End of training
Browse files- README.md +55 -0
- added_tokens.json +210 -0
- generation_config.json +8 -0
- preprocessor_config.json +26 -0
- sentencepiece.bpe.model +3 -0
- special_tokens_map.json +1081 -0
- tokenizer.json +0 -0
- tokenizer_config.json +1874 -0
README.md
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---
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license: mit
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base_model: naver-clova-ix/donut-base-finetuned-cord-v2
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tags:
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- generated_from_trainer
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datasets:
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- imagefolder
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model-index:
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- name: donut-base-cord-test3-CMS30SYN85AUG
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results: []
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---
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<!-- This model card has been generated automatically according to the information the Trainer had access to. You
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should probably proofread and complete it, then remove this comment. -->
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# donut-base-cord-test3-CMS30SYN85AUG
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This model is a fine-tuned version of [naver-clova-ix/donut-base-finetuned-cord-v2](https://huggingface.co/naver-clova-ix/donut-base-finetuned-cord-v2) on the imagefolder dataset.
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## Model description
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More information needed
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## Intended uses & limitations
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More information needed
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## Training and evaluation data
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More information needed
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## Training procedure
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### Training hyperparameters
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The following hyperparameters were used during training:
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- learning_rate: 2e-05
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- train_batch_size: 1
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- eval_batch_size: 8
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- seed: 42
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- optimizer: Adam with betas=(0.9,0.999) and epsilon=1e-08
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- lr_scheduler_type: linear
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- num_epochs: 26
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- mixed_precision_training: Native AMP
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### Training results
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### Framework versions
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- Transformers 4.35.2
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- Pytorch 2.1.0+cu121
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- Datasets 2.17.0
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- Tokenizers 0.15.2
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added_tokens.json
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| 1 |
+
{
|
| 2 |
+
"</s_$CHARGES1>": 57719,
|
| 3 |
+
"</s_$CHARGES2>": 57618,
|
| 4 |
+
"</s_1.>": 57698,
|
| 5 |
+
"</s_10. PATIENT'S CONDITION>": 57706,
|
| 6 |
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"</s_11. INSURED'S POLICY GROUP ORFECA NUMBER>": 57680,
|
| 7 |
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"</s_11a. INSURED'S SEX>": 57612,
|
| 8 |
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"</s_11c. INSURANCE PLAN NAME>": 57718,
|
| 9 |
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"</s_11d. IS THERE ANOTHER HEALTH BENEFIT PLAN>": 57594,
|
| 10 |
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"</s_12. PATIENT'S OR AUTHORIZED PERSON'S SIGNATURE>": 57666,
|
| 11 |
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"</s_13. INSURED OR AUTHORIZED PERSON'S SIGNATURE>": 57636,
|
| 12 |
+
"</s_1a. INSURED'S I.D. NUMBER>": 57593,
|
| 13 |
+
"</s_2. PATIENT'S NAME>": 57701,
|
| 14 |
+
"</s_20. OUTSIDE LAB>": 57611,
|
| 15 |
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"</s_21. DIAGNOSIS OR NATURE OF ILLNESS>": 57693,
|
| 16 |
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"</s_23. PRIOR AUTHORIZATION NUMBER>": 57688,
|
| 17 |
+
"</s_24. SERVICES>": 57649,
|
| 18 |
+
"</s_26. PATIENT'S ACCOUNT NUMBER>": 57669,
|
| 19 |
+
"</s_27. ACCEPT ASSIGNMENT>": 57617,
|
| 20 |
+
"</s_28. TOTAL CHARGE>": 57607,
|
| 21 |
+
"</s_29. AMOUNT PAID>": 57729,
|
| 22 |
+
"</s_3. PATIENT'S DATE OF BIRTH>": 57646,
|
| 23 |
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"</s_3. PATIENT'S SEX>": 57634,
|
| 24 |
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"</s_32. SERVICE FACILITY LOCATION>": 57629,
|
| 25 |
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"</s_4. INSURED'S NAME>": 57641,
|
| 26 |
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"</s_5. PATIENT'S ADDRESS>": 57702,
|
| 27 |
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"</s_5. PATIENT'S CITY>": 57714,
|
| 28 |
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"</s_5. PATIENT'S STATE>": 57686,
|
| 29 |
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"</s_5. PATIENT'S TELEPHONE>": 57586,
|
| 30 |
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"</s_5. PATIENT'S ZIP CODE>": 57667,
|
| 31 |
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"</s_6. PATIENT RELATIONSHIP>": 57640,
|
| 32 |
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"</s_7. INSURED'S ADDRESS>": 57606,
|
| 33 |
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"</s_7. INSURED'S CITY>": 57587,
|
| 34 |
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"</s_7. INSURED'S STATE>": 57704,
|
| 35 |
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"</s_9. OTHER INSURED'S NAME>": 57658,
|
| 36 |
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"</s_9a. OTHER INSURED'S POLICY>": 57664,
|
| 37 |
+
"</s_9d. INSURANCE PLAN NAME>": 57712,
|
| 38 |
+
"</s_AUTO ACCIDENT>": 57671,
|
| 39 |
+
"</s_CHAMPVA>": 57645,
|
| 40 |
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"</s_CPT/HCPCS1>": 57690,
|
| 41 |
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"</s_CPT/HCPCS2>": 57685,
|
| 42 |
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"</s_DATE>": 57626,
|
| 43 |
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"</s_DD1>": 57675,
|
| 44 |
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"</s_DD2>": 57711,
|
| 45 |
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"</s_DD>": 57643,
|
| 46 |
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"</s_DIAGNOSIS POINTER1>": 57708,
|
| 47 |
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"</s_DIAGNOSIS POINTER2>": 57653,
|
| 48 |
+
"</s_EMPLOYMENT>": 57681,
|
| 49 |
+
"</s_FECA>": 57674,
|
| 50 |
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"</s_GROUP HEALTH PLAN>": 57616,
|
| 51 |
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"</s_MEDICAID>": 57725,
|
| 52 |
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"</s_MEDICARE>": 57727,
|
| 53 |
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"</s_MM1>": 57623,
|
| 54 |
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"</s_MM2>": 57619,
|
| 55 |
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"</s_MM>": 57691,
|
| 56 |
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"</s_OTHER ACCIDENT>": 57697,
|
| 57 |
+
"</s_OTHER>": 57707,
|
| 58 |
+
"</s_PATIENT AND INSURED INFORMATION>": 57654,
|
| 59 |
+
"</s_PHYSICIAN OR MEDICAL PROVIDER INFORMATION>": 57638,
|
| 60 |
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"</s_SIGNED>": 57721,
|
| 61 |
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"</s_TRICARE CHAMPUS>": 57582,
|
| 62 |
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"</s_UNITS1>": 57689,
|
| 63 |
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"</s_UNITS2>": 57684,
|
| 64 |
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"</s_YY1>": 57632,
|
| 65 |
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"</s_YY2>": 57699,
|
| 66 |
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"</s_YY>": 57581,
|
| 67 |
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"</s_cashprice>": 57549,
|
| 68 |
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"</s_changeprice>": 57551,
|
| 69 |
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"</s_cnt>": 57529,
|
| 70 |
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"</s_creditcardprice>": 57563,
|
| 71 |
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"</s_discount_price>": 57557,
|
| 72 |
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"</s_discountprice>": 57567,
|
| 73 |
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"</s_emoneyprice>": 57569,
|
| 74 |
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"</s_etc>": 57541,
|
| 75 |
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"</s_formnumber>": 57635,
|
| 76 |
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"</s_formtype>": 57682,
|
| 77 |
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"</s_itemsubtotal>": 57577,
|
| 78 |
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"</s_label>": 57679,
|
| 79 |
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"</s_menu>": 57525,
|
| 80 |
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"</s_menuqty_cnt>": 57555,
|
| 81 |
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"</s_menutype_cnt>": 57553,
|
| 82 |
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"</s_meta>": 57713,
|
| 83 |
+
"</s_nm>": 57527,
|
| 84 |
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"</s_normalizedVertices>": 57676,
|
| 85 |
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"</s_num>": 57565,
|
| 86 |
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"</s_othersvc_price>": 57573,
|
| 87 |
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"</s_price>": 57531,
|
| 88 |
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"</s_service_price>": 57537,
|
| 89 |
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"</s_sub>": 57547,
|
| 90 |
+
"</s_sub_total>": 57533,
|
| 91 |
+
"</s_subtotal_price>": 57535,
|
| 92 |
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"</s_tax_price>": 57539,
|
| 93 |
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"</s_text>": 57663,
|
| 94 |
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"</s_total>": 57543,
|
| 95 |
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"</s_total_etc>": 57561,
|
| 96 |
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"</s_total_price>": 57545,
|
| 97 |
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"</s_unitprice>": 57559,
|
| 98 |
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"</s_vatyn>": 57575,
|
| 99 |
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"</s_void_menu>": 57571,
|
| 100 |
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"</s_word>": 57724,
|
| 101 |
+
"</s_words>": 57583,
|
| 102 |
+
"</s_x>": 57647,
|
| 103 |
+
"</s_y>": 57648,
|
| 104 |
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"<s_$CHARGES1>": 57592,
|
| 105 |
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"<s_$CHARGES2>": 57631,
|
| 106 |
+
"<s_1.>": 57656,
|
| 107 |
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"<s_10. PATIENT'S CONDITION>": 57650,
|
| 108 |
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"<s_11. INSURED'S POLICY GROUP ORFECA NUMBER>": 57710,
|
| 109 |
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"<s_11a. INSURED'S SEX>": 57709,
|
| 110 |
+
"<s_11c. INSURANCE PLAN NAME>": 57624,
|
| 111 |
+
"<s_11d. IS THERE ANOTHER HEALTH BENEFIT PLAN>": 57585,
|
| 112 |
+
"<s_12. PATIENT'S OR AUTHORIZED PERSON'S SIGNATURE>": 57726,
|
| 113 |
+
"<s_13. INSURED OR AUTHORIZED PERSON'S SIGNATURE>": 57584,
|
| 114 |
+
"<s_1a. INSURED'S I.D. NUMBER>": 57622,
|
| 115 |
+
"<s_2. PATIENT'S NAME>": 57608,
|
| 116 |
+
"<s_20. OUTSIDE LAB>": 57703,
|
| 117 |
+
"<s_21. DIAGNOSIS OR NATURE OF ILLNESS>": 57627,
|
| 118 |
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"<s_23. PRIOR AUTHORIZATION NUMBER>": 57613,
|
| 119 |
+
"<s_24. SERVICES>": 57716,
|
| 120 |
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"<s_26. PATIENT'S ACCOUNT NUMBER>": 57661,
|
| 121 |
+
"<s_27. ACCEPT ASSIGNMENT>": 57665,
|
| 122 |
+
"<s_28. TOTAL CHARGE>": 57695,
|
| 123 |
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"<s_29. AMOUNT PAID>": 57722,
|
| 124 |
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"<s_3. PATIENT'S DATE OF BIRTH>": 57591,
|
| 125 |
+
"<s_3. PATIENT'S SEX>": 57625,
|
| 126 |
+
"<s_32. SERVICE FACILITY LOCATION>": 57678,
|
| 127 |
+
"<s_4. INSURED'S NAME>": 57614,
|
| 128 |
+
"<s_5. PATIENT'S ADDRESS>": 57662,
|
| 129 |
+
"<s_5. PATIENT'S CITY>": 57717,
|
| 130 |
+
"<s_5. PATIENT'S STATE>": 57580,
|
| 131 |
+
"<s_5. PATIENT'S TELEPHONE>": 57673,
|
| 132 |
+
"<s_5. PATIENT'S ZIP CODE>": 57590,
|
| 133 |
+
"<s_6. PATIENT RELATIONSHIP>": 57630,
|
| 134 |
+
"<s_7. INSURED'S ADDRESS>": 57660,
|
| 135 |
+
"<s_7. INSURED'S CITY>": 57621,
|
| 136 |
+
"<s_7. INSURED'S STATE>": 57599,
|
| 137 |
+
"<s_9. OTHER INSURED'S NAME>": 57723,
|
| 138 |
+
"<s_9a. OTHER INSURED'S POLICY>": 57601,
|
| 139 |
+
"<s_9d. INSURANCE PLAN NAME>": 57668,
|
| 140 |
+
"<s_AUTO ACCIDENT>": 57604,
|
| 141 |
+
"<s_CHAMPVA>": 57655,
|
| 142 |
+
"<s_CPT/HCPCS1>": 57715,
|
| 143 |
+
"<s_CPT/HCPCS2>": 57605,
|
| 144 |
+
"<s_DATE>": 57589,
|
| 145 |
+
"<s_DD1>": 57657,
|
| 146 |
+
"<s_DD2>": 57639,
|
| 147 |
+
"<s_DD>": 57696,
|
| 148 |
+
"<s_DIAGNOSIS POINTER1>": 57600,
|
| 149 |
+
"<s_DIAGNOSIS POINTER2>": 57595,
|
| 150 |
+
"<s_EMPLOYMENT>": 57683,
|
| 151 |
+
"<s_FECA>": 57644,
|
| 152 |
+
"<s_GROUP HEALTH PLAN>": 57602,
|
| 153 |
+
"<s_MEDICAID>": 57628,
|
| 154 |
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"<s_MEDICARE>": 57642,
|
| 155 |
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"<s_MM1>": 57694,
|
| 156 |
+
"<s_MM2>": 57610,
|
| 157 |
+
