hippo 0.0.10 → 0.0.11
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- data/CHANGELOG +18 -1
- data/README.md +23 -6
- data/lib/hippo/code_lists/claim_adjustment_reason_codes.rb +2252 -0
- data/lib/hippo/code_lists/claim_status_category_codes.rb +376 -0
- data/lib/hippo/code_lists/claim_status_codes.rb +5456 -0
- data/lib/hippo/code_lists/remittance_advice_remark_codes.rb +6280 -0
- data/lib/hippo/code_lists/service_type_codes.rb +1299 -0
- data/lib/hippo/code_lists/taxonomy_codes.rb +9224 -0
- data/lib/hippo/code_lists.rb +10 -0
- data/lib/hippo/parser.rb +50 -8
- data/lib/hippo/segments/TA1.rb +46 -0
- data/lib/hippo/segments/base.rb +11 -3
- data/lib/hippo/segments.rb +1 -0
- data/lib/hippo/transaction_sets/HIPAA_277/L2000C.rb +10 -0
- data/lib/hippo/transaction_sets/HIPAA_277/base.rb +0 -10
- data/lib/hippo/transaction_sets/base.rb +16 -6
- data/lib/hippo/version.rb +1 -1
- data/lib/hippo.rb +1 -0
- data/samples/005010X231A1_01.edi +11 -0
- data/samples/005010X231A1_02.edi +11 -0
- data/test/test_helper.rb +5 -0
- data/test/test_parser.rb +45 -5
- data/test/test_segments_base.rb +7 -0
- metadata +16 -6
@@ -0,0 +1,1299 @@
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module Hippo::CodeLists
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class ServiceTypeCodes
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def self.[](key)
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@@codes[key]
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end
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@@codes = {
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"1"=>
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{:code=>"1",
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:description=>"Medical Care",
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:effective_date=>"09/20/2009",
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:deactivation_date=>"",
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:last_modified_date=>"",
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:notes=>""},
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"2"=>
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{:code=>"2",
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:description=>"Surgical",
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:effective_date=>"09/20/2009",
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:deactivation_date=>"",
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:last_modified_date=>"",
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:notes=>""},
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"3"=>
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{:code=>"3",
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:description=>"Consultation",
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:effective_date=>"09/20/2009",
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:deactivation_date=>"",
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:last_modified_date=>"",
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:notes=>""},
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"4"=>
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{:code=>"4",
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:description=>"Diagnostic X-Ray",
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:effective_date=>"09/20/2009",
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:deactivation_date=>"",
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:last_modified_date=>"",
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:notes=>""},
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"5"=>
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{:code=>"5",
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:description=>"Diagnostic Lab",
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:effective_date=>"09/20/2009",
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:deactivation_date=>"",
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:last_modified_date=>"",
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:notes=>""},
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"6"=>
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{:code=>"6",
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:description=>"Radiation Therapy",
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:effective_date=>"09/20/2009",
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:deactivation_date=>"",
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:last_modified_date=>"",
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:notes=>""},
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"7"=>
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{:code=>"7",
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:description=>"Anesthesia",
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:effective_date=>"09/20/2009",
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:deactivation_date=>"",
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:last_modified_date=>"",
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:notes=>""},
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"8"=>
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{:code=>"8",
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:description=>"Surgical Assistance",
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:effective_date=>"09/20/2009",
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:deactivation_date=>"",
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:last_modified_date=>"",
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:notes=>""},
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"10"=>
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{:code=>"10",
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:description=>"Blood",
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:effective_date=>"09/20/2009",
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:deactivation_date=>"",
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:last_modified_date=>"",
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:notes=>""},
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"11"=>
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{:code=>"11",
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:description=>"Durable Medical Equipment Used",
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:effective_date=>"09/20/2009",
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:deactivation_date=>"",
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:last_modified_date=>"",
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:notes=>""},
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"12"=>
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{:code=>"12",
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:description=>"Durable Medical Equipment Purchased",
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:effective_date=>"09/20/2009",
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:deactivation_date=>"",
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:last_modified_date=>"",
