End of training
Browse files- added_tokens.json +77 -65
- model.safetensors +1 -1
- preprocessor_config.json +2 -2
- runs/Jan21_16-44-24_f5c0d6d58a6c/events.out.tfevents.1705855508.f5c0d6d58a6c.1941.0 +2 -2
- special_tokens_map.json +149 -65
- tokenizer.json +173 -65
- tokenizer_config.json +226 -118
added_tokens.json
CHANGED
|
@@ -1,34 +1,35 @@
|
|
| 1 |
{
|
| 2 |
-
"</
|
| 3 |
-
"</
|
| 4 |
-
"</
|
| 5 |
-
"</
|
| 6 |
-
"</s_Effective Date>":
|
| 7 |
-
"</s_Employee Contract Holder Signature>":
|
| 8 |
"</s_Employment Status>": 57606,
|
| 9 |
-
"</s_End
|
| 10 |
-
"</s_End
|
| 11 |
-
"</s_Group Number>":
|
| 12 |
-
"</s_Health Insurance Claim
|
| 13 |
-
"</s_Health Insurance Claim
|
| 14 |
-
"</
|
| 15 |
-
"</
|
| 16 |
-
"</s_IV OTHER HEALTH INSURANCE COVERAGE>":
|
| 17 |
-
"</
|
| 18 |
-
"</
|
| 19 |
-
"</s_Medicare
|
| 20 |
-
"</s_Medicare
|
| 21 |
-
"</s_Medicare>":
|
| 22 |
-
"</s_Name of Insurance Carrier>":
|
| 23 |
-
"</s_Name of Policyholder>":
|
| 24 |
-
"</s_Name of
|
| 25 |
-
"</s_Name of
|
| 26 |
-
"</s_Policy Number>":
|
| 27 |
-
"</s_Policyholder Date of Birth>":
|
| 28 |
-
"</
|
| 29 |
-
"</
|
| 30 |
-
"</
|
| 31 |
-
"</
|
|
|
|
| 32 |
"</s_cashprice>": 57549,
|
| 33 |
"</s_changeprice>": 57551,
|
| 34 |
"</s_cnt>": 57529,
|
|
@@ -37,16 +38,19 @@
|
|
| 37 |
"</s_discountprice>": 57567,
|
| 38 |
"</s_emoneyprice>": 57569,
|
| 39 |
"</s_etc>": 57541,
|
| 40 |
-
"</s_formtype>":
|
| 41 |
-
"</
|
|
|
|
|
|
|
| 42 |
"</s_itemsubtotal>": 57577,
|
| 43 |
"</s_menu>": 57525,
|
| 44 |
"</s_menuqty_cnt>": 57555,
|
| 45 |
"</s_menutype_cnt>": 57553,
|
|
|
|
| 46 |
"</s_nm>": 57527,
|
| 47 |
"</s_num>": 57565,
|
| 48 |
"</s_othersvc_price>": 57573,
|
| 49 |
-
"</s_page_number>":
|
| 50 |
"</s_price>": 57531,
|
| 51 |
"</s_service_price>": 57537,
|
| 52 |
"</s_sub>": 57547,
|
|
@@ -58,37 +62,40 @@
|
|
| 58 |
"</s_total_price>": 57545,
|
| 59 |
"</s_unitprice>": 57559,
|
| 60 |
"</s_vatyn>": 57575,
|
|
|
|
| 61 |
"</s_void_menu>": 57571,
|
| 62 |
-
"<
|
| 63 |
-
"<
|
| 64 |
-
"<
|
| 65 |
-
"<
|
| 66 |
-
"<
|
| 67 |
-
"<
|
| 68 |
-
"<
|
| 69 |
-
"<
|
| 70 |
-
"<s_End
|
| 71 |
-
"<
|
| 72 |
-
"<
|
| 73 |
-
"<s_Health Insurance Claim
|
| 74 |
-
"<
|
| 75 |
-
"<
|
| 76 |
-
"<
|
| 77 |
-
"<
|
| 78 |
-
"<
|
| 79 |
-
"<
|
| 80 |
-
"<s_Medicare
|
| 81 |
-
"<s_Medicare>":
|
| 82 |
-
"<
|
| 83 |
-
"<s_Name of
|
| 84 |
-
"<s_Name of
|
| 85 |
-
"<s_Name of
|
| 86 |
-
"<
|
| 87 |
-
"<
|
| 88 |
-
"<
|
| 89 |
-
"<
|
| 90 |
-
"<
|
| 91 |
-
"<
|
|
|
|
|
|
|
| 92 |
"<s_cashprice>": 57550,
|
| 93 |
"<s_changeprice>": 57552,
|
| 94 |
"<s_cnt>": 57530,
|
|
@@ -98,17 +105,20 @@
|
|
| 98 |
"<s_discountprice>": 57568,
|
| 99 |
"<s_emoneyprice>": 57570,
|
| 100 |
"<s_etc>": 57542,
|
| 101 |
-
"<s_formtype>":
|
|
|
|
| 102 |
"<s_iitcdip>": 57523,
|
| 103 |
-
"<
|
|
|
|
| 104 |
"<s_itemsubtotal>": 57578,
|
| 105 |
"<s_menu>": 57526,
|
| 106 |
"<s_menuqty_cnt>": 57556,
|
| 107 |
"<s_menutype_cnt>": 57554,
|
|
|
|
| 108 |
"<s_nm>": 57528,
|
| 109 |
"<s_num>": 57566,
|
| 110 |
"<s_othersvc_price>": 57574,
|
| 111 |
-
"<s_page_number>":
|
| 112 |
"<s_price>": 57532,
|
| 113 |
"<s_service_price>": 57538,
|
| 114 |
"<s_sub>": 57548,
|
|
@@ -121,6 +131,8 @@
|
|
| 121 |
"<s_total_price>": 57546,
|
| 122 |
"<s_unitprice>": 57560,
|
| 123 |
"<s_vatyn>": 57576,
|
|
|
|
| 124 |
"<s_void_menu>": 57572,
|
|
|
|
| 125 |
"<sep/>": 57522
|
| 126 |
}
|
|
|
|
| 1 |
{
|
| 2 |
+
"</s_Age 1>": 57655,
|
| 3 |
+
"</s_Age 2>": 57643,
|
| 4 |
+
"</s_Disability 1>": 57636,
|
| 5 |
+
"</s_Disability 2>": 57623,
|
| 6 |
+
"</s_Effective Date>": 57628,
|
| 7 |
+
"</s_Employee Contract Holder Signature>": 57605,
|
| 8 |
"</s_Employment Status>": 57606,
|
| 9 |
+
"</s_End Stage 1>": 57637,
|
| 10 |
+
"</s_End Stage 2>": 57648,
|
| 11 |
+
"</s_Group Number>": 57598,
|
| 12 |
+
"</s_Health Insurance Claim Number 1>": 57624,
|
| 13 |
+
"</s_Health Insurance Claim Number 2>": 57613,
|
| 14 |
+
"</s_Hospital 1>": 57593,
|
| 15 |
+
"</s_Hospital 2>": 57620,
|
| 16 |
+
"</s_IV OTHER HEALTH INSURANCE COVERAGE>": 57645,
|
| 17 |
+
"</s_Medical 1>": 57612,
|
| 18 |
+
"</s_Medical 2>": 57651,
|
| 19 |
+
"</s_Medicare Coverage>": 57595,
|
| 20 |
+
"</s_Medicare Supplement 1>": 57601,
|
| 21 |
+
"</s_Medicare Supplement 2>": 57631,
|
| 22 |
+
"</s_Name of Insurance Carrier>": 57607,
|
| 23 |
+
"</s_Name of Policyholder>": 57627,
|
| 24 |
+
"</s_Name of Subscriber 1>": 57590,
|
| 25 |
+
"</s_Name of Subscriber 2>": 57602,
|
| 26 |
+
"</s_Policy Number>": 57622,
|
| 27 |
+
"</s_Policyholder Date of Birth>": 57619,
|
| 28 |
+
"</s_Policyholder Employment Status>": 57650,
|
| 29 |
+
"</s_Prescription 1>": 57630,
|
| 30 |
+
"</s_Prescription 2>": 57597,
|
| 31 |
+
"</s_Relationship to Policyholder>": 57591,
|
| 32 |
+
"</s_V IMPORTANT AUTHORIZED SIGNATURE>": 57640,
|
| 33 |
"</s_cashprice>": 57549,
|
| 34 |
"</s_changeprice>": 57551,
|
| 35 |
"</s_cnt>": 57529,
|
|
|
|
| 38 |
"</s_discountprice>": 57567,
|
| 39 |
"</s_emoneyprice>": 57569,
|
| 40 |
"</s_etc>": 57541,
|
| 41 |
+
"</s_formtype>": 57629,
|
| 42 |
+
"</s_height>": 57584,
|
| 43 |
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"</s_image_size>": 57604,
|
| 44 |
+
"</s_insurancecompany>": 57617,
|
| 45 |
"</s_itemsubtotal>": 57577,
|
| 46 |
"</s_menu>": 57525,
|
| 47 |
"</s_menuqty_cnt>": 57555,
|
| 48 |
"</s_menutype_cnt>": 57553,
|
| 49 |
+
"</s_meta>": 57649,
|
| 50 |
"</s_nm>": 57527,
|
| 51 |
"</s_num>": 57565,
|
| 52 |
"</s_othersvc_price>": 57573,
|
| 53 |
+
"</s_page_number>": 57589,
|
| 54 |
"</s_price>": 57531,
|
| 55 |
"</s_service_price>": 57537,
|
| 56 |
"</s_sub>": 57547,
|
|
|
|
| 62 |
"</s_total_price>": 57545,
|
| 63 |
"</s_unitprice>": 57559,
|
| 64 |
"</s_vatyn>": 57575,
|
| 65 |
+
"</s_version>": 57594,
|
| 66 |
"</s_void_menu>": 57571,
|
| 67 |
+
"</s_width>": 57632,
|
| 68 |
+
"<s_Age 1>": 57592,
|
| 69 |
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"<s_Age 2>": 57633,
|
| 70 |
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"<s_Disability 1>": 57626,
|
| 71 |
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"<s_Disability 2>": 57616,
|
| 72 |
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"<s_Effective Date>": 57634,
|
| 73 |
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"<s_Employee Contract Holder Signature>": 57582,
|
| 74 |
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"<s_Employment Status>": 57641,
|
| 75 |
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"<s_End Stage 1>": 57611,
|
| 76 |
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"<s_End Stage 2>": 57596,
|
| 77 |
+
"<s_Group Number>": 57647,
|
| 78 |
+
"<s_Health Insurance Claim Number 1>": 57615,
|
| 79 |
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"<s_Health Insurance Claim Number 2>": 57610,
|
| 80 |
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"<s_Hospital 1>": 57638,
|
| 81 |
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"<s_Hospital 2>": 57639,
|
| 82 |
+
"<s_IV OTHER HEALTH INSURANCE COVERAGE>": 57635,
|
| 83 |
+
"<s_Medical 1>": 57609,
|
| 84 |
+
"<s_Medical 2>": 57603,
|
| 85 |
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"<s_Medicare Coverage>": 57642,
|
| 86 |
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"<s_Medicare Supplement 1>": 57599,
|
| 87 |
+
"<s_Medicare Supplement 2>": 57657,
|
| 88 |
+
"<s_Name of Insurance Carrier>": 57652,
|
| 89 |
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"<s_Name of Policyholder>": 57583,
|
| 90 |
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"<s_Name of Subscriber 1>": 57618,
|
| 91 |
+
"<s_Name of Subscriber 2>": 57600,
|
| 92 |
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"<s_Policy Number>": 57621,
|
| 93 |
+
"<s_Policyholder Date of Birth>": 57581,
|
| 94 |
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"<s_Policyholder Employment Status>": 57644,
|
| 95 |
+
"<s_Prescription 1>": 57585,
|
| 96 |
+
"<s_Prescription 2>": 57587,
|
| 97 |
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"<s_Relationship to Policyholder>": 57654,
|
| 98 |
+
"<s_V IMPORTANT AUTHORIZED SIGNATURE>": 57656,
|
| 99 |
"<s_cashprice>": 57550,
|
| 100 |
"<s_changeprice>": 57552,
|
| 101 |
"<s_cnt>": 57530,
|
|
|
|
| 105 |
"<s_discountprice>": 57568,
|
| 106 |
"<s_emoneyprice>": 57570,
|
| 107 |
"<s_etc>": 57542,
|
| 108 |
+
"<s_formtype>": 57614,
|
| 109 |
+
"<s_height>": 57625,
|
| 110 |
"<s_iitcdip>": 57523,
|
| 111 |
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"<s_image_size>": 57586,
|
| 112 |
+
"<s_insurancecompany>": 57653,
|
| 113 |
"<s_itemsubtotal>": 57578,
|
| 114 |
"<s_menu>": 57526,
|
| 115 |
"<s_menuqty_cnt>": 57556,
|
| 116 |
"<s_menutype_cnt>": 57554,
|
| 117 |
+
"<s_meta>": 57588,
|
| 118 |
"<s_nm>": 57528,
|
| 119 |
"<s_num>": 57566,
|
| 120 |
"<s_othersvc_price>": 57574,
|
| 121 |
+
"<s_page_number>": 57646,
|
| 122 |
"<s_price>": 57532,
|
| 123 |
"<s_service_price>": 57538,
|
| 124 |
"<s_sub>": 57548,
|
|
|
|
| 131 |
"<s_total_price>": 57546,
|
| 132 |
"<s_unitprice>": 57560,
|
| 133 |
"<s_vatyn>": 57576,
|
| 134 |
+
"<s_version>": 57608,
|
| 135 |
"<s_void_menu>": 57572,
|
| 136 |
+
"<s_width>": 57580,
|
| 137 |
"<sep/>": 57522
|
| 138 |
}
|
model.safetensors
CHANGED
|
@@ -1,3 +1,3 @@
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|
| 1 |
version https://git-lfs.github.com/spec/v1
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| 2 |
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oid sha256:
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size 806469784
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version https://git-lfs.github.com/spec/v1
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size 806469784
|
preprocessor_config.json
CHANGED
|
@@ -20,7 +20,7 @@
|
|
| 20 |
"resample": 2,
|
| 21 |
"rescale_factor": 0.00392156862745098,
|
| 22 |
"size": [
|
| 23 |
-
|
| 24 |
-
|
| 25 |
]
|
| 26 |
}
|
|
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|
| 20 |
"resample": 2,
|
| 21 |
"rescale_factor": 0.00392156862745098,
|
| 22 |
"size": [
|
| 23 |
+
1500,
|
| 24 |
+
2000
|
| 25 |
]
|
| 26 |
}
|
runs/Jan21_16-44-24_f5c0d6d58a6c/events.out.tfevents.1705855508.f5c0d6d58a6c.1941.0
CHANGED
|
@@ -1,3 +1,3 @@
|
|
| 1 |
version https://git-lfs.github.com/spec/v1
|
| 2 |
-
oid sha256:
|
| 3 |
-
size
|
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|
| 1 |
version https://git-lfs.github.com/spec/v1
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oid sha256:2ce5d2b75ad9b428ae5e38b41e961fe2f320cc9e0c99bd6c2efa5fa72aae5fb8
|
| 3 |
+
size 9199
|
special_tokens_map.json
CHANGED
|
@@ -1,182 +1,182 @@
|
|
| 1 |
{
|
| 2 |
"additional_special_tokens": [
|
| 3 |
{
|
| 4 |
-
"content": "<
|
| 5 |
"lstrip": false,
|
| 6 |
"normalized": false,
|
| 7 |
"rstrip": false,
|
| 8 |
"single_word": false
|
| 9 |
},
|
| 10 |
{
|
| 11 |
-
"content": "<
|
| 12 |
"lstrip": false,
|
| 13 |
"normalized": false,
|
| 14 |
"rstrip": false,
|
| 15 |
"single_word": false
|
| 16 |
},
|
| 17 |
{
|
| 18 |
-
"content": "<
|
| 19 |
"lstrip": false,
|
| 20 |
"normalized": false,
|
| 21 |
"rstrip": false,
|
| 22 |
"single_word": false
|
| 23 |
},
|
| 24 |
{
|
| 25 |
-
"content": "<
|
| 26 |
"lstrip": false,
|
| 27 |
"normalized": false,
|
| 28 |
"rstrip": false,
|
| 29 |
"single_word": false
|
| 30 |
},
|
| 31 |
{
|
| 32 |
-
"content": "</
|
| 33 |
"lstrip": false,
|
| 34 |
"normalized": false,
|
| 35 |
"rstrip": false,
|
| 36 |
"single_word": false
|
| 37 |
},
|
| 38 |
{
|
| 39 |
-
"content": "<
|
| 40 |
"lstrip": false,
|
| 41 |
"normalized": false,
|
| 42 |
"rstrip": false,
|
| 43 |
"single_word": false
|
| 44 |
},
|
| 45 |
{
|
| 46 |
-
"content": "<
|
| 47 |
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|
| 48 |
"normalized": false,
|
| 49 |
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|
| 50 |
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|
| 51 |
},
|
| 52 |
{
|
| 53 |
-
"content": "<
|
| 54 |
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|
| 55 |
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|
| 56 |
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|
| 57 |
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|
| 58 |
},
|
| 59 |
{
|
| 60 |
-
"content": "<
|
| 61 |
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|
| 62 |
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|
| 63 |
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|
| 64 |
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|
| 65 |
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|
| 66 |
{
|
| 67 |
-
"content": "</
|
| 68 |
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|
| 69 |
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|
| 70 |