"<s_MM>": 57588,
|
| 158 |
+
"<s_OTHER ACCIDENT>": 57677,
|
| 159 |
+
"<s_OTHER>": 57687,
|
| 160 |
+
"<s_PATIENT AND INSURED INFORMATION>": 57598,
|
| 161 |
+
"<s_PHYSICIAN OR MEDICAL PROVIDER INFORMATION>": 57615,
|
| 162 |
+
"<s_SIGNED>": 57672,
|
| 163 |
+
"<s_TRICARE CHAMPUS>": 57609,
|
| 164 |
+
"<s_UNITS1>": 57659,
|
| 165 |
+
"<s_UNITS2>": 57637,
|
| 166 |
+
"<s_YY1>": 57692,
|
| 167 |
+
"<s_YY2>": 57670,
|
| 168 |
+
"<s_YY>": 57652,
|
| 169 |
+
"<s_cashprice>": 57550,
|
| 170 |
+
"<s_changeprice>": 57552,
|
| 171 |
+
"<s_cnt>": 57530,
|
| 172 |
+
"<s_cord-v2>": 57579,
|
| 173 |
+
"<s_creditcardprice>": 57564,
|
| 174 |
+
"<s_discount_price>": 57558,
|
| 175 |
+
"<s_discountprice>": 57568,
|
| 176 |
+
"<s_emoneyprice>": 57570,
|
| 177 |
+
"<s_etc>": 57542,
|
| 178 |
+
"<s_formnumber>": 57728,
|
| 179 |
+
"<s_formtype>": 57651,
|
| 180 |
+
"<s_iitcdip>": 57523,
|
| 181 |
+
"<s_itemsubtotal>": 57578,
|
| 182 |
+
"<s_label>": 57700,
|
| 183 |
+
"<s_menu>": 57526,
|
| 184 |
+
"<s_menuqty_cnt>": 57556,
|
| 185 |
+
"<s_menutype_cnt>": 57554,
|
| 186 |
+
"<s_meta>": 57597,
|
| 187 |
+
"<s_nm>": 57528,
|
| 188 |
+
"<s_normalizedVertices>": 57633,
|
| 189 |
+
"<s_num>": 57566,
|
| 190 |
+
"<s_othersvc_price>": 57574,
|
| 191 |
+
"<s_price>": 57532,
|
| 192 |
+
"<s_service_price>": 57538,
|
| 193 |
+
"<s_sub>": 57548,
|
| 194 |
+
"<s_sub_total>": 57534,
|
| 195 |
+
"<s_subtotal_price>": 57536,
|
| 196 |
+
"<s_synthdog>": 57524,
|
| 197 |
+
"<s_tax_price>": 57540,
|
| 198 |
+
"<s_text>": 57705,
|
| 199 |
+
"<s_total>": 57544,
|
| 200 |
+
"<s_total_etc>": 57562,
|
| 201 |
+
"<s_total_price>": 57546,
|
| 202 |
+
"<s_unitprice>": 57560,
|
| 203 |
+
"<s_vatyn>": 57576,
|
| 204 |
+
"<s_void_menu>": 57572,
|
| 205 |
+
"<s_word>": 57620,
|
| 206 |
+
"<s_words>": 57720,
|
| 207 |
+
"<s_x>": 57596,
|
| 208 |
+
"<s_y>": 57603,
|
| 209 |
+
"<sep/>": 57522
|
| 210 |
+
}
|
generation_config.json
ADDED
|
@@ -0,0 +1,8 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
{
|
| 2 |
+
"_from_model_config": true,
|
| 3 |
+
"bos_token_id": 0,
|
| 4 |
+
"eos_token_id": 2,
|
| 5 |
+
"forced_eos_token_id": 2,
|
| 6 |
+
"pad_token_id": 1,
|
| 7 |
+
"transformers_version": "4.35.2"
|
| 8 |
+
}
|
preprocessor_config.json
ADDED
|
@@ -0,0 +1,26 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
{
|
| 2 |
+
"do_align_long_axis": false,
|
| 3 |
+
"do_normalize": true,
|
| 4 |
+
"do_pad": true,
|
| 5 |
+
"do_rescale": true,
|
| 6 |
+
"do_resize": true,
|
| 7 |
+
"do_thumbnail": true,
|
| 8 |
+
"image_mean": [
|
| 9 |
+
0.5,
|
| 10 |
+
0.5,
|
| 11 |
+
0.5
|
| 12 |
+
],
|
| 13 |
+
"image_processor_type": "DonutImageProcessor",
|
| 14 |
+
"image_std": [
|
| 15 |
+
0.5,
|
| 16 |
+
0.5,
|
| 17 |
+
0.5
|
| 18 |
+
],
|
| 19 |
+
"processor_class": "DonutProcessor",
|
| 20 |
+
"resample": 2,
|
| 21 |
+
"rescale_factor": 0.00392156862745098,
|
| 22 |
+
"size": [
|
| 23 |
+
950,
|
| 24 |
+
1470
|
| 25 |
+
]
|
| 26 |
+
}
|
sentencepiece.bpe.model
ADDED
|
@@ -0,0 +1,3 @@
|
|
|
|
|
|
|
|
|
|
|
|
|
| 1 |
+
version https://git-lfs.github.com/spec/v1
|
| 2 |
+
oid sha256:cb9e3dce4c326195d08fc3dd0f7e2eee1da8595c847bf4c1a9c78b7a82d47e2d
|
| 3 |
+
size 1296245
|
special_tokens_map.json
ADDED
|
@@ -0,0 +1,1081 @@
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|
| 1 |
+
{
|
| 2 |
+
"additional_special_tokens": [
|
| 3 |
+
{
|
| 4 |
+
"content": "<s_5. PATIENT'S STATE>",
|
| 5 |
+
"lstrip": false,
|
| 6 |
+
"normalized": false,
|
| 7 |
+
"rstrip": false,
|
| 8 |
+
"single_word": false
|
| 9 |
+
},
|
| 10 |
+
{
|
| 11 |
+
"content": "</s_YY>",
|
| 12 |
+
"lstrip": false,
|
| 13 |
+
"normalized": false,
|
| 14 |
+
"rstrip": false,
|
| 15 |
+
"single_word": false
|
| 16 |
+
},
|
| 17 |
+
{
|
| 18 |
+
"content": "</s_TRICARE CHAMPUS>",
|
| 19 |
+
"lstrip": false,
|
| 20 |
+
"normalized": false,
|
| 21 |
+
"rstrip": false,
|
| 22 |
+
"single_word": false
|
| 23 |
+
},
|
| 24 |
+
{
|
| 25 |
+
"content": "</s_words>",
|
| 26 |
+
"lstrip": false,
|
| 27 |
+
"normalized": false,
|
| 28 |
+
"rstrip": false,
|
| 29 |
+
"single_word": false
|
| 30 |
+
},
|
| 31 |
+
{
|
| 32 |
+
"content": "<s_13. INSURED OR AUTHORIZED PERSON'S SIGNATURE>",
|
| 33 |
+
"lstrip": false,
|
| 34 |
+
"normalized": false,
|
| 35 |
+
"rstrip": false,
|
| 36 |
+
"single_word": false
|
| 37 |
+
},
|
| 38 |
+
{
|
| 39 |
+
"content": "<s_11d. IS THERE ANOTHER HEALTH BENEFIT PLAN>",
|
| 40 |
+
"lstrip": false,
|
| 41 |
+
"normalized": false,
|
| 42 |
+
"rstrip": false,
|
| 43 |
+
"single_word": false
|
| 44 |
+
},
|
| 45 |
+
{
|
| 46 |
+
"content": "</s_5. PATIENT'S TELEPHONE>",
|
| 47 |
+
"lstrip": false,
|
| 48 |
+
"normalized": false,
|
| 49 |
+
"rstrip": false,
|
| 50 |
+
"single_word": false
|
| 51 |
+
},
|
| 52 |
+
{
|
| 53 |
+
"content": "</s_7. INSURED'S CITY>",
|
| 54 |
+
"lstrip": false,
|
| 55 |
+
"normalized": false,
|
| 56 |
+
"rstrip": false,
|
| 57 |
+
"single_word": false
|
| 58 |
+
},
|
| 59 |
+
{
|
| 60 |
+
"content": "<s_MM>",
|
| 61 |
+
"lstrip": false,
|
| 62 |
+
"normalized": false,
|
| 63 |
+
"rstrip": false,
|
| 64 |
+
"single_word": false
|
| 65 |
+
},
|
| 66 |
+
{
|
| 67 |
+
"content": "<s_DATE>",
|
| 68 |
+
"lstrip": false,
|
| 69 |
+
"normalized": false,
|
| 70 |
+
"rstrip": false,
|
| 71 |
+
"single_word": false
|
| 72 |
+
},
|
| 73 |
+
{
|
| 74 |
+
"content": "<s_5. PATIENT'S ZIP CODE>",
|
| 75 |
+
"lstrip": false,
|
| 76 |
+
"normalized": false,
|
| 77 |
+
"rstrip": false,
|
| 78 |
+
"single_word": false
|
| 79 |
+
},
|
| 80 |
+
{
|
| 81 |
+
"content": "<s_3. PATIENT'S DATE OF BIRTH>",
|
| 82 |
+
"lstrip": false,
|
| 83 |
+
"normalized": false,
|
| 84 |
+
"rstrip": false,
|
| 85 |
+
"single_word": false
|
| 86 |
+
},
|
| 87 |
+
{
|
| 88 |
+
"content": "<s_$CHARGES1>",
|
| 89 |
+
"lstrip": false,
|
| 90 |
+
"normalized": false,
|
| 91 |
+
"rstrip": false,
|
| 92 |
+
"single_word": false
|
| 93 |
+
},
|
| 94 |
+
{
|
| 95 |
+
"content": "</s_1a. INSURED'S I.D. NUMBER>",
|
| 96 |
+
"lstrip": false,
|
| 97 |
+
"normalized": false,
|
| 98 |
+
"rstrip": false,
|
| 99 |
+
"single_word": false
|
| 100 |
+
},
|
| 101 |
+
{
|
| 102 |
+
"content": "</s_11d. IS THERE ANOTHER HEALTH BENEFIT PLAN>",
|
| 103 |
+
"lstrip": false,
|
| 104 |
+
"normalized": false,
|
| 105 |
+
"rstrip": false,
|
| 106 |
+
"single_word": false
|
| 107 |
+
},
|
| 108 |
+
{
|
| 109 |
+
"content": "<s_DIAGNOSIS POINTER2>",
|
| 110 |
+
"lstrip": false,
|
| 111 |
+
"normalized": false,
|
| 112 |
+
"rstrip": false,
|
| 113 |
+
"single_word": false
|
| 114 |
+
},
|
| 115 |
+
{
|
| 116 |
+
"content": "<s_x>",
|
| 117 |
+
"lstrip": false,
|
| 118 |
+
"normalized": false,
|
| 119 |
+
"rstrip": false,
|
| 120 |
+
"single_word": false
|
| 121 |
+
},
|
| 122 |
+
{
|
| 123 |
+
"content": "<s_meta>",
|
| 124 |
+
"lstrip": false,
|
| 125 |
+
"normalized": false,
|
| 126 |
+
"rstrip": false,
|
| 127 |
+
"single_word": false
|
| 128 |
+
},
|
| 129 |
+
{
|
| 130 |
+
"content": "<s_PATIENT AND INSURED INFORMATION>",
|
| 131 |
+
"lstrip": false,
|
| 132 |
+
"normalized": false,
|
| 133 |
+
"rstrip": false,
|
| 134 |
+
"single_word": false
|
| 135 |
+
},
|
| 136 |
+
{
|
| 137 |
+
"content": "<s_7. INSURED'S STATE>",
|
| 138 |
+
"lstrip": false,
|
| 139 |
+
"normalized": false,
|
| 140 |
+
"rstrip": false,
|
| 141 |
+
"single_word": false
|
| 142 |
+
},
|
| 143 |
+
{
|
| 144 |
+
"content": "<s_DIAGNOSIS POINTER1>",
|
| 145 |
+
"lstrip": false,
|
| 146 |
+
"normalized": false,
|
| 147 |
+
"rstrip": false,
|
| 148 |
+
"single_word": false
|
| 149 |
+
},
|
| 150 |
+
{
|
| 151 |
+
"content": "<s_9a. OTHER INSURED'S POLICY>",
|
| 152 |
+
"lstrip": false,
|
| 153 |
+
"normalized": false,
|
| 154 |
+
"rstrip": false,
|
| 155 |
+
"single_word": false
|
| 156 |
+
},
|
| 157 |
+
{
|
| 158 |
+
"content": "<s_GROUP HEALTH PLAN>",
|
| 159 |
+
"lstrip": false,
|
| 160 |
+
"normalized": false,
|
| 161 |
+
"rstrip": false,
|
| 162 |
+
"single_word": false
|
| 163 |
+
},
|
| 164 |
+
{
|
| 165 |
+
"content": "<s_y>",
|
| 166 |
+
"lstrip": false,
|
| 167 |
+
"normalized": false,
|
| 168 |
+
"rstrip": false,
|
| 169 |
+
"single_word": false
|
| 170 |
+
},
|
| 171 |
+
{
|
| 172 |
+
"content": "<s_AUTO ACCIDENT>",
|
| 173 |
+
"lstrip": false,
|
| 174 |
+
"normalized": false,
|
| 175 |
+
"rstrip": false,
|
| 176 |
+
"single_word": false
|
| 177 |
+
},
|
| 178 |
+
{
|
| 179 |
+
"content": "<s_CPT/HCPCS2>",
|
| 180 |
+
"lstrip": false,
|
| 181 |
+
"normalized": false,
|
| 182 |
+
"rstrip": false,
|
| 183 |
+
"single_word": false
|
| 184 |
+
},
|
| 185 |
+
{
|
| 186 |
+
"content": "</s_7. INSURED'S ADDRESS>",
|
| 187 |
+
"lstrip": false,
|
| 188 |
+
"normalized": false,
|
| 189 |
+
"rstrip": false,
|
| 190 |
+
"single_word": false
|
| 191 |
+
},
|
| 192 |
+
{
|
| 193 |
+
"content": "</s_28. TOTAL CHARGE>",
|
| 194 |
+
"lstrip": false,
|
| 195 |
+
"normalized": false,
|
| 196 |
+
"rstrip": false,
|
| 197 |
+
"single_word": false
|
| 198 |
+
},
|
| 199 |
+
{
|
| 200 |
+
"content": "<s_2. PATIENT'S NAME>",
|
| 201 |
+
"lstrip": false,
|
| 202 |
+
"normalized": false,
|
| 203 |
+
"rstrip": false,
|
| 204 |
+
"single_word": false
|
| 205 |
+
},
|
| 206 |
+
{
|
| 207 |
+
"content": "<s_TRICARE CHAMPUS>",
|
| 208 |
+
"lstrip": false,
|
| 209 |
+
"normalized": false,
|
| 210 |
+
"rstrip": false,
|
| 211 |
+
"single_word": false
|
| 212 |
+
},
|
| 213 |
+
{
|
| 214 |
+
"content": "<s_MM2>",
|
| 215 |
+
"lstrip": false,
|
| 216 |
+
"normalized": false,
|
| 217 |
+
"rstrip": false,
|
| 218 |
+
"single_word": false
|
| 219 |
+
},
|
| 220 |
+
{
|
| 221 |
+
"content": "</s_20. OUTSIDE LAB>",
|
| 222 |
+
"lstrip": false,
|
| 223 |
+
"normalized": false,
|
| 224 |
+
"rstrip": false,
|
| 225 |
+
"single_word": false
|
| 226 |
+
},
|
| 227 |
+
{
|
| 228 |
+
"content": "</s_11a. INSURED'S SEX>",
|
| 229 |
+
"lstrip": false,
|
| 230 |
+
"normalized": false,
|
| 231 |
+
"rstrip": false,
|
| 232 |
+
"single_word": false
|
| 233 |
+
},
|
| 234 |
+
{
|
| 235 |
+
"content": "<s_23. PRIOR AUTHORIZATION NUMBER>",
|
| 236 |
+
"lstrip": false,
|
| 237 |
+
"normalized": false,
|
| 238 |
+
"rstrip": false,
|
| 239 |
+
"single_word": false
|
| 240 |
+
},
|
| 241 |
+
{
|
| 242 |
+
"content": "<s_4. INSURED'S NAME>",
|
| 243 |
+
"lstrip": false,
|
| 244 |
+
"normalized": false,
|
| 245 |
+
"rstrip": false,
|
| 246 |
+
"single_word": false
|
| 247 |
+
},
|
| 248 |
+
{
|
| 249 |
+
"content": "<s_PHYSICIAN OR MEDICAL PROVIDER INFORMATION>",
|
| 250 |
+
"lstrip": false,
|
| 251 |
+
"normalized": false,
|
| 252 |
+
"rstrip": false,
|
| 253 |
+
"single_word": false
|
| 254 |
+
},
|
| 255 |
+
{
|
| 256 |
+
"content": "</s_GROUP HEALTH PLAN>",
|
| 257 |
+
"lstrip": false,
|
| 258 |
+
"normalized": false,
|
| 259 |
+
"rstrip": false,
|
| 260 |
+
"single_word": false
|
| 261 |
+
},
|
| 262 |
+
{
|
| 263 |
+
"content": "</s_27. ACCEPT ASSIGNMENT>",
|
| 264 |
+
"lstrip": false,
|
| 265 |
+
"normalized": false,
|
| 266 |
+
"rstrip": false,
|
| 267 |
+
"single_word": false
|
| 268 |
+
},
|
| 269 |
+
{
|
| 270 |
+
"content": "</s_$CHARGES2>",
|
| 271 |
+
"lstrip": false,
|
| 272 |
+
"normalized": false,
|
| 273 |
+
"rstrip": false,
|
| 274 |
+
"single_word": false
|
| 275 |
+
},
|
| 276 |
+
{
|
| 277 |
+
"content": "</s_MM2>",
|
| 278 |
+
"lstrip": false,
|
| 279 |
+
"normalized": false,
|
| 280 |
+
"rstrip": false,
|
| 281 |
+
"single_word": false
|
| 282 |
+
},
|
| 283 |
+
{
|
| 284 |
+
"content": "<s_word>",
|
| 285 |
+
"lstrip": false,
|
| 286 |
+
"normalized": false,
|
| 287 |
+
"rstrip": false,
|
| 288 |
+
"single_word": false
|
| 289 |
+
},
|
| 290 |
+
{
|
| 291 |
+
"content": "<s_7. INSURED'S CITY>",
|
| 292 |
+
"lstrip": false,
|
| 293 |
+
"normalized": false,
|
| 294 |
+
"rstrip": false,
|
| 295 |
+
"single_word": false
|
| 296 |
+
},
|
| 297 |
+
{
|
| 298 |
+
"content": "<s_1a. INSURED'S I.D. NUMBER>",
|
| 299 |
+
"lstrip": false,
|
| 300 |
+
"normalized": false,
|
| 301 |
+
"rstrip": false,
|
| 302 |
+
"single_word": false
|
| 303 |
+
},
|
| 304 |
+
{
|
| 305 |
+
"content": "</s_MM1>",
|
| 306 |
+
"lstrip": false,
|
| 307 |
+
"normalized": false,
|
| 308 |
+
"rstrip": false,
|
| 309 |
+
"single_word": false
|
| 310 |
+
},
|
| 311 |
+
{
|
| 312 |
+
"content": "<s_11c. INSURANCE PLAN NAME>",
|
| 313 |
+
"lstrip": false,
|
| 314 |
+
"normalized": false,
|
| 315 |
+
"rstrip": false,
|
| 316 |
+
"single_word": false
|
| 317 |
+
},
|
| 318 |
+
{
|
| 319 |
+
"content": "<s_3. PATIENT'S SEX>",
|
| 320 |
+
"lstrip": false,
|
| 321 |
+
"normalized": false,
|
| 322 |
+
"rstrip": false,
|
| 323 |
+
"single_word": false
|
| 324 |
+
},
|
| 325 |
+
{
|
| 326 |
+
"content": "</s_DATE>",
|
| 327 |
+
"lstrip": false,
|
| 328 |
+
"normalized": false,
|
| 329 |
+
"rstrip": false,
|
| 330 |
+
"single_word": false
|
| 331 |
+
},
|
| 332 |
+
{
|
| 333 |
+
"content": "<s_21. DIAGNOSIS OR NATURE OF ILLNESS>",
|
| 334 |
+
"lstrip": false,
|
| 335 |
+
"normalized": false,
|
| 336 |
+
"rstrip": false,
|
| 337 |
+
"single_word": false
|
| 338 |
+
},
|
| 339 |
+
{
|
| 340 |
+
"content": "<s_MEDICAID>",
|
| 341 |
+
"lstrip": false,
|
| 342 |
+
"normalized": false,
|
| 343 |
+
"rstrip": false,
|
| 344 |
+
"single_word": false
|
| 345 |
+
},
|
| 346 |
+
{
|
| 347 |
+
"content": "</s_32. SERVICE FACILITY LOCATION>",
|
| 348 |
+
"lstrip": false,
|
| 349 |
+
"normalized": false,
|
| 350 |
+
"rstrip": false,
|
| 351 |
+
"single_word": false
|
| 352 |
+
},
|
| 353 |
+
{
|
| 354 |
+
"content": "<s_6. PATIENT RELATIONSHIP>",
|
| 355 |
+
"lstrip": false,
|
| 356 |
+
"normalized": false,
|
| 357 |
+
"rstrip": false,
|
| 358 |
+
"single_word": false
|
| 359 |
+
},
|
| 360 |
+
{
|
| 361 |
+
"content": "<s_$CHARGES2>",
|
| 362 |
+
"lstrip": false,
|
| 363 |
+
"normalized": false,
|
| 364 |
+
"rstrip": false,
|
| 365 |
+
"single_word": false
|
| 366 |
+
},
|
| 367 |
+
{
|
| 368 |
+
"content": "</s_YY1>",
|
| 369 |
+
"lstrip": false,
|
| 370 |
+
"normalized": false,
|
| 371 |
+
"rstrip": false,
|
| 372 |
+
"single_word": false
|
| 373 |
+
},
|
| 374 |
+
{
|
| 375 |
+
"content": "<s_normalizedVertices>",
|
| 376 |
+
"lstrip": false,
|
| 377 |
+
"normalized": false,
|
| 378 |
+
"rstrip": false,
|
| 379 |
+
"single_word": false
|
| 380 |
+
},
|
| 381 |
+
{
|
| 382 |
+
"content": "</s_3. PATIENT'S SEX>",
|
| 383 |
+
"lstrip": false,
|
| 384 |
+
"normalized": false,
|
| 385 |
+
"rstrip": false,
|
| 386 |
+
"single_word": false
|
| 387 |
+
},
|
| 388 |
+
{
|
| 389 |
+
"content": "</s_formnumber>",
|
| 390 |
+
"lstrip": false,
|
| 391 |
+
"normalized": false,
|
| 392 |
+
"rstrip": false,
|
| 393 |
+
"single_word": false
|
| 394 |
+
},
|
| 395 |
+
{
|
| 396 |
+
"content": "</s_13. INSURED OR AUTHORIZED PERSON'S SIGNATURE>",