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:notes=>""},
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"14"=>
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{:code=>"14",
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:description=>"Renal Supplies",
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:effective_date=>"09/20/2009",
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:deactivation_date=>"",
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:last_modified_date=>"",
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:notes=>""},
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"17"=>
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{:code=>"17",
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:description=>"Pre-Admission Testing",
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:effective_date=>"09/20/2009",
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:deactivation_date=>"",
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:last_modified_date=>"",
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:notes=>""},
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"18"=>
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{:code=>"18",
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:description=>"Durable Medical Equipment Rental",
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:effective_date=>"09/20/2009",
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:deactivation_date=>"",
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:last_modified_date=>"",
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:notes=>""},
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"19"=>
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{:code=>"19",
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:description=>"Pneumonia Vaccine",
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:effective_date=>"09/20/2009",
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:deactivation_date=>"",
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:last_modified_date=>"",
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:notes=>""},
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"20"=>
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{:code=>"20",
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:description=>"Second Surgical Opinion",
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:effective_date=>"09/20/2009",
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:deactivation_date=>"",
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:last_modified_date=>"",
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:notes=>""},
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"21"=>
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{:code=>"21",
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:description=>"Third Surgical Opinion",
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:effective_date=>"09/20/2009",
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:deactivation_date=>"",
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:last_modified_date=>"",
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:notes=>""},
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"22"=>
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{:code=>"22",
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:description=>"Social Work",
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:effective_date=>"09/20/2009",
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:deactivation_date=>"",
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:last_modified_date=>"",
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:notes=>""},
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"23"=>
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{:code=>"23",
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:description=>"Diagnostic Dental",
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:effective_date=>"09/20/2009",
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:deactivation_date=>"",
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:last_modified_date=>"",
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:notes=>""},
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"24"=>
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{:code=>"24",
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:description=>"Periodontics",
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:effective_date=>"09/20/2009",
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:deactivation_date=>"",
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:last_modified_date=>"",
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:notes=>""},
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"25"=>
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{:code=>"25",
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:description=>"Restorative",
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:effective_date=>"09/20/2009",
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:deactivation_date=>"",
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:last_modified_date=>"",
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:notes=>""},
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"26"=>
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{:code=>"26",
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:description=>"Endodontics",
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:effective_date=>"09/20/2009",
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:deactivation_date=>"",
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:last_modified_date=>"",
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:notes=>""},
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"27"=>
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{:code=>"27",
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:description=>"Maxillofacial Prosthetics",
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:effective_date=>"09/20/2009",
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:deactivation_date=>"",
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:last_modified_date=>"",
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:notes=>""},
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"28"=>
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{:code=>"28",
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:description=>"Adjunctive Dental Services",
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:effective_date=>"09/20/2009",
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:deactivation_date=>"",
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:last_modified_date=>"",
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:notes=>""},
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"30"=>
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{:code=>"30",
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:description=>"Health Benefit Plan Coverage",
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:effective_date=>"09/20/2009",
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:deactivation_date=>"",
