| { |
| "added_tokens_decoder": { |
| "0": { |
| "content": "<s>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "1": { |
| "content": "<pad>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "2": { |
| "content": "</s>", |
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| "normalized": false, |
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| "single_word": false, |
| "special": true |
| }, |
| "3": { |
| "content": "<unk>", |
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| "special": true |
| }, |
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| "content": "<mask>", |
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| "normalized": true, |
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| "special": true |
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| "content": "<sep/>", |
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| "normalized": true, |
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| "single_word": false, |
| "special": false |
| }, |
| "57523": { |
| "content": "<s_iitcdip>", |
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| "normalized": true, |
| "rstrip": false, |
| "single_word": false, |
| "special": false |
| }, |
| "57524": { |
| "content": "<s_synthdog>", |
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| "normalized": true, |
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| "single_word": false, |
| "special": false |
| }, |
| "57525": { |
| "content": "</s_menu>", |
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| "normalized": true, |
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| "single_word": false, |
| "special": false |
| }, |
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| "content": "<s_menu>", |
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| "normalized": true, |
| "rstrip": false, |
| "single_word": false, |
| "special": false |
| }, |
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| "content": "</s_nm>", |
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| "normalized": true, |
| "rstrip": false, |
| "single_word": false, |
| "special": false |
| }, |
| "57528": { |
| "content": "<s_nm>", |
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| "normalized": true, |
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| "special": false |
| }, |
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| "content": "</s_cnt>", |
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| "normalized": true, |
| "rstrip": false, |
| "single_word": false, |
| "special": false |
| }, |
| "57530": { |
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| "normalized": true, |
| "rstrip": false, |
| "single_word": false, |
| "special": false |
| }, |
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| "content": "</s_price>", |
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| "single_word": false, |
| "special": false |
| }, |
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| "content": "<s_price>", |
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| "normalized": true, |
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| "single_word": false, |
| "special": false |
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| "content": "</s_sub_total>", |
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| "special": false |
| }, |
| "57534": { |
| "content": "<s_sub_total>", |
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| "normalized": true, |
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| "single_word": false, |
| "special": false |
| }, |
| "57535": { |
| "content": "</s_subtotal_price>", |
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| "normalized": true, |
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| "special": false |
| }, |
| "57536": { |
| "content": "<s_subtotal_price>", |
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| "single_word": false, |
| "special": false |
| }, |
| "57537": { |
| "content": "</s_service_price>", |
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| "normalized": true, |
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| "single_word": false, |
| "special": false |
| }, |
| "57538": { |
| "content": "<s_service_price>", |
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| }, |
| "57539": { |
| "content": "</s_tax_price>", |
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| "normalized": true, |
| "rstrip": false, |
| "single_word": false, |
| "special": false |
| }, |
| "57540": { |
| "content": "<s_tax_price>", |
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| "normalized": true, |
| "rstrip": false, |
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| }, |
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| "content": "</s_etc>", |
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| "normalized": true, |
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| "special": false |
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| "content": "<s_etc>", |
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| "normalized": true, |
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| }, |
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| "content": "</s_total>", |
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| "normalized": true, |
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| "single_word": false, |
| "special": false |