|
| 397 |
+
"lstrip": false,
|
| 398 |
+
"normalized": false,
|
| 399 |
+
"rstrip": false,
|
| 400 |
+
"single_word": false
|
| 401 |
+
},
|
| 402 |
+
{
|
| 403 |
+
"content": "<s_UNITS2>",
|
| 404 |
+
"lstrip": false,
|
| 405 |
+
"normalized": false,
|
| 406 |
+
"rstrip": false,
|
| 407 |
+
"single_word": false
|
| 408 |
+
},
|
| 409 |
+
{
|
| 410 |
+
"content": "</s_PHYSICIAN OR MEDICAL PROVIDER INFORMATION>",
|
| 411 |
+
"lstrip": false,
|
| 412 |
+
"normalized": false,
|
| 413 |
+
"rstrip": false,
|
| 414 |
+
"single_word": false
|
| 415 |
+
},
|
| 416 |
+
{
|
| 417 |
+
"content": "<s_DD2>",
|
| 418 |
+
"lstrip": false,
|
| 419 |
+
"normalized": false,
|
| 420 |
+
"rstrip": false,
|
| 421 |
+
"single_word": false
|
| 422 |
+
},
|
| 423 |
+
{
|
| 424 |
+
"content": "</s_6. PATIENT RELATIONSHIP>",
|
| 425 |
+
"lstrip": false,
|
| 426 |
+
"normalized": false,
|
| 427 |
+
"rstrip": false,
|
| 428 |
+
"single_word": false
|
| 429 |
+
},
|
| 430 |
+
{
|
| 431 |
+
"content": "</s_4. INSURED'S NAME>",
|
| 432 |
+
"lstrip": false,
|
| 433 |
+
"normalized": false,
|
| 434 |
+
"rstrip": false,
|
| 435 |
+
"single_word": false
|
| 436 |
+
},
|
| 437 |
+
{
|
| 438 |
+
"content": "<s_MEDICARE>",
|
| 439 |
+
"lstrip": false,
|
| 440 |
+
"normalized": false,
|
| 441 |
+
"rstrip": false,
|
| 442 |
+
"single_word": false
|
| 443 |
+
},
|
| 444 |
+
{
|
| 445 |
+
"content": "</s_DD>",
|
| 446 |
+
"lstrip": false,
|
| 447 |
+
"normalized": false,
|
| 448 |
+
"rstrip": false,
|
| 449 |
+
"single_word": false
|
| 450 |
+
},
|
| 451 |
+
{
|
| 452 |
+
"content": "<s_FECA>",
|
| 453 |
+
"lstrip": false,
|
| 454 |
+
"normalized": false,
|
| 455 |
+
"rstrip": false,
|
| 456 |
+
"single_word": false
|
| 457 |
+
},
|
| 458 |
+
{
|
| 459 |
+
"content": "</s_CHAMPVA>",
|
| 460 |
+
"lstrip": false,
|
| 461 |
+
"normalized": false,
|
| 462 |
+
"rstrip": false,
|
| 463 |
+
"single_word": false
|
| 464 |
+
},
|
| 465 |
+
{
|
| 466 |
+
"content": "</s_3. PATIENT'S DATE OF BIRTH>",
|
| 467 |
+
"lstrip": false,
|
| 468 |
+
"normalized": false,
|
| 469 |
+
"rstrip": false,
|
| 470 |
+
"single_word": false
|
| 471 |
+
},
|
| 472 |
+
{
|
| 473 |
+
"content": "</s>",
|
| 474 |
+
"lstrip": false,
|
| 475 |
+
"normalized": false,
|
| 476 |
+
"rstrip": false,
|
| 477 |
+
"single_word": false
|
| 478 |
+
},
|
| 479 |
+
{
|
| 480 |
+
"content": "</s_x>",
|
| 481 |
+
"lstrip": false,
|
| 482 |
+
"normalized": false,
|
| 483 |
+
"rstrip": false,
|
| 484 |
+
"single_word": false
|
| 485 |
+
},
|
| 486 |
+
{
|
| 487 |
+
"content": "</s_y>",
|
| 488 |
+
"lstrip": false,
|
| 489 |
+
"normalized": false,
|
| 490 |
+
"rstrip": false,
|
| 491 |
+
"single_word": false
|
| 492 |
+
},
|
| 493 |
+
{
|
| 494 |
+
"content": "</s_24. SERVICES>",
|
| 495 |
+
"lstrip": false,
|
| 496 |
+
"normalized": false,
|
| 497 |
+
"rstrip": false,
|
| 498 |
+
"single_word": false
|
| 499 |
+
},
|
| 500 |
+
{
|
| 501 |
+
"content": "<s_10. PATIENT'S CONDITION>",
|
| 502 |
+
"lstrip": false,
|
| 503 |
+
"normalized": false,
|
| 504 |
+
"rstrip": false,
|
| 505 |
+
"single_word": false
|
| 506 |
+
},
|
| 507 |
+
{
|
| 508 |
+
"content": "<s_formtype>",
|
| 509 |
+
"lstrip": false,
|
| 510 |
+
"normalized": false,
|
| 511 |
+
"rstrip": false,
|
| 512 |
+
"single_word": false
|
| 513 |
+
},
|
| 514 |
+
{
|
| 515 |
+
"content": "<s_YY>",
|
| 516 |
+
"lstrip": false,
|
| 517 |
+
"normalized": false,
|
| 518 |
+
"rstrip": false,
|
| 519 |
+
"single_word": false
|
| 520 |
+
},
|
| 521 |
+
{
|
| 522 |
+
"content": "</s_DIAGNOSIS POINTER2>",
|
| 523 |
+
"lstrip": false,
|
| 524 |
+
"normalized": false,
|
| 525 |
+
"rstrip": false,
|
| 526 |
+
"single_word": false
|
| 527 |
+
},
|
| 528 |
+
{
|
| 529 |
+
"content": "</s_PATIENT AND INSURED INFORMATION>",
|
| 530 |
+
"lstrip": false,
|
| 531 |
+
"normalized": false,
|
| 532 |
+
"rstrip": false,
|
| 533 |
+
"single_word": false
|
| 534 |
+
},
|
| 535 |
+
{
|
| 536 |
+
"content": "<s_CHAMPVA>",
|
| 537 |
+
"lstrip": false,
|
| 538 |
+
"normalized": false,
|
| 539 |
+
"rstrip": false,
|
| 540 |
+
"single_word": false
|
| 541 |
+
},
|
| 542 |
+
{
|
| 543 |
+
"content": "<s_1.>",
|
| 544 |
+
"lstrip": false,
|
| 545 |
+
"normalized": false,
|
| 546 |
+
"rstrip": false,
|
| 547 |
+
"single_word": false
|
| 548 |
+
},
|
| 549 |
+
{
|
| 550 |
+
"content": "<s_DD1>",
|
| 551 |
+
"lstrip": false,
|
| 552 |
+
"normalized": false,
|
| 553 |
+
"rstrip": false,
|
| 554 |
+
"single_word": false
|
| 555 |
+
},
|
| 556 |
+
{
|
| 557 |
+
"content": "</s_9. OTHER INSURED'S NAME>",
|
| 558 |
+
"lstrip": false,
|
| 559 |
+
"normalized": false,
|
| 560 |
+
"rstrip": false,
|
| 561 |
+
"single_word": false
|
| 562 |
+
},
|
| 563 |
+
{
|
| 564 |
+
"content": "<s_UNITS1>",
|
| 565 |
+
"lstrip": false,
|
| 566 |
+
"normalized": false,
|
| 567 |
+
"rstrip": false,
|
| 568 |
+
"single_word": false
|
| 569 |
+
},
|
| 570 |
+
{
|
| 571 |
+
"content": "<s_7. INSURED'S ADDRESS>",
|
| 572 |
+
"lstrip": false,
|
| 573 |
+
"normalized": false,
|
| 574 |
+
"rstrip": false,
|
| 575 |
+
"single_word": false
|
| 576 |
+
},
|
| 577 |
+
{
|
| 578 |
+
"content": "<s_26. PATIENT'S ACCOUNT NUMBER>",
|
| 579 |
+
"lstrip": false,
|
| 580 |
+
"normalized": false,
|
| 581 |
+
"rstrip": false,
|
| 582 |
+
"single_word": false
|
| 583 |
+
},
|
| 584 |
+
{
|
| 585 |
+
"content": "<s_5. PATIENT'S ADDRESS>",
|
| 586 |
+
"lstrip": false,
|
| 587 |
+
"normalized": false,
|
| 588 |
+
"rstrip": false,
|
| 589 |
+
"single_word": false
|
| 590 |
+
},
|
| 591 |
+
{
|
| 592 |
+
"content": "</s_text>",
|
| 593 |
+
"lstrip": false,
|
| 594 |
+
"normalized": false,
|
| 595 |
+
"rstrip": false,
|
| 596 |
+
"single_word": false
|
| 597 |
+
},
|
| 598 |
+
{
|
| 599 |
+
"content": "</s_9a. OTHER INSURED'S POLICY>",
|
| 600 |
+
"lstrip": false,
|
| 601 |
+
"normalized": false,
|
| 602 |
+
"rstrip": false,
|
| 603 |
+
"single_word": false
|
| 604 |
+
},
|
| 605 |
+
{
|
| 606 |
+
"content": "<s_27. ACCEPT ASSIGNMENT>",
|
| 607 |
+
"lstrip": false,
|
| 608 |
+
"normalized": false,
|
| 609 |
+
"rstrip": false,
|
| 610 |
+
"single_word": false
|
| 611 |
+
},
|
| 612 |
+
{
|
| 613 |
+
"content": "</s_12. PATIENT'S OR AUTHORIZED PERSON'S SIGNATURE>",
|
| 614 |
+
"lstrip": false,
|
| 615 |
+
"normalized": false,
|
| 616 |
+
"rstrip": false,
|
| 617 |
+
"single_word": false
|
| 618 |
+
},
|
| 619 |
+
{
|
| 620 |
+
"content": "</s_5. PATIENT'S ZIP CODE>",
|
| 621 |
+
"lstrip": false,
|
| 622 |
+
"normalized": false,
|
| 623 |
+
"rstrip": false,
|
| 624 |
+
"single_word": false
|
| 625 |
+
},
|
| 626 |
+
{
|
| 627 |
+
"content": "<s_9d. INSURANCE PLAN NAME>",
|
| 628 |
+
"lstrip": false,
|
| 629 |
+
"normalized": false,
|
| 630 |
+
"rstrip": false,
|
| 631 |
+
"single_word": false
|
| 632 |
+
},
|
| 633 |
+
{
|
| 634 |
+
"content": "</s_26. PATIENT'S ACCOUNT NUMBER>",
|
| 635 |
+
"lstrip": false,
|
| 636 |
+
"normalized": false,
|
| 637 |
+
"rstrip": false,
|
| 638 |
+
"single_word": false
|
| 639 |
+
},
|
| 640 |
+
{
|
| 641 |
+
"content": "<s_YY2>",
|
| 642 |
+
"lstrip": false,
|
| 643 |
+
"normalized": false,
|
| 644 |
+
"rstrip": false,
|
| 645 |
+
"single_word": false
|
| 646 |
+
},
|
| 647 |
+
{
|
| 648 |
+
"content": "</s_AUTO ACCIDENT>",
|
| 649 |
+
"lstrip": false,
|
| 650 |
+
"normalized": false,
|
| 651 |
+
"rstrip": false,
|
| 652 |
+
"single_word": false
|
| 653 |
+
},
|
| 654 |
+
{
|
| 655 |
+
"content": "<s_SIGNED>",
|
| 656 |
+
"lstrip": false,
|
| 657 |
+
"normalized": false,
|
| 658 |
+
"rstrip": false,
|
| 659 |
+
"single_word": false
|
| 660 |
+
},
|
| 661 |
+
{
|
| 662 |
+
"content": "<s_5. PATIENT'S TELEPHONE>",
|
| 663 |
+
"lstrip": false,
|
| 664 |
+
"normalized": false,
|
| 665 |
+
"rstrip": false,
|
| 666 |
+
"single_word": false
|
| 667 |
+
},
|
| 668 |
+
{
|
| 669 |
+
"content": "</s_FECA>",
|
| 670 |
+
"lstrip": false,
|
| 671 |
+
"normalized": false,
|
| 672 |
+
"rstrip": false,
|
| 673 |
+
"single_word": false
|
| 674 |
+
},
|
| 675 |
+
{
|
| 676 |
+
"content": "</s_DD1>",
|
| 677 |
+
"lstrip": false,
|
| 678 |
+
"normalized": false,
|
| 679 |
+
"rstrip": false,
|
| 680 |
+
"single_word": false
|
| 681 |
+
},
|
| 682 |
+
{
|
| 683 |
+
"content": "</s_normalizedVertices>",
|
| 684 |
+
"lstrip": false,
|
| 685 |
+
"normalized": false,
|
| 686 |
+
"rstrip": false,
|
| 687 |
+
"single_word": false
|
| 688 |
+
},
|
| 689 |
+
{
|
| 690 |
+
"content": "<s_OTHER ACCIDENT>",
|
| 691 |
+
"lstrip": false,
|
| 692 |
+
"normalized": false,
|
| 693 |
+
"rstrip": false,
|
| 694 |
+
"single_word": false
|
| 695 |
+
},
|
| 696 |
+
{
|
| 697 |
+
"content": "<s_32. SERVICE FACILITY LOCATION>",
|
| 698 |
+
"lstrip": false,
|
| 699 |
+
"normalized": false,
|
| 700 |
+
"rstrip": false,
|
| 701 |
+
"single_word": false
|
| 702 |
+
},
|
| 703 |
+
{
|
| 704 |
+
"content": "</s_label>",
|
| 705 |
+
"lstrip": false,
|
| 706 |
+
"normalized": false,
|
| 707 |
+
"rstrip": false,
|
| 708 |
+
"single_word": false
|
| 709 |
+
},
|
| 710 |
+
{
|
| 711 |
+
"content": "</s_11. INSURED'S POLICY GROUP ORFECA NUMBER>",
|
| 712 |
+
"lstrip": false,
|
| 713 |
+
"normalized": false,
|
| 714 |
+
"rstrip": false,
|
| 715 |
+
"single_word": false
|
| 716 |
+
},
|
| 717 |
+
{
|
| 718 |
+
"content": "</s_EMPLOYMENT>",
|
| 719 |
+
"lstrip": false,
|
| 720 |
+
"normalized": false,
|
| 721 |
+
"rstrip": false,
|
| 722 |
+
"single_word": false
|
| 723 |
+
},
|
| 724 |
+
{
|
| 725 |
+
"content": "</s_formtype>",
|
| 726 |
+
"lstrip": false,
|
| 727 |
+
"normalized": false,
|
| 728 |
+
"rstrip": false,
|
| 729 |
+
"single_word": false
|
| 730 |
+
},
|
| 731 |
+
{
|
| 732 |
+
"content": "<s_EMPLOYMENT>",
|
| 733 |
+
"lstrip": false,
|
| 734 |
+
"normalized": false,
|
| 735 |
+
"rstrip": false,
|
| 736 |
+
"single_word": false
|
| 737 |
+
},
|
| 738 |
+
{
|
| 739 |
+
"content": "</s_UNITS2>",
|
| 740 |
+
"lstrip": false,
|
| 741 |
+
"normalized": false,
|
| 742 |
+
"rstrip": false,
|
| 743 |
+
"single_word": false
|
| 744 |
+
},
|
| 745 |
+
{
|
| 746 |
+
"content": "</s_CPT/HCPCS2>",
|
| 747 |
+
"lstrip": false,
|
| 748 |
+
"normalized": false,
|
| 749 |
+
"rstrip": false,
|
| 750 |
+
"single_word": false
|
| 751 |
+
},
|
| 752 |
+
{
|
| 753 |
+
"content": "</s_5. PATIENT'S STATE>",
|
| 754 |
+
"lstrip": false,
|
| 755 |
+
"normalized": false,
|
| 756 |
+
"rstrip": false,
|
| 757 |
+
"single_word": false
|
| 758 |
+
},
|
| 759 |
+
{
|
| 760 |
+
"content": "<s_OTHER>",
|
| 761 |
+
"lstrip": false,
|
| 762 |
+
"normalized": false,
|
| 763 |
+
"rstrip": false,
|
| 764 |
+
"single_word": false
|
| 765 |
+
},
|
| 766 |
+
{
|
| 767 |
+
"content": "</s_23. PRIOR AUTHORIZATION NUMBER>",
|
| 768 |
+
"lstrip": false,
|
| 769 |
+
"normalized": false,
|
| 770 |
+
"rstrip": false,
|
| 771 |
+
"single_word": false
|
| 772 |
+
},
|
| 773 |
+
{
|
| 774 |
+
"content": "</s_UNITS1>",
|
| 775 |
+
"lstrip": false,
|
| 776 |
+
"normalized": false,
|
| 777 |
+
"rstrip": false,
|
| 778 |
+
"single_word": false
|
| 779 |
+
},
|
| 780 |
+
{
|
| 781 |
+
"content": "</s_CPT/HCPCS1>",
|
| 782 |
+
"lstrip": false,
|
| 783 |
+
"normalized": false,
|
| 784 |
+
"rstrip": false,
|
| 785 |
+
"single_word": false
|
| 786 |
+
},
|
| 787 |
+
{
|
| 788 |
+
"content": "</s_MM>",
|
| 789 |
+
"lstrip": false,
|
| 790 |
+
"normalized": false,
|
| 791 |
+
"rstrip": false,
|
| 792 |
+
"single_word": false
|
| 793 |
+
},
|
| 794 |
+
{
|
| 795 |
+
"content": "<s_YY1>",
|
| 796 |
+
"lstrip": false,
|
| 797 |
+
"normalized": false,
|
| 798 |
+
"rstrip": false,
|
| 799 |
+
"single_word": false
|
| 800 |
+
},
|
| 801 |
+
{
|
| 802 |
+
"content": "</s_21. DIAGNOSIS OR NATURE OF ILLNESS>",
|
| 803 |
+
"lstrip": false,
|
| 804 |
+
"normalized": false,
|
| 805 |
+
"rstrip": false,
|
| 806 |
+
"single_word": false
|
| 807 |
+
},
|
| 808 |
+
{
|
| 809 |
+
"content": "<s_MM1>",
|
| 810 |
+
"lstrip": false,
|
| 811 |
+
"normalized": false,
|
| 812 |
+
"rstrip": false,
|
| 813 |
+
"single_word": false
|
| 814 |
+
},
|
| 815 |
+
{
|
| 816 |
+
"content": "<s_28. TOTAL CHARGE>",
|
| 817 |
+
"lstrip": false,
|
| 818 |
+
"normalized": false,
|
| 819 |
+
"rstrip": false,
|
| 820 |
+
"single_word": false
|
| 821 |
+
},
|
| 822 |
+
{
|
| 823 |
+
"content": "<s_DD>",
|
| 824 |
+
"lstrip": false,
|
| 825 |
+
"normalized": false,
|
| 826 |
+
"rstrip": false,
|
| 827 |
+
"single_word": false
|
| 828 |
+
},
|
| 829 |
+
{
|
| 830 |
+
"content": "</s_OTHER ACCIDENT>",
|
| 831 |
+
"lstrip": false,
|
| 832 |
+
"normalized": false,
|
| 833 |
+
"rstrip": false,
|
| 834 |
+
"single_word": false
|
| 835 |
+
},
|
| 836 |
+
{
|
| 837 |
+
"content": "</s_1.>",
|
| 838 |
+
"lstrip": false,
|
| 839 |
+
"normalized": false,
|
| 840 |
+
"rstrip": false,
|
| 841 |
+
"single_word": false
|
| 842 |
+
},
|
| 843 |
+
{
|
| 844 |
+
"content": "</s_YY2>",
|
| 845 |
+
"lstrip": false,
|
| 846 |
+
"normalized": false,
|
| 847 |
+
"rstrip": false,
|
| 848 |
+
"single_word": false
|
| 849 |
+
},
|
| 850 |
+
{
|
| 851 |
+
"content": "<s_label>",
|
| 852 |
+
"lstrip": false,
|
| 853 |
+
"normalized": false,
|
| 854 |
+
"rstrip": false,
|
| 855 |
+
"single_word": false
|
| 856 |
+
},
|
| 857 |
+
{
|
| 858 |
+
"content": "</s_2. PATIENT'S NAME>",
|
| 859 |
+
"lstrip": false,
|
| 860 |
+
"normalized": false,
|
| 861 |
+
"rstrip": false,
|
| 862 |
+
"single_word": false
|
| 863 |
+
},
|
| 864 |
+
{
|
| 865 |
+
"content": "</s_5. PATIENT'S ADDRESS>",
|
| 866 |
+
"lstrip": false,
|
| 867 |
+
"normalized": false,
|
| 868 |
+
"rstrip": false,
|
| 869 |
+
"single_word": false
|
| 870 |
+
},
|
| 871 |
+
{
|
| 872 |
+
"content": "<s_20. OUTSIDE LAB>",
|
| 873 |
+
"lstrip": false,
|
| 874 |
+
"normalized": false,
|
| 875 |
+
"rstrip": false,
|
| 876 |
+
"single_word": false
|
| 877 |
+
},
|
| 878 |
+
{
|
| 879 |
+
"content": "</s_7. INSURED'S STATE>",
|
| 880 |
+
"lstrip": false,
|
| 881 |
+
"normalized": false,
|
| 882 |
+
"rstrip": false,
|
| 883 |
+
"single_word": false
|
| 884 |
+
},
|
| 885 |
+
{
|
| 886 |
+
"content": "<s_text>",
|
| 887 |
+
"lstrip": false,
|
| 888 |
+
"normalized": false,
|
| 889 |
+
"rstrip": false,
|
| 890 |
+
"single_word": false
|
| 891 |
+
},
|
| 892 |
+
{
|
| 893 |
+
"content": "</s_10. PATIENT'S CONDITION>",
|
| 894 |
+
"lstrip": false,
|
| 895 |
+
"normalized": false,
|
| 896 |
+
"rstrip": false,
|
| 897 |
+
"single_word": false
|
| 898 |
+
},
|
| 899 |
+
{
|
| 900 |
+
"content": "</s_OTHER>",
|
| 901 |
+
"lstrip": false,
|
| 902 |
+
"normalized": false,
|
| 903 |
+
"rstrip": false,
|
| 904 |
+
"single_word": false
|
| 905 |
+
},
|
| 906 |
+
{
|
| 907 |
+
"content": "</s_DIAGNOSIS POINTER1>",
|
| 908 |
+
"lstrip": false,
|
| 909 |
+
"normalized": false,
|
| 910 |