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:last_modified_date=>"",
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:notes=>""},
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"32"=>
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{:code=>"32",
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:description=>"Plan Waiting Period",
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:effective_date=>"09/20/2009",
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:deactivation_date=>"",
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:last_modified_date=>"",
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:notes=>""},
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"33"=>
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{:code=>"33",
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:description=>"Chiropractic",
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:effective_date=>"09/20/2009",
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:deactivation_date=>"",
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:last_modified_date=>"",
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:notes=>""},
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"34"=>
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{:code=>"34",
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:description=>"Chiropractic Modality",
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:effective_date=>"09/20/2009",
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:deactivation_date=>"",
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:last_modified_date=>"",
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:notes=>""},
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"35"=>
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{:code=>"35",
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:description=>"Dental Care",
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:effective_date=>"09/20/2009",
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:deactivation_date=>"",
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:last_modified_date=>"",
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:notes=>""},
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"36"=>
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{:code=>"36",
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:description=>"Dental Crowns",
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:effective_date=>"09/20/2009",
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:deactivation_date=>"",
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:last_modified_date=>"",
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:notes=>""},
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"37"=>
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{:code=>"37",
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:description=>"Dental Accident",
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:effective_date=>"09/20/2009",
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:deactivation_date=>"",
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:last_modified_date=>"",
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:notes=>""},
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"38"=>
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{:code=>"38",
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:description=>"Orthodontics",
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:effective_date=>"09/20/2009",
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:deactivation_date=>"",
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:last_modified_date=>"",
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:notes=>""},
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"39"=>
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{:code=>"39",
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:description=>"Prosthodontics",
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:effective_date=>"09/20/2009",
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:deactivation_date=>"",
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:last_modified_date=>"",
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:notes=>""},
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"40"=>
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{:code=>"40",
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:description=>"Oral Surgery",
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:effective_date=>"09/20/2009",
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:deactivation_date=>"",
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:last_modified_date=>"",
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:notes=>""},
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"41"=>
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{:code=>"41",
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:description=>"Preventive Dental",
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:effective_date=>"09/20/2009",
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:deactivation_date=>"",
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:last_modified_date=>"01/24/2010",
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:notes=>""},
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"42"=>
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{:code=>"42",
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:description=>"Home Health Care",
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:effective_date=>"09/20/2009",
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:deactivation_date=>"",
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:last_modified_date=>"",
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:notes=>""},
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"43"=>
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{:code=>"43",
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:description=>"Home Health Prescriptions",
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:effective_date=>"09/20/2009",
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:deactivation_date=>"",
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:last_modified_date=>"",
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:notes=>""},
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"45"=>
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{:code=>"45",
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:description=>"Hospice",
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:effective_date=>"09/20/2009",
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:deactivation_date=>"",
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:last_modified_date=>"",
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:notes=>""},
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"46"=>
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{:code=>"46",
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:description=>"Respite Care",
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:effective_date=>"09/20/2009",