| }, |
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| "single_word": false, |
| "special": false |
| }, |
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| "content": "</s_total_price>", |
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| "normalized": true, |
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| "single_word": false, |
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| }, |
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| "single_word": false, |
| "special": false |
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| "content": "</s_sub>", |
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| "normalized": true, |
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| "single_word": false, |
| "special": false |
| }, |
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| "normalized": true, |
| "rstrip": false, |
| "single_word": false, |
| "special": false |
| }, |
| "57549": { |
| "content": "</s_cashprice>", |
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| "normalized": true, |
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| "single_word": false, |
| "special": false |
| }, |
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| "content": "<s_cashprice>", |
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| "normalized": true, |
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| "single_word": false, |
| "special": false |
| }, |
| "57551": { |
| "content": "</s_changeprice>", |
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| "normalized": true, |
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| "single_word": false, |
| "special": false |
| }, |
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| "content": "<s_changeprice>", |
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| "normalized": true, |
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| "single_word": false, |
| "special": false |
| }, |
| "57553": { |
| "content": "</s_menutype_cnt>", |
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| "normalized": true, |
| "rstrip": false, |
| "single_word": false, |
| "special": false |
| }, |
| "57554": { |
| "content": "<s_menutype_cnt>", |
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| "normalized": true, |
| "rstrip": false, |
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| "special": false |
| }, |
| "57555": { |
| "content": "</s_menuqty_cnt>", |
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| "normalized": true, |
| "rstrip": false, |
| "single_word": false, |
| "special": false |
| }, |
| "57556": { |
| "content": "<s_menuqty_cnt>", |
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| "normalized": true, |
| "rstrip": false, |
| "single_word": false, |
| "special": false |
| }, |
| "57557": { |
| "content": "</s_discount_price>", |
| "lstrip": false, |
| "normalized": true, |
| "rstrip": false, |
| "single_word": false, |
| "special": false |
| }, |
| "57558": { |
| "content": "<s_discount_price>", |
| "lstrip": false, |
| "normalized": true, |
| "rstrip": false, |
| "single_word": false, |
| "special": false |
| }, |
| "57559": { |
| "content": "</s_unitprice>", |
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| "normalized": true, |
| "rstrip": false, |
| "single_word": false, |
| "special": false |
| }, |
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| "content": "<s_unitprice>", |
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| "normalized": true, |
| "rstrip": false, |
| "single_word": false, |
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| }, |
| "57561": { |
| "content": "</s_total_etc>", |
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| "normalized": true, |
| "rstrip": false, |
| "single_word": false, |
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| }, |
| "57562": { |
| "content": "<s_total_etc>", |
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| "normalized": true, |
| "rstrip": false, |
| "single_word": false, |
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| }, |
| "57563": { |
| "content": "</s_creditcardprice>", |
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| "normalized": true, |
| "rstrip": false, |
| "single_word": false, |
| "special": false |
| }, |
| "57564": { |
| "content": "<s_creditcardprice>", |
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| "normalized": true, |
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| "special": false |
| }, |
| "57565": { |
| "content": "</s_num>", |
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| "normalized": true, |
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| "single_word": false, |
| "special": false |
| }, |
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| "content": "<s_num>", |
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| "special": false |
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| "content": "</s_discountprice>", |
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| "normalized": true, |
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| "single_word": false, |
| "special": false |
| }, |
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| "content": "<s_discountprice>", |
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| "normalized": true, |
| "rstrip": false, |
| "single_word": false, |
| "special": false |
| }, |
| "57569": { |