+
"rstrip": false,
|
| 911 |
+
"single_word": false
|
| 912 |
+
},
|
| 913 |
+
{
|
| 914 |
+
"content": "<s_11a. INSURED'S SEX>",
|
| 915 |
+
"lstrip": false,
|
| 916 |
+
"normalized": false,
|
| 917 |
+
"rstrip": false,
|
| 918 |
+
"single_word": false
|
| 919 |
+
},
|
| 920 |
+
{
|
| 921 |
+
"content": "<s_11. INSURED'S POLICY GROUP ORFECA NUMBER>",
|
| 922 |
+
"lstrip": false,
|
| 923 |
+
"normalized": false,
|
| 924 |
+
"rstrip": false,
|
| 925 |
+
"single_word": false
|
| 926 |
+
},
|
| 927 |
+
{
|
| 928 |
+
"content": "</s_DD2>",
|
| 929 |
+
"lstrip": false,
|
| 930 |
+
"normalized": false,
|
| 931 |
+
"rstrip": false,
|
| 932 |
+
"single_word": false
|
| 933 |
+
},
|
| 934 |
+
{
|
| 935 |
+
"content": "<s>",
|
| 936 |
+
"lstrip": false,
|
| 937 |
+
"normalized": false,
|
| 938 |
+
"rstrip": false,
|
| 939 |
+
"single_word": false
|
| 940 |
+
},
|
| 941 |
+
{
|
| 942 |
+
"content": "</s_9d. INSURANCE PLAN NAME>",
|
| 943 |
+
"lstrip": false,
|
| 944 |
+
"normalized": false,
|
| 945 |
+
"rstrip": false,
|
| 946 |
+
"single_word": false
|
| 947 |
+
},
|
| 948 |
+
{
|
| 949 |
+
"content": "</s_meta>",
|
| 950 |
+
"lstrip": false,
|
| 951 |
+
"normalized": false,
|
| 952 |
+
"rstrip": false,
|
| 953 |
+
"single_word": false
|
| 954 |
+
},
|
| 955 |
+
{
|
| 956 |
+
"content": "</s_5. PATIENT'S CITY>",
|
| 957 |
+
"lstrip": false,
|
| 958 |
+
"normalized": false,
|
| 959 |
+
"rstrip": false,
|
| 960 |
+
"single_word": false
|
| 961 |
+
},
|
| 962 |
+
{
|
| 963 |
+
"content": "<s_CPT/HCPCS1>",
|
| 964 |
+
"lstrip": false,
|
| 965 |
+
"normalized": false,
|
| 966 |
+
"rstrip": false,
|
| 967 |
+
"single_word": false
|
| 968 |
+
},
|
| 969 |
+
{
|
| 970 |
+
"content": "<s_24. SERVICES>",
|
| 971 |
+
"lstrip": false,
|
| 972 |
+
"normalized": false,
|
| 973 |
+
"rstrip": false,
|
| 974 |
+
"single_word": false
|
| 975 |
+
},
|
| 976 |
+
{
|
| 977 |
+
"content": "<s_5. PATIENT'S CITY>",
|
| 978 |
+
"lstrip": false,
|
| 979 |
+
"normalized": false,
|
| 980 |
+
"rstrip": false,
|
| 981 |
+
"single_word": false
|
| 982 |
+
},
|
| 983 |
+
{
|
| 984 |
+
"content": "</s_11c. INSURANCE PLAN NAME>",
|
| 985 |
+
"lstrip": false,
|
| 986 |
+
"normalized": false,
|
| 987 |
+
"rstrip": false,
|
| 988 |
+
"single_word": false
|
| 989 |
+
},
|
| 990 |
+
{
|
| 991 |
+
"content": "</s_$CHARGES1>",
|
| 992 |
+
"lstrip": false,
|
| 993 |
+
"normalized": false,
|
| 994 |
+
"rstrip": false,
|
| 995 |
+
"single_word": false
|
| 996 |
+
},
|
| 997 |
+
{
|
| 998 |
+
"content": "<s_words>",
|
| 999 |
+
"lstrip": false,
|
| 1000 |
+
"normalized": false,
|
| 1001 |
+
"rstrip": false,
|
| 1002 |
+
"single_word": false
|
| 1003 |
+
},
|
| 1004 |
+
{
|
| 1005 |
+
"content": "</s_SIGNED>",
|
| 1006 |
+
"lstrip": false,
|
| 1007 |
+
"normalized": false,
|
| 1008 |
+
"rstrip": false,
|
| 1009 |
+
"single_word": false
|
| 1010 |
+
},
|
| 1011 |
+
{
|
| 1012 |
+
"content": "<s_29. AMOUNT PAID>",
|
| 1013 |
+
"lstrip": false,
|
| 1014 |
+
"normalized": false,
|
| 1015 |
+
"rstrip": false,
|
| 1016 |
+
"single_word": false
|
| 1017 |
+
},
|
| 1018 |
+
{
|
| 1019 |
+
"content": "<s_9. OTHER INSURED'S NAME>",
|
| 1020 |
+
"lstrip": false,
|
| 1021 |
+
"normalized": false,
|
| 1022 |
+
"rstrip": false,
|
| 1023 |
+
"single_word": false
|
| 1024 |
+
},
|
| 1025 |
+
{
|
| 1026 |
+
"content": "</s_word>",
|
| 1027 |
+
"lstrip": false,
|
| 1028 |
+
"normalized": false,
|
| 1029 |
+
"rstrip": false,
|
| 1030 |
+
"single_word": false
|
| 1031 |
+
},
|
| 1032 |
+
{
|
| 1033 |
+
"content": "</s_MEDICAID>",
|
| 1034 |
+
"lstrip": false,
|
| 1035 |
+
"normalized": false,
|
| 1036 |
+
"rstrip": false,
|
| 1037 |
+
"single_word": false
|
| 1038 |
+
},
|
| 1039 |
+
{
|
| 1040 |
+
"content": "<s_12. PATIENT'S OR AUTHORIZED PERSON'S SIGNATURE>",
|
| 1041 |
+
"lstrip": false,
|
| 1042 |
+
"normalized": false,
|
| 1043 |
+
"rstrip": false,
|
| 1044 |
+
"single_word": false
|
| 1045 |
+
},
|
| 1046 |
+
{
|
| 1047 |
+
"content": "</s_MEDICARE>",
|
| 1048 |
+
"lstrip": false,
|
| 1049 |
+
"normalized": false,
|
| 1050 |
+
"rstrip": false,
|
| 1051 |
+
"single_word": false
|
| 1052 |
+
},
|
| 1053 |
+
{
|
| 1054 |
+
"content": "<s_formnumber>",
|
| 1055 |
+
"lstrip": false,
|
| 1056 |
+
"normalized": false,
|
| 1057 |
+
"rstrip": false,
|
| 1058 |
+
"single_word": false
|
| 1059 |
+
},
|
| 1060 |
+
{
|
| 1061 |
+
"content": "</s_29. AMOUNT PAID>",
|
| 1062 |
+
"lstrip": false,
|
| 1063 |
+
"normalized": false,
|
| 1064 |
+
"rstrip": false,
|
| 1065 |
+
"single_word": false
|
| 1066 |
+
}
|
| 1067 |
+
],
|
| 1068 |
+
"bos_token": "<s>",
|
| 1069 |
+
"cls_token": "<s>",
|
| 1070 |
+
"eos_token": "</s>",
|
| 1071 |
+
"mask_token": {
|
| 1072 |
+
"content": "<mask>",
|
| 1073 |
+
"lstrip": true,
|
| 1074 |
+
"normalized": true,
|
| 1075 |
+
"rstrip": false,
|
| 1076 |
+
"single_word": false
|
| 1077 |
+
},
|
| 1078 |
+
"pad_token": "<pad>",
|
| 1079 |
+
"sep_token": "</s>",
|
| 1080 |
+
"unk_token": "<unk>"
|
| 1081 |
+
}
|
tokenizer.json
ADDED
|
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|
|
|
tokenizer_config.json
ADDED
|
@@ -0,0 +1,1874 @@
|
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|
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|
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|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
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|
|
|
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|
| 1 |
+
{
|
| 2 |
+
"added_tokens_decoder": {
|
| 3 |
+
"0": {
|
| 4 |
+
"content": "<s>",
|
| 5 |
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"lstrip": false,
|
| 6 |
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"normalized": false,
|
| 7 |
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"rstrip": false,
|
| 8 |
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"single_word": false,
|
| 9 |
+
"special": true
|
| 10 |
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},
|
| 11 |
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"1": {
|
| 12 |
+
"content": "<pad>",
|
| 13 |
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"lstrip": false,
|
| 14 |
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"normalized": false,
|
| 15 |
+
"rstrip": false,
|
| 16 |
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"single_word": false,
|
| 17 |
+
"special": true
|
| 18 |
+
},
|
| 19 |
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"2": {
|
| 20 |
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"content": "</s>",
|
| 21 |
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"lstrip": false,
|
| 22 |
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"normalized": false,
|
| 23 |
+
"rstrip": false,
|
| 24 |
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"single_word": false,
|
| 25 |
+
"special": true
|
| 26 |
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},
|
| 27 |
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"3": {
|
| 28 |
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"content": "<unk>",
|
| 29 |
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"lstrip": false,
|
| 30 |
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"normalized": false,
|
| 31 |
+
"rstrip": false,
|
| 32 |
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|
| 33 |
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"special": true
|
| 34 |
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},
|
| 35 |
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"57521": {
|
| 36 |
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"content": "<mask>",
|
| 37 |
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"lstrip": true,
|
| 38 |
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"normalized": true,
|
| 39 |
+
"rstrip": false,
|
| 40 |
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|
| 41 |
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"special": true
|
| 42 |
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},
|
| 43 |
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"57522": {
|
| 44 |
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"content": "<sep/>",
|
| 45 |
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"lstrip": false,
|
| 46 |
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|
| 47 |
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|
| 48 |
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|
| 49 |
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"special": false
|
| 50 |
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},
|
| 51 |
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"57523": {
|
| 52 |
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"content": "<s_iitcdip>",
|
| 53 |
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"lstrip": false,
|
| 54 |
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"normalized": true,
|
| 55 |
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"rstrip": false,
|
| 56 |
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|
| 57 |
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"special": false
|
| 58 |
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},
|
| 59 |
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"57524": {
|
| 60 |
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"content": "<s_synthdog>",
|
| 61 |
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"lstrip": false,
|
| 62 |
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"normalized": true,
|
| 63 |
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"rstrip": false,
|
| 64 |
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|
| 65 |
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"special": false
|
| 66 |
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},
|
| 67 |
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"57525": {
|
| 68 |
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"content": "</s_menu>",
|
| 69 |
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"lstrip": false,
|
| 70 |
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"normalized": true,
|
| 71 |
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|
| 72 |
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|
| 73 |
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|
| 74 |
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},
|
| 75 |
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"57526": {
|
| 76 |
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"content": "<s_menu>",
|
| 77 |
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|
| 78 |
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|
| 79 |
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|
| 80 |
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|
| 81 |
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|
| 82 |
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},
|
| 83 |
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"57527": {
|
| 84 |
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"content": "</s_nm>",
|
| 85 |
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|
| 86 |
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|
| 87 |
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|
| 88 |
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|
| 89 |
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|
| 90 |
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|
| 91 |
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|
| 92 |
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|
| 93 |
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|
| 94 |
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| 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 |
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"content": "</s_cnt>",
|
| 101 |
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|
| 102 |
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|
| 103 |
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|
| 104 |
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|
| 105 |
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|
| 106 |
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},
|
| 107 |
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|
| 108 |
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"content": "<s_cnt>",
|
| 109 |
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|
| 110 |
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|
| 111 |
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|
| 112 |
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|
| 113 |
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|
| 114 |
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|
| 115 |
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|
| 116 |
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"content": "</s_price>",
|
| 117 |
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|
| 118 |
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|
| 119 |
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|
| 120 |
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|
| 121 |
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|
| 122 |
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|
| 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 |
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|
| 130 |
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|
| 131 |
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|
| 132 |
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"content": "</s_sub_total>",
|
| 133 |
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|
| 134 |
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|
| 135 |
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| 136 |
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|
| 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 |
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|
| 144 |
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|
| 145 |
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|
| 146 |
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|
| 147 |
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|
| 148 |
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|
| 149 |
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|
| 150 |
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|
| 151 |
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| 152 |
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|
| 153 |
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|
| 154 |
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|