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:deactivation_date=>"",
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:last_modified_date=>"",
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:notes=>""},
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"47"=>
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{:code=>"47",
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:description=>"Hospitalization",
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:effective_date=>"09/20/2009",
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:deactivation_date=>"",
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:last_modified_date=>"",
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:notes=>""},
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"49"=>
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{:code=>"49",
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:description=>"Hospital - Room and Board",
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:effective_date=>"09/20/2009",
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:deactivation_date=>"",
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:last_modified_date=>"",
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:notes=>""},
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"54"=>
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{:code=>"54",
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:description=>"Long Term Care",
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:effective_date=>"09/20/2009",
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:deactivation_date=>"",
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:last_modified_date=>"",
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:notes=>""},
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"55"=>
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{:code=>"55",
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:description=>"Major Medical",
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:effective_date=>"09/20/2009",
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:deactivation_date=>"",
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:last_modified_date=>"",
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:notes=>""},
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"56"=>
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{:code=>"56",
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:description=>"Medically Related Transportation",
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:effective_date=>"09/20/2009",
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:deactivation_date=>"",
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:last_modified_date=>"",
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:notes=>""},
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"60"=>
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{:code=>"60",
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:description=>"General Benefits",
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:effective_date=>"09/20/2009",
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:deactivation_date=>"",
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:last_modified_date=>"",
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:notes=>""},
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"61"=>
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{:code=>"61",
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:description=>"In-vitro Fertilization",
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:effective_date=>"09/20/2009",
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:deactivation_date=>"",
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:last_modified_date=>"",
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:notes=>""},
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"62"=>
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{:code=>"62",
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:description=>"MRI Scan",
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:effective_date=>"09/20/2009",
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:deactivation_date=>"",
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:last_modified_date=>"",
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:notes=>""},
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"63"=>
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{:code=>"63",
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:description=>"Donor Procedures",
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:effective_date=>"09/20/2009",
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:deactivation_date=>"",
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:last_modified_date=>"",
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:notes=>""},
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"64"=>
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{:code=>"64",
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:description=>"Acupuncture",
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:effective_date=>"09/20/2009",
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:deactivation_date=>"",
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:last_modified_date=>"",
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:notes=>""},
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"65"=>
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{:code=>"65",
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+
:description=>"Newborn Care",
|
354
|
+
:effective_date=>"09/20/2009",
|
355
|
+
:deactivation_date=>"",
|
356
|
+
:last_modified_date=>"",
|
357
|
+
:notes=>""},
|
358
|
+
"66"=>
|
359
|
+
{:code=>"66",
|
360
|
+
:description=>"Pathology",
|
361
|
+
:effective_date=>"09/20/2009",
|
362
|
+
:deactivation_date=>"",
|
363
|
+
:last_modified_date=>"",
|
364
|
+
:notes=>""},
|
365
|
+
"67"=>
|
366
|
+
{:code=>"67",
|
367
|
+
:description=>"Smoking Cessation",
|
368
|
+
:effective_date=>"09/20/2009",
|
369
|
+
:deactivation_date=>"",
|
370
|
+
:last_modified_date=>"",
|
371
|
+
:notes=>""},
|
372
|
+
"68"=>
|
373
|
+
{:code=>"68",
|
374
|
+
:description=>"Well Baby Care",
|
375
|
+
:effective_date=>"09/20/2009",
|
376
|
+
:deactivation_date=>"",
|
377
|
+
:last_modified_date=>"",
|
378
|
+
:notes=>""},
|
379
|
+
"69"=>
|
380
|
+
{:code=>"69",
|
381
|
+
:description=>"Maternity",
|
382
|
+
:effective_date=>"09/20/2009",
|
383
|
+
:deactivation_date=>"",
|
384
|
+
:last_modified_date=>"",
|
385
|
+
:notes=>""},
|
386
|
+
"70"=>
|
387
|
+
{:code=>"70",
|
388
|
+
:description=>"Transplants",
|
389
|
+
:effective_date=>"09/20/2009",
|
390
|
+
:deactivation_date=>"",
|
391
|
+
:last_modified_date=>"",
|
392
|
+
:notes=>""},
|
393
|
+
"71"=>
|
394
|
+
{:code=>"71",
|
395
|
+
:description=>"Audiology",
|
396
|
+
:effective_date=>"09/20/2009",
|
397
|
+
:deactivation_date=>"",
|
398
|
+
:last_modified_date=>"",
|
399
|
+
:notes=>""},
|
400
|
+
"72"=>
|
401
|
+
{:code=>"72",
|
402
|
+
:description=>"Inhalation Therapy",
|
403
|
+
:effective_date=>"09/20/2009",