| "content": "</s_emoneyprice>", |
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| "normalized": true, |
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| "single_word": false, |
| "special": false |
| }, |
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| "content": "<s_emoneyprice>", |
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| "normalized": true, |
| "rstrip": false, |
| "single_word": false, |
| "special": false |
| }, |
| "57571": { |
| "content": "</s_void_menu>", |
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| "normalized": true, |
| "rstrip": false, |
| "single_word": false, |
| "special": false |
| }, |
| "57572": { |
| "content": "<s_void_menu>", |
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| "normalized": true, |
| "rstrip": false, |
| "single_word": false, |
| "special": false |
| }, |
| "57573": { |
| "content": "</s_othersvc_price>", |
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| "normalized": true, |
| "rstrip": false, |
| "single_word": false, |
| "special": false |
| }, |
| "57574": { |
| "content": "<s_othersvc_price>", |
| "lstrip": false, |
| "normalized": true, |
| "rstrip": false, |
| "single_word": false, |
| "special": false |
| }, |
| "57575": { |
| "content": "</s_vatyn>", |
| "lstrip": false, |
| "normalized": true, |
| "rstrip": false, |
| "single_word": false, |
| "special": false |
| }, |
| "57576": { |
| "content": "<s_vatyn>", |
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| "normalized": true, |
| "rstrip": false, |
| "single_word": false, |
| "special": false |
| }, |
| "57577": { |
| "content": "</s_itemsubtotal>", |
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| "normalized": true, |
| "rstrip": false, |
| "single_word": false, |
| "special": false |
| }, |
| "57578": { |
| "content": "<s_itemsubtotal>", |
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| "normalized": true, |
| "rstrip": false, |
| "single_word": false, |
| "special": false |
| }, |
| "57579": { |
| "content": "<s_cord-v2>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57580": { |
| "content": "<s_meta>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57581": { |
| "content": "</s_meta>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57582": { |
| "content": "<s_formtype>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57583": { |
| "content": "</s_formtype>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57584": { |
| "content": "<s_PHYSICIAN OR MEDICAL PROVIDER INFORMATION>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57585": { |
| "content": "</s_PHYSICIAN OR MEDICAL PROVIDER INFORMATION>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57586": { |
| "content": "<s_33. BILLING INFORMATION>", |
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| "special": true |
| }, |
| "57587": { |
| "content": "</s_33. BILLING INFORMATION>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57588": { |
| "content": "<s_33. BILLING PROVIDER PHONE>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57589": { |
| "content": "</s_33. BILLING PROVIDER PHONE>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57590": { |
| "content": "<s_33. BILLING PROVIDER LOCATION>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57591": { |
| "content": "</s_33. BILLING PROVIDER LOCATION>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57592": { |
| "content": "<s_33. a. NPI NUMBER>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57593": { |
| "content": "</s_33. a. NPI NUMBER>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57594": { |
| "content": "<s_32. SERVICE INFORMATION>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57595": { |
| "content": "</s_32. SERVICE INFORMATION>", |
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| "normalized": false, |
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| "single_word": false, |
| "special": true |
| }, |
| "57596": { |
| "content": "<s_32. SERVICE FACILITY LOCATION>", |
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| "normalized": false, |
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| "single_word": false, |
| "special": true |
| }, |
| "57597": { |
| "content": "</s_32. SERVICE FACILITY LOCATION>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57598": { |
| "content": "<s_32. a. NPI NUMBER>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57599": { |
| "content": "</s_32. a. NPI NUMBER>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57600": { |
| "content": "<s_31. PHYSICIAN OR SUPPLIER SIGNATURE>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57601": { |
| "content": "</s_31. PHYSICIAN OR SUPPLIER SIGNATURE>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57602": { |
| "content": "<s_SIGNED>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57603": { |
| "content": "</s_SIGNED>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57604": { |
| "content": "<s_DATE>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57605": { |
| "content": "</s_DATE>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57606": { |
| "content": "<s_29. AMOUNT PAID>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57607": { |
| "content": "</s_29. AMOUNT PAID>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57608": { |
| "content": "<s_28. TOTAL CHARGE>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57609": { |
