - Other
9
+ 8 Transferred to Intermediate Care Facility - Level II (ICF II)
10
+ 9 Other
data/data/004010/code-lists/1346.tsv ADDED
@@ -0,0 +1,4 @@
1
+ id definition
2
+ G Gravity
3
+ P Pump
4
+ S Syringe
data/data/004010/code-lists/1347.tsv ADDED
@@ -0,0 +1,5 @@
1
+ id definition
2
+ G Gastrostomy
3
+ J Jejunostomy
4
+ N Nasogastric Tube
5
+ O Other
data/data/004010/code-lists/1348.tsv ADDED
@@ -0,0 +1,7 @@
1
+ id definition
2
+ A Concentrator
3
+ B Liquid Stationary
4
+ C Gaseous Stationary
5
+ D Liquid Portable
6
+ E Gaseous Portable
7
+ O Other
data/data/004010/code-lists/1349.tsv ADDED
@@ -0,0 +1,8 @@
1
+ id definition
2
+ E Exercising
3
+ N No special conditions for test
4
+ O On oxygen
5
+ R At rest on room air
6
+ S Sleeping
7
+ W Walking
8
+ X Other
data/data/004010/code-lists/1350.tsv ADDED
@@ -0,0 +1,4 @@
1
+ id definition
2
+ 1 Dependent edema suggesting congestive heart failure
3
+ 2 "P" Pulmonale on Electrocardiogram (EKG)
4
+ 3 Erythrocythemia with a hematocrit greater than 56 percent
data/data/004010/code-lists/1351.tsv ADDED
@@ -0,0 +1,6 @@
1
+ id definition
2
+ B Signed signature authorization form or forms for both HCFA-1500 Claim Form block 12 and block 13 are on file
3
+ C Signed HCFA-1500 Claim Form on file
4
+ M Signed signature authorization form for HCFA-1500 Claim Form block 13 on file
5
+ P Signature generated by provider because the patient was not physically present for services
6
+ S Signed signature authorization form for HCFA-1500 Claim Form block 12 on file
data/data/004010/code-lists/1355.tsv ADDED
@@ -0,0 +1,9 @@
1
+ id definition
2
+ 00 Not specified
3
+ 01 No override
4
+ 02 Other override
5
+ 03 Vacation Supply
6
+ 04 Lost Prescription
7
+ 05 Therapy Change
8
+ 06 Starter Dose
9
+ 07 Medically Necessary
data/data/004010/code-lists/1356.tsv ADDED
@@ -0,0 +1,5 @@
1
+ id definition
2
+ 0 Not Specified
3
+ 1 Written Prescription
4
+ 2 Telephone Prescription
5
+ 3 Telephone Emergency Prescription
data/data/004010/code-lists/1357.tsv ADDED
@@ -0,0 +1,9 @@
1
+ id definition
2
+ 0 Not Specified
3
+ 1 Prior Authorization
4
+ 2 Medical Certification
5
+ 3 Early & Periodic Screening, Diagnosis, and Treatment (EPSDT)
6
+ 4 Exempt from Copay
7
+ 5 Exempt From Prescription Limits
8
+ 6 Family Planning
9
+ 7 Aid to Families with Dependent Children (AFDC)
data/data/004010/code-lists/1358.tsv ADDED
@@ -0,0 +1,3 @@
1
+ id definition
2
+ I Initial Placement
3
+ R Replacement
data/data/004010/code-lists/1359.tsv ADDED
@@ -0,0 +1,5 @@
1
+ id definition
2
+ A Assigned
3
+ B Assignment Accepted on Clinical Lab Services Only
4
+ C Not Assigned
5
+ P Patient Refuses to Assign Benefits
data/data/004010/code-lists/1360.tsv ADDED
@@ -0,0 +1,8 @@
1
+ id definition
2
+ D Managed Dental Care Program
3
+ E Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) "External" Partnership Agreement
4
+ H Health Maintenance Organization (HMO) Agreement
5
+ I Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) "Internal" Partnership Agreement
6
+ N No Agreement
7
+ P Participation Agreement
8
+ Y Preferred Provider Organization (PPO) Agreement
data/data/004010/code-lists/1361.tsv ADDED
@@ -0,0 +1,17 @@
1
+ id definition
2
+ L Left
3
+ R Right
4
+ 00 Entire Oral Cavity
5
+ 01 Maxillary Area
6
+ 02 Mandibular Area
7
+ 03 Upper Right Sextant
8
+ 04 Upper Anterior Sextant
9
+ 05 Upper Left Sextant
10
+ 06 Lower Left Sextant
11
+ 07 Lower Anterior Sextant
12
+ 08 Lower Right Sextant
13
+ 09 Other Area of Oral Cavity
14
+ 10 Upper Right Quadrant
15
+ 20 Upper Left Quadrant
16
+ 30 Lower Left Quadrant
17
+ 40 Lower Right Quadrant
data/data/004010/code-lists/1362.tsv ADDED
@@ -0,0 +1,7 @@
1
+ id definition
2
+ AA Auto Accident
3
+ AB Abuse
4
+ AP Another Party Responsible
5
+ EM Employment
6
+ OA Other Accident
7
+ ZZ Mutually Defined
data/data/004010/code-lists/1363.tsv ADDED
@@ -0,0 +1,7 @@
1
+ id definition
2
+ A Appropriate Release of Information on File at Health Care Service Provider or at Utilization Review Organization
3
+ I Informed Consent to Release Medical Information for Conditions or Diagnoses Regulated by Federal Statutes
4
+ M The Provider has Limited or Restricted Ability to Release Data Related to a Claim
5
+ N No, Provider is Not Allowed to Release Data
6
+ O On file at Payor or at Plan Sponsor
7
+ Y Yes, Provider has a Signed Statement Permitting Release of Medical Billing Data Related to a Claim