|
404
|
+
:deactivation_date=>"",
|
405
|
+
:last_modified_date=>"",
|
406
|
+
:notes=>""},
|
407
|
+
"73"=>
|
408
|
+
{:code=>"73",
|
409
|
+
:description=>"Diagnostic Medical",
|
410
|
+
:effective_date=>"09/20/2009",
|
411
|
+
:deactivation_date=>"",
|
412
|
+
:last_modified_date=>"",
|
413
|
+
:notes=>""},
|
414
|
+
"74"=>
|
415
|
+
{:code=>"74",
|
416
|
+
:description=>"Private Duty Nursing",
|
417
|
+
:effective_date=>"09/20/2009",
|
418
|
+
:deactivation_date=>"",
|
419
|
+
:last_modified_date=>"",
|
420
|
+
:notes=>""},
|
421
|
+
"75"=>
|
422
|
+
{:code=>"75",
|
423
|
+
:description=>"Prosthetic Device",
|
424
|
+
:effective_date=>"09/20/2009",
|
425
|
+
:deactivation_date=>"",
|
426
|
+
:last_modified_date=>"",
|
427
|
+
:notes=>""},
|
428
|
+
"76"=>
|
429
|
+
{:code=>"76",
|
430
|
+
:description=>"Dialysis",
|
431
|
+
:effective_date=>"09/20/2009",
|
432
|
+
:deactivation_date=>"",
|
433
|
+
:last_modified_date=>"",
|
434
|
+
:notes=>""},
|
435
|
+
"77"=>
|
436
|
+
{:code=>"77",
|
437
|
+
:description=>"Otology",
|
438
|
+
:effective_date=>"09/20/2009",
|
439
|
+
:deactivation_date=>"",
|
440
|
+
:last_modified_date=>"",
|
441
|
+
:notes=>""},
|
442
|
+
"78"=>
|
443
|
+
{:code=>"78",
|
444
|
+
:description=>"Chemotherapy",
|
445
|
+
:effective_date=>"09/20/2009",
|
446
|
+
:deactivation_date=>"",
|
447
|
+
:last_modified_date=>"",
|
448
|
+
:notes=>""},
|
449
|
+
"79"=>
|
450
|
+
{:code=>"79",
|
451
|
+
:description=>"Allergy Testing",
|
452
|
+
:effective_date=>"09/20/2009",
|
453
|
+
:deactivation_date=>"",
|
454
|
+
:last_modified_date=>"",
|
455
|
+
:notes=>""},
|
456
|
+
"80"=>
|
457
|
+
{:code=>"80",
|
458
|
+
:description=>"Immunizations",
|
459
|
+
:effective_date=>"09/20/2009",
|
460
|
+
:deactivation_date=>"",
|
461
|
+
:last_modified_date=>"",
|
462
|
+
:notes=>""},
|
463
|
+
"81"=>
|
464
|
+
{:code=>"81",
|
465
|
+
:description=>"Routine Physical",
|
466
|
+
:effective_date=>"09/20/2009",
|
467
|
+
:deactivation_date=>"",
|
468
|
+
:last_modified_date=>"",
|
469
|
+
:notes=>""},
|
470
|
+
"82"=>
|
471
|
+
{:code=>"82",
|
472
|
+
:description=>"Family Planning",
|
473
|
+
:effective_date=>"09/20/2009",
|
474
|
+
:deactivation_date=>"",
|
475
|
+
:last_modified_date=>"",
|
476
|
+
:notes=>""},
|
477
|
+
"83"=>
|
478
|
+
{:code=>"83",
|
479
|
+
:description=>"Infertility",
|
480
|
+
:effective_date=>"09/20/2009",
|
481
|
+
:deactivation_date=>"",
|
482
|
+
:last_modified_date=>"",
|
483
|
+
:notes=>""},
|
484
|
+
"84"=>
|
485
|
+
{:code=>"84",
|
486
|
+
:description=>"Abortion",
|
487
|
+
:effective_date=>"09/20/2009",
|
488
|
+
:deactivation_date=>"",
|
489
|
+
:last_modified_date=>"",
|
490
|
+
:notes=>""},
|
491
|
+
"85"=>
|
492
|
+
{:code=>"85",
|
493
|
+
:description=>"HIV - AIDS Treatment",
|
494
|
+
:effective_date=>"09/20/2009",
|
495
|
+
:deactivation_date=>"",
|
496
|
+
:last_modified_date=>"",
|
497
|
+
:notes=>""},
|
498
|
+
"86"=>
|
499
|
+
{:code=>"86",
|
500
|
+
:description=>"Emergency Services",
|
501
|
+
:effective_date=>"09/20/2009",
|
502
|
+
:deactivation_date=>"",
|
503
|
+
:last_modified_date=>"",
|
504
|
+
:notes=>""},
|
505
|
+
"87"=>
|
506
|
+
{:code=>"87",
|
507
|
+
:description=>"Cancer Treatment",
|
508
|
+
:effective_date=>"09/20/2009",
|
509
|
+
:deactivation_date=>"",
|
510
|
+
:last_modified_date=>"",
|
511
|
+
:notes=>""},
|
512
|
+
"88"=>
|
513
|
+
{:code=>"88",
|
514
|
+
:description=>"Pharmacy",
|
515
|
+
:effective_date=>"09/20/2009",
|
516
|
+
:deactivation_date=>"",
|
517
|
+
:last_modified_date=>"",
|
518
|
+
:notes=>""},
|
519
|
+
"89"=>
|
520
|
+
{:code=>"89",
|
521
|
+
:description=>"Free Standing Prescription Drug",
|
522
|
+
:effective_date=>"09/20/2009",
|
523
|
+
:deactivation_date=>"",
|
524
|
+
:last_modified_date=>"",
|
525
|
+
:notes=>""},
|
526
|
+
"90"=>
|
527
|
+
{:code=>"90",
|
528
|
+
:description=>"Mail Order Prescription Drug",
|
529
|
+
:effective_date=>"09/20/2009",
|
530
|
+
:deactivation_date=>"",
|
531
|
+
:last_modified_date=>"",
|
532
|
+
:notes=>""},
|
533
|
+
"91"=>
|
534
|
+
{:code=>"91",
|
535
|
+
:description=>"Brand Name Prescription Drug",
|
536
|
+
:effective_date=>"09/20/2009",
|
537
|
+
:deactivation_date=>"",
|
538
|
+
:last_modified_date=>"",
|
539
|
+
:notes=>""},
|
540
|
+
"92"=>
|
541
|
+
{:code=>"92",
|
542
|
+
:description=>"Generic Prescription Drug",
|
543
|
+
:effective_date=>"09/20/2009",
|
544
|
+
:deactivation_date=>"",
|
545
|
+
:last_modified_date=>"",
|
546
|
+
:notes=>""},
|
547
|
+
"93"=>
|
548
|
+
{:code=>"93",
|
549
|
+
:description=>"Podiatry",
|
550
|
+
:effective_date=>"09/20/2009",
|
551
|
+
:deactivation_date=>"",
|
552
|
+
:last_modified_date=>"",
|
553
|
+
:notes=>""},
|
554
|
+
"A4"=>
|
555
|
+
{:code=>"A4",
|
556
|
+
:description=>"Psychiatric",
|
557
|
+
:effective_date=>"09/20/2009",
|
558
|
+
:deactivation_date=>"",
|
559
|
+
:last_modified_date=>"",
|
560
|
+
:notes=>""},
|
561
|
+
"A6"=>
|
562
|
+
{:code=>"A6",
|
563
|
+
:description=>"Psychotherapy",
|
564
|
+
:effective_date=>"09/20/2009",
|
565
|
+
:deactivation_date=>"",
|
566
|
+
:last_modified_date=>"",
|
567
|
+
:notes=>""},
|
568
|
+
"A7"=>
|
569
|
+
{:code=>"A7",
|
570
|
+
:description=>"Psychiatric - Inpatient",
|
571
|
+
:effective_date=>"09/20/2009",
|
572
|
+
:deactivation_date=>"",
|
573
|
+
:last_modified_date=>"",
|
574
|
+
:notes=>""},
|
575
|
+
"A8"=>
|
576
|
+
{:code=>"A8",
|
577
|
+
:description=>"Psychiatric - Outpatient",
|
578
|
+
:effective_date=>"09/20/2009",
|
579
|
+
:deactivation_date=>"",
|
580
|
+
:last_modified_date=>"",
|
581
|
+
:notes=>""},
|
582
|
+
"A9"=>
|
583
|
+
{:code=>"A9",
|
584
|
+
:description=>"Rehabilitation",
|
585
|
+
:effective_date=>"09/20/2009",
|
586
|
+
:deactivation_date=>"",
|
587
|
+
:last_modified_date=>"",
|
588
|
+
:notes=>""},
|
589
|
+
"AB"=>
|
590
|
+
{:code=>"AB",
|
591
|
+
:description=>"Rehabilitation - Inpatient",
|
592
|
+
:effective_date=>"09/20/2009",
|
593
|
+
:deactivation_date=>"",
|
594
|
+
:last_modified_date=>"",
|
595
|
+
:notes=>""},
|
596
|
+
"AC"=>
|
597
|
+
{:code=>"AC",
|
598
|
+
:description=>"Rehabilitation - Outpatient",
|
599
|
+
:effective_date=>"09/20/2009",
|
600
|
+
:deactivation_date=>"",
|
601
|
+
:last_modified_date=>"",
|
602
|
+
:notes=>""},
|
603
|
+
"AD"=>
|
604
|
+
{:code=>"AD",
|
605
|
+
:description=>"Occupational Therapy",
|
606
|
+
:effective_date=>"09/20/2009",
|
607
|
+
:deactivation_date=>"",
|
608
|
+
:last_modified_date=>"",
|
609
|
+
:notes=>""},
|
610
|
+
"AE"=>
|
611
|
+
{:code=>"AE",
|
612
|
+
:description=>"Physical Medicine",
|
613
|
+
:effective_date=>"09/20/2009",
|
614
|
+
:deactivation_date=>"",
|
615
|
+
:last_modified_date=>"",
|
616
|
+
:notes=>""},
|
617
|
+
"AF"=>
|
618
|
+
{:code=>"AF",
|
619
|
+
:description=>"Speech Therapy",
|
620
|
+
:effective_date=>"09/20/2009",
|
621
|
+
:deactivation_date=>"",
|
622
|
+
:last_modified_date=>"",
|
623
|
+
:notes=>""},
|
624
|
+
"AG"=>
|
625
|
+
{:code=>"AG",
|
626
|
+
:description=>"Skilled Nursing Care",
|
627
|
+
:effective_date=>"09/20/2009",
|
628
|
+
:deactivation_date=>"",
|
629
|
+
:last_modified_date=>"",
|
630
|
+
:notes=>""},
|
631
|
+
"AI"=>
|
632
|
+
{:code=>"AI",
|
633
|
+
:description=>"Substance Abuse",
|
634