| 155 |
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|
| 156 |
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|
| 157 |
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|
| 158 |
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|
| 159 |
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| 160 |
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|
| 161 |
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|
| 162 |
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|
| 163 |
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|
| 164 |
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"content": "</s_service_price>",
|
| 165 |
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|
| 166 |
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| 167 |
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| 168 |
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| 169 |
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| 170 |
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| 171 |
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|
| 172 |
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|
| 173 |
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|
| 174 |
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| 175 |
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|
| 176 |
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|
| 177 |
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|
| 178 |
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|
| 179 |
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|
| 180 |
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|
| 181 |
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|
| 182 |
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|
| 183 |
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|
| 184 |
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|
| 185 |
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|
| 186 |
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},
|
| 187 |
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|
| 188 |
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"content": "<s_tax_price>",
|
| 189 |
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|
| 190 |
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|
| 191 |
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|
| 192 |
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|
| 193 |
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|
| 194 |
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},
|
| 195 |
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"57541": {
|
| 196 |
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"content": "</s_etc>",
|
| 197 |
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|
| 198 |
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|
| 199 |
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|
| 200 |
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|
| 201 |
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|
| 202 |
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|
| 203 |
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|
| 204 |
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|
| 205 |
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|
| 206 |
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|
| 207 |
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|
| 208 |
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|
| 209 |
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|
| 210 |
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|
| 211 |
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|
| 212 |
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"content": "</s_total>",
|
| 213 |
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|
| 214 |
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|
| 215 |
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|
| 216 |
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|
| 217 |
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|
| 218 |
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|
| 219 |
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|
| 220 |
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|
| 221 |
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|
| 222 |
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|
| 223 |
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|
| 224 |
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|
| 225 |
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|
| 226 |
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|
| 227 |
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|
| 228 |
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|
| 229 |
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|
| 230 |
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|
| 231 |
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|
| 232 |
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|
| 233 |
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|
| 234 |
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|
| 235 |
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|
| 236 |
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|
| 237 |
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|
| 238 |
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|
| 239 |
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|
| 240 |
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|
| 241 |
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|
| 242 |
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},
|
| 243 |
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|
| 244 |
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"content": "</s_sub>",
|
| 245 |
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|
| 246 |
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|
| 247 |
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|
| 248 |
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|
| 249 |
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|
| 250 |
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|
| 251 |
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|
| 252 |
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|
| 253 |
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|
| 254 |
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|
| 255 |
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|
| 256 |
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|
| 257 |
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"special": false
|
| 258 |
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},
|
| 259 |
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"57549": {
|
| 260 |
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"content": "</s_cashprice>",
|
| 261 |
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|
| 262 |
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|
| 263 |
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|
| 264 |
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|
| 265 |
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"special": false
|
| 266 |
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},
|
| 267 |
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"57550": {
|
| 268 |
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"content": "<s_cashprice>",
|
| 269 |
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|
| 270 |
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|
| 271 |
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|
| 272 |
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|
| 273 |
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"special": false
|
| 274 |
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},
|
| 275 |
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"57551": {
|
| 276 |
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"content": "</s_changeprice>",
|
| 277 |
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|
| 278 |
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|
| 279 |
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|
| 280 |
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|
| 281 |
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"special": false
|
| 282 |
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},
|
| 283 |
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"57552": {
|
| 284 |
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"content": "<s_changeprice>",
|
| 285 |
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|
| 286 |
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|
| 287 |
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|
| 288 |
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|
| 289 |
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"special": false
|
| 290 |
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},
|
| 291 |
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"57553": {
|
| 292 |
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"content": "</s_menutype_cnt>",
|
| 293 |
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|
| 294 |
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|
| 295 |
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|
| 296 |
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|
| 297 |
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|
| 298 |
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},
|
| 299 |
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"57554": {
|
| 300 |
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"content": "<s_menutype_cnt>",
|
| 301 |
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|
| 302 |
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|
| 303 |
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|
| 304 |
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|
| 305 |
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"special": false
|
| 306 |
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},
|
| 307 |
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|
| 308 |
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"content": "</s_menuqty_cnt>",
|
| 309 |
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|
| 310 |
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|
| 311 |
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|
| 312 |
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|
| 313 |
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|
| 314 |
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},
|
| 315 |
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|
| 316 |
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|
| 317 |
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|
| 318 |
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|
| 319 |
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|
| 320 |
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|
| 321 |
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"special": false
|
| 322 |
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},
|
| 323 |
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"57557": {
|
| 324 |
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"content": "</s_discount_price>",
|
| 325 |
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|
| 326 |
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"normalized": true,
|
| 327 |
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|
| 328 |
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|
| 329 |
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"special": false
|
| 330 |
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},
|
| 331 |
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|
| 332 |
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"content": "<s_discount_price>",
|
| 333 |
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|
| 334 |
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|
| 335 |
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|
| 336 |
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|
| 337 |
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|
| 338 |
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},
|
| 339 |
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|
| 340 |
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"content": "</s_unitprice>",
|
| 341 |
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|
| 342 |
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|
| 343 |
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|
| 344 |
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|
| 345 |
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|
| 346 |
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|
| 347 |
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|
| 348 |
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|
| 349 |
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|
| 350 |
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|
| 351 |
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|
| 352 |
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|
| 353 |
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|
| 354 |
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},
|
| 355 |
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|
| 356 |
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|
| 357 |
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|
| 358 |
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|
| 359 |
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|
| 360 |
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|
| 361 |
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|
| 362 |
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},
|
| 363 |
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|
| 364 |
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|
| 365 |
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|
| 366 |
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|
| 367 |
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|
| 368 |
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|
| 369 |
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"special": false
|
| 370 |
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},
|
| 371 |
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"57563": {
|
| 372 |
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"content": "</s_creditcardprice>",
|
| 373 |