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|
| 71 |
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|
| 72 |
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|
| 73 |
{
|
| 74 |
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|
| 75 |
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|
| 76 |
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|
| 77 |
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|
| 78 |
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|
| 79 |
},
|
| 80 |
{
|
| 81 |
-
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|
| 82 |
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|
| 83 |
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|
| 84 |
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|
| 85 |
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|
| 86 |
},
|
| 87 |
{
|
| 88 |
-
"content": "<
|
| 89 |
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|
| 90 |
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|
| 91 |
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|
| 92 |
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|
| 93 |
},
|
| 94 |
{
|
| 95 |
-
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|
| 96 |
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|
| 97 |
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|
| 98 |
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|
| 99 |
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|
| 100 |
},
|
| 101 |
{
|
| 102 |
-
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|
| 103 |
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|
| 104 |
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|
| 105 |
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|
| 106 |
"single_word": false
|
| 107 |
},
|
| 108 |
{
|
| 109 |
-
"content": "<
|
| 110 |
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|
| 111 |
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|
| 112 |
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|
| 113 |
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|
| 114 |
},
|
| 115 |
{
|
| 116 |
-
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|
| 117 |
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|
| 118 |
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|
| 119 |
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|
| 120 |
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|
| 121 |
},
|
| 122 |
{
|
| 123 |
-
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|
| 124 |
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|
| 125 |
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|
| 126 |
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|
| 127 |
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|
| 128 |
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|
| 129 |
{
|
| 130 |
-
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|
| 131 |
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|
| 132 |
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|
| 133 |
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|
| 134 |
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|
| 135 |
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|
| 136 |
{
|
| 137 |
-
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|
| 138 |
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|
| 139 |
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|
| 140 |
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|
| 141 |
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|
| 142 |
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|
| 143 |
{
|
| 144 |
-
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|
| 145 |
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|
| 146 |
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|
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"rstrip": false,
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{
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"single_word": false
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},
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{
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-
"content": "<
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"lstrip": false,
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"normalized": false,
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"rstrip": false,
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|
| 1 |
{
|
| 2 |
"additional_special_tokens": [
|
| 3 |
{
|
| 4 |
+
"content": "<s_width>",
|
| 5 |
"lstrip": false,
|
| 6 |
"normalized": false,
|
| 7 |
"rstrip": false,
|
| 8 |
"single_word": false
|
| 9 |
},
|
| 10 |
{
|
| 11 |
+
"content": "<s_Policyholder Date of Birth>",
|
| 12 |
"lstrip": false,
|
| 13 |
"normalized": false,
|
| 14 |
"rstrip": false,
|
| 15 |
"single_word": false
|
| 16 |
},
|
| 17 |
{
|
| 18 |
+
"content": "<s_Employee Contract Holder Signature>",
|
| 19 |
"lstrip": false,
|
| 20 |
"normalized": false,
|
| 21 |
"rstrip": false,
|
| 22 |
"single_word": false
|
| 23 |
},
|
| 24 |
{
|
| 25 |
+
"content": "<s_Name of Policyholder>",
|
| 26 |
"lstrip": false,
|
| 27 |
"normalized": false,
|
| 28 |
"rstrip": false,
|
| 29 |
"single_word": false
|
| 30 |
},
|
| 31 |
{
|
| 32 |
+
"content": "</s_height>",
|
| 33 |
"lstrip": false,
|
| 34 |
"normalized": false,
|
| 35 |
"rstrip": false,
|
| 36 |
"single_word": false
|
| 37 |
},
|
| 38 |
{
|
| 39 |
+
"content": "<s_Prescription 1>",
|
| 40 |
"lstrip": false,
|
| 41 |
"normalized": false,
|
| 42 |
"rstrip": false,
|
| 43 |
"single_word": false
|
| 44 |
},
|
| 45 |
{
|
| 46 |
+
"content": "<s_image_size>",
|
| 47 |
"lstrip": false,
|
| 48 |
"normalized": false,
|
| 49 |
"rstrip": false,
|
| 50 |
"single_word": false
|
| 51 |
},
|
| 52 |
{
|
| 53 |
+
"content": "<s_Prescription 2>",
|
| 54 |
"lstrip": false,
|
| 55 |
"normalized": false,
|
| 56 |
"rstrip": false,
|
| 57 |
"single_word": false
|
| 58 |
},
|
| 59 |
{
|
| 60 |
+
"content": "<s_meta>",
|
| 61 |
"lstrip": false,
|
| 62 |
"normalized": false,
|
| 63 |
"rstrip": false,
|
| 64 |
"single_word": false
|
| 65 |
},
|
| 66 |
{
|
| 67 |
+
"content": "</s_page_number>",
|
| 68 |
"lstrip": false,
|
| 69 |
"normalized": false,
|
| 70 |
"rstrip": false,
|
| 71 |
"single_word": false
|
| 72 |
},
|
| 73 |
{
|
| 74 |
+
"content": "</s_Name of Subscriber 1>",
|
| 75 |
"lstrip": false,
|
| 76 |
"normalized": false,
|
| 77 |
"rstrip": false,
|
| 78 |
"single_word": false
|
| 79 |
},
|
| 80 |
{
|
| 81 |
+
"content": "</s_Relationship to Policyholder>",
|
| 82 |
"lstrip": false,
|
| 83 |
"normalized": false,
|
| 84 |
"rstrip": false,
|
| 85 |
"single_word": false
|
| 86 |
},
|
| 87 |
{
|
| 88 |
+
"content": "<s_Age 1>",
|
| 89 |
"lstrip": false,
|
| 90 |
"normalized": false,
|
| 91 |
"rstrip": false,
|
| 92 |
"single_word": false
|
| 93 |
},
|
| 94 |
{
|
| 95 |
+
"content": "</s_Hospital 1>",
|
| 96 |
"lstrip": false,
|
| 97 |
"normalized": false,
|
| 98 |
"rstrip": false,
|
| 99 |
"single_word": false
|
| 100 |
},
|
| 101 |
{
|
| 102 |
+
"content": "</s_version>",
|
| 103 |
"lstrip": false,
|
| 104 |
"normalized": false,
|
| 105 |
"rstrip": false,
|
| 106 |
"single_word": false
|
| 107 |
},
|
| 108 |
{
|
| 109 |
+
"content": "</s_Medicare Coverage>",
|
| 110 |
"lstrip": false,
|
| 111 |
"normalized": false,
|
| 112 |
"rstrip": false,
|
| 113 |
"single_word": false
|
| 114 |
},
|
| 115 |
{
|
| 116 |
+
"content": "<s_End Stage 2>",
|
| 117 |
"lstrip": false,
|
| 118 |
"normalized": false,
|
| 119 |
"rstrip": false,
|
| 120 |
"single_word": false
|
| 121 |
},
|
| 122 |
{
|
| 123 |
+
"content": "</s_Prescription 2>",
|
| 124 |
"lstrip": false,
|
| 125 |
"normalized": false,
|
| 126 |
"rstrip": false,
|
| 127 |
"single_word": false
|
| 128 |
},
|
| 129 |
{
|
| 130 |
+
"content": "</s_Group Number>",
|
| 131 |
"lstrip": false,
|
| 132 |
"normalized": false,
|
| 133 |
"rstrip": false,
|
| 134 |
"single_word": false
|
| 135 |
},
|
| 136 |
{
|
| 137 |
+
"content": "<s_Medicare Supplement 1>",
|
| 138 |
"lstrip": false,
|
| 139 |
"normalized": false,
|
| 140 |
"rstrip": false,
|
| 141 |
"single_word": false
|
| 142 |
},
|
| 143 |
{
|
| 144 |
+
"content": "<s_Name of Subscriber 2>",
|
| 145 |
"lstrip": false,
|
| 146 |
"normalized": false,
|
| 147 |
"rstrip": false,
|
| 148 |
"single_word": false
|
| 149 |
},
|
| 150 |
{
|
| 151 |
+
"content": "</s_Medicare Supplement 1>",
|
| 152 |
"lstrip": false,
|
| 153 |
"normalized": false,
|
| 154 |
"rstrip": false,
|
| 155 |
"single_word": false
|
| 156 |
},
|
| 157 |
{
|
| 158 |
+
"content": "</s_Name of Subscriber 2>",
|
| 159 |
"lstrip": false,
|
| 160 |
"normalized": false,
|
| 161 |
"rstrip": false,
|
| 162 |
"single_word": false
|
| 163 |
},
|
| 164 |
{
|
| 165 |
+
"content": "<s_Medical 2>",
|
| 166 |
"lstrip": false,
|
| 167 |
"normalized": false,
|
| 168 |
"rstrip": false,
|
| 169 |
"single_word": false
|
| 170 |
},
|
| 171 |
{
|
| 172 |
+
"content": "</s_image_size>",
|
| 173 |
"lstrip": false,
|
| 174 |
"normalized": false,
|
| 175 |
"rstrip": false,
|
| 176 |
"single_word": false
|
| 177 |
},
|
| 178 |
{
|
| 179 |
+
"content": "</s_Employee Contract Holder Signature>",
|
| 180 |
"lstrip": false,
|
| 181 |
"normalized": false,
|
| 182 |
"rstrip": false,
|
|
|
|
| 190 |
"single_word": false
|
| 191 |
},
|
| 192 |
{
|
| 193 |
+
"content": "</s_Name of Insurance Carrier>",
|
| 194 |
"lstrip": false,
|
| 195 |
"normalized": false,
|
| 196 |
"rstrip": false,
|
| 197 |
"single_word": false
|
| 198 |
},
|
| 199 |
{
|
| 200 |
+
"content": "<s_version>",
|
| 201 |
"lstrip": false,
|
| 202 |
"normalized": false,
|
| 203 |
"rstrip": false,
|
| 204 |
"single_word": false
|
| 205 |
},
|
| 206 |
{
|
| 207 |
+
"content": "<s_Medical 1>",
|
| 208 |
"lstrip": false,
|
| 209 |
"normalized": false,
|
| 210 |
"rstrip": false,
|
| 211 |
"single_word": false
|
| 212 |
},
|
| 213 |
{
|
| 214 |
+
"content": "<s_Health Insurance Claim Number 2>",
|
| 215 |
"lstrip": false,
|
| 216 |
"normalized": false,
|
| 217 |
"rstrip": false,
|
| 218 |
"single_word": false
|
| 219 |
},
|
| 220 |
{
|
| 221 |
+
"content": "<s_End Stage 1>",
|
| 222 |
"lstrip": false,
|
| 223 |
"normalized": false,
|
| 224 |
"rstrip": false,
|
| 225 |
"single_word": false
|
| 226 |
},
|
| 227 |
{
|
| 228 |
+
"content": "</s>",
|
| 229 |
"lstrip": false,
|
| 230 |
"normalized": false,
|
| 231 |
"rstrip": false,
|
| 232 |
"single_word": false
|
| 233 |
},
|
| 234 |
{
|
| 235 |
+
"content": "</s_Medical 1>",
|
| 236 |
"lstrip": false,
|
| 237 |
"normalized": false,
|
| 238 |
"rstrip": false,
|
| 239 |
"single_word": false
|
| 240 |
},
|
| 241 |
{
|
| 242 |
+
"content": "</s_Health Insurance Claim Number 2>",
|
| 243 |
"lstrip": false,
|
| 244 |
"normalized": false,
|
| 245 |
"rstrip": false,
|
| 246 |
"single_word": false
|
| 247 |
},
|
| 248 |
{
|
| 249 |
+
"content": "<s_formtype>",
|
| 250 |
"lstrip": false,
|
| 251 |
"normalized": false,
|
| 252 |
"rstrip": false,
|
| 253 |
"single_word": false
|
| 254 |
},
|
| 255 |
{
|
| 256 |
+
"content": "<s_Health Insurance Claim Number 1>",
|
| 257 |
"lstrip": false,
|
| 258 |
"normalized": false,
|
| 259 |
"rstrip": false,
|
| 260 |
"single_word": false
|
| 261 |
},
|
| 262 |
{
|
| 263 |
+
"content": "<s_Disability 2>",
|
| 264 |
"lstrip": false,
|
| 265 |
"normalized": false,
|
| 266 |
"rstrip": false,
|
| 267 |
"single_word": false
|
| 268 |
},
|
| 269 |
{
|
| 270 |
+
"content": "</s_insurancecompany>",
|
| 271 |
"lstrip": false,
|
| 272 |
"normalized": false,
|
| 273 |
"rstrip": false,
|
| 274 |
"single_word": false
|
| 275 |
},
|
| 276 |
{
|
| 277 |
+
"content": "<s_Name of Subscriber 1>",
|
| 278 |
"lstrip": false,
|
| 279 |
"normalized": false,
|
| 280 |
"rstrip": false,
|
| 281 |
"single_word": false
|
| 282 |
},
|
| 283 |
{
|
| 284 |
+
"content": "</s_Policyholder Date of Birth>",
|
| 285 |
"lstrip": false,
|
| 286 |
"normalized": false,
|
| 287 |
"rstrip": false,
|
| 288 |
"single_word": false
|
| 289 |
},
|
| 290 |
{
|
| 291 |
+
"content": "</s_Hospital 2>",
|
| 292 |
"lstrip": false,
|
| 293 |
"normalized": false,
|
| 294 |
"rstrip": false,
|
| 295 |
"single_word": false
|
| 296 |
},
|
| 297 |
{
|
| 298 |
+
"content": "<s_Policy Number>",
|
| 299 |
"lstrip": false,
|
| 300 |
"normalized": false,
|
| 301 |
"rstrip": false,
|
| 302 |
"single_word": false
|
| 303 |
},
|
| 304 |
{
|
| 305 |
+
"content": "</s_Policy Number>",
|
| 306 |
+
"lstrip": false,
|
| 307 |
+
"normalized": false,
|
| 308 |
+
"rstrip": false,
|
| 309 |
+
"single_word": false
|
| 310 |
+
},
|
| 311 |
+
{
|
| 312 |
+
"content": "</s_Disability 2>",
|
| 313 |
+
"lstrip": false,
|
| 314 |
+
"normalized": false,
|
| 315 |
+
"rstrip": false,
|
| 316 |
+
"single_word": false