| "content": "</s_28. TOTAL CHARGE>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57610": { |
| "content": "<s_27. ACCEPT ASSIGNMENT>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
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| }, |
| "57611": { |
| "content": "</s_27. ACCEPT ASSIGNMENT>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57612": { |
| "content": "<s_26. PATIENT'S ACCOUNT NUMBER>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57613": { |
| "content": "</s_26. PATIENT'S ACCOUNT NUMBER>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57614": { |
| "content": "<s_25. FEDERAL TAX I.D. NUMBER>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57615": { |
| "content": "</s_25. FEDERAL TAX I.D. NUMBER>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
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| }, |
| "57616": { |
| "content": "<s_25. FEDERAL IDENTIFICATION>", |
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| "normalized": false, |
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| }, |
| "57617": { |
| "content": "</s_25. FEDERAL IDENTIFICATION>", |
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| "normalized": false, |
| "rstrip": false, |
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| }, |
| "57618": { |
| "content": "<s_24. SERVICES>", |
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| "57619": { |
| "content": "</s_24. SERVICES>", |
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| }, |
| "57620": { |
| "content": "<s_YY 1>", |
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| "57621": { |
| "content": "</s_YY 1>", |
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| "single_word": false, |
| "special": true |
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| "57622": { |
| "content": "<s_UNITS 1>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57623": { |
| "content": "</s_UNITS 1>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57624": { |
| "content": "<s_PROVIDER ID 1>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57625": { |
| "content": "</s_PROVIDER ID 1>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57626": { |
| "content": "<s_PLACE OF SERVICE 1>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57627": { |
| "content": "</s_PLACE OF SERVICE 1>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57628": { |
| "content": "<s_MODIFIER 1>", |
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| "normalized": false, |
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| "single_word": false, |
| "special": true |
| }, |
| "57629": { |
| "content": "</s_MODIFIER 1>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57630": { |
| "content": "<s_MM 1>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57631": { |
| "content": "</s_MM 1>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57632": { |
| "content": "<s_Family Plan 1>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57633": { |
| "content": "</s_Family Plan 1>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57634": { |
| "content": "<s_EMG 1>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57635": { |
| "content": "</s_EMG 1>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57636": { |
| "content": "<s_DIAGNOSIS POINTER 1>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57637": { |
| "content": "</s_DIAGNOSIS POINTER 1>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
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| "57638": { |
| "content": "<s_DD 1>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57639": { |
| "content": "</s_DD 1>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57640": { |
| "content": "<s_CPT/HCPCS 1>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57641": { |
| "content": "</s_CPT/HCPCS 1>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57642": { |
| "content": "<s_$CHARGES 1>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57643": { |
| "content": "</s_$CHARGES 1>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57644": { |
| "content": "<s_YY 2>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57645": { |
| "content": "</s_YY 2>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57646": { |
| "content": "<s_UNITS 2>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57647": { |
| "content": "</s_UNITS 2>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57648": { |
| "content": "<s_PROVIDER ID 2>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57649": { |
| "content": "</s_PROVIDER ID 2>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57650": { |
| "content": "<s_PLACE OF SERVICE 2>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57651": { |
| "content": "</s_PLACE OF SERVICE 2>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57652": { |
| "content": "<s_MODIFIER 2>", |
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| "normalized": false, |
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| "single_word": false, |
| "special": true |
| }, |
| "57653": { |
| "content": "</s_MODIFIER 2>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57654": { |
| "content": "<s_MM 2>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57655": { |
| "content": "</s_MM 2>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57656": { |
| "content": "<s_Family Plan 2>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57657": { |
