mphapi 0.5.0__py3-none-any.whl → 1.11.0__py3-none-any.whl
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.
- mphapi/claim.py +3 -17
- mphapi/client.py +181 -37
- mphapi/client_test.py +114 -0
- mphapi/credentials.py +256 -0
- mphapi/date.py +92 -18
- mphapi/env.py +24 -0
- mphapi/pricing.py +198 -6
- mphapi/py.typed +0 -0
- mphapi/snapshots/client_test/test_client/hcfa.json +75 -0
- mphapi/snapshots/client_test/test_client/inpatient.json +405 -0
- mphapi/snapshots/client_test/test_client/outpatient.json +723 -0
- mphapi/testdata/hcfa.json +30 -0
- mphapi/testdata/inpatient.json +135 -0
- mphapi/testdata/outpatient.json +265 -0
- {mphapi-0.5.0.dist-info → mphapi-1.11.0.dist-info}/METADATA +4 -2
- mphapi-1.11.0.dist-info/RECORD +20 -0
- {mphapi-0.5.0.dist-info → mphapi-1.11.0.dist-info}/WHEEL +1 -1
- mphapi-0.5.0.dist-info/RECORD +0 -10
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{
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"claim_id": "3456",
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"medicare_amount": 2314.13,
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"allowed_amount": null,
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"medicare_repricing_code": "MED",
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"medicare_repricing_note": null,
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"network_code": null,
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"allowed_repricing_code": null,
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"allowed_repricing_note": null,
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"medicare_std_dev": null,
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"medicare_source": "Outpatient pricer",
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"inpatient_price_detail": null,
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"outpatient_price_detail": {
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"outlier_amount": null,
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"first_passthrough_drug_offset_amount": null,
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"second_passthrough_drug_offset_amount": null,
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"third_passthrough_drug_offset_amount": null,
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"first_device_offset_amount": null,
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"second_device_offset_amount": null,
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"full_or_partial_device_credit_offset_amount": null,
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"terminated_device_procedure_offset_amount": null,
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"wage_index": 0.9873
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},
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"provider_detail": {
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"ccn": "670077",
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"mac": 4412,
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"locality": 18,
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"geographic_cbsa": 26420,
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"state_cbsa": 45,
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"rural_indicator": null,
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"specialty_type": null,
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"hospital_type": null
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"edit_detail": null,
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"pricer_result": "Processed",
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"price_config": {
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"contract_ruleset": null,
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"price_zero_billed": false,
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"is_commercial": true,
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"disable_cost_based_reimbursement": false,
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"use_commercial_synthetic_for_not_allowed": true,
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"use_drg_from_grouper": false,
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"use_best_drg_price": true,
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"override_threshold": 300.0,
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"include_edits": true,
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"continue_on_edit_fail": false,
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"continue_on_provider_match_fail": false,
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"disable_machine_learning_estimates": false,
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"assume_impossible_anesthesia_units_are_minutes": false,
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"fallback_to_max_anesthesia_units_per_day": false,
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"allow_partial_results": false
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},
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"services": [
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{
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"line_number": "1",
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"provider_detail": null,
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"medicare_amount": null,
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"allowed_amount": null,
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"medicare_repricing_code": "PKG",
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"medicare_repricing_note": null,
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"network_code": null,
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"allowed_repricing_code": null,
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"allowed_repricing_note": null,
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"allowed_repricing_formula": null,
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"technical_component_amount": null,
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"professional_component_amount": null,
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"medicare_std_dev": null,
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"medicare_source": "Outpatient pricer",
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"pricer_result": "Packaged",
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"status_indicator": "N",
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"payment_indicator": "9",
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"discount_formula": "1",
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"line_item_denial_or_rejection_flag": "0",
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"packaging_flag": "1",
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"payment_adjustment_flag": "0",
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"payment_adjustment_flag2": "0",
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"payment_method_flag": "0",
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"composite_adjustment_flag": "00",
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"hcpcs_apc": null,
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"payment_apc": null,
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"edit_detail": null
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"line_number": "2",
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"provider_detail": null,
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"medicare_amount": null,
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"allowed_amount": null,
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"medicare_repricing_code": "PKG",
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"medicare_repricing_note": null,
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"network_code": null,
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"allowed_repricing_code": null,
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"allowed_repricing_note": null,
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"allowed_repricing_formula": null,
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"technical_component_amount": null,
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"professional_component_amount": null,
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"medicare_std_dev": null,
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"medicare_source": "Outpatient pricer",
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"pricer_result": "Packaged",
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"status_indicator": "N",
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"payment_indicator": "9",
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"discount_formula": "1",
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"line_item_denial_or_rejection_flag": "0",
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"packaging_flag": "1",
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"payment_adjustment_flag": "0",
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"payment_adjustment_flag2": "0",
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"payment_method_flag": "0",
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"composite_adjustment_flag": "00",
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"hcpcs_apc": null,
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"payment_apc": null,
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"line_number": "3",
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"allowed_amount": null,
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"medicare_repricing_code": "PKG",
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"medicare_repricing_note": null,
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"network_code": null,
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"allowed_repricing_code": null,
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"allowed_repricing_formula": null,