|
| 317 |
+
},
|
| 318 |
+
{
|
| 319 |
+
"content": "</s_Health Insurance Claim Number 1>",
|
| 320 |
"lstrip": false,
|
| 321 |
"normalized": false,
|
| 322 |
"rstrip": false,
|
| 323 |
"single_word": false
|
| 324 |
},
|
| 325 |
{
|
| 326 |
+
"content": "<s_height>",
|
| 327 |
+
"lstrip": false,
|
| 328 |
+
"normalized": false,
|
| 329 |
+
"rstrip": false,
|
| 330 |
+
"single_word": false
|
| 331 |
+
},
|
| 332 |
+
{
|
| 333 |
+
"content": "<s_Disability 1>",
|
| 334 |
"lstrip": false,
|
| 335 |
"normalized": false,
|
| 336 |
"rstrip": false,
|
|
|
|
| 344 |
"single_word": false
|
| 345 |
},
|
| 346 |
{
|
| 347 |
+
"content": "</s_Effective Date>",
|
| 348 |
"lstrip": false,
|
| 349 |
"normalized": false,
|
| 350 |
"rstrip": false,
|
| 351 |
"single_word": false
|
| 352 |
},
|
| 353 |
{
|
| 354 |
+
"content": "</s_formtype>",
|
| 355 |
"lstrip": false,
|
| 356 |
"normalized": false,
|
| 357 |
"rstrip": false,
|
| 358 |
"single_word": false
|
| 359 |
},
|
| 360 |
{
|
| 361 |
+
"content": "</s_Prescription 1>",
|
| 362 |
"lstrip": false,
|
| 363 |
"normalized": false,
|
| 364 |
"rstrip": false,
|
| 365 |
"single_word": false
|
| 366 |
},
|
| 367 |
{
|
| 368 |
+
"content": "</s_Medicare Supplement 2>",
|
| 369 |
"lstrip": false,
|
| 370 |
"normalized": false,
|
| 371 |
"rstrip": false,
|
| 372 |
"single_word": false
|
| 373 |
},
|
| 374 |
{
|
| 375 |
+
"content": "</s_width>",
|
| 376 |
+
"lstrip": false,
|
| 377 |
+
"normalized": false,
|
| 378 |
+
"rstrip": false,
|
| 379 |
+
"single_word": false
|
| 380 |
+
},
|
| 381 |
+
{
|
| 382 |
+
"content": "<s_Age 2>",
|
| 383 |
"lstrip": false,
|
| 384 |
"normalized": false,
|
| 385 |
"rstrip": false,
|
|
|
|
| 393 |
"single_word": false
|
| 394 |
},
|
| 395 |
{
|
| 396 |
+
"content": "<s_IV OTHER HEALTH INSURANCE COVERAGE>",
|
| 397 |
"lstrip": false,
|
| 398 |
"normalized": false,
|
| 399 |
"rstrip": false,
|
| 400 |
"single_word": false
|
| 401 |
},
|
| 402 |
{
|
| 403 |
+
"content": "</s_Disability 1>",
|
| 404 |
"lstrip": false,
|
| 405 |
"normalized": false,
|
| 406 |
"rstrip": false,
|
| 407 |
"single_word": false
|
| 408 |
},
|
| 409 |
{
|
| 410 |
+
"content": "</s_End Stage 1>",
|
| 411 |
"lstrip": false,
|
| 412 |
"normalized": false,
|
| 413 |
"rstrip": false,
|
| 414 |
"single_word": false
|
| 415 |
},
|
| 416 |
{
|
| 417 |
+
"content": "<s_Hospital 1>",
|
| 418 |
"lstrip": false,
|
| 419 |
"normalized": false,
|
| 420 |
"rstrip": false,
|
| 421 |
"single_word": false
|
| 422 |
},
|
| 423 |
{
|
| 424 |
+
"content": "<s_Hospital 2>",
|
| 425 |
"lstrip": false,
|
| 426 |
"normalized": false,
|
| 427 |
"rstrip": false,
|
| 428 |
"single_word": false
|
| 429 |
},
|
| 430 |
{
|
| 431 |
+
"content": "</s_V IMPORTANT AUTHORIZED SIGNATURE>",
|
| 432 |
"lstrip": false,
|
| 433 |
"normalized": false,
|
| 434 |
"rstrip": false,
|
| 435 |
"single_word": false
|
| 436 |
},
|
| 437 |
{
|
| 438 |
+
"content": "<s_Employment Status>",
|
| 439 |
"lstrip": false,
|
| 440 |
"normalized": false,
|
| 441 |
"rstrip": false,
|
| 442 |
"single_word": false
|
| 443 |
},
|
| 444 |
{
|
| 445 |
+
"content": "<s_Medicare Coverage>",
|
| 446 |
+
"lstrip": false,
|
| 447 |
+
"normalized": false,
|
| 448 |
+
"rstrip": false,
|
| 449 |
+
"single_word": false
|
| 450 |
+
},
|
| 451 |
+
{
|
| 452 |
+
"content": "</s_Age 2>",
|
| 453 |
+
"lstrip": false,
|
| 454 |
+
"normalized": false,
|
| 455 |
+
"rstrip": false,
|
| 456 |
+
"single_word": false
|
| 457 |
+
},
|
| 458 |
+
{
|
| 459 |
+
"content": "<s_Policyholder Employment Status>",
|
| 460 |
+
"lstrip": false,
|
| 461 |
+
"normalized": false,
|
| 462 |
+
"rstrip": false,
|
| 463 |
+
"single_word": false
|
| 464 |
+
},
|
| 465 |
+
{
|
| 466 |
+
"content": "</s_IV OTHER HEALTH INSURANCE COVERAGE>",
|
| 467 |
"lstrip": false,
|
| 468 |
"normalized": false,
|
| 469 |
"rstrip": false,
|
| 470 |
"single_word": false
|
| 471 |
},
|
| 472 |
{
|
| 473 |
+
"content": "<s_page_number>",
|
| 474 |
"lstrip": false,
|
| 475 |
"normalized": false,
|
| 476 |
"rstrip": false,
|
| 477 |
"single_word": false
|
| 478 |
},
|
| 479 |
{
|
| 480 |
+
"content": "<s>",
|
| 481 |
"lstrip": false,
|
| 482 |
"normalized": false,
|
| 483 |
"rstrip": false,
|
| 484 |
"single_word": false
|
| 485 |
},
|
| 486 |
{
|
| 487 |
+
"content": "<s_Group Number>",
|
| 488 |
"lstrip": false,
|
| 489 |
"normalized": false,
|
| 490 |
"rstrip": false,
|
| 491 |
"single_word": false
|
| 492 |
},
|
| 493 |
{
|
| 494 |
+
"content": "</s_End Stage 2>",
|
| 495 |
"lstrip": false,
|
| 496 |
"normalized": false,
|
| 497 |
"rstrip": false,
|
| 498 |
"single_word": false
|
| 499 |
},
|
| 500 |
{
|
| 501 |
+
"content": "</s_meta>",
|
| 502 |
"lstrip": false,
|
| 503 |
"normalized": false,
|
| 504 |
"rstrip": false,
|
| 505 |
"single_word": false
|
| 506 |
},
|
| 507 |
{
|
| 508 |
+
"content": "</s_Policyholder Employment Status>",
|
| 509 |
"lstrip": false,
|
| 510 |
"normalized": false,
|
| 511 |
"rstrip": false,
|
| 512 |
"single_word": false
|
| 513 |
},
|
| 514 |
{
|
| 515 |
+
"content": "</s_Medical 2>",
|
| 516 |
+
"lstrip": false,
|
| 517 |
+
"normalized": false,
|
| 518 |
+
"rstrip": false,
|
| 519 |
+
"single_word": false
|
| 520 |
+
},
|
| 521 |
+
{
|
| 522 |
+
"content": "<s_Name of Insurance Carrier>",
|
| 523 |
+
"lstrip": false,
|
| 524 |
+
"normalized": false,
|
| 525 |
+
"rstrip": false,
|
| 526 |
+
"single_word": false
|
| 527 |
+
},
|
| 528 |
+
{
|
| 529 |
+
"content": "<s_insurancecompany>",
|
| 530 |
+
"lstrip": false,
|
| 531 |
+
"normalized": false,
|
| 532 |
+
"rstrip": false,
|
| 533 |
+
"single_word": false
|
| 534 |
+
},
|
| 535 |
+
{
|
| 536 |
+
"content": "<s_Relationship to Policyholder>",
|
| 537 |
+
"lstrip": false,
|
| 538 |
+
"normalized": false,
|
| 539 |
+
"rstrip": false,
|
| 540 |
+
"single_word": false
|
| 541 |
+
},
|
| 542 |
+
{
|
| 543 |
+
"content": "</s_Age 1>",
|
| 544 |
+
"lstrip": false,
|
| 545 |
+
"normalized": false,
|
| 546 |
+
"rstrip": false,
|
| 547 |
+
"single_word": false
|
| 548 |
+
},
|
| 549 |
+
{
|
| 550 |
+
"content": "<s_V IMPORTANT AUTHORIZED SIGNATURE>",
|
| 551 |
"lstrip": false,
|
| 552 |
"normalized": false,
|
| 553 |
"rstrip": false,
|
| 554 |
"single_word": false
|
| 555 |
},
|
| 556 |
{
|
| 557 |
+
"content": "<s_Medicare Supplement 2>",
|
| 558 |
"lstrip": false,
|
| 559 |
"normalized": false,
|
| 560 |
"rstrip": false,
|
tokenizer.json
CHANGED
|
@@ -586,7 +586,7 @@
|
|
| 586 |
},
|
| 587 |
{
|
| 588 |
"id": 57580,
|
| 589 |
-
"content": "<
|
| 590 |
"single_word": false,
|
| 591 |
"lstrip": false,
|
| 592 |
"rstrip": false,
|
|
@@ -595,7 +595,7 @@
|
|
| 595 |
},
|
| 596 |
{
|
| 597 |
"id": 57581,
|
| 598 |
-
"content": "<
|
| 599 |
"single_word": false,
|
| 600 |
"lstrip": false,
|
| 601 |
"rstrip": false,
|
|
@@ -604,7 +604,7 @@
|
|
| 604 |
},
|
| 605 |
{
|
| 606 |
"id": 57582,
|
| 607 |
-
"content": "<
|
| 608 |
"single_word": false,
|
| 609 |
"lstrip": false,
|
| 610 |
"rstrip": false,
|
|
@@ -613,7 +613,7 @@
|
|
| 613 |
},
|
| 614 |
{
|
| 615 |
"id": 57583,
|
| 616 |
-
"content": "<
|
| 617 |
"single_word": false,
|
| 618 |
"lstrip": false,
|
| 619 |
"rstrip": false,
|
|
@@ -622,7 +622,7 @@
|
|
| 622 |
},
|
| 623 |
{
|
| 624 |
"id": 57584,
|
| 625 |
-
"content": "</
|
| 626 |
"single_word": false,
|
| 627 |
"lstrip": false,
|
| 628 |
"rstrip": false,
|
|
@@ -631,7 +631,7 @@
|
|
| 631 |
},
|
| 632 |
{
|
| 633 |
"id": 57585,
|
| 634 |
-
"content": "<
|
| 635 |
"single_word": false,
|
| 636 |
"lstrip": false,
|
| 637 |
"rstrip": false,
|
|
@@ -640,7 +640,7 @@
|
|
| 640 |
},
|
| 641 |
{
|
| 642 |
"id": 57586,
|
| 643 |
-
"content": "<
|
| 644 |
"single_word": false,
|
| 645 |
"lstrip": false,
|
| 646 |
"rstrip": false,
|
|
@@ -649,7 +649,7 @@
|
|
| 649 |
},
|
| 650 |
{
|
| 651 |
"id": 57587,
|
| 652 |
-
"content": "<
|
| 653 |
"single_word": false,
|
| 654 |
"lstrip": false,
|
| 655 |
"rstrip": false,
|
|
@@ -658,7 +658,7 @@
|
|
| 658 |
},
|
| 659 |
{
|
| 660 |
"id": 57588,
|
| 661 |
-
"content": "<
|
| 662 |
"single_word": false,
|
| 663 |
"lstrip": false,
|
| 664 |
"rstrip": false,
|
|
@@ -667,7 +667,7 @@
|
|
| 667 |
},
|
| 668 |
{
|
| 669 |
"id": 57589,
|
| 670 |
-
"content": "</
|
| 671 |
"single_word": false,
|
| 672 |
"lstrip": false,
|
| 673 |
"rstrip": false,
|
|
@@ -676,7 +676,7 @@
|
|
| 676 |
},
|
| 677 |
{
|
| 678 |
"id": 57590,
|
| 679 |
-
"content": "<
|
| 680 |
"single_word": false,
|
| 681 |
"lstrip": false,
|
| 682 |
"rstrip": false,
|
|
@@ -685,7 +685,7 @@
|
|
| 685 |
},
|
| 686 |
{
|
| 687 |
"id": 57591,
|
| 688 |
-
"content": "<
|
| 689 |
"single_word": false,
|
| 690 |
"lstrip": false,
|
| 691 |
"rstrip": false,
|
|
@@ -694,7 +694,7 @@
|
|
| 694 |
},
|
| 695 |
{
|
| 696 |
"id": 57592,
|
| 697 |
-
"content": "<
|
| 698 |
"single_word": false,
|
| 699 |
"lstrip": false,
|
| 700 |
"rstrip": false,
|
|
@@ -703,7 +703,7 @@
|
|
| 703 |
},
|
| 704 |
{
|
| 705 |
"id": 57593,
|
| 706 |
-
"content": "</
|
| 707 |
"single_word": false,
|
| 708 |
"lstrip": false,
|
| 709 |
"rstrip": false,
|
|
@@ -712,7 +712,7 @@
|
|
| 712 |
},
|
| 713 |
{
|
| 714 |
"id": 57594,
|
| 715 |
-
"content": "<
|
| 716 |
"single_word": false,
|
| 717 |
"lstrip": false,
|
| 718 |
"rstrip": false,
|
|
@@ -721,7 +721,7 @@
|
|
| 721 |
},
|
| 722 |
{
|
| 723 |
"id": 57595,
|
| 724 |
-
"content": "<
|
| 725 |
"single_word": false,
|
| 726 |
"lstrip": false,
|
| 727 |
"rstrip": false,
|
|
@@ -730,7 +730,7 @@
|
|
| 730 |
},
|
| 731 |
{
|
| 732 |
"id": 57596,
|
| 733 |
-
"content": "<
|
| 734 |
"single_word": false,
|
| 735 |
"lstrip": false,
|
| 736 |
"rstrip": false,
|
|
@@ -739,7 +739,7 @@
|
|
| 739 |
},
|
| 740 |
{
|
| 741 |
"id": 57597,
|
| 742 |
-
"content": "<
|
| 743 |
"single_word": false,
|
| 744 |
"lstrip": false,
|
| 745 |
"rstrip": false,
|
|
@@ -748,7 +748,7 @@
|
|
| 748 |
},
|
| 749 |
{
|
| 750 |
"id": 57598,
|
| 751 |
-
"content": "<
|
| 752 |
"single_word": false,
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| 753 |
"lstrip": false,
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| 754 |
"rstrip": false,
|
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@@ -757,7 +757,7 @@
|
|
| 757 |
},
|
| 758 |
{
|
| 759 |
"id": 57599,
|
| 760 |
-
"content": "<
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| 761 |
"single_word": false,
|
| 762 |
"lstrip": false,
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| 763 |
"rstrip": false,
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@@ -766,7 +766,7 @@
|
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| 766 |
},
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| 767 |
{
|
| 768 |
"id": 57600,
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| 769 |
-
"content": "<
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| 770 |
"single_word": false,
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| 771 |
"lstrip": false,
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| 772 |
"rstrip": false,
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@@ -775,7 +775,7 @@
|
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| 775 |
},
|
| 776 |
{
|
| 777 |
"id": 57601,
|
| 778 |
-
"content": "<
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| 779 |
"single_word": false,
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| 780 |
"lstrip": false,
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| 781 |
"rstrip": false,
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@@ -784,7 +784,7 @@
|
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| 784 |
},
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| 785 |
{
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| 786 |
"id": 57602,
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| 787 |
-
"content": "</
|
| 788 |
"single_word": false,
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| 789 |
"lstrip": false,
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| 790 |
"rstrip": false,
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@@ -793,7 +793,7 @@
|
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| 793 |
},
|
| 794 |
{
|
| 795 |
"id": 57603,
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| 796 |
-
"content": "<
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| 797 |
"single_word": false,
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| 798 |
"lstrip": false,
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| 799 |
"rstrip": false,
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@@ -802,7 +802,7 @@
|
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| 802 |
},
|
| 803 |
{
|
| 804 |
"id": 57604,
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| 805 |
-
"content": "</
|
| 806 |
"single_word": false,
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| 807 |