|
+
:effective_date=>"09/20/2009",
|
635
|
+
:deactivation_date=>"",
|
636
|
+
:last_modified_date=>"",
|
637
|
+
:notes=>""},
|
638
|
+
"AJ"=>
|
639
|
+
{:code=>"AJ",
|
640
|
+
:description=>"Alcoholism Treatment",
|
641
|
+
:effective_date=>"09/20/2009",
|
642
|
+
:deactivation_date=>"",
|
643
|
+
:last_modified_date=>"",
|
644
|
+
:notes=>""},
|
645
|
+
"AK"=>
|
646
|
+
{:code=>"AK",
|
647
|
+
:description=>"Drug Addiction",
|
648
|
+
:effective_date=>"09/20/2009",
|
649
|
+
:deactivation_date=>"",
|
650
|
+
:last_modified_date=>"",
|
651
|
+
:notes=>""},
|
652
|
+
"AL"=>
|
653
|
+
{:code=>"AL",
|
654
|
+
:description=>"Optometry",
|
655
|
+
:effective_date=>"09/20/2009",
|
656
|
+
:deactivation_date=>"",
|
657
|
+
:last_modified_date=>"",
|
658
|
+
:notes=>""},
|
659
|
+
"AM"=>
|
660
|
+
{:code=>"AM",
|
661
|
+
:description=>"Frames",
|
662
|
+
:effective_date=>"09/20/2009",
|
663
|
+
:deactivation_date=>"",
|
664
|
+
:last_modified_date=>"",
|
665
|
+
:notes=>""},
|
666
|
+
"AO"=>
|
667
|
+
{:code=>"AO",
|
668
|
+
:description=>"Lenses",
|
669
|
+
:effective_date=>"09/20/2009",
|
670
|
+
:deactivation_date=>"",
|
671
|
+
:last_modified_date=>"",
|
672
|
+
:notes=>""},
|
673
|
+
"AP"=>
|
674
|
+
{:code=>"AP",
|
675
|
+
:description=>"Routine Eye Exam",
|
676
|
+
:effective_date=>"09/20/2009",
|
677
|
+
:deactivation_date=>"",
|
678
|
+
:last_modified_date=>"",
|
679
|
+
:notes=>""},
|
680
|
+
"AQ"=>
|
681
|
+
{:code=>"AQ",
|
682
|
+
:description=>
|
683
|
+
"Nonmedically Necessary Physical (These physicals are required by other entities e.g., insurance application, pilot license, employment or school)",
|
684
|
+
:effective_date=>"09/20/2009",
|
685
|
+
:deactivation_date=>"",
|
686
|
+
:last_modified_date=>"",
|
687
|
+
:notes=>""},
|
688
|
+
"AR"=>
|
689
|
+
{:code=>"AR",
|
690
|
+
:description=>"Experimental Drug Therapy",
|
691
|
+
:effective_date=>"09/20/2009",
|
692
|
+
:deactivation_date=>"",
|
693
|
+
:last_modified_date=>"",
|
694
|
+
:notes=>""},
|
695
|
+
"B1"=>
|
696
|
+
{:code=>"B1",
|
697
|
+
:description=>"Burn Care",
|
698
|
+
:effective_date=>"09/20/2009",
|
699
|
+
:deactivation_date=>"",
|
700
|
+
:last_modified_date=>"",
|
701
|
+
:notes=>""},
|
702
|
+
"B2"=>
|
703
|
+
{:code=>"B2",
|
704
|
+
:description=>"Brand Name Prescription Drug - Formulary",
|
705
|
+
:effective_date=>"09/20/2009",
|
706
|
+
:deactivation_date=>"",
|
707
|
+
:last_modified_date=>"",
|
708
|
+
:notes=>""},
|
709
|
+
"B3"=>
|
710
|
+
{:code=>"B3",
|
711
|
+
:description=>"Brand Name Prescription Drug - Non-Formulary",
|
712
|
+
:effective_date=>"09/20/2009",
|
713
|
+
:deactivation_date=>"",
|
714
|
+
:last_modified_date=>"",
|
715
|
+
:notes=>""},
|
716
|
+
"BA"=>
|
717
|
+
{:code=>"BA",
|
718
|
+
:description=>"Independent Medical Evaluation",
|
719
|
+
:effective_date=>"09/20/2009",
|
720
|
+
:deactivation_date=>"",
|
721
|
+
:last_modified_date=>"",
|
722
|
+
:notes=>""},
|
723
|
+
"BB"=>
|
724
|
+
{:code=>"BB",
|
725
|
+
:description=>"Psychiatric Treatment Partial Hospitalization",
|
726
|
+
:effective_date=>"09/20/2009",
|
727
|
+
:deactivation_date=>"",
|
728
|
+
:last_modified_date=>"",
|
729
|
+
:notes=>""},
|
730
|
+
"BC"=>
|
731
|
+
{:code=>"BC",
|
732
|
+
:description=>"Day Care (Psychiatric)",
|
733
|
+
:effective_date=>"09/20/2009",
|
734
|
+
:deactivation_date=>"",
|
735
|
+
:last_modified_date=>"",
|
736
|
+
:notes=>""},
|
737
|
+
"BD"=>
|
738
|
+
{:code=>"BD",
|
739
|
+
:description=>"Cognitive Therapy",
|
740
|
+
:effective_date=>"09/20/2009",
|
741
|
+
:deactivation_date=>"",
|
742
|
+
:last_modified_date=>"",
|
743
|
+
:notes=>""},
|
744
|
+
"BE"=>
|
745
|
+
{:code=>"BE",
|
746
|
+
:description=>"Massage Therapy",
|
747
|
+
:effective_date=>"09/20/2009",
|
748
|
+
:deactivation_date=>"",
|
749
|
+
:last_modified_date=>"",
|
750
|
+
:notes=>""},
|
751
|
+
"BF"=>
|
752
|
+
{:code=>"BF",
|
753
|
+
:description=>"Pulmonary Rehabilitation",
|
754
|
+
:effective_date=>"09/20/2009",
|
755
|
+
:deactivation_date=>"",
|
756
|
+
:last_modified_date=>"",
|
757
|
+
:notes=>""},
|
758
|
+
"BG"=>
|
759
|
+
{:code=>"BG",
|
760
|
+
:description=>"Cardiac Rehabilitation",
|
761
|
+
:effective_date=>"09/20/2009",
|
762
|
+
:deactivation_date=>"",
|
763
|
+
:last_modified_date=>"",
|
764
|
+
:notes=>""},
|
765
|
+
"BH"=>
|
766
|
+
{:code=>"BH",
|
767
|
+
:description=>"Pediatric",
|
768
|
+
:effective_date=>"09/20/2009",
|
769
|
+
:deactivation_date=>"",
|
770
|
+
:last_modified_date=>"",
|
771
|
+
:notes=>""},
|
772
|
+
"BI"=>
|
773
|
+
{:code=>"BI",
|
774
|
+
:description=>"Nursery Room and Board",
|
775
|
+
:effective_date=>"09/20/2009",
|
776
|
+
:deactivation_date=>"",
|
777
|
+
:last_modified_date=>"",
|
778
|
+
:notes=>""},
|
779
|
+
"BK"=>
|
780
|
+
{:code=>"BK",
|
781
|
+
:description=>"Orthopedic",
|
782
|
+
:effective_date=>"09/20/2009",
|
783
|
+
:deactivation_date=>"",
|
784
|
+
:last_modified_date=>"",
|
785
|
+
:notes=>""},
|
786
|
+
"BL"=>
|
787
|
+
{:code=>"BL",
|
788
|
+
:description=>"Cardiac",
|
789
|
+
:effective_date=>"09/20/2009",
|
790
|
+
:deactivation_date=>"",
|
791
|
+
:last_modified_date=>"",
|
792
|
+
:notes=>""},
|
793
|
+
"BM"=>
|
794
|
+
{:code=>"BM",
|
795
|
+
:description=>"Lymphatic",
|
796
|
+
:effective_date=>"09/20/2009",
|
797
|
+
:deactivation_date=>"",
|
798
|
+
:last_modified_date=>"",
|
799
|
+
:notes=>""},
|
800
|
+
"BN"=>
|
801
|
+
{:code=>"BN",
|
802
|
+
:description=>"Gastrointestinal",
|
803
|
+
:effective_date=>"09/20/2009",
|
804
|
+
:deactivation_date=>"",
|
805
|
+
:last_modified_date=>"",
|
806
|
+
:notes=>""},
|
807
|
+
"BP"=>
|
808
|
+
{:code=>"BP",
|
809
|
+
:description=>"Endocrine",
|
810
|
+
:effective_date=>"09/20/2009",
|
811
|
+
:deactivation_date=>"",
|
812
|
+
:last_modified_date=>"",
|
813
|
+
:notes=>""},
|
814
|
+
"BQ"=>
|
815
|
+
{:code=>"BQ",
|
816
|
+
:description=>"Neurology",
|
817
|
+
:effective_date=>"09/20/2009",
|
818
|
+
:deactivation_date=>"",
|
819
|
+
:last_modified_date=>"",
|
820
|
+
:notes=>""},
|
821
|
+
"BT"=>
|
822
|
+
{:code=>"BT",
|
823
|
+
:description=>"Gynecological",
|
824
|
+
:effective_date=>"09/20/2009",
|
825
|
+
:deactivation_date=>"",
|
826
|
+
:last_modified_date=>"",
|
827
|
+
:notes=>""},
|
828
|
+
"BU"=>
|
829
|
+
{:code=>"BU",
|
830
|
+
:description=>"Obstetrical",
|
831
|
+
:effective_date=>"09/20/2009",
|
832
|
+
:deactivation_date=>"",
|
833
|
+
:last_modified_date=>"",
|
834
|
+
:notes=>""},
|
835
|
+
"BV"=>
|
836
|
+
{:code=>"BV",
|
837
|
+
:description=>"Obstetrical/Gynecological",
|
838
|
+
:effective_date=>"09/20/2009",
|
839
|
+
:deactivation_date=>"",
|
840
|
+
:last_modified_date=>"",
|
841
|
+
:notes=>""},
|
842
|
+
"BW"=>
|
843
|
+
{:code=>"BW",
|
844
|
+
:description=>"Mail Order Prescription Drug: Brand Name",
|
845
|
+
:effective_date=>"09/20/2009",
|
846
|
+
:deactivation_date=>"",
|
847
|
+
:last_modified_date=>"",
|
848
|
+
:notes=>""},
|
849
|
+
"BX"=>
|
850
|
+
{:code=>"BX",
|
851
|
+
:description=>"Mail Order Prescription Drug: Generic",
|
852
|
+
:effective_date=>"09/20/2009",
|
853
|
+
:deactivation_date=>"",
|
854
|
+
:last_modified_date=>"",
|
855
|
+
:notes=>""},
|
856
|
+
"BY"=>
|
857
|
+
{:code=>"BY",
|
858
|
+