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"technical_component_amount": null,
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"professional_component_amount": null,
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"medicare_std_dev": null,
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"medicare_source": "Outpatient pricer",
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"pricer_result": "Packaged",
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"status_indicator": "N",
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"payment_indicator": "9",
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"discount_formula": "1",
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"line_item_denial_or_rejection_flag": "0",
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"packaging_flag": "1",
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"payment_adjustment_flag": "0",
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"payment_adjustment_flag2": "0",
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"payment_method_flag": "0",
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"composite_adjustment_flag": "00",
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"hcpcs_apc": null,
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"payment_apc": null,
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"medicare_repricing_code": "PKG",
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"medicare_repricing_note": null,
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"network_code": null,
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"allowed_repricing_code": null,
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"allowed_repricing_note": null,
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"allowed_repricing_formula": null,
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"technical_component_amount": null,
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"professional_component_amount": null,
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"medicare_std_dev": null,
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"medicare_source": "Outpatient pricer",
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"pricer_result": "Packaged",
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"status_indicator": "N",
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"payment_indicator": "9",
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"discount_formula": "1",
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"line_item_denial_or_rejection_flag": "0",
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"packaging_flag": "1",
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"payment_adjustment_flag": "0",
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"payment_adjustment_flag2": "0",
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"payment_method_flag": "0",
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"composite_adjustment_flag": "00",
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"hcpcs_apc": null,
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"payment_apc": null,
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"edit_detail": null
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"line_number": "5",
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"medicare_amount": null,
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"allowed_amount": null,
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"medicare_repricing_code": "PKG",
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"medicare_repricing_note": null,
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"network_code": null,
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"allowed_repricing_code": null,
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"allowed_repricing_note": null,
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"allowed_repricing_formula": null,
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"technical_component_amount": null,
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"professional_component_amount": null,
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"medicare_std_dev": null,
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"medicare_source": "Outpatient pricer",
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"pricer_result": "Packaged",
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"status_indicator": "N",
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"payment_indicator": "9",
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"discount_formula": "1",
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"line_item_denial_or_rejection_flag": "0",
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"packaging_flag": "1",
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"payment_adjustment_flag": "0",
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"payment_adjustment_flag2": "0",
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"payment_method_flag": "0",
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"composite_adjustment_flag": "00",
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"hcpcs_apc": null,
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"payment_apc": null,
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"line_number": "6",
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"allowed_amount": null,
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"medicare_repricing_code": "PKG",
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"network_code": null,
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"technical_component_amount": null,
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"professional_component_amount": null,
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"medicare_std_dev": null,
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"medicare_source": "Outpatient pricer",
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"pricer_result": "Packaged",
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"status_indicator": "N",
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"payment_indicator": "9",
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"discount_formula": "1",
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"line_item_denial_or_rejection_flag": "0",
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"packaging_flag": "1",
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"payment_adjustment_flag": "0",
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"payment_method_flag": "0",
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"composite_adjustment_flag": "00",
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"hcpcs_apc": null,
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"payment_apc": null,
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"allowed_amount": null,
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"medicare_repricing_code": "PKG",
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"technical_component_amount": null,
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"professional_component_amount": null,
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"medicare_std_dev": null,
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"medicare_source": "Outpatient pricer",
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"pricer_result": "Packaged",
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"status_indicator": "N",
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"payment_indicator": "9",
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"discount_formula": "1",
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"line_item_denial_or_rejection_flag": "0",
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"packaging_flag": "1",
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"payment_adjustment_flag": "0",
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"payment_adjustment_flag2": "0",
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"payment_method_flag": "0",
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"composite_adjustment_flag": "00",
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"payment_apc": null,
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"allowed_amount": null,
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"medicare_repricing_code": "PKG",
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"network_code": null,
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"allowed_repricing_formula": null,
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"technical_component_amount": null,
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"professional_component_amount": null,
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"medicare_std_dev": null,
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"medicare_source": "Outpatient pricer",
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"pricer_result": "Packaged",
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"status_indicator": "N",
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"payment_indicator": "9",
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"discount_formula": "1",
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"line_item_denial_or_rejection_flag": "0",
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"packaging_flag": "1",
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"payment_adjustment_flag": "0",
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"payment_adjustment_flag2": "0",
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"payment_method_flag": "0",
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"composite_adjustment_flag": "00",
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"hcpcs_apc": null,
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"line_number": "9",
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"allowed_amount": null,
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