"lstrip": false,
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| 808 |
"rstrip": false,
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@@ -811,7 +811,7 @@
|
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| 811 |
},
|
| 812 |
{
|
| 813 |
"id": 57605,
|
| 814 |
-
"content": "</
|
| 815 |
"single_word": false,
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| 816 |
"lstrip": false,
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| 817 |
"rstrip": false,
|
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@@ -829,7 +829,7 @@
|
|
| 829 |
},
|
| 830 |
{
|
| 831 |
"id": 57607,
|
| 832 |
-
"content": "</
|
| 833 |
"single_word": false,
|
| 834 |
"lstrip": false,
|
| 835 |
"rstrip": false,
|
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@@ -838,7 +838,7 @@
|
|
| 838 |
},
|
| 839 |
{
|
| 840 |
"id": 57608,
|
| 841 |
-
"content": "<
|
| 842 |
"single_word": false,
|
| 843 |
"lstrip": false,
|
| 844 |
"rstrip": false,
|
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@@ -847,7 +847,7 @@
|
|
| 847 |
},
|
| 848 |
{
|
| 849 |
"id": 57609,
|
| 850 |
-
"content": "<
|
| 851 |
"single_word": false,
|
| 852 |
"lstrip": false,
|
| 853 |
"rstrip": false,
|
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@@ -856,7 +856,7 @@
|
|
| 856 |
},
|
| 857 |
{
|
| 858 |
"id": 57610,
|
| 859 |
-
"content": "<
|
| 860 |
"single_word": false,
|
| 861 |
"lstrip": false,
|
| 862 |
"rstrip": false,
|
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@@ -865,7 +865,7 @@
|
|
| 865 |
},
|
| 866 |
{
|
| 867 |
"id": 57611,
|
| 868 |
-
"content": "<
|
| 869 |
"single_word": false,
|
| 870 |
"lstrip": false,
|
| 871 |
"rstrip": false,
|
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@@ -874,7 +874,7 @@
|
|
| 874 |
},
|
| 875 |
{
|
| 876 |
"id": 57612,
|
| 877 |
-
"content": "<
|
| 878 |
"single_word": false,
|
| 879 |
"lstrip": false,
|
| 880 |
"rstrip": false,
|
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@@ -883,7 +883,7 @@
|
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| 883 |
},
|
| 884 |
{
|
| 885 |
"id": 57613,
|
| 886 |
-
"content": "<
|
| 887 |
"single_word": false,
|
| 888 |
"lstrip": false,
|
| 889 |
"rstrip": false,
|
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@@ -892,7 +892,7 @@
|
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| 892 |
},
|
| 893 |
{
|
| 894 |
"id": 57614,
|
| 895 |
-
"content": "<
|
| 896 |
"single_word": false,
|
| 897 |
"lstrip": false,
|
| 898 |
"rstrip": false,
|
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@@ -901,7 +901,7 @@
|
|
| 901 |
},
|
| 902 |
{
|
| 903 |
"id": 57615,
|
| 904 |
-
"content": "<
|
| 905 |
"single_word": false,
|
| 906 |
"lstrip": false,
|
| 907 |
"rstrip": false,
|
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@@ -910,7 +910,7 @@
|
|
| 910 |
},
|
| 911 |
{
|
| 912 |
"id": 57616,
|
| 913 |
-
"content": "<
|
| 914 |
"single_word": false,
|
| 915 |
"lstrip": false,
|
| 916 |
"rstrip": false,
|
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@@ -919,7 +919,7 @@
|
|
| 919 |
},
|
| 920 |
{
|
| 921 |
"id": 57617,
|
| 922 |
-
"content": "</
|
| 923 |
"single_word": false,
|
| 924 |
"lstrip": false,
|
| 925 |
"rstrip": false,
|
|
@@ -928,7 +928,7 @@
|
|
| 928 |
},
|
| 929 |
{
|
| 930 |
"id": 57618,
|
| 931 |
-
"content": "<
|
| 932 |
"single_word": false,
|
| 933 |
"lstrip": false,
|
| 934 |
"rstrip": false,
|
|
@@ -937,7 +937,7 @@
|
|
| 937 |
},
|
| 938 |
{
|
| 939 |
"id": 57619,
|
| 940 |
-
"content": "</
|
| 941 |
"single_word": false,
|
| 942 |
"lstrip": false,
|
| 943 |
"rstrip": false,
|
|
@@ -946,7 +946,7 @@
|
|
| 946 |
},
|
| 947 |
{
|
| 948 |
"id": 57620,
|
| 949 |
-
"content": "<
|
| 950 |
"single_word": false,
|
| 951 |
"lstrip": false,
|
| 952 |
"rstrip": false,
|
|
@@ -955,7 +955,7 @@
|
|
| 955 |
},
|
| 956 |
{
|
| 957 |
"id": 57621,
|
| 958 |
-
"content": "<
|
| 959 |
"single_word": false,
|
| 960 |
"lstrip": false,
|
| 961 |
"rstrip": false,
|
|
@@ -964,7 +964,7 @@
|
|
| 964 |
},
|
| 965 |
{
|
| 966 |
"id": 57622,
|
| 967 |
-
"content": "</
|
| 968 |
"single_word": false,
|
| 969 |
"lstrip": false,
|
| 970 |
"rstrip": false,
|
|
@@ -973,7 +973,7 @@
|
|
| 973 |
},
|
| 974 |
{
|
| 975 |
"id": 57623,
|
| 976 |
-
"content": "</
|
| 977 |
"single_word": false,
|
| 978 |
"lstrip": false,
|
| 979 |
"rstrip": false,
|
|
@@ -982,7 +982,7 @@
|
|
| 982 |
},
|
| 983 |
{
|
| 984 |
"id": 57624,
|
| 985 |
-
"content": "</
|
| 986 |
"single_word": false,
|
| 987 |
"lstrip": false,
|
| 988 |
"rstrip": false,
|
|
@@ -991,7 +991,7 @@
|
|
| 991 |
},
|
| 992 |
{
|
| 993 |
"id": 57625,
|
| 994 |
-
"content": "<
|
| 995 |
"single_word": false,
|
| 996 |
"lstrip": false,
|
| 997 |
"rstrip": false,
|
|
@@ -1000,7 +1000,7 @@
|
|
| 1000 |
},
|
| 1001 |
{
|
| 1002 |
"id": 57626,
|
| 1003 |
-
"content": "<
|
| 1004 |
"single_word": false,
|
| 1005 |
"lstrip": false,
|
| 1006 |
"rstrip": false,
|
|
@@ -1009,7 +1009,7 @@
|
|
| 1009 |
},
|
| 1010 |
{
|
| 1011 |
"id": 57627,
|
| 1012 |
-
"content": "<
|
| 1013 |
"single_word": false,
|
| 1014 |
"lstrip": false,
|
| 1015 |
"rstrip": false,
|
|
@@ -1018,7 +1018,7 @@
|
|
| 1018 |
},
|
| 1019 |
{
|
| 1020 |
"id": 57628,
|
| 1021 |
-
"content": "<
|
| 1022 |
"single_word": false,
|
| 1023 |
"lstrip": false,
|
| 1024 |
"rstrip": false,
|
|
@@ -1027,7 +1027,7 @@
|
|
| 1027 |
},
|
| 1028 |
{
|
| 1029 |
"id": 57629,
|
| 1030 |
-
"content": "<
|
| 1031 |
"single_word": false,
|
| 1032 |
"lstrip": false,
|
| 1033 |
"rstrip": false,
|
|
@@ -1036,7 +1036,7 @@
|
|
| 1036 |
},
|
| 1037 |
{
|
| 1038 |
"id": 57630,
|
| 1039 |
-
"content": "<
|
| 1040 |
"single_word": false,
|
| 1041 |
"lstrip": false,
|
| 1042 |
"rstrip": false,
|
|
@@ -1045,7 +1045,7 @@
|
|
| 1045 |
},
|
| 1046 |
{
|
| 1047 |
"id": 57631,
|
| 1048 |
-
"content": "<
|
| 1049 |
"single_word": false,
|
| 1050 |
"lstrip": false,
|
| 1051 |
"rstrip": false,
|
|
@@ -1054,7 +1054,7 @@
|
|
| 1054 |
},
|
| 1055 |
{
|
| 1056 |
"id": 57632,
|
| 1057 |
-
"content": "</
|
| 1058 |
"single_word": false,
|
| 1059 |
"lstrip": false,
|
| 1060 |
"rstrip": false,
|
|
@@ -1063,7 +1063,7 @@
|
|
| 1063 |
},
|
| 1064 |
{
|
| 1065 |
"id": 57633,
|
| 1066 |
-
"content": "<
|
| 1067 |
"single_word": false,
|
| 1068 |
"lstrip": false,
|
| 1069 |
"rstrip": false,
|
|
@@ -1072,7 +1072,7 @@
|
|
| 1072 |
},
|
| 1073 |
{
|
| 1074 |
"id": 57634,
|
| 1075 |
-
"content": "<
|
| 1076 |
"single_word": false,
|
| 1077 |
"lstrip": false,
|
| 1078 |
"rstrip": false,
|
|
@@ -1081,7 +1081,7 @@
|
|
| 1081 |
},
|
| 1082 |
{
|
| 1083 |
"id": 57635,
|
| 1084 |
-
"content": "<
|
| 1085 |
"single_word": false,
|
| 1086 |
"lstrip": false,
|
| 1087 |
"rstrip": false,
|
|
@@ -1090,7 +1090,7 @@
|
|
| 1090 |
},
|
| 1091 |
{
|
| 1092 |
"id": 57636,
|
| 1093 |
-
"content": "</
|
| 1094 |
"single_word": false,
|
| 1095 |
"lstrip": false,
|
| 1096 |
"rstrip": false,
|
|
@@ -1099,7 +1099,7 @@
|
|
| 1099 |
},
|
| 1100 |
{
|
| 1101 |
"id": 57637,
|
| 1102 |
-
"content": "<
|
| 1103 |
"single_word": false,
|
| 1104 |
"lstrip": false,
|
| 1105 |
"rstrip": false,
|
|
@@ -1108,7 +1108,7 @@
|
|
| 1108 |
},
|
| 1109 |
{
|
| 1110 |
"id": 57638,
|
| 1111 |
-
"content": "<
|
| 1112 |
"single_word": false,
|
| 1113 |
"lstrip": false,
|
| 1114 |
"rstrip": false,
|
|
@@ -1117,7 +1117,7 @@
|
|
| 1117 |
},
|
| 1118 |
{
|
| 1119 |
"id": 57639,
|
| 1120 |
-
"content": "<
|
| 1121 |
"single_word": false,
|
| 1122 |
"lstrip": false,
|
| 1123 |
"rstrip": false,
|
|
@@ -1126,7 +1126,7 @@
|
|
| 1126 |
},
|
| 1127 |
{
|
| 1128 |
"id": 57640,
|
| 1129 |
-
"content": "<
|
| 1130 |
"single_word": false,
|
| 1131 |
"lstrip": false,
|
| 1132 |
"rstrip": false,
|
|
@@ -1135,7 +1135,7 @@
|
|
| 1135 |
},
|
| 1136 |
{
|
| 1137 |
"id": 57641,
|
| 1138 |
-
"content": "<
|
| 1139 |
"single_word": false,
|
| 1140 |
"lstrip": false,
|
| 1141 |
"rstrip": false,
|
|
@@ -1144,7 +1144,7 @@
|
|
| 1144 |
},
|
| 1145 |
{
|
| 1146 |
"id": 57642,
|
| 1147 |
-
"content": "<
|
| 1148 |
"single_word": false,
|
| 1149 |
"lstrip": false,
|
| 1150 |
"rstrip": false,
|
|
@@ -1153,7 +1153,7 @@
|
|
| 1153 |
},
|
| 1154 |
{
|
| 1155 |
"id": 57643,
|
| 1156 |
-
"content": "</
|
| 1157 |
"single_word": false,
|
| 1158 |
"lstrip": false,
|
| 1159 |
"rstrip": false,
|
|
@@ -1162,7 +1162,7 @@
|
|
| 1162 |
},
|
| 1163 |
{
|
| 1164 |
"id": 57644,
|
| 1165 |
-
"content": "<
|
| 1166 |
"single_word": false,
|
| 1167 |
"lstrip": false,
|
| 1168 |
"rstrip": false,
|
|
@@ -1171,7 +1171,115 @@
|
|
| 1171 |
},
|
| 1172 |
{
|
| 1173 |
"id": 57645,
|
| 1174 |
-
"content": "</
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| 1175 |
"single_word": false,
|
| 1176 |
"lstrip": false,
|
| 1177 |
"rstrip": false,
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|
| 586 |
},
|
| 587 |
{
|
| 588 |
"id": 57580,
|
| 589 |
+
"content": "<s_width>",
|
| 590 |
"single_word": false,
|
| 591 |
"lstrip": false,
|
| 592 |
"rstrip": false,
|
|
|
|
| 595 |
},
|
| 596 |
{
|
| 597 |
"id": 57581,
|
| 598 |
+
"content": "<s_Policyholder Date of Birth>",
|
| 599 |
"single_word": false,
|
| 600 |
"lstrip": false,
|
| 601 |
"rstrip": false,
|
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|
|
| 604 |
},
|
| 605 |
{
|
| 606 |
"id": 57582,
|
| 607 |
+
"content": "<s_Employee Contract Holder Signature>",
|
| 608 |
"single_word": false,
|
| 609 |
"lstrip": false,
|
| 610 |
"rstrip": false,
|
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|
|
| 613 |
},
|
| 614 |
{
|
| 615 |
"id": 57583,
|
| 616 |
+
"content": "<s_Name of Policyholder>",
|
| 617 |
"single_word": false,
|
| 618 |
"lstrip": false,
|
| 619 |
"rstrip": false,
|
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|
| 622 |
},
|
| 623 |
{
|
| 624 |
"id": 57584,
|
| 625 |
+
"content": "</s_height>",
|
| 626 |
"single_word": false,
|
| 627 |
"lstrip": false,
|
| 628 |
"rstrip": false,
|
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|
|
| 631 |
},
|
| 632 |
{
|
| 633 |
"id": 57585,
|
| 634 |
+
"content": "<s_Prescription 1>",
|
| 635 |
"single_word": false,
|
| 636 |
"lstrip": false,
|
| 637 |
"rstrip": false,
|
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|
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| 640 |
},
|
| 641 |
{
|
| 642 |
"id": 57586,
|
| 643 |
+
"content": "<s_image_size>",
|
| 644 |
"single_word": false,
|
| 645 |
"lstrip": false,
|
| 646 |
"rstrip": false,
|
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| 649 |
},
|
| 650 |
{
|
| 651 |
"id": 57587,
|
| 652 |
+
"content": "<s_Prescription 2>",
|
| 653 |
"single_word": false,
|
| 654 |
"lstrip": false,
|
| 655 |
"rstrip": false,
|
|
|
|
| 658 |
},
|
| 659 |
{
|
| 660 |
"id": 57588,
|
| 661 |
+
"content": "<s_meta>",
|
| 662 |
"single_word": false,
|
| 663 |
"lstrip": false,
|
| 664 |
"rstrip": false,
|
|
|
|
| 667 |
},
|
| 668 |
{
|
| 669 |
"id": 57589,
|
| 670 |
+
"content": "</s_page_number>",
|
| 671 |
"single_word": false,
|
| 672 |
"lstrip": false,
|
| 673 |
"rstrip": false,
|
|
|
|
| 676 |
},
|
| 677 |
{
|
| 678 |
"id": 57590,
|
| 679 |
+
"content": "</s_Name of Subscriber 1>",
|
| 680 |
"single_word": false,
|
| 681 |
"lstrip": false,
|
| 682 |
"rstrip": false,
|
|
|
|
| 685 |
},
|
| 686 |
{
|
| 687 |
"id": 57591,
|
| 688 |
+
"content": "</s_Relationship to Policyholder>",
|
| 689 |
"single_word": false,
|
| 690 |
"lstrip": false,
|
| 691 |
"rstrip": false,
|
|
|
|
| 694 |
},
|
| 695 |
{
|
| 696 |
"id": 57592,
|
| 697 |
+
"content": "<s_Age 1>",
|
| 698 |
"single_word": false,
|
| 699 |
"lstrip": false,
|
| 700 |
"rstrip": false,
|
|
|
|
| 703 |
},
|
| 704 |
{
|
| 705 |
"id": 57593,
|
| 706 |
+
"content": "</s_Hospital 1>",
|
| 707 |
"single_word": false,
|
| 708 |
"lstrip": false,
|
| 709 |
"rstrip": false,
|
|
|
|
| 712 |
},
|
| 713 |
{
|
| 714 |
"id": 57594,
|
| 715 |
+
"content": "</s_version>",
|
| 716 |
"single_word": false,
|
| 717 |
"lstrip": false,
|
| 718 |
"rstrip": false,
|
|
|
|
| 721 |
},
|
| 722 |
{
|
| 723 |
"id": 57595,
|
| 724 |
+
"content": "</s_Medicare Coverage>",
|
| 725 |
"single_word": false,
|
| 726 |
"lstrip": false,
|
| 727 |
"rstrip": false,
|
|
|
|
| 730 |
},
|
| 731 |
{
|
| 732 |
"id": 57596,
|
| 733 |
+
"content": "<s_End Stage 2>",
|
| 734 |
"single_word": false,
|
| 735 |
"lstrip": false,
|
| 736 |
"rstrip": false,
|
|
|
|
| 739 |
},
|
| 740 |
{
|
| 741 |
"id": 57597,
|
| 742 |
+
"content": "</s_Prescription 2>",
|
| 743 |
"single_word": false,
|
| 744 |
"lstrip": false,
|
| 745 |
"rstrip": false,
|
|
|
|
| 748 |
},
|
| 749 |
{
|
| 750 |
"id": 57598,
|
| 751 |
+
"content": "</s_Group Number>",
|
| 752 |
"single_word": false,
|
| 753 |
"lstrip": false,
|
| 754 |
"rstrip": false,
|
|
|
|
| 757 |
},
|
| 758 |
{
|
| 759 |
"id": 57599,
|
| 760 |
+
"content": "<s_Medicare Supplement 1>",