:description=>"Physician Visit - Sick",
|
859
|
+
:effective_date=>"09/20/2009",
|
860
|
+
:deactivation_date=>"",
|
861
|
+
:last_modified_date=>"",
|
862
|
+
:notes=>""},
|
863
|
+
"BZ"=>
|
864
|
+
{:code=>"BZ",
|
865
|
+
:description=>"Physician Visit - Well",
|
866
|
+
:effective_date=>"09/20/2009",
|
867
|
+
:deactivation_date=>"",
|
868
|
+
:last_modified_date=>"",
|
869
|
+
:notes=>""},
|
870
|
+
"C1"=>
|
871
|
+
{:code=>"C1",
|
872
|
+
:description=>"Coronary Care",
|
873
|
+
:effective_date=>"09/20/2009",
|
874
|
+
:deactivation_date=>"",
|
875
|
+
:last_modified_date=>"",
|
876
|
+
:notes=>""},
|
877
|
+
"CK"=>
|
878
|
+
{:code=>"CK",
|
879
|
+
:description=>"Screening X-ray",
|
880
|
+
:effective_date=>"09/20/2009",
|
881
|
+
:deactivation_date=>"",
|
882
|
+
:last_modified_date=>"",
|
883
|
+
:notes=>""},
|
884
|
+
"CL"=>
|
885
|
+
{:code=>"CL",
|
886
|
+
:description=>"Screening laboratory",
|
887
|
+
:effective_date=>"09/20/2009",
|
888
|
+
:deactivation_date=>"",
|
889
|
+
:last_modified_date=>"",
|
890
|
+
:notes=>""},
|
891
|
+
"CM"=>
|
892
|
+
{:code=>"CM",
|
893
|
+
:description=>"Mammogram, High Risk Patient",
|
894
|
+
:effective_date=>"09/20/2009",
|
895
|
+
:deactivation_date=>"",
|
896
|
+
:last_modified_date=>"",
|
897
|
+
:notes=>""},
|
898
|
+
"CN"=>
|
899
|
+
{:code=>"CN",
|
900
|
+
:description=>"Mammogram, Low Risk Patient",
|
901
|
+
:effective_date=>"09/20/2009",
|
902
|
+
:deactivation_date=>"",
|
903
|
+
:last_modified_date=>"",
|
904
|
+
:notes=>""},
|
905
|
+
"CO"=>
|
906
|
+
{:code=>"CO",
|
907
|
+
:description=>"Flu Vaccination",
|
908
|
+
:effective_date=>"09/20/2009",
|
909
|
+
:deactivation_date=>"",
|
910
|
+
:last_modified_date=>"",
|
911
|
+
:notes=>""},
|
912
|
+
"CP"=>
|
913
|
+
{:code=>"CP",
|
914
|
+
:description=>"Eyewear Accessories",
|
915
|
+
:effective_date=>"09/20/2009",
|
916
|
+
:deactivation_date=>"",
|
917
|
+
:last_modified_date=>"",
|
918
|
+
:notes=>""},
|
919
|
+
"CQ"=>
|
920
|
+
{:code=>"CQ",
|
921
|
+
:description=>"Case Management",
|
922
|
+
:effective_date=>"09/20/2009",
|
923
|
+
:deactivation_date=>"",
|
924
|
+
:last_modified_date=>"",
|
925
|
+
:notes=>""},
|
926
|
+
"DG"=>
|
927
|
+
{:code=>"DG",
|
928
|
+
:description=>"Dermatology",
|
929
|
+
:effective_date=>"09/20/2009",
|
930
|
+
:deactivation_date=>"",
|
931
|
+
:last_modified_date=>"",
|
932
|
+
:notes=>""},
|
933
|
+
"DM"=>
|
934
|
+
{:code=>"DM",
|
935
|
+
:description=>"Durable Medical Equipment",
|
936
|
+
:effective_date=>"09/20/2009",
|
937
|
+
:deactivation_date=>"",
|
938
|
+
:last_modified_date=>"",
|
939
|
+
:notes=>""},
|
940
|
+
"DS"=>
|
941
|
+
{:code=>"DS",
|
942
|
+
:description=>"Diabetic Supplies",
|
943
|
+
:effective_date=>"09/20/2009",
|
944
|
+
:deactivation_date=>"",
|
945
|
+
:last_modified_date=>"",
|
946
|
+
:notes=>""},
|
947
|
+
"E0"=>
|
948
|
+
{:code=>"E0",
|
949
|
+
:description=>"Allied Behavioral Analysis Therapy",
|
950
|
+
:effective_date=>"09/20/2009",
|
951
|
+
:deactivation_date=>"",
|
952
|
+
:last_modified_date=>"",
|
953
|
+
:notes=>""},
|
954
|
+
"E1"=>
|
955
|
+
{:code=>"E1",
|
956
|
+
:description=>"Non-Medical Equipment (non DME)",
|
957
|
+
:effective_date=>"09/20/2009",
|
958
|
+
:deactivation_date=>"",
|
959
|
+
:last_modified_date=>"",
|
960
|
+
:notes=>""},
|
961
|
+
"E2"=>
|
962
|
+
{:code=>"E2",
|
963
|
+
:description=>"Psychiatric Emergency",
|
964
|
+
:effective_date=>"09/20/2009",
|
965
|
+
:deactivation_date=>"",
|
966
|
+
:last_modified_date=>"",
|
967
|
+
:notes=>""},
|
968
|
+
"E3"=>
|
969
|
+
{:code=>"E3",
|
970
|
+
:description=>"Step Down Unit",
|
971
|
+
:effective_date=>"09/20/2009",
|
972
|
+
:deactivation_date=>"",
|
973
|
+
:last_modified_date=>"",
|
974
|
+
:notes=>""},
|
975
|
+
"E4"=>
|
976
|
+
{:code=>"E4",
|
977
|
+
:description=>"Skilled Nursing Facility Head Level of Care",
|
978
|
+
:effective_date=>"09/20/2009",
|
979
|
+
:deactivation_date=>"",
|
980
|
+
:last_modified_date=>"",
|
981
|
+
:notes=>""},
|
982
|
+
"E5"=>
|
983
|
+
{:code=>"E5",
|
984
|
+
:description=>"Skilled Nursing Facility Ventilator Level of Care",
|
985
|
+
:effective_date=>"09/20/2009",
|
986
|
+
:deactivation_date=>"",
|
987
|
+
:last_modified_date=>"",
|
988
|
+
:notes=>""},
|
989
|
+
"E6"=>
|
990
|
+
{:code=>"E6",
|
991
|
+
:description=>"Level of Care 1",
|
992
|
+
:effective_date=>"09/20/2009",
|
993
|
+
:deactivation_date=>"",
|
994
|
+
:last_modified_date=>"",
|
995
|
+
:notes=>""},
|
996
|
+
"E7"=>
|
997
|
+
{:code=>"E7",
|
998
|
+
:description=>"Level of Care 2",
|
999
|
+
:effective_date=>"09/20/2009",
|
1000
|
+
:deactivation_date=>"",
|
1001
|
+
:last_modified_date=>"",
|
1002
|
+
:notes=>""},
|
1003
|
+
"E8"=>
|
1004
|
+
{:code=>"E8",
|
1005
|
+
:description=>"Level of Care 3",
|
1006
|
+
:effective_date=>"09/20/2009",
|
1007
|
+
:deactivation_date=>"",
|
1008
|
+
:last_modified_date=>"",
|
1009
|
+
:notes=>""},
|
1010
|
+
"E9"=>
|
1011
|
+
{:code=>"E9",
|
1012
|
+
:description=>"Level of Care 4",
|
1013
|
+
:effective_date=>"09/20/2009",
|
1014
|
+
:deactivation_date=>"",
|
1015
|
+
:last_modified_date=>"",
|
1016
|
+
:notes=>""},
|
1017
|
+
"E10"=>
|
1018
|
+
{:code=>"E10",
|
1019
|
+
:description=>"Radiographs",
|
1020
|
+
:effective_date=>"01/24/2010",
|
1021
|
+
:deactivation_date=>"",
|
1022
|
+
:last_modified_date=>"",
|
1023
|
+
:notes=>""},
|
1024
|
+
"E11"=>
|
1025
|
+
{:code=>"E11",
|
1026
|
+
:description=>"Diagnostic Imaging",
|
1027
|
+
:effective_date=>"01/24/2010",
|
1028
|
+
:deactivation_date=>"",
|
1029
|
+
:last_modified_date=>"",
|
1030
|
+
:notes=>""},
|
1031
|
+
"E12"=>
|
1032
|
+
{:code=>"E12",
|
1033
|
+
:description=>"Basic Restorative - Dental",
|
1034
|
+
:effective_date=>"01/24/2010",
|
1035
|
+
:deactivation_date=>"",
|
1036
|
+
:last_modified_date=>"",
|
1037
|
+
:notes=>""},
|
1038
|
+
"E13"=>
|
1039
|
+
{:code=>"E13",
|
1040
|
+
:description=>"Major Restorative - Dental",
|
1041
|
+
:effective_date=>"01/24/2010",
|
1042
|
+
:deactivation_date=>"",
|
1043
|
+
:last_modified_date=>"",
|
1044
|
+
:notes=>""},
|
1045
|
+
"E14"=>
|
1046
|
+
{:code=>"E14",
|
1047
|
+
:description=>"Fixed Prosthodontics",
|
1048
|
+
:effective_date=>"01/24/2010",
|
1049
|
+
:deactivation_date=>"",
|
1050
|
+
:last_modified_date=>"",
|
1051
|
+
:notes=>""},
|
1052
|
+
"E15"=>
|
1053
|
+
{:code=>"E15",
|
1054
|
+
:description=>"Removable Prosthodontics",
|
1055
|
+
:effective_date=>"01/24/2010",
|
1056
|
+
:deactivation_date=>"",
|
1057
|
+
:last_modified_date=>"",
|
1058
|
+
:notes=>""},
|
1059
|
+
"E16"=>
|
1060
|
+
{:code=>"E16",
|
1061
|
+
:description=>"Intraoral Images - Complete Series",
|
1062
|
+
:effective_date=>"01/24/2010",
|
1063
|
+
:deactivation_date=>"",
|
1064
|
+
:last_modified_date=>"",
|
1065
|
+
:notes=>""},
|
1066
|
+
"E17"=>
|
1067
|
+
{:code=>"E17",
|
1068
|
+
:description=>"Oral Evaluation",
|
1069
|
+
:effective_date=>"01/24/2010",
|
1070
|
+
:deactivation_date=>"",
|
1071
|
+
:last_modified_date=>"",
|
1072
|
+
:notes=>""},
|
1073
|
+
"E18"=>
|
1074
|
+
{:code=>"E18",
|
1075
|
+
:description=>"Dental Prophylaxis",
|
1076
|
+
:effective_date=>"01/24/2010",
|
1077
|
+
:deactivation_date=>"",
|
1078
|
+
:last_modified_date=>"",
|
1079
|
+
:notes=>""},
|
1080
|