| "content": "</s_Family Plan 2>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57658": { |
| "content": "<s_EMG 2>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57659": { |
| "content": "</s_EMG 2>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57660": { |
| "content": "<s_DIAGNOSIS POINTER 2>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57661": { |
| "content": "</s_DIAGNOSIS POINTER 2>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57662": { |
| "content": "<s_DD 2>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57663": { |
| "content": "</s_DD 2>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57664": { |
| "content": "<s_CPT/HCPCS 2>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57665": { |
| "content": "</s_CPT/HCPCS 2>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57666": { |
| "content": "<s_$CHARGES 2>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
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| "57667": { |
| "content": "</s_$CHARGES 2>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
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| "57668": { |
| "content": "<s_YY 3>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57669": { |
| "content": "</s_YY 3>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57670": { |
| "content": "<s_UNITS 3>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
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| "57671": { |
| "content": "</s_UNITS 3>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57672": { |
| "content": "<s_PROVIDER ID 3>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57673": { |
| "content": "</s_PROVIDER ID 3>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57674": { |
| "content": "<s_PLACE OF SERVICE 3>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57675": { |
| "content": "</s_PLACE OF SERVICE 3>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57676": { |
| "content": "<s_MODIFIER 3>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57677": { |
| "content": "</s_MODIFIER 3>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57678": { |
| "content": "<s_MM 3>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57679": { |
| "content": "</s_MM 3>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57680": { |
| "content": "<s_Family Plan 3>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57681": { |
| "content": "</s_Family Plan 3>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57682": { |
| "content": "<s_EMG 3>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57683": { |
| "content": "</s_EMG 3>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57684": { |
| "content": "<s_DIAGNOSIS POINTER 3>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57685": { |
| "content": "</s_DIAGNOSIS POINTER 3>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57686": { |
| "content": "<s_DD 3>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57687": { |
| "content": "</s_DD 3>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57688": { |
| "content": "<s_CPT/HCPCS 3>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57689": { |
| "content": "</s_CPT/HCPCS 3>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57690": { |
| "content": "<s_$CHARGES 3>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57691": { |
| "content": "</s_$CHARGES 3>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57692": { |
| "content": "<s_23. PRIOR AUTHORIZATION NUMBER>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57693": { |
| "content": "</s_23. PRIOR AUTHORIZATION NUMBER>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57694": { |
| "content": "<s_22. RESUBMISSION CODE>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57695": { |
| "content": "</s_22. RESUBMISSION CODE>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57696": { |
| "content": "<s_21. DIAGNOSIS OR NATURE OF ILLNESS>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57697": { |
| "content": "</s_21. DIAGNOSIS OR NATURE OF ILLNESS>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57698": { |
| "content": "<s_words>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57699": { |
| "content": "</s_words>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57700": { |
| "content": "<s_word>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57701": { |
| "content": "</s_word>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57702": { |
| "content": "<s_normalizedVertices>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57703": { |
| "content": "</s_normalizedVertices>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57704": { |
| "content": "<s_y>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
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| "57705": { |
| "content": "</s_y>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57706": { |
| "content": "<s_x>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
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| "57707": { |
| "content": "</s_x>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57708": { |
| "content": "<s_text>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
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| "57709": { |
| "content": "</s_text>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57710": { |