|
| 761 |
"single_word": false,
|
| 762 |
"lstrip": false,
|
| 763 |
"rstrip": false,
|
|
|
|
| 766 |
},
|
| 767 |
{
|
| 768 |
"id": 57600,
|
| 769 |
+
"content": "<s_Name of Subscriber 2>",
|
| 770 |
"single_word": false,
|
| 771 |
"lstrip": false,
|
| 772 |
"rstrip": false,
|
|
|
|
| 775 |
},
|
| 776 |
{
|
| 777 |
"id": 57601,
|
| 778 |
+
"content": "</s_Medicare Supplement 1>",
|
| 779 |
"single_word": false,
|
| 780 |
"lstrip": false,
|
| 781 |
"rstrip": false,
|
|
|
|
| 784 |
},
|
| 785 |
{
|
| 786 |
"id": 57602,
|
| 787 |
+
"content": "</s_Name of Subscriber 2>",
|
| 788 |
"single_word": false,
|
| 789 |
"lstrip": false,
|
| 790 |
"rstrip": false,
|
|
|
|
| 793 |
},
|
| 794 |
{
|
| 795 |
"id": 57603,
|
| 796 |
+
"content": "<s_Medical 2>",
|
| 797 |
"single_word": false,
|
| 798 |
"lstrip": false,
|
| 799 |
"rstrip": false,
|
|
|
|
| 802 |
},
|
| 803 |
{
|
| 804 |
"id": 57604,
|
| 805 |
+
"content": "</s_image_size>",
|
| 806 |
"single_word": false,
|
| 807 |
"lstrip": false,
|
| 808 |
"rstrip": false,
|
|
|
|
| 811 |
},
|
| 812 |
{
|
| 813 |
"id": 57605,
|
| 814 |
+
"content": "</s_Employee Contract Holder Signature>",
|
| 815 |
"single_word": false,
|
| 816 |
"lstrip": false,
|
| 817 |
"rstrip": false,
|
|
|
|
| 829 |
},
|
| 830 |
{
|
| 831 |
"id": 57607,
|
| 832 |
+
"content": "</s_Name of Insurance Carrier>",
|
| 833 |
"single_word": false,
|
| 834 |
"lstrip": false,
|
| 835 |
"rstrip": false,
|
|
|
|
| 838 |
},
|
| 839 |
{
|
| 840 |
"id": 57608,
|
| 841 |
+
"content": "<s_version>",
|
| 842 |
"single_word": false,
|
| 843 |
"lstrip": false,
|
| 844 |
"rstrip": false,
|
|
|
|
| 847 |
},
|
| 848 |
{
|
| 849 |
"id": 57609,
|
| 850 |
+
"content": "<s_Medical 1>",
|
| 851 |
"single_word": false,
|
| 852 |
"lstrip": false,
|
| 853 |
"rstrip": false,
|
|
|
|
| 856 |
},
|
| 857 |
{
|
| 858 |
"id": 57610,
|
| 859 |
+
"content": "<s_Health Insurance Claim Number 2>",
|
| 860 |
"single_word": false,
|
| 861 |
"lstrip": false,
|
| 862 |
"rstrip": false,
|
|
|
|
| 865 |
},
|
| 866 |
{
|
| 867 |
"id": 57611,
|
| 868 |
+
"content": "<s_End Stage 1>",
|
| 869 |
"single_word": false,
|
| 870 |
"lstrip": false,
|
| 871 |
"rstrip": false,
|
|
|
|
| 874 |
},
|
| 875 |
{
|
| 876 |
"id": 57612,
|
| 877 |
+
"content": "</s_Medical 1>",
|
| 878 |
"single_word": false,
|
| 879 |
"lstrip": false,
|
| 880 |
"rstrip": false,
|
|
|
|
| 883 |
},
|
| 884 |
{
|
| 885 |
"id": 57613,
|
| 886 |
+
"content": "</s_Health Insurance Claim Number 2>",
|
| 887 |
"single_word": false,
|
| 888 |
"lstrip": false,
|
| 889 |
"rstrip": false,
|
|
|
|
| 892 |
},
|
| 893 |
{
|
| 894 |
"id": 57614,
|
| 895 |
+
"content": "<s_formtype>",
|
| 896 |
"single_word": false,
|
| 897 |
"lstrip": false,
|
| 898 |
"rstrip": false,
|
|
|
|
| 901 |
},
|
| 902 |
{
|
| 903 |
"id": 57615,
|
| 904 |
+
"content": "<s_Health Insurance Claim Number 1>",
|
| 905 |
"single_word": false,
|
| 906 |
"lstrip": false,
|
| 907 |
"rstrip": false,
|
|
|
|
| 910 |
},
|
| 911 |
{
|
| 912 |
"id": 57616,
|
| 913 |
+
"content": "<s_Disability 2>",
|
| 914 |
"single_word": false,
|
| 915 |
"lstrip": false,
|
| 916 |
"rstrip": false,
|
|
|
|
| 919 |
},
|
| 920 |
{
|
| 921 |
"id": 57617,
|
| 922 |
+
"content": "</s_insurancecompany>",
|
| 923 |
"single_word": false,
|
| 924 |
"lstrip": false,
|
| 925 |
"rstrip": false,
|
|
|
|
| 928 |
},
|
| 929 |
{
|
| 930 |
"id": 57618,
|
| 931 |
+
"content": "<s_Name of Subscriber 1>",
|
| 932 |
"single_word": false,
|
| 933 |
"lstrip": false,
|
| 934 |
"rstrip": false,
|
|
|
|
| 937 |
},
|
| 938 |
{
|
| 939 |
"id": 57619,
|
| 940 |
+
"content": "</s_Policyholder Date of Birth>",
|
| 941 |
"single_word": false,
|
| 942 |
"lstrip": false,
|
| 943 |
"rstrip": false,
|
|
|
|
| 946 |
},
|
| 947 |
{
|
| 948 |
"id": 57620,
|
| 949 |
+
"content": "</s_Hospital 2>",
|
| 950 |
"single_word": false,
|
| 951 |
"lstrip": false,
|
| 952 |
"rstrip": false,
|
|
|
|
| 955 |
},
|
| 956 |
{
|
| 957 |
"id": 57621,
|
| 958 |
+
"content": "<s_Policy Number>",
|
| 959 |
"single_word": false,
|
| 960 |
"lstrip": false,
|
| 961 |
"rstrip": false,
|
|
|
|
| 964 |
},
|
| 965 |
{
|
| 966 |
"id": 57622,
|
| 967 |
+
"content": "</s_Policy Number>",
|
| 968 |
"single_word": false,
|
| 969 |
"lstrip": false,
|
| 970 |
"rstrip": false,
|
|
|
|
| 973 |
},
|
| 974 |
{
|
| 975 |
"id": 57623,
|
| 976 |
+
"content": "</s_Disability 2>",
|
| 977 |
"single_word": false,
|
| 978 |
"lstrip": false,
|
| 979 |
"rstrip": false,
|
|
|
|
| 982 |
},
|
| 983 |
{
|
| 984 |
"id": 57624,
|
| 985 |
+
"content": "</s_Health Insurance Claim Number 1>",
|
| 986 |
"single_word": false,
|
| 987 |
"lstrip": false,
|
| 988 |
"rstrip": false,
|
|
|
|
| 991 |
},
|
| 992 |
{
|
| 993 |
"id": 57625,
|
| 994 |
+
"content": "<s_height>",
|
| 995 |
"single_word": false,
|
| 996 |
"lstrip": false,
|
| 997 |
"rstrip": false,
|
|
|
|
| 1000 |
},
|
| 1001 |
{
|
| 1002 |
"id": 57626,
|
| 1003 |
+
"content": "<s_Disability 1>",
|
| 1004 |
"single_word": false,
|
| 1005 |
"lstrip": false,
|
| 1006 |
"rstrip": false,
|
|
|
|
| 1009 |
},
|
| 1010 |
{
|
| 1011 |
"id": 57627,
|
| 1012 |
+
"content": "</s_Name of Policyholder>",
|
| 1013 |
"single_word": false,
|
| 1014 |
"lstrip": false,
|
| 1015 |
"rstrip": false,
|
|
|
|
| 1018 |
},
|
| 1019 |
{
|
| 1020 |
"id": 57628,
|
| 1021 |
+
"content": "</s_Effective Date>",
|
| 1022 |
"single_word": false,
|
| 1023 |
"lstrip": false,
|
| 1024 |
"rstrip": false,
|
|
|
|
| 1027 |
},
|
| 1028 |
{
|
| 1029 |
"id": 57629,
|
| 1030 |
+
"content": "</s_formtype>",
|
| 1031 |
"single_word": false,
|
| 1032 |
"lstrip": false,
|
| 1033 |
"rstrip": false,
|
|
|
|
| 1036 |
},
|
| 1037 |
{
|
| 1038 |
"id": 57630,
|
| 1039 |
+
"content": "</s_Prescription 1>",
|
| 1040 |
"single_word": false,
|
| 1041 |
"lstrip": false,
|
| 1042 |
"rstrip": false,
|
|
|
|
| 1045 |
},
|
| 1046 |
{
|
| 1047 |
"id": 57631,
|
| 1048 |
+
"content": "</s_Medicare Supplement 2>",
|
| 1049 |
"single_word": false,
|
| 1050 |
"lstrip": false,
|
| 1051 |
"rstrip": false,
|
|
|
|
| 1054 |
},
|
| 1055 |
{
|
| 1056 |
"id": 57632,
|
| 1057 |
+
"content": "</s_width>",
|
| 1058 |
"single_word": false,
|
| 1059 |
"lstrip": false,
|
| 1060 |
"rstrip": false,
|
|
|
|
| 1063 |
},
|
| 1064 |
{
|
| 1065 |
"id": 57633,
|
| 1066 |
+
"content": "<s_Age 2>",
|
| 1067 |
"single_word": false,
|
| 1068 |
"lstrip": false,
|
| 1069 |
"rstrip": false,
|
|
|
|
| 1072 |
},
|
| 1073 |
{
|
| 1074 |
"id": 57634,
|
| 1075 |
+
"content": "<s_Effective Date>",
|
| 1076 |
"single_word": false,
|
| 1077 |
"lstrip": false,
|
| 1078 |
"rstrip": false,
|
|
|
|
| 1081 |
},
|
| 1082 |
{
|
| 1083 |
"id": 57635,
|
| 1084 |
+
"content": "<s_IV OTHER HEALTH INSURANCE COVERAGE>",
|
| 1085 |
"single_word": false,
|
| 1086 |
"lstrip": false,
|
| 1087 |
"rstrip": false,
|
|
|
|
| 1090 |
},
|
| 1091 |
{
|
| 1092 |
"id": 57636,
|
| 1093 |
+
"content": "</s_Disability 1>",
|
| 1094 |
"single_word": false,
|
| 1095 |
"lstrip": false,
|
| 1096 |
"rstrip": false,
|
|
|
|
| 1099 |
},
|
| 1100 |
{
|
| 1101 |
"id": 57637,
|
| 1102 |
+
"content": "</s_End Stage 1>",
|
| 1103 |
"single_word": false,
|
| 1104 |
"lstrip": false,
|
| 1105 |
"rstrip": false,
|
|
|
|
| 1108 |
},
|
| 1109 |
{
|
| 1110 |
"id": 57638,
|
| 1111 |
+
"content": "<s_Hospital 1>",
|
| 1112 |
"single_word": false,
|
| 1113 |
"lstrip": false,
|
| 1114 |
"rstrip": false,
|
|
|
|
| 1117 |
},
|
| 1118 |
{
|
| 1119 |
"id": 57639,
|
| 1120 |
+
"content": "<s_Hospital 2>",
|
| 1121 |
"single_word": false,
|
| 1122 |
"lstrip": false,
|
| 1123 |
"rstrip": false,
|
|
|
|
| 1126 |
},
|
| 1127 |
{
|
| 1128 |
"id": 57640,
|
| 1129 |
+
"content": "</s_V IMPORTANT AUTHORIZED SIGNATURE>",
|
| 1130 |
"single_word": false,
|
| 1131 |
"lstrip": false,
|
| 1132 |
"rstrip": false,
|
|
|
|
| 1135 |
},
|
| 1136 |
{
|
| 1137 |
"id": 57641,
|
| 1138 |
+
"content": "<s_Employment Status>",
|
| 1139 |
"single_word": false,
|
| 1140 |
"lstrip": false,
|
| 1141 |
"rstrip": false,
|
|
|
|
| 1144 |
},
|
| 1145 |
{
|
| 1146 |
"id": 57642,
|
| 1147 |
+
"content": "<s_Medicare Coverage>",
|
| 1148 |
"single_word": false,
|
| 1149 |
"lstrip": false,
|
| 1150 |
"rstrip": false,
|
|
|
|
| 1153 |
},
|
| 1154 |
{
|
| 1155 |
"id": 57643,
|
| 1156 |
+
"content": "</s_Age 2>",
|
| 1157 |
"single_word": false,
|
| 1158 |
"lstrip": false,
|
| 1159 |
"rstrip": false,
|
|
|
|
| 1162 |
},
|
| 1163 |
{
|
| 1164 |
"id": 57644,
|
| 1165 |
+
"content": "<s_Policyholder Employment Status>",
|
| 1166 |
"single_word": false,
|
| 1167 |
"lstrip": false,
|
| 1168 |
"rstrip": false,
|
|
|
|
| 1171 |
},
|
| 1172 |
{
|
| 1173 |
"id": 57645,
|
| 1174 |
+
"content": "</s_IV OTHER HEALTH INSURANCE COVERAGE>",
|
| 1175 |
+
"single_word": false,
|
| 1176 |
+
"lstrip": false,
|
| 1177 |
+
"rstrip": false,
|
| 1178 |
+
"normalized": false,
|
| 1179 |
+
"special": true
|
| 1180 |
+
},
|
| 1181 |
+
{
|
| 1182 |
+
"id": 57646,
|
| 1183 |
+
"content": "<s_page_number>",
|
| 1184 |
+
"single_word": false,
|
| 1185 |
+
"lstrip": false,
|
| 1186 |
+
"rstrip": false,
|
| 1187 |
+
"normalized": false,
|
| 1188 |
+
"special": true
|
| 1189 |
+
},
|
| 1190 |
+
{
|
| 1191 |
+
"id": 57647,
|
| 1192 |
+
"content": "<s_Group Number>",
|
| 1193 |
+
"single_word": false,
|
| 1194 |
+
"lstrip": false,
|
| 1195 |
+
"rstrip": false,
|
| 1196 |
+
"normalized": false,
|
| 1197 |
+
"special": true
|
| 1198 |
+
},
|
| 1199 |
+
{
|
| 1200 |
+
"id": 57648,
|
| 1201 |
+
"content": "</s_End Stage 2>",
|
| 1202 |
+
"single_word": false,
|
| 1203 |
+
"lstrip": false,
|
| 1204 |
+
"rstrip": false,
|
| 1205 |
+
"normalized": false,
|
| 1206 |
+
"special": true
|
| 1207 |
+
},
|
| 1208 |
+
{
|
| 1209 |
+
"id": 57649,
|
| 1210 |
+
"content": "</s_meta>",
|
| 1211 |
+
"single_word": false,
|
| 1212 |
+
"lstrip": false,
|
| 1213 |
+
"rstrip": false,
|
| 1214 |
+
"normalized": false,
|
| 1215 |
+
"special": true
|
| 1216 |
+
},
|
| 1217 |
+
{
|
| 1218 |
+
"id": 57650,
|
| 1219 |
+
"content": "</s_Policyholder Employment Status>",
|
| 1220 |
+
"single_word": false,
|
| 1221 |
+
"lstrip": false,
|
| 1222 |
+
"rstrip": false,
|
| 1223 |
+
"normalized": false,
|
| 1224 |
+
"special": true
|
| 1225 |
+
},
|
| 1226 |
+
{
|
| 1227 |
+
"id": 57651,
|
| 1228 |
+
"content": "</s_Medical 2>",
|
| 1229 |
+
"single_word": false,
|
| 1230 |
+
"lstrip": false,
|
| 1231 |
+
"rstrip": false,
|
| 1232 |
+
"normalized": false,
|
| 1233 |
+
"special": true
|
| 1234 |
+
},
|
| 1235 |
+
{
|
| 1236 |
+
"id": 57652,
|
| 1237 |
+
"content": "<s_Name of Insurance Carrier>",
|
| 1238 |
+
"single_word": false,
|
| 1239 |
+
"lstrip": false,
|
| 1240 |
+
"rstrip": false,
|
| 1241 |
+
"normalized": false,
|
| 1242 |
+
"special": true
|
| 1243 |
+
},
|
| 1244 |
+
{
|
| 1245 |
+
"id": 57653,
|
| 1246 |
+
"content": "<s_insurancecompany>",
|
| 1247 |
+
"single_word": false,
|
| 1248 |
+
"lstrip": false,
|
| 1249 |
+
"rstrip": false,
|
| 1250 |
+
"normalized": false,
|
| 1251 |
+
"special": true
|
| 1252 |
+
},
|
| 1253 |
+
{
|
| 1254 |
+
"id": 57654,
|
| 1255 |
+
"content": "<s_Relationship to Policyholder>",
|
| 1256 |
+
"single_word": false,
|
| 1257 |
+
"lstrip": false,
|
| 1258 |
+
"rstrip": false,
|
| 1259 |
+
"normalized": false,
|
| 1260 |
+
"special": true
|
| 1261 |
+
},
|
| 1262 |
+
{
|
| 1263 |
+
"id": 57655,
|
| 1264 |
+
"content": "</s_Age 1>",
|
| 1265 |
+
"single_word": false,
|
| 1266 |
+
"lstrip": false,
|
| 1267 |
+
"rstrip": false,
|
| 1268 |
+
"normalized": false,
|
| 1269 |
+
"special": true
|
| 1270 |
+
},
|
| 1271 |
+
{
|
| 1272 |
+
"id": 57656,
|
| 1273 |
+
"content": "<s_V IMPORTANT AUTHORIZED SIGNATURE>",
|
| 1274 |
+
"single_word": false,
|
| 1275 |
+
"lstrip": false,
|
| 1276 |
+
"rstrip": false,
|
| 1277 |
+
"normalized": false,
|
| 1278 |
+
"special": true
|
| 1279 |
+
},
|
| 1280 |
+
{
|
| 1281 |
+
"id": 57657,
|
| 1282 |
+
"content": "<s_Medicare Supplement 2>",
|
| 1283 |
"single_word": false,
|
| 1284 |
"lstrip": false,
|
| 1285 |
"rstrip": false,
|
tokenizer_config.json
CHANGED
|
@@ -505,7 +505,7 @@
|
|
| 505 |
"special": true
|
| 506 |
},
|
| 507 |
"57580": {
|
| 508 |
-
"content": "<
|
| 509 |
"lstrip": false,
|
| 510 |
"normalized": false,
|
| 511 |
"rstrip": false,
|
|
@@ -513,7 +513,7 @@
|
|
| 513 |
"special": true
|
| 514 |
},
|
| 515 |
"57581": {
|
| 516 |
-
"content": "<
|
| 517 |
"lstrip": false,
|
| 518 |
"normalized": false,
|
| 519 |
"rstrip": false,
|
|
@@ -521,7 +521,7 @@
|
|
| 521 |
"special": true
|
| 522 |
},
|
| 523 |
"57582": {
|
| 524 |
-
"content": "<
|
| 525 |
"lstrip": false,
|
| 526 |
"normalized": false,
|
| 527 |
"rstrip": false,
|
|
@@ -529,7 +529,7 @@
|
|
| 529 |
"special": true
|
| 530 |
},
|
| 531 |
"57583": {
|
| 532 |
-
"content": "<
|
| 533 |
"lstrip": false,
|
| 534 |