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|
| 374 |
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|
| 375 |
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|
| 376 |
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|
| 377 |
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"special": false
|
| 378 |
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},
|
| 379 |
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"57564": {
|
| 380 |
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"content": "<s_creditcardprice>",
|
| 381 |
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|
| 382 |
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|
| 383 |
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|
| 384 |
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|
| 385 |
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"special": false
|
| 386 |
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},
|
| 387 |
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"57565": {
|
| 388 |
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"content": "</s_num>",
|
| 389 |
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"lstrip": false,
|
| 390 |
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"normalized": true,
|
| 391 |
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"rstrip": false,
|
| 392 |
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|
| 393 |
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"special": false
|
| 394 |
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},
|
| 395 |
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"57566": {
|
| 396 |
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"content": "<s_num>",
|
| 397 |
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|
| 398 |
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"normalized": true,
|
| 399 |
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|
| 400 |
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|
| 401 |
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"special": false
|
| 402 |
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},
|
| 403 |
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"57567": {
|
| 404 |
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"content": "</s_discountprice>",
|
| 405 |
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|
| 406 |
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"normalized": true,
|
| 407 |
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|
| 408 |
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|
| 409 |
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"special": false
|
| 410 |
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},
|
| 411 |
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"57568": {
|
| 412 |
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"content": "<s_discountprice>",
|
| 413 |
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|
| 414 |
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|
| 415 |
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|
| 416 |
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|
| 417 |
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"special": false
|
| 418 |
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},
|
| 419 |
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"57569": {
|
| 420 |
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"content": "</s_emoneyprice>",
|
| 421 |
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|
| 422 |
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|
| 423 |
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|
| 424 |
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|
| 425 |
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|
| 426 |
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|
| 427 |
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"57570": {
|
| 428 |
+
"content": "<s_emoneyprice>",
|
| 429 |
+
"lstrip": false,
|
| 430 |
+
"normalized": true,
|
| 431 |
+
"rstrip": false,
|
| 432 |
+
"single_word": false,
|
| 433 |
+
"special": false
|
| 434 |
+
},
|
| 435 |
+
"57571": {
|
| 436 |
+
"content": "</s_void_menu>",
|
| 437 |
+
"lstrip": false,
|
| 438 |
+
"normalized": true,
|
| 439 |
+
"rstrip": false,
|
| 440 |
+
"single_word": false,
|
| 441 |
+
"special": false
|
| 442 |
+
},
|
| 443 |
+
"57572": {
|
| 444 |
+
"content": "<s_void_menu>",
|
| 445 |
+
"lstrip": false,
|
| 446 |
+
"normalized": true,
|
| 447 |
+
"rstrip": false,
|
| 448 |
+
"single_word": false,
|
| 449 |
+
"special": false
|
| 450 |
+
},
|
| 451 |
+
"57573": {
|
| 452 |
+
"content": "</s_othersvc_price>",
|
| 453 |
+
"lstrip": false,
|
| 454 |
+
"normalized": true,
|
| 455 |
+
"rstrip": false,
|
| 456 |
+
"single_word": false,
|
| 457 |
+
"special": false
|
| 458 |
+
},
|
| 459 |
+
"57574": {
|
| 460 |
+
"content": "<s_othersvc_price>",
|
| 461 |
+
"lstrip": false,
|
| 462 |
+
"normalized": true,
|
| 463 |
+
"rstrip": false,
|
| 464 |
+
"single_word": false,
|
| 465 |
+
"special": false
|
| 466 |
+
},
|
| 467 |
+
"57575": {
|
| 468 |
+
"content": "</s_vatyn>",
|
| 469 |
+
"lstrip": false,
|
| 470 |
+
"normalized": true,
|
| 471 |
+
"rstrip": false,
|
| 472 |
+
"single_word": false,
|
| 473 |
+
"special": false
|
| 474 |
+
},
|
| 475 |
+
"57576": {
|
| 476 |
+
"content": "<s_vatyn>",
|
| 477 |
+
"lstrip": false,
|
| 478 |
+
"normalized": true,
|
| 479 |
+
"rstrip": false,
|
| 480 |
+
"single_word": false,
|
| 481 |
+
"special": false
|
| 482 |
+
},
|
| 483 |
+
"57577": {
|
| 484 |
+
"content": "</s_itemsubtotal>",
|
| 485 |
+
"lstrip": false,
|
| 486 |
+
"normalized": true,
|
| 487 |
+
"rstrip": false,
|
| 488 |
+
"single_word": false,
|
| 489 |
+
"special": false
|
| 490 |
+
},
|
| 491 |
+
"57578": {
|
| 492 |
+
"content": "<s_itemsubtotal>",
|
| 493 |
+
"lstrip": false,
|
| 494 |
+
"normalized": true,
|
| 495 |
+
"rstrip": false,
|
| 496 |
+
"single_word": false,
|
| 497 |
+
"special": false
|
| 498 |
+
},
|
| 499 |
+
"57579": {
|
| 500 |
+
"content": "<s_cord-v2>",
|
| 501 |
+
"lstrip": false,
|
| 502 |
+
"normalized": false,
|
| 503 |
+
"rstrip": false,
|
| 504 |
+
"single_word": false,
|
| 505 |
+
"special": true
|
| 506 |
+
},
|
| 507 |
+
"57580": {
|
| 508 |
+
"content": "<s_5. PATIENT'S STATE>",
|
| 509 |
+
"lstrip": false,
|
| 510 |
+
"normalized": false,
|
| 511 |
+
"rstrip": false,
|
| 512 |
+
"single_word": false,
|
| 513 |
+
"special": true
|
| 514 |
+
},
|
| 515 |
+
"57581": {
|
| 516 |
+
"content": "</s_YY>",
|
| 517 |
+
"lstrip": false,
|
| 518 |
+
"normalized": false,
|
| 519 |
+
"rstrip": false,
|
| 520 |
+
"single_word": false,
|
| 521 |
+
"special": true
|
| 522 |
+
},
|
| 523 |
+
"57582": {
|
| 524 |
+
"content": "</s_TRICARE CHAMPUS>",
|
| 525 |
+
"lstrip": false,
|
| 526 |
+
"normalized": false,
|
| 527 |
+
"rstrip": false,
|
| 528 |
+
"single_word": false,
|
| 529 |
+
"special": true
|
| 530 |
+
},
|
| 531 |
+
"57583": {
|
| 532 |
+
"content": "</s_words>",
|
| 533 |
+
"lstrip": false,
|
| 534 |
+
"normalized": false,
|
| 535 |
+
"rstrip": false,
|
| 536 |
+
"single_word": false,
|
| 537 |
+
"special": true
|
| 538 |
+
},
|
| 539 |
+
"57584": {
|
| 540 |
+
"content": "<s_13. INSURED OR AUTHORIZED PERSON'S SIGNATURE>",
|
| 541 |
+
"lstrip": false,
|
| 542 |
+
"normalized": false,
|
| 543 |
+
"rstrip": false,
|
| 544 |
+
"single_word": false,
|
| 545 |
+
"special": true
|
| 546 |
+
},
|
| 547 |
+
"57585": {
|
| 548 |
+
"content": "<s_11d. IS THERE ANOTHER HEALTH BENEFIT PLAN>",
|
| 549 |
+
"lstrip": false,
|
| 550 |
+
"normalized": false,
|
| 551 |
+
"rstrip": false,
|
| 552 |
+
"single_word": false,
|
| 553 |
+
"special": true
|
| 554 |
+
},
|
| 555 |
+
"57586": {
|
| 556 |
+
"content": "</s_5. PATIENT'S TELEPHONE>",
|
| 557 |
+
"lstrip": false,
|
| 558 |
+
"normalized": false,
|
| 559 |
+
"rstrip": false,
|
| 560 |
+
"single_word": false,
|
| 561 |
+
"special": true
|
| 562 |
+
},
|
| 563 |
+
"57587": {
|
| 564 |
+
"content": "</s_7. INSURED'S CITY>",
|
| 565 |
+
"lstrip": false,
|
| 566 |
+
"normalized": false,
|
| 567 |
+
"rstrip": false,
|
| 568 |
+
"single_word": false,
|
| 569 |
+
"special": true
|
| 570 |
+
},
|
| 571 |
+
"57588": {
|
| 572 |
+
"content": "<s_MM>",
|
| 573 |
+
"lstrip": false,
|
| 574 |
+
"normalized": false,
|
| 575 |
+
"rstrip": false,
|
| 576 |
+
"single_word": false,
|
| 577 |
+
"special": true
|
| 578 |
+
},
|
| 579 |
+
"57589": {
|
| 580 |
+
"content": "<s_DATE>",
|
| 581 |
+
"lstrip": false,
|
| 582 |
+
"normalized": false,
|
| 583 |
+
"rstrip": false,
|
| 584 |
+
"single_word": false,
|
| 585 |
+
"special": true
|
| 586 |
+
},
|
| 587 |
+
"57590": {
|
| 588 |
+
"content": "<s_5. PATIENT'S ZIP CODE>",
|
| 589 |
+
"lstrip": false,
|
| 590 |
+
"normalized": false,
|
| 591 |
+
"rstrip": false,
|
| 592 |
+
"single_word": false,
|
| 593 |
+
"special": true
|
| 594 |
+
},
|
| 595 |
+
"57591": {
|
| 596 |
+
"content": "<s_3. PATIENT'S DATE OF BIRTH>",
|
| 597 |
+
"lstrip": false,
|
| 598 |
+
"normalized": false,
|
| 599 |
+
"rstrip": false,
|
| 600 |
+
"single_word": false,
|
| 601 |
+
"special": true
|
| 602 |
+
},
|
| 603 |
+
"57592": {
|
| 604 |
+
"content": "<s_$CHARGES1>",
|
| 605 |
+
"lstrip": false,
|
| 606 |
+
"normalized": false,
|
| 607 |
+
"rstrip": false,
|
| 608 |
+
"single_word": false,
|
| 609 |
+
"special": true
|
| 610 |
+
},
|
| 611 |
+
"57593": {
|
| 612 |
+
"content": "</s_1a. INSURED'S I.D. NUMBER>",
|
| 613 |
+
"lstrip": false,
|
| 614 |
+
"normalized": false,
|
| 615 |
+
"rstrip": false,
|
| 616 |
+
"single_word": false,
|
| 617 |
+
"special": true
|
| 618 |
+
},
|
| 619 |
+
"57594": {
|
| 620 |
+
"content": "</s_11d. IS THERE ANOTHER HEALTH BENEFIT PLAN>",
|
| 621 |
+
"lstrip": false,
|
| 622 |
+
"normalized": false,
|
| 623 |
+
"rstrip": false,
|
| 624 |
+
"single_word": false,
|
| 625 |
+
"special": true
|
| 626 |
+
},
|
| 627 |
+
"57595": {
|
| 628 |
+
"content": "<s_DIAGNOSIS POINTER2>",
|
| 629 |
+
"lstrip": false,
|
| 630 |
+
"normalized": false,
|
| 631 |
+
"rstrip": false,
|
| 632 |
+
"single_word": false,
|
| 633 |
+
"special": true
|
| 634 |
+
},
|
| 635 |
+
"57596": {
|
| 636 |
+
"content": "<s_x>",
|
| 637 |
+
"lstrip": false,
|
| 638 |
+
"normalized": false,
|
| 639 |
+
"rstrip": false,
|
| 640 |
+
"single_word": false,
|
| 641 |
+
"special": true
|
| 642 |
+
},
|
| 643 |
+
"57597": {
|
| 644 |
+
"content": "<s_meta>",
|
| 645 |
+
"lstrip": false,
|
| 646 |
+
"normalized": false,
|
| 647 |
+
"rstrip": false,
|
| 648 |
+
"single_word": false,
|
| 649 |
+
"special": true
|
| 650 |
+
},
|
| 651 |
+
"57598": {
|
| 652 |
+
"content": "<s_PATIENT AND INSURED INFORMATION>",
|
| 653 |
+
"lstrip": false,
|
| 654 |
+
"normalized": false,
|
| 655 |
+
"rstrip": false,
|
| 656 |
+
"single_word": false,
|
| 657 |
+
"special": true
|
| 658 |
+
},
|
| 659 |
+
"57599": {
|
| 660 |
+
"content": "<s_7. INSURED'S STATE>",
|
| 661 |
+
"lstrip": false,
|
| 662 |
+
"normalized": false,
|
| 663 |
+
"rstrip": false,
|
| 664 |
+
"single_word": false,
|
| 665 |
+
"special": true
|
| 666 |
+
},
|
| 667 |
+
"57600": {
|
| 668 |
+
"content": "<s_DIAGNOSIS POINTER1>",
|
| 669 |
+
"lstrip": false,
|
| 670 |
+
"normalized": false,
|
| 671 |
+
"rstrip": false,
|
| 672 |
+
"single_word": false,
|
| 673 |
+
"special": true
|
| 674 |
+
},
|
| 675 |
+
"57601": {
|
| 676 |
+
"content": "<s_9a. OTHER INSURED'S POLICY>",
|
| 677 |
+
"lstrip": false,
|
| 678 |
+
"normalized": false,
|
| 679 |
+
"rstrip": false,
|
| 680 |
+
"single_word": false,
|
| 681 |
+
"special": true
|
| 682 |
+
},
|
| 683 |
+
"57602": {
|
| 684 |
+
"content": "<s_GROUP HEALTH PLAN>",
|
| 685 |
+
"lstrip": false,
|
| 686 |
+
"normalized": false,
|
| 687 |
+
"rstrip": false,
|
| 688 |
+
"single_word": false,
|
| 689 |
+
"special": true
|
| 690 |
+
},
|
| 691 |
+
"57603": {
|
| 692 |
+
"content": "<s_y>",
|
| 693 |
+
"lstrip": false,
|
| 694 |
+
"normalized": false,
|
| 695 |
+
"rstrip": false,
|
| 696 |
+
"single_word": false,
|
| 697 |
+
"special": true
|
| 698 |
+
},
|
| 699 |
+
"57604": {
|
| 700 |
+
"content": "<s_AUTO ACCIDENT>",
|
| 701 |
+
"lstrip": false,
|
| 702 |
+
"normalized": false,
|
| 703 |
+
"rstrip": false,
|
| 704 |
+
"single_word": false,
|
| 705 |
+
"special": true
|
| 706 |
+
},
|
| 707 |
+
"57605": {
|
| 708 |
+
"content": "<s_CPT/HCPCS2>",
|
| 709 |
+
"lstrip": false,
|
| 710 |
+
"normalized": false,
|
| 711 |
+
"rstrip": false,
|
| 712 |
+
"single_word": false,
|
| 713 |
+
"special": true
|
| 714 |
+
},
|
| 715 |
+
"57606": {
|
| 716 |
+
"content": "</s_7. INSURED'S ADDRESS>",
|
| 717 |
+
"lstrip": false,
|
| 718 |
+
"normalized": false,
|
| 719 |
+
"rstrip": false,
|
| 720 |
+
"single_word": false,
|
| 721 |
+
"special": true
|
| 722 |
+
},
|
| 723 |
+
"57607": {
|
| 724 |
+
"content": "</s_28. TOTAL CHARGE>",
|
| 725 |
+
"lstrip": false,
|
| 726 |
+
"normalized": false,
|
| 727 |
+
"rstrip": false,
|
| 728 |
+
"single_word": false,
|
| 729 |
+
"special": true
|
| 730 |
+
},
|
| 731 |
+
"57608": {
|
| 732 |
+
"content": "<s_2. PATIENT'S NAME>",
|
| 733 |
+
"lstrip": false,
|
| 734 |
+
"normalized": false,
|
| 735 |
+
"rstrip": false,
|
| 736 |
+
"single_word": false,
|
| 737 |
+
"special": true
|
| 738 |
+
},
|
| 739 |
+
"57609": {
|
| 740 |
+
"content": "<s_TRICARE CHAMPUS>",
|
| 741 |
+
"lstrip": false,
|
| 742 |
+
"normalized": false,
|
| 743 |
+
"rstrip": false,
|
| 744 |
+
"single_word": false,
|
| 745 |
+
"special": true
|
| 746 |
+
},
|
| 747 |
+
"57610": {
|
| 748 |
+
"content": "<s_MM2>",
|
| 749 |
+
"lstrip": false,
|
| 750 |
+
"normalized": false,
|
| 751 |
+
"rstrip": false,
|
| 752 |
+
"single_word": false,
|
| 753 |
+
"special": true
|
| 754 |
+
},
|
| 755 |
+
"57611": {
|
| 756 |
+
"content": "</s_20. OUTSIDE LAB>",
|
| 757 |
+
"lstrip": false,
|
| 758 |
+
"normalized": false,
|
| 759 |
+
"rstrip": false,
|
| 760 |
+
"single_word": false,
|
| 761 |
+
"special": true
|
| 762 |
+
},
|
| 763 |
+
"57612": {
|
| 764 |
+
"content": "</s_11a. INSURED'S SEX>",
|
| 765 |
+
"lstrip": false,
|
| 766 |
+
"normalized": false,
|
| 767 |
+
"rstrip": false,
|
| 768 |
+
"single_word": false,
|
| 769 |
+
"special": true
|
| 770 |
+
},
|
| 771 |
+
"57613": {
|
| 772 |
+
"content": "<s_23. PRIOR AUTHORIZATION NUMBER>",
|
| 773 |
+
"lstrip": false,
|
| 774 |
+
"normalized": false,
|
| 775 |
+
"rstrip": false,
|
| 776 |
+
"single_word": false,
|
| 777 |
+
"special": true
|
| 778 |
+
},
|
| 779 |
+
"57614": {
|
| 780 |
+
"content": "<s_4. INSURED'S NAME>",
|
| 781 |
+
"lstrip": false,
|
| 782 |
+
"normalized": false,
|
| 783 |
+
"rstrip": false,
|
| 784 |
+
"single_word": false,