| "content": "<s_label>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
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| "57711": { |
| "content": "</s_label>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57712": { |
| "content": "<s_ILLNESS D.>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57713": { |
| "content": "</s_ILLNESS D.>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57714": { |
| "content": "<s_ILLNESS C.>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57715": { |
| "content": "</s_ILLNESS C.>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57716": { |
| "content": "<s_ILLNESS B.>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57717": { |
| "content": "</s_ILLNESS B.>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57718": { |
| "content": "<s_ILLNESS A.>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57719": { |
| "content": "</s_ILLNESS A.>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57720": { |
| "content": "<s_ILLNESS F.>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57721": { |
| "content": "</s_ILLNESS F.>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57722": { |
| "content": "<s_ILLNESS E.>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57723": { |
| "content": "</s_ILLNESS E.>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57724": { |
| "content": "<s_20. OUTSIDE LAB>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
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| "57725": { |
| "content": "</s_20. OUTSIDE LAB>", |
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| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
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| }, |
| "57726": { |
| "content": "<s_20. LAB $CHARGES>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57727": { |
| "content": "</s_20. LAB $CHARGES>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57728": { |
| "content": "<s_PATIENT AND INSURED INFORMATION>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57729": { |
| "content": "</s_PATIENT AND INSURED INFORMATION>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57730": { |
| "content": "<s_9d. INSURANCE PLAN NAME>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57731": { |
| "content": "</s_9d. INSURANCE PLAN NAME>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57732": { |
| "content": "<s_9a. OTHER INSURED'S POLICY OR GROUP>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57733": { |
| "content": "</s_9a. OTHER INSURED'S POLICY OR GROUP>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57734": { |
| "content": "<s_9. OTHER INSURED'S NAME>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57735": { |
| "content": "</s_9. OTHER INSURED'S NAME>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57736": { |
| "content": "<s_7. INSURED'S ZIP CODE>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57737": { |
| "content": "</s_7. INSURED'S ZIP CODE>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57738": { |
| "content": "<s_7. INSURED'S TELEPHONE>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57739": { |
| "content": "</s_7. INSURED'S TELEPHONE>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57740": { |
| "content": "<s_7. INSURED'S STATE>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57741": { |
| "content": "</s_7. INSURED'S STATE>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57742": { |
| "content": "<s_7. INSURED'S CITY>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57743": { |
| "content": "</s_7. INSURED'S CITY>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57744": { |
| "content": "<s_7. INSURED'S ADDRESS>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57745": { |
| "content": "</s_7. INSURED'S ADDRESS>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57746": { |
| "content": "<s_6. PATIENT RELATIONSHIP>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57747": { |
| "content": "</s_6. PATIENT RELATIONSHIP>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57748": { |
| "content": "<s_5. PATIENT'S ZIP CODE>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57749": { |
| "content": "</s_5. PATIENT'S ZIP CODE>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57750": { |
| "content": "<s_5. PATIENT'S TELEPHONE>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57751": { |
| "content": "</s_5. PATIENT'S TELEPHONE>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57752": { |
| "content": "<s_5. PATIENT'S STATE>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57753": { |
| "content": "</s_5. PATIENT'S STATE>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57754": { |
| "content": "<s_5. PATIENT'S CITY>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57755": { |
| "content": "</s_5. PATIENT'S CITY>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57756": { |
| "content": "<s_5. PATIENT'S ADDRESS>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57757": { |
| "content": "</s_5. PATIENT'S ADDRESS>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57758": { |
| "content": "<s_4. INSURED'S NAME>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57759": { |
| "content": "</s_4. INSURED'S NAME>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57760": { |
| "content": "<s_3. PATIENT'S SEX>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57761": { |