"normalized": false,
|
| 535 |
"rstrip": false,
|
|
@@ -537,7 +537,7 @@
|
|
| 537 |
"special": true
|
| 538 |
},
|
| 539 |
"57584": {
|
| 540 |
-
"content": "</
|
| 541 |
"lstrip": false,
|
| 542 |
"normalized": false,
|
| 543 |
"rstrip": false,
|
|
@@ -545,7 +545,7 @@
|
|
| 545 |
"special": true
|
| 546 |
},
|
| 547 |
"57585": {
|
| 548 |
-
"content": "<
|
| 549 |
"lstrip": false,
|
| 550 |
"normalized": false,
|
| 551 |
"rstrip": false,
|
|
@@ -553,7 +553,7 @@
|
|
| 553 |
"special": true
|
| 554 |
},
|
| 555 |
"57586": {
|
| 556 |
-
"content": "<
|
| 557 |
"lstrip": false,
|
| 558 |
"normalized": false,
|
| 559 |
"rstrip": false,
|
|
@@ -561,7 +561,7 @@
|
|
| 561 |
"special": true
|
| 562 |
},
|
| 563 |
"57587": {
|
| 564 |
-
"content": "<
|
| 565 |
"lstrip": false,
|
| 566 |
"normalized": false,
|
| 567 |
"rstrip": false,
|
|
@@ -569,7 +569,7 @@
|
|
| 569 |
"special": true
|
| 570 |
},
|
| 571 |
"57588": {
|
| 572 |
-
"content": "<
|
| 573 |
"lstrip": false,
|
| 574 |
"normalized": false,
|
| 575 |
"rstrip": false,
|
|
@@ -577,7 +577,7 @@
|
|
| 577 |
"special": true
|
| 578 |
},
|
| 579 |
"57589": {
|
| 580 |
-
"content": "</
|
| 581 |
"lstrip": false,
|
| 582 |
"normalized": false,
|
| 583 |
"rstrip": false,
|
|
@@ -585,7 +585,7 @@
|
|
| 585 |
"special": true
|
| 586 |
},
|
| 587 |
"57590": {
|
| 588 |
-
"content": "<
|
| 589 |
"lstrip": false,
|
| 590 |
"normalized": false,
|
| 591 |
"rstrip": false,
|
|
@@ -593,7 +593,7 @@
|
|
| 593 |
"special": true
|
| 594 |
},
|
| 595 |
"57591": {
|
| 596 |
-
"content": "<
|
| 597 |
"lstrip": false,
|
| 598 |
"normalized": false,
|
| 599 |
"rstrip": false,
|
|
@@ -601,7 +601,7 @@
|
|
| 601 |
"special": true
|
| 602 |
},
|
| 603 |
"57592": {
|
| 604 |
-
"content": "<
|
| 605 |
"lstrip": false,
|
| 606 |
"normalized": false,
|
| 607 |
"rstrip": false,
|
|
@@ -609,7 +609,7 @@
|
|
| 609 |
"special": true
|
| 610 |
},
|
| 611 |
"57593": {
|
| 612 |
-
"content": "</
|
| 613 |
"lstrip": false,
|
| 614 |
"normalized": false,
|
| 615 |
"rstrip": false,
|
|
@@ -617,7 +617,7 @@
|
|
| 617 |
"special": true
|
| 618 |
},
|
| 619 |
"57594": {
|
| 620 |
-
"content": "<
|
| 621 |
"lstrip": false,
|
| 622 |
"normalized": false,
|
| 623 |
"rstrip": false,
|
|
@@ -625,7 +625,7 @@
|
|
| 625 |
"special": true
|
| 626 |
},
|
| 627 |
"57595": {
|
| 628 |
-
"content": "<
|
| 629 |
"lstrip": false,
|
| 630 |
"normalized": false,
|
| 631 |
"rstrip": false,
|
|
@@ -633,7 +633,7 @@
|
|
| 633 |
"special": true
|
| 634 |
},
|
| 635 |
"57596": {
|
| 636 |
-
"content": "<
|
| 637 |
"lstrip": false,
|
| 638 |
"normalized": false,
|
| 639 |
"rstrip": false,
|
|
@@ -641,7 +641,7 @@
|
|
| 641 |
"special": true
|
| 642 |
},
|
| 643 |
"57597": {
|
| 644 |
-
"content": "<
|
| 645 |
"lstrip": false,
|
| 646 |
"normalized": false,
|
| 647 |
"rstrip": false,
|
|
@@ -649,7 +649,7 @@
|
|
| 649 |
"special": true
|
| 650 |
},
|
| 651 |
"57598": {
|
| 652 |
-
"content": "<
|
| 653 |
"lstrip": false,
|
| 654 |
"normalized": false,
|
| 655 |
"rstrip": false,
|
|
@@ -657,7 +657,7 @@
|
|
| 657 |
"special": true
|
| 658 |
},
|
| 659 |
"57599": {
|
| 660 |
-
"content": "<
|
| 661 |
"lstrip": false,
|
| 662 |
"normalized": false,
|
| 663 |
"rstrip": false,
|
|
@@ -665,7 +665,7 @@
|
|
| 665 |
"special": true
|
| 666 |
},
|
| 667 |
"57600": {
|
| 668 |
-
"content": "<
|
| 669 |
"lstrip": false,
|
| 670 |
"normalized": false,
|
| 671 |
"rstrip": false,
|
|
@@ -673,7 +673,7 @@
|
|
| 673 |
"special": true
|
| 674 |
},
|
| 675 |
"57601": {
|
| 676 |
-
"content": "<
|
| 677 |
"lstrip": false,
|
| 678 |
"normalized": false,
|
| 679 |
"rstrip": false,
|
|
@@ -681,7 +681,7 @@
|
|
| 681 |
"special": true
|
| 682 |
},
|
| 683 |
"57602": {
|
| 684 |
-
"content": "</
|
| 685 |
"lstrip": false,
|
| 686 |
"normalized": false,
|
| 687 |
"rstrip": false,
|
|
@@ -689,7 +689,7 @@
|
|
| 689 |
"special": true
|
| 690 |
},
|
| 691 |
"57603": {
|
| 692 |
-
"content": "<
|
| 693 |
"lstrip": false,
|
| 694 |
"normalized": false,
|
| 695 |
"rstrip": false,
|
|
@@ -697,7 +697,7 @@
|
|
| 697 |
"special": true
|
| 698 |
},
|
| 699 |
"57604": {
|
| 700 |
-
"content": "</
|
| 701 |
"lstrip": false,
|
| 702 |
"normalized": false,
|
| 703 |
"rstrip": false,
|
|
@@ -705,7 +705,7 @@
|
|
| 705 |
"special": true
|
| 706 |
},
|
| 707 |
"57605": {
|
| 708 |
-
"content": "</
|
| 709 |
"lstrip": false,
|
| 710 |
"normalized": false,
|
| 711 |
"rstrip": false,
|
|
@@ -721,7 +721,7 @@
|
|
| 721 |
"special": true
|
| 722 |
},
|
| 723 |
"57607": {
|
| 724 |
-
"content": "</
|
| 725 |
"lstrip": false,
|
| 726 |
"normalized": false,
|
| 727 |
"rstrip": false,
|
|
@@ -729,7 +729,7 @@
|
|
| 729 |
"special": true
|
| 730 |
},
|
| 731 |
"57608": {
|
| 732 |
-
"content": "<
|
| 733 |
"lstrip": false,
|
| 734 |
"normalized": false,
|
| 735 |
"rstrip": false,
|
|
@@ -737,7 +737,7 @@
|
|
| 737 |
"special": true
|
| 738 |
},
|
| 739 |
"57609": {
|
| 740 |
-
"content": "<
|
| 741 |
"lstrip": false,
|
| 742 |
"normalized": false,
|
| 743 |
"rstrip": false,
|
|
@@ -745,7 +745,7 @@
|
|
| 745 |
"special": true
|
| 746 |
},
|
| 747 |
"57610": {
|
| 748 |
-
"content": "<
|
| 749 |
"lstrip": false,
|
| 750 |
"normalized": false,
|
| 751 |
"rstrip": false,
|
|
@@ -753,7 +753,7 @@
|
|
| 753 |
"special": true
|
| 754 |
},
|
| 755 |
"57611": {
|
| 756 |
-
"content": "<
|
| 757 |
"lstrip": false,
|
| 758 |
"normalized": false,
|
| 759 |
"rstrip": false,
|
|
@@ -761,7 +761,7 @@
|
|
| 761 |
"special": true
|
| 762 |
},
|
| 763 |
"57612": {
|
| 764 |
-
"content": "<
|
| 765 |
"lstrip": false,
|
| 766 |
"normalized": false,
|
| 767 |
"rstrip": false,
|
|
@@ -769,7 +769,7 @@
|
|
| 769 |
"special": true
|
| 770 |
},
|
| 771 |
"57613": {
|
| 772 |
-
"content": "<
|
| 773 |
"lstrip": false,
|
| 774 |
"normalized": false,
|
| 775 |
"rstrip": false,
|
|
@@ -777,7 +777,7 @@
|
|
| 777 |
"special": true
|
| 778 |
},
|
| 779 |
"57614": {
|
| 780 |
-
"content": "<
|
| 781 |
"lstrip": false,
|
| 782 |
"normalized": false,
|
| 783 |
"rstrip": false,
|
|
@@ -785,7 +785,7 @@
|
|
| 785 |
"special": true
|
| 786 |
},
|
| 787 |
"57615": {
|
| 788 |
-
"content": "<
|
| 789 |
"lstrip": false,
|
| 790 |
"normalized": false,
|
| 791 |
"rstrip": false,
|
|
@@ -793,7 +793,7 @@
|
|
| 793 |
"special": true
|
| 794 |
},
|
| 795 |
"57616": {
|
| 796 |
-
"content": "<
|
| 797 |
"lstrip": false,
|
| 798 |
"normalized": false,
|
| 799 |
"rstrip": false,
|
|
@@ -801,7 +801,7 @@
|
|
| 801 |
"special": true
|
| 802 |
},
|
| 803 |
"57617": {
|
| 804 |
-
"content": "</
|
| 805 |
"lstrip": false,
|
| 806 |
"normalized": false,
|
| 807 |
"rstrip": false,
|
|
@@ -809,7 +809,7 @@
|
|
| 809 |
"special": true
|
| 810 |
},
|
| 811 |
"57618": {
|
| 812 |
-
"content": "<
|
| 813 |
"lstrip": false,
|
| 814 |
"normalized": false,
|
| 815 |
"rstrip": false,
|
|
@@ -817,7 +817,7 @@
|
|
| 817 |
"special": true
|
| 818 |
},
|
| 819 |
"57619": {
|
| 820 |
-
"content": "</
|
| 821 |
"lstrip": false,
|
| 822 |
"normalized": false,
|
| 823 |
"rstrip": false,
|
|
@@ -825,7 +825,7 @@
|
|
| 825 |
"special": true
|
| 826 |
},
|
| 827 |
"57620": {
|
| 828 |
-
"content": "<
|
| 829 |
"lstrip": false,
|
| 830 |
"normalized": false,
|
| 831 |
"rstrip": false,
|
|
@@ -833,7 +833,7 @@
|
|
| 833 |
"special": true
|
| 834 |
},
|
| 835 |
"57621": {
|
| 836 |
-
"content": "<
|
| 837 |
"lstrip": false,
|
| 838 |
"normalized": false,
|
| 839 |
"rstrip": false,
|
|
@@ -841,7 +841,7 @@
|
|
| 841 |
"special": true
|
| 842 |
},
|
| 843 |
"57622": {
|
| 844 |
-
"content": "</
|
| 845 |
"lstrip": false,
|
| 846 |
"normalized": false,
|
| 847 |
"rstrip": false,
|
|
@@ -849,7 +849,7 @@
|
|
| 849 |
"special": true
|
| 850 |
},
|
| 851 |
"57623": {
|
| 852 |
-
"content": "</
|
| 853 |
"lstrip": false,
|
| 854 |
"normalized": false,
|
| 855 |
"rstrip": false,
|
|
@@ -857,7 +857,7 @@
|
|
| 857 |
"special": true
|
| 858 |
},
|
| 859 |
"57624": {
|
| 860 |
-
"content": "</
|
| 861 |
"lstrip": false,
|
| 862 |
"normalized": false,
|
| 863 |
"rstrip": false,
|
|
@@ -865,7 +865,7 @@
|
|
| 865 |
"special": true
|
| 866 |
},
|
| 867 |
"57625": {
|
| 868 |
-
"content": "<
|
| 869 |
"lstrip": false,
|
| 870 |
"normalized": false,
|
| 871 |
"rstrip": false,
|
|
@@ -873,7 +873,7 @@
|
|
| 873 |
"special": true
|
| 874 |
},
|
| 875 |
"57626": {
|
| 876 |
-
"content": "<
|
| 877 |
"lstrip": false,
|
| 878 |
"normalized": false,
|
| 879 |
"rstrip": false,
|
|
@@ -881,7 +881,7 @@
|
|
| 881 |
"special": true
|
| 882 |
},
|
| 883 |
"57627": {
|
| 884 |
-
"content": "<
|
| 885 |
"lstrip": false,
|
| 886 |
"normalized": false,
|
| 887 |
"rstrip": false,
|
|
@@ -889,7 +889,7 @@
|
|
| 889 |
"special": true
|
| 890 |
},
|
| 891 |
"57628": {
|
| 892 |
-
"content": "<
|
| 893 |
"lstrip": false,
|
| 894 |
"normalized": false,
|
| 895 |
"rstrip": false,
|
|
@@ -897,7 +897,7 @@
|
|
| 897 |
"special": true
|
| 898 |
},
|
| 899 |
"57629": {
|
| 900 |
-
"content": "<
|
| 901 |
"lstrip": false,
|
| 902 |
"normalized": false,
|
| 903 |
"rstrip": false,
|
|
@@ -905,7 +905,7 @@
|
|
| 905 |
"special": true
|
| 906 |
},
|
| 907 |
"57630": {
|
| 908 |
-
"content": "<
|
| 909 |
"lstrip": false,
|
| 910 |
"normalized": false,
|
| 911 |
"rstrip": false,
|
|
@@ -913,7 +913,7 @@
|
|
| 913 |
"special": true
|
| 914 |
},
|
| 915 |
"57631": {
|
| 916 |
-
"content": "<
|
| 917 |
"lstrip": false,
|
| 918 |
"normalized": false,
|
| 919 |
"rstrip": false,
|
|
@@ -921,7 +921,7 @@
|
|
| 921 |
"special": true
|
| 922 |
},
|
| 923 |
"57632": {
|
| 924 |
-
"content": "</
|
| 925 |
"lstrip": false,
|
| 926 |
"normalized": false,
|
| 927 |
"rstrip": false,
|
|
@@ -929,7 +929,7 @@
|
|
| 929 |
"special": true
|
| 930 |
},
|
| 931 |
"57633": {
|
| 932 |
-
"content": "<
|
| 933 |
"lstrip": false,
|
| 934 |
"normalized": false,
|
| 935 |
"rstrip": false,
|
|
@@ -937,7 +937,7 @@
|
|
| 937 |
"special": true
|
| 938 |
},
|
| 939 |
"57634": {
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-
"content": "<
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| 941 |
"lstrip": false,
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| 942 |
"normalized": false,
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"rstrip": false,
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@@ -945,7 +945,7 @@
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"special": true
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},
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"57635": {
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| 948 |
-
"content": "<
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"lstrip": false,
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"normalized": false,
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"rstrip": false,
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@@ -953,7 +953,7 @@
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"special": true
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},
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"57636": {
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-
"content": "</
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"lstrip": false,
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"normalized": false,
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| 959 |
"rstrip": false,
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"special": true
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},
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"57637": {
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"content": "<
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| 965 |
"lstrip": false,
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"normalized": false,
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| 967 |
"rstrip": false,
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@@ -969,7 +969,7 @@
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"special": true
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},
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"57638": {
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| 972 |
-
"content": "<
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| 973 |
"lstrip": false,
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"normalized": false,
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"rstrip": false,
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"special": true
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},
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"57639": {
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-
"content": "<
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| 981 |
"lstrip": false,
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| 982 |
"normalized": false,