|
| 785 |
+
"special": true
|
| 786 |
+
},
|
| 787 |
+
"57615": {
|
| 788 |
+
"content": "<s_PHYSICIAN OR MEDICAL PROVIDER INFORMATION>",
|
| 789 |
+
"lstrip": false,
|
| 790 |
+
"normalized": false,
|
| 791 |
+
"rstrip": false,
|
| 792 |
+
"single_word": false,
|
| 793 |
+
"special": true
|
| 794 |
+
},
|
| 795 |
+
"57616": {
|
| 796 |
+
"content": "</s_GROUP HEALTH PLAN>",
|
| 797 |
+
"lstrip": false,
|
| 798 |
+
"normalized": false,
|
| 799 |
+
"rstrip": false,
|
| 800 |
+
"single_word": false,
|
| 801 |
+
"special": true
|
| 802 |
+
},
|
| 803 |
+
"57617": {
|
| 804 |
+
"content": "</s_27. ACCEPT ASSIGNMENT>",
|
| 805 |
+
"lstrip": false,
|
| 806 |
+
"normalized": false,
|
| 807 |
+
"rstrip": false,
|
| 808 |
+
"single_word": false,
|
| 809 |
+
"special": true
|
| 810 |
+
},
|
| 811 |
+
"57618": {
|
| 812 |
+
"content": "</s_$CHARGES2>",
|
| 813 |
+
"lstrip": false,
|
| 814 |
+
"normalized": false,
|
| 815 |
+
"rstrip": false,
|
| 816 |
+
"single_word": false,
|
| 817 |
+
"special": true
|
| 818 |
+
},
|
| 819 |
+
"57619": {
|
| 820 |
+
"content": "</s_MM2>",
|
| 821 |
+
"lstrip": false,
|
| 822 |
+
"normalized": false,
|
| 823 |
+
"rstrip": false,
|
| 824 |
+
"single_word": false,
|
| 825 |
+
"special": true
|
| 826 |
+
},
|
| 827 |
+
"57620": {
|
| 828 |
+
"content": "<s_word>",
|
| 829 |
+
"lstrip": false,
|
| 830 |
+
"normalized": false,
|
| 831 |
+
"rstrip": false,
|
| 832 |
+
"single_word": false,
|
| 833 |
+
"special": true
|
| 834 |
+
},
|
| 835 |
+
"57621": {
|
| 836 |
+
"content": "<s_7. INSURED'S CITY>",
|
| 837 |
+
"lstrip": false,
|
| 838 |
+
"normalized": false,
|
| 839 |
+
"rstrip": false,
|
| 840 |
+
"single_word": false,
|
| 841 |
+
"special": true
|
| 842 |
+
},
|
| 843 |
+
"57622": {
|
| 844 |
+
"content": "<s_1a. INSURED'S I.D. NUMBER>",
|
| 845 |
+
"lstrip": false,
|
| 846 |
+
"normalized": false,
|
| 847 |
+
"rstrip": false,
|
| 848 |
+
"single_word": false,
|
| 849 |
+
"special": true
|
| 850 |
+
},
|
| 851 |
+
"57623": {
|
| 852 |
+
"content": "</s_MM1>",
|
| 853 |
+
"lstrip": false,
|
| 854 |
+
"normalized": false,
|
| 855 |
+
"rstrip": false,
|
| 856 |
+
"single_word": false,
|
| 857 |
+
"special": true
|
| 858 |
+
},
|
| 859 |
+
"57624": {
|
| 860 |
+
"content": "<s_11c. INSURANCE PLAN NAME>",
|
| 861 |
+
"lstrip": false,
|
| 862 |
+
"normalized": false,
|
| 863 |
+
"rstrip": false,
|
| 864 |
+
"single_word": false,
|
| 865 |
+
"special": true
|
| 866 |
+
},
|
| 867 |
+
"57625": {
|
| 868 |
+
"content": "<s_3. PATIENT'S SEX>",
|
| 869 |
+
"lstrip": false,
|
| 870 |
+
"normalized": false,
|
| 871 |
+
"rstrip": false,
|
| 872 |
+
"single_word": false,
|
| 873 |
+
"special": true
|
| 874 |
+
},
|
| 875 |
+
"57626": {
|
| 876 |
+
"content": "</s_DATE>",
|
| 877 |
+
"lstrip": false,
|
| 878 |
+
"normalized": false,
|
| 879 |
+
"rstrip": false,
|
| 880 |
+
"single_word": false,
|
| 881 |
+
"special": true
|
| 882 |
+
},
|
| 883 |
+
"57627": {
|
| 884 |
+
"content": "<s_21. DIAGNOSIS OR NATURE OF ILLNESS>",
|
| 885 |
+
"lstrip": false,
|
| 886 |
+
"normalized": false,
|
| 887 |
+
"rstrip": false,
|
| 888 |
+
"single_word": false,
|
| 889 |
+
"special": true
|
| 890 |
+
},
|
| 891 |
+
"57628": {
|
| 892 |
+
"content": "<s_MEDICAID>",
|
| 893 |
+
"lstrip": false,
|
| 894 |
+
"normalized": false,
|
| 895 |
+
"rstrip": false,
|
| 896 |
+
"single_word": false,
|
| 897 |
+
"special": true
|
| 898 |
+
},
|
| 899 |
+
"57629": {
|
| 900 |
+
"content": "</s_32. SERVICE FACILITY LOCATION>",
|
| 901 |
+
"lstrip": false,
|
| 902 |
+
"normalized": false,
|
| 903 |
+
"rstrip": false,
|
| 904 |
+
"single_word": false,
|
| 905 |
+
"special": true
|
| 906 |
+
},
|
| 907 |
+
"57630": {
|
| 908 |
+
"content": "<s_6. PATIENT RELATIONSHIP>",
|
| 909 |
+
"lstrip": false,
|
| 910 |
+
"normalized": false,
|
| 911 |
+
"rstrip": false,
|
| 912 |
+
"single_word": false,
|
| 913 |
+
"special": true
|
| 914 |
+
},
|
| 915 |
+
"57631": {
|
| 916 |
+
"content": "<s_$CHARGES2>",
|
| 917 |
+
"lstrip": false,
|
| 918 |
+
"normalized": false,
|
| 919 |
+
"rstrip": false,
|
| 920 |
+
"single_word": false,
|
| 921 |
+
"special": true
|
| 922 |
+
},
|
| 923 |
+
"57632": {
|
| 924 |
+
"content": "</s_YY1>",
|
| 925 |
+
"lstrip": false,
|
| 926 |
+
"normalized": false,
|
| 927 |
+
"rstrip": false,
|
| 928 |
+
"single_word": false,
|
| 929 |
+
"special": true
|
| 930 |
+
},
|
| 931 |
+
"57633": {
|
| 932 |
+
"content": "<s_normalizedVertices>",
|
| 933 |
+
"lstrip": false,
|
| 934 |
+
"normalized": false,
|
| 935 |
+
"rstrip": false,
|
| 936 |
+
"single_word": false,
|
| 937 |
+
"special": true
|
| 938 |
+
},
|
| 939 |
+
"57634": {
|
| 940 |
+
"content": "</s_3. PATIENT'S SEX>",
|
| 941 |
+
"lstrip": false,
|
| 942 |
+
"normalized": false,
|
| 943 |
+
"rstrip": false,
|
| 944 |
+
"single_word": false,
|
| 945 |
+
"special": true
|
| 946 |
+
},
|
| 947 |
+
"57635": {
|
| 948 |
+
"content": "</s_formnumber>",
|
| 949 |
+
"lstrip": false,
|
| 950 |
+
"normalized": false,
|
| 951 |
+
"rstrip": false,
|
| 952 |
+
"single_word": false,
|
| 953 |
+
"special": true
|
| 954 |
+
},
|
| 955 |
+
"57636": {
|
| 956 |
+
"content": "</s_13. INSURED OR AUTHORIZED PERSON'S SIGNATURE>",
|
| 957 |
+
"lstrip": false,
|
| 958 |
+
"normalized": false,
|
| 959 |
+
"rstrip": false,
|
| 960 |
+
"single_word": false,
|
| 961 |
+
"special": true
|
| 962 |
+
},
|
| 963 |
+
"57637": {
|
| 964 |
+
"content": "<s_UNITS2>",
|
| 965 |
+
"lstrip": false,
|
| 966 |
+
"normalized": false,
|
| 967 |
+
"rstrip": false,
|
| 968 |
+
"single_word": false,
|
| 969 |
+
"special": true
|
| 970 |
+
},
|
| 971 |
+
"57638": {
|
| 972 |
+
"content": "</s_PHYSICIAN OR MEDICAL PROVIDER INFORMATION>",
|
| 973 |
+
"lstrip": false,
|
| 974 |
+
"normalized": false,
|
| 975 |
+
"rstrip": false,
|
| 976 |
+
"single_word": false,
|
| 977 |
+
"special": true
|
| 978 |
+
},
|
| 979 |
+
"57639": {
|
| 980 |
+
"content": "<s_DD2>",
|
| 981 |
+
"lstrip": false,
|
| 982 |
+
"normalized": false,
|
| 983 |
+
"rstrip": false,
|
| 984 |
+
"single_word": false,
|
| 985 |
+
"special": true
|
| 986 |
+
},
|
| 987 |
+
"57640": {
|
| 988 |
+
"content": "</s_6. PATIENT RELATIONSHIP>",
|
| 989 |
+
"lstrip": false,
|
| 990 |
+
"normalized": false,
|
| 991 |
+
"rstrip": false,
|
| 992 |
+
"single_word": false,
|
| 993 |
+
"special": true
|
| 994 |
+
},
|
| 995 |
+
"57641": {
|
| 996 |
+
"content": "</s_4. INSURED'S NAME>",
|
| 997 |
+
"lstrip": false,
|
| 998 |
+
"normalized": false,
|
| 999 |
+
"rstrip": false,
|
| 1000 |
+
"single_word": false,
|
| 1001 |
+
"special": true
|
| 1002 |
+
},
|
| 1003 |
+
"57642": {
|
| 1004 |
+
"content": "<s_MEDICARE>",
|
| 1005 |
+
"lstrip": false,
|
| 1006 |
+
"normalized": false,
|
| 1007 |
+
"rstrip": false,
|
| 1008 |
+
"single_word": false,
|
| 1009 |
+
"special": true
|
| 1010 |
+
},
|
| 1011 |
+
"57643": {
|
| 1012 |
+
"content": "</s_DD>",
|
| 1013 |
+
"lstrip": false,
|
| 1014 |
+
"normalized": false,
|
| 1015 |
+
"rstrip": false,
|
| 1016 |
+
"single_word": false,
|
| 1017 |
+
"special": true
|
| 1018 |
+
},
|
| 1019 |
+
"57644": {
|
| 1020 |
+
"content": "<s_FECA>",
|
| 1021 |
+
"lstrip": false,
|
| 1022 |
+
"normalized": false,
|
| 1023 |
+
"rstrip": false,
|
| 1024 |
+
"single_word": false,
|
| 1025 |
+
"special": true
|
| 1026 |
+
},
|
| 1027 |
+
"57645": {
|
| 1028 |
+
"content": "</s_CHAMPVA>",
|
| 1029 |
+
"lstrip": false,
|
| 1030 |
+
"normalized": false,
|
| 1031 |
+
"rstrip": false,
|
| 1032 |
+
"single_word": false,
|
| 1033 |
+
"special": true
|
| 1034 |
+
},
|
| 1035 |
+
"57646": {
|
| 1036 |
+
"content": "</s_3. PATIENT'S DATE OF BIRTH>",
|
| 1037 |
+
"lstrip": false,
|
| 1038 |
+
"normalized": false,
|
| 1039 |
+
"rstrip": false,
|
| 1040 |
+
"single_word": false,
|
| 1041 |
+
"special": true
|
| 1042 |
+
},
|
| 1043 |
+
"57647": {
|
| 1044 |
+
"content": "</s_x>",
|
| 1045 |
+
"lstrip": false,
|
| 1046 |
+
"normalized": false,
|
| 1047 |
+
"rstrip": false,
|
| 1048 |
+
"single_word": false,
|
| 1049 |
+
"special": true
|
| 1050 |
+
},
|
| 1051 |
+
"57648": {
|
| 1052 |
+
"content": "</s_y>",
|
| 1053 |
+
"lstrip": false,
|
| 1054 |
+
"normalized": false,
|
| 1055 |
+
"rstrip": false,
|
| 1056 |
+
"single_word": false,
|
| 1057 |
+
"special": true
|
| 1058 |
+
},
|
| 1059 |
+
"57649": {
|
| 1060 |
+
"content": "</s_24. SERVICES>",
|
| 1061 |
+
"lstrip": false,
|
| 1062 |
+
"normalized": false,
|
| 1063 |
+
"rstrip": false,
|
| 1064 |
+
"single_word": false,
|
| 1065 |
+
"special": true
|
| 1066 |
+
},
|
| 1067 |
+
"57650": {
|
| 1068 |
+
"content": "<s_10. PATIENT'S CONDITION>",
|
| 1069 |
+
"lstrip": false,
|
| 1070 |
+
"normalized": false,
|
| 1071 |
+
"rstrip": false,
|
| 1072 |
+
"single_word": false,
|
| 1073 |
+
"special": true
|
| 1074 |
+
},
|
| 1075 |
+
"57651": {
|
| 1076 |
+
"content": "<s_formtype>",
|
| 1077 |
+
"lstrip": false,
|
| 1078 |
+
"normalized": false,
|
| 1079 |
+
"rstrip": false,
|
| 1080 |
+
"single_word": false,
|
| 1081 |
+
"special": true
|
| 1082 |
+
},
|
| 1083 |
+
"57652": {
|
| 1084 |
+
"content": "<s_YY>",
|
| 1085 |
+
"lstrip": false,
|
| 1086 |
+
"normalized": false,
|
| 1087 |
+
"rstrip": false,
|
| 1088 |
+
"single_word": false,
|
| 1089 |
+
"special": true
|
| 1090 |
+
},
|
| 1091 |
+
"57653": {
|
| 1092 |
+
"content": "</s_DIAGNOSIS POINTER2>",
|
| 1093 |
+
"lstrip": false,
|
| 1094 |
+
"normalized": false,
|
| 1095 |
+
"rstrip": false,
|
| 1096 |
+
"single_word": false,
|
| 1097 |
+
"special": true
|
| 1098 |
+
},
|
| 1099 |
+
"57654": {
|
| 1100 |
+
"content": "</s_PATIENT AND INSURED INFORMATION>",
|
| 1101 |
+
"lstrip": false,
|
| 1102 |
+
"normalized": false,
|
| 1103 |
+
"rstrip": false,
|
| 1104 |
+
"single_word": false,
|
| 1105 |
+
"special": true
|
| 1106 |
+
},
|
| 1107 |
+
"57655": {
|
| 1108 |
+
"content": "<s_CHAMPVA>",
|
| 1109 |
+
"lstrip": false,
|
| 1110 |
+
"normalized": false,
|
| 1111 |
+
"rstrip": false,
|
| 1112 |
+
"single_word": false,
|
| 1113 |
+
"special": true
|
| 1114 |
+
},
|
| 1115 |
+
"57656": {
|
| 1116 |
+
"content": "<s_1.>",
|
| 1117 |
+
"lstrip": false,
|
| 1118 |
+
"normalized": false,
|
| 1119 |
+
"rstrip": false,
|
| 1120 |
+
"single_word": false,
|
| 1121 |
+
"special": true
|
| 1122 |
+
},
|
| 1123 |
+
"57657": {
|
| 1124 |
+
"content": "<s_DD1>",
|
| 1125 |
+
"lstrip": false,
|
| 1126 |
+
"normalized": false,
|
| 1127 |
+
"rstrip": false,
|
| 1128 |
+
"single_word": false,
|
| 1129 |
+
"special": true
|
| 1130 |
+
},
|
| 1131 |
+
"57658": {
|
| 1132 |
+
"content": "</s_9. OTHER INSURED'S NAME>",
|
| 1133 |
+
"lstrip": false,
|
| 1134 |
+
"normalized": false,
|
| 1135 |
+
"rstrip": false,
|
| 1136 |
+
"single_word": false,
|
| 1137 |
+
"special": true
|
| 1138 |
+
},
|
| 1139 |
+
"57659": {
|
| 1140 |
+
"content": "<s_UNITS1>",
|
| 1141 |
+
"lstrip": false,
|
| 1142 |
+
"normalized": false,
|
| 1143 |
+
"rstrip": false,
|
| 1144 |
+
"single_word": false,
|
| 1145 |
+
"special": true
|
| 1146 |
+
},
|
| 1147 |
+
"57660": {
|
| 1148 |
+
"content": "<s_7. INSURED'S ADDRESS>",
|
| 1149 |
+
"lstrip": false,
|
| 1150 |
+
"normalized": false,
|
| 1151 |
+
"rstrip": false,
|
| 1152 |
+
"single_word": false,
|
| 1153 |
+
"special": true
|
| 1154 |
+
},
|
| 1155 |
+
"57661": {
|
| 1156 |
+
"content": "<s_26. PATIENT'S ACCOUNT NUMBER>",
|
| 1157 |
+
"lstrip": false,
|
| 1158 |
+
"normalized": false,
|
| 1159 |
+
"rstrip": false,
|
| 1160 |
+
"single_word": false,
|
| 1161 |
+
"special": true
|
| 1162 |
+
},
|
| 1163 |
+
"57662": {
|
| 1164 |
+
"content": "<s_5. PATIENT'S ADDRESS>",
|
| 1165 |
+
"lstrip": false,
|
| 1166 |
+
"normalized": false,
|
| 1167 |
+
"rstrip": false,
|
| 1168 |
+
"single_word": false,
|
| 1169 |
+
"special": true
|
| 1170 |
+
},
|
| 1171 |
+
"57663": {
|
| 1172 |
+
"content": "</s_text>",
|
| 1173 |
+
"lstrip": false,
|
| 1174 |
+
"normalized": false,
|
| 1175 |
+
"rstrip": false,
|
| 1176 |
+
"single_word": false,
|
| 1177 |
+
"special": true
|
| 1178 |
+
},
|
| 1179 |
+
"57664": {
|
| 1180 |
+
"content": "</s_9a. OTHER INSURED'S POLICY>",
|
| 1181 |
+
"lstrip": false,
|
| 1182 |
+
"normalized": false,
|
| 1183 |
+
"rstrip": false,
|
| 1184 |
+
"single_word": false,
|
| 1185 |
+
"special": true
|
| 1186 |
+
},
|
| 1187 |
+
"57665": {
|
| 1188 |
+
"content": "<s_27. ACCEPT ASSIGNMENT>",
|
| 1189 |
+
"lstrip": false,
|
| 1190 |
+
"normalized": false,
|
| 1191 |
+
"rstrip": false,
|
| 1192 |
+
"single_word": false,
|
| 1193 |
+
"special": true
|
| 1194 |
+
},
|
| 1195 |
+
"57666": {
|
| 1196 |
+
"content": "</s_12. PATIENT'S OR AUTHORIZED PERSON'S SIGNATURE>",
|
| 1197 |
+
"lstrip": false,
|
| 1198 |
+
"normalized": false,
|
| 1199 |
+
"rstrip": false,
|
| 1200 |
+
"single_word": false,
|
| 1201 |
+
"special": true
|
| 1202 |
+
},
|
| 1203 |
+
"57667": {
|
| 1204 |
+
"content": "</s_5. PATIENT'S ZIP CODE>",
|
| 1205 |
+
"lstrip": false,
|
| 1206 |
+
"normalized": false,
|
| 1207 |
+
"rstrip": false,
|
| 1208 |
+
"single_word": false,
|
| 1209 |
+
"special": true
|
| 1210 |
+
},
|
| 1211 |
+
"57668": {
|
| 1212 |
+
"content": "<s_9d. INSURANCE PLAN NAME>",
|
| 1213 |
+
"lstrip": false,
|
| 1214 |
+
"normalized": false,
|
| 1215 |
+
"rstrip": false,
|
| 1216 |
+
"single_word": false,
|
| 1217 |
+
"special": true
|
| 1218 |
+
},
|
| 1219 |
+
"57669": {
|
| 1220 |
+
"content": "</s_26. PATIENT'S ACCOUNT NUMBER>",
|
| 1221 |
+
"lstrip": false,
|
| 1222 |
+
"normalized": false,
|
| 1223 |
+
"rstrip": false,
|
| 1224 |
+
"single_word": false,
|
| 1225 |
+
"special": true
|
| 1226 |
+
},
|
| 1227 |
+
"57670": {
|
| 1228 |
+
"content": "<s_YY2>",
|
| 1229 |
+
"lstrip": false,
|
| 1230 |
+
"normalized": false,
|
| 1231 |
+
"rstrip": false,
|
| 1232 |
+
"single_word": false,
|
| 1233 |
+
"special": true
|
| 1234 |
+
},
|
| 1235 |
+
"57671": {
|
| 1236 |
+
"content": "</s_AUTO ACCIDENT>",
|
| 1237 |
+
"lstrip": false,
|
| 1238 |
+
"normalized": false,
|
| 1239 |
+
"rstrip": false,
|
| 1240 |
+
"single_word": false,
|
| 1241 |
+
"special": true
|
| 1242 |
+
},
|
| 1243 |
+
"57672": {
|
| 1244 |
+
"content": "<s_SIGNED>",
|
| 1245 |
+
"lstrip": false,
|
| 1246 |
+
"normalized": false,
|
| 1247 |
+
"rstrip": false,
|
| 1248 |
+
"single_word": false,
|
| 1249 |
+
"special": true
|
| 1250 |
+
},
|
| 1251 |
+
"57673": {
|
| 1252 |
+
"content": "<s_5. PATIENT'S TELEPHONE>",
|
| 1253 |
+
"lstrip": false,
|
| 1254 |
+
"normalized": false,
|
| 1255 |
+
"rstrip": false,
|
| 1256 |
+
"single_word": false,
|
| 1257 |
+
"special": true
|
| 1258 |
+
},
|
| 1259 |
+
"57674": {
|
| 1260 |
+
"content": "</s_FECA>",
|
| 1261 |
+
"lstrip": false,
|
| 1262 |
+
"normalized": false,
|
| 1263 |
+
"rstrip": false,
|
| 1264 |
+
"single_word": false,