+
"E19"=>
|
1081
|
+
{:code=>"E19",
|
1082
|
+
:description=>"Panoramic Images",
|
1083
|
+
:effective_date=>"01/24/2010",
|
1084
|
+
:deactivation_date=>"",
|
1085
|
+
:last_modified_date=>"",
|
1086
|
+
:notes=>""},
|
1087
|
+
"E20"=>
|
1088
|
+
{:code=>"E20",
|
1089
|
+
:description=>"Sealants",
|
1090
|
+
:effective_date=>"01/24/2010",
|
1091
|
+
:deactivation_date=>"",
|
1092
|
+
:last_modified_date=>"",
|
1093
|
+
:notes=>""},
|
1094
|
+
"E21"=>
|
1095
|
+
{:code=>"E21",
|
1096
|
+
:description=>"Flouride Treatments",
|
1097
|
+
:effective_date=>"01/24/2010",
|
1098
|
+
:deactivation_date=>"",
|
1099
|
+
:last_modified_date=>"",
|
1100
|
+
:notes=>""},
|
1101
|
+
"E22"=>
|
1102
|
+
{:code=>"E22",
|
1103
|
+
:description=>"Dental Implants",
|
1104
|
+
:effective_date=>"01/24/2010",
|
1105
|
+
:deactivation_date=>"",
|
1106
|
+
:last_modified_date=>"",
|
1107
|
+
:notes=>""},
|
1108
|
+
"E23"=>
|
1109
|
+
{:code=>"E23",
|
1110
|
+
:description=>"Temporomandibular Joint Dysfunction",
|
1111
|
+
:effective_date=>"01/24/2010",
|
1112
|
+
:deactivation_date=>"",
|
1113
|
+
:last_modified_date=>"",
|
1114
|
+
:notes=>""},
|
1115
|
+
"E24"=>
|
1116
|
+
{:code=>"E24",
|
1117
|
+
:description=>"Retail Pharmacy Prescription Drug",
|
1118
|
+
:effective_date=>"06/06/2010",
|
1119
|
+
:deactivation_date=>"",
|
1120
|
+
:last_modified_date=>"",
|
1121
|
+
:notes=>""},
|
1122
|
+
"E25"=>
|
1123
|
+
{:code=>"E25",
|
1124
|
+
:description=>"Long Term Care Pharmacy",
|
1125
|
+
:effective_date=>"06/06/2010",
|
1126
|
+
:deactivation_date=>"",
|
1127
|
+
:last_modified_date=>"",
|
1128
|
+
:notes=>""},
|
1129
|
+
"E26"=>
|
1130
|
+
{:code=>"E26",
|
1131
|
+
:description=>"Comprehensive Medication Therapy Management Review",
|
1132
|
+
:effective_date=>"06/05/2011",
|
1133
|
+
:deactivation_date=>"",
|
1134
|
+
:last_modified_date=>"",
|
1135
|
+
:notes=>""},
|
1136
|
+
"E27"=>
|
1137
|
+
{:code=>"E27",
|
1138
|
+
:description=>"Targeted Medication Therapy Management Review",
|
1139
|
+
:effective_date=>"06/05/2011",
|
1140
|
+
:deactivation_date=>"",
|
1141
|
+
:last_modified_date=>"",
|
1142
|
+
:notes=>""},
|
1143
|
+
"EA"=>
|
1144
|
+
{:code=>"EA",
|
1145
|
+
:description=>"Preventive Services",
|
1146
|
+
:effective_date=>"09/20/2009",
|
1147
|
+
:deactivation_date=>"",
|
1148
|
+
:last_modified_date=>"",
|
1149
|
+
:notes=>""},
|
1150
|
+
"EB"=>
|
1151
|
+
{:code=>"EB",
|
1152
|
+
:description=>"Specialty Pharmacy",
|
1153
|
+
:effective_date=>"09/20/2009",
|
1154
|
+
:deactivation_date=>"",
|
1155
|
+
:last_modified_date=>"",
|
1156
|
+
:notes=>""},
|
1157
|
+
"EC"=>
|
1158
|
+
{:code=>"EC",
|
1159
|
+
:description=>"Durable Medical Equipment New",
|
1160
|
+
:effective_date=>"09/20/2009",
|
1161
|
+
:deactivation_date=>"",
|
1162
|
+
:last_modified_date=>"",
|
1163
|
+
:notes=>""},
|
1164
|
+
"ED"=>
|
1165
|
+
{:code=>"ED",
|
1166
|
+
:description=>"CAT Scan",
|
1167
|
+
:effective_date=>"09/20/2009",
|
1168
|
+
:deactivation_date=>"",
|
1169
|
+
:last_modified_date=>"",
|
1170
|
+
:notes=>""},
|
1171
|
+
"EE"=>
|
1172
|
+
{:code=>"EE",
|
1173
|
+
:description=>"Ophthalmology",
|
1174
|
+
:effective_date=>"09/20/2009",
|
1175
|
+
:deactivation_date=>"",
|
1176
|
+
:last_modified_date=>"",
|
1177
|
+
:notes=>""},
|
1178
|
+
"EF"=>
|
1179
|
+
{:code=>"EF",
|
1180
|
+
:description=>"Contact Lenses",
|
1181
|
+
:effective_date=>"09/20/2009",
|
1182
|
+
:deactivation_date=>"",
|
1183
|
+
:last_modified_date=>"",
|
1184
|
+
:notes=>""},
|
1185
|
+
"GF"=>
|
1186
|
+
{:code=>"GF",
|
1187
|
+
:description=>"Generic Prescription Drug - Formulary",
|
1188
|
+
:effective_date=>"09/20/2009",
|
1189
|
+
:deactivation_date=>"",
|
1190
|
+
:last_modified_date=>"",
|
1191
|
+
:notes=>""},
|
1192
|
+
"GN"=>
|
1193
|
+
{:code=>"GN",
|
1194
|
+
:description=>"Generic Prescription Drug - Non-Formulary",
|
1195
|
+
:effective_date=>"09/20/2009",
|
1196
|
+
:deactivation_date=>"",
|
1197
|
+
:last_modified_date=>"",
|
1198
|
+
:notes=>""},
|
1199
|
+
"GY"=>
|
1200
|
+
{:code=>"GY",
|
1201
|
+
:description=>"Allergy",
|
1202
|
+
:effective_date=>"09/20/2009",
|
1203
|
+
:deactivation_date=>"",
|
1204
|
+
:last_modified_date=>"",
|
1205
|
+
:notes=>""},
|
1206
|
+
"IC"=>
|
1207
|
+
{:code=>"IC",
|
1208
|
+
:description=>"Intensive Care",
|
1209
|
+
:effective_date=>"09/20/2009",
|
1210
|
+
:deactivation_date=>"",
|
1211
|
+
:last_modified_date=>"",
|
1212
|
+
:notes=>""},
|
1213
|
+
"MH"=>
|
1214
|
+
{:code=>"MH",
|
1215
|
+
:description=>"Mental Health",
|
1216
|
+
:effective_date=>"09/20/2009",
|
1217
|
+
:deactivation_date=>"",
|
1218
|
+
:last_modified_date=>"",
|
1219
|
+
:notes=>""},
|
1220
|
+
"NI"=>
|
1221
|
+
{:code=>"NI",
|
1222
|
+
:description=>"Neonatal Intensive Care",
|
1223
|
+
:effective_date=>"09/20/2009",
|
1224
|
+
:deactivation_date=>"",
|
1225
|
+
:last_modified_date=>"",
|
1226
|
+
:notes=>""},
|
1227
|
+
"ON"=>
|
1228
|
+
{:code=>"ON",
|
1229
|
+
:description=>"Oncology",
|
1230
|
+
:effective_date=>"09/20/2009",
|
1231
|
+
:deactivation_date=>"",
|
1232
|
+
:last_modified_date=>"",
|
1233
|
+
:notes=>""},
|
1234
|
+
"PE"=>
|
1235
|
+
{:code=>"PE",
|
1236
|
+
:description=>"Positron Emission Tomography (PET) Scan",
|
1237
|
+
:effective_date=>"09/20/2009",
|
1238
|
+
:deactivation_date=>"",
|
1239
|
+
:last_modified_date=>"",
|
1240
|
+
:notes=>""},
|
1241
|
+
"PT"=>
|
1242
|
+
{:code=>"PT",
|
1243
|
+
:description=>"Physical Therapy",
|
1244
|
+
:effective_date=>"09/20/2009",
|
1245
|
+
:deactivation_date=>"",
|
1246
|
+
:last_modified_date=>"",
|
1247
|
+
:notes=>""},
|
1248
|
+
"PU"=>
|
1249
|
+
{:code=>"PU",
|
1250
|
+
:description=>"Pulmonary",
|
1251
|
+
:effective_date=>"09/20/2009",
|
1252
|
+
:deactivation_date=>"",
|
1253
|
+
:last_modified_date=>"",
|
1254
|
+
:notes=>""},
|
1255
|
+
"RN"=>
|
1256
|
+
{:code=>"RN",
|
1257
|
+
:description=>"Renal",
|
1258
|
+
:effective_date=>"09/20/2009",
|
1259
|
+
:deactivation_date=>"",
|
1260
|
+
:last_modified_date=>"",
|
1261
|
+
:notes=>""},
|
1262
|
+
"RT"=>
|
1263
|
+
{:code=>"RT",
|
1264
|
+
:description=>"Residential Psychiatric Treatment",
|
1265
|
+
:effective_date=>"09/20/2009",
|
1266
|
+
:deactivation_date=>"",
|
1267
|
+
:last_modified_date=>"",
|
1268
|
+
:notes=>""},
|
1269
|
+
"SMH"=>
|
1270
|
+
{:code=>"SMH",
|
1271
|
+
:description=>"Serious Mental Health",
|
1272
|
+
:effective_date=>"01/30/2011",
|
1273
|
+
:deactivation_date=>"",
|
1274
|
+
:last_modified_date=>"",
|
1275
|
+
:notes=>""},
|
1276
|
+
"TC"=>
|
1277
|
+
{:code=>"TC",
|
1278
|
+
:description=>"Transitional Care",
|
1279
|
+
:effective_date=>"09/20/2009",
|
1280
|
+
:deactivation_date=>"",
|
1281
|
+
:last_modified_date=>"",
|
1282
|
+
:notes=>""},
|
1283
|
+
"TN"=>
|
1284
|
+
{:code=>"TN",
|
1285
|
+
:description=>"Transitional Nursery Care",
|
1286
|
+
:effective_date=>"09/20/2009",
|
1287
|
+
:deactivation_date=>"",
|
1288
|
+
:last_modified_date=>"",
|
1289
|
+
:notes=>""},
|
1290
|
+
"UC"=>
|
1291
|
+
{:code=>"UC",
|
1292
|
+
:description=>"Urgent Care",
|
1293
|
+
:effective_date=>"09/20/2009",
|
1294
|
+
:deactivation_date=>"",
|
1295
|
+
:last_modified_date=>"",
|
1296
|
+
:notes=>""}}
|
1297
|
+
|
1298
|
+
end
|
1299
|
+
end
|