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"rstrip": false,
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"special": true
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},
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"57640": {
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| 988 |
-
"content": "<
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| 989 |
"lstrip": false,
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| 990 |
"normalized": false,
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"rstrip": false,
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"special": true
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},
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| 995 |
"57641": {
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| 996 |
-
"content": "<
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| 997 |
"lstrip": false,
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| 998 |
"normalized": false,
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"rstrip": false,
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@@ -1001,7 +1001,7 @@
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| 1001 |
"special": true
|
| 1002 |
},
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| 1003 |
"57642": {
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| 1004 |
-
"content": "<
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| 1005 |
"lstrip": false,
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| 1006 |
"normalized": false,
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| 1007 |
"rstrip": false,
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@@ -1009,7 +1009,7 @@
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| 1009 |
"special": true
|
| 1010 |
},
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| 1011 |
"57643": {
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| 1012 |
-
"content": "</
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| 1013 |
"lstrip": false,
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| 1014 |
"normalized": false,
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| 1015 |
"rstrip": false,
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@@ -1017,7 +1017,7 @@
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| 1017 |
"special": true
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| 1018 |
},
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| 1019 |
"57644": {
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| 1020 |
-
"content": "<
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| 1021 |
"lstrip": false,
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| 1022 |
"normalized": false,
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| 1023 |
"rstrip": false,
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@@ -1025,7 +1025,103 @@
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| 1025 |
"special": true
|
| 1026 |
},
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| 1027 |
"57645": {
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| 1028 |
-
"content": "</
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| 1029 |
"lstrip": false,
|
| 1030 |
"normalized": false,
|
| 1031 |
"rstrip": false,
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@@ -1034,74 +1130,86 @@
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|
| 1034 |
}
|
| 1035 |
},
|
| 1036 |
"additional_special_tokens": [
|
| 1037 |
-
"<
|
| 1038 |
-
"<s_Name of Subscriber2>",
|
| 1039 |
-
"</s_Medicare Supplement1>",
|
| 1040 |
-
"<s_IV OTHER HEALTH INSURANCE COVERAGE>",
|
| 1041 |
-
"</s_Prescription2>",
|
| 1042 |
-
"<s_Medicare Supplement2>",
|
| 1043 |
-
"</s_Group Number>",
|
| 1044 |
"<s_Policyholder Date of Birth>",
|
| 1045 |
-
"</s_End Stage2>",
|
| 1046 |
-
"</s_End Stage1>",
|
| 1047 |
"<s_Employee Contract Holder Signature>",
|
| 1048 |
-
"<s_Health Insurance Claim Number2>",
|
| 1049 |
"<s_Name of Policyholder>",
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| 1050 |
"</s_insurancecompany>",
|
| 1051 |
-
"<
|
| 1052 |
-
"<s_Disability1>",
|
| 1053 |
-
"</s_V IMPORTANT AUTHORIZED SIGNATURE>",
|
| 1054 |
-
"<s_Prescription2>",
|
| 1055 |
-
"<s_Employment Status>",
|
| 1056 |
"</s_Policyholder Date of Birth>",
|
| 1057 |
-
"</
|
| 1058 |
"<s_Policy Number>",
|
| 1059 |
-
"</s_Age2>",
|
| 1060 |
-
"</s_Employee Contract Holder Signature>",
|
| 1061 |
-
"</s_Medical1>",
|
| 1062 |
"</s_Policy Number>",
|
| 1063 |
-
"</
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| 1064 |
"</s_IV OTHER HEALTH INSURANCE COVERAGE>",
|
| 1065 |
-
"<s_Medicare>",
|
| 1066 |
"<s_page_number>",
|
| 1067 |
"<s>",
|
| 1068 |
-
"<s_Hospital2>",
|
| 1069 |
-
"</s_Name of Insurance Carrier>",
|
| 1070 |
-
"<s_End Stage2>",
|
| 1071 |
"<s_Group Number>",
|
| 1072 |
-
"<
|
| 1073 |
-
"<
|
| 1074 |
-
"</
|
| 1075 |
-
"</
|
| 1076 |
-
"</s_Name of Subscriber1>",
|
| 1077 |
-
"</s_Name of Subscriber2>",
|
| 1078 |
-
"<s_Age2>",
|
| 1079 |
-
"</s_Relationship to Policyholder>",
|
| 1080 |
-
"</s_Hospital2>",
|
| 1081 |
-
"</s_Medicare Supplement2>",
|
| 1082 |
-
"</s_Name of Policyholder>",
|
| 1083 |
-
"<s_Disability2>",
|
| 1084 |
"<s_Name of Insurance Carrier>",
|
| 1085 |
-
"<s_Age1>",
|
| 1086 |
-
"<s_Medical1>",
|
| 1087 |
-
"</s>",
|
| 1088 |
-
"<s_Effective Date>",
|
| 1089 |
"<s_insurancecompany>",
|
| 1090 |
"<s_Relationship to Policyholder>",
|
| 1091 |
-
"</
|
| 1092 |
-
"</s_Medical2>",
|
| 1093 |
-
"</s_Age1>",
|
| 1094 |
-
"<s_formtype>",
|
| 1095 |
-
"</s_formtype>",
|
| 1096 |
"<s_V IMPORTANT AUTHORIZED SIGNATURE>",
|
| 1097 |
-
"<
|
| 1098 |
-
"<s_Prescription1>",
|
| 1099 |
-
"<s_Medicare Supplement1>",
|
| 1100 |
-
"<s_End Stage1>",
|
| 1101 |
-
"</s_Disability1>",
|
| 1102 |
-
"</s_Disability2>",
|
| 1103 |
-
"</s_Medicare>",
|
| 1104 |
-
"</s_Health Insurance Claim Number2>"
|
| 1105 |
],
|
| 1106 |
"bos_token": "<s>",
|
| 1107 |
"clean_up_tokenization_spaces": true,
|
|
|
|
| 505 |
"special": true
|
| 506 |
},
|
| 507 |
"57580": {
|
| 508 |
+
"content": "<s_width>",
|
| 509 |
"lstrip": false,
|
| 510 |
"normalized": false,
|
| 511 |
"rstrip": false,
|
|
|
|
| 513 |
"special": true
|
| 514 |
},
|
| 515 |
"57581": {
|
| 516 |
+
"content": "<s_Policyholder Date of Birth>",
|
| 517 |
"lstrip": false,
|
| 518 |
"normalized": false,
|
| 519 |
"rstrip": false,
|
|
|
|
| 521 |
"special": true
|
| 522 |
},
|
| 523 |
"57582": {
|
| 524 |
+
"content": "<s_Employee Contract Holder Signature>",
|
| 525 |
"lstrip": false,
|
| 526 |
"normalized": false,
|
| 527 |
"rstrip": false,
|
|
|
|
| 529 |
"special": true
|
| 530 |
},
|
| 531 |
"57583": {
|
| 532 |
+
"content": "<s_Name of Policyholder>",
|
| 533 |
"lstrip": false,
|
| 534 |
"normalized": false,
|
| 535 |
"rstrip": false,
|
|
|
|
| 537 |
"special": true
|
| 538 |
},
|
| 539 |
"57584": {
|
| 540 |
+
"content": "</s_height>",
|
| 541 |
"lstrip": false,
|
| 542 |
"normalized": false,
|
| 543 |
"rstrip": false,
|
|
|
|
| 545 |
"special": true
|
| 546 |
},
|
| 547 |
"57585": {
|
| 548 |
+
"content": "<s_Prescription 1>",
|
| 549 |
"lstrip": false,
|
| 550 |
"normalized": false,
|
| 551 |
"rstrip": false,
|
|
|
|
| 553 |
"special": true
|
| 554 |
},
|
| 555 |
"57586": {
|
| 556 |
+
"content": "<s_image_size>",
|
| 557 |
"lstrip": false,
|
| 558 |
"normalized": false,
|
| 559 |
"rstrip": false,
|
|
|
|
| 561 |
"special": true
|
| 562 |
},
|
| 563 |
"57587": {
|
| 564 |
+
"content": "<s_Prescription 2>",
|
| 565 |
"lstrip": false,
|
| 566 |
"normalized": false,
|
| 567 |
"rstrip": false,
|
|
|
|
| 569 |
"special": true
|
| 570 |
},
|
| 571 |
"57588": {
|
| 572 |
+
"content": "<s_meta>",
|
| 573 |
"lstrip": false,
|
| 574 |
"normalized": false,
|
| 575 |
"rstrip": false,
|
|
|
|
| 577 |
"special": true
|
| 578 |
},
|
| 579 |
"57589": {
|
| 580 |
+
"content": "</s_page_number>",
|
| 581 |
"lstrip": false,
|
| 582 |
"normalized": false,
|
| 583 |
"rstrip": false,
|
|
|
|
| 585 |
"special": true
|
| 586 |
},
|
| 587 |
"57590": {
|
| 588 |
+
"content": "</s_Name of Subscriber 1>",
|
| 589 |
"lstrip": false,
|
| 590 |
"normalized": false,
|
| 591 |
"rstrip": false,
|
|
|
|
| 593 |
"special": true
|
| 594 |
},
|
| 595 |
"57591": {
|
| 596 |
+
"content": "</s_Relationship to Policyholder>",
|
| 597 |
"lstrip": false,
|
| 598 |
"normalized": false,
|
| 599 |
"rstrip": false,
|
|
|
|
| 601 |
"special": true
|
| 602 |
},
|
| 603 |
"57592": {
|
| 604 |
+
"content": "<s_Age 1>",
|
| 605 |
"lstrip": false,
|
| 606 |
"normalized": false,
|
| 607 |
"rstrip": false,
|
|
|
|
| 609 |
"special": true
|
| 610 |
},
|
| 611 |
"57593": {
|
| 612 |
+
"content": "</s_Hospital 1>",
|
| 613 |
"lstrip": false,
|
| 614 |
"normalized": false,
|
| 615 |
"rstrip": false,
|
|
|
|
| 617 |
"special": true
|
| 618 |
},
|
| 619 |
"57594": {
|
| 620 |
+
"content": "</s_version>",
|
| 621 |
"lstrip": false,
|
| 622 |
"normalized": false,
|
| 623 |
"rstrip": false,
|
|
|
|
| 625 |
"special": true
|
| 626 |
},
|
| 627 |
"57595": {
|
| 628 |
+
"content": "</s_Medicare Coverage>",
|
| 629 |
"lstrip": false,
|
| 630 |
"normalized": false,
|
| 631 |
"rstrip": false,
|
|
|
|
| 633 |
"special": true
|
| 634 |
},
|
| 635 |
"57596": {
|
| 636 |
+
"content": "<s_End Stage 2>",
|
| 637 |
"lstrip": false,
|
| 638 |
"normalized": false,
|
| 639 |
"rstrip": false,
|
|
|
|
| 641 |
"special": true
|
| 642 |
},
|
| 643 |
"57597": {
|
| 644 |
+
"content": "</s_Prescription 2>",
|
| 645 |
"lstrip": false,
|
| 646 |
"normalized": false,
|
| 647 |
"rstrip": false,
|
|
|
|
| 649 |
"special": true
|
| 650 |
},
|
| 651 |
"57598": {
|
| 652 |
+
"content": "</s_Group Number>",
|
| 653 |
"lstrip": false,
|
| 654 |
"normalized": false,
|
| 655 |
"rstrip": false,
|
|
|
|
| 657 |
"special": true
|
| 658 |
},
|
| 659 |
"57599": {
|
| 660 |
+
"content": "<s_Medicare Supplement 1>",
|
| 661 |
"lstrip": false,
|
| 662 |
"normalized": false,
|
| 663 |
"rstrip": false,
|
|
|
|
| 665 |
"special": true
|
| 666 |
},
|
| 667 |
"57600": {
|
| 668 |
+
"content": "<s_Name of Subscriber 2>",
|
| 669 |
"lstrip": false,
|
| 670 |
"normalized": false,
|
| 671 |
"rstrip": false,
|
|
|
|
| 673 |
"special": true
|
| 674 |
},
|
| 675 |
"57601": {
|
| 676 |
+
"content": "</s_Medicare Supplement 1>",
|
| 677 |
"lstrip": false,
|
| 678 |
"normalized": false,
|
| 679 |
"rstrip": false,
|
|
|
|
| 681 |
"special": true
|
| 682 |
},
|
| 683 |
"57602": {
|
| 684 |
+
"content": "</s_Name of Subscriber 2>",
|
| 685 |
"lstrip": false,
|
| 686 |
"normalized": false,
|
| 687 |
"rstrip": false,
|
|
|
|
| 689 |
"special": true
|
| 690 |
},
|
| 691 |
"57603": {
|
| 692 |
+
"content": "<s_Medical 2>",
|
| 693 |
"lstrip": false,
|
| 694 |
"normalized": false,
|
| 695 |
"rstrip": false,
|
|
|
|
| 697 |
"special": true
|
| 698 |
},
|
| 699 |
"57604": {
|
| 700 |
+
"content": "</s_image_size>",
|
| 701 |
"lstrip": false,
|
| 702 |
"normalized": false,
|
| 703 |
"rstrip": false,
|
|
|
|
| 705 |
"special": true
|
| 706 |
},
|
| 707 |
"57605": {
|
| 708 |
+
"content": "</s_Employee Contract Holder Signature>",
|
| 709 |
"lstrip": false,
|
| 710 |
"normalized": false,
|
| 711 |
"rstrip": false,
|
|
|
|
| 721 |
"special": true
|
| 722 |
},
|
| 723 |
"57607": {
|
| 724 |
+
"content": "</s_Name of Insurance Carrier>",
|
| 725 |
"lstrip": false,
|
| 726 |
"normalized": false,
|
| 727 |
"rstrip": false,
|
|
|
|
| 729 |
"special": true
|
| 730 |
},
|
| 731 |
"57608": {
|
| 732 |
+
"content": "<s_version>",
|
| 733 |
"lstrip": false,
|
| 734 |
"normalized": false,
|
| 735 |
"rstrip": false,
|
|
|
|
| 737 |
"special": true
|
| 738 |
},
|
| 739 |
"57609": {
|
| 740 |
+
"content": "<s_Medical 1>",
|
| 741 |
"lstrip": false,
|
| 742 |
"normalized": false,
|
| 743 |
"rstrip": false,
|
|
|
|
| 745 |
"special": true
|
| 746 |
},
|
| 747 |
"57610": {
|
| 748 |
+
"content": "<s_Health Insurance Claim Number 2>",
|
| 749 |
"lstrip": false,
|
| 750 |
"normalized": false,
|
| 751 |
"rstrip": false,
|
|
|
|
| 753 |
"special": true
|
| 754 |
},
|
| 755 |
"57611": {
|
| 756 |
+
"content": "<s_End Stage 1>",
|
| 757 |
"lstrip": false,
|
| 758 |
"normalized": false,
|
| 759 |
"rstrip": false,
|
|
|
|
| 761 |
"special": true
|
| 762 |
},
|
| 763 |
"57612": {
|
| 764 |
+
"content": "</s_Medical 1>",
|
| 765 |
"lstrip": false,
|
| 766 |
"normalized": false,
|
| 767 |
"rstrip": false,
|
|
|
|
| 769 |
"special": true
|
| 770 |
},
|
| 771 |
"57613": {
|
| 772 |
+
"content": "</s_Health Insurance Claim Number 2>",
|
| 773 |
"lstrip": false,
|
| 774 |
"normalized": false,
|
| 775 |
"rstrip": false,
|
|
|
|
| 777 |
"special": true
|
| 778 |
},
|
| 779 |
"57614": {
|
| 780 |
+
"content": "<s_formtype>",
|
| 781 |
"lstrip": false,
|
| 782 |
"normalized": false,
|
| 783 |