|
| 1265 |
+
"special": true
|
| 1266 |
+
},
|
| 1267 |
+
"57675": {
|
| 1268 |
+
"content": "</s_DD1>",
|
| 1269 |
+
"lstrip": false,
|
| 1270 |
+
"normalized": false,
|
| 1271 |
+
"rstrip": false,
|
| 1272 |
+
"single_word": false,
|
| 1273 |
+
"special": true
|
| 1274 |
+
},
|
| 1275 |
+
"57676": {
|
| 1276 |
+
"content": "</s_normalizedVertices>",
|
| 1277 |
+
"lstrip": false,
|
| 1278 |
+
"normalized": false,
|
| 1279 |
+
"rstrip": false,
|
| 1280 |
+
"single_word": false,
|
| 1281 |
+
"special": true
|
| 1282 |
+
},
|
| 1283 |
+
"57677": {
|
| 1284 |
+
"content": "<s_OTHER ACCIDENT>",
|
| 1285 |
+
"lstrip": false,
|
| 1286 |
+
"normalized": false,
|
| 1287 |
+
"rstrip": false,
|
| 1288 |
+
"single_word": false,
|
| 1289 |
+
"special": true
|
| 1290 |
+
},
|
| 1291 |
+
"57678": {
|
| 1292 |
+
"content": "<s_32. SERVICE FACILITY LOCATION>",
|
| 1293 |
+
"lstrip": false,
|
| 1294 |
+
"normalized": false,
|
| 1295 |
+
"rstrip": false,
|
| 1296 |
+
"single_word": false,
|
| 1297 |
+
"special": true
|
| 1298 |
+
},
|
| 1299 |
+
"57679": {
|
| 1300 |
+
"content": "</s_label>",
|
| 1301 |
+
"lstrip": false,
|
| 1302 |
+
"normalized": false,
|
| 1303 |
+
"rstrip": false,
|
| 1304 |
+
"single_word": false,
|
| 1305 |
+
"special": true
|
| 1306 |
+
},
|
| 1307 |
+
"57680": {
|
| 1308 |
+
"content": "</s_11. INSURED'S POLICY GROUP ORFECA NUMBER>",
|
| 1309 |
+
"lstrip": false,
|
| 1310 |
+
"normalized": false,
|
| 1311 |
+
"rstrip": false,
|
| 1312 |
+
"single_word": false,
|
| 1313 |
+
"special": true
|
| 1314 |
+
},
|
| 1315 |
+
"57681": {
|
| 1316 |
+
"content": "</s_EMPLOYMENT>",
|
| 1317 |
+
"lstrip": false,
|
| 1318 |
+
"normalized": false,
|
| 1319 |
+
"rstrip": false,
|
| 1320 |
+
"single_word": false,
|
| 1321 |
+
"special": true
|
| 1322 |
+
},
|
| 1323 |
+
"57682": {
|
| 1324 |
+
"content": "</s_formtype>",
|
| 1325 |
+
"lstrip": false,
|
| 1326 |
+
"normalized": false,
|
| 1327 |
+
"rstrip": false,
|
| 1328 |
+
"single_word": false,
|
| 1329 |
+
"special": true
|
| 1330 |
+
},
|
| 1331 |
+
"57683": {
|
| 1332 |
+
"content": "<s_EMPLOYMENT>",
|
| 1333 |
+
"lstrip": false,
|
| 1334 |
+
"normalized": false,
|
| 1335 |
+
"rstrip": false,
|
| 1336 |
+
"single_word": false,
|
| 1337 |
+
"special": true
|
| 1338 |
+
},
|
| 1339 |
+
"57684": {
|
| 1340 |
+
"content": "</s_UNITS2>",
|
| 1341 |
+
"lstrip": false,
|
| 1342 |
+
"normalized": false,
|
| 1343 |
+
"rstrip": false,
|
| 1344 |
+
"single_word": false,
|
| 1345 |
+
"special": true
|
| 1346 |
+
},
|
| 1347 |
+
"57685": {
|
| 1348 |
+
"content": "</s_CPT/HCPCS2>",
|
| 1349 |
+
"lstrip": false,
|
| 1350 |
+
"normalized": false,
|
| 1351 |
+
"rstrip": false,
|
| 1352 |
+
"single_word": false,
|
| 1353 |
+
"special": true
|
| 1354 |
+
},
|
| 1355 |
+
"57686": {
|
| 1356 |
+
"content": "</s_5. PATIENT'S STATE>",
|
| 1357 |
+
"lstrip": false,
|
| 1358 |
+
"normalized": false,
|
| 1359 |
+
"rstrip": false,
|
| 1360 |
+
"single_word": false,
|
| 1361 |
+
"special": true
|
| 1362 |
+
},
|
| 1363 |
+
"57687": {
|
| 1364 |
+
"content": "<s_OTHER>",
|
| 1365 |
+
"lstrip": false,
|
| 1366 |
+
"normalized": false,
|
| 1367 |
+
"rstrip": false,
|
| 1368 |
+
"single_word": false,
|
| 1369 |
+
"special": true
|
| 1370 |
+
},
|
| 1371 |
+
"57688": {
|
| 1372 |
+
"content": "</s_23. PRIOR AUTHORIZATION NUMBER>",
|
| 1373 |
+
"lstrip": false,
|
| 1374 |
+
"normalized": false,
|
| 1375 |
+
"rstrip": false,
|
| 1376 |
+
"single_word": false,
|
| 1377 |
+
"special": true
|
| 1378 |
+
},
|
| 1379 |
+
"57689": {
|
| 1380 |
+
"content": "</s_UNITS1>",
|
| 1381 |
+
"lstrip": false,
|
| 1382 |
+
"normalized": false,
|
| 1383 |
+
"rstrip": false,
|
| 1384 |
+
"single_word": false,
|
| 1385 |
+
"special": true
|
| 1386 |
+
},
|
| 1387 |
+
"57690": {
|
| 1388 |
+
"content": "</s_CPT/HCPCS1>",
|
| 1389 |
+
"lstrip": false,
|
| 1390 |
+
"normalized": false,
|
| 1391 |
+
"rstrip": false,
|
| 1392 |
+
"single_word": false,
|
| 1393 |
+
"special": true
|
| 1394 |
+
},
|
| 1395 |
+
"57691": {
|
| 1396 |
+
"content": "</s_MM>",
|
| 1397 |
+
"lstrip": false,
|
| 1398 |
+
"normalized": false,
|
| 1399 |
+
"rstrip": false,
|
| 1400 |
+
"single_word": false,
|
| 1401 |
+
"special": true
|
| 1402 |
+
},
|
| 1403 |
+
"57692": {
|
| 1404 |
+
"content": "<s_YY1>",
|
| 1405 |
+
"lstrip": false,
|
| 1406 |
+
"normalized": false,
|
| 1407 |
+
"rstrip": false,
|
| 1408 |
+
"single_word": false,
|
| 1409 |
+
"special": true
|
| 1410 |
+
},
|
| 1411 |
+
"57693": {
|
| 1412 |
+
"content": "</s_21. DIAGNOSIS OR NATURE OF ILLNESS>",
|
| 1413 |
+
"lstrip": false,
|
| 1414 |
+
"normalized": false,
|
| 1415 |
+
"rstrip": false,
|
| 1416 |
+
"single_word": false,
|
| 1417 |
+
"special": true
|
| 1418 |
+
},
|
| 1419 |
+
"57694": {
|
| 1420 |
+
"content": "<s_MM1>",
|
| 1421 |
+
"lstrip": false,
|
| 1422 |
+
"normalized": false,
|
| 1423 |
+
"rstrip": false,
|
| 1424 |
+
"single_word": false,
|
| 1425 |
+
"special": true
|
| 1426 |
+
},
|
| 1427 |
+
"57695": {
|
| 1428 |
+
"content": "<s_28. TOTAL CHARGE>",
|
| 1429 |
+
"lstrip": false,
|
| 1430 |
+
"normalized": false,
|
| 1431 |
+
"rstrip": false,
|
| 1432 |
+
"single_word": false,
|
| 1433 |
+
"special": true
|
| 1434 |
+
},
|
| 1435 |
+
"57696": {
|
| 1436 |
+
"content": "<s_DD>",
|
| 1437 |
+
"lstrip": false,
|
| 1438 |
+
"normalized": false,
|
| 1439 |
+
"rstrip": false,
|
| 1440 |
+
"single_word": false,
|
| 1441 |
+
"special": true
|
| 1442 |
+
},
|
| 1443 |
+
"57697": {
|
| 1444 |
+
"content": "</s_OTHER ACCIDENT>",
|
| 1445 |
+
"lstrip": false,
|
| 1446 |
+
"normalized": false,
|
| 1447 |
+
"rstrip": false,
|
| 1448 |
+
"single_word": false,
|
| 1449 |
+
"special": true
|
| 1450 |
+
},
|
| 1451 |
+
"57698": {
|
| 1452 |
+
"content": "</s_1.>",
|
| 1453 |
+
"lstrip": false,
|
| 1454 |
+
"normalized": false,
|
| 1455 |
+
"rstrip": false,
|
| 1456 |
+
"single_word": false,
|
| 1457 |
+
"special": true
|
| 1458 |
+
},
|
| 1459 |
+
"57699": {
|
| 1460 |
+
"content": "</s_YY2>",
|
| 1461 |
+
"lstrip": false,
|
| 1462 |
+
"normalized": false,
|
| 1463 |
+
"rstrip": false,
|
| 1464 |
+
"single_word": false,
|
| 1465 |
+
"special": true
|
| 1466 |
+
},
|
| 1467 |
+
"57700": {
|
| 1468 |
+
"content": "<s_label>",
|
| 1469 |
+
"lstrip": false,
|
| 1470 |
+
"normalized": false,
|
| 1471 |
+
"rstrip": false,
|
| 1472 |
+
"single_word": false,
|
| 1473 |
+
"special": true
|
| 1474 |
+
},
|
| 1475 |
+
"57701": {
|
| 1476 |
+
"content": "</s_2. PATIENT'S NAME>",
|
| 1477 |
+
"lstrip": false,
|
| 1478 |
+
"normalized": false,
|
| 1479 |
+
"rstrip": false,
|
| 1480 |
+
"single_word": false,
|
| 1481 |
+
"special": true
|
| 1482 |
+
},
|
| 1483 |
+
"57702": {
|
| 1484 |
+
"content": "</s_5. PATIENT'S ADDRESS>",
|
| 1485 |
+
"lstrip": false,
|
| 1486 |
+
"normalized": false,
|
| 1487 |
+
"rstrip": false,
|
| 1488 |
+
"single_word": false,
|
| 1489 |
+
"special": true
|
| 1490 |
+
},
|
| 1491 |
+
"57703": {
|
| 1492 |
+
"content": "<s_20. OUTSIDE LAB>",
|
| 1493 |
+
"lstrip": false,
|
| 1494 |
+
"normalized": false,
|
| 1495 |
+
"rstrip": false,
|
| 1496 |
+
"single_word": false,
|
| 1497 |
+
"special": true
|
| 1498 |
+
},
|
| 1499 |
+
"57704": {
|
| 1500 |
+
"content": "</s_7. INSURED'S STATE>",
|
| 1501 |
+
"lstrip": false,
|
| 1502 |
+
"normalized": false,
|
| 1503 |
+
"rstrip": false,
|
| 1504 |
+
"single_word": false,
|
| 1505 |
+
"special": true
|
| 1506 |
+
},
|
| 1507 |
+
"57705": {
|
| 1508 |
+
"content": "<s_text>",
|
| 1509 |
+
"lstrip": false,
|
| 1510 |
+
"normalized": false,
|
| 1511 |
+
"rstrip": false,
|
| 1512 |
+
"single_word": false,
|
| 1513 |
+
"special": true
|
| 1514 |
+
},
|
| 1515 |
+
"57706": {
|
| 1516 |
+
"content": "</s_10. PATIENT'S CONDITION>",
|
| 1517 |
+
"lstrip": false,
|
| 1518 |
+
"normalized": false,
|
| 1519 |
+
"rstrip": false,
|
| 1520 |
+
"single_word": false,
|
| 1521 |
+
"special": true
|
| 1522 |
+
},
|
| 1523 |
+
"57707": {
|
| 1524 |
+
"content": "</s_OTHER>",
|
| 1525 |
+
"lstrip": false,
|
| 1526 |
+
"normalized": false,
|
| 1527 |
+
"rstrip": false,
|
| 1528 |
+
"single_word": false,
|
| 1529 |
+
"special": true
|
| 1530 |
+
},
|
| 1531 |
+
"57708": {
|
| 1532 |
+
"content": "</s_DIAGNOSIS POINTER1>",
|
| 1533 |
+
"lstrip": false,
|
| 1534 |
+
"normalized": false,
|
| 1535 |
+
"rstrip": false,
|
| 1536 |
+
"single_word": false,
|
| 1537 |
+
"special": true
|
| 1538 |
+
},
|
| 1539 |
+
"57709": {
|
| 1540 |
+
"content": "<s_11a. INSURED'S SEX>",
|
| 1541 |
+
"lstrip": false,
|
| 1542 |
+
"normalized": false,
|
| 1543 |
+
"rstrip": false,
|
| 1544 |
+
"single_word": false,
|
| 1545 |
+
"special": true
|
| 1546 |
+
},
|
| 1547 |
+
"57710": {
|
| 1548 |
+
"content": "<s_11. INSURED'S POLICY GROUP ORFECA NUMBER>",
|
| 1549 |
+
"lstrip": false,
|
| 1550 |
+
"normalized": false,
|
| 1551 |
+
"rstrip": false,
|
| 1552 |
+
"single_word": false,
|
| 1553 |
+
"special": true
|
| 1554 |
+
},
|
| 1555 |
+
"57711": {
|
| 1556 |
+
"content": "</s_DD2>",
|
| 1557 |
+
"lstrip": false,
|
| 1558 |
+
"normalized": false,
|
| 1559 |
+
"rstrip": false,
|
| 1560 |
+
"single_word": false,
|
| 1561 |
+
"special": true
|
| 1562 |
+
},
|
| 1563 |
+
"57712": {
|
| 1564 |
+
"content": "</s_9d. INSURANCE PLAN NAME>",
|
| 1565 |
+
"lstrip": false,
|
| 1566 |
+
"normalized": false,
|
| 1567 |
+
"rstrip": false,
|
| 1568 |
+
"single_word": false,
|
| 1569 |
+
"special": true
|
| 1570 |
+
},
|
| 1571 |
+
"57713": {
|
| 1572 |
+
"content": "</s_meta>",
|
| 1573 |
+
"lstrip": false,
|
| 1574 |
+
"normalized": false,
|
| 1575 |
+
"rstrip": false,
|
| 1576 |
+
"single_word": false,
|
| 1577 |
+
"special": true
|
| 1578 |
+
},
|
| 1579 |
+
"57714": {
|
| 1580 |
+
"content": "</s_5. PATIENT'S CITY>",
|
| 1581 |
+
"lstrip": false,
|
| 1582 |
+
"normalized": false,
|
| 1583 |
+
"rstrip": false,
|
| 1584 |
+
"single_word": false,
|
| 1585 |
+
"special": true
|
| 1586 |
+
},
|
| 1587 |
+
"57715": {
|
| 1588 |
+
"content": "<s_CPT/HCPCS1>",
|
| 1589 |
+
"lstrip": false,
|
| 1590 |
+
"normalized": false,
|
| 1591 |
+
"rstrip": false,
|
| 1592 |
+
"single_word": false,
|
| 1593 |
+
"special": true
|
| 1594 |
+
},
|
| 1595 |
+
"57716": {
|
| 1596 |
+
"content": "<s_24. SERVICES>",
|
| 1597 |
+
"lstrip": false,
|
| 1598 |
+
"normalized": false,
|
| 1599 |
+
"rstrip": false,
|
| 1600 |
+
"single_word": false,
|
| 1601 |
+
"special": true
|
| 1602 |
+
},
|
| 1603 |
+
"57717": {
|
| 1604 |
+
"content": "<s_5. PATIENT'S CITY>",
|
| 1605 |
+
"lstrip": false,
|
| 1606 |
+
"normalized": false,
|
| 1607 |
+
"rstrip": false,
|
| 1608 |
+
"single_word": false,
|
| 1609 |
+
"special": true
|
| 1610 |
+
},
|
| 1611 |
+
"57718": {
|
| 1612 |
+
"content": "</s_11c. INSURANCE PLAN NAME>",
|
| 1613 |
+
"lstrip": false,
|
| 1614 |
+
"normalized": false,
|
| 1615 |
+
"rstrip": false,
|
| 1616 |
+
"single_word": false,
|
| 1617 |
+
"special": true
|
| 1618 |
+
},
|
| 1619 |
+
"57719": {
|
| 1620 |
+
"content": "</s_$CHARGES1>",
|
| 1621 |
+
"lstrip": false,
|
| 1622 |
+
"normalized": false,
|
| 1623 |
+
"rstrip": false,
|
| 1624 |
+
"single_word": false,
|
| 1625 |
+
"special": true
|
| 1626 |
+
},
|
| 1627 |
+
"57720": {
|
| 1628 |
+
"content": "<s_words>",
|
| 1629 |
+
"lstrip": false,
|
| 1630 |
+
"normalized": false,
|
| 1631 |
+
"rstrip": false,
|
| 1632 |
+
"single_word": false,
|
| 1633 |
+
"special": true
|
| 1634 |
+
},
|
| 1635 |
+
"57721": {
|
| 1636 |
+
"content": "</s_SIGNED>",
|
| 1637 |
+
"lstrip": false,
|
| 1638 |
+
"normalized": false,
|
| 1639 |
+
"rstrip": false,
|
| 1640 |
+
"single_word": false,
|
| 1641 |
+
"special": true
|
| 1642 |
+
},
|
| 1643 |
+
"57722": {
|
| 1644 |
+
"content": "<s_29. AMOUNT PAID>",
|
| 1645 |
+
"lstrip": false,
|
| 1646 |
+
"normalized": false,
|
| 1647 |
+
"rstrip": false,
|
| 1648 |
+
"single_word": false,
|
| 1649 |
+
"special": true
|
| 1650 |
+
},
|
| 1651 |
+
"57723": {
|
| 1652 |
+
"content": "<s_9. OTHER INSURED'S NAME>",
|
| 1653 |
+
"lstrip": false,
|
| 1654 |
+
"normalized": false,
|
| 1655 |
+
"rstrip": false,
|
| 1656 |
+
"single_word": false,
|
| 1657 |
+
"special": true
|
| 1658 |
+
},
|
| 1659 |
+
"57724": {
|
| 1660 |
+
"content": "</s_word>",
|
| 1661 |
+
"lstrip": false,
|
| 1662 |
+
"normalized": false,
|
| 1663 |
+
"rstrip": false,
|
| 1664 |
+
"single_word": false,
|
| 1665 |
+
"special": true
|
| 1666 |
+
},
|
| 1667 |
+
"57725": {
|
| 1668 |
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"content": "</s_MEDICAID>",
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| 1669 |
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| 1670 |
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| 1671 |
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| 1673 |
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},
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|
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|
| 1684 |
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| 1689 |
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},
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|
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| 1731 |
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| 1734 |
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| 1737 |
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| 1747 |
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| 1752 |
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| 1753 |
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| 1754 |
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"</s_YY1>",
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"</s_13. INSURED OR AUTHORIZED PERSON'S SIGNATURE>",
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"</s_CHAMPVA>",
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"</s_normalizedVertices>",
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| 1840 |
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| 1850 |
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| 1859 |
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| 1860 |
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"</s_29. AMOUNT PAID>"
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| 1861 |
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],
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| 1862 |
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"mask_token": "<mask>",
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"processor_class": "DonutProcessor",
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| 1870 |
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}
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