| "content": "</s_3. PATIENT'S SEX>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57762": { |
| "content": "<s_3. PATIENT'S DATE OF BIRTH>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57763": { |
| "content": "</s_3. PATIENT'S DATE OF BIRTH>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57764": { |
| "content": "<s_YY>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57765": { |
| "content": "</s_YY>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57766": { |
| "content": "<s_MM>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57767": { |
| "content": "</s_MM>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57768": { |
| "content": "<s_DD>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57769": { |
| "content": "</s_DD>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57770": { |
| "content": "<s_2. PATIENT'S NAME>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57771": { |
| "content": "</s_2. PATIENT'S NAME>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57772": { |
| "content": "<s_1a. INSURED'S I.D. NUMBER>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57773": { |
| "content": "</s_1a. INSURED'S I.D. NUMBER>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57774": { |
| "content": "<s_13. INSURED OR AUTHORIZED PERSON'S SIGNATURE>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57775": { |
| "content": "</s_13. INSURED OR AUTHORIZED PERSON'S SIGNATURE>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57776": { |
| "content": "<s_12. PATIENT'S OR AUTHORIZED PERSON'S SIGNATURE>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57777": { |
| "content": "</s_12. PATIENT'S OR AUTHORIZED PERSON'S SIGNATURE>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57778": { |
| "content": "<s_11d. IS THERE ANOTHER HEALTH BENEFIT PLAN>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57779": { |
| "content": "</s_11d. IS THERE ANOTHER HEALTH BENEFIT PLAN>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57780": { |
| "content": "<s_11c. INSURANCE PLAN NAME>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57781": { |
| "content": "</s_11c. INSURANCE PLAN NAME>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57782": { |
| "content": "<s_11a. INSURED'S SEX>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57783": { |
| "content": "</s_11a. INSURED'S SEX>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57784": { |
| "content": "<s_11. INSURED'S POLICY GROUP OR FECA NUMBER>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57785": { |
| "content": "</s_11. INSURED'S POLICY GROUP OR FECA NUMBER>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57786": { |
| "content": "<s_10. PATIENT'S CONDITION>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57787": { |
| "content": "</s_10. PATIENT'S CONDITION>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57788": { |
| "content": "<s_10a. EMPLOYMENT>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57789": { |
| "content": "</s_10a. EMPLOYMENT>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57790": { |
| "content": "<s_10b. AUTO ACCIDENT>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57791": { |
| "content": "</s_10b. AUTO ACCIDENT>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57792": { |
| "content": "<s_10c. OTHER ACCIDENT>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57793": { |
| "content": "</s_10c. OTHER ACCIDENT>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57794": { |
| "content": "<s_1.INSURED PLAN>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57795": { |
| "content": "</s_1.INSURED PLAN>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57796": { |
| "content": "<s_1. INSURED PLAN>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57797": { |
| "content": "</s_1. INSURED PLAN>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57798": { |
| "content": "<s_17>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| }, |
| "57799": { |
| "content": "</s_17>", |
| "lstrip": false, |
| "normalized": false, |
| "rstrip": false, |
| "single_word": false, |
| "special": true |
| } |
| }, |
| "additional_special_tokens": [ |
| "<s_meta>", |
| "</s_meta>", |
| "<s_formtype>", |
| "</s_formtype>", |
| "<s_PHYSICIAN OR MEDICAL PROVIDER INFORMATION>", |
| "</s_PHYSICIAN OR MEDICAL PROVIDER INFORMATION>", |
| "<s_33. BILLING INFORMATION>", |
| "</s_33. BILLING INFORMATION>", |
| "<s_33. BILLING PROVIDER PHONE>", |
| "</s_33. BILLING PROVIDER PHONE>", |
| "<s_33. BILLING PROVIDER LOCATION>", |
| "</s_33. BILLING PROVIDER LOCATION>", |
| "<s_33. a. NPI NUMBER>", |
| "</s_33. a. NPI NUMBER>", |
| "<s_32. SERVICE INFORMATION>", |
| "</s_32. SERVICE INFORMATION>", |
| "<s_32. SERVICE FACILITY LOCATION>", |
| "</s_32. SERVICE FACILITY LOCATION>", |
| "<s_32. a. NPI NUMBER>", |
| "</s_32. a. NPI NUMBER>", |
| "<s_31. PHYSICIAN OR SUPPLIER SIGNATURE>", |
| "</s_31. PHYSICIAN OR SUPPLIER SIGNATURE>", |
| "<s_SIGNED>", |
| "</s_SIGNED>", |
| "<s_DATE>", |
| "</s_DATE>", |
| "<s_29. AMOUNT PAID>", |
| "</s_29. AMOUNT PAID>", |
| "<s_28. TOTAL CHARGE>", |
| "</s_28. TOTAL CHARGE>", |
| "<s_27. ACCEPT ASSIGNMENT>", |
| "</s_27. ACCEPT ASSIGNMENT>", |
| "<s_26. PATIENT'S ACCOUNT NUMBER>", |
| "</s_26. PATIENT'S ACCOUNT NUMBER>", |
| "<s_25. FEDERAL TAX I.D. NUMBER>", |
| "</s_25. FEDERAL TAX I.D. NUMBER>", |
| "<s_25. FEDERAL IDENTIFICATION>", |
| "</s_25. FEDERAL IDENTIFICATION>", |