"rstrip": false,
|
|
|
|
| 785 |
"special": true
|
| 786 |
},
|
| 787 |
"57615": {
|
| 788 |
+
"content": "<s_Health Insurance Claim Number 1>",
|
| 789 |
"lstrip": false,
|
| 790 |
"normalized": false,
|
| 791 |
"rstrip": false,
|
|
|
|
| 793 |
"special": true
|
| 794 |
},
|
| 795 |
"57616": {
|
| 796 |
+
"content": "<s_Disability 2>",
|
| 797 |
"lstrip": false,
|
| 798 |
"normalized": false,
|
| 799 |
"rstrip": false,
|
|
|
|
| 801 |
"special": true
|
| 802 |
},
|
| 803 |
"57617": {
|
| 804 |
+
"content": "</s_insurancecompany>",
|
| 805 |
"lstrip": false,
|
| 806 |
"normalized": false,
|
| 807 |
"rstrip": false,
|
|
|
|
| 809 |
"special": true
|
| 810 |
},
|
| 811 |
"57618": {
|
| 812 |
+
"content": "<s_Name of Subscriber 1>",
|
| 813 |
"lstrip": false,
|
| 814 |
"normalized": false,
|
| 815 |
"rstrip": false,
|
|
|
|
| 817 |
"special": true
|
| 818 |
},
|
| 819 |
"57619": {
|
| 820 |
+
"content": "</s_Policyholder Date of Birth>",
|
| 821 |
"lstrip": false,
|
| 822 |
"normalized": false,
|
| 823 |
"rstrip": false,
|
|
|
|
| 825 |
"special": true
|
| 826 |
},
|
| 827 |
"57620": {
|
| 828 |
+
"content": "</s_Hospital 2>",
|
| 829 |
"lstrip": false,
|
| 830 |
"normalized": false,
|
| 831 |
"rstrip": false,
|
|
|
|
| 833 |
"special": true
|
| 834 |
},
|
| 835 |
"57621": {
|
| 836 |
+
"content": "<s_Policy Number>",
|
| 837 |
"lstrip": false,
|
| 838 |
"normalized": false,
|
| 839 |
"rstrip": false,
|
|
|
|
| 841 |
"special": true
|
| 842 |
},
|
| 843 |
"57622": {
|
| 844 |
+
"content": "</s_Policy Number>",
|
| 845 |
"lstrip": false,
|
| 846 |
"normalized": false,
|
| 847 |
"rstrip": false,
|
|
|
|
| 849 |
"special": true
|
| 850 |
},
|
| 851 |
"57623": {
|
| 852 |
+
"content": "</s_Disability 2>",
|
| 853 |
"lstrip": false,
|
| 854 |
"normalized": false,
|
| 855 |
"rstrip": false,
|
|
|
|
| 857 |
"special": true
|
| 858 |
},
|
| 859 |
"57624": {
|
| 860 |
+
"content": "</s_Health Insurance Claim Number 1>",
|
| 861 |
"lstrip": false,
|
| 862 |
"normalized": false,
|
| 863 |
"rstrip": false,
|
|
|
|
| 865 |
"special": true
|
| 866 |
},
|
| 867 |
"57625": {
|
| 868 |
+
"content": "<s_height>",
|
| 869 |
"lstrip": false,
|
| 870 |
"normalized": false,
|
| 871 |
"rstrip": false,
|
|
|
|
| 873 |
"special": true
|
| 874 |
},
|
| 875 |
"57626": {
|
| 876 |
+
"content": "<s_Disability 1>",
|
| 877 |
"lstrip": false,
|
| 878 |
"normalized": false,
|
| 879 |
"rstrip": false,
|
|
|
|
| 881 |
"special": true
|
| 882 |
},
|
| 883 |
"57627": {
|
| 884 |
+
"content": "</s_Name of Policyholder>",
|
| 885 |
"lstrip": false,
|
| 886 |
"normalized": false,
|
| 887 |
"rstrip": false,
|
|
|
|
| 889 |
"special": true
|
| 890 |
},
|
| 891 |
"57628": {
|
| 892 |
+
"content": "</s_Effective Date>",
|
| 893 |
"lstrip": false,
|
| 894 |
"normalized": false,
|
| 895 |
"rstrip": false,
|
|
|
|
| 897 |
"special": true
|
| 898 |
},
|
| 899 |
"57629": {
|
| 900 |
+
"content": "</s_formtype>",
|
| 901 |
"lstrip": false,
|
| 902 |
"normalized": false,
|
| 903 |
"rstrip": false,
|
|
|
|
| 905 |
"special": true
|
| 906 |
},
|
| 907 |
"57630": {
|
| 908 |
+
"content": "</s_Prescription 1>",
|
| 909 |
"lstrip": false,
|
| 910 |
"normalized": false,
|
| 911 |
"rstrip": false,
|
|
|
|
| 913 |
"special": true
|
| 914 |
},
|
| 915 |
"57631": {
|
| 916 |
+
"content": "</s_Medicare Supplement 2>",
|
| 917 |
"lstrip": false,
|
| 918 |
"normalized": false,
|
| 919 |
"rstrip": false,
|
|
|
|
| 921 |
"special": true
|
| 922 |
},
|
| 923 |
"57632": {
|
| 924 |
+
"content": "</s_width>",
|
| 925 |
"lstrip": false,
|
| 926 |
"normalized": false,
|
| 927 |
"rstrip": false,
|
|
|
|
| 929 |
"special": true
|
| 930 |
},
|
| 931 |
"57633": {
|
| 932 |
+
"content": "<s_Age 2>",
|
| 933 |
"lstrip": false,
|
| 934 |
"normalized": false,
|
| 935 |
"rstrip": false,
|
|
|
|
| 937 |
"special": true
|
| 938 |
},
|
| 939 |
"57634": {
|
| 940 |
+
"content": "<s_Effective Date>",
|
| 941 |
"lstrip": false,
|
| 942 |
"normalized": false,
|
| 943 |
"rstrip": false,
|
|
|
|
| 945 |
"special": true
|
| 946 |
},
|
| 947 |
"57635": {
|
| 948 |
+
"content": "<s_IV OTHER HEALTH INSURANCE COVERAGE>",
|
| 949 |
"lstrip": false,
|
| 950 |
"normalized": false,
|
| 951 |
"rstrip": false,
|
|
|
|
| 953 |
"special": true
|
| 954 |
},
|
| 955 |
"57636": {
|
| 956 |
+
"content": "</s_Disability 1>",
|
| 957 |
"lstrip": false,
|
| 958 |
"normalized": false,
|
| 959 |
"rstrip": false,
|
|
|
|
| 961 |
"special": true
|
| 962 |
},
|
| 963 |
"57637": {
|
| 964 |
+
"content": "</s_End Stage 1>",
|
| 965 |
"lstrip": false,
|
| 966 |
"normalized": false,
|
| 967 |
"rstrip": false,
|
|
|
|
| 969 |
"special": true
|
| 970 |
},
|
| 971 |
"57638": {
|
| 972 |
+
"content": "<s_Hospital 1>",
|
| 973 |
"lstrip": false,
|
| 974 |
"normalized": false,
|
| 975 |
"rstrip": false,
|
|
|
|
| 977 |
"special": true
|
| 978 |
},
|
| 979 |
"57639": {
|
| 980 |
+
"content": "<s_Hospital 2>",
|
| 981 |
"lstrip": false,
|
| 982 |
"normalized": false,
|
| 983 |
"rstrip": false,
|
|
|
|
| 985 |
"special": true
|
| 986 |
},
|
| 987 |
"57640": {
|
| 988 |
+
"content": "</s_V IMPORTANT AUTHORIZED SIGNATURE>",
|
| 989 |
"lstrip": false,
|
| 990 |
"normalized": false,
|
| 991 |
"rstrip": false,
|
|
|
|
| 993 |
"special": true
|
| 994 |
},
|
| 995 |
"57641": {
|
| 996 |
+
"content": "<s_Employment Status>",
|
| 997 |
"lstrip": false,
|
| 998 |
"normalized": false,
|
| 999 |
"rstrip": false,
|
|
|
|
| 1001 |
"special": true
|
| 1002 |
},
|
| 1003 |
"57642": {
|
| 1004 |
+
"content": "<s_Medicare Coverage>",
|
| 1005 |
"lstrip": false,
|
| 1006 |
"normalized": false,
|
| 1007 |
"rstrip": false,
|
|
|
|
| 1009 |
"special": true
|
| 1010 |
},
|
| 1011 |
"57643": {
|
| 1012 |
+
"content": "</s_Age 2>",
|
| 1013 |
"lstrip": false,
|
| 1014 |
"normalized": false,
|
| 1015 |
"rstrip": false,
|
|
|
|
| 1017 |
"special": true
|
| 1018 |
},
|
| 1019 |
"57644": {
|
| 1020 |
+
"content": "<s_Policyholder Employment Status>",
|
| 1021 |
"lstrip": false,
|
| 1022 |
"normalized": false,
|
| 1023 |
"rstrip": false,
|
|
|
|
| 1025 |
"special": true
|
| 1026 |
},
|
| 1027 |
"57645": {
|
| 1028 |
+
"content": "</s_IV OTHER HEALTH INSURANCE COVERAGE>",
|
| 1029 |
+
"lstrip": false,
|
| 1030 |
+
"normalized": false,
|
| 1031 |
+
"rstrip": false,
|
| 1032 |
+
"single_word": false,
|
| 1033 |
+
"special": true
|
| 1034 |
+
},
|
| 1035 |
+
"57646": {
|
| 1036 |
+
"content": "<s_page_number>",
|
| 1037 |
+
"lstrip": false,
|
| 1038 |
+
"normalized": false,
|
| 1039 |
+
"rstrip": false,
|
| 1040 |
+
"single_word": false,
|
| 1041 |
+
"special": true
|
| 1042 |
+
},
|
| 1043 |
+
"57647": {
|
| 1044 |
+
"content": "<s_Group Number>",
|
| 1045 |
+
"lstrip": false,
|
| 1046 |
+
"normalized": false,
|
| 1047 |
+
"rstrip": false,
|
| 1048 |
+
"single_word": false,
|
| 1049 |
+
"special": true
|
| 1050 |
+
},
|
| 1051 |
+
"57648": {
|
| 1052 |
+
"content": "</s_End Stage 2>",
|
| 1053 |
+
"lstrip": false,
|
| 1054 |
+
"normalized": false,
|
| 1055 |
+
"rstrip": false,
|
| 1056 |
+
"single_word": false,
|
| 1057 |
+
"special": true
|
| 1058 |
+
},
|
| 1059 |
+
"57649": {
|
| 1060 |
+
"content": "</s_meta>",
|
| 1061 |
+
"lstrip": false,
|
| 1062 |
+
"normalized": false,
|
| 1063 |
+
"rstrip": false,
|
| 1064 |
+
"single_word": false,
|
| 1065 |
+
"special": true
|
| 1066 |
+
},
|
| 1067 |
+
"57650": {
|
| 1068 |
+
"content": "</s_Policyholder Employment Status>",
|
| 1069 |
+
"lstrip": false,
|
| 1070 |
+
"normalized": false,
|
| 1071 |
+
"rstrip": false,
|
| 1072 |
+
"single_word": false,
|
| 1073 |
+
"special": true
|
| 1074 |
+
},
|
| 1075 |
+
"57651": {
|
| 1076 |
+
"content": "</s_Medical 2>",
|
| 1077 |
+
"lstrip": false,
|
| 1078 |
+
"normalized": false,
|
| 1079 |
+
"rstrip": false,
|
| 1080 |
+
"single_word": false,
|
| 1081 |
+
"special": true
|
| 1082 |
+
},
|
| 1083 |
+
"57652": {
|
| 1084 |
+
"content": "<s_Name of Insurance Carrier>",
|
| 1085 |
+
"lstrip": false,
|
| 1086 |
+
"normalized": false,
|
| 1087 |
+
"rstrip": false,
|
| 1088 |
+
"single_word": false,
|
| 1089 |
+
"special": true
|
| 1090 |
+
},
|
| 1091 |
+
"57653": {
|
| 1092 |
+
"content": "<s_insurancecompany>",
|
| 1093 |
+
"lstrip": false,
|
| 1094 |
+
"normalized": false,
|
| 1095 |
+
"rstrip": false,
|
| 1096 |
+
"single_word": false,
|
| 1097 |
+
"special": true
|
| 1098 |
+
},
|
| 1099 |
+
"57654": {
|
| 1100 |
+
"content": "<s_Relationship to Policyholder>",
|
| 1101 |
+
"lstrip": false,
|
| 1102 |
+
"normalized": false,
|
| 1103 |
+
"rstrip": false,
|
| 1104 |
+
"single_word": false,
|
| 1105 |
+
"special": true
|
| 1106 |
+
},
|
| 1107 |
+
"57655": {
|
| 1108 |
+
"content": "</s_Age 1>",
|
| 1109 |
+
"lstrip": false,
|
| 1110 |
+
"normalized": false,
|
| 1111 |
+
"rstrip": false,
|
| 1112 |
+
"single_word": false,
|
| 1113 |
+
"special": true
|
| 1114 |
+
},
|
| 1115 |
+
"57656": {
|
| 1116 |
+
"content": "<s_V IMPORTANT AUTHORIZED SIGNATURE>",
|
| 1117 |
+
"lstrip": false,
|
| 1118 |
+
"normalized": false,
|
| 1119 |
+
"rstrip": false,
|
| 1120 |
+
"single_word": false,
|
| 1121 |
+
"special": true
|
| 1122 |
+
},
|
| 1123 |
+
"57657": {
|
| 1124 |
+
"content": "<s_Medicare Supplement 2>",
|
| 1125 |
"lstrip": false,
|
| 1126 |
"normalized": false,
|
| 1127 |
"rstrip": false,
|
|
|
|
| 1130 |
}
|
| 1131 |
},
|
| 1132 |
"additional_special_tokens": [
|
| 1133 |
+
"<s_width>",
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1134 |
"<s_Policyholder Date of Birth>",
|
|
|
|
|
|
|
| 1135 |
"<s_Employee Contract Holder Signature>",
|
|
|
|
| 1136 |
"<s_Name of Policyholder>",
|
| 1137 |
+
"</s_height>",
|
| 1138 |
+
"<s_Prescription 1>",
|
| 1139 |
+
"<s_image_size>",
|
| 1140 |
+
"<s_Prescription 2>",
|
| 1141 |
+
"<s_meta>",
|
| 1142 |
+
"</s_page_number>",
|
| 1143 |
+
"</s_Name of Subscriber 1>",
|
| 1144 |
+
"</s_Relationship to Policyholder>",
|
| 1145 |
+
"<s_Age 1>",
|
| 1146 |
+
"</s_Hospital 1>",
|
| 1147 |
+
"</s_version>",
|
| 1148 |
+
"</s_Medicare Coverage>",
|
| 1149 |
+
"<s_End Stage 2>",
|
| 1150 |
+
"</s_Prescription 2>",
|
| 1151 |
+
"</s_Group Number>",
|
| 1152 |
+
"<s_Medicare Supplement 1>",
|
| 1153 |
+
"<s_Name of Subscriber 2>",
|
| 1154 |
+
"</s_Medicare Supplement 1>",
|
| 1155 |
+
"</s_Name of Subscriber 2>",
|
| 1156 |
+
"<s_Medical 2>",
|
| 1157 |
+
"</s_image_size>",
|
| 1158 |
+
"</s_Employee Contract Holder Signature>",
|
| 1159 |
+
"</s_Employment Status>",
|
| 1160 |
+
"</s_Name of Insurance Carrier>",
|
| 1161 |
+
"<s_version>",
|
| 1162 |
+
"<s_Medical 1>",
|
| 1163 |
+
"<s_Health Insurance Claim Number 2>",
|
| 1164 |
+
"<s_End Stage 1>",
|
| 1165 |
+
"</s>",
|
| 1166 |
+
"</s_Medical 1>",
|
| 1167 |
+
"</s_Health Insurance Claim Number 2>",
|
| 1168 |
+
"<s_formtype>",
|
| 1169 |
+
"<s_Health Insurance Claim Number 1>",
|
| 1170 |
+
"<s_Disability 2>",
|
| 1171 |
"</s_insurancecompany>",
|
| 1172 |
+
"<s_Name of Subscriber 1>",
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1173 |
"</s_Policyholder Date of Birth>",
|
| 1174 |
+
"</s_Hospital 2>",
|
| 1175 |
"<s_Policy Number>",
|
|
|
|
|
|
|
|
|
|
| 1176 |
"</s_Policy Number>",
|
| 1177 |
+
"</s_Disability 2>",
|
| 1178 |
+
"</s_Health Insurance Claim Number 1>",
|
| 1179 |
+
"<s_height>",
|
| 1180 |
+
"<s_Disability 1>",
|
| 1181 |
+
"</s_Name of Policyholder>",
|
| 1182 |
+
"</s_Effective Date>",
|
| 1183 |
+
"</s_formtype>",
|
| 1184 |
+
"</s_Prescription 1>",
|
| 1185 |
+
"</s_Medicare Supplement 2>",
|
| 1186 |
+
"</s_width>",
|
| 1187 |
+
"<s_Age 2>",
|
| 1188 |
+
"<s_Effective Date>",
|
| 1189 |
+
"<s_IV OTHER HEALTH INSURANCE COVERAGE>",
|
| 1190 |
+
"</s_Disability 1>",
|
| 1191 |
+
"</s_End Stage 1>",
|
| 1192 |
+
"<s_Hospital 1>",
|
| 1193 |
+
"<s_Hospital 2>",
|
| 1194 |
+
"</s_V IMPORTANT AUTHORIZED SIGNATURE>",
|
| 1195 |
+
"<s_Employment Status>",
|
| 1196 |
+
"<s_Medicare Coverage>",
|
| 1197 |
+
"</s_Age 2>",
|
| 1198 |
+
"<s_Policyholder Employment Status>",
|
| 1199 |
"</s_IV OTHER HEALTH INSURANCE COVERAGE>",
|
|
|
|
| 1200 |
"<s_page_number>",
|
| 1201 |
"<s>",
|
|
|
|
|
|
|
|
|
|
| 1202 |
"<s_Group Number>",
|
| 1203 |
+
"</s_End Stage 2>",
|
| 1204 |
+
"</s_meta>",
|
| 1205 |
+
"</s_Policyholder Employment Status>",
|
| 1206 |
+
"</s_Medical 2>",
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1207 |
"<s_Name of Insurance Carrier>",
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1208 |
"<s_insurancecompany>",
|
| 1209 |
"<s_Relationship to Policyholder>",
|
| 1210 |
+
"</s_Age 1>",
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1211 |
"<s_V IMPORTANT AUTHORIZED SIGNATURE>",
|
| 1212 |
+
"<s_Medicare Supplement 2>"
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1213 |
],
|
| 1214 |
"bos_token": "<s>",
|
| 1215 |
"clean_up_tokenization_spaces": true,
|