| "<s_24. SERVICES>", |
| "</s_24. SERVICES>", |
| "<s_YY 1>", |
| "</s_YY 1>", |
| "<s_UNITS 1>", |
| "</s_UNITS 1>", |
| "<s_PROVIDER ID 1>", |
| "</s_PROVIDER ID 1>", |
| "<s_PLACE OF SERVICE 1>", |
| "</s_PLACE OF SERVICE 1>", |
| "<s_MODIFIER 1>", |
| "</s_MODIFIER 1>", |
| "<s_MM 1>", |
| "</s_MM 1>", |
| "<s_Family Plan 1>", |
| "</s_Family Plan 1>", |
| "<s_EMG 1>", |
| "</s_EMG 1>", |
| "<s_DIAGNOSIS POINTER 1>", |
| "</s_DIAGNOSIS POINTER 1>", |
| "<s_DD 1>", |
| "</s_DD 1>", |
| "<s_CPT/HCPCS 1>", |
| "</s_CPT/HCPCS 1>", |
| "<s_$CHARGES 1>", |
| "</s_$CHARGES 1>", |
| "<s_YY 2>", |
| "</s_YY 2>", |
| "<s_UNITS 2>", |
| "</s_UNITS 2>", |
| "<s_PROVIDER ID 2>", |
| "</s_PROVIDER ID 2>", |
| "<s_PLACE OF SERVICE 2>", |
| "</s_PLACE OF SERVICE 2>", |
| "<s_MODIFIER 2>", |
| "</s_MODIFIER 2>", |
| "<s_MM 2>", |
| "</s_MM 2>", |
| "<s_Family Plan 2>", |
| "</s_Family Plan 2>", |
| "<s_EMG 2>", |
| "</s_EMG 2>", |
| "<s_DIAGNOSIS POINTER 2>", |
| "</s_DIAGNOSIS POINTER 2>", |
| "<s_DD 2>", |
| "</s_DD 2>", |
| "<s_CPT/HCPCS 2>", |
| "</s_CPT/HCPCS 2>", |
| "<s_$CHARGES 2>", |
| "</s_$CHARGES 2>", |
| "<s_YY 3>", |
| "</s_YY 3>", |
| "<s_UNITS 3>", |
| "</s_UNITS 3>", |
| "<s_PROVIDER ID 3>", |
| "</s_PROVIDER ID 3>", |
| "<s_PLACE OF SERVICE 3>", |
| "</s_PLACE OF SERVICE 3>", |
| "<s_MODIFIER 3>", |
| "</s_MODIFIER 3>", |
| "<s_MM 3>", |
| "</s_MM 3>", |
| "<s_Family Plan 3>", |
| "</s_Family Plan 3>", |
| "<s_EMG 3>", |
| "</s_EMG 3>", |
| "<s_DIAGNOSIS POINTER 3>", |
| "</s_DIAGNOSIS POINTER 3>", |
| "<s_DD 3>", |
| "</s_DD 3>", |
| "<s_CPT/HCPCS 3>", |
| "</s_CPT/HCPCS 3>", |
| "<s_$CHARGES 3>", |
| "</s_$CHARGES 3>", |
| "<s_23. PRIOR AUTHORIZATION NUMBER>", |
| "</s_23. PRIOR AUTHORIZATION NUMBER>", |
| "<s_22. RESUBMISSION CODE>", |
| "</s_22. RESUBMISSION CODE>", |
| "<s_21. DIAGNOSIS OR NATURE OF ILLNESS>", |
| "</s_21. DIAGNOSIS OR NATURE OF ILLNESS>", |
| "<s_words>", |
| "</s_words>", |
| "<s_word>", |
| "</s_word>", |
| "<s_normalizedVertices>", |
| "</s_normalizedVertices>", |
| "<s_y>", |
| "</s_y>", |
| "<s_x>", |
| "</s_x>", |
| "<s_text>", |
| "</s_text>", |
| "<s_label>", |
| "</s_label>", |
| "<s_ILLNESS D.>", |
| "</s_ILLNESS D.>", |
| "<s_ILLNESS C.>", |
| "</s_ILLNESS C.>", |
| "<s_ILLNESS B.>", |
| "</s_ILLNESS B.>", |
| "<s_ILLNESS A.>", |
| "</s_ILLNESS A.>", |
| "<s_ILLNESS F.>", |
| "</s_ILLNESS F.>", |
| "<s_ILLNESS E.>", |
| "</s_ILLNESS E.>", |
| "<s_20. OUTSIDE LAB>", |
| "</s_20. OUTSIDE LAB>", |
| "<s_20. LAB $CHARGES>", |
| "</s_20. LAB $CHARGES>", |
| "<s_PATIENT AND INSURED INFORMATION>", |
| "</s_PATIENT AND INSURED INFORMATION>", |
| "<s_9d. INSURANCE PLAN NAME>", |
| "</s_9d. INSURANCE PLAN NAME>", |
| "<s_9a. OTHER INSURED'S POLICY OR GROUP>", |
| "</s_9a. OTHER INSURED'S POLICY OR GROUP>", |
| "<s_9. OTHER INSURED'S NAME>", |
| "</s_9. OTHER INSURED'S NAME>", |
| "<s_7. INSURED'S ZIP CODE>", |
| "</s_7. INSURED'S ZIP CODE>", |
| "<s_7. INSURED'S TELEPHONE>", |
| "</s_7. INSURED'S TELEPHONE>", |
| "<s_7. INSURED'S STATE>", |
| "</s_7. INSURED'S STATE>", |
| "<s_7. INSURED'S CITY>", |
| "</s_7. INSURED'S CITY>", |
| "<s_7. INSURED'S ADDRESS>", |
| "</s_7. INSURED'S ADDRESS>", |
| "<s_6. PATIENT RELATIONSHIP>", |
| "</s_6. PATIENT RELATIONSHIP>", |
| "<s_5. PATIENT'S ZIP CODE>", |
| "</s_5. PATIENT'S ZIP CODE>", |
| "<s_5. PATIENT'S TELEPHONE>", |
| "</s_5. PATIENT'S TELEPHONE>", |
| "<s_5. PATIENT'S STATE>", |
| "</s_5. PATIENT'S STATE>", |
| "<s_5. PATIENT'S CITY>", |
| "</s_5. PATIENT'S CITY>", |
| "<s_5. PATIENT'S ADDRESS>", |
| "</s_5. PATIENT'S ADDRESS>", |
| "<s_4. INSURED'S NAME>", |
| "</s_4. INSURED'S NAME>", |
| "<s_3. PATIENT'S SEX>", |
| "</s_3. PATIENT'S SEX>", |
| "<s_3. PATIENT'S DATE OF BIRTH>", |
| "</s_3. PATIENT'S DATE OF BIRTH>", |
| "<s_YY>", |
| "</s_YY>", |
| "<s_MM>", |
| "</s_MM>", |
| "<s_DD>", |
| "</s_DD>", |
| "<s_2. PATIENT'S NAME>", |
| "</s_2. PATIENT'S NAME>", |
| "<s_1a. INSURED'S I.D. NUMBER>", |
| "</s_1a. INSURED'S I.D. NUMBER>", |
| "<s_13. INSURED OR AUTHORIZED PERSON'S SIGNATURE>", |
| "</s_13. INSURED OR AUTHORIZED PERSON'S SIGNATURE>", |
| "<s_12. PATIENT'S OR AUTHORIZED PERSON'S SIGNATURE>", |
| "</s_12. PATIENT'S OR AUTHORIZED PERSON'S SIGNATURE>", |
| "<s_11d. IS THERE ANOTHER HEALTH BENEFIT PLAN>", |
| "</s_11d. IS THERE ANOTHER HEALTH BENEFIT PLAN>", |
| "<s_11c. INSURANCE PLAN NAME>", |
| "</s_11c. INSURANCE PLAN NAME>", |
| "<s_11a. INSURED'S SEX>", |
| "</s_11a. INSURED'S SEX>", |
| "<s_11. INSURED'S POLICY GROUP OR FECA NUMBER>", |
| "</s_11. INSURED'S POLICY GROUP OR FECA NUMBER>", |
| "<s_10. PATIENT'S CONDITION>", |
| "</s_10. PATIENT'S CONDITION>", |
| "<s_10a. EMPLOYMENT>", |
| "</s_10a. EMPLOYMENT>", |
| "<s_10b. AUTO ACCIDENT>", |
| "</s_10b. AUTO ACCIDENT>", |
| "<s_10c. OTHER ACCIDENT>", |
| "</s_10c. OTHER ACCIDENT>", |
| "<s_1.INSURED PLAN>", |
| "</s_1.INSURED PLAN>", |
| "<s_1. INSURED PLAN>", |
| "</s_1. INSURED PLAN>", |
| "<s_17>", |
| "</s_17>", |
| "<s>", |
| "</s>" |
| ], |
| "bos_token": "<s>", |
| "clean_up_tokenization_spaces": true, |
| "cls_token": "<s>", |
| "eos_token": "</s>", |
| "mask_token": "<mask>", |
| "model_max_length": 1000000000000000019884624838656, |
| "pad_token": "<pad>", |
| "processor_class": "DonutProcessor", |
| "sep_token": "</s>", |
| "sp_model_kwargs": {}, |
| "tokenizer_class": "XLMRobertaTokenizer", |
| "unk_token": "<unk>" |
| } |